Open Access
Access granted
Subscription or Fee Access
Vol 29, No 8 (2018)
- Year: 2018
- Articles: 22
- URL: https://journals.eco-vector.com/0236-3054/issue/view/5987
Articles
Optimizing the management of children with recurrent respiratory infections during seasonal disease outbreaks
Abstract
Acute respiratory infections are a very common pathology in childhood. The vast majority of respiratory infections are of viral origin. Another problem concerns children with frequent recurrent respiratory tract diseases, which are more prevalent in allergic patients and often accompanied by bacterial complications and chronic disease exacerbations. Complex prevention of recurrent respiratory infections should include microbiocenosis correction, vitamins and minerals intake as well as the use of intranasal interferon-based medications.
Vrach. 2018;29(8):3-7
3-7
Specific features of the diagnosis and treatment of community-acquired pneumonia in pregnant women
Abstract
The diagnosis of community-acquired pneumonia and the choice of adequate therapy during pregnancy have a number of features. This is due to both clinical features and certain restrictions on the prescription of antibacterial drugs, some groups of which may have a negative effect on a fetus.
Vrach. 2018;29(8):8-11
8-11
The impact of ontogeny and the perinatal period on the development of nutrition-dependent diseases in young children
Abstract
Children suffering from nutrition-dependent diseases (NDDs), such as rickets, anemia, chronic nutritional disorders, have significantly more commonly a compromised biological history. Children with NDDs have more relatives with locomotor system diseases; those with rickets have more relatives with cardiovascular diseases. The greatest influence is exerted by extragenital diseases, especially anemia, in the mother and by obesity and specific infection foci in the group of children with rickets. A compromised biological history, recurrent pregnancy and labor, birth asphyxia, prematurity, low birth weight, and breastfeeding lasting <6 months are the leading risk factors of rickets, iron-deficiency anemia, and chronic nutritional disorders at an early age.
Vrach. 2018;29(8):11-14
11-14
15-17
Pregnancy and perinatal outcomes in women diagnosed with hydatidiform mole in a history
Abstract
The paper analyzes the features of the course of pregnancy, as well as perinatal outcomes in patients after hydatidiform mole. The inconsistency of the data available in the literature may be partly due to different inclusion criteria and to the heterogeneity of the groups under consideration.
Vrach. 2018;29(8):18-21
18-21
21-25
Lichen sclerosus et atrophicus
Abstract
The paper presents an update on lichen sclerosus et atrophicus (its etiology and pathogenesis, clinical presentations, classification, differential diagnosis, and treatment), a chronic autoimmune dermatosis, one of the clinical variants of circumscribed scleroderma.
Vrach. 2018;29(8):26-34
26-34
The problem of data starvation in the periand postperinatal period
Abstract
The development of human intellectual abilities in these periods is associated with the maximum speed of the formation of synaptic connections between neurons, which requires a large amount of different information. When there is its insufficient flow, the child experiences data starvation that causes a state of discomfort.
Vrach. 2018;29(8):35-36
35-36
37-40
40-43
Successful treatment for decompensated lactic acidosis in a child after high-dose chemotherapy
Abstract
The paper describes a case of successful combination intensive care of a child with os-teosarcoma, who had received drug treatment with high-dose methotrexate, which was compli-cated by severe sepsis with multiple organ failure, anuria, decompensated lactic acidosis, and severe hemodynamic instability. Extracorporeal detoxification was used along with medical treatments.
Vrach. 2018;29(8):44-48
44-48
Quadricuspid aortic valve
Abstract
A quadricuspid aortic valve (QAV) is a rare congenital heart defect. Ultrasound revealed QAV in a 5-year-old girl with joint hypermobility syndrome who was referred to a cardiologist because of a heart murmur. The concurrence of QAV and connective tissue dysplasia allows one to consider this anomaly as a local manifestation of a genetically determined systemic state.
Vrach. 2018;29(8):48-49
48-49
Incomplete mammogenesis in placental insufficiency and early hypogalactia
Abstract
Evaluation of the ultrasound morphotypes and Doppler characteristics of the breast at the end of pregnancy has identified the gestational predictors of early hypogalactia associated with placental insufficiency and shown their high prognostic value in accordance with the methodological standards for evidence-based medicine.
Vrach. 2018;29(8):50-53
50-53
Preclinical evaluation of thyroid function by hormonal and immune status in children and adolescents
Abstract
The paper presents the results of studying the hormonal thyroid complex and immune status of 169 schoolchildren aged 8 to 16 years who live in a perceived environmental risk area. The schoolchildren were found to have subclinical hyperthyroidism and hypothyroidism. Preclinical changes in the immune status were characterized by suppression of IgG synthesis in a direct relationship to the proximity of an industrial complex. The same relationship was found in autoimmune thyroid disorders by the number of antibodies to thyroglobulin and thyroperoxidase.
Vrach. 2018;29(8):53-58
53-58
59-63
Development indicators in a child with fetal alcohol syndrome in adolescence
Abstract
Dementia or mental retardation is a common sign of fetal alcohol syndrome (FAS). Most of these children are brought up in boarding schools (specialized schools) where FAS is undiagnosed, so there are limited statistics on the number of children with FAS in Russia.
Vrach. 2018;29(8):63-66
63-66
66-68
Osteopathic treatment for back pain in the third trimester of pregnancy
Abstract
Osteopathic treatment for back pain in pregnant patients in the third trimester is more effective, as evidenced by the visual analogue scale, Roland-Morris disability questionnaire, and McGill pain questionnaire (p < 0.05) than the standard approach to outpatient care for these patients.
Vrach. 2018;29(8):69-71
69-71
71-75
Pharmacological preconditioning. Focus on nicorandil
Abstract
The paper discusses the mechanism of action, the efficacy and safety of the ATP-dependent potassium channel activator nicorandil in myocardial pharmacological preconditioning. It gives the data of clinical trials confirming the possibility of reducing the risk of periprocedural myocardial damage when this drug is administered for prevention purposes. There are data on the positive effect of nicorandil on myocardial contractility and clinical outcomes.
Vrach. 2018;29(8):75-81
75-81
81-84
The role of magnetic therapy in the rehabilitation complex to treat recurrent shoulder dislocation
Abstract
The paper considers the possibility of reducing the duration of disability hrough the most effective rehabilitation means of the ones proposed by various authors, as well as introducing new methods, in particular the use an ALMAG device for magnetic therapy with a running magnetic field.
Vrach. 2018;29(8):85-87
85-87