Vol 7, No 3 (2016)
- Year: 2016
- Articles: 23
- URL: https://journals.eco-vector.com/pediatr/issue/view/330
Articles
Community-acquired pneumonia in children. The modern features
Abstract
Iron deficiency anemia in children younger than 1 year:the search for the formula of success of outpatient management of patients
Abstract
Immunohistochemical value to treat patients with chronic endometritis
Abstract
The features and diagnostics of differentiated thyroid carcinoma of children and adolescents
Abstract
Working out of new examination method and dynamical assessment of primary school-aged children with postural abnormality based clinical-instrumental analysis
Abstract
Aim. To evaluate the efficacy of a comprehensive survey of children with bad posture by using routine method combined with the non-standard functional test.
Materials and methods. We examined 91 children with bad posture aged from 7 to 10 years undergoing treatment in a rehabilitation center. Before treatment, all children were examined using the methods of visual diagnostics and functional tests. We then conducted a nonstandard test to determine the mobility of the sacroiliac joint using computed optical topography (COMET), developed in Novosibirsk research Institute of traumatology and orthopedics. A comparative assessment of the clinical results and hardware examination methods before and after treatment was done.
Results. Using computer topographic survey revealed abnormalities in 19 children (21 %), not detected during visual diagnosis on the primary admission. Using non-standard functional test in 34 children (37 %) was first identified functional block of the sacroiliac joint. During re-examination, the positive dynamics was revealed in 68 (75 %) children.
Conclusion. The conducted comprehensive survey in children has allowed to put a correct diagnosis at admission to treatment and to monitor the dynamics during the treatment course. Use of computer optical topography in combination with a number of standard and non-standard functional tests enhanced the accuracy and objectivity of the assessment of the musculoskeletal system of the patients, including allows to detecting functional blocks of the sacroiliac joint.
Features of asthenic syndrome in children with ascariasis
Abstract
Intestinal helminthic infections have various adverse effects on the health of children. Ascariasis is one of the most common intestinal helminthics. Long parasitism of the roundworm in the body of the child leads to the formation astheno-vegetative syndrome, lag in physical, mental and intellectual development.
The aim of our study was to investigate the featuers of manifestations of asthenic syndrome in children of different age groups with intestinal stage of ascariasis. The results of 133 children observations (age from 1 to 18 years) with intestinal stage of ascariasis were presented in our research. Rate the overall status of children with identifying syndromes related to manifestations of worm infestations, particular attention was paid to the terms of clinical symptoms appearance of he disease. The study showed that the asthenic syndrome occurs in 3 times more often in children with intestinal stage of ascariasis, compared to the relatively healthy children (p < 0.01). The most characteristic symptoms of asthenic syndrome were slackness and fatigue (62.4%), irritability (64.66%), capriciousness and hysterical states (61.65%), decreased memory and attention (43.61%), emotional lability (34%) and headache (25.56%). In preschool children more frequently (p < 0.01) were recorded capriciousness and hysterical state (over 75%). Complaints about the deterioration of memory and attention deficits (55.56–76.47%) were observed in school-age children more frequently (p < 0.01). Young people significantly more common complainted on headaches (62.5%; p < 0.05). Slackness, fatigue and irritability occurred significantly more frequently (p < 0.01) among all age groups of children with ascariasis.
Expression of CD68 and Fas Ligand in Colon Mucosa of Patients with Inflammatory Bowel Disease as Prognostic Markers of Cancerogenesis
Abstract
Spatio-Temporal EEG Markers for Recognition Auditory Images in Norm and Psychopathology
Abstract
Vegetative Status with Arterial Hypertension in the Indigenous Population of the Far North and Migrants
Abstract
Constitutional features of connective tissue as a risk factor of chronic pain in adolescents
Abstract
Assessment of vegetative regulation in young people
Abstract
Purpose. To estimate the prevalence and type of disturbance of the vegetative regulation in young adults and to compare the frequency of autonomic dysfunction with the severity of the phenotypic manifestations of inherited connective tissue disorders (ICTD).
Methods. 350 young adults were examined in a clinical study (collection of complaints), and with help the special “questionnaire for detection of signs of autonomic dysfunction”. At 61 young men was performed Holter ECG monitoring and cardiovascular tests D. Ewing. Results. The average number of complaints in the group of 317 healthy students was 6.5 ± 1.7. Almost all of the complaints have found significantly more frequent in girls. Examination with help special questioning for detection of autonomic dysfunction (AD) revealed AD a bit more often in girls than in boys (79 % and 64 %, respectively). Due to gender differences, further study carried out in a group of 61 young men. Нeart rate variability and autonomic test results in the groups of young men with and without AD according to the questionnaire did not reveal significant differences. At the same time in 30 % of young men without AD according to questionnaire have found an abnormal result in the active orthostatic test (AOT). Estimation of anthropometric indices and clinical features of inherited connective tissue disorders revealed that young men with AD based on the results of the questionnaire have more of skeletal and skin symptoms than that of young men without AD. The involvement of the skeletal system was present significantly frequently in young men with abnormal result AOP than that of young men with a normal result of AOP (90% and 55% respectively, p < 0,001).
Conclusion. Our study showed that AD present in the majority of young people. However, most often both subjective and objective signs of autonomic disorders common in young people with signs ICTD.
Functional dyspepsia through chronic gastritis in patients with marfan syndrome and marfan-like states
Abstract
Metaphylaxis Of Stone Disease In Smartphone Or Russian mHEALTH
Abstract
Goal: to develop mobile application for patients with kidney stone for compliance maintenance and possible reduction of recurrence rate. Material and methods. Existing mobile applications for urolithiasis were meticulously reviewed by three groups of doctors each from different urological facilities from Saint Petersburg, Russia. Information used in our mobile application was from main urolithiasis guidelines of different urological associations. Direct application development was done by professional programmers. After application release urologist from all over the Russia were questioned about the usefulness of this product. Results. As a result of combined work application “Urolithiasis: patient assistant” was produced. Among 102 respondents 96 % evaluated this application as very useful, 3 % as useful and only 1 % considered it as a weak tool. Conclusion. Application “Urolithiasis: patient assistant” being first and single in Russian language consists of tools for compliance maintenance and plenty of other useful information regarding recurrence risk reduction and thus may be used in patients with kidney stones.
Contemporary aspects of pathogenetically substantiated therapy of adenomyosis
Abstract
Microchimerism in children with perinatal pathology
Abstract
Hormonal regulation of postnatal growth from birth to age six months in Small-for-Gestational - Age children
Abstract
Pancreatic type dysfunction of oddi sphincter in children
Abstract
Modern aspects of uterine bleeding treatment with placenta previa
Abstract
Uterine bleeding caused by placenta previa is one of the main causes of massive blood loss and death in obstetric practice.
Objectives. To analyze the efficacy and safety of various therapeutic strategies to stop uterine bleeding in women in labor and puerperants on the basis of research results.
Materials and Methods. Available researches on the diagnosis and treatment of uterine bleeding with placenta previa between 2000 and 2015 were included in the study. The search was carried out in medical databases PubMed and Cochrane Library with free access to the publication.
Results. 61 publications were included in the analysis. The basic principles of diagnosis and intensive therapy of uterine bleeding with placenta previa are presented from the position of obstetrician and anaesthesiologist-resuscitator. Particular attention is paid to the analysis of studies evaluating the efficacy and safety of infusion-transfusion therapy in this category of patients. Main indications and contraindications to blood clotting factors and antifibrinolytic agents are shown.
Conclusion. The combined use of all available modern methods of stopping uterine bleeding can significantly reduce blood loss and help to improve disease outcomes. The most promising therapy is a targeted assignment of clotting factors concentrates under the control of thromboelastography which indicates the need for further research.