Vol 6, No 6 (2007)
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EDITORIAL
5-9 1476
Abstract
The article gives specific recommendations as to improve the enforceability of the children's rights for the healthcare. The authors suggest a law, pursuant to which to solve the enforceability issues of the children's rights for the health care shall be «the objective of the social and economic development of the Russian federation». They also give an advanced concept of the state children's healthcare policy. The researchers provide a scientific substantiation for the structure and subject matter of this concept in full compliance with the regulations of the convention on the rights of the child.
Key words: children's health, state policy, convention on the rights of the child.
Key words: children's health, state policy, convention on the rights of the child.
SOCIAL PEDIATRICS AND HEALTH CARE
10-12 998
Abstract
The article is devoted to the research of the infants life quality assisted by the qualin questionnaire. It was shown that the quality of life of the healthy children is higher than that of the premature newborns and those from the families of the social risk. The researchers disclosed that the life quality of premature newborns is above all related to the health status and level of the child growth, while the children from the families of the social risk — to the social aspects of life.
Key words: infants, quality of life.
Key words: infants, quality of life.
13-18 893
Abstract
The researchers give the analysis findings of the hospital mortality indices among infants under 1 year old in the Russian federation within the period from 1993 to 2004. They provide the mortality structure in the obstetric in patient, newborn pathologies departments, as well as other in patient institutions. They showed that the hospital mortality among infants in the Russian federation is characterized by the continuous reduction. The unstable trends are marked in respect of newborn and infant mortality within the first 24 hours from the moment they arrive to the in patient department. Therefore, it is essential to develop the resuscitation services for the newborns. The reduction of the less than 24 hours mortality is possible only if the outpatient care for the infants under 1 year old is improved.
Key words: infant mortality, hospital mortality, infants.
Key words: infant mortality, hospital mortality, infants.
20-24 695
Abstract
Based on the analysis of the Russian and foreign literature, the authors highlighted main scientific areas of the modern nephrology. Along with the achievements in the study of the kidney diseases, there is a certain lag of the Russian nephrology as far as it concerns genetic grounds for the kidney diseases and issues of the renal impairment growth and treatment. They listed the scientific areas, whose development, in their opinion, is expedient and perspective in the foreseeable future.
Key words: nephrology, children.
Key words: nephrology, children.
25-27 1305
Abstract
The article analyzes the documents of the international organizations, data of the Russian and foreign authors devoted to poverty and health of children from disadvantaged families. It was shown that poverty is the basic risk factor for the somatic and psychic disorders of children. The reduction of the impact exerted by the given factor on the health status of children may be achieved by the multidisciplinary approach only.
Key words: child, poverty, health, lifestyle.
Key words: child, poverty, health, lifestyle.
ORIGINAL ARTICLES
28-30 624
Abstract
A complex examination detected that kalium iodide dosage 100 mkg daily promote a rapid normalization of median of ioduria in children aged 8 to 12 years. Even in a case of normal initial level of ioduria iod active at the same dosage doesn't promote an increase of median of ioduria over than optimum level. It wasn't detected any decrease of goiter frequency during 6 months of prophylaxis, while the level of some cognitive indexes (an attention) and the frequency of absence from school by the reason of acute respiratory deseases significantly increased. It could be concluded, that iodine prophylaxis using iod active is more effective in mild goiter endemia combine to decrease of attention in prepubertal children. In the case of combination of moderate endemic goiter and normal cognitive function kalium iodide is more preferable in prophylaxis in children.
Key words: children, iod deficiency, prophylaxis.
Key words: children, iod deficiency, prophylaxis.
31-35 540
Abstract
The article gives the efficiency findings of tonsilgon n phytomedication within rehabilitation of juveniles with recurrent respiratory infections. Medication efficiency was appraised by the noninvasive methods of the registration as to the colonization resistance of the oral cavity. It is demonstrated that the application of the phytomedication effectively restores the reserves of the mucosal protection held by the oral cavity, reduces the recurrence of the acute respiratory diseases. The medication is well tolerated and may be recommended for the application as a part of the sanitary actions in the given group of the patients.
Key words: adolescent, recurrent respiratory infections, colonization resistance, rehabilitation, phytotherapy.
Key words: adolescent, recurrent respiratory infections, colonization resistance, rehabilitation, phytotherapy.
36-40 1061
Abstract
Rehabilitation of the children with the recurrent stenosing laryngotracheitis (SLT) is still an urgent issue due to the pathogenesis heterogeneity of the recurrent croup cases, its clinical manifestations, effects of the applied therapy and uncertainty of the disease outcome. The article shows the peculiarities of the anamnesis and clinical symptoms of the recurrent SLT, vegetative reactivity and immune response within this category of patients. The authors stress the efficiency of the local antibacterial medication — fusafungine (bioparox) in treatment of the given disease.
Key words: children, recurrent stenosing laryngotracheitis, vegetative reactivity, immunity, fusafungine.
Key words: children, recurrent stenosing laryngotracheitis, vegetative reactivity, immunity, fusafungine.
41-44 534
Abstract
The authors demonstrate the research findings of the preventive efficiency showed by the bacteria lysates mixture (imudon) among preschool children (n = 23), visiting organized collectives. They prove that the medication has good tolerance and marked efficiency, as well as contributes to the reduction of the acute respiratory infections, their much easier run, rehabilitation of the disturbed fauces microbiocenosis, normalization of the immunoglobulin profile within the system of the local and general immunity.
Key words: children, bacteria lysates mixture, acute respiratory infections, prevention.
Key words: children, bacteria lysates mixture, acute respiratory infections, prevention.
45-48 610
Abstract
The article gives the findings of M-cholinolytic oxybutinin hydrochloride (Driptane) application among children with urination disorders and enuresis caused by the hyperactivity of the urinary bladder. The researchers show efficiency and safety of the intravesical drug injection according to the elaborated methodology, which allowed for the improvement of the treatment results among children with a combined pathology of the upper urinary tracts and marked side effects in the event of the conventional oral therapy.
Key words: urination disorders, enuresis, children, oxybutinin hydrochloride, hyperactivity of the urinary bladder.
Key words: urination disorders, enuresis, children, oxybutinin hydrochloride, hyperactivity of the urinary bladder.
49-53 618
Abstract
The authors stud the clinical efficiency of fenspiride (Erespal) among children (n = 46), suffering from acute bronchitis. It was shown that fenspiride reduced the cough duration and conduced to faster improvement of the patients' health. Besides, fenspiride application was accompanied by the reduction of the anti-inflammatory cytokines both in the blood serum and condensate of expired air.
Key words: bronchitis, fenspiride, cytokines, condensate of expired air, children.
Key words: bronchitis, fenspiride, cytokines, condensate of expired air, children.
54-57 686
Abstract
48 children with chronic gastroduodenitis aged 9–16 were studied. There was an increased content of nitrogen monoxide derivatives in the blood of gastroduodenitis patients as compared with healthy ones. The increase of nitritebanions concentration is related to H. pylori infection. The increased level of nitrogen monooxide is a defensive reaction of the body to H. pylori persistence. The increased production of nitrogen oxide metabolites leads to an increasing acidity of the gastric juice. A direct link between an increased production nitrogen oxide metabolites and increased acidity of the gastric juice was established.
Key words: chronic gastroduodenitis, children, nitriteanions, nitric oxide.
Key words: chronic gastroduodenitis, children, nitriteanions, nitric oxide.
LITERATURE REVIEW
58-63 1310
Abstract
The review analyzes the structure organization and pathophysiological age specificities of the greater omentum, which determine its uniqueness and functional diversity in a child's organism. the article discusses protective functions of the organ, its role in the development of post operative complications of children, and the usage in children's reconstructive plastic surgery.
Key words: greater omentum, omentitis, of post operative complications, children.
Key words: greater omentum, omentitis, of post operative complications, children.
64-69 1100
Abstract
The urgency of atopic dermatitis among children is defined not only the considerable spread of a disease and low quality of life along with this pathology, but above all by such disease peculiarities, as the firm growth of severe incapacitating forms, torpidity towards conventional therapy, continuously recurrent run. In spite of the above said, the regulatory documents still have no such a term, as «disease control», which is why, the objective of the atopic dermatitis therapy has not been defined yet. The absence of «disease control» criteria is accompanied by the incorrect relation between the «severity degree» and «exacerbation» of a disease. In this respect, the main tactics of a doctor, when treating atopic dermatitis, is currently just the therapy of exacerbations. Nevertheless, there are now pharmacotherapeutic modes, allowing one to considerably expand the zone of clinical atopic dermatitis supervision among children during prolonged preventive use.
Key words: children, atopic dermatitis, treatment.
Key words: children, atopic dermatitis, treatment.
LECTURES
70-75 1325
Abstract
This publication is the fourth and last in the series of the brief lectures devoted to the role of the system, exercising the immunobiological supervision over the individual and continuous antigenic contents of the body both in normal conditions and in the event of the pathology. It reviews the etiology, pathogenesis and main manifestations of the immune auto aggression diseases, pathologic tolerance and «transplant against host» reactions.
Key words: immune auto aggression, idiotype, antigenic mimicry, tolerance, «transplant against host» reactions.
Key words: immune auto aggression, idiotype, antigenic mimicry, tolerance, «transplant against host» reactions.
EXCHANGE OF EXPERIENCE
76-80 697
Abstract
The article analyzes nimesulide application experience among children with juvenile arthritides against the insufficient efficiency of a therapy by other non steroid anti-inflammatory medications. The researchers show that nimesulide is an efficient non steroid anti-inflammatory medication for the patients, suffering from oligo- and limited poly arthritis of the I–II activity degree. Nimesulide also provided for the reliable regression of the clinical and laboratory activity manifestations of a disease and, what is more important, among most patients without applications of the local glucocorticosteroidbassisted therapy. Nimesulide is characterized by good tolerance and low toxicity, which is along with the permit to use it among children aged 2 and over, allows one to consider this drug as one of the medications to choose for the treatment of the inflammatory joint diseases among children.
Key words: children, juvenile arthritis, nimesulide.
Key words: children, juvenile arthritis, nimesulide.
81-84 1389
Abstract
The article provides the Oseltamivir application experience in flu treatment among HIV-infected children. The researchers showed that Oseltamivir is an effective medication for the given category of patients, reducing duration of the catarrhal syndrome and intoxication signs. The undesirable phenomena related to the medication intake proved to be transient and called for no cancellation of its use.
Key words: children, hiv infection, flu, Oseltamivir.
Key words: children, hiv infection, flu, Oseltamivir.
85-91 560
Abstract
The article analyzes own and literature based data on the effeciency of treatment for allergic rhinitis among children assisted by the blocker of H1-histamine dezloratadine (Aerius) and topical corticosteroid mometazone (Nazonex) receptor.
Key words: children, allergic rhinitis, treatment, antihistamines, topical glucocorticosteroids.
Key words: children, allergic rhinitis, treatment, antihistamines, topical glucocorticosteroids.
92-94 618
Abstract
The article demonstrates the modern viewpoint on the functional feeding of the infants. The researchers give the application findings in respect of lactulose (Normase) — a medication with prebiotic effect, among children, undergoing artificial feeding. It is showed that lactulose improves bowels micro-biocenosis and contributes to symptoms couping of the digestion disorders. The medication is recommended by the authors as a prebiotic for the newborns deprived of the mother's milk.
Key words: children, micro-biocenosis, lactulose, prebiotic.
Key words: children, micro-biocenosis, lactulose, prebiotic.
95-100 1296
Abstract
The article is dedicated to diagnostics and treatment of infectious complications among children with juvenile rheumatoid arthritis, receiving immunosuppressive therapy. The research involves 92 children with different variants of the illness run, who received immunosuppressive therapy. All the patients showed development of the systemic inflammatory response manifestations. The researchers used the definition of the procalcytonine levels as a marker for the bacterial infectiondevelopment. All the patients showed it higher than 0,5 ng/ml, while 7 patients — higher than 10 ng/ml. keeping in mind several courses of the antibacterial therapy in the anamnesis and presence of the combined bacterial infection, ceftriaxone was prescribed to all the children. As a result of the ceftriaxone based therapy, reduction of the clinical and laboratory manifestations of the bacterial infection was noted among more than 90% of patients. The development of the allergic reaction was noted in 1 case, and leukopenia was also found in 1 patient.
Key words: children, juvenile rheumatoid arthritis, ceftriaxone.
Key words: children, juvenile rheumatoid arthritis, ceftriaxone.
101-103 954
Abstract
The authors studied the clinical efficiency and safety of interferon alpha-2 (Reaferon-Es-Lipint) in oral dosing within complex therapy for acute respiratory viral infections. Dynamics of the main clinical and laboratory symptoms proves high efficiency of a medication and expediency of its use for the treatment of acute respiratory viral infections among children.
Key words: children, acute respiratory viral infections, treatment, interferon alpha 2.
Key words: children, acute respiratory viral infections, treatment, interferon alpha 2.
A DOCTOR’S AID
104-108 491
Abstract
The article analyzes feeding organization and quality for the children aged between 10 and 16 with the higher level of the bone tissue mineralization. The authors noted down the radical excess of the ration calorie content together with the excess of the protein and especially fat components. The researchers revealed the reduced content of the main vitamins, which contributes to the increase of the bone tissue mineralization levels among children and change in their morphofunctional status with the obesity development. in the given situation, it is necessary to speak of the ration correction according to the main components and distribution of its daily calorie content, as well as the ration supplements by introducing missing vitamins, which the polyvitaminic complexes may prove to be a good alternative to.
Key words: children, bone tissue mineralization, food ration, vitamins.
Key words: children, bone tissue mineralization, food ration, vitamins.
109-112 1559
Abstract
It's known that topical therapy with corticosteroids is an important component of treating diseases with dermatitis symptoms. Effects of this kind of medications are multifarious, whereas the result is one and only — reduced subjective and objective symptoms of dermatitis, restoration of psychological and emotional condition of patients, improved quality of their life. To the topical corticosteroids with high therapeutic index (an integral parameter reflecting efficiency and safety of a medication) refers hydrocortisone 17bbutyrate (Locoid). The article presents the basic results of its application, as well as announces new formulations of the medication with a wider usage opportunity.
Key words: children, topical steroids, treatment, atopic dermatitis.
Key words: children, topical steroids, treatment, atopic dermatitis.
113-116 631
Abstract
The article reviews the application of nucleotides-metabolites, playing a key role in many biological processes, for the infant feeding. The researcher provides the date on the nucleotides in the women's milk according to the lactation stages. She also analyzes the foreign experience in feeding newborns with nucleotides-containing milk formulas. The article gives a comparison of nucleotides in the adapted formulas represented in the domestic market of the given products.
Key words: children, feeding, nucleotides.
Key words: children, feeding, nucleotides.
118-121 762
Abstract
The article considers application peculiarities of halixomucolytic medication (Ambroxol, Egis, Hungary) to treat respiratory pathology among children. The author provides indications, contraindications, frequent therapeutic errors and intake peculiarities of the given medication among children.
Key words: ambroxol, respiratory diseases, children.
Key words: ambroxol, respiratory diseases, children.
122-126 544
Abstract
The paper deals with complex assessment of somatic and psychological health of schoolchildren trained in private sector of educational institutions. The results of the programme developed and introduced into the educational process are presented in the paper. This programme entitled medico- psychological and pedagogical adaptation improves psychosocial capacities of schoolchildren.
Key words: schoolchild, health, psychosocial adaptation.
Key words: schoolchild, health, psychosocial adaptation.
CLINICAL OBSERVATIONS
A.N. Tsygin,
A.N. Sikachev,
N.N. Kartamysheva,
E.N. Tsygina,
Z.P. Sharnova,
O.B. Kondakova,
N.V. Zhurkova
127-128 694
Abstract
The article provides a substantiation for the differential diagnostics of the symptomatic arterial hypertension of a 4 year old child, suffering from the arterial hypertension of the presumably renoparenchymal origin. In the course of the clinical examination, the researchers found out coarctation of aorta and hypoplasia of the right renal artery as a part of Shereshevsky-Terner syndrome.
Key words: arterial hypertension, Shereshevsky-Terner syndrome, coarctation of aorta, renovascular hypertension.
Key words: arterial hypertension, Shereshevsky-Terner syndrome, coarctation of aorta, renovascular hypertension.
130-135 537
Abstract
The article provides the clinical observation, allowing for the conclusion that the use of pct test in the daily practice of a rheumatologist makes it possible to early carry out differential diagnostics of a patient with the manifestations of the systemic inflammatory response and to duly start necessary pathogenetic and/or etiotropic therapy.
Key words: procalcytonine test, sepsis like syndrome, treatment, children.
Key words: procalcytonine test, sepsis like syndrome, treatment, children.
136-138 553
Abstract
The article provides the findings of observation for the children, suffering from cardioreumatologic pathology. The author reveals the high spread of the gastrointestinal tract diseases among the children from this category. She makes a number of conclusions on the syntropy and interference of digestive and cardiovascular system diseases. This relation indicates the necessity to carry out a complex examination of the children and provide interaction between the cardiologists and gastroenterologists.
Key words: children, heart and joint diseases, diseases of the digestive organs.
Key words: children, heart and joint diseases, diseases of the digestive organs.
SHORT REPORTS
HISTORY OF PEDIATRICS
ISSN 1682-5527 (Print)
ISSN 1682-5535 (Online)
ISSN 1682-5535 (Online)
