Download PDF

COMPLEMENTARY FOODS. FUNDAMENTALS
O. A. Goryacheva, O. A. Alyokhina, D. V. Goryachev

Summary. The article outlines the main modern aspects of the introduction of feeding up, including the recommendations of various world medical associations, provides explanations on the differences between pedagogical and pediatric feeding up. The advantages of industrial food over self-made are discussed .
Keywords: complementary foods, feeding up, types of complementary foods, periods of feeding up

Download PDF

DYNAMICS OF PHYSICAL DEVELOPMENT OF PREMATURELY BORN CHILDREN, DEPENDING ON THE TYPE OF FEEDING IN THE FIRST YEAR OF LIFE
G. A. Aliamovskaya, E. S. Sakharova, E. S. Keshishyan

Summary. Specific features of weight, length and head circumference acceleration in premature infants during the first year of life, depending on feeding methods, were represented. Feeding with fortified breast milk or special postdischarge formula after hospital discharge leads to the optimal growth rate to 12 months of corrected age .
Keywords: growth, development, premature, breast milk fortifier, postdischarge formula

Download PDF

NEPHROLOGY PYELONEPHRITIS IN CHILDREN. MODERN VIEW OF THE PROBLEM
S. L. Morozov, V. V. Dlin

Summary. This article discusses the problem of pyelonephritis in children. Detailed data on the causes of the disease, the features of its course in childhood. The article also discusses modern approaches to therapy. In addition to prompted diagnosis of IMS and appropriate drug therapy, issues of prevention of possible relapses of the disease are highlighted .
Keywords: children, urinary tract infection, pyelonephritis, antibacterial therapy, Canephron® N

Download PDF

EFFECTIVENESS OF L-CARNITINE IN THE COMPLEX TREATMENT OF PREMATURE NEWBORNS WITH VENTILATOR-ASSOCIATED PNEUMONIA
M. V. Kushnareva, V. V. Garmaeva, N. V. Kleymenova, E. I. Shabelnikova, G. M. Dementyeva, V. G. Baidakova

Summary. 100 preterm infants with body weight at birth from 1540 to 2500 g and gestational age from 30 to 37 weeks were surveyed. 80 infants with ventilator-associated pneumonia received complex antibacterial, immunocorrective and syndromic treatment, oxygen therapy. 40 infants (group 2) were on the indicated basic therapy, 40 infants (group 1) received an additional a drag of L-carnitine at a dose of 100 mg/kg per day in two doses during 25 days enteral. 20 healthy preterm infants made up the control group. L-carnitine had a positive therapeutic effect: respiratory disorders disappeared faster, also motor activity, muscle tone, physiological reflexes were improved, but the duration of basic therapy and hospital stay were reduced. Biochemical parameters normalized faster (a decrease in the high level of lactic and pyruvic acids, the fall of lactate/pyruvate in the blood serum). The levels of carnitine and acylcarnitines in the blood corresponded to the norm in the recovery period. After the treatment the activity of bio-energetic enzymes of blood lymphocytes in the main group reached the norm, and in the comparison group increased, that indicated the voltage of bio-energy processes in the cell .
Keywords: L-carnitine, premature infants, pneumonia, treatment

Download PDF

TREATMENT AND PREVENTION OF ACUTE RESPIRATORY VIRAL INFECTIONS IN CHILDREN
T. M. Yudina

Summary. The article presents the epidemiology of respiratory viral infections (ARVI) in children, describes the issues of their differential diagnosis. General principles of treatment of respiratory infections, indications for hospitalization of patients are highlighted. The mechanism of action of an early inducer of interferon types 1 and 2 - Cycloferon® is presented. Its interferon-inducing, immunotropic, and antiviral effects are described. The effect of Cycloferon® on cytokine production is characterized. The pharmacokinetics of the drug, its tolerability, safety, dosage regimens, and the possibility of using it in conjunction with other drugs are described. The role of Cycloferon® in increasing non-specific resistance of the body is described, as well as the possibility of its use for emergency prevention of acute respiratory viral infections. .
Keywords: respiratory viral infections, cytokines, immune response, interferons, interferon inducers, ARVI treatment, children, Cycloferon®

Download PDF

STRESS. ADAPTATION SYNDROME. PARTICIPATION IN THE PATHOGENESIS OF DISEASES IN CHILDREN
E. A. Yurieva, E. S. Vozdvizhenskaya, E. I. Shabelnikova

Summary. Review in order to once again draw the attention of pediatricians, especially those engaged in the treatment of chronic hereditary and acquired diseases in children, to the problem of chronic stress, adaptation syndrome, complicating the course of the underlying disease, reducing the effectiveness of medical treatment. Attention is drawn to the main groups of researchers-pediatricians, including: E.V. Neudakhina with co-authors, K.I. Grigorieva with co-authors, as well as biochemists -O.V. Kosmachevskaya with co-authors. The researchers state: chronic stress, adaptation syndrome are most often characterized by a decrease in bioenergetics, autonomic dystonia syndrome, dysfunction of the gastrointestinal tract, especially in children with hereditary connective tissue dysplasia, heart malformations, allergic diseases, glomerulonephritis, pyelonephritis. Among the external factors of chronic stress and adaptation syndrome mentioned ecopathology, psycho-emotional effects, heat, cold effects, weather dependence. We offer medical and non-medical means of prevention and correction of chronic stress .
Keywords: chronic stress, adaptation syndrome, children

Download PDF

MODERN APPROACHES ON THE TREATMENT OF ACUTE COUGH IN CHILDREN
T. A. Chebotareva, L. N. Mazankova, O. S. Bitkova

Summary. Coughing is one of the most common clinical manifestations of acute infectious diseases of the upper and lower respiratory tract. The article considers variants for severe pathology and pathogenesis of infectious disease, which makes it possible to carry out a differentiated pathogenetic therapy. The mechanism of action of antitussive and classifications of protussive drugs is described and recommendations for their use in clinical practice are given .
Keywords: cough, children, protussive therapy, antitussive therapy, Rengalin

Download PDF

TACTIC OF MANAGEMENT OF HEARING LOSS CHILDREN WITH THE BACKGROUND OF EXUDATIVE OTITIS MEDIA
A. S. Piskunova

Summary. Exudative otitis media remains one of the most pressing problems of pediatric otorhinolaryngology and is one of the most common causes of hearing loss in children aged 2 to 7 years. This article describes the features of the etiology and course of exudative otitis media, considers modern diagnostic capabilities and treatment tactics for this disease .
Keywords: exudative otitis media, hearing loss, treatment , children

Download PDF

HEMOSTASIS OF NEWBORNS
S. V. Cherkasova

Summary. In the neonatal period, the hemostatic system undergoes a number of changes, causing its less stability. This is especially evident in premature and low-weight children by the time of gestation. One of the damaging factors affecting the hemostatic system is the infectious-inflammatory process. Modern integral methods of hemostasis assessment, such as thromboelastography and thrombodynamics, most fully reflect the state of the coagulation system .
Keywords: hemostasis, newborns, thrombodynamics, thromboelastography