Social and psychological components in rehabilitation medicine

Aim: analysis of the current status and evaluation of the effectiveness of rehabilitation measures for patients with impaired motor function in the early recovery period of cerebral stroke in the conditions of a specialized inpatient department. Material and methods. The data of the state of patients with motor deficit after a cerebral stroke were analyzed in the rehabilitation department from November 2016 to March 2017. Results. During the study period, the effectiveness of the rehabilitation department for patients in the early recovery period of cerebral stroke was assessed. Improvements in cognitive functions were detected in these patients, and these patients also have a high potential for self-esteem of the social significance of the disease and the condition (anxiety and depression) at the time of being in the inpatient rehabilitation department. Conclusion. The presented data testify to the need to take into account the characteristics of patients in the early recovery period of cerebral stroke in the development of rehabilitation activities within the inpatient department.</p

Headache in pediatric practice: multifactor analysis of clinical and social predictors

The purpose of this work is to define the clinical and social predictors of headaches in children and adolescents. Material and Methods. We performed clinical examination of children and adolescents, which included studying their symptoms, anamnesis, somatic and neurological objective signs, survey using our original questionnaire and survey in the framework of an international project to study headaches «World Children and Adolescent Headache Project». The type of headache was diagnosed using international diagnostic criteria of the International Classification of Headache Disorders, 3rd edition (beta release). As a result of our study, we obtained the data about the most significant lifestyle factors (among those studied) influencing the number of days with headache per month, calculated linear coefficients and a predicting mathematical model for children. The sensitivity of the model for the prognosis of chronic tension type headache is 63%, specificity — 81 %. Conclusion. In this paper we describe criteria for the prognosis of primary headaches in patients aged from 8 to 18 years old

OPERATIONAL EXPERIENCE OF THE MUCOVISCIDOSIS CENTER IN THE REPUBLIC OF BASHKORTOSTAN

The article highlights the results of the long term observations over the children, residing in the republic of Bashkortostan and suffering from cystic fibrosis. They particularly dwells on the arrangement of the comprehensive diagnostics, first results of the neonatal screening, peculiar properties of the clinical presentation, issues of the medicated support and social rehabilitation at the republican center of cystic fibrosis.Key words: cystic fibrosis, treatment, social rehabilitation, children, teenagers

COMPLEX TREATMENT OF HELICOBACTER PYLORI INFECTION WITH RIFAXIMIN IN CHILDREN

Authors studied an effectiveness of antibiotic rifaximin in complex treatment of Helicobacter pylori infection in children. They observed 41 children in the age 12–17 years old (23 girls and 18 boys). The diagnosis of pyloric helicobacteriosis proved by histology and bacterioscopy with Gimze stain combined with urease test. All children were treated according to the study program with the use of medications: bismuth (De-Nol) — 1 tablet 3 times daily (14 days) + rabeprasole (Pariet) 1 mg/kg once daily (14 days) + rifaximin (Alfa Normix) 400 mg twice daily (10 days) + amoxicillin 50 mg/kg twice daily (10 days). The control of eradication of H. pylori was performed after 4–6 weeks after the end of a treatment with a respiratory test. Eradication was achieved in 36 (87,8%) of children. All patients were adherent to the treatment, and there were no severe adverse reactions during the study.Key words: children, Helicobacter pylori, ulcer, rifaximin, treatment.(Voprosy sovremennoi pediatrii — Current Pediatrics. 2009;8(6):106-108)</span

COMPLEX TREATMENT OF HELICOBACTER PYLORI INFECTION WITH RIFAXIMIN IN CHILDREN

Authors studied an effectiveness of antibiotic rifaximin in complex treatment of Helicobacter pylori infection in children. They observed 41 children in the age 12–17 years old (23 girls and 18 boys). The diagnosis of pyloric helicobacteriosis proved by histology and bacterioscopy with Gimze stain combined with urease test. All children were treated according to the study program with the use of medications: bismuth (De-Nol) — 1 tablet 3 times daily (14 days) + rabeprasole (Pariet) 1 mg/kg once daily (14 days) + rifaximin (Alfa Normix) 400 mg twice daily (10 days) + amoxicillin 50 mg/kg twice daily (10 days). The control of eradication of H. pylori was performed after 4–6 weeks after the end of a treatment with a respiratory test. Eradication was achieved in 36 (87,8%) of children. All patients were adherent to the treatment, and there were no severe adverse reactions during the study.Key words: children, Helicobacter pylori, ulcer, rifaximin, treatment.(Voprosy sovremennoi pediatrii — Current Pediatrics. 2009;8(6):106-108

ОПЫТ РАБОТЫ ЦЕНТРА МУКОВИСЦИДОЗА В РЕСПУБЛИКЕ БАШКОРТОСТАН

The article highlights the results of the long term observations over the children, residing in the republic of Bashkortostan and suffering from cystic fibrosis. They particularly dwells on the arrangement of the comprehensive diagnostics, first results of the neonatal screening, peculiar properties of the clinical presentation, issues of the medicated support and social rehabilitation at the republican center of cystic fibrosis.Key words: cystic fibrosis, treatment, social rehabilitation, children, teenagers.В статье представлены результаты многолетнего наблюдения за детьми, больными муковисцидозом, проживающими в Республике Башкортостан: организация комплексной диагностики, первые результаты неонатального скрининга, особенности клинической картины, проблемы медикаментозного обеспечения и социальной реабилитации в рамках Республиканского центра муковисцидоза. Ключевые слова: муковисцидоз, лечение, социальная реабилитация, дети, подростки.(Педиатрическая фармакология. – 2008;5(4):98-103