Clinical observation: congenital cystic adenomatoid malformation

The aim of the article is to describe the case of congenital cystic adenomatoid malformation. The definition of this pathology, its morphology, classification, frequency and clinical forms are considered in the work. The data of the observation of a newborn with a complicated form of the defect have been determined: the peculiarities of the neonatal adaptation, the results of examination and treatment

On bi-hamiltonian structure of some integrable systems on so*(4)

We classify all the quadratic Poisson structures on $so^*(4)$ and $e^*(3)$, which have the same foliation by symplectic leaves as the canonical Lie-Poisson tensors. The separated variables for the some of the corresponding bi-integrable systems are constructed.Comment: LaTeX with Amsfonts, 13 pages, corrected typo

BIOSOCIAL FACTORS AND PSYCHOVEGETATIVE PECULIARITIES IN FORMATION OF ADAPTATION ABNORMALITIES IN CHILDREN WITH GROWTH RETARDATION

110 children aged 7-16 with growth retardation have been under the study. Children with different clinical variants of growth retardation are characterized by individual clinical psychophysiological peculiarities. The cause-effect relation of biosocial factors, psychovegetative changes and high morbidity rate of children with growth retardation established in the research point out to their adaptation abnormalities, that require a differentiated approach to the development of rehabilitation programs

РЕНТГЕНАНАТОМИЧЕСКОЕ СТРОЕНИЕ МОЧЕТОЧНИКОВ С РАЗЛИЧНОЙ СОКРАТИТЕЛЬНОЙ АКТИВНОСТЬЮ ПРИ ВРОЖДЕННОМ НЕРЕФЛЮКСИРУЮЩЕМ МЕГАУРЕТЕРЕ У ДЕТЕЙ

Purpose: to study roentgeno-anatomic peculiarities of ureters with various contractile activity in congenital non-refluxing megaureter in children.Materials and methods: 47 children with congenital non-refluxing megaureter aged 3 months to 11 years underwent a complex urologic examination and X-ray ureteropyelometry with diuretic stimulation.According to the study results, the patients were divided into 2 groups: those having a low contractile activity of the ureter (12 patients, the average frequency of ureter contractions of 0–3.6 per minute) and those with a normal contractile activity of the ureter (35 patients, average frequency of ureter contractions of 4–7.6 per minute).The authors suggested such an integrated value as the ‘ureteral index’. It displayed roentgen and anatomic peculiarities of ureters with various contractile functions. The differences between the groups by the ureteral index are significant (p=0.000001).Results and conclusions: the ureteral index over 0.19 with 87.5% sensitivity and 92% effectiveness characterize ureters with a low contractile functionЦель: изучить рентгенанатомические особенности мочеточников с различной сократительной активностью при врожденном нерефлюксирующем мегауретере у детей.Материалы и методы: 47 детям с врожденным нерефлюксирующим мегауретером в возрасте от 3 месяцев до 11 лет выполнено комплексное урологическое обследование и ультразвуковая уретеропиелометрия с диуретической стимуляцией.По результатам обследования пациенты были разделены на 2 группы: с низкой сократительной активностью мочеточника (12 пациентов, средняя частота сокращения мочеточника 0–3,6 в минуту) и нормальной сократительной активностью мочеточника (35 пациентов, средняя частота сокращения мочеточника 4–7,6 в минуту).Авторами предложен интегративный показатель «мочеточниковый индекс», характеризующий рентгенанатомические особенности мочеточников с различной сократительной функцией. Различия между группами по мочеточниковому индексу достоверны (p=0,000001).Результаты и выводы: Значения мочеточникового индекса более 0,19 с 87,5%-ной чувствительностью и 92%-ной эффективностью характеризуют мочеточники с низкой сократительной функцией.

Development and clinical course of diseases accompanied by connective tissue dysplasia in children of puberty age

The risk of development and clinical course of somatic diseases have been analyzed in the research work. 111 adolescents suffering from connective tissue dysplasia have been under the study. It has been stated that the frequency of somatic diseases among adolescents with connective tissue dysplasia is higher than this frequency among adolescents without such disease. Phenotypic signs of connective tissue dysplasia have been revealed. They are responsible for the development of bronchial asthma and severe stomach ulce

Differential approach to treatment of primary nocturnal enuresis in children

The aim of the work is to develop an algorithm of differentiated therapy in children with PNE. 234 children aged 5-15 years were studied. Results of treatment of children with primary nocturnal enuresis using the traditional therapeutic scheme and the algorithm of differential therapy based on identification of individual pathology were analyzed. The best clinical effect (recovery— in 73,1%, improvement— in 19,4% of cases) was obtained in children undergone the complex of recommended measures: psychological consultation, rational and family psychotherapy, medication correction, physical and physiotherapy, alarm-monitoring; the complex was used differentially, i.e. depending on the identified pathology. In conclusion the article stated that individual treatment program with the obligatory inclusion of alarm-control for child with PNE should be selected after performing the recommended set of diagnostic measure

37-ЛЕТНИЙ ОПЫТ ЛЕЧЕНИЯ ПАТОЛОГИИ ЖЕЛТОЧНОГО ПРОТОКА У ДЕТЕЙ

The analysis of the treatment of 113 children with abnormal vitelline duct was done. Full cleft duct - 13, duct cyst - 3, Meckkel’s diverticulum - 98. Among the complications of Meckkel’s diverticulum: intestinal obstruction (32), diverticulitis (30), peptic ulcer (24). Three children died at the age of one year.Проведен анализ лечения 113 детей с патологией желточного протока. Полное незаращение протока отмечено в 13 случаях, киста протока - в 3-х, дивертикул Меккеля - в 98. Среди осложнений дивертикула Меккеля наблюдались кишечная непроходимость (32), дивертикулит (30), пептическая язва (24). Умерло 3 детей в возрасте до года

Introduction Of Educational And Methodic Complex Into Pedagogical Process At Pediatric Department

2008 academic year is marked by the introduction of educational and methodological complex into the academic process at Saratov State Medical University. The first experience of its functionality at pediatric faculty is characterized in the article. It contributes to improving of educational process, methodological and informational systems, coordination of the process of teaching. It promotes the further development of extra curriculum work of staff and control of the quality of students' trainin

The importance and possibilities of role playing on children surgery classes

This article analyzes the first experience in the implementation into the pedagogical process of one of the methods of active training — role playing. The need for intensification of medical education process is linked primarily to the rapid increase in the volume required to provide students with information and the lack of training time. The analysis showed that the game significantly increases the level of students' knowledge, but require substantial modernization of the educational process