Vol. 4 No. 4(2) (2013): VESTNIK of KSMA

The article presents the main directions of optimization of the pediatric service, which will improve the quality  indicators of children’s health care institutions and improve health index among children.

It has been done 35 medical test on clinical history among children with hospital infection. Epidemiological  peculiarities of hospital infection have been revealed among children at an early age.

the analysis of prevalence of a HIV-infection among pregnant and newborn children in Osh area, efficiency PTMC.

Described clinical peculiarity of shigellosis in children of first three years.

The review is devoted to the study of the clinical particularities of the parvoviral (B19) infection at children.

this article presents clinical and epidemiological characteristics of measles at children under and more than 1 year which were defined by lab methods: IFA and PCR.

The analysis of children’ cases with acute tonsillitis diagnosis.

It was presented the analysis of results of surgical treatment of 23 children’ alveococcosis liver. Patients were di­vided by stage of disease and PNM classification

With aim to modification modes of plastic for strangulated inguinal hernia at children. There were 410 children with strangulated inguinal hernia which received surgical treatment. Hospital of emergency help in the years 2010-2012. In the age under 1 years -28,3% , 1-3 years-41,4% , 3-7 years-24,7 %, after 7 years-5,6 %. There were 91,2% boys and 8,8% girls. Because of dissection of anterior inguinal wall we discovered new plastic in inguinal canal which decrease the number of complications. There were no any complications after of plastic.

Article presents results of morbidity investigation on child with Herpetic Viral Stomatitis, and Helminthes invasion as accompanying disease. From 1356 child with viral Stomatitis on 1050 Helminthes invasion as accompanying disease were obtained, which composes 77.4%.

There were 63 patients with hypospadias in the Children’s emergency Hospital, Urology Department since 2009 until 2013. All of them were treated by the uretroplastic of Duplei-Savchenko. All patients were divided by 2 groups : 34-drinage of urinary vesicle after operation with traditional method; 29-after 7 days from the operation the urinary catheter was changed. In the second group of patients we received improvement of the results of treatment and the complications were decreased to 5 %.

Different types of nutritional disorders are diagnosed by 33.7% of children, including diseases of protein-energy malnutrition at 28.5%, overweight-5.2%. The most common form of protein-energy malnutrition is short stature (22.8%), less likely to have discovered the lack of body mass (4.2%) and depletion (1.5%), short stature, severe almost in 2 times more often found among children (5.7%), those living in rural areas than among urban children (2.9%). Prevalence of low body weight to three years is 3, short stature in 5.8 times compared with the figures at the age of 6 months.

In rural Kyrgyzstan, nearly half of children (50.6%) at the age of 6-24 months were anemic, while 60.2% of children had an iron deficiency according to measurements of ferritin in plasma. Highest level of anemia was observed among children aged 12-18 months. Main reasons of high prevalence of anemia and iron deficiency are an extremely low level of exclusive breastfeeding of a child in first 6 months of life (14%) and non-adequate feeding practices after 6 months.

It was examined 26 children suffering from bronchial asthma (BA) with gastroesohageal reflux (GER), gastrointestinal disturbance (15 patients have stomach ulcer, duodenum’s problems, gastritis) and isolated BA. Patients diagnosed with GER were treated by anti-refluxed therapy. As a result it was found out among the patients treated with anti-refluxed therapy the dose of inhalation glucocorticoid and broncholytic medications decreased. This suggests that ER has pathogen tic role in the development of BA’s clinical symptoms.

In this article results of observation and treatment of infectious endocarditis are shown. The causes and risk-factors of this disease were found. Experience of such rare disease treatment for city hospital is shown.

Cytotoxic therapy by Cellcept was shown at 15 children with relapse, steroid depend nephrotic syndrome (NoS). Full remission of NoS is 60% of patients and duration till 1 year with cytotoxic therapy at 90 % and till 2 years without cytotoxic therapy at 10 %. Relapses are noted at 26 % of patients during cytotoxic therapy.

The article provides brief description of chromosome anomalies. The clinical finding of Down’s disease. The issues of rehabilitation of children with Down’s disease are considered.

It is shown that thrombocytopenia frequency takes the 2nd place in the structure of hemorrhagic diathesis. There is a certain dependence of the form of thrombocytopenia on the child’s age,the chronic course of disease is more often diagnosed atchildren aged 11-15 years of old. The concomitant diseases are found at 90,8% of children, the persistentinfections such as CMV, herpes simplex virus I-II, mycoplasma, toxoplasma, ureaplasma - 78,1% of patients, that undoubtedly have adverse effect on the course of acute and chronic thrombocytopenia.

Increased incidence of gastric ulcer (GU) and duodenal ulcer (DU) in the world is a concern not only for physicians, but also for pediatricians. Analysis of recommendations Maastricht 4 and their introduction to clinical practice is a strategic task of modern medicine. Recommendations have been developed for specific assistance to practitioners in the diagnosis and treatment of diseases associated to H. Pylori. This article summarizes the main issues Maastricht-4 agreement and allocated points regarding diagnosis and treatment of peptic ulcer disease in children, which can be applied in Kyrgyzstan.

Research of 395 2-year-old children, inhabitants of Bishkek, full-term, with signs of intrauterine growth retardation at a birth is carried out - 257 children with hypotrophic variant and 138 children with hypoplastic variant. It is defined, that in investigated groups there is a considerable number of cases of nutrient status disorder which reaches at hypotrophic variant of 35,1% at I degree and 61,3% at II degree, and at hypoplastic variant - 62,0% and 37,0% accordingly. It is noticed, that among 2-year-old children with signs of IUGR at a birth, irrespective of a clinical variant and severity level, children with disharmonious and sharply disharmonious physical development prevail- '. Microsomatic somatotype of physical development-1 is most often registered.

Aim of this study was to examine the state of the immune status of children living in the metropolis under stress.

The two courses of limfotropny therapy increased the power of the quadriceps of paralyzed and non-paralyzed parts increasing the amount of their muscle offibers able to contract maximally. The muscle power of the biceps gastrocnemius of legs biceps of shoulder general flexor muscle of fingers improved by increasing the volume of muscle fibers and restoring the neuromuscular transmission enabling to work with maximal load.

The children with Vesta syndrome in amount of 83 people had been examined. The selection of anticonvulsant therapy was made according to hypsarhythmia type shown on the electroencephalogram. It was proved that mostly the children with Vesta syndrome had an atypical character of hypsarhythmia on the encephalogram which required prespcription of two or more antiepileptical medicines for treatment.

9% of all children and adolescents hospitalized in the endocrinology department of NCMChW for 10 months in 2013, are obese, established on the basis of Body Mass Index (BM1) > 90th percentile. 81.25% of the total number of obese patients had abdominal obesity (waist circumference WC > 90th percentile). Results: The combination of abdominal obesity, and the two criteria International Diabetes Federation (IDF) was found in 28,2% (11) patients, which coincides with the studies conducted in other countries in Asia.

Pathological neonatal jaundice is one of the most actually problem in neonatology. The study involved the observation of 660 infants with hyperbilirubinemia syndrome. In article we studied etiological structure, clinical characteristics of the pathological neonatal jaundice at the present stage. Also the main risk factors for their occurrence are identified.

The article describes the features of a multi-stage training of students specializing in pediatrics, the major scientific achievements of the department within the confines of school of “The ecopathology of children in Kyrgyzstan”. The fairly significant risk factors on children’s health are identified.

The purpose of the research study of the causes and structures of severe reeclampsia. Retrospective analysis of medical records of 104 women who resented to the emergency department in 2011 was performed. From diagnosis: severe preeclampsia. To assess the effectiveness of the protocols used indicators.