Vol 8, No 2 (2017)
- Year: 2017
- Articles: 15
- URL: https://journals.rcsi.science/pediatr/issue/view/388
Articles
Lipolysis In Lacto Trophy Of Newborn And 1-Year Infant
Abstract
Lipolysis is accomplished sequentially and simultaneously by lipase in saliva and gastric juice in the infant’s stomach as inductors in autolytic digestion by bile-dependent lipase in breast milk and colipase-dependent pancreatic lipase in the ileum. Lipase was determined in blood serum of women in labor, in umbilical cord blood, in water, and in infant gastric content. According to the data obtained, the initial lipolysis potential of newborns is significantly lower than that of the mothers. It is developed during the first half of pregnancy so gestation period does not have a significant effect on it. Over a year of lactation period, the breast milk steatolytic activity decreases, with a lower rate compared with other breast hydrolytic activities. If the steatolytic activity is low during the first month of lactation, it increases during the succeeding 4–5 months. In cases when steatolytic activity is high initially, it decreased during the following months. This indicates that the lipase content level has an effect on lipolysis at lactotrophy. Additional food and specifically bottle feeding strongly increased the steatolytic activity of duodenal content because of lipase exosecretion stimulation in the pancreas. In contrast, the steatolytic activity is decreased when mixed feeding is introduced. Assessment of lipolysis potential is important in choosing the feeding type for newborns and infants.
Blood lipids in athletes depending on the orientation of the training process
Abstract
The status of autonomic nervous system and adaptation in infants with the different types of intrauterine growth restriction
Abstract
A Marfanoid Habitus Dyagnostics’ Algorithm And Morfo-Functional Heart Singularities Relevent To This Dysplastic Phenotype
Abstract
The results of an evaluation of quality of care and life in children with epilepsy
Abstract
Peculiarities of sensory development in children in terms of military conflict depending on the type of feeding
Abstract
Parental opinion regarding the pediatric outpatient organizations’ functioning as an important criterion of pediatric medical care quality
Abstract
The method of evaluation and prediction of formation of menstrual function of adolescent girls
Abstract
Timely detection of risk groups at the onset of puberty and menstrual function is key to good physical, sexual, and mental health. Nowadays, many authors work at the problem of identifying risk factors that lead to the disruption of the formation of the reproductive system as well as creat predictive software and maps for the assessment of possible risks of the formation of this system in girls. The paper presents the possibility of predicting the formation of menstrual function in adolescent girls based on prognostic charts. The prognostic chart includes the following criteria: age, health, mother’s social position at the time of pregnancy and childbirth, place of birth and residence, and the transferred diseases of a girl with a group definition of health. Medical examination was performed in 432 girls aged 9-13 years and 11 months. It was revealed that more than half of the girls belong to a group with medium risk of all forms of menstrual dysfunction, requiring the attention of a gynecologist for adolescents. The main components of preventive observation and treatment consisted of gynecological examination, normalization of work and rest, nutrition, sanitation of foci of infection, sedative therapy, vitamin therapy, adaptogens, psychological training, physical therapy, and acupuncture. The chart can be used not only by gynecologists for children and adolescents but also by pediatricians, endocrinologists, and health workers in the school setting.
Correction of hepatic dysfunction in an extensive deep burn model
Abstract
Measures in assessment of pediatric systemic lupus erythematosus
Abstract
Nursing and rehabilitation of very preterm infants: current state of the problem
Abstract
Choise of local antibacterial medications for prevention of sternal infection
Abstract
Russia’s first POEM in the treatment of achalasia in children
Abstract
The article describes various methods of treatment of achalasia, for example, endoscopic balloon pneumatic dilation that extends the lower esophageal sphincter, injection of botulinum toxin that decreases cardia tone, minimally invasive endoscopic methods in combination with medicinal therapy, and surgical treatment of patients at the fourth stage of the disease that promotes good or satisfactory clinical results in 98.2% of patients. The present study also introduces an optimal algorithm for the examination of patients with suspected achalasiocardia. X-ray diagnostics and endoscopic examination were used to verify the diagnosis. All these methods ensure timely and correct diagnosis, determining also the stage of the disease development. Stage-wise diagnostics in Russia are mostly based on the classification suggested by B.V. Petrovsky in 1962. This classification is founded upon X-ray examination of the esophagus due to its simplicity and availability. The article also presents a completely novel approach for the treatment of achalasiocardia in Russia, that is, peroral endoscopic myotomy (POEM).This method of endoscopic operation has been used in our clinic since 2014 for adult patients, and in 2016, it has been for the first time in Russia performed on a child. A clinical example of achalasiocardia in a child is presented as well as diagnostic methods, medicinal treatment, and the use of balloon pneumatic dilation resulting in a recurrence that subsequently demanded peroral endoscopic myotomy. This minimally invasive endoscopic operation nowadays is highly effective and prospective for the treatment of achalasiocardia in both adults and children.