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LEADING ARTICLE

Child health in Tatarstan: major challenges in coming years. A.Z. Farrakhov, S.A. Osipov, E.G. Ignashina P.6

ORIGINAL ARTICLES

The impact of neonatal resuscitation for somatic status and psychomotor development of premature infants who suffer from critical situations during newborn period. E.N. Akhmadeyeva, A.Ya. Valiulina, N.N. Kryvkina P.12

Psychomotor development of children with esophageal atresia. E.N. Akhmadeyeva, F.M. Latypova P.17

The state of health of children with extremely low weight at birth in remote periods of life. I.V. Vinogradovа, M.V. Krasnov P.20

The comparative characteristics of health premature infants depending on theirs birth weight. N.N. Kryvkina, E.N. Akhmadeeva, A.Yа. Valyulina P.26

Current clinical features cytomegalovirus infection in children five years of age. S.S. Kochkina, E.P. Sitnikovа P.31

REVIEW

The problems and perspectives of successful resuscitation and rehabilitation children born with low and extremely low birth weight. A.Yа. Valiulina, E.N. Akhmadeyeva, N.N. Kryvkina P.34

The role of the intestinal microbiota and probiotics in pediatrics. C.Kh. Lifshits P.42

Birth of a premature infant — family life crisis. M.V. Belousova, M.A. Utkuzova, A.M. Karpov P.45

Risk factors of neonatal ischemic stroke. L.K. Kari-mova, D.D. Gajnetdinova P.48

The impact of low birth weight to the subsequent risk of cardiovascular diseases. I.Ya. Lutfullin, A.I. Safina, Z.R. Sadykova P.54

CLINICAL LECTURE

The influence of biological and psychological factors on mental ontogenesis of a premature infant. M.V. Belousova, M.A. Utkuzova, V.F. Prusakov, R.G. Gamirova P.59

Ethical and psychological aspects of counseling for parents of premature infants: the role of pediatricians and neonatologists. N.L. Rybkina, А.I. Safina P.63

Clinical examination of preterm infants at the first year. I.I. Zakirov, A.I. Safina P.68

Evaluation neuropsychological development of premature infants in the first year. O.А. Stepanova P.77

Respiratory disease in premature infants at an early age. E.V. Volyanyuk, A.I. Safina P.82

EXCHANGE OF EXPERIENCE

Follow-up of premature in progress clinic Emory University (USA). А.I. Safina, I.Ya. Lutfullin, N.L. Rybkinа, O.A. Stepanova, E.V. Volyanyuk,I.I. Zakirov, M.A. Daminova, M.A. Satrutdinov P.86

Phasing multidisciplinary rehabilitation newborns with perinatal in child hospital. R.F. Shavaliev, G.R. Kletenkova, D.D. Gaynetdinova P.90

ORGANIZATION OF HEALTHCARE

Phasing of medical care to preterm infants with extremely low and very low birth weight in an urban children's hospitals. M.V. Potapovа , A.I. Safina, A.A. Malova, O.V. Sharipovа, I.V. Agapova P.95

Some aspects of providing medicines for the po-pulation entitled to benefits in the Republic of Tatarstan (the period from 2009 to 2012). A.M. Kuznetsova P.97

To a question of optimization of the stationary help in departmental public health services. N.B. Amirov, M.V. Potapova, L.F. Sabirov P.100

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LEADING ARTICLE

Child health in tatarstan: major challenges in coming years

A.Z. Farrakhov, S.A. Osipov, E.G. Ignashina

Abstract. The results of the health of the child population in the Republic of Tatarstan for the period since 2001. Set to increase in the incidence, reducing child mortality and disability. Indicators of the health of children and adolescents determined by the level of development of pediatric health care, socially significant causes, behavioral risk factors and disadvantage of the environment.

Key words: morbidity, infant mortality, health, children, and adolescents.

 

References

1. Avsadzhanishvili, V.N. Osobennosti sostojanija zdo- rov'ja detej, stradajushhih zabolevanijami organov dy- hanija / V.N. Avsadzhanishvili, V.V. Polunin// Vestnik Roszdravnadzora. — 2012. — № 5. — S.35.
2. Alkogol’ // Informacionnyj bjulleten’ Vsemirnoj organizacii zdravoohranenija. — 2011. — № 349. — 350 s.
3. Baranov, A.A. Profilakticheskaja pediatrija — novye vyzovy [interv’ju s akademikom RAN i RAMN A.A. Baranovym] //Medicinskaja gazeta. — 2012. — № 27. — S.4.
4. Baranov, A.A. Smertnost’ detskogo naselenija Rossii / A.A. Baranov, V.Ju. Al’bickij // Social’naja pediatrija. — 2009. — № 9. — S.366—367.
5. Gosudarstvennyj doklad «O polozhenii detej i semej, imejushhih detej v Rossijskoj Federacii» za 2011 i 2012 gody. — S.5—50.
6. Zelinskaja, D.I. Social’noe sirotstvo kak odna iz problem zdravoohranenija Rossijskoj Federacii / D.I. Zelinskaja // Rossijskij vestnik perinatologii i pediatrii. — 2008. — № 1. — S.76—83.
7. Lando, G.A. Tabak vyzyvaet obespokoennost’ pediatrov vo vsem mire / G.A. Lando, B.Dzh. Gipl, M. Miramoto // Informacionnyj bjulleten’ Vsemirnoj organizacii zdravoohranenija. — 2010. — Vyp. 88, № 1. — S.100—135.

 

ORIGINAL ARTICLES

The impact of neonatal resuscitation for somatic status and psychomotor deVelopment of premature infants who suffer from critical situations during newborn period

E.N. Akhmadeyeva, A.Ya. Valiulina, N.N. Kryvkina

Abstract. The aim of research was the estimation of psychomotor development and health indices of premature infants, gone through neonatal reanimation because of grave condition. During postnatal development the health of premature infants was appraised at their physical, somatic and psychomotor progress. The preterm born, gone through neonatal resuscitation and/or intensive therapy, have different results during postnatal development, they are: limited opportunities of cerebral pathology — 39,7% minimum cerebral disfunction — 47,5% and 12,8% children have no pathology. They also have the peculiarities of health, characterized by low estimation of physical development and large frequency of somatic pathology, mainly on the side of respiratory organs.

Key words: premature infant, neonatal resuscitation, catamnesis research.

 

References

1. Baranov, A.A. Nauchnoe napravlenie podprogrammy «Zdorovyj rebenok» — prakticheskomu zdravoohraneniju / A.A. Baranov // Rossijskij pediatricheskij zhurnal. — 2002. — № 2. — S.53—54.
2. Valiulina, A.Ja. Sostojanie zdorov’ja detej rannego vozrasta, perenesshih neonatal’nuju reanimaciju/ A.Ja. Valiulina, Je.N. Ahmadeeva, O.A. Brjuhanova // Zdravoohranenie i social’noe razvitie Bashkortostana. Specvypusk. — 2009. — S.74—79.
3. Vinogradova, I.V. Katamnesticheskoe nabljudenie za det’mi s jekstremal’no nizkoj massoj tela pri rozhdenii / I.V. Vinogradova, M.V. Krasnov, L.G. Nogteva // Prakticheskaja medicina. — 2008. — № 31. — S.67—69.
4. Voroncov, I.M. Propedevtika detskih boleznej / I.M. Voroncov, A.V. Mazurin. — SPb., 2000. — 92 s.
5. Sravnitel’nye rezul’taty katamnesticheskogo nabljudenija 5. detej, perenesshih kriticheskie sostojanija neonatal’nogo perioda / E.V. Aronskid, O.P. Kovtun, O.T. Kabdrahmanova [i dr.] // Pediatrija. — 2010. — T. 89, № 1. — S.47—50.
6. Uchastkovyj pediatr / M.F. Rzjankina, V.P. Molochnyj, V.G. D'yachenko, E.N. Andrjushkina. — Rostov n/D.: Feniks, 2005. — 313 s.
7. Chertok, T.Ja. Sostojanie zdorov’ja i dispanserizacija detej rannego vozrasta / T.Ja. Chertok, G. Nibsh. — M.: Medicina, 1987. — 256 s.
8. Clinical linguistic and auditory milestone scale: prediction of cognition in infancy / A.J. Capute, F.B. Palmer, B.K. Shapiro [et al.] // Dev. Med. Child. Neurologia. — 1986. — Vol. 28. — Р.762—771.

 

Psychomotor development of children with esophageal atresia

E.N. Akhmadeyeva, F.M. Latypova

Abstract. The aim was to study the psychomotor development of children with esophageal atresia, who received surgical treatment in the early neonatal period. The study included 35 children with esophageal atresia. To assess psychomotor development was used the CAT/CLAMS scale. This method allows to evaluate the skills of the decision of visual (section CAT) and linguistic (section CLAMS) tasks, as well as the development of the child’s motility (scale GM). The results revealed a speech development delay to the 3rd year of the life in a considerable part of children (60,0%). The lag in this line of development was most prevalent in children with short term of gestation, the delay of the intrauterine development and postnatal nutritional disorders. In the first 3 years of life the motor and cognitive development of children corresponds to normal levels.

Key words: esophageal atresia, the CAT/CLAМS scale, psychomotor development.

 

References

1. Volodin, N.N. Neonatologija: nacional’noe rukovodstvo / N.N. Volodin. — M: GJeOTAR-Media, 2007. — 848 s.
2. Keshishjan, E.S. Psihomotornoe razvitie detej na pervom godu zhizni / E.S. Keshishjan. — M., 2000. — 48 s.
3. Krasovskaja, T.V. 10-letnij opyt lechenija novorozhdennyh jezofagoanastomozom / T.V. Krasovskaja, N.V. Golodenko, O.G. Mokrushina // Detskaja hirurgija. — 2003. — № 6. — S.5—8.
4. Perinatal’nye faktory riska cerebral’nyh porazhenij i psihonevrologicheskoj invalidnosti detej rannego vozrasta/ Je.N. Ahmadeeva, A.V. Gorjunova, N.M. Mironova, A.Ja. Valiulina // Prakticheskaja medicina. — 2005. — № 5. — S.8—10.
5. Clinical linguistic and auditory milestone scale: prediction of cognition in infancy/ A.J. Capute, F.B. Palmer, B.K. Shapiro [et al.] // Dev. Med. Child. Neurologia. — 1986. — Vol. 28. — Р.762—771.
6. Forrester, M.B. Epidemiology of oesophageal atresia and tracheo-oesophageal fistula in Hawaii, 1986—2000 / M.B. Forrester, R.D. Merz // Public Health. — 2005. — Vol. 119, № 6. — P.483—488.
7. Raju, T.N.K. Research in Neonatology for the 21st Century: Executive Summary of the National Institute of Child Health and Human Development-American Academy of Pediatrics Workshop. Part I: Academic Issues / T.N.K. Raju, R.L. Ariagno // Pediatrics. — 2005. — Vol. 115, № 2. — P.468—474.
8. Spitz, L. Esophageal atresia: Lessons I have learned in a 40-year experience/ L. Spitz // J. Pediatr. Surg. — 2006. — Vol. 41, № 10. — P.1635—1640.

 

The state of health of children with extremely low weight at birth in remote periods of life

I.V. Vinogradovа, M.V. Krasnov

Abstract. Are represented the materials of the monitoring of children with extremely low weight at birth for the period 2002—2011, conducted an assessment of their level of health and identified the long-term consequences.

Key words: newborns, retinopathy, bronchopulmonary dysplasia.

 

References

1. Barashnev, Ju.I. Zrenie i sluh u novorozhdennyh / Ju.I. Ba- rashnev, L.P. Ponomareva. — M.: Triada-H, 2008. — 200 s.
2. Kompleksnaja jetapnaja reabilitacija detej s jekstremal’no nizkoj massoj tela / G.V. Jacyk, E.P. Bombardirova, N.A. Haritonova, S.B. Lazurenko // Voprosy prakticheskoj pediatrii. — 2008. — T. 3, № 5. — S. 60.
3. Nedonoshennye deti v detstve i otrochestve / A.A. Baranov, V.Ju. Al'bickij, S.Ja. Volgina [i dr.]. — M., 2001. — 188 s.
4. Neonatologija. Nacional’noe rukovodstvo / E.N. Bajbarina, G.N. Buslaeva, D.N. Dektjarev; pod red. N.N. Volodina. — M.: GEOTAR-Media, 2007. — 848 s.
5. Ovsjannikov, D.Ju. Sovremennye predstavlenija o bronho- legochnoj displazii / D.Ju. Ovsjannikov // Voprosy praktiches- koj pediatrii. — 2007. — T. 2, № 4. — S.32—39.
6. Fedorova, L.A. Nevrologicheskie ishody kriticheskih sostojanij rannego neonatal’nogo perioda u nedonoshennyh detej s ochen’ nizkoj i jekstremal’no nizkoj massoj tela pri rozhdenii: avtoref. dis. ... kand. med. nauk / L.A. Fedorova. — SPb., 2003. — 21 s.
7. Fedorova, L.A. Perinatal’nye povrezhdenija golovnogo mozga u detej s jekstremal’no nizkoj massoj tela pri rozhdenii / L.A. Fedorova, O.A. Vlasova // Perinatal’naja anesteziologija i intensivnaja terapija materi, ploda i novorozhdennogo: мaterialy konf. — Ekaterinburg, 1999. — S.381—383.
8. Bankalary, E. Bronchopulmonary dysplasia / E. Bankalary, T. Gerchardt // Pediatr. Clin. J. Amer. — 1986. — Vol. 33, № 1. — P.1—23.
9. Neurodevelopmental Outcome at 5 Years of Age of a National Cohort of Extremely Low Birth Weight Infants Who Were Born in 1996–1997 / Kaija Mikkola [et al.] // Pediatrics. — 2005. — № 116. — Р.1391—1400.

 

The comparative characteristics of health premature infants depending on theirs birth weight

N.N. Kryvkina, E.N. Akhmadeeva, A.Yа. Valyulina

Abstract. The purpose of our study was to characterize health of premature infants. Under our observation were 519 children. We are divided them into 3 groups. In the first group were 44 preterm birth with extremely low birth weight. In the second — 142 premature with very low birth weight. And in the last one — 333 children with low birth weight. It was revealed that outcomes of perinatal pathologies during first year of life were variables. It occur such healthy children as invalid infants. Factors, which may cause severe pathology, were not only the fact of preterm born, but also the compromised obstetric-gynecologic history of mothers in 100% of cases.

Key words: premature infants, extremely low birth weight, obstetric-gynecologic history.

 

References

1. Arzhanova, O.N. Jetiopatogenez nevynashivanija beremen- nosti / O.N. Arzhanova, N.G. Kosheleva // Zhurnal akusherstva i zhenskih boleznej. — 2004. — T. LIII, № 1. — S.37—41.
2. Ahmadeyeva, Je.N. Izbrannye lekcii. Social’naja pediatrija. Neonatologija / Je.N. Ahmadeeva. — Ufa., 2011. — 350 s.
3. Vinogradova, I.V. Katamnesticheskoe nabljudenie za det’mi s jekstremal’no nizkoj massoj tela pri rozhdenii / I.V. Vinogradova, M.V. Krasnov, L.G. Nogteva // Prakticheskaja medicina. — 2008. — № 31. — S 67—69.
4. Sidel'nikova, V.M. Nevynashivanie beremennosti — sovremennyj vzgljad na problem / V.M. Sidel’nikova // Akusherstvo i ginekologija. — 2007. — № 5. — S.24—26.
5. Cmertnost’ novorozhdennyh s jekstremal’no nizkoj massoj tela pri rozhdenii / V.Ju. Al’bickij, E.N. Bajbarina, Z.H. Sorokina, R.N. Terleckaja // Obshhestvennoe zdorov’e i zdravoohranenie. — 2010. — № 2. — S.16—21.
6. Sravnitel’nye rezul’taty katamnesticheskogo nabljudenija detej, perenesshih kriticheskie sostojanija neonatal’nogo perioda / E.V. Aronskid, O.P. Kovtun, O.T. Kabdrahmanova [i dr.] // Pediatrija. — 2010. — T. 89, № 1. — S.47—50.
7. Antenatal Corticosteroids Prior to 24 WEEKS «Gestation and Neonatal Outcome of Extremely Low Birth Weight Infants» / S. Abbasi, C. Oxford, J. Gerdes [et al.] // Am. J. Perinatol. — 2009. — Vol. 32. — P.19—23.
8. Bronchopulmanary dysplasia and brain white matter damage in preterm infants: a complex relationship / L. Gagliardi, R. Bellu, R. Zanini [et al.] // Pediatr Perinat Epidemiol. — 2009. — Vol. 23, № 6. — Р.90—582.
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Current clinical features cytomegalovirus infection in children five years of age

S.S. Kochkina, E.P. Sitnikovа

Abstract. The analysis of the clinical features of cytomegalovirus infection in 110 children aged 1 month to 5 years. In 35 children had congenital cytomegalovirus infection, diagnosed in the neonatal period which was made in only 2 children. Congenital infection more often had the character of the «hidden» CMV syndrome and was accompanied by congenital malformations of the kidneys, heart, central nervous system, eyes, liver and thyroid.

Key words: CMV infection, clinical features, children.

 

References

1. Nisevich, L.L. Znachenie razlichnyh virusnyh infekcij v nevynashivanii, mertvorozhdenii, perinatal’noj i mladencheskoj smerti / L.L. Nisevich // Pediatrija. — 1999. — № 1. — S.4—10.
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4. Morris D.J. Symptomatic congenital cytomegalovirus infection after maternal recurrent infection / D.J. Morris // Pediatr. Infect. Dis. J. — 2004. — Vol. 13, № 1. — Р.61—64.

 

REVIEW

The problems and perspectives of successful resuscitation and rehabilitation children born with low and extremely low birth weight

A.Yа. Valiulina, E.N. Akhmadeyeva, N.N. Kryvkina

Abstract. Preterm birth with low and extremely low birth weight has been defined as one of the major public health problems of this decade. After the course of resuscitation and intensive therapy in the newborn period, children get into high risk group of developing different serious chronic pathologies such as bronchopulmonary dysplasia, leucomalacia, neurodevelopmental disabilities, retinopathiya and others. It is necessary to perform catamnestic analysis for the purpose of studying remote consequences of resuscitation and increase quality of rendering qualified specialized medical aid to newborn with low and extremely low birth weight and early age children.

Key words: preterm birth, bronchopulmonary dysplasia, extremely low birth weight.

 

References

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8. Valiulina, A.Yа. Sostoyanie zdorov’ya detei rannego vozrasta, perenesshih neonatal’nuyu reanimaciyu / A.Yа. Valiulina, E.N. Ahmadeeva, O.A. Bryuhanova // Zdravoohranenie i social’noe razvitie Bashkortostana. Specvypusk. — 2009. — S.74—79.
9. Vinogradova, I.V. Katamnesticheskoe nablyudenie za det’mi s ekstremal’no nizkoi massoi tela pri rozhdenii / I.V. Vinogradova, M.V. Krasnov, L.G. Nogteva // Prakticheskaya medicina. — 2008. — № 31. — S.67—69.
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22. Sidel’nikova, V.M. Nevynashivanie beremennosti — sovremennyi vzglyad na problemu / V.M. Sidel’nikova //Akusherstvo i ginekologiya. — 2007. — № 5. — S.24—26.
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The role of the intestinal microbiota and probiotics in pediatrics

C.KH. Lifshits

Abstract. The fecal flora of the newborn infant begins to develop soon after birth. The speed at which this development occurs and the type of bacteria that will predominate is thought to be related to several factors such as the mode of delivery (vaginal vs. cesarean section (CS), place of delivery (home versus hospital) and type of feeding (breastmilk versus formula). The fecal flora of babies delivered by CS is quite different than that of vaginally delivered babies. Increasingly, epidemiologic and clinical data support the hypothesis that perturbations in the gastrointestinal microbiota disrupt the normal microbiota-mediated mechanisms of immunological tolerance in the intestinal mucosa, leading to an increase in the incidence of allergies, in particular, allergic airway disease and other ailments, including type I diabetes and overweight. Probiotics are beneficial bacteria to the host and multiple studies have demonstrated the benefits of many of them. In children such effects include prevention of necrotizing enterocolitis, treatment of infantile colic, decreased duration of acute gastroenteritis, decreased incidence of acute diarrhea and of antibiotic associated diarrhea, and prevention of manifestations of allergy. In addition, administration of probiotics may be a way to overcome the problems caused by an abnormal development of the fecal flora.

Key words: Microbiota, Probiotics, Children, Necrotizing enterocolitis, Allergy, Colic.

 

References

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Birth of a premature infant — family life crisis

M.V. Belousova, M.A. Utkuzova, A.M. Karpov

Abstract. The article considers objective and subjective hardships the family encounters when a premature infant is born. The roles of family members in formation and resolution of the crisis are analyzed. Stages of overcoming the crisis by family members are discussed. The family assistance program is offered.

Key words: premature infant, family, psycho-correctional work.

 

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Risk factors of neonatal ischemic stroke

L.K. Karimova, D.D. Gajnetdinova

Abstract. Neonatal isсhemic stroke is increasingly recognized as an important cause of neurological morbidity in children, but etiology remains unclear although a variety of maternal and fetal risk factors have been identified. Genetic disorders, prothrombotic disorders, increased level of lipoprotein A, anticardiolipin antibodies and other are reported risk factors neonatal isсhemic stroke in term infants. The presence of multiple risk factors increases the odds of developing neonatal stroke. Prognostic models and preventive measures are not designed. Larger cohort studies are required to elucidate further the aetiologies and the multifactorial pathway to neonatal isсhemic stroke.

Key words: neonatal isсhemic stroke, risk factors, pathogenesis, prothrombotic disorders.

 

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The impact of low birth weight to the subsequent risk of cardiovascular diseases

I.Ya. Lutfullin, A.I. Safina, Z.R. Sadykova

Abstract. The paper is devoted to the basic clinical and pathophysiological aspects of the impact of the deficit of body weight at birth (as a result of prematurity or intrauterine growth retardation) on the risk of subsequent cardiovascular pathology. The current research in this field have identified an association between a typical perinatal diseases of premature infants (transient myocardial ischemia, persistent fetal circulation and others) and subsequent violations of the structure of the heart, the rhythm of the heart and the regulation of the level of blood pressure. The impact of perinatal factors has a global impact on all subsequent risks of cardiovascular diseases, including the risks of infractions and strokes in middle-aged man. Probably, such a «perinatal imprinting» is determined by an irreversible structural and functional alterations in cellular and organ level.

Key words: preterm newborns, cardiovascular system, cardiovascular pathology.

 

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3. Vinogradova, I.V. Terapiya narushenii serdechno-sosudistoi sistemy u nedonoshennyh detei s ekstremal’no nizkoi i ochen’ nizkoi massoi tela / I.V. Vinogradova // Medicinskii al’manah. — 2011. — № 6. — S.160—164.
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10. Nekotorye aspekty sovremennyh predstavlenii o mehanizmah formirovaniya i razvitiya patologii serdca u detei pervogo goda zhizni / N.P. Kotlukova, L.V. Simonova, A.A. Davydovskii [i dr.] // Detskie bolezni serdca i sosudov. — 2004. — № 2. — S.51—56.
11. Osobennosti funkcionirovaniya serdechno-sosudistoi sistemy u nedonoshennyh detei razlichnyh srokov gestacii i vozmozhnosti ih vyyavleniya v rannem adaptacionnom periode / T.S. Tumaeva, A.V. Gerasimenko, O.A. Piksaikina [i dr.] // Prakticheskaya medicina. — 2012. — № 12. — S.56—64.
12. Postgipoksicheskaya dezadaptaciya serdechno-sosudistoi sistemy u novorozhdennyh detei / L.V. Simonova, N.P. Kotlukova, N.V. Gaidukova [i dr.] // Rossiiskii vestnik perinatologii i pediatrii. — 2001. — № 2. — S.8—12.
13. Prahov, A.V. Neonatal’naya kardiologiya / A.V. Prahov. — N. Novgorod: Izd-vo Nizhegorodskoi gos. med. аkademii, 2008. — 388 s.
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16. Analysis of long-term cardio-respiratory recordings from infants who subsequently suffered SIDS / A.J. Wilson, V. Stevens, C.L. Franke, D.P. Southall // Ann. N. Y. Acad. Sci. — 1988. — Vol. 533. — P.390—410.
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21. Dynamic analysis of cardiac R-R intervals in normal infants and infants who subsequently succumbed to the sudden infant death syndrome / V.L. Schechtman, S.L. Raetz, R.K. Harper [et al.] // Pediatr. Res. — 1992. — Vol. 31, № 6. — P.606—612.
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23. Fetal and placental size and risk of hypertension in adults life / D.J.P. Barker, A.R. Bull, C. Osmond, S.J. Simmonds // BMJ. — 1990. — Vol. 301. — P.259—262.
24. Gilbert, T. Immediate and long- term renal effects of fetal exposure to gentamicia/ T. Gilbert, M. Lelievre-Pegorier, C. Merlet-Benichou // Pediatr. Nefrol. — 1990. — Vol. 4. — P.445—450.
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CLINICAL LECTURE

The influence of biological and psychological factors on mental ontogenesis of a premature infant.

M.V. Belousova, M.A. Utkuzova, V.F. Prusakov, R.G. Gamirova

Abstract. The article represents the data on the biological and psychosocial risk factors for abnormalities in speech and mental developments in premature infants. The genesis and forms of speech disorders are considered. The roles of psychosocial factors of emotional and sensor enriched surroundings, the relationship of a dyad “mother — infant” and the formation of attachment are emphasized as these are essential fundamentals of developing trust to the outside world.

Key words: premature infant, perinatal CNS damage, speech disorders, attachment.

 

References

1. Badalyan, L.O. Nevropatologiya / L.O. Badalyan. — M.: Akademiya, 2000. — 382 s.
2. Battervort, Dzh. Principy psihologii razvitiya / Dzh. Battervort, M. Harris; per. s angl. — M.: Kogito-centr, 2000. — 350 s.
3. Bernadskaya, M.E. Osobennosti rannego psihicheskogo razvitiya nedonoshennyh detei, imeyuschih kriticheski nizkuyu massu tela pri rozhdenii i perinatal’noe porazhenie CNS / M.E. Bernadskaya, L.V. Gracheva, M.I. Frolova // Al’manah Instituta korrekcionnoi pedagogiki RAO. — 2000. — Vyp. 2. — URL: http://almanah.ikprao.ru
4. Bor'eson, B. Rannie otnosheniya i razvitie rebenka / B. Bor’eson, S. Britten, S.V. Dovbnya [i dr.]. — SPb.: Piter, 2009. — 160 s.
5. Boulbi, Dzh. Privyazannost’ / Dzh. Boulbi. — M.: Gardarika, 2003. — 477 s.
6. Boulbi, Dzh. Sozdanie i razrushenie emocional’nyh svyazei / Dzh. Boulbi. — M.: Akademicheskii proekt, 2004. — 232 s.
7. Vinnikott, D.V. Malen’kie deti i ih materi / D.V. Vinnikott; per. s angl. N.M. Padalko. — M.: Klass, 1998. — 80 s.
8. Volodin, N.N. Osobennosti rechevogo razvitiya v rannem vozraste u detei s posledstviyami perinatal’noi patologii nervnoi sistemy. Rannyaya diagnostika rechevyh narushenii i ih korrekciya: metod. rekomendacii / N.N. Volodin, V.M. Shklovskii, N.N. Zavadenko [i dr.]. — M., 2005. — 37 s.
9. Voroshihina, O.R. Psihologicheskaya korrekciya deprivirovannogo materinstva: avtoref. ... kand psihol. nauk / O.R. Voroshihina. — M., 1998. — 15 s.
10. Vygotskii, L.S. Psihologiya razvitiya rebenka / L.S. Vygotskii. — M.: Izd-vo «Smysl»; Izd-vo «Eksmo», 2004. — 512 s.
11. Lukovceva, Z.V. Psihicheskoe razvitie nedonoshennogo mladenca / Z.V. Lukovceva, L.L. Baz // Voprosy psihologii. — 1999. — № 6. — S.29—35.
12. Lukovceva, Z.V. Specifika emocional’no-kommunikativnogo razvitiya nedonoshennogo mladenca i ego privyazannost’ k materi / Z.V. Lukovceva // Problemy mladenchestva: neiro-psihologo-pedagogicheskaya ocenka razvitiya i rannyaya korrekciya otklonenii: materialy nauch.-prakt. konf. / Institut korrekcionnoi pedagogiki RAO. — M.: Poligraf servis, 1999. — S.23—24.
13. Luriya, A.R. Vysshie korkovye funkcii cheloveka / A.R. Luriya. — M.: Medicina, 1969. — 160 s.
14. Muhamedrahimov, R.Zh.14. Mat’ i mladenec: psihologicheskoe vzaimodeistvie / R.ZH. Muhamedrahimov. — SPb.: Izd-vo SPbGU, 2003. — 288 s.
15. Pyatnica, T.V. Logopediya v tablicah, shemah, cifrah / T.V. Pyatnica. — Rostov n/D.: Feniks, 2009. — 173 s.
16. Cvetkova, L.S. Neiropsihologicheskaya reabilitaciya bol’nyh. Rech’ i intellektual’naya deyatel’nost’: ucheb. posobie / L.S. Cvetkova. — 2-e izd., ispr. i dop. — M.: Izd-vo MPSI, 2004. — 424 s.
17. Emocii i otnosheniya cheloveka na rannih etapah razvitiya / pod red. R.Zh. Muhamedrahimova. — SPb.: Izd-vo SPb. un-ta, 2008. — 312 s.
18. Yacyk, G.V. Osobennosti nervno-psihicheskogo razvitiya nezrelyh nedonoshennyh detei / G.V. Yacyk, E.P. Bombardirova, E.I. Tokovaya // Profilaktika i lechenie retinopatii nedonoshennyh: materialy simp. — M., 2000. — 119 s.
19. Yacyk, G.V. Vyhazhivanie i rannyaya reabilitaciya detei / G.V. Yacyk, E.P. Bombardirova, O.V. Tresorukova // Lechaschii vrach. — 2007. — № 7 — S.45—49.
20. Ainsworth, S. Patterns of attachment^ a psychological study of the strange situation / S. Ainsworth, M.C. Blehar, E. Waters, S. Wall // NG: Hillsdale. — 1978. — 243 с.
21. Sprache, Kommunication und soziale Entwicklung. — Frühe Diagnostic und Therapie. Stuttgart, Klett-Cotta, 2012. — 260 р.
22. Watt, J. Interaction and development in the first year: The effects of prematurity / J. Watt // Early Hum. Devel. — 1986. — Vol. 13(2). — P.195—210.

 

Ethical and psychological aspects of counseling for parents of premature infants: the role of pediatricians and neonatologists

N.L. Rybkina, А.I. Safina

Abstract. Article is devoted to the relationship between the parents of premature infants and medical staff from the point of modern ideas about ethics and deontology. The author discusses the practical ethics that help medical staff and parents work together for the treatment and nursing of premature infants.

Key words: еthics, premature babies, psychological aspects, nursing.

 

References

1. Aktual’nye problemy medicinskoi deontologii / N.N. Schetinin, S.I. Tret’yak, A.V. Prohorov, V.A. Manulik // Medicinskie novosti. — 2000. — № 11. — S.48—51.
2. Akopov, V.I. Pravo v medicine / V.I. Akopov, E.N. Maslov. — M., 2002. — 78 s.
3. Al’bickii, V.Yu. Sovremennye eticheskie problemy pediatrii / V.Yu. Al’bickii, S.Ya. Volgina // Voprosy sovremennoi pediatrii. — 2004. — T. 3, № 5. — S.98—99.
4. Bazhutina, T.O. Bioetika: ucheb. posobie / T.O. Bazhutina. — Novosibirsk: Sibmedizdat NGMU, 2007. — 35 s.
5. Bioetika: uchebnik / pod red. P.V. Lopatina. — M.: GEOTAR-Media, 2008. — 240 s.
6. Biomedicinskaya etika / pod red. V.I. Pokrovskogo. — M., 1997. — 235 s.
7. Biomedicinskaya etika / pod red. T.V. Mishatkinoi, S.D. Denisova, Ya.S. Yaskevicha. — Minsk, 2003. — 145 s.
8. Gerasimovich, G.I. Medicinskaya etika / G.I. Gerasimovich // Zdravoohranenie. — 2008. — № 3. — S.44—49.
9. Il’enko, L.I. Aktual’nye voprosy medicinskoi deontologii pri okazanii pomoschi materyam i detyam: ucheb. posobie dlya sistemy poslediplomnogo obrazovaniya/ L.I. Il’enko [i dr.]. — M., 2011. — 51 s.
10. Keshishyan, E.S. Psihomotornoe razvitie kak kriterii nevrologicheskogo zdorov’ya nedonoshennogo rebenka / E.S. Keshishyan, E.S. Saharova // Lechaschii vrach. — 2004. — № 5. — S.21—27.
11. Mishatkina, T.V. Biomedicinskaya etika: uchebno-meto- dicheskoe posobie / T.V. Mishatkina. — Minsk: MGEU im. A.D. Saharova, 2007. — 32 s.
12. Nosachev, G.N. Obschenie s pacientom. Psihologiya obscheniya v sisteme «vrach—pacient» / G.N. Nosachev, V.V. Popov. — SPb.: Perspektiva, 2000. — 273 s.
13. Rybkina, N.L. Etika i deontologiya v pediatrii: ucheb.-metod. posobie / N.L. Rybkina. — Kazan’, 2011. — 36 s.
14. Shilko, V.I. Opyt reabilitacii nedonoshennyh detei s perinatal’nym porazheniem mozga / V.I. Shilko, V.L. Zelencova, N.P. Popova // Rossiiskii vestnik perinatologii i pediatrii. — 2003. — № 2. — S.43—47.
15. Uil’yams, Dzh.R. Rukovodstvo po medicinskoi etike / Dzh.R. Uil’yams; pod red. Yu.M. Lopuhina, B.G. Yudina, L.A. Mihailova; per. s angl. T.V. Bulyginoi, L.L. Vasil’evoi. — M.: GOETAR-Media, 2006. — 128 s.

 

Clinical examination of preterm infants at the first year

I.I. Zakirov, A.I. Safina

Abstract. The article is devoted to the main stages of outpatient clinical examination of preterm infants. Rational infant feeding on the first year of life is described. The data on the development of very low birth premature infants is given. The most frequent pathological conditions in premature infants in the first year of life are described.

Key words: premature baby, clinical examination.

 

References

1. Dem’yanova, T.G. Monitoring zdorov’ya glubokonedonoshennyh detei na pervom godu zhizni: avtoref. dis. ... kand. med. nauk / T.G. Dem’yanova. — M., 2004. — 26 s.
2. Kachan, S.E. Glubokonedonoshennye deti (opredeleniya, problemy, principy terapii): ucheb.-metod. posobie / S.E. Kachan, G.A. Shishko, M.V. Artyushevskaya. — Minsk: BelMAPO, 2006. — 26 s.
3. Ob utverzhdenii standarta pervichnoi mediko-sanitarnoi pomoschi po profilaktike respiratornyh infekcii u nedonoshennyh detei: standart Minzdrava RF ot 5 fev. 2013 // Bank dokumentov Minzdrava RF. — URL: http://www.rosminzdrav.ru/docs/, svobodnyi.
4. Ob utverzhdenii standarta specializirovannoi medicinskoi pomoschi detyam pri retinopatii nedonoshennyh: standart Minzdrava RF ot 22 fev. 2013 // Bank dokumentov Minzdrava RF. — URL: http://www.rosminzdrav.ru/docs/, svobodnyi
5. Racional’noe vskarmlivanie nedonoshennyh detei: metod. ukazaniya / Ministerstvo zdravoohraneniya i social’nogo razvitiya RF; RAMN; NCZD RAMN; FGU NC akusherstva, ginekologii i perinatologii; Soyuz pediatrov Rossii. — 2-e izd. dop. i pererab. — M.: Soyuz pediatrov Rossii, 2010. — 72 s.
6. Sovremennye vozmozhnosti immunoprofilaktiki tyazhelogo techeniya respiratorno-sincitial’noi virusnoi infekcii u detei s posledstviyami perinatal’noi patologii / L.S. Namazova-Baranova, I.V. Davydova, T.V. Truti [i dr.] // Pediatricheskaya farmakologiya. — 2011. — № 4. — S.92—100.
7. Tatochenko, V.K. Bolezni organov dyhaniya u detei: prakticheskoe rukovodstvo / V.K. Totochenko. — M.: Pediatr, 2012. — 480 s.
8. Hospital discharge of the high-risk neonate-proposed guidelines // American Academy of Pediatrics. Committee on Fetus and Newborn. — 1998. — Vol. 102(2, pt.1). — Р.411—417.
9. Singer, L.T. Parenting Very Low Birth Weight Children at School Age: Maternal Stress and Coping / L.T. Singer // J. Pediatrics. — 2007. — Vol. 151(5). — Р.463—469.
10. Trachtenbag, D. Office Care of the Premature Infant: Part II. Common Medical and Surgical Problems / D. Trachtenbag // American Academy of Pediatrics. — 1998. — Vol. 57(10). — Р.2383—2390.

 

Evaluation neuropsychological development of premature infants in the first year

O.А. Stepanova

Abstract. The lecture discusses the timing and methods for neurodevelopmental assessment of premature infants in the first year of life. The development is subject to special laws premature and depends on the gestational age and the existing perinatal pathology. To assess neuropsychological development can be used different scales, as well as situational validation tasks. An important concept of neurodevelopmental follow-up is the account of corrected age. The main criterion of the neurological health is gradual progressive development of motor, speech and cognitive skills.

Key words: premature babies, neurological development.

 

References

1. Aleksandrova, V.A. Perinatal'nye porazheniya central'noi nervnoi sistemy i ih posledstviya u detei v praktike pediat- ra / V.A. Aleksandrova, E.A. Bratova. — SPb., 2010. — 70 s.
2. Dem'yanova, T.G. Nablyudenie za glubokonedonoshennymi det'mi na pervom godu zhizni / T.G. Dem'yanova, L.Ya. Grigor'yanc, T.G. Avdeeva, A.G. Rumyancev. — M., MEDPRAKTIKA-M, 2006. — 148 s.
3. Doskin, V.A. Poliklinicheskaya pediatriya / V.A. Doskin, T.V. Kosenkova, T.G. Avdeeva, V.N. Shestakova [i dr.]. — M.: GOU VUNMC MZ RF, 2002. — 504 s.
4. Keshishyan, E.S. Psihomotornoe razvitie kak kriterii nevrologicheskogo razvitiya nedonoshennogo rebenka / E.S. Keshishyan, E.S. Saharova // Lechaschii vrach. — 2004. — № 5.
5. Lekcii po poliklinicheskoi pediatrii / pod red. T.I. Stukolovoi. — M.: FGOU «VUNMC Minzdrava», 2005. — 448 s.
6. Fiziologicheskie aspekty i standarty vyhazhivaniya nedonoshennyh detei / pod red. N.P. Shabalova. — SPb., 2005. — 96 s.

 

Respiratory disease in premature infants at an early age

E.V. Volyanyuk, A.I. Safina

Abstract. The paper presents the data in the literature about the anatomical and physiological characteristics of the respiratory system in preterm infants, causes the development of chronic disease, the clinical picture and the main directions of therapy of bronchopulmonary dysplasia

Key words: preterm infants, respiratory pathology, apnea of prematurity, bronchopulmonary dysplasia.

 

References

1. Volodin, N.N. Principy vyhazhivaniya detei s ekstremal'no nizkoi massoi tela / N.N. Volodin, D.N. Degtyarev // Voprosy akusherstva, ginekologii i perinatologii. — M., 2003. — № 2. — S.11—15.
2. Volodin, N.N. Bronholegochnaya displaziya: nauchno-prakticheskaya programma // N.N. Volodin, A.G. Chuchalin, N.A. Geppe. — M., 2011. — 106 s.
3. Dem’yanova, T.G. Nablyudenie za glubokonedonoshennymi det’mi na pervom godu zhizni / T.G. Dem’yanova, L.Ya. Grigor’yanc, T.G. Avdeeva. — M.: ID MEDPRAKTIKA, 2006 — 148 s.
4. Klassifikaciya klinicheskih form bronholegochnyh zabolevanii u detei. — M., Rossiiskoe respiratornoe obschestvo, 2009 — 18 s.
5. Ovsyannikov, D.Yu. Bronholegochnaya displaziya, estest- vennoe razvitie, ishody i kontrol’ / D.Yu. Ovsyannikov // Pediatriya. — 2011. — T. 90, № 1. — S.141—145.
6. Ovsyannikov, D.Yu. Sistema okazaniya medicinskoi pomoschi detyam, stradayuschim bronholegochnoi displaziei: rukovodstvo dlya praktikuyuschih vrachei / pod red. prof. L.G. Kuz’menko. — M.: MDV, 2010 — 152 s.
7. Ovsyannikov, D.Yu. Techenie bronholegochnoi displazii u detei grudnogo i rannego vozrasta / D.Yu. Ovsyannikov, L.G. Kuz’menko, E.A. Degtyareva // Pediatriya. — 2007. — № 4. — S.3—42.
8. Safronova, L.N. Istoki zdorov’ya nedonoshennyh detei: ucheb.-metod. posobie: v 3 ch. / L.N. Safronova, P.N. Shabalov. — SPb., 2010. — Ch. 3. — 83 s.
9. Senatorova, A.S. Bronholegochnaya displaziya u detei — sovremennyi vzglyad na problemu diagnostiki, lecheniya / A.S. Senatorova, O.L. Logvinova, G.R. Muratov [i dr.] // Voprosy sovremennoi pediatrii. — 2010. — № 1(29). — S.21—29.
10. Stoll, B.Dzh. Porazheniya dyhatel’nyh putei / B.Dzh. Stoll // Pediatriya po Nel’sonu: per. s angl. R.E. Berman, R.M. Kligman, H.B. Dzhonson. — M.: OOO «Rid Elsiver», 2009. — T. 1. — S.371—399.
11. American Academy of Pediatrics. Policy Statement Modified Recommendations for Use of Palivizumab for Prevention of Respiratory Syncytial Virus Infections // Pediatrics. — 2009. — № 124(6). — Р.1—73.
12. Kevill, K.A. New bronchopulmonary dysplasia and long-term airway dysfunction / K.A. Kevill, R.L. Auten, E.D. Schultz // Respir. Dis. — 2007. — № 17(2). — Р.1—8.
13. Simon, A. Respiratory syncytial virus infection in 406 hospitalised premature infants: results from a prospective German multicentre database / A. Simon, R.A. Ammann, A. Wilkesmann [et al.] // Eur. J. Pediatr. — 2007. — № 166. — Р.1273—1283.
14. Thomas, W. Bronchopulmonale Dysplasie Fruehgeborener Epidemiologie / W. Thomas, C.O. Speer // Pathogenese und Therapie. Monatsschrift Kinderheilkd. — 2005. — № 153. — Р.211—219.

 

EXCHANGE OF EXPERIENCE

Follow-up of premature in progress clinic Emory University (USA)

А.I. Safina, I.Ya. Lutfullin, N.L. Rybkinа, O.A. Stepanova, E.V. Volyanyuk,I.I. Zakirov, M.A. Daminova, M.A. Satrutdinov

Abstract. The article is devoted to 20 years of experience in the follow-up clinic of Emory University (USA). The questions need to clinic follow-up, which children need to see how they should watch and what neurological outcomes are possible in children born with extremely low birth weight (ELBW). The material was kindly provided by the authors of the Global Center of Reproductive Health, USA (Director — A.W. Brann, Jr., MD) and Clinic of Emory University, USA (Medical Director — I. Adams-Chapman, MD).

Key words: premature infants, extremely low weight, follow-up.

 

References

1. Adverse Neurodevelopmental Outcome Among Extremely Low Birth Weight Infants with a Normal Head Ultrasound: Prevalence and Antecedents/ A.R. Laptook, T.M. O’Shea, S. Shankaran, B. Bhaskar // Pediatrics. — 2005. — Vol. 115(3). — P.673—680.
2. Association of non-English primary language on measurements of development and behavior at 18—22 months in children born extremely preterm / J.R. Lowe, T.L. Nolen, B.R. Vohr [et al.] // Accepted to Early Human Dev. — 2012. — Vol. 22. — P.35—43.
3. Changes in Neurodevelopmental Outcomes at 18-22 Months Corrected Age Infants Less than 25 Weeks Born 1993—1999/ S.R. Hintz, D.E. Kendrick, B.R. Vohr [et al.] // Pediatrics. — 2005. — Vol. 115(6). — P.645—651.
4. Early Inhaled Nitric Oxide Therapy for Term and Near Term Newborn Infants with Hypoxic Respiratory Failure: Neurodevelopmental Follow-up / G.G Konduri, B. Vohr, C. Robertson [et al.] // The Journal of Pediatrics. — 2007. — Vol. 150(3). — P.235—240.
5. Effect of Ethnicity and Race on Cognitive and Language Testing at 18—22 Months in Extremely Preterm Infants / A. Freeman Duncan, K.L. Watterberg, T.L. Nolen [et al.] // J. Pediatr. — 2012. — Vol. 21. — P.146—151.
6. Gender differences in neurodevelopmental outcomes among extremely preterm, extremely-low-birthweight infants / S.R. Hintz, D.E. Kendrick [et al.] // Vohr Acta Paediatr. — 2006. — Vol. 95(10). — P.1239—1248.
7. Growth in the neonatal intensive care unit influences neurodevelopmental and growth outcomes of extremely low birth weight infants / R.A. Ehrenkranz, A.M. Dusick, B.R. Vohr [et al.] / Pediatrics. — 2006. — Vol. 117(4). — P.1253—1261.
8. Improving the Neonatal Research Network Annual Certification for Neurologic Examination of the 18—22 month Child / J.E. Newman, C.M. Bann, B.R. Vohr [et al.] // J. Pediatr. — 2012. — Vol. 161(6). — P.1041—1046.
9. Lowe, J. Emotional regulation and its impact on development in extremely low birth weight infants / J. Lowe, B. Woodward, L.A. Papile // J. Dev. Behav. Pediatr. — 2005. — Vol. 26. — P.1—5.
10. Neurodevelopmental and Growth Outcomes of Extremely Low Birth Weight Infants After Necrotizing Enterocolits / S.R. Hintz, D.E. Kendrick, B.J. Stoll [et al.] // Pediatrics. — 2005. — Vol. 115(3). — P.696—703.
11. Neurodevelopmental Impairment — Predictors of Its Impact on the Families of ELBW infants at 18 Months / B.E. Stephens, C.M. Bann, W.K. Poole, B.R. Vohr // Infant Mental Hlth. J. — 2008. — Vol. 29(6). — P.570—587.
12. Neurodevelopmental Outcomes of Triplets or Higher Order Extremely Low Birth Weight Infants / R. Wadhawan, W. Oh, L.A. Wrage [et al.] // Pediatrics. — 2011. — Vol. 127(3). — P.654—660.
13. Neurodevelopmental Outcome of ELBW infants with posthemorrhagic hydrocephalus requiring shunt insertion / I. Adams-Chapman, N. Hansen, R.D. Higgins [et al.] Pediatrics. — 2008. — Vol. 121(5). — P.1167—1177.
14. New Consensus Definition of Bronchopulmonary Dysplasia Predicts Pulmonary and Neurodevelopmental Outcomes in Early Infancy / R.A. Ehrenkranz, M.C. Walsh, B.R. Vohr [et al.] / Pediatrics. — 2005. — Vol. 116. — P.1353—1360.
15. Prediction of mortality in extremely low birth weight neonates / N. Ambalavanan, W. Carlo, G. Bobashev [et al.] // Pediatrics. — 2005. — Vol. 116. — P.1367—1373.
16. Prolonged Hospital Stay for Extremely Premature Infants: Risk Factors, Center Differences, and the Impact of Mortality on Selecting a Best-Performing Center / C.M. Cotten, W. Oh, S. McDonald [et al.] / J. Perinatol. — 2005. — Vol. 25(10). — P.650—655.
17. Screening for Autism Spectrum Disorders in Extremely Preterm Infants / B.E. Stephens, C.M. Bann, V.E. Watson [et al.] // J. Dev. Behav. Pediatr. — 2012. — Vol. 33(7). — P.535—541.
18. Spectrum of Gross Motor Function in Extremely Low Birthweight (ELBW) Children with Cerebral Palsy at 18 Months of Age / B.R. Vohr, M.E. Msall, D. Wilson [et al.] // Pediatrics. — 2005. — Vol. 116(1). — P.123—129.
19. Stability of Neuromotor Findings in Extremely Low Birth Weight Children at 18 and at 30 months of age / M. Peralta-Carcelen, M. Moses, I. Adams-Chapman [et al.] Pediatrics. — 2009. — Vol. 123(5). — P.887—895.
20. The Relationship Between Behavior Ratings and Concurrent and Subsequent Mental and Motor Performance in Toddlers Born at Extremely Low Birth Weight / D. Messinger, B. Lambert, C.R. Bauer [et al.] // Journal of Early Intervention. — 2010. — Vol. 32(3). — P.214—233.
21. Trends in neonatal morbidity and mortality for very low birthweight infants / A.A. Fanaroff, B.J. Stoll, L.L. Wright [et al.] / Am. J. OB. GYN. — 2007. — Vol. 196(2). — P.147—148.

 

Phasing multidisciplinary rehabilitation newborns with perinatal in child hospital

R.F. Shavaliev, G.R. Kletenkova, D.D. Gaynetdinova

Abstract. The article deals with problems about treatment of preterm infants and prophylaxis of childrens disability. The article discribes needs of rehabilitation methods since the second week of newborn life, and rehabilitation algorithm in multiprofile childrens hospital, including consultations of specialists in different fields of medicine.

Key words: preterm infants, prophylaxis.

 

References

1. Adulas, E.I. Vliyanie reabilitacionnyh vozdeistvii na osobennosti razvitiya detei pervogo goda zhizni, rodivshihsya s maloi massoi tela: avtoref. dis. ... kand. med. nauk / E.I. Adulas. — SPb., 2007. — 19 s.
2. Isanova, V.A. Neiroreabilitaciya / V.A. Isanova, L.A. Cukurova. — Kazan’, 2011. — 146 s.
3. Keshishyan, E.S. Psihomotornoe razvitie kak kriterii nevrologicheskogo zdorov’ya nedonoshennogo rebenka / E.S. Keshishyan, E.S. Saharova // Lechaschii vrach. — 2004. — № 5. — S.7.
4. Moiseeva, T.Yu. LFK i massazh v reabilitacii nedonoshennyh detei s perinatal’noi patologiei nervnoi sistemy / T.Yu. Moiseeva // LFK i massazh. — 2002. — № 1. — S.13—15.
5. Yacyk, G.V. Algoritmy diagnostiki, lecheniya i reabilitacii perinatal’noi patologii malovesnyh detei / G.V. Yacyk. — M.: Medicina, 2002. — 135 s.
6. Yacyk, G.V. Vyhazhivanie i rannyaya reabilitaciya detei / G.V. Yacyk, E.P. Bombardirova, O.V. Tresorukova // Lechaschii vrach. — 2007. — № 7. — S.10—12.
7. Yacyk, G.V. Reabilitaciya novorozhdennyh detei s perinatal’noi patologiei — profilaktika narushenii zdorov’ya v podrostkovom vozraste / G.V. Yacyk, R.S. Zainiddinova // Rossiiskii pediatricheskii zhurnal. — 2011. — № 5. — S.4—7.

 

ORGANIZATION OF HEALTHCARE

Phasing of medical care to preterm infants with extremely low and very low birth weight in an urban children's hospitals

M.V. Potapovа , A.I. Safina, A.A. Malova, O.V. Sharipovа, I.V. Agapova

Abstract. A model to help premature babies with extremely low and very low birth weight infants in «Сhildren’s hospital № 1» Ministry of Health of the Republic of Tatarstan, Kazan. Stages aid consists of four components: the neonatal intensive care unit, Department of premature and newborn babies, infants, separation and separation catamnesis.

Key words: Stages of care, premature babies, follow-up.

 

References

1. Al'bickii, V.Yu. Cmertnost' novorozhdennyh s ekstre- mal'no nizkoi massoi tela pri rozhdenii / V.Yu. Al'bickii, E.N. Baibarina, Z.H. Sorokina, R.N. Terleckaya // Obschestvennoe zdorov'e i zdravoohranenie. — 2010. — № 2. — S.16—21.
2. Degtyareva, M.G. Prolongirovannoe katamnesti- cheskoe nablyudenie za glubokonedonoshennym rebenkom s ekstremal'no nizkoi massoi tela pri rozh- denii / M.G. Degtyareva, O.A. Voron, O.A. Babak [i dr.] // Voprosy prakticheskoi pediatrii. — 2006. — T. 1, № 2. — S.78—82.
3. Keshishyan, E.S. Psihomotornoe razvitie kak kriterii nevrologicheskogo zdorov'ya nedonoshennogo rebenka / E.S. Keshishyan, E.S. Saharova // Lechaschii vrach. — 2004. — № 5. — S.7.
4. Moiseeva, T.Yu. LFK i massazh v reabilitacii nedonoshennyh detei s perinatal’noi patologiei nervnoi sistemy / T.Yu. Moiseeva // LFK i massazh. — 2002. — № 1. — S.13—15.
5. Yacyk G.V. Vyhazhivanie i rannyaya reabilitaciya detei / G.V. Yacyk, E.P. Bombardirova, O.V. Tresorukova // Lechaschii vrach. — 2007. — № 7. — S.10—12.

 

Some aspects of providing medicines for the population entitled to benefits in the republic of tatarstan (the period from 2009 to 2012)

A.M. Kuznetsova

Abstract. It is noted in the article that in the Republic of Tatarstan positive dynamics of demographic parameters is being observed an increase in birth rate and a decrease in death-rate, development of the pharmaceutical market, increase in the number and the sum of the filled prescriptions. There happened an increase in volumes of financing the branch of public health service, as well as the system of providing the population entitled to benefits with medicines. However there are the prescriptions being in deferred service, i.e. the medicine has not been received by the patient in proper time. It is also stated that the number of written appeals of the population to the republican Ministry of Health has increased by 15% and to the hot line — by 18%. These facts point out that there are unsolved problems in providing medicines for the population entitled to benefits.

Key words: provision of medicines, population entitled to benefits, birth rate, mortality, deferred service, pharmaceutical market, prescription, cost and number of prescriptions, financing of the industry.

 

References

1. Gavrilina, N.I. Monitoring l'gotnogo lekarstvennogo obespecheniya v Yuzhnom federal'nom okruge / N.I. Gavrilina, A.A. Harahashyan // Novaya apteka. — 2009. — № 9. — S.21—28.
2. Tel'nova, E.A. Realizaciya mehanizma dopolnitel'nogo lekarstvennogo obespecheniya l'gotnyh kategorii naseleniya Rossiiskoi Federacii / E.A. Tel'nova // Farmaciya. — 2006. — № 1. — S.7—14.
3. Safiullin, R.S. Obespechenie social’nyh garantii kak prioritet regional’noi politiki / R.S. Safiullin // Farmacevticheskaya sluzhba. — 2007. — № 10. — S.32—35.
4. Osnovnye pokazateli deyatel’nosti farmacevticheskoi sluzhby RT za 2011 g. — Kazan’, 2012. — 30 s.
5. Spravka o rezul’tatah deyatel’nosti organov i uchrezhdenii zdravoohraneniya Respubliki Tatarstan v 2012 godu. — Kazan’, 2013. — 52 s.
6. Muharyamova, L.M. Issledovaniya udovletvorennosti naseleniya kachestvom medicinskoi pomoschi: novye konteksty i starye problemy / L.M. Muharyamova // Sociologiya mediciny. — 2010. — № 2. — S.20—32.

 

To a question of optimization of the stationary help in departmental public health services

N.B. Amirov, M.V. Potapova, L.F. Sabirov

Аbstract. In clause the basic parameters of activity of versatile treatments departments clinical hospital of a меdico-sanitary part МIA of Russia on republic Tatarstan for 5 the years period are reflected. The directions of possible optimization of treatment-diagnostic process, administrative decisions both increase of quality and overall performance departmental стационара are revealed. Ways of improvement of interaction other divisions МSD and municipal public health services also are planned.

Key words: In-patient care, employee health, optimization.

 

References

1. Perova, S. Socpaket uvelichen vdvoe / S. Perova // Policiya Rossii. — 2012. — № 2. — S.54—56.
2. Absalyamova, L.R. Dinamika raboty gastroenterologicheskogo otdeleniya Klinicheskogo gospitalya MSCH MVD Rossii po RT za 5-letnii period / L.R. Absalyamova, I.A. Gimaletdinova, M.V. Potapova [i dr.] // Vestnik sovremennoi klinicheskoi mediciny. — 2012. — T. V. — S.32-40. — Pril. 1.
3. Ageev, A.G. Sravnitel'nyi analiz raboty mnogoprofil'nogo hirurgicheskogo otdeleniya Klinicheskogo gospitalya MSCH MVD Rossii po RT / A.G. Ageev, YU.F. Gimadeev, S.R. Fat- tahov [i dr.] // Vestnik sovremennoi klinicheskoi mediciny. — 2012. — T. V. — S.41—46. — Pril. 1.
4. Agliullina, F.F. Dinamika deyatel'nosti otdeleniya reabilitacii Klinicheskogo gospitalya MSCH MVD Rossii po Respublike Tatarstan s 2009 po 2011 g. / F.F. Agliullina, N.B. Amirov // Vestnik sovremennoi klinicheskoi mediciny. — 2012. — T. V. — S.46—49. — Pril. 1.
5. Zakirova, D.R. Sravnitel'nyi analiz deyatel'nosti otdeleniya nevrologii Klinicheskogo gospitalya MSCH MVD Rossii po RT s 2007 po 2011 g. / D.R. Zakirova, M.V. Potapova, L.F. Sabirov [i dr.] // Vestnik sovremennoi klinicheskoi medi- ciny. — 2012. — T. V. — S.61—65. — Pril. 1.
6. Putilina, M.V. Kognitivnye rasstroistva pri cerebrovaskulyarnoi patologii / M.V. Putilina. — M., 2011.
7. Osnovnye pokazateli zdorov'ya naseleniya i deyatel'nosti uchrezhdenii municipal'nogo zdravoohraneniya g. Kaza- ni. — Kazan', 2009.
8. Prikaz Ministerstva zdravoohraneniya i social'nogo razvitiya Rossiiskoi Federacii ot 19.08.2009 № 599n «Ob utverzhdenii Poryadka okazaniya planovoi i neotlozhnoi medicinskoi pomoschi naseleniyu Rossiiskoi Federacii pri boleznyah sistemy krovoobrascheniya kardiologicheskogo profilya».
9. Samorodskaya, I.V. Serdechno-sosudistye zabolevaniya: principy statisticheskogo ucheta v raznyh regionah Rossii / I.V. Samorodskaya // Zdravoohranenie. — 2009. — № 7. — S.49—55.
10. Safargalieva, L.H. Otdelenie terapii Klinicheskogo gospitalya MSCH MVD Rossii po RT. Analiz deyatel'nosti s 2007 po 2011 g. / L.H. Safargalieva, L.F. Baibulatova, N.B. Amirov // Vestnik sovremennoi klinicheskoi mediciny. — 2012. — T. V. — S.95-99. — Pril. 1.
11. Deyatel'nost' i resursy uchrezhdenii zdravoohraneniya. — M.: Minzdravsocrazvitiya RF, 2007. — 105 s.
12. URL: http://minzdrav.tatarstan.ru/rus/sbornik%202001-2011. htm / Ministerstvo zdravoohraneniya Tatarstana: stat. sb. 2001—2010.
13. Hamitov, R.F. Vnebol'nichnye pnevmonii: rekomendacii po diagnostike i lecheniyu: uchebno-metodicheskoe posobie dlya slushatelei poslevuzovskogo i dopolnitel'nogo professional'nogo obrazovaniya / R.F. Hamitov, A.A. Vizel', N.B. Amirov, G.V. Lysenko. — Kazan': Izd-vo «Brig», 2012. — 101 s.
14. Suncov, Y. u.I. Epidemiologiya saharnogo diabeta i prognoz ego rasprostranennosti v Rossiiskoi Federacii / Yu.I. Suncov, L.L. Bolotskaya, O.V. Maslova, I.V. Kazakov // Saharnyi diabet. — 2011. — № 1. — S.15—18.
15. Potapova, M.V. Ocenka effektivnosti deyatel’nosti medicinskogo uchrezhdeniya pri vnedrenii sistemy menedzhmenta kachestva / M.V. Potapova, L.F. Sabirov, N.B. Amirov // Uspehi sovremennogo estestvoznaniya. — 2011. — № 11. — S.99—102.