Although the article is a muddled one, it is nothing but a cry from the heart of the pediatrician, who forcing herself fulfills (or tries to fulfill) the Order of the Ministry of Health of the Russian Federation No.1346 dated December 21, 2012. The author raises a number of questions and gives her answers to them. But before analyzing critical comments of the author and her offers, we should dwell on a number of statements on which her conclusions are based.
{"title":"О СТАТЬЕ М.О. РЕВНОВОЙ И СОАВТ. «К ВОПРОСУ УСОВЕРШЕНСТВОВАНИЯ СИСТЕМЫ МАССОВЫХ МЕДИЦИНСКИХ ОСМОТРОВ ДЕТСКОГО НАСЕЛЕНИЯ»","authors":"Array К. Таточенко","doi":"10.15690/vsp.v16i3.1738","DOIUrl":"https://doi.org/10.15690/vsp.v16i3.1738","url":null,"abstract":"Although the article is a muddled one, it is nothing but a cry from the heart of the pediatrician, who forcing herself fulfills (or tries to fulfill) the Order of the Ministry of Health of the Russian Federation No.1346 dated December 21, 2012. The author raises a number of questions and gives her answers to them. But before analyzing critical comments of the author and her offers, we should dwell on a number of statements on which her conclusions are based.","PeriodicalId":10919,"journal":{"name":"Current Paediatrics","volume":"1 1","pages":"254-255"},"PeriodicalIF":0.0,"publicationDate":"2017-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82989729","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The article presents the classification of intraventricular hemorrhages (IVH) contained in the International Statistical Classification of Diseases and Related Health Problems (ICD), the 10th revision. The classification of IVH developed over 30 years ago is now obsolete. The contradictions discovered in the classification of IVH are considered. The neurosonographic basis of this classification is underlined and its morphological variant is proposed, which should become the basic one for both neuroimaging and for all clinical diagnostics. Based on the analysis, it was suggested to exclude any classification of IVC from the ICD of a new revision.
{"title":"КЛАССИФИКАЦИЯ ВНУТРИЖЕЛУДОЧКОВЫХ КРОВОИЗЛИЯНИЙ У НОВОРОЖДЕННЫХ В МЕЖДУНАРОДНОЙ СТАТИСТИЧЕСКОЙ КЛАССИФИКАЦИИ БОЛЕЗНЕЙ","authors":"В. В. Власюк","doi":"10.15690/VSP.V16I3.1736","DOIUrl":"https://doi.org/10.15690/VSP.V16I3.1736","url":null,"abstract":"The article presents the classification of intraventricular hemorrhages (IVH) contained in the International Statistical Classification of Diseases and Related Health Problems (ICD), the 10th revision. The classification of IVH developed over 30 years ago is now obsolete. The contradictions discovered in the classification of IVH are considered. The neurosonographic basis of this classification is underlined and its morphological variant is proposed, which should become the basic one for both neuroimaging and for all clinical diagnostics. Based on the analysis, it was suggested to exclude any classification of IVC from the ICD of a new revision.","PeriodicalId":10919,"journal":{"name":"Current Paediatrics","volume":"125 9 1","pages":"246-248"},"PeriodicalIF":0.0,"publicationDate":"2017-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80507994","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Мария Олеговна Ревнова, Д.И. Волков, Л. В. Сахно, И. В. Колтунцева, С. В. Баирова, Т. В. Мишкина, В. И. Булычева, Т. В. Полищук, А. Я. Волков, И. М. Гайдук
Screening health examinations of children are a powerful tool for monitoring the health of the younger generation, in other words, it is an active method of dynamic monitoring of children's health. The objective of screening is early detection of disorders with further linkage to care, follow-up care, and comprehensive treatment of patients. Currently, the Russian Federation has a regulatory document on the conduct of preventive periodic and preliminary examinations (Order of the Ministry of Health of the Russian Federation No.1346). The problem is the lack of time and resources, which leads to a formal approach to this necessary part of preventive measures. The article suggests ways out of the current situation that would satisfy both the heads and the district pediatricians themselves.
{"title":"К ВОПРОСУ УСОВЕРШЕНСТВОВАНИЯ СИСТЕМЫ МАССОВЫХ МЕДИЦИНСКИХ ОСМОТРОВ ДЕТСКОГО НАСЕЛЕНИЯ","authors":"Мария Олеговна Ревнова, Д.И. Волков, Л. В. Сахно, И. В. Колтунцева, С. В. Баирова, Т. В. Мишкина, В. И. Булычева, Т. В. Полищук, А. Я. Волков, И. М. Гайдук","doi":"10.15690/VSP.V16I3.1737","DOIUrl":"https://doi.org/10.15690/VSP.V16I3.1737","url":null,"abstract":"Screening health examinations of children are a powerful tool for monitoring the health of the younger generation, in other words, it is an active method of dynamic monitoring of children's health. The objective of screening is early detection of disorders with further linkage to care, follow-up care, and comprehensive treatment of patients. Currently, the Russian Federation has a regulatory document on the conduct of preventive periodic and preliminary examinations (Order of the Ministry of Health of the Russian Federation No.1346). The problem is the lack of time and resources, which leads to a formal approach to this necessary part of preventive measures. The article suggests ways out of the current situation that would satisfy both the heads and the district pediatricians themselves.","PeriodicalId":10919,"journal":{"name":"Current Paediatrics","volume":"36 1","pages":"249-253"},"PeriodicalIF":0.0,"publicationDate":"2017-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85734860","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Haemophilus influenzae infection in children is detected as sporadic cases and is characterized by polymorphism of clinical symptoms (rhinopharyngitis, purulent meningitis, acute epiglottitis, panniculitis, etc.), which complicates an early diagnosis and treatment of this pathology. In young children, Haemophilus influenzae infection (type b) often occurs in generalized forms and may result in death. The article presents literature data and the results of own clinical observations of Haemophilus influenzae cases that occurred with an aspect of purulent meningitis and panniculitis in young children. The tactics of a complex therapy and ways to prevent Haemophilus in fluenzae infection are discussed.
{"title":"Гемофильная инфекция у детей при спорадической заболеваемости: клинические случаи с разным (благоприятным или летальным) исходом","authors":"Г. А. Харченко, О. г. Кимирилова","doi":"10.15690/vsp.v16i3.1735","DOIUrl":"https://doi.org/10.15690/vsp.v16i3.1735","url":null,"abstract":"Haemophilus influenzae infection in children is detected as sporadic cases and is characterized by polymorphism of clinical symptoms (rhinopharyngitis, purulent meningitis, acute epiglottitis, panniculitis, etc.), which complicates an early diagnosis and treatment of this pathology. In young children, Haemophilus influenzae infection (type b) often occurs in generalized forms and may result in death. The article presents literature data and the results of own clinical observations of Haemophilus influenzae cases that occurred with an aspect of purulent meningitis and panniculitis in young children. The tactics of a complex therapy and ways to prevent Haemophilus in fluenzae infection are discussed.","PeriodicalId":10919,"journal":{"name":"Current Paediatrics","volume":"54 16","pages":"241-245"},"PeriodicalIF":0.0,"publicationDate":"2017-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91453047","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background. Mare's milk is a promising source for making baby food products. Objective. Our aim was to assess the nutritional value, fatty acid and ascorbic acid content in mare's milk and its products as well as the possibility of their use in baby food. Methods. Mare's milk and its products — drinking milk, yogurt, fermented milk product and curds — are taken as targets of research. The content of proteins, fats, carbohydrates and caloric content is determined in the products. The fatty acid composition is studied by gas chromatography, the content of vitamin C — by high-performance liquid chromatography. When calculating the daily intake of dairy and fermented milk products for children aged 1–11 years, the recommendations of the Union of Pediatricians of Russia as well as the norms of physiological needs were used. Results. It has been found that mare's milk products are energy-restricted. Inclusion of mare's milk products in the diet of children aged 12–23 months will meet the need for omega-6 by 15–34%, for omega-3 by 15–23%, for vitamin C by 39.6–57.3% of the recommended daily dose. For children aged 2–11 years, daily consumption of 200 ml of yogurt based on mare's milk provides a daily dose of omega-6 by 4.3–14.5%, of omega-3 by 6.4–12.0%, of vitamin C by 23.8–31.7% of the recommended daily dose. Conclusion. The study results indicate that it is advisable to include fermented mare's milk products in the diet of children aged 1–11 years.
{"title":"ОЦЕНКА ПИЩЕВОЙ ЦЕННОСТИ КОБЫЛЬЕГО МОЛОКА И КИСЛОМОЛОЧНЫХ ПРОДУКТОВ НА ЕГО ОСНОВЕ И ВОЗМОЖНОСТИ ИХ ИСПОЛЬЗОВАНИЯ В ДЕТСКОМ ПИТАНИИ","authors":"А. В. Якунин, Ю. А. Синявский, Ы. С. Ибраимов","doi":"10.15690/VSP.V16I3.1734","DOIUrl":"https://doi.org/10.15690/VSP.V16I3.1734","url":null,"abstract":"Background. Mare's milk is a promising source for making baby food products. Objective. Our aim was to assess the nutritional value, fatty acid and ascorbic acid content in mare's milk and its products as well as the possibility of their use in baby food. Methods. Mare's milk and its products — drinking milk, yogurt, fermented milk product and curds — are taken as targets of research. The content of proteins, fats, carbohydrates and caloric content is determined in the products. The fatty acid composition is studied by gas chromatography, the content of vitamin C — by high-performance liquid chromatography. When calculating the daily intake of dairy and fermented milk products for children aged 1–11 years, the recommendations of the Union of Pediatricians of Russia as well as the norms of physiological needs were used. Results. It has been found that mare's milk products are energy-restricted. Inclusion of mare's milk products in the diet of children aged 12–23 months will meet the need for omega-6 by 15–34%, for omega-3 by 15–23%, for vitamin C by 39.6–57.3% of the recommended daily dose. For children aged 2–11 years, daily consumption of 200 ml of yogurt based on mare's milk provides a daily dose of omega-6 by 4.3–14.5%, of omega-3 by 6.4–12.0%, of vitamin C by 23.8–31.7% of the recommended daily dose. Conclusion. The study results indicate that it is advisable to include fermented mare's milk products in the diet of children aged 1–11 years.","PeriodicalId":10919,"journal":{"name":"Current Paediatrics","volume":"63 1","pages":"235-240"},"PeriodicalIF":0.0,"publicationDate":"2017-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83996709","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Светлана Ивановна Малявская, Алексей Викторович Лебедев, Г. Н. Кострова
Background. Vitamin D is a significant risk factor for atherogenic disorders. It is of interest to study the relationship between vitamin D deficiency and the components of the metabolic syndrome, insulin resistance and markers of chronic inflammation in different age groups. Objective. Our aim was to study association of the components of the metabolic syndrome and pro-atherogenic metabolic disorders with vitamin D levels in children and adolescents. Methods. In a cross-sectional (one-stage) study, the serum 25(OH)D level in children and adolescents was determined. The relationship between the 25(ОН)D level and the presence of the metabolic syndrome was assessed in quartile groups. Results. The study included 319 children and adolescents (49% — girls) aged 10–15 years. In the quartile I in terms of the 25(ОН)D level, higher (as compared with the quartile IV) mean level values of insulin (11.5 ± 6.3 and 7.3 ± 4.0 mmol/L, p <0.001), HOMA index (2.4 ± 0.8 and 1.6 ± 0.7, p <0.001), body mass index (22.6 ± 4.3 and 19.3 ± 3.9 kg/m 2 , p = 0.012), waist circumference (68 ± 11 and 61 ± 12 cm, p = 0.034), blood concentration of C-reactive protein (2.3 ± 1 and 0.9 ± 0.7 mg/ml, p <0.001), diastolic blood pressure (70 ± 7 and 65 ± 6 mm Hg, р = 0.028), uric acid (0.29 ± 0.06 and 0.21 ± 0.06 mmol/L, р = 0.021), glucose (4.8 ± 0.6 and 4.6 ± 0.6 mmol/L, p = 0.011), triglycerides (0.86 ± 0.37 and 0.72 ± 0.31 mmol/L, р = 0.017), and lower mean level values of highdensity lipoprotein cholesterol (1.38 ± 0.36 and 1.58 ± 0.31 mmol/L, p = 0.011) were noted. Multivariate regression analysis showed an independent relationship between the 25(ОН)D level, C-reactive protein level (β = -0.55, p <0.001), and HOMA index (β = -0.96, p < 0.001). Conclusion. A low vitamin D level in the blood serum in children is associated with the components of the metabolic syndrome.
背景。维生素D是动脉粥样硬化性疾病的重要危险因素。研究维生素D缺乏与不同年龄组代谢综合征组成、胰岛素抵抗和慢性炎症标志物之间的关系具有重要意义。目标。我们的目的是研究儿童和青少年中代谢综合征和促动脉粥样硬化代谢紊乱的成分与维生素D水平的关系。方法。在一项横断面(一期)研究中，测定了儿童和青少年的血清25(OH)D水平。在四分位数组中评估25(ОН)D水平与代谢综合征存在之间的关系。结果。该研究包括319名10-15岁的儿童和青少年(49%为女孩)。四分位数我的25(ОН)D水平,高(相比四分位数(四)平均水平的胰岛素值(11.5±6.3,7.3±4.0更易/ L, p < 0.001), HOMA指数(2.4±0.8,1.6±0.7,p < 0.001),身体质量指数(22.6±4.3,19.3±3.9公斤/米2,p = 0.012),腰围(68±11和61±12厘米,p = 0.034),血c反应蛋白的浓度(2.3±1和0.9±0.7 mg / ml, p < 0.001),舒张压(70±7和65±6毫米汞柱,р= 0.028),尿酸(0.29±0.06和0.21±0.06 mmol/L, p = 0.021)、葡萄糖(4.8±0.6和4.6±0.6 mmol/L, p = 0.011)、甘油三酯(0.86±0.37和0.72±0.31 mmol/L, p = 0.017)、高密度脂蛋白胆固醇(1.38±0.36和1.58±0.31 mmol/L, p = 0.011)的平均值较低。多因素回归分析显示25(ОН)D水平、c反应蛋白水平(β = -0.55, p <0.001)与HOMA指数(β = -0.96, p <0.001)之间存在独立关系。结论。儿童血清中维生素D水平低与代谢综合征的组成部分有关。
{"title":"КОМПОНЕНТЫ МЕТАБОЛИЧЕСКОГО СИНДРОМА У ДЕТЕЙ И ПОДРОСТКОВ С РАЗЛИЧНЫМ УРОВНЕМ ВИТАМИНА D: РЕЗУЛЬТАТЫ ОДНОМОМЕНТНОГО ИССЛЕДОВАНИЯ","authors":"Светлана Ивановна Малявская, Алексей Викторович Лебедев, Г. Н. Кострова","doi":"10.15690/VSP.V16I3.1731","DOIUrl":"https://doi.org/10.15690/VSP.V16I3.1731","url":null,"abstract":"Background. Vitamin D is a significant risk factor for atherogenic disorders. It is of interest to study the relationship between vitamin D deficiency and the components of the metabolic syndrome, insulin resistance and markers of chronic inflammation in different age groups. Objective. Our aim was to study association of the components of the metabolic syndrome and pro-atherogenic metabolic disorders with vitamin D levels in children and adolescents. Methods. In a cross-sectional (one-stage) study, the serum 25(OH)D level in children and adolescents was determined. The relationship between the 25(ОН)D level and the presence of the metabolic syndrome was assessed in quartile groups. Results. The study included 319 children and adolescents (49% — girls) aged 10–15 years. In the quartile I in terms of the 25(ОН)D level, higher (as compared with the quartile IV) mean level values of insulin (11.5 ± 6.3 and 7.3 ± 4.0 mmol/L, p <0.001), HOMA index (2.4 ± 0.8 and 1.6 ± 0.7, p <0.001), body mass index (22.6 ± 4.3 and 19.3 ± 3.9 kg/m 2 , p = 0.012), waist circumference (68 ± 11 and 61 ± 12 cm, p = 0.034), blood concentration of C-reactive protein (2.3 ± 1 and 0.9 ± 0.7 mg/ml, p <0.001), diastolic blood pressure (70 ± 7 and 65 ± 6 mm Hg, р = 0.028), uric acid (0.29 ± 0.06 and 0.21 ± 0.06 mmol/L, р = 0.021), glucose (4.8 ± 0.6 and 4.6 ± 0.6 mmol/L, p = 0.011), triglycerides (0.86 ± 0.37 and 0.72 ± 0.31 mmol/L, р = 0.017), and lower mean level values of highdensity lipoprotein cholesterol (1.38 ± 0.36 and 1.58 ± 0.31 mmol/L, p = 0.011) were noted. Multivariate regression analysis showed an independent relationship between the 25(ОН)D level, C-reactive protein level (β = -0.55, p <0.001), and HOMA index (β = -0.96, p < 0.001). Conclusion. A low vitamin D level in the blood serum in children is associated with the components of the metabolic syndrome.","PeriodicalId":10919,"journal":{"name":"Current Paediatrics","volume":"76 1","pages":"213-219"},"PeriodicalIF":0.0,"publicationDate":"2017-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87089416","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Светлана Геннадиевна Макарова, Лейла Сеймуровна Намазова-баранова, Елена Александровна Вишнёва, О. А. Ерешко, И. Г. Гордеева
In recent years, there has been a significant increase in the prevalence of food allergies. Pathological conditions associated with a food intolerance are becoming an increasingly urgent problem of pediatrics. According to different researchers, allergic lesions of the gastrointestinal tract occurs in 25–50% of patients with such common pathology as an allergy to cow's milk proteins. The severity of diseases associated with food allergies and their prognosis depend largely on early diagnosis and adequate treatment. Difficulties and errors in the diagnosis of gastrointestinal food allergies are associated with both subjective and objective reasons, primarily due to the fact that gastrointestinal reactions to food are often delayed and non-IgE-mediated. The article describes clinical forms of gastrointestinal food allergy according to the existing classification. Diagnostic algorithms and modern approaches to differential diagnosis of disease based on evidence-based medicine and corresponding to international consensus papers are given.
{"title":"ГАСТРОИНТЕСТИНАЛЬНАЯ ПИЩЕВАЯ АЛЛЕРГИЯ У ДЕТЕЙ","authors":"Светлана Геннадиевна Макарова, Лейла Сеймуровна Намазова-баранова, Елена Александровна Вишнёва, О. А. Ерешко, И. Г. Гордеева","doi":"10.15690/VSP.V16I3.1730","DOIUrl":"https://doi.org/10.15690/VSP.V16I3.1730","url":null,"abstract":"In recent years, there has been a significant increase in the prevalence of food allergies. Pathological conditions associated with a food intolerance are becoming an increasingly urgent problem of pediatrics. According to different researchers, allergic lesions of the gastrointestinal tract occurs in 25–50% of patients with such common pathology as an allergy to cow's milk proteins. The severity of diseases associated with food allergies and their prognosis depend largely on early diagnosis and adequate treatment. Difficulties and errors in the diagnosis of gastrointestinal food allergies are associated with both subjective and objective reasons, primarily due to the fact that gastrointestinal reactions to food are often delayed and non-IgE-mediated. The article describes clinical forms of gastrointestinal food allergy according to the existing classification. Diagnostic algorithms and modern approaches to differential diagnosis of disease based on evidence-based medicine and corresponding to international consensus papers are given.","PeriodicalId":10919,"journal":{"name":"Current Paediatrics","volume":"78 1","pages":"202-212"},"PeriodicalIF":0.0,"publicationDate":"2017-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83739103","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
We bring to the attention of the authors brief guidelines for preparation of manuscripts containing description of the results of diagnostic studies. More detailed explanations are given in the corresponding template (http://vsp.spr-journal.ru/jour/about/submissions). Presentation of the manuscript in the format of the specified template is a prerequisite for its consideration and subsequent publication in the journal «Current Pediatrics» («Voprosy sovremennoi pediatrii»).
{"title":"КРАТКИЕ РЕКОМЕНДАЦИИ ПО ОПИСАНИЮ РЕЗУЛЬТАТОВ ДИАГНОСТИЧЕСКОГО ИССЛЕДОВАНИЯ","authors":"Руслан Темирсултанович Сайгитов, А. С. Островская","doi":"10.15690/VSP.V16I3.1728","DOIUrl":"https://doi.org/10.15690/VSP.V16I3.1728","url":null,"abstract":"We bring to the attention of the authors brief guidelines for preparation of manuscripts containing description of the results of diagnostic studies. More detailed explanations are given in the corresponding template (http://vsp.spr-journal.ru/jour/about/submissions). Presentation of the manuscript in the format of the specified template is a prerequisite for its consideration and subsequent publication in the journal «Current Pediatrics» («Voprosy sovremennoi pediatrii»).","PeriodicalId":10919,"journal":{"name":"Current Paediatrics","volume":"16 1","pages":"194-195"},"PeriodicalIF":0.0,"publicationDate":"2017-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80978244","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Татьяна Эдуардовна Боровик, Нина Николаевна Семёнова, Ольга Леонидовна Лукоянова, Н. Г. Звонкова, Татьяна Владимировна Бушуева, Т. Н. Степанова, Вера Алексеевна Скворцова, Ольга Степановна Мельничук, Е. А. Копыльцова, Е. Л. Семикина, Ирина Николаевна Захарова, Ирина Ивановна Рюмина, М. В. Нароган, Е. В. Грошева, Р. А. Ханферьян, Е. А. Савченко, Тамара Владимировна Белоусова, Т. Н. Ёлкина, Е. А. Суровкина, Ю. А. Татаренко
Background. There is no doubt that it is necessary to study the efficiency of milk formulas that are introduced into the Russian market of baby food. This applies to both new products and known brands of formulas whose composition is subject to change. Objective. Our aim was to assess the clinical efficacy of the adapted goat's milk formula in the diet of young infants. Methods. We conducted a prospective comparative study with healthy full-term children aged 0–5 months being on a formula (main group) or breast feeding (comparison group). The tolerability of the adapted goat's milk formula, the dynamics of anthropometric indicators, changes in body composition as well as microscopic characteristics of stool and general clinical and biochemical parameters of peripheral blood were assessed after 1 month. Results. Good tolerability of the goat's milk formula was noted in 184 (96.8%) of 190 children in the main group. In the course of taking the product, the proportion of children with functional disorders of the gastrointestinal tract decreased significantly from 57 (30%) to 27 (14%) (p < 0.001). Physical development, complete blood count results, the levels of ferritin, prealbumin and 25(OH)D in children of the main group and the comparison group (n = 71) were comparable and were within the mean age parameters. Qualitative analysis of the level of specific IgE to goat's milk proteins did not reveal any sensibilization in any of the children receiving the milk formula, either at the beginning of the study or after 1 month of taking the product. Conclusion. The studied adapted goat's milk formula can be used in nutrition of young infants in cases of lack or absence of mother's milk.
{"title":"ЭФФЕКТИВНОСТЬ ИСПОЛЬЗОВАНИЯ АДАПТИРОВАННОЙ СМЕСИ НА ОСНОВЕ КОЗЬЕГО МОЛОКА В ПИТАНИИ ЗДОРОВЫХ ДЕТЕЙ ПЕРВОГО ПОЛУГОДИЯ ЖИЗНИ: РЕЗУЛЬТАТЫ МНОГОЦЕНТРОВОГО ПРОСПЕКТИВНОГО СРАВНИТЕЛЬНОГО ИССЛЕДОВАНИЯ","authors":"Татьяна Эдуардовна Боровик, Нина Николаевна Семёнова, Ольга Леонидовна Лукоянова, Н. Г. Звонкова, Татьяна Владимировна Бушуева, Т. Н. Степанова, Вера Алексеевна Скворцова, Ольга Степановна Мельничук, Е. А. Копыльцова, Е. Л. Семикина, Ирина Николаевна Захарова, Ирина Ивановна Рюмина, М. В. Нароган, Е. В. Грошева, Р. А. Ханферьян, Е. А. Савченко, Тамара Владимировна Белоусова, Т. Н. Ёлкина, Е. А. Суровкина, Ю. А. Татаренко","doi":"10.15690/vsp.v16i3.1733","DOIUrl":"https://doi.org/10.15690/vsp.v16i3.1733","url":null,"abstract":"Background. There is no doubt that it is necessary to study the efficiency of milk formulas that are introduced into the Russian market of baby food. This applies to both new products and known brands of formulas whose composition is subject to change. Objective. Our aim was to assess the clinical efficacy of the adapted goat's milk formula in the diet of young infants. Methods. We conducted a prospective comparative study with healthy full-term children aged 0–5 months being on a formula (main group) or breast feeding (comparison group). The tolerability of the adapted goat's milk formula, the dynamics of anthropometric indicators, changes in body composition as well as microscopic characteristics of stool and general clinical and biochemical parameters of peripheral blood were assessed after 1 month. Results. Good tolerability of the goat's milk formula was noted in 184 (96.8%) of 190 children in the main group. In the course of taking the product, the proportion of children with functional disorders of the gastrointestinal tract decreased significantly from 57 (30%) to 27 (14%) (p < 0.001). Physical development, complete blood count results, the levels of ferritin, prealbumin and 25(OH)D in children of the main group and the comparison group (n = 71) were comparable and were within the mean age parameters. Qualitative analysis of the level of specific IgE to goat's milk proteins did not reveal any sensibilization in any of the children receiving the milk formula, either at the beginning of the study or after 1 month of taking the product. Conclusion. The studied adapted goat's milk formula can be used in nutrition of young infants in cases of lack or absence of mother's milk.","PeriodicalId":10919,"journal":{"name":"Current Paediatrics","volume":"8 1","pages":"226-233"},"PeriodicalIF":0.0,"publicationDate":"2017-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84857499","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Лейла Сеймуровна Намазова-баранова, Елена Александровна Вишнёва, Лилия Робертовна Селимзянова, Светлана Геннадиевна Макарова, Анна Александровна Алексеева
The article is devoted to the issues of introducing complementary foods as prevention of atopy and diet therapy in children with food allergy. Food sensibilization, as a rule, is the initial link of allergy manifestations. It represents the first step of the so-called atopic march, followed by possible development of more severe, including respiratory, manifestations. Considering the fact that allergic diseases are currently one of the most common pathologies with a growing tendency, the correct choice of foods and the timely introduction of complementary foods are relevant, especially for children with hereditary tainted allergies. These products should be as safe as possible, should not cause sensibilization and at the same time should provide the child with the necessary macroand micronutrients. The publication provides an overview of the most relevant studies conducted in this field as well as a modern approach based on evidence-based medicine and presented in the clinical guidelines on food allergy in children developed and approved by the professional association «Union of Pediatricians of Russia».
{"title":"Введение прикорма и пищевая аллергия: новые исследования и современные клинические рекомендации","authors":"Лейла Сеймуровна Намазова-баранова, Елена Александровна Вишнёва, Лилия Робертовна Селимзянова, Светлана Геннадиевна Макарова, Анна Александровна Алексеева","doi":"10.15690/VSP.V16I3.1729","DOIUrl":"https://doi.org/10.15690/VSP.V16I3.1729","url":null,"abstract":"The article is devoted to the issues of introducing complementary foods as prevention of atopy and diet therapy in children with food allergy. Food sensibilization, as a rule, is the initial link of allergy manifestations. It represents the first step of the so-called atopic march, followed by possible development of more severe, including respiratory, manifestations. Considering the fact that allergic diseases are currently one of the most common pathologies with a growing tendency, the correct choice of foods and the timely introduction of complementary foods are relevant, especially for children with hereditary tainted allergies. These products should be as safe as possible, should not cause sensibilization and at the same time should provide the child with the necessary macroand micronutrients. The publication provides an overview of the most relevant studies conducted in this field as well as a modern approach based on evidence-based medicine and presented in the clinical guidelines on food allergy in children developed and approved by the professional association «Union of Pediatricians of Russia».","PeriodicalId":10919,"journal":{"name":"Current Paediatrics","volume":"92 1","pages":"196-201"},"PeriodicalIF":0.0,"publicationDate":"2017-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87013605","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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