Vol 3, No 6 (2006)
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AN EDITORIAL ARTICLE
6-9 1003
Abstract
For many years, the rational approach to the pharmacological treatment has been perceived only as a part of medical practices and education of health care professionals. Teaching of the rational use of medications for the population (patients and people, looking after them) remained an ignored area of clinical pharmacology and pharmacological treatment. Modern instructions on medical applications inserted into the medication packages are quite often formal, obscure and passively rendered to the patient, thus, they don't perform their main function teaching of the rational use of medications. The most popular form of patient informing of the medications is the printed materials elaborated in accordance with the modern requirements: reliability, independence and clarity of presentation. The present article describes the new information and educational project for teaching of the correct use of medications for the population. The project consists of information booklets dedicated to the education of healthy lifestyle, as well as inserts, which should provide the patients with modern information about the medications prescribed for them. Within the framework of preparation of the national pediatric formulary that is conducted by the Russian union of pediatricians, they have elaborated the inserts for the teaching of the rational use of medications, which are most often prescribed in pediatric practices, for the patients and people, looking after them.
Key words: rational drug therapy, clinical pharmacology, medication formulary, good and harm of medications, patient education.
Key words: rational drug therapy, clinical pharmacology, medication formulary, good and harm of medications, patient education.
ORIGINAL ARTICLES
M.G. Pozdnyakova,
V.L. Maksakova,
I.L. Kolyvanova,
V.M. Nikolaeva,
T.I. Krainova,
S.V. Usova,
M.K. Erofeeva
10-13 547
Abstract
Among many medications recommended for the treatment and prevention against flu and other respiratory acute viral infections, inteferons and interferon inducers hold a special place. New Russian recombinant alpha 2b interferon is identical to the human leukocytic alpha 2b interferon, and it has an antiviral, immunomodulatory and interferonogenic action. The work has demonstrated the application of oral liposomal medication of recombinant alpha 2b interferon — reaferones lipint for the extra prevention against flu and other respiratory acute viral infections among children. the application of this medication to prevent flu and other respiratory acute viral infections in dosage of 250 000 ме twice a week for the period of 4 weeks proved to be efficient within the group of primary school aged children (aged 7–10 year old) and manifested itself in reduction of flu and respiratory acute viral infection cases, as well as domination of light for of disease run.
Key words: flu, prevention, efficiency rate, interferon.
Key words: flu, prevention, efficiency rate, interferon.
N.R. Belova,
E.N. Arsen'eva,
I.E. Sulaberidze,
E.N. Basargina,
G.M. Dvoriakovskaya,
V.V. Botvin'eva,
N.V. Malakhova
14-20 471
Abstract
The results of research of thyroid condition and function in 82 children with dilated cardiomyopthy and arrhythmogenic dysfunction of myocardium without obvious thyropathy are submitted. Is shown that application of amiodaron results in induces predictable changes in thyroid function tests in 40% patients and reversible ultrasound changes of thyroid. This condithion is not by the reason for a cancellation of amiodaron therapy. Clinically relevant thyroid dysfunction is not uncommon and exist in 6% patients during amiodarone therapy but requires careful diagnosis and treatment. The frequency with which amiodarone causes thyroid changes serves to emphasise the need for careful thyroid function checking including its evaluation before amiodaron using, rational prescribing and long term cardiological follow up.
Key words: dilated cardiomyopthy, amiodaron, thyroid gland, children.
Key words: dilated cardiomyopthy, amiodaron, thyroid gland, children.
CLINICAL RECOMMENDATIONS
DOCTOR’S MANUAL
L.S. Namazova,
V.K. Tatochenko,
S.G. Aleksina,
M.G. Galitskaya,
Z.A. Izvol'skaya,
A.G. Il'in,
V.N. Sadovnikova,
O.V. Chumakova
30-34 421
Abstract
The present textbook for the doctors highlights the latest data on the flu spread, its clinical manifestations, as well as opportunities for its prevention and treatment. The authors especially carefully described the methods of immunoprophylaxis, including specific like type. They listed all the registered vaccines and vaccines of local and foreign origin to be registered in the russian federation, methods of their injection, probable undesirable phenomena. Specific stress was laid onto the own personal data of the authors as to application of the vaccines against the flu among both healthy children and those, who suffer from various disturbances or chronic diseases, including pernicious run. The textbook was approved at the meeting of the scientific council of the general directorate, scientific center of children's health, Russian academy of medical sciences, on September 14, 2006.
REVIEW
35-38 586
Abstract
Medications for the immunomodulatory therapy of the multiocular sclerosis are widely spread and have been applied in adult neurologic practices for a long time, although the data about their use among the patients under 18 is scarce and not classified. We present the history of foreign and russian experience in application of the medication for the immunomodulatory therapy of the multiocular sclerosis — interferon beta 1b — among children and teenagers along with the brief analysis of the acquired data about effectiveness and safety of this type of treatment in pediatrics in the published research.
Key words: multiocular sclerosis, immunomodulatory therapy, children, teenagers.
Key words: multiocular sclerosis, immunomodulatory therapy, children, teenagers.
LECTURE
39-43 1332
Abstract
The article gives data on the effectiveness of bronchial asthma treatment among children in the world according to the findings of the epidemiologic research. It shows that among most children with asthma there is no control over the disease, which is somehow related to the insufficient implementation level of Gina recommendations and absence of adequate basic therapy. In the article, the authors give a definition to the term «asthma control». They also highlight the main findings of goal research and the meaning of correct objective selection for the treatment. For the first time, the article provides the information on the new tool for childhood asthma control certified by Gina — childhood asthma control test.
Key words: bronchial asthma, children, treatment, Gina, childhood asthma control test.
Key words: bronchial asthma, children, treatment, Gina, childhood asthma control test.
44-50 458
Abstract
Treatment of children's mucoviscidosis is a multicomponent complex of medical and non medicamental types of therapy. The earlier the basic mucoviscidosis treatment has started, the more favourable the diagnosis for the patient will be. The article gives particular recommendations for the pediatrician on the mucoviscidosis therapy along with the copies of orders that specify these patients to be provided with the medications, and clinical pattern with the detailed indication of the applied medications.
Key words: mucoviscidosis among children, complex therapy.
Key words: mucoviscidosis among children, complex therapy.
51-54 364
Abstract
In recent years, human papillomavirus infection in childhood is an urgent problem in the practice of doctors of various specialties. The urgency of the problem is due to the widespread presence of the nosology, the difficulties of the therapy, the frequent recurrence of the disease. In addition, the pathogenesis of this disease in children is poorly understood, the optimal algorithm of examination of this group of patients is not defined which makes the therapy irrational and provides the lack of primary and secondary prevention methods.
Keywords: papillomavirus, diagnosis, treatment, children.
Keywords: papillomavirus, diagnosis, treatment, children.
For Pediatricians' Practice
58-60 375
Abstract
The article highlights the findings as to the peculiarities of clinical manifestations and diagnostics of urinary infection in childhood. The researchers provide the information on the urinary infection agent structure and e. coli resistance frequency (most widely spread agent) towards the antibacterial medications. They have also offered recommendations for rational antibiotic therapy.
Key words: urinary infection, children, e. coli, cephalosporin of iii generation, ceftibuten.
Key words: urinary infection, children, e. coli, cephalosporin of iii generation, ceftibuten.
62-64 412
Abstract
The researchers examined 56 children aged between 3 and 12 years old, suffering from acute tonsillitis caused by group A β-hemolytic streptococcus. After the antibacterial therapy of 10 days long all the children were divided into 2 groups. The first group comprised 30 children, who received the medication of the bacterial lysate (imudon, solvay pharma, Germany). The length of the medication intake was 14 days. The children of the second group (26 children) underwent one-time injection of bycillin. The research findings showed that application of the bacterial lysate drastically increased the efficiency of therapy and improved the contents of pharynx microflora within the decubation of acute tonsillitis caused by group a hemolytic streptococcus.
Key words: acute tonsillitis, group A β-hemolytic streptococcus, treatment.
Key words: acute tonsillitis, group A β-hemolytic streptococcus, treatment.
68-69 457
Abstract
The article gives research findings, which deal with the efficiency of local treatment for the acute sinusites, when the treatment protocol is updated with the sodium chloride nasal spray (Salin). The research showed that the patients, who received this medication, did not undergo any growth of the drug rhinitis, when decongestants were applied, and their function of nasal cavity mucosa recovered faster than usual.
Key words: rhinosinusitis, children, Salin.
Key words: rhinosinusitis, children, Salin.
FROM THE UNION OF PEDIATRICIANS OF RUSSIA
ISSN 1727-5776 (Print)
ISSN 2500-3089 (Online)
ISSN 2500-3089 (Online)
