Vol. 1 No. 1 (2017): Doctor’s herald

Gastric cancer is one of the most often found diseases in oncology. Relevance is also that at this pathology high lethality and late diagnosis. As important predictive factor degree of differentiation of tumor and its type of growth serves. The forecast of aggressive forms depends on the low-differentiated tumors with infiltrative growth form. Treatment of diffusion and infiltrative tumors less effectively.

Problems of treatment of the acute gastrointestinal bleedings (GB) arc and remain actual to this day. High level of mortality makes 10%. There is no standard concept of their treatment and volume of operative measure. The analysis of the reasons of failures shows that one of the directions in improvement of results of treatment of similar patients is improvement of methods of endoscopic hemostasis and forecasting of risk of recurrence of bleeding.

The close relationship of physical health and neuroendocrine status of women, structural and functional usefulness of the uterus, placenta, and fetal development in accordance with the course of gestation cause difficulties in determining the root cause of preterm labor. We can assume that at some point the threat of premature birth in the system of mother-fetus develop processes of a pathophysiological entity which can be judged on the basis of research on the state of the autonomic nervous system of the mother and fetus. Such opportunities are incorporated in the method of functional diagnostics - cardiointervalography (K.I.G).

The listed functional and laboratory methods of research of hemodynamics of the pregnant woman which are widely used now, state availability of structural changes, to a lesser extent reflecting functional parameters of homeostasis. Before these methods the method of the analysis of variability of cordial rhythm - cardiointervalography, information value and which opportunities allow to explain pathophysiological state from interaction position among themselves of functional elements of vegetative nervous system that is actual and low-studied has advantage. Comparison to clinical and paraclinic indicators the cardiointervalography gives the grounds individually to carry out correction of disturbances with opportunity for prevention of obstetric and perinatal complications.

The authors based on the analysis and evaluation of the neurosonographic studies shows the effects of pneumonia on infant brain structures, which is amplified in a burdened background: perinatal nervous system lesions, jaundice, and congenital heart defect. The inflammatory response in pneumonia manifested by the appearance of numerous correlations that characterize the activity of voltage compensatory functions of organs and systems.

The assessment of current of diabetes mcllitus at the 8th child on pompovy insulin therapy by obtaining information from the out-patient card of patients, and also by carrying out poll of patients with diabetes mellitus of children and their parents is carried out. Research has shown that after establishment of insulin pomp the level of glycated hemoglobin in the studied group has decreased that proves efficiency of pompovy insulin therapy. Poll of children and their parents with use of the made questionnaire for patients with diabetes mellitus has revealed improvement of quality of life of patients after establishment of insulin pomp. Children began to feel better, there were more opportunities to be engaged in physical activity, to visit additional circles and more time to find for study.

Aim: to study morphology of system crythron in clinic of acute pneumonia at children of early age.
Materials and methods: the morphology of system crythron at 102 patients with the heavy pneumonia complicated hyperthermal, convulsive and toxic by syndromes aged from 1 till 3 flyings is studied. Boys - 38 (37,3%), girls - 64 (62,7%).
Results: the analysis which is carried out by us at 102 patients with acute pneumonia against hyper thermal, convulsive and toxic syndromes has shown that at hyper thermal syndrome availability of oxyphilic normoblasts no more than 1%, availability of considerable destruction of normocytes, rcticulocytosis - 12,4 %o. At convulsive syndrome relative rcticulocytosis (21 %o), availability of oxyphilic normoblasts no more than 2%. At toxic dehydration the quantity of destructive normocytes fluctuated to 78%, and the quantity of reticulocytes was within 7 %o.

On the basis of questioning and determination of level 25(OH)Djat 466 children till 1 year risk factors of development of rickets are revealed. Reliable factors from mother was iron deficiency anemia during pregnancy and toxicosis of pregnant women, and from the child - lack of reception of vitamin D on the first year of life, insufficient stay in the fresh air (less than 20 minutes in day), frequent colds, inefficiency of traditional prevention of rickets vitamin D.

At the vast majority of women the traditional asymptomatic uroin fekt ion has been for the first time exposed at the first visit of clinic for women in 52,3%- Occurrence of asymptomatic bacteriuria at 2,5%-11,5% of pregnant women that aggravates development of pathology in mother and the newborn at 20-30 times. Preventive antibacterial therapy of asymptomatic bacteriuria prevents development of pyelonephritis in 70-80% of women.

The study of the relationship of clinical manifestations of acute laryngotracheitis and intestinal microbial changes in infants, showed that there is a correlation between clinical and microbiological changes in bowel changes. Implementation of the study results prevents the development of complicated forms of the disease and reduce the severity of respiratory failure that will help physicians to provide effective care to patients with acute laryngotracheitis.

The aim of work was comparison of clinical performance of bronkhodilatator at children of early age. The analysis of clinical data at 48 patients has been carried out. The received results have shown that at patients of the I group (24) use of salbutamol promoted faster reduction of expressiveness of tachypnea, improvement of the general state, reduction of cyanosis of nasolabial triangle and cough, disappearance of symptoms of bronkhoobstruction. Whereas at the children of the II group receiving Euphyllinum (24), positive dynamics is noted in later terms and at small amount of patients. For 2-3 day of treatment of patients with Euphyllinum stopping of obstruction was noted only at 66,6% of patients, at salbutamol use full removal of bronkhoobstructive syndrome was noted at 91% of patients. Thus, good tolerance and fast improvement of clinical condition of patients proves advantage of purpose of salbutamol at treatment of bronkhoobstruction.

To date, the diagnostic and therapeutic aspects of the combined disease of prostate adenoma and bladder cancer (RMP), which continue to attract the attention of urologists due to the constant improvement and introduction of new treatment methods, have not been sufficiently covered in the specialized literature. The question of the scope and sequence of interventions for these mutually aggravating pathologies remains still poorly developed. The detection of combined diseases in the preoperative period, if they are unexpectedly detected during or after adenomectomy, dictates the use of various tactical options. The literature data on this issue contain an analysis of a small number of observations and are evaluated very inconsistently.