Features of the course of secondary pulmonary hypertension in a child
Pulmonary arterial hypertension (PAH) is a heterogeneous, often multifactorial condition that can be either an independent, isolated pathology, or a complication of a wide range of diseases, including congenital heart…

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Should I be afraid of the child’s reaction to vaccination?
As a person who has worked for a long time in an infectious diseases hospital, I confidently declare: in relation to all the diseases against which vaccinations are given, the…

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Integrated Management of Childhood Illness (IMCI) Strategy for Children Under Five
More than 7.5 million children worldwide die each year before they reach the age of five. Most of them come from poor communities and live in the poorest countries. These…

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acute respiratory

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Autism or developmental features?

Last time, we talked about violations in the intellectual and emotional development of the child and what prerequisites provoke these violations. Perhaps one of the most controversial cognitive disorders is childhood autism.

At an early age, it is quite difficult to determine whether the child is developing correctly: why at the age of one and a half years he still does not say, why he does not respond to his own name and does not play with his peers, why is he so violently capricious and does not want to eat on his own? Should these warning signs be signs of autism?

Can it be argued that autism is accompanied by a developmental delay? Of course. But can we say that autists are mentally disabled children who will remain so for life? Of course no. Delay in development is just one of the symptoms of autism, which is far from the most characteristic and dangerous for the child. Continue reading

Drug treatment

Drug treatment carried out in a complex of recreational activities should be based on the necessary minimum and determined by the type of nosology. Modern features of the course of respiratory diseases and new data on the immune system make the problem of choosing effective immunocorrective drugs, the spectrum of which is quite wide, particularly urgent:
• immunocorrectors of natural origin (vaccines, endotoxins, nucleic acids, interferons, interferonogens, thymus preparations, etc.);
• synthetic drugs (polyoxidonium, lycopid, immunofan, bendazole, etc.).
Most immunocorrective drugs (stimulants, modulators) selectively affect different parts of the immune system, therefore, their appointment requires strict consideration of indications and contraindications, dynamic clinical and immunological control, and repeated courses of immunocorrections are usually carried out no more than 1-2 times a year. Continue reading

Children and immunity

Immunity is passive in nature and is provided by maternal antibodies. At the same time, its own immune system is in a state of suppression. The phagocytosis system is not developed. The newborn shows little resistance to opportunistic, pyogenic, gram-negative flora. A tendency to generalization of microbial-inflammatory processes, to septic conditions is characteristic. The child is very sensitive to viral infections, against which he is not protected by maternal antibodies. Approximately on the 5th day of life, the first cross in the white blood formula takes place and the absolute and relative predominance of lymphocytes is established.

The second critical period is due to the destruction of maternal antibodies. The primary immune response to infection penetrates through the synthesis of class M immunoglobulins and leaves no immunological memory. Continue reading

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On the verge of an epidemic? What is dangerous diphtheria and what you need to know about it
The outbreak of diphtheria in Transcarpathia alarmed the country - 15 people were hospitalized. Concern was also caused by the fact that hospitals were not adequately provided with the necessary…

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How does an autistic child communicate with others?
Speaking about the violation of contact with the outside world, we do not mean that the autistic child is completely isolated from his environment in terms of perception. The autist,…

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HISTORY OF DESCRIPTION OF KAWASAKI'S DISEASE. TOMISAKU KAVASAKI - FAMOUS JAPANESE PEDIATRIC, AUTHOR OF SYSTEMIC VASCULITIS IN CHILDREN
Kawasaki disease is a systemic vasculitis of unknown etiology, acute onset in infancy or early childhood, with a primary lesion of the coronary arteries. Syndrome or Kawasaki disease is more…

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Epileptic status in children. Clinical lecture
Epileptic status (ES) is characterized by prolonged or repeated seizures / episodes without a return to the normal state for this patient. ES is often found in pediatric practice, it…

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