The aim was investigate some features of diagnosis of cholelithiasis in children. Materials and methods: The study was completed with 75 patients in the Clinic of pediatric surgery of the BSMU, Russia, Ufa in 1997-2017. The mean age of the patients was 11.2±3.8 (3-18) years. 44 (58.7%) patients were females. Results: The original method (X-ray Tomography with cholekinentic) was preferred and received results were decisive for surgery. Identified sclerotic changes (>40 H) and gallstone density (>100H) were indications for cholecystectomy.
Федеральное государственное бюджетное образовательное учреждение высшего образования «Башкирский государственный медицинский университет» Министерства здравоохранения Российской Федерации, Уфа, Россия 2 Государственное бюджетное учреждение здравоохранения «Городская детская клиническая больница № 17», Уфа, Россия
The aim of our study was to develop a new scale for predicting clinical outcome in newborns with sepsis, taking into account the information about depth of metabolic disorders.Methods. Design of study — retrospective observational single-center study. Medical cards data of 163 newborns with sepsis were included in analysis. To measure the predictive value of the analyzed clinical and laboratory signs we used the Kullback measure. The clinical outcome of the disease was determined as the response function: survived or died.Results. An analysis of the predictive value of the clinical and laboratory parameters of in newborns with sepsis was made, the threshold values of the most informative indicators were developed, which were: the number of blood platelets, the level of total blood protein, body weight and the number of blood neutrophils. The Clinical and Laboratory Condition Index for Newborns scale has been developed, which takes into account the depth of metabolic disorders. ROC analysis (Area Under Curve — 0,723) and the information method (information coefficient 0.992) showed that the Clinical and Laboratory Condition Index score can be used in the intensive care unit to predict the risk negative clinical outcome and evaluate the effectiveness of treatment in infants with organ dysfunction caused by systemic infection.Conclusion. New Clinical and Laboratory Condition Index score scale allows to predict the development of negative outcome of sepsis in newborns taking into account the depth of metabolic disorders in newborns with sepsis.
Introduction. The ingrown nail (onychocryptosis) is a disease that is common both among children and in adult population. Despite the fact that there is a large number of methods available for the treatment of ingrown nails, a large percentage of recurrence of the disease remains unconquered. Traditional methods of treatment today are often complemented by chemical matrixectomy, cryodestruction, electrocoagulation or laser destruction of the growth zone of the nail plate piece being removed. The purpose of all of these methods of treatment is the reduction of the recurrence of the disease. This study aims to examine the possibilities of using a portable diode laser scalpel for the treatment of ingrown nails in children.Materials and methods. In this study the authors compared treatment outcomes in patients with ingrown toenails treated with the original Winograd procedure (30 patients) with those treated with the same procedure complemented by the laser destruction of the growth zone (50 patients).Results and discussion.There was one relapse case in the study group (n=50, 2%), and two — in the control group (n=30, 6.7 %). The healing period of the postoperative wound amounted to 17.3±2.05 days in the study group and to 12.25±1.24 days in control. Pain VAS scores on the first day following the surgery were 6.2±1.24 in the study group, and 5.8±0.816 in control. Staphylococcus aureus was the pathogen responsible for the local infection process in most patients with ingrown nails.Conclusion. This study demonstrates that using the method proposed results in the reduction of the risk of recurrence of the disease from 6.7% down to 2%, increasing, however, the healing time of the postoperative wound from 12.25±1.24 to 17.3±2.05 days. This makes the use of the method proposed advisable in patients with: a stage III ingrown nail; an apparent local infectious process; a recurrent ingrown nail.
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