Pneumonia is one of significant problems among infections of low airways in children. Morbidity of common-acquired pneumonia (CAP) continues to go in last year’s. Data available in the literature show, that pneumonia with empyema possibly associated with high risk of chronic obstructive pulmonary diseases, asthma and recurrent case of pneumonia in last life. Fatal pneumonia or developing chronic obstruction lung diseases occur mainly in children after severe and complicated forms of pneumonia, this information is presented in native and foreign literature. Currently pneumonia with the heavy and complicated current is a major cause of infant mortality or promotes development of a chronic obstruction lung diseases. Mortality from pneumonia is 3-19% according to different authors. The risk of respiratory diseases in the 3-6 months after pneumonia increased in children who underwent pneumonia. After complicated CAP the complete resolution of the inflammatory happens on 6-9 month. After not complicated САР forms at 10-30% of children radiological changes within 2-6 weeks were noted. In one research it is reported that the full recovery from slow resolving pneumonia at 96% of children has come on 6-8 month of the dispensary period. Some authors in the scientific works use immunomodulators and vaccinations to reduce the residual variation in the lungs and improve recovery time dramatically of pneumonia. In follow up study the important task is a identifying and elimination of risk factors for improvement of treatment and dispensary period for slow resolving pneumonia, recurrent case of pneumonia, sever pneumonia.

No abstract

Thyroid status of children and adolescents living in the Kaluga district at territories contaminated with radionuclides after the Chernobyl accident was followed up from 1986 to 1994. Clinical studies included examination by endocrinologist, ultrasonic examination of the thyroid and regional lymph nodes with fine needle aspiration biopsy of thyroid tissue, if indicated, and measurements of blood serum levels of thyrotropin, thyroxin, triiodothyronine, thyroglobulin and autoantibodies to it, and of antibodies to the microsomal fraction of thyrocytes. Special attention was paid to the detection of nodular formations in the thyroid and identification of their type. The diagnoses were verified at Medical Radiology Research Center of the Russian Academy of Medical Sciences in the town of Obninsk. In 1994 an increase in the incidence of nodular goiter was observed in the cohort of children followed up. Four cases of thyroid cancer (follicular and papillary forms) were diagnosed in 1993-1994 among subjects exposed to radioactive iodine in childhood after the accident. Three of these patients were examined and treated at the Medical Radiology Research Center. Detailed excerpts from their case histories are presented.

Возникновению местных осложнений гнойно-воспалительного генеза способствует ряд факторов, среди которых ведущее значение имеет эндогенная микробная контаминация зоны операции. К сожалению, местное действие противомикробных препаратов весьма ограниченно вследствие вероятной резистентности микробной флоры, выраженного посттравматического воспаления в зоне операции, формирования микробной биоплёнки. В связи с чем, нами ведутся поиски приемлемых препаратов из числа уже известных и применяемых в других отраслях медицинской деятельности.