[The influence of the pearl baths on the dynamics of cerebral circulation in the children presenting with the consequences of perinatal lesions in the central nervous system].

The present article is concerned with the problem of rehabilitation of the children at the age from 6 to 12 months presenting with perinatal lesions in the central nervous system (CNS) and the role of cerebral hemodynamics in the development of this disease. The results of dynamic clinical and laboratory examination of the children presenting with the consequences of perinatal lesions in the central nervous system are presented with special reference to the influence of the pearl baths on the dynamics of cerebral circulation. The study involving 65 patients showed that the inclusion of bubble bath sin the combined rehabilitative treatment of the children with this condition helps to optimize parameters of the disturbed cerebral blood flow. The positive influence of bubble bath son the dynamics of clinical symptoms and the state of the cardiovascular system has been demonstrated.

[Palivizumab: four seasons in Russia].

In 2010, the Russian Federation (RF) registered palivizumab--innovative drug, based on monoclonal antibodies for passive immunization of seasonal respiratory syncytial virus (RSV) infection in children of disease severe progress risk group, which include primarily premature infants, children with bronchopulmonary dysplasia and hemodynamically significant congenital heart disease. Currently, palivizumab is included in the list of recommended medicines and medical care standards of different countries, including Russia. In the review the results of Russian research on the progress of RSV infection, its epidemiology and immunization experience gained over the 2010-2014 period are summarized in relation to the foreign data. During the four epidemic seasons palivizumab immunization covered more than 3,200 children of severe RSV infection risk group with a progressive annual increase in the number of patients who received the drug. Geography of palivizumab immunization is also greatly expanded in our country during this time. If during the first two seasons measures of immunization were taken mainly in Moscow and St. Petersburg, at the present time, thirty one territorial entities of the Russian Federation have the experience in the drug application. Analysis of the results of RSV infection immunization (made in several regions) confirms the high clinical efficacy and palivizumab safety already demonstrated in international studies. In addition, the analysis presents the potential to improve the efficiency of the integrated RSV infection immunization programs, realizing in the establishment of high-risk child group register, adequate counseling for parents, as well as the development of the routing of patients and coordination of interaction between different health institutions during the immunization.

[Evaluation of premature infants nutritional status by air plethysmography: first Russian prospective study].

In this article results of first Russian study on premature infants body composition in association with trend of their physical development within the first month and according to way of feeding. 30 preterm newborns without signs of intrauterine hypotrophy at birth with gestational age less than 35 month were examined by air body plethysmography. The infants were examined reaching term corrected age. Less levels of fat-free mass and increased percentage of fat were found in premature infants. The negative association between gestational age and the specific content of fat was found. This increases the risk of long-term metabolic diseases in preterm infants. It is found that preterm infants fed by fortified human milk have a more optimal body composition (less body fat levels) than infants fed by formula. The found consistent patterns confirm the necessity of supplying preterm infants with human milk for more adequate formation of plastic processes.