RESUMO
Research shows that not only medical but also psychological factors such as parents' emotional state, their parenting skills, quality of very early relationships with the infant influence child's physical and mental health and development. The support of good infant-mother relationships is an essential part of early family-centered help to premature babies. The article reviews existing evidence-based programs of neonatal care and support of early mother-child relationships for preterm babies at the hospital. It covers three main directions: discussing with parents prognosis of a child's health and development; supporting natural conditions of child development, and including parents into child early care and observation. Data presented in the article shows that if using each of the mentioned above directions that are important for quality early care and interaction, positive dynamics is seen both on parents' and preterm infant's side. Designated programs can be widely implemented in neonatal intensive care units for children born before term, including those with extremely low body weight when they achieve clinical stabilization. The material presented in the article may be used as the scientific base for implementing in Russian Federation early care system both at the hospital level and, later, in the family environment. It also constitutes new directions for research of preterm babies and their parents.
Assuntos
Lactente Extremamente Prematuro , Doenças do Prematuro , Feminino , Hospitais , Humanos , Lactente , Recém-Nascido , Unidades de Terapia Intensiva Neonatal , Relações Pais-Filho , PaisRESUMO
An analysis of treatment results was made in 216 patients with intussusception of bowels at the period from 2000 to 2015. The authors showed that it would be reasonable to carry out a conservative therapy in the cases of recurrent intussusception in absence of peritonitis symptoms.
Assuntos
Tratamento Conservador , Procedimentos Cirúrgicos do Sistema Digestório , Intussuscepção , Peritonite , Adolescente , Engenharia Biomédica , Criança , Pré-Escolar , Tratamento Conservador/efeitos adversos , Tratamento Conservador/métodos , Tratamento Conservador/estatística & dados numéricos , Procedimentos Cirúrgicos do Sistema Digestório/efeitos adversos , Procedimentos Cirúrgicos do Sistema Digestório/métodos , Procedimentos Cirúrgicos do Sistema Digestório/estatística & dados numéricos , Feminino , Humanos , Lactente , Intussuscepção/complicações , Intussuscepção/diagnóstico , Intussuscepção/fisiopatologia , Intussuscepção/terapia , Masculino , Avaliação de Processos e Resultados em Cuidados de Saúde , Seleção de Pacientes , Peritonite/diagnóstico , Peritonite/etiologia , Recidiva , Reoperação/métodos , Reoperação/estatística & dados numéricosRESUMO
The article presents an analysis of the features of primary peritonitis in children. Medical reports of 182 patients with primary and appendicular peritonitis were analyzed. It was significant, that the sick girls aged 4-7 years often had the primary peritonitis after acute inflammatory processes, which took place a month earlier. Chronic infection foci were noted in these patients. The age-specific features of maturation of the immune and reproductive systems predisposed the disease.
Assuntos
Apendicite/complicações , Peritonite , Procedimentos Cirúrgicos Operatórios , Abdome Agudo/diagnóstico , Abdome Agudo/epidemiologia , Abdome Agudo/cirurgia , Cavidade Abdominal/fisiopatologia , Adolescente , Fatores Etários , Criança , Pré-Escolar , Feminino , Humanos , Laparoscopia/métodos , Laparoscopia/estatística & dados numéricos , Masculino , Peritonite/diagnóstico , Peritonite/etiologia , Peritonite/fisiopatologia , Peritonite/cirurgia , Período Pré-Operatório , Estudos Retrospectivos , Medição de Risco , Federação Russa/epidemiologia , Fatores Sexuais , Procedimentos Cirúrgicos Operatórios/métodos , Procedimentos Cirúrgicos Operatórios/estatística & dados numéricosRESUMO
An immunological research of the patients and control group with primary peritonitis was made. The main indices of immune response were in the range of age rates. However, the immune signs of foci of chronic inflammation were revealed in patients after operation. The consequences of disease (an abdominal cavity effusion) were eliminated during surgical interventions, but not the cause of the inflammation. Children with the primary peritonitis should be examined for detection of infection foci.
