[Interhospital transportation of children from paediatric intensive care units within a major region]. / Mezhgospital'naia transportirovka detei reanimatsionnogo profilia v krupnom regione.

The activity of a regional reanimation-and-consultation center (RCC) related with transportation of 3219 children (79.5% of them were newborns) is summarized in the paper. The share of children assigned for artificial lung ventilation (ALV) increased from 50.8% to 82.6%, while the lethality rate dropped from 12.8% to 6.9%. The above results were enabled by a maximally early re-hospitalization of patients from therapeutic-and-prevention facilities (TPF) with limited medical care abilities and by early preparations (for transportation) by using the DINAR-2 expert system. The children were transported only after the main vitally important systems had been compensated for and with support of an adequate intensive care therapy. Should the above principles be met, the specialized therapy could be started at he earliest possible time; it promoted the therapy quality and cut the patients' stay in intensive care units.

[Endogenous intoxication syndrome in critical states in infants. New diagnostic and prognostic possibilities]. / Sindrom éndogennoi intoksikatsii pri kriticheskikh sostoianiiakh u detei rannego vozrasta. Novye diagnosticheskie i prognosticheskie vozmozhnosti.

New methods for the diagnosis of the endogenous intoxication syndrome (EIS) in critical states have been developed and tried in 585 infants. A complex of biochemical, hemorheological, biophysical, and optic polarization parameters characterizing the intensity of catabolic reactions and united under the term "endotoxicogram" is offered. Objective assessment of EIS is expressed by an integral index of intoxication which permits a universal assessment of the severity of patient's status, disease course, and efficacy of therapy and helps predict the disease outcome.