scholarly journals ADAPTATION OF EARLY NEONATAL CHILDREN BORN FROM MOTHERS WHO REHIVED COVID-19 DURING PREGNANCY (DESCRIPTION OF TWO CASES)

2021 ◽  
Vol 11 (3(41)) ◽  
pp. 34-40
Author(s):  
M. Kiselova ◽  
A. Komar ◽  
O. Malanchak ◽  
O. Potsyurko
Keyword(s):  
Adaptation Period ◽  
Transient Conditions ◽  
Pathological Conditions ◽  
Maternity Hospitals ◽  
Vesicular Rash ◽  
Mother And Child ◽  
Neonatal Adaptation ◽  
Coronavirus Infection ◽  
Inflammatory Changes ◽  
Clinical Cases

The frequency of detection of infected children with SARS-CoV-2, which is 10% of the total number of infected, including newborns, suggests the need for careful diagnosis of pathological conditions that may occur in children, particularly in the neonatal period. If at the beginning of the detection of COVID-19 it was claimed that the coronavirus SARS-CoV-2 does not affect children, then analyzing the new data we see that 2% of patients with diagnosed clinical cases of COVID-19 are children, including newborns. The article describes observations of several clinical cases of early neonatal adaptation of children born to women who had mild to severe COVID-19 during the first and third trimesters of pregnancy, respectively, because these children at birth had vesicular rash, symptom, which is considered rare for this category of newborns. In 2020, 2,300 newborns were born in the neonatal department of the 3rd City Clinical Hospital of Lviv, with every 5th woman in labor (20%) relapsed to COVID-19 during pregnancy.Analyzing the course of early neonatal adaptation, we found that the adaptation period of such children may not differ from the adaptation of newborns in the number and manifestations of transient conditions characteristic of the first days of life, whose mothers did not suffer from COVID-19 during pregnancy. However, coronavirus infection in women in both the first and third trimesters of pregnancy may be associated with signs of congenital vesiculosis in children, accompanied by inflammatory changes in the blood and blood clotting in the period of early neonatal adaptation in the newborn. Children had no other signs of pathological symptoms (fever, lethargy, drowsiness, hypotension, rhinorrhea, pharyngitis, cough, respiratory disorders (tachypnea, wheezing), vomiting, diarrhea and feeding disorders)), characteristic of infectious diseases specific to newborns, which can be masked by transient states. Manifestations of transient conditions in the observed children were: milia, simple erythema, desquamative peeling of the epidermis, toxic erythema, physiological jaundice.Treatment of the affected areas of the skin with rash elements with 0.05% aqueous solution of chlorhexidine, a three-day course of ampicillin, administered to the child from the first hours of life at a dose of 100 mg / kg / day intravenously contributed to the disappearance of vesiculosis. The maintenance therapy was a multiprobiotic in the form of drops. In the presented cases, no obstacles to breastfeeding and cohabitation of mother and child were observed. In the departments of newborn maternity hospitals, it is necessary to find opportunities, for diagnostic purposes, to conduct microbiological studies of pustules and biomaterial from the mucous membranes of the genital tract to further compare the results and establish etiological factors of vesiculosis, determine biochemical blood tests - CRP, ALT, AST, LD serum, coagulation parameters.

scholarly journals Pathological Conditions Associated with the Male Reproductive Tract of the Sahel Bucks

2014 ◽  
Vol 2014 ◽  
pp. 1-5 ◽  
Author(s):  
Yusuf Abba ◽  
Suleiman Simon ◽  
Halima Idris Gambo ◽  
Ikechukwu Onyebuchi Igbokwe ◽  
Yusuf Iliyasu
Keyword(s):  
Reproductive System ◽  
Reproductive Tract ◽  
Age Groups ◽  
Male Reproductive Tract ◽  
System A ◽  
Pathological Conditions ◽  
Total Incidence ◽  
Sahel Goat ◽  
Inflammatory Changes ◽  
Unilateral Cryptorchidism

The study of pathological conditions of the male reproductive system is paramount to understanding reproductive inefficiency in the Sahel goat. In this study, 1048 Sahel bucks presented for slaughter at the Maiduguri metropolitan abattoir were evaluated for the presence of various pathological abnormalities of the reproductive system. A total incidence of 15.08% was recorded for various pathological conditions, with testicular, penile, and scrotal conditions having incidences of 7.82%, 4.80 and 2.50%, respectively. Bilateral testicular hypoplasia and atrophy and unilateral cryptorchidism accounted for incidences of 4.10%, 2.38%, and 1.24%, respectively, while paraphimosis and scrotal laceration had incidences of 1.72% and 1.05%, respectively. Age specific incidence of pathological conditions were not significant(P>0.05)between bucks aged <1–1.5 and 2–2.5 years. However, bucks aged 3–3.5 year a had lower(P<0.05)incidence of pathological conditions than other age groups. Histopathological evidence of inflammation, degeneration, and atrophy was observed in the testes, while inflammatory changes were observed in the prepuce.

scholarly journals Comorbidity of diseases of the cardiovascular system and diseases of the digestive organs with changes in organs and tissue of the oral cavity

2021 ◽  
Vol 2 (3) ◽  
pp. 6-17
Author(s):  
Dmitry I. Trukhan ◽  
◽  
Larisa Yu. Trukhan ◽  
Darya S. Ivanova ◽  
◽  
...  
Keyword(s):  
Oral Cavity ◽  
Cardiovascular System ◽  
Digestive System ◽  
The Other ◽  
Adequate Treatment ◽  
Digestive Organs ◽  
Pathological Conditions ◽  
Other Hand ◽  
Clinical Cases

Currently, in most clinical cases, the patient has a concomitant or combined pathology described by the terms "polymorbidity" (in the absence of a pathogenetic relationship) and "comorbidity" (in the presence of a pathogenetic relationship) between various diseases and pathological conditions. In the system of relationships between an internist and physicians of other specialties, the least studied aspects of their clinical interaction with a dentist. At the same time, often the reason for a patient's visit to the dentist is the presence of somatic pathology, and for the most part, not completely healthy patients come to the dentist's appointment, whose problems are limited to the oral cavity. On the other hand, the presence of certain changes in organs and tissues of the oral cavity and the advice of a dentist can help the internist in the diagnosis and adequate treatment of the patient. The first part of the presented review examines possible changes in the organs and tissues of the oral cavity in patients with diseases of the cardiovascular system and diseases of the digestive system. The second part of the review is devoted to the analysis of the possible effect on the organs and tissues of the oral cavity of drugs used to treat cardiovascular and gastroenterological diseases.

scholarly journals OBSTETRICAL HEMATOMAS (clinical lecture, part I)

2016 ◽  
pp. 4-9
Author(s):  
O. A. Teslova
Keyword(s):  
Health Status ◽  
Soft Tissues ◽  
Clinical Manifestations ◽  
Diagnosis And Treatment ◽  
Birth Canal ◽  
The Third ◽  
Maternity Hospitals ◽  
Clinical Lecture ◽  
Clinical Cases

The clinical lecture deals with topical emergency problem in obstetrical practice, i.e. hematomas of soft tissues of the birth canal. The first part of the lecture presents modern data on the epidemiology and etiopathogenesis, classification approaches, clinical manifestations, modern facilities for diagnosis and treatment of obstetrical hematomas of different localization. The second part of the lecture will describe and analyze clinical cases of hematomas of the birth canal that occurred at maternity hospitals of Gomel region, as well as rare cases of obstetric hematomas according to foreign publications. The third part of the lecture will present data on health status of children whose mothers developed obstetrical hematomas during their delivery.

scholarly journals EVALUATION OF FETAL REACTIVITY IN A TEST WITH ACOUSTIC STIMULATION IN WOMEN WITH A HISTORY OF CESAREAN SECTION

ScienceRise ◽  
2020 ◽  
pp. 89-94
Author(s):  
Larysa Nazarenko ◽  
Lyudmyla Huk ◽  
Nataliia Nestertsova
Keyword(s):  
Cesarean Section ◽  
Perinatal Period ◽  
Acoustic Stimulation ◽  
Perinatal Medicine ◽  
Maternity Hospitals ◽  
History Of ◽  
Neonatal Adaptation ◽  
Object Of Study ◽  
Stimulation Of ◽  
Technological Product

Object of study: pregnancy in women with a history of cesarean section, perinatal period. The problem to be solved: clarification of the perinatal significance of the factor “scarred uterus”, substantiation of the clinical significance of the test with acoustic stimulation of the fetus as a method for predicting early neonatal adaptation. Main scientific results: it was found that pregnancy in women with a history of cesarean section is characterized by an increased perinatal risk and is associated with psychoemotional stress of the mother, which affects the reactivity of fetal cerebral hemodynamics. It has been shown that the test with acoustic stimulation of fetus allows one to gain an idea of the fetus's perception of stressful influences, which should be taken into account when drawing up a delivery plan. The area of practical use of research results: obstetric departments of maternity hospitals and multidisciplinary hospitals. An innovative technological product: technology for assessing the state of the fetus in full-term pregnancy, which allows predicting complications of early neonatal adaptation based on the susceptibility of the fetus in the test with acoustic stimulation. Scope of application of an innovative technological product: obstetric clinical practice, perinatal medicine.

scholarly journals Translation and Validation of the Mongolian Version of the Childbirth Experience Questionnaire

2021 ◽  
Vol 8 ◽  
pp. 237437352110606
Author(s):  
Tsetsegmaa Parchaa ◽  
Ganchimeg Togoobaatar ◽  
Rieko Kishi Fukuzawa ◽  
Badamkhand Chunagsuren ◽  
Batbold Tseleejav ◽  
...  
Keyword(s):  
Factor Model ◽  
Well Being ◽  
Maternity Hospital ◽  
Reliable Tool ◽  
Childbirth Experience ◽  
Maternity Hospitals ◽  
Previous Birth ◽  
Mother And Child ◽  
Childbirth Experience Questionnaire ◽  
Experience Questionnaire

Women’s experiences of childbirth have a significant impact on mother and child health and well-being as well as quality of care. A valid and reliable tool is needed to assess women's experience. This study aim was to adapt the Childbirth Experience Questionnaire to the Mongolian context and assess its psychometric properties. The study conducted between October and January 2019 at the public maternity hospital in Ulaanbaatar by recruiting a total of 828 low-risk postpartum women. The response rate was 92% (n = 761). Confirmatory factor analysis indicated a good fit for the 4-factor model. Reliability was good for the overall instrument (Cronbach's alpha = 0.83) and for individual domains (Cronbach's alphas ranging from 0.45 to 0.80). The overall and domain scores were significantly higher among women who had previous birth experience, who did not receive oxytocin augmentation, and who experienced a shorter labor duration (<12 h).The Mongolian version of the Childbirth Experience Questionnaire is a valid and reliable tool for exploring the childbirth experience. It can be used to promote women-centered, respectful care in maternity hospitals.

scholarly journals A clinical case of chickenpox complicated by meningoencephalitis and cerebral edema in combination with a novel coronavirus infection (COVID-19) in a 5-year-old child

2021 ◽  
Vol 20 (2) ◽  
pp. 64-67
Author(s):  
M. N. Kuzmina ◽  
E. G. Klimovitskaya ◽  
S. N. Eshmolov ◽  
I. G. Sitnikov ◽  
E. V. Elyakova
Keyword(s):  
Infectious Diseases ◽  
Cerebral Edema ◽  
Blood Test ◽  
Clinical Case ◽  
Neurological Symptoms ◽  
Immune Reactivity ◽  
Mucous Membranes ◽  
Coronavirus Infection ◽  
Novel Coronavirus ◽  
Inflammatory Changes

The new coronavirus infection COVID-1 9 in children generally proceeds favorably, but in combination with other acute infectious diseases and in persons with background pathology and impaired immune reactivity may pose a particular threat.The article presents a clinical case of chickenpox, complicated by meningoencephalitis and cerebral edema, in combination with COVID-1 9 in a 5-year-old child. Chickenpox was not quite typical: against the background of febrile temperature, there was a scanty spot-papular rash with single vesicles that appeared later, the absence of elements on the mucous membranes and the development of neurological symptoms in the first day of the disease. CОVID-1 9 was characterized by a wave-like course with fever up to 39,1 °C, tonsillitis phenomena and inflammatory changes in the blood test.

Skin manifestations in patients with a new coronavirus infection: clinical cases

2020 ◽  
Vol 23 (2) ◽  
pp. 96-108
Author(s):  
Olga Yu. Olisova ◽  
E. S. Snarskaya ◽  
N. P. Teplyuk ◽  
A. A. Prokofiev
Keyword(s):  
General Condition ◽  
Clinical Manifestations ◽  
Topical Steroids ◽  
Skin Manifestations ◽  
Coronavirus Infection ◽  
Clinical Cases

Clinical cases of cutaneous eruptions in patients with new coronavirus infection (COVID-19) are described. The authors conclude that predominant morphological eruptions in the form of macules, papules and weals are associated with COVID-19. As a rule, eruptions occur simultaneously with the onset of the first signs of the disease or several days later both in adult and children. The severity of COVID-19 does not generally correlate with the severity of skin clinical manifestations. The skin eruptions are most frequently difficult to attribute to a particular diagnosis, and they are often diagnosed as some kind of dermatosis. Skin eruptions regress quite shortly due to COVID-19 treatment and improvements in the patients general condition as well as the use of topical steroids, or even without treatment.

POSSIBILITIES OF COMPUTED TOMOGRAPHY IN THE DIAGNOSIS OF PNEUMONIA ASSOCIATED WITH COVID-19

Vestnik ◽  
2021 ◽  
pp. 247-251
Author(s):  
А.Н. Ахмульдинова ◽  
Г.Д. Касымбекова ◽  
Д.Н. Дауыт ◽  
Ж.А. Калыев
Keyword(s):  
Central City ◽  
Visual Assessment ◽  
Specific Method ◽  
Thoracic Cavity ◽  
Stage Of Development ◽  
Plane Image ◽  
Pulmonary Pathology ◽  
Coronavirus Infection ◽  
Computed Tomograph ◽  
Inflammatory Changes

Актуальность проблемы быстрой и точной диагностики пневмонии, ассоциированной с covid-19, в период присвоения коронавирусной инфекции (covid-19) статуса пандемии, безусловно бесспорна. Своевременная диагностика влияет на прогноз заболевания. Цель оценить возможности КТ при выявлении пневмонии, ассоциированной с covid-19 и уточнения стадии развития пневмонии. Материал и методы. Исследования проводились на мультиспиральном компьютерном томографе SOMATOM Difinition AS (Siemens). В исследования включены пациенты, прошедшие КТ грудной полости с 01.06.2020. по 31.08.2020. из базы Центральной Городской Клинической Больницы (ЦГКБ) г.Алматы. Результаты КТ оценивали визуальным методом. Визуальную оценку осуществляли с использованием трехплоскостной реформации изображений, что позволяло определить локализацию, контуры, протяженность измененных участков легочной ткани. Результаты. По данным проведенных обследований у большинства пациентов были выявлены признаки воспалительных изменений в легких, которые оценивались рентгенологами нашей клиники с учетом уже известных на тот момент специфических паттернов, характерных для пневмонии, ассоциированной с covid-19. По результатам КТ органов грудной клетки при дифференциальной диагностике пневмонии, ассоциированной с covid-19 от другой легочной патологии. Специфичность составила 88%. Заключение. КТ органов грудной полости является высокоспецифичным методом исследования при диагностике пневмонии, ассоциированной с covid-19. The urgency of the problem of rapid and accurate diagnosis of pneumonia associated with covid-19 during the assignment of coronavirus infection (covid-19) pandemic status is certainly indisputable. Timely diagnosis affects the prognosis of the disease. The aim is to evaluate the possibilities of CT in detecting pneumonia associated with covid-19 and to clarify the stage of development of pneumonia. Material and methods. The studies were carried out on a multispiral computed tomograph SOMATOM Difinition AS (Siemens). The study included patients who underwent CT of the thoracic cavity from 01.06.2020. to 31.08.2020. from the base of the Central City Clinical Hospital (CGKB) in Almaty. CT results were evaluated by visual method. Visual assessment was carried out using a three-plane image reformation, which made it possible to determine the localization, contours, and extent of the altered areas of lung tissue. Results. According to the conducted examinations, most patients showed signs of inflammatory changes in the lungs, which were evaluated by radiologists of our clinic taking into account the specific patterns already known at that time, characteristic of pneumonia associated with covid-19. According to the results of CT of the chest organs in the differential diagnosis of pneumonia associated with covid-19 from other pulmonary pathology. The specificity was 88%. Conclusion. CT of the thoracic cavity is a highly specific method of investigation in the diagnosis of pneumonia associated with covid-19.

scholarly journals Differential Diagnosis of Lungs Lesions in a New Coronavirus Infection COVID-19 and Diseases of Non-Viral Etiology on the Clinical Cases by Computed Tomography Scans in Outpatient CT Centers

2020 ◽  
Vol 75 (5S) ◽  
pp. 395-405
Author(s):  
Mikhail N. Lobanov ◽  
Oleg Y. Bronov ◽  
Yuliya A. Abovich ◽  
Nataliya V. Ledikhova ◽  
Elena V. Turavilova ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Clinical Symptoms ◽  
Viral Pneumonia ◽  
Viral Etiology ◽  
Drug Induced ◽  
Leading Role ◽  
Radiological Data ◽  
Lung Injuries ◽  
Coronavirus Infection ◽  
Clinical Cases

New coronavirus infection (COVID-19) viral pneumonia diagnosed by a complex assessment of the epidemiological history, clinical symptoms, radiological and laboratory tests. Radiologists often play a leading role in diagnosis of viral pneumonia, since they may encounter suspicious changes according to radiological studies before clinicians. However, in a number of diseases, including diseases of non-infectious non-viral etiology with a corresponding similar clinical symptoms, it may be difficult to correctly assess the changes detected by computed tomography. This study uses clinical cases to show the main differential diagnostic criteria for COVID-19 viral pneumonia and non-infectious lesions such as pulmonary edema, pulmonary embolism, acute hypersensitive pneumonitis, drug-induced pneumonitis, non-specific interstitial pneumonia, and adenocarcinoma. All patients were hospitalized based on the results of computed tomography, where a diagnosis of non-infectious non-viral lung injuries was established based on morphological and/or typical clinical symptoms, laboratory or radiological data. We examined clinical cases with radiological signs similar to viral pneumonia, such as areas of ground glass opacities with the presence or absence of areas of consolidation, as well as thickening of the lung interstitium with decreased lung attenuation (crazy paving symptom). In a difficult epidemiological situation, it is important for a radiologist to suspect the above-mentioned pathological conditions in patients who are urgently admitted to outpatient CT centers.

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