scholarly journals ON THE HEALTH OF PRESCHOOL CHILDREN OF KRASNODAR REGION RURAL LOCALITY

2018 ◽  
Vol 25 (4) ◽  
pp. 13-21
Author(s):  
L. V. BATRAKOVA ◽  
P. V. NEFEDOV ◽  
I. S. ZACHARCHENKO

Aim. This study was performed to assess the state of health of preschool children from Krasnodar Region rural locality according to the incidence rate.Materials and methods. The study was conducted on the basis of six municipal preschool institutions in Krasnodar Region rural locality with the coverage of 855 preschool children aged 3 to 7 years.Results. When dividing children into health groups, it was evident that most of them belonged to I health group. Among children with various health abnormalities categorized as II, III, IV and V  health groups, chronic tonsillitis, reduced visual acuity, and anemia  were more common. Girls more often than boys had chronic  pyelonephritis, bronchial asthma, Type I diabetes mellitus, anemia,  chronic pancreatitis, chronic bronchitis, and cystitis. The boys were more likely to experience reduced visual acuity and tunnel vision.Conclusion. As a result of the conducted research, it was determined that the majority of children attending preschool institutions in Krasnodar Region rural localities were  almost healthy. In comparison with other regions (according to the  literature), the health indicators of rural preschool children in  Krasnodar Region are somewhat better. The results of the study also  showed gender differences in the morbidity patterns of preschool  children, indicating that girls are at risk.

1997 ◽  
Vol 7 (3) ◽  
pp. 283-287 ◽  
Author(s):  
J. Nawrocki ◽  
W. Chrzanowski ◽  
D. Koch ◽  
K. Dziegielewski

The present paper reports our first results after pars plana vitrectomy in patients with diabetic retinopathy and hemodialysis with a follow-up of 6 to 24 months. Between January 1992 and October 1994 we performed vitreoretinal surgery with silicone oil tamponade in nine eyes of seven patients with diabetic nephropathy on hemodialysis. All patients had had type I diabetes for 19–32 years. Over the observation period the retina was completely attached in eight eyes. Final visual acuity of 0.1 - 0.7 was attained in four eyes, 0.06 two, hand movements in one eye. Two eyes had no useful final visual acuity because of redetachment of the retina or secondary glaucoma with rubeosis iridis. The small number of complications shows that pars plana vitrectomy can be done in diabetic patients with nephropathy on hemodialysis. This significantly improves their quality of life


2017 ◽  
Vol 13 (27) ◽  
pp. 269
Author(s):  
Abba Kaka H.Y ◽  
Guirou N. ◽  
Berete C.R. ◽  
Amza A. ◽  
Daou M.

Introduction: Wolfram syndrome is an autosomal recessive neurodegenerative disorder. Diabetes mellitus and juvenile bilateral optic atrophy are its major signs. It is recognized that this association, which started in childhood or during adolescence, is sufficient to diagnose Wolfram syndrome. Optic atrophy occurs in 98% to 100% of cases with an average age of onset of 11 years. We reported a study of two confirmed cases referred by the internal medicine department. Observations: Case 1: A 23- year-old woman, deaf and dumb by birth, went through a diabetic ketosis test. Ophthalmologic examination showed reduced visual acuity in the fingers at 5 meters P2 in both eyes. Also, the fundus of the eye showed bilateral atrophic papillary palpation with no signs of retinopathy. She had deafness of deep perception and hypogonadotropic hypogonadism. Deafness, diabetes, optic atrophy, and hypogonadism led to the diagnosis. Case 2: A 21-year-old man born from a first-degree consanguineous marriage serves as a supplement to the management of diabetes. The visual acuity was at counting fingers at 1m to the right eye and sees the hand move to 0.5 m to the left eye. On examination at the slit lamp, it had a bilateral dense cataract. After phacoexeresis, the base revealed bilateral optic atrophy. Ultrasound of the urinary tree showed hypotonia of the renal cavities and a neurogenic bladder. Also, audiometry showed mild sensory deafness. The diagnosis of Wolfram syndrome was made in front of the tetrad: diabetes, optic atrophy, deafness, and urinary signs. Discussion: Wolfram syndrome may be familial or sporadic. The gene however is located on the short arm of chromosome 4. Optic atrophy is secondary to the involvement of pre-genetic fibers, and it is characterized initially by temporal palpation of the papilla. The evolution towards diffuse whitish discoloration occurs in a few months or years with the gradual establishment of a blindness around the age of 17 to 30 years. Conclusion: Wolfram syndrome is a clinical entity characterized by clinical and genetic polymorphism. This diagnosis should be considered in the presence of any type I diabetes associated with optic atrophy in children


Author(s):  
Khaled M. Hassan ◽  
Abdulbaqi A. Suwaydi ◽  
Abdulaziz A. Alshikh ◽  
Afnan M. Alkhairi ◽  
Asmaa Y. Nassir ◽  
...  

Background: This study describes the effect of life style and socioeconomic state in children diagnosed with type 1 diabetes mellitus. The study was conducted in different health centers in Mexico, to clarify and describe relationship between life style, socioeconomic state and occurrence of diabetes type I.Methods: The sample was 65 children with similar characteristics, they agreed to participate in the study, from July 2012 to September 2012. IMEVID was used to describe effect of lifestyle and socioeconomic state.Results: 29.23% has been applied to sustain a "good lifestyle", which corresponded to a "healthy" rating, but highest concentration were in an inappropriate lifestyle (70.77%), classified into two classifications 56.92% was "moderately healthy" and only 13.85% was "unhealthy" behavior. Significant correlation between the styles of life evaluated and considered dimensions, except with the emotional state was found. Relationship existed between the style of life evaluated and perceived by patients.Conclusions: Gradual clarification of the concept known as "lifestyle" has enabled the health sciences resize the notion of the state of "health and disease"; results are consistent with other studies conducted in Mexico. 


2012 ◽  
Vol 4 (1) ◽  
pp. 16 ◽  
Author(s):  
Angelina Su-Min Yong ◽  
Su Yin Lau ◽  
Tsung Han Woo ◽  
Jordan Yuanzhi Li ◽  
Tuck Yean Yong

Endogenous endophthalmitis is a rare ocular infection affecting the vitreous and/or aqueous humours. It is associated with poor visual prognosis and its commonest endogenous aetiology is infective endocarditis. The causative organisms of endogenous endophthalmitis complicating endocarditis are mainly Group A or B streptococci. The identification of Group C and G streptococci such as <em>Streptococcus dysgalactiae </em>is comparatively uncommon and has only been reported in a few case reports or series. We therefore report a case of infective endocarditis caused by <em>Streptococcus dysgalactiae </em>first presenting with endogenous endophthalmitis, the most likely source being bilateral feet osteomyelitis in a patient with type I diabetes. The patient was treated with a course of intravenous benzylpenicillin, intravitreal antibiotics, bilateral below knee amputations and mitral valve replacement. She survived all surgical procedures and regained partial visual acuity in the affected eye.


Author(s):  
T. A. Stewart ◽  
D. Liggitt ◽  
S. Pitts ◽  
L. Martin ◽  
M. Siegel ◽  
...  

Insulin-dependant (Type I) diabetes mellitus (IDDM) is a metabolic disorder resulting from the lack of endogenous insulin secretion. The disease is thought to result from the autoimmune mediated destruction of the insulin producing ß cells within the islets of Langerhans. The disease process is probably triggered by environmental agents, e.g. virus or chemical toxins on a background of genetic susceptibility associated with particular alleles within the major histocompatiblity complex (MHC). The relation between IDDM and the MHC locus has been reinforced by the demonstration of both class I and class II MHC proteins on the surface of ß cells from newly diagnosed patients as well as mounting evidence that IDDM has an autoimmune pathogenesis. In 1984, a series of observations were used to advance a hypothesis, in which it was suggested that aberrant expression of class II MHC molecules, perhaps induced by gamma-interferon (IFN γ) could present self antigens and initiate an autoimmune disease. We have tested some aspects of this model and demonstrated that expression of IFN γ by pancreatic ß cells can initiate an inflammatory destruction of both the islets and pancreas and does lead to IDDM.


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