Saratov JOURNAL of Medical and Scientific Research

Khmilevskaya S.A.

Saratov State Medical University n.a. V. I. Razumovsky, Department of Pediatrics of Raising Skills Faculty, Professor, Doctor of Medical Sciences

Issues on health status and rehabilitation of young children born with extremely low and very low weight

Year: 2017, volume 13 Issue: №2 Pages: 245-251
Heading: Pediatrics Article type: Review
Authors: Scherbatyuk E.S., Khmilevskaya S.A., Zryachkin N.I.
Organization: Saratov State Medical University
Summary:

The review presents literature data on the catamnesis of children born with extremely low and very low weight, identification of the most common pathological conditions, of the incidence rate and the main causes of disability in childhood, the rationale for the need for early initiation of rehabilitation actions aimed at preventing and correction of these conditions. The article highlights difficulties in assessment of physical and neuropsychological development of deeply premature babies, related to the heterogeneity of contingent of the children being surveyed and the difference in the tests used to determine these parameters. It was noted that for a comprehensive assessment of their health they also need to determine quality of life using the developed scales. The author substantiated the need to improve the system of medical support for such children at all phases of nursing and rehabilitation process and perforce to introduce a personal approach with differentiated programs of medical examination and rehabilitation in the wide practice.

AttachmentSize
2017_02_245-251.pdf311.24 KB

Epstein-Barr virus mononucleosis: clinical and dynamic peculiarities of different variants of infection

Year: 2010, volume 6 Issue: №3 Pages: 570-574
Heading: Infectious Diseases Article type: Original article
Authors: Khmilevskaya S.A
Organization: Saratov State Medical University
Summary:

The article reviews the results of observation of 439 patients between 1 and 18 years of age with EBV mononucleosis. The detailed analysis of clinical laboratory peculiarities of primary infection and its reactivation in patients of different age is also supplemented by the overall evaluation of the rehabilitation period in dependence on age and type of infection.

AttachmentSize
201003_570_574.pdf477.4 KB

Liver Functional State Changes At Epstein-Barr Virus Mononucleou-sis In Children

Year: 2009, volume 5 Issue: №4 Pages: 572-577
Heading: Infectious Diseases Article type: Original article
Authors: S.A. Khmilevskaya, LA. Zaytseva, E. V. Mikhailova
Organization: Saratov State Medical University
Summary:

The research presents the results of medical observation of 439 patients aged 1-18 with mononucleosis of Epstein-Barr Virus etiology. By means of instrumental and clinical laboratory methods of investigation the peculiarities of liver condition have been revealed in children of different age. The intensity of autosensibilization processes to the tissues of the organ has also been estimated. The results obtained demonstrate the interrelation of clinical, biochemical and instrumental signs of liver damage, as well as contribution of autoimmune processes to the development of organopa-thology at Epstein-Barr Virus infection

AttachmentSize
200904_572_577.pdf480.48 KB

Epstein-Barr Viral Infection in Children: Cytokine Response Peculiarities and Immunopathological Reactions

Year: 2009, volume 5 Issue: №2 Pages: 222-226
Heading: Infectious Diseases Article type: Original article
Authors: S.A. Khmilevskaya, I.A. Zaytseva, E.V. Mikhaylova
Organization: Saratov State Medical University
Summary:

The research results are presented in the work. 100 patients aged 1–18 with different Epstein-Barr viral infection course variations have been observed. Clinical features of infectious mononucleosis in case of primary infection and its revivification have been revealed. The evaluation of intensity of autosensibilization processes has been performed. The interrelation of autoimmune and cytokine reactions and their participation in formation of organopathology in case of Epstein-Barr viral infection are demonstrated.

AttachmentSize
200902_222_226.pdf503.59 KB