This paper reviews publications covering the delayed clinical and functional manifestations of SARS-CoV2 among athletes competing at national and international levels; we describe the prevalence of multiorgan failure associated with protracted COVID as registered in sportsmen and people not going in for sports. The review reports the results of a retrospective analysis of data yielded from clinical, instrumental and laboratory tests undertaken by the Russian national team athletes that had COVID-19. We highlight the most informative indicators that reflect the condition of sportsmen with protracted coronavirus infection course, define the approaches making resumption of active training safe and compile the list of the most significant criteria supporting admission to such training and competitions. Lastly, the paper presents the parameters subject to inclusion in the prognostic model (binary logistic regression) describing the dynamics of residual multiorgan failure in athletes, including minors, who have had COVID-19 or viral pneumonia of a different etiology.
Background. This review article surveys literature data on the methods of timely diagnosis and treatment of congenital cytomegalovirus infection (CMVI) in newborn infants. In recent years CMVI has become a subject of numerous global-scale studies. Such increased interest in CMVI is due to the fact that the consequences of congenital CMVI have a social impact. Description of clinical case. A clinical case of congenital manifest cytomegalovirus infection is described. The infant was diagnosed with CMVI on the 10th day of life. Complex therapy was prescribed in accordance with the protocol of management of congenital CMVI which led to positive dynamics. Conclusion. By today, an algorithm for detection and treatment of CMVI which brings positive results has been worked out. However, it is essential to keep in mind the long-term sequelae of CMVI and devote close attention to dispensary follow-up of such patients.
Гранулематоз с полиангиитом -некротизирующий васкулит сосудов мелкого и существенно реже среднего калибра с вовлечением респираторного тракта и почек. Он может протекать под различными масками не только в дебюте, но и в период развернутой клинической картины, что затрудняет диагностику и влияет на прогноз жизни. В статье представлен клинический случай гранулематоза с полиангиитом у пациентки 69 лет, протекающий в дебюте заболевания с поражением легких, позднее присоединились поражение почек с развитием дыхательной и почечной недостаточности. К л ю ч е в ы е с л о в а : АНЦА-ассоциированные васкулиты; гранулематоз с полиангиитом; диагностика; антинейтрофильные антитела.
The article presents modern approaches to the use of balanced formulas for nutrition and diet correction in children with various forms of food allergies. The guidelines are based on all available up to date evidence on the efficacy, safety and utility of using such innovative medical technology as specialized amino acid formulas. This formula is the targeted medical intervention for food allergies and confirmed cow's milk protein allergy, and particularly for patients with reduced physical growth and development (growth rates included). The material is based on methodological guidelines on the amino acid formulas usage previously developed by specialist experts of the Union of pediatricians of Russia in 2020.
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