[Distal polyneuropathy in children with diabetes mellitus type 1].

To identify the association between distal peripheral neuropathy (DPN) and type 1 diabetes mellitus (T1D), 62 children and adolescents with different duration of T1D have been studied using electromyography (EMG). Subclinical symptoms of DPN occur with equal frequency in 74% of children with short duration of T1D (group 1) and in 72% of children with long duration of disease. In both groups, the highest frequency of disturbances of the neurophysiological parameters was found in the sural sensory nerve and the lowest frequency in the median motor nerve.

[Use of heptral in the complex treatment of pregnant women with cholestatic liver disease].

Unlabelled: In this study it was found out that Heptral has eliminated the main symptoms of cholestasis during the first 2-3 weeks, namely: skin itching, dyspeptic disorder, isteric coloring of skin and mucous membranes. It promotes to stop astenia, insomnia, depression; decreases serum activity of termolabil alcaline phosphates and concentration of bilirubin, cholesterol, lipoprotein; leads to norm the process of lypoproteid metabolism and decreases the liver size (according to the USI results). Heptral treatment results in positive effect which means decreasing frequency of complications, in particular gestosis, ChFPN, pre-term termination of pregnancy and perinatal mortality.

[International cooperation in implementation of the program of reproductive health protection in the Samara region].

A concept of strategic development of territorial service of maternity and childhood protection has been developed in the Samara region making use of international experience. The results indicate improvement of qualitative parameters of the service activities after introduction of international programs.