The authors studied connection between exposure to fluorine compounds and fluorides excretion. Average fluorine content of urine and hair samples of children exceeds the reference values. Ambient air and soil pollution with fluorine was proved to be an important health risk factor for urban children in Irkutsk region.
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Macrophage activation syndrome (MAS) can be regarded as a key factor determining the severity of multisystem inflammatory syndrome associated with COVID-19 in children (MIS-C), and often requires treatment in the intensive care unit (ICU) to avoid life-threatening complications. No reputable specific criteria for the diagnosis of MAS in MIS-C patients have yet been identified, and criteria currently used for the diagnosis of hemophagocytic syndromes, such as HLH-2004, MAS-2005, and MAS-2016, are not sufficient for MAS in MIS-C. Our goal in this study was to work out the criteria for the early diagnosis of MAS in MIS-C.
View Article and Find Full Text PDF[Giant pericranial sinus with extensive occipital calvarium defect].
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Background: Giant non-traumatic and non-iatrogenic cranial vault defects are poorly studied due to their rarity. Therefore, diagnosis and analysis of their causes are difficult. In available literature, we found only 4 cases of giant pericranial sinus accompanied by extensive cranial vault defects.
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In the presented clinical observation of complex therapy of severe combined trauma: severe brain contusion, subarachnoid hemorrhage, closed fracture of the occipital bone, closed compression fracture of Th-Th vertebral bodies, contusion of the lungs and kidneys, blunt abdominal trauma and closed fracture of both bones of the right leg in lower third with displacement) in a teenager after an accident, the need for dynamic introscopic examination of the patient is shown for timely detection of abnormalities in the state of brain structures and correction of treatment up to surgical intervention. The effectiveness of the inclusion of Cytoflavin in complex treatment regimens was noted in the form of positive dynamics of the clinical and introscopic picture. The results obtained may serve as a basis for further research.
View Article and Find Full Text PDF[Ultrasonography for peritonsillar abscess diagnosis: benefits and drawbacks].
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Unlabelled: In 2 clinical cases the neck soft tissues ultrasound in the young and old patients allowed to solve the main diagnostic tasks: to determine the presence of peritonsillar abscess cavities, their sizes and localization; to exclude the fit of large vessels near to abscesses and the presence of abnormal vessels; to conduct differential diagnosis of abscesses from a tumor and allergic angioedema. Ultrasound with external access did not require any special preparation, was easily tolerated by the patient, was informative, but it was difficult to determine the puncture place. Intraoral ultrasound was more difficult to conduct, because the transducer should be small in size to enter the patient's mouth.
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