Explanipedia

Effective communication between doctor and patient is the key to successful medical care Open

E. S. Keshishyan, E. A. Tarshina · 2025

The article discusses various approaches to conducting medical consultations. This topic is extremely relevant in Russia, where a paternalistic approach traditionally prevails. Special attention is paid to pediatrics, where effective commu…

Urolithiasis in early childhood: treatment approach illustrated by a case report Open

Nikolay Shchapov, E. S. Keshishyan, N. A. Telyatnikov, P. V. Bullikh, V. A. Epishov , et al. · 2025

Urolithiasis in young children is a rare condition requiring particular attention due to its potential complexity and the necessity of an individualized treatment approach. This article presents a case study of a 5-year-old child treated f…

Pathogenetic aspects of the development of autism spectrum disorders Open

V. P. Stupak, E. S. Keshishyan, Svetlana Vasilyevna Garina · 2024

There is currently an increase in the number of patients diagnosed with autism spectrum disorders due to the broad interpretation of the criteria for this diagnosis and an actual increase in the number of children with impaired communicati…

Organization of medical care for newborns with congenital malformations in the Moscow Region Open

Nikolay Shchapov, E. S. Keshishyan, Ekaterina V. Ekimovskaya, T. N. Melnik, Д. А. Пыхтеев · 2023

Infant deaths like a litmus paper reflects the level of development of the medical care in the country. The active development of this industry in general and pediatric medicine in particular made it possible to reduce this indicator signi…

Premature children and assessment of their capability for school education by 7 years of age (the role of interdisciplinary approach Open

E. S. Keshishyan, M. I. Ziborova, Е. С. Сахарова · 2023

In recent decades, there has been a distinct increase in the number of deeply and extremely preterm children without structural organic lesions of the nervous system. A comprehensive study and clinical observations of these children reveal…

Prevalence of bronchopulmonary dysplasia in the Russian Federation. Are the data real? Open

D.Yu. Ovsyannikov, E. S. Keshishyan, I.V. Krsheminskaya, O.V. Bystrova · 2022

Bronchopulmonary dysplasia is the most common chronic lung disease in children under three years. Risk factors of bronchopulmonary dysplasia include prematurity, low birth weight, intrauterine growth restriction, and prolonged respiratory …

A clinical case of Streptococcus equi subsp. ruminatorum infection in a 9-year-old child Open

K. P. Yablonskaya, E. S. Keshishyan, D. A. Yelagin, M. A. Klimkova, А. V. Degtyareva · 2022

Streptococcus equi subsp. ruminatorum is a zoonotic disease that can cause serious morbidity in immunocompromised people. The first case of infection in human was described in 2007. We describe a case of infection in a 9-year-old child wit…

Immunization of preterm infants Open

E. B. Florinskaya, E. S. Keshishyan · 2022

The article analyzes the recommended immunization schedule for premature babies. Due to the large number of routine medical disruptions this topic is extremely relevant in the Russian Federation today. Based on the modern scientific data t…

Takotsubo syndrome in an adolescent with spinal amyotrophy after surgical treatment Open

K. P. Yablonskaya, D. Yu. Schekochikhin, С. А. Федоров, S A Terekhin, S. B. Tshornikov , et al. · 2021

Takotsubo syndrome (stress-induced cardiomyopathy) is well known in adult cardiology practice, and it also occurs in children. Takotsubo syndrome develops after emotional or physical stress. There is an acute transient disorder of the left…

Prevention of Diaper Irritation and Redness in Newborns and Infants: Results from the Dexpan Plus® Baby Clinical Study Open

E. S. Keshishyan, Е. С. Сахарова, G. A. Alyamovskayа, Н. В. Павлова · 2021

Diaper dermatitis is a common disease in children under 2 years of age; its prevention is based on proper care, hygiene, frequent diaper changes, aeration, gentle skin cleansing and the optimal choice of cosmetics. The authors conducted an…

Modern approaches to the physical development indicators in children in their first months of life Open

G. A. Alyamovskayа, Е. С. Сахарова, E. S. Keshishyan · 2020

The design of new growth standards for infants in first years of life is one of the important problems in pediatrics today. Clinical issues showed, that body mass indices are not representative for body composition and couldn’t be used as …

Algorithm of diagnostics of cognitive functions development violation in children born extremally premature Open

E. S. Keshishyan, G. A. Alyamovskayа, Е. С. Сахарова, Svetlana G. Vorsanova, Demidova Ia , et al. · 2020

A qualitative improvement in the management of pregnancy and delivery, optimization of General care and provision of intensive care for children born prematurely, particularly with low and extremely low body weight, significantly reduced t…

Relationship of the cranial ultrasound results – neurosonography – with the outcomes of psychomotor development of very premature infants Open

Е. С. Сахарова, E. S. Keshishyan, G. A. Аlyamovskaya · 2019

This article analyzes the neurosonography results and compares with neurological symptoms in premature infants with very low and extremely low birth weight. The authors retrospectively assessed the cranial ultrasound results from neonatal …

Disorders of carnitine metabolism in premature infants with fan-associated pneumonia Open

V. V. Garmaeva, G. M. Dementieva, М. В. Кушнарева, Galina Baydakova, В. С. Сухоруков , et al. · 2019

We studied the concentration of carnitine and its fractions in peripheral blood in 22 premature infants with fan-associated pneumonia and in 20 conditionally healthy premature infants by tandem mass spectrometry. The birth body weight of c…

Diaper dermatitis. The role of a nurse in the care of a baby with diaper dermatitis Open

E. S. Keshishyan, Е. С. Сахарова, N. V. Afanasyeva · 2019

This article is a continuation of a series of articles on the role of nurses in the care of children during their first year of life. The article presents the authors’ vision on the creation of a team system (doctor – nurse) of outpatient …

Baby skin care tips Open

E. S. Keshishyan, Е. S. Sakharova, N. V. Afanasyeva · 2018

The article proposes a variant of functional responsibilities distribution between the patronage nurse and the doctor regarding counselling on the baby skin care and correction of the most frequent and typical disruptions of its continuity…

The nurse’s role in the effectiveness of dispensary management of young infants. A nurse and her assistance to an infant, family and doctor with correction of the functional intestinal colic during the first months of life Open

E. S. Keshishyan, N. V. Afanasieva · 2018

The article presents the main variants of functional gastrointestinal disorders in young infants - posseting, evacuation disorder, intestinal infantile colic, clinical features, modern view on the causes and methods for correction of these…

EFFECTIVENESS OF PALIVIZUMAB IN PREVENTING RSV HOSPITALIZATION IN HIGH-RISK CHILDREN: A PROSPECTIVE OBSERVATIONAL MULTICENTER STUDY Open

А.I. Chubarova, И. В. Давыдова, И. В. Виноградова, E. A. Degtiareva, E. S. Keshishyan , et al. · 2017

Background: Palivizumab is indicated for the prevention of serious respiratory syncytial virus (RSV) disease in high-risk infants.Aims: The purpose of the study was to assess the real-world effectiveness and safety of palivizumab in childr…

Modern forms of organization of medical and preventive support of premature infants in Russian Federation Open

E. S. Keshishyan, Е. С. Сахарова, G. A. Аlyamovskaya · 2017

The high frequency of injuries to immature internal organs and body systems of premature infants in the postnatal period contributes to the formation of chronic pathology and the violation of neurocognitive development, making a significan…

Premature birth as a medical social problem. Part 3. Methods of premature infants follow-up Open

Е. С. Сахарова, E. S. Keshishyan, G. A. Аlyamovskaya · 2017

The improvement in newborn intensive care leads to increasing of survival rate in premature infants with very low and extremely low birth weight. Adaptive characteristics of premature infants together with high risk of severe somatic and n…

Issues of breastfeeding. How to increase lactation? (experience exchange) Open

E. S. Keshishyan · 2016

The article analyzes problems arising during breastfeeding and possible solutions.

Role of pediatric postneonatal follow-up of premature infants in optimizing their development, somatic health, and social adjustment Open

M. I. Ziborova, E. S. Keshishyan, Е. С. Сахарова · 2016

The paper discusses the sociomedical and economic efficiency of creating the so-called third nursing stage - outpatient follow-up. At this stage, attention is focused on the topical aspects relating to methodology for following up extremel…

Principles in the organization of care to premature infants in the postneonatal period Open

Е. С. Сахарова, E. S. Keshishyan · 2016

Based on the analysis of its 15-year activities, the Center for Development Correction in Premature Infants has developed and laid down principles in the organization of a follow-up, treatment, and habilitation of premature infants in the …

A preterm infant: Unsolved sociomedical and psychopedagogical problems Open

E. S. Keshishyan · 2016

The paper gives an update on the health status of children who were born prematurely, particularly those who had low and extremely low birth weight, in late childhood. A range of unsolved problems in setting up a further follow-up system f…

The content of chemical elements in the urine of neonatal infants in health and perinatal diseases Open

М. В. Кушнарева, E. A. Yuryeva, E. S. Keshishyan · 2016

The urine content of heavy metals was examined in 113 newborns aged 7 to 15 days, living in Moscow and the Moscow region. Ten infants were healthy; 103 babies had perinatal infectious and non-infectious diseases. Uranium, gallium and zirco…

Efficiency of using the probiotic «Linex for children» in infants with acute respiratory viral diseases Open

М. В. Кушнарева, E. S. Keshishyan, M. V. Prytkina · 2016

The efficacy of the probiotic "Linex for children" containing bifidobacteria to maintain the intestinal microflora and local intestinal immunity was studied in infants with acute respiratory viral infection (ARVI). All children received an…

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