The article is dedicated to the 125th anniversary of the birth of the outstanding Russian pediatrician, Academician Aleksandr Fyodorovich Tur and the 75th anniversary of the lifting the siege of Leningrad in the Great Patriotic War. Professor A.F. Tur directly participated in the organization of medical care for children in the besieged city of Leningrad, for 10 years he was the chief pediatrician of the city. The experience of the work of children’s polyclinics in Leningrad on the basis of a single pediatrician subsequently became the property of the whole country. A.F. Tur made a huge contribution to the protection of children of the besieged city, directed the Children’s Nutrition Board, proposed original methods for combating alimentary dystrophy, helped to create a system of rigorous provision of children with food, shelter, fuel, organization of the correct regime in shelters, and continuous monitoring of vaccinations for children. The Society of Pediatric Doctors headed by Prof. Yu.A. Mendeleva and A.F. Tur was one of the first to renew its meetings in the besieged Leningrad. The name of A.F. Tur is associated with the establishment of domestic dietetics, neonatology, pediatric hematology, pediatric endocrinology. Among his students, there are more than 110 candidates and 28 doctors of medical sciences. In peacetime, A.F. Tur was awarded two orders of Lenin, in 1970 he was awarded (jointly with G.N. Speranskii and Yu.F. Dombrovskaya) the title of the Laureate of the Lenin Prize “... for a series of works on the physiology and pathology of young children, contributing to a sharp decline in morbidity and mortality among them».
The article discusses the role and place of the medical college teacher in preparing a pediatrician. It gives an analysis of academic, medical, methodical and scientific load. It is concluded that there is an imbalance in the types of activities that affects the quality of teaching.
Objective. To evaluate bronchopulmonary dysplasia (BPD) impact on apnea incidence and characteristics in infants.Design and methods. We performed cardiorespiratory monitoring in 25 premature infants with BPD and 25 non-BPD preterms comparable in gestational age (26–30 weeks) at ages of less than 29 days, 29–50 days and > 50 days. Results. Infants with moderate to severe BPD tended to have higher apnea incidence when older than 50 days, and more obstructive episodes, compared to infants with mild BPD and without BPD. Infants with mild BPD had similar apnea type ratio as non-BPD infants. In the second and third age intervals, infants with moderate to severe BPD demonstrated similar prolonged apnea incidence but had rather more apnea accompanied by oxygen saturation (SрO2) falls ≤ 80 %, compared to infants with mild BPD and without BPD. During the irst month infants with mild BPD demonstrated shorter apnea episodes, less prolonged apnea and more apnea with SрO2≤80 % falls compared to non-BPD infants. During the second age interval these characteristics did not differ between the groups. Conclusion. Infants with moderate to severe BPD had longer apnea persistence, more signiicant SрO2falls due to apnea. Respiratory control characteristics seem to be comparable in mild BPD and non-BPD infants from the second month of age.
Authors present an experience of healthcare system of St.-Petersburg in organization of emergency to newborns. Staging of forming of neonatological emergency service and introduction of modern organizational and high-technology methods resulted in success in early neonatal and infant mortality.Key words: newborns, infant mortality, emergency, organization.(Voprosy sovremennoi pediatrii — Current Pediatrics. 2010;9(2):7-10)
Authors of the article put questions of qualitative higher education of pediatricians, necessity of addition of practical work hours in pediatric and maternity care institutions. Also the article describes the ways of skills acquisition corresponding to the tasks of priority national project «Health» with future specialists.Key words: children, education, pediatricians, national project «Health».(Voprosy sovremennoi pediatrii — Current Pediatrics. 2009;8(3):5-9)