Vol 30, No 7 (2019)

The features of the nutritional status were investigated in patients with chronic obstructive pulmonary disease concurrent with the early stages of chronic kidney disease and their association with the level of vitamin D.

One of the main areas of action in the fight against the tobacco smoking (TS) epidemic is to organize and introduce various forms of qualified TS cessation assistance in practical public health service. The paper reports the experience in organizing and introducing qualified TS cessation assistance in practice through the Internet. It describes a system to inform the population about this type of assistance and a scheme of its implementation. Demographic characteristics, the features of a smoking history, and the effectiveness of tele- assistance to 1256 smokers who have used the Internet for smoking quitting have been analyzed. The advantage of assistance delivered via the Internet is its wide availability for people living in the country's most different regions and the low cost of its organization and implementation. The disadvantage of Internet assistance is limited abilities to monitor patients and to assess the results of care provided. The analysis of the authors’ own experience and the data available in the literature has led to the conclusion that there is an absolute prospect for the development and dissemination of qualified TS cessation assistance through the Internet.

Neofibrolifting is the use of autologous fibroblast transplantation in combination with preliminary skin preparation with platelet-rich plasma. This is an effective method for correcting involutional. age-related skin changes.

The medical records of 244 tuberculosis (TB) patients and 125 HIV/TB ones followed up by the Regional TB Dispensary and the Avtozavodsky TB Dispensary in Nizhny Novgorod were analyzed. The patients with TB/HIV tuberculosis were found to have a high mortality rate from tuberculous brain lesion: 34% in 2016 and 29% in 2017. The causes of tuberculosis spread in the penitentiaries were analyzed. An example of HIV-associated meningoencephalitis in a representative of a special contingent of the Nizhny Novgorod region is given. The paper gives an example of HIV-associated meningoencephalitis in a representative of the prison population in the Nizhny Novgorod Region.

The differential diagnosis between inflammatory and neoplastic lesions of the ileocecal angle is a difficult task of abdominal surgery. At the same time, rather informative diagnostic techniques, such as ultrasound, computed tomography, and colonoscopy, do not always help a physician make the right diagnosis before complications dictating the need for surgery develop. These observations clearly demonstrate complexities in the timely diagnosis of inflammatory pseudotumors of the ileocecal region, which have required surgical treatment.

An investigation was conducted, the aim of which was to search for the parameters of a traveling pulsed magnetic field from an ALMAG+ apparatus to selectively activate the mechanisms of stress-implementing or stress-limiting systems.

Quality of life is one of the most pressing problems in healthcare. Electrical muscle stimulation is a highly effective and innovative rehabilitation method that allows the length of high-quality and comfortable life to be increased in elderly patients with cardiac diseases and urinary incontinence.

The analysis of the existing provisions of the regulatory and legal framework governing the rights of citizens with tuberculosis was checked. The legal framework in phthisiology is developing, but, due to the lack of an implementation mechanism, a number of regulatory documents are difficult to apply in practical work. A certain part of citizens do not fulfill their obligations not to spread tuberculosis infection without any consequences for their asocial lifestyle. Inconsistency in the need to comply with medical secrecy with an epidemiological investigation and the implementation of anti-epidemic measures in some cases causes moral damage to the patient, which can serve as a reason for commencement of an action against the dispensary. It is necessary to inform physicians about the social problems of patients with tuberculosis, which will enhance patient compliance. Effective protection of the interests of the individual and society requires further improvement of legal regulation in the fight against the spread of tuberculosis in the Russian Federation.