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Vol 30, No 8 (2019)
- Year: 2019
- Articles: 18
- URL: https://journals.eco-vector.com/0236-3054/issue/view/5832
Articles
3-8
Specific features of the course of Helicobacter pylorl-associated chronic gastroduodenitis in children according to the somatotype
Abstract
Some clinical features of the disease were studied according to the somatotype, in the investigation including 90 children who were treated in a hospital for chronic gastroduodenitis. Children with asthenia were noted to be prone to esophagogastric diseases to a greater extent than normostenic and hypersthenic individuals.
Vrach. 2019;30(8):9-13
9-13
14-16
Impact of concomitant diseases on the choice of antibiotic therapy for pyelonephritis
Abstract
The paper considers the main impacts of concomitant diseases on the choice of drug therapy for pyelonephritis. Diabetes mellitus, drug addiction, and HIV infection are associated with an increased likelihood of the presence of gram-positive pathogens that are uncharacteristic of non-specific infectious and inflammatory diseases of the genitourinary system, as a result of which the drugs of choice should be highly active against not only gram-negative, but also gram-positive microorganisms. Kidney and liver failure and concomitant drug allergy limit the choice of drug therapy, without affecting the distribution of pathogens. In immunodeficiencies, including iatrogenic ones, the main requirement for the empirical therapy of pyelonephritis is the widest possible spectrum of activity. Along with the features of the clinical course, significant safety limitations of the prescribed drugs are characteristic for pregnant women with pyelonephritis
Vrach. 2019;30(8):17-23
17-23
Efficiency of isolation of stromal vascular fraction cells from lipoaspirate without enzymatic treatment
Abstract
This study is a comparative analysis of methods for obtaining a stromal vascular fraction from lipoaspirate. The first method is the classical isolation of a cell population using enzymatic treatment of adipose tissue in a cell laboratory. The second method can be implemented in the operating room, without using enzymes, and within a short time.
Vrach. 2019;30(8):24-28
24-28
Predictors of remission in Cushing’s disease after transsphenoidal endoscopic adenomectomy
Abstract
Two-three-day postoperative examination results, such as a serum cortisol level of <388 nmol/l with 94.9% sensitivity and 75.9% specificity and a plasma adrenocorticotropic hormone level of <20 pg/ml with 83.3% sensitivity and 95.8% specificity, can be used as the optimal prognostic criteria for remission in Cushing’s disease one year after transsphenoidal endoscopic adenomectomy.
Vrach. 2019;30(8):29-32
29-32
33-37
Efficiency of using dual-energy X-ray absorptiometry and bioimpedance analysis in assessing the component composition of the body of patients receiving treatment with programmed hemodialysis
Abstract
The paper compares the efficiency of dual-energy X-ray absorptiometry (DXA) and bioimpedance analysis (BIA) in assessing the component composition of the body of patients on hemodialysis (HD). Examinations were made in 67 patients, including 23 men and 44 women (mean age 54.0±14.4 years), who were treated with programmed HD. The results of determining the total body muscle mass by the findings of DXA and BIA were compared with those obtained using the Bland-Altman method. The correlation coefficient between the indicators: r = 0.994 (p < 0.0001); delta (M±o), 0.48±0.91 kg; 95% confidence interval (CI), -0.71-0.26) kg. DXA does not have significant advantages over tetrapolar multifrequency BIA in assessing the body composition of patients on HD.
Vrach. 2019;30(8):38-40
38-40
The possibilities of preserving the reproductive function of women with placental ingrowth through uterine artery embolization
Abstract
Placental ingrowth is one of the most acute obstetric problems that have become increasingly important in recent years. Owing to the unidirectional work of the departments of a multidisciplinary hospital, high-tech assistance was provided to a patient with the severe and difficult-to-treat pathology and her reproductive function was preserved.
Vrach. 2019;30(8):41-44
41-44
45-48
49-52
Nicorandil in the prevention of cardiac damage and type 4A myocardial infarction with planned percutaneous coronary intervention in patients with atherosclerosis of coronary arteries
Abstract
To study the possibility of reducing the risk of intraoperative cardiac damage and 4a type myocardial infarction by administering the oral nicorandil in patients with a stable form of coronary artery disease before planned percutaneous coronary intervention.
Vrach. 2019;30(8):53-57
53-57
Silent myocardial ischemia and hormonal contraception in young women with metabolic syndrome
Abstract
The frequency and severity of silent myocardial ischemia (SMI) were established in late reproductive-aged women with metabolically healthy obesity and various estradiol level; the effect of estrogen-containing contraceptives on the frequency and severity of manifestations of SMI was evaluated.
Vrach. 2019;30(8):58-60
58-60
Let’s talk about stress. The theoretical minimum for the practitioner
Abstract
The topic of mental health in the modern world is becoming increasingly relevant and goes far beyond the medical context. Stress in the workplace, gender discrimination, social exclusion, unhealthy lifestyle, high risks of violence and physical disability, and human rights violations have a direct impact on the psychophysical state of society. Stress prevention should primarily be aimed at correcting negative social, lifestyle, and professional factors. In addition, drug treatment plays an important role.
Vrach. 2019;30(8):61-65
61-65
An interactive survey of patients with inflammatory diseases of the upper gastrointestinal tract, by using the automated «Electronic Polyclinic» system
Abstract
In the short time frame at a doctor’s office, it seems very relevant to study the efficiency of an interactive survey using the «Electronic Polyclinic» computer program, by detailing all complaints and, at the same time, by minimizing time expenditure, by automatically processing the findings, and by making a preliminary conclusion on disease syndromes. The prevalence and significance of the symptoms of inflammatory diseases of the upper gastrointestinal tract were studied using the automated «Electronic Polyclinic» system.
Vrach. 2019;30(8):66-72
66-72
Tuberculous meningitis in children
Abstract
To improve the outcomes of tuberculous meningitis, it is necessary to actualize phthisiatric alertness in the facilities of the general treatment network, to be able to timely identify Mycobacterium tuberculosis infection, to use all methods for etiological diagnostis, including polymerase chain reaction and Bactec, and to immediately prescribe antituberculosis drugs in suspected tuberculous meningitis.
Vrach. 2019;30(8):73-79
73-79
Possibilities of using Femo-Klim in the menopausal period
Abstract
The paper describes the manifestations of menopause in women and its most characteristic symptom, such as hot flashes. It reflects new approaches to explaining the cause of the latter. It has been established that not only estrogens, but also sufficient amounts of androgens are necessary for physiological processes to operate normally during menopause. The use of Femo-Klim during menopause has a comprehensive versatile effect on the female body, allows the safe normalization of not only the level of estrogen, but also that of androgens, and significantly alleviates perimenopausal manifestations, such as hot flashes, by reducing their number and strength. All components of the drug are physiologically close to those of the human body and do not impair the natural processes operating in the latter. Femo-Klim is a highly effective low-toxicity drug, has a wide spectrum of action, exerts a comprehensive harmonizing effect on the body, and has a relatively affordable cost compared to that of synthetic agents
Vrach. 2019;30(8):80-85
80-85
86-88