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Vol 25, No 5 (2014)
- Year: 2014
- Articles: 24
- URL: https://journals.eco-vector.com/0236-3054/issue/view/5935
Articles
2-5
RESISTANT ARTERIAL HYPERTENSION: DIFFERENTIAL APPROACH TO THERAPY
Abstract
The larger number of used drugs, the more complexity of a treatment regimen, and the higher cost of treatment usually deteriorate its adherence in hypertensive patients. Therefore, one must try to maximally simplify the treatment regimen. Thus, preference should be given to long-acting agents for the number of used drugs and their administration frequency to be reduced, as well as to fixed-dose antihypertensive drug combinations.
Vrach. 2014;25(5):6-12
6-12
Samara State Medical University
Abstract
The paper considers the specific features of the clinical manifestations, differential diagnosis, treatment, and prevention of occupational polyneuropathies caused by industrial vibration, contact ultrasound, physical overexertion, and chemical factors. It also describes the role of current drugs in the pharmacotherapy of occupational polyneuropathies.
Vrach. 2014;25(5):13-19
13-19
19-23
CURRENT PROTON PUMP INHIBITORS IN THE THERAPY OF GASTROESOPHAGEAL REFLUX DISEASE
Abstract
The increase of the prevalence of gastroesophageal reflux disease (GERD) determines the importance of its timely diagnosis and adequate treatment. Proton pump inhibitors (PPIs) are basic agents for the therapy of GERD. The paper describes the pharmacokinetic benefits of the latest-generation PPIs, monoisomers, and their role in the therapy of GERD.
Vrach. 2014;25(5):24-28
24-28
28-30
EVALUATION OF THE EFFICIENCY OF COMBINED PHARMACOTHERAPY
Abstract
The efficiency of combined pharmacotherapies was evaluated in rheumatic patients, by comparing the quantitative parameters of prediction of expected and potential drug interactions. The specific risk factors of potential drug interactions were assessed from the number of drugs that affected common pharmacodynamics and pharmacokinetic targets. The quantitative parameters of the nonspecific risk factors characterizing the total number of concurrently used drugs, their doses, and therapeutic range were obtained.
Vrach. 2014;25(5):31-36
31-36
37-38
THE TRANSDERMAL GLUCOSAMINE COMPLEX CHONDROXIDE® MAXIMUM IN KNEE OSTEOARTHROSIS
Abstract
The paper gives the results of a comparative controlled trial of topical Chondroxide® Maximum cream and intramuscular Alflutop solution used in patients with knee osteoarthrosis (OA). Analysis of the WOMAC index has shown the most dynamic pain response comparable for both test agents. The transdermal glucosamine complex Chondroxide® Maximum has proved to exert a symptom-modifying effect. The good tolerability and safe of the cream may be recommended for the combination therapy of OA.
Vrach. 2014;25(5):39-43
39-43
44-46
46-47
48-50
EXPERIENCE IN TREATING PATIENTS WITH SPASTIC DIVERTICULAR DISEASE OF THE COLON
Abstract
The paper analyzes the results of treatment in 676 patients with spastic diverticular disease of the colon at Moscow City Clinical Hospital Sixty-Seven in the past 3 years. It shows trends in surgical tactics and a direct relationship between the patients’ age, the time to seeking medical advice, and treatment results.
Vrach. 2014;25(5):50-51
50-51
THE INFLUENCE OF LOW-INTENSITY OF INTRAVENOUS LASER IRRADIATION OF BLOOD ON THE CYTOKINE’S DYNAMICS OF PATIENTS WITH GASTROESOPHAGEAL REFLUX DISEASE
Abstract
The aim of the research was to reveal the influence of low-energy laser radiation of blood on the cytokine’s dynamics of patients with gastroesophageal reflux disease and to compare the changes in the group that received drug therapy only. We studied the parameters 100 patients with gastroesophageal reflux disease. The low-energy laser radiation of blood significantly successful dynamics of the studied cytokines of patients with GERD.
Vrach. 2014;25(5):52-54
52-54
DIAGNOSIS OF GIARDIASIS AND MONITORING THE EFFICIENCY OF ITS THERAPY IN CHILDREN
Abstract
Giardiasis promotes the maintenance of a destructive and ulcerative process in children with multiple gastroduodenal erosions and peptic ulcer. The efficiency of antiparasitic therapy is monitored using the urea breath test (by the UBT-HN 3 procedure) during and 1.5 months after therapy.
Vrach. 2014;25(5):55-58
55-58
DIAGNOSTIC ROLE OF ULTRASOUND STUDY IN RHEUMATOID ARTHRITIS IN CHILDREN AND ADOLESCENTS
Abstract
Ultrasound study (USS) (sonography) is a simple, non-invasive technique of investigating the locomotor apparatus, which enjoys wide application when examining children and adolescents as it is not associated with the use of ionizing radiation that is harmful to the growing organism. At the present stage, sonography is a practically compulsory study in the examination of patients with joint inflammatory lesions and in the monitoring of their treatment results, including those in rheumatoid arthritis. USS enables one to visualize a minimum of joint effusion, to detail the magnitude of changes in the synovial membrane, and to diagnose tendon pathology.
Vrach. 2014;25(5):58-60
58-60
61-63
64-67
AGE SPECIAL FEATURES OF ENDOTHELIUM DAMAGE IN PATIENTS WITH RHEUMATOID ARTHRITIS
Abstract
Is discussed the state of endothelium in 78 patients with rheumatoid arthritis (RA) in the 3 groups: young, middle and old age and the possibility to use indices of the endothelial dysfunction as the risk factors of the development of cardiovascular complications in this contingent of patients.
Vrach. 2014;25(5):67-69
67-69
A NOVEL DECISION ON HAND DERMATITIS CONTROL IN COSMETOLOGY HEALTH WORKERS AND PATIENTS
Abstract
The prevalence of occupational contact dermatitis in medical specialists is an acute sociomedical problem. The dermatitis is caused by hand skin exposure to aggressive chemical and physical agents. The use of new-generation nanoliposomal emollients can solve this problem promptly. The results of observations show the good tolerability, efficacy, and health workers’ high appraisal of new-generation Laboratoire 3S GmbH hand skin care products.
Vrach. 2014;25(5):69-72
69-72
OSTEOARTHROSIS IN PATIENTS WITH JOINT HYPERMOBILITY: SEVERITY AND RISK SIMULATION
Abstract
The urgency of the problem with joint hypermobility (JHM) and its closely related JHM syndrome is determined not only by the prevalence of JHM among the able-bodied population, but also by the high risk of early osteoarthrosis (OA). The family pattern of JHM has been established, suggesting its genetic nature. An OA risk prediction model has been proposed to identify a high-risk group of patients with JHM and to implement early preventive measures in them.
Vrach. 2014;25(5):72-76
72-76
CONFOCAL LASER ENDOMICROSCOPY IN THE DIAGNOSIS OF BILE DUCT DISEASES
Abstract
The paper describes clinical cases of bile duct diseases (including cholangiocarcinoma) resulting from chronic pancreatobiliary diseases. Probe-based confocal laser endomicroscopy (PCLE) was first used to diagnose this pathology, which could specify and verify the diagnosis. The authors conjecture that PCLE can be of critical importance in the diagnosis of pancreatobiliary diseases if other techniques are ineffective or low informative.
Vrach. 2014;25(5):77-82
77-82
APPROACHES TO ANALYZING MEDICAL CARE FOR PATIENTS WITH CHRONIC VIRAL HEPATITIS C AND B UNDER THE PRESENT CONDITIONS
Abstract
The paper compares various (municipal, departmental, and university) models of medical care for patients with chronic hepatitis C and B from the viewpoint of their cost-efficiency and different antiviral therapy regimens, by making the ABC-VEN analysis and assessing the patients’ quality of life before and after treatment.
Vrach. 2014;25(5):83-85
83-85
HEALTH CARE LOANS IN RUSSIAN FEDERATION: SITUATION ANALYSIS AND DEVELOPMENT PROSPECTS
Abstract
Medical goods and services crediting is gradually increasing in the Russian Federation under market economy conditions. Health care loans do not conflict with the current legal frame work and could promote an increase in accessibility and public demand for paid medical services. Both for banks and for medical organizations (private and public) high-interest and profitable lending programs could be generated based on the analysis of international experience and of the Russian market of paid medical services.
Vrach. 2014;25(5):85-88
85-88