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Vol 25, No 9 (2014)

Articles

BEST SELLERS OF OVER-THE-COUNTER DRUGS AND PROBLEMS OF THEIR SAFETY

Ushkalova E., Chukhareva N.

Abstract

The paper considers the safety of over-the-counter drugs used to treat influenza and other acute respiratory viral infections, which were the top 10 selling drugs in February-March 2014.
Vrach. 2014;25(9):2-8
pages 2-8 views

MEDICAL TREATMENT FOR LUMBOSACRAL RADICULAR PAIN

Vorobyeva O.

Abstract

Successful medical management tactics for patients with lumbosacral radiculopathy are based on the exact identification of the radicular pattern of pain and on the assessment of pathophysiological components involved in the development of pain. The current views on the pathogenesis of radicular pain and the principles of targeted therapy are discussed.
Vrach. 2014;25(9):8-12
pages 8-12 views

DIASTOLIC HEART FAILURE: POSSIBILITIES OF DIAGNOSIS AND CHOICE OF ADEQUATE THERAPY

Drapkina O., Man'kova N., Ivashkin V.

Abstract

Cardiac fibrosis has recently generated great interest among clinicians and physiologists. Particular attention has been given to the role of fibrosis in the development of diastolic dysfunction and as a consequence in the occurrence of chronic heart failure with preserved ejection fraction. Myocardial biopsy with determination of the interstitial collagen volume fraction is considered to be the gold standard for qualitative and quantitative assessment of myocardial fibrosis. The histological signs of the latter are detectable just in the early stages of hypertension in patients with moderate left ventricular hypertrophy. However, lifetime endomyocardial biopsy is a traumatic diagnostic technique, thus the development of non-invasive readily accessible methods is of great importance. It is no less important to elaborate general criteria for the early diagnosis of diastolic heart failure, as well as methods for its treatment and prevention.
Vrach. 2014;25(9):12-16
pages 12-16 views

TENSION HEADACHE: FROM CLINICAL DIVERSITY TO THERAPY PRIORITIES

Tabeeva G.

Abstract

The paper discusses the current classification, prevalence, and social and medical burden of tension headache. Despite the high rate of this form of the disease, its diagnosis and adequate treatment are insufficiently developed. The paper presents basic strategies for the management of patients and their priority treatment options.
Vrach. 2014;25(9):17-24
pages 17-24 views

MORTINATALITY AS AN INTERDISCIPLINARY PROBLEM AND WAYS OF ITS SOLUTION

Posiseeva L., Vasilyeva T.

Abstract

According to the 2000-2008 data, the causes of mortinatality in the Ivanovo Region were placental and umbilical cord abnormalities (70.8%) and fetal hypoxia (87.9%). Placental morphological changes in antenatal mortality were mainly associated with infection and its sequels and with impaired spiral artery remodeling in early pregnancy. A package of organizational measures for prevention of mortinatality has been defined.
Vrach. 2014;25(9):24-26
pages 24-26 views

PERIODIC DISEASE: POSSIBILITIES OF DIAGNOSIS

Lykina O., Vetchinnikova O., Kreik I.

Abstract

Periodic disease (PD) is among the most common congenital periodic (autoinflammatory) disorders. The paper describes a clinical case diagnosed with PD during the first visit to a therapeutic-and-prophylactic facility according to the results of a molecular genetic analysis.
Vrach. 2014;25(9):27-29
pages 27-29 views

THE INFLUENCE OF SELANK ON COURSE OF PAIN SYNDROM IN PATIENTS WITH CHRONIC PAIN SYNDROMS OF LUMBOSACRAL SPINE

Lalayan T., Korzhavlna N.

Abstract

The basic principles of multimodality therapy of pain syndrome in lumbosacral spine are discussed in this article. Represented algorithms, including psychoactive drug’ Selank application, have a great potential in a clinical practice of neurologist. A beneficial effect of Selank on the neuropathic component of radiculopathy was established in our study.
Vrach. 2014;25(9):30-34
pages 30-34 views

FUNCTIONAL MORPHOLOGY OF THE THYROID DURING ANTIPSYCHOTIC THERAPY

Volkov V.

Abstract

The side effects of neuroleptics on the thyroid have not been insufficiently investigated. Morphological studies of this issue are unavailable. The functional morphology of the thyroid was studied during different antipsychotic therapy periods.
Vrach. 2014;25(9):34-36
pages 34-36 views

IMPROVEMENT OF THE TECHNIQUES OF ARTHROSCOPIC MEMBRANE CHONDROPLASTY OF THE FEMORAL CONDYLES

Blokov M., Garkavi A., Lychagin A.

Abstract

The paper presents special tools that can improve the technique of arthroscopic chondroplasty of the femoral condyles, by applying the Chondo-Guide collagen membrane. A hand cutting instrument to create the even margins of a cartilage defect and a ruler to measure its sizes are proposed. The use of the special cutting instrument could accelerate the preparation of the bone bed to implant the membrane by 2.9-fold and that of the ruler could determine the sizes of an implantable collagen membrane flap without employing a template, i.e. without resorting to arthrotomy.
Vrach. 2014;25(9):36-38
pages 36-38 views

DIFFERENTIATED APPROACHES TO PREVENTING BRONCHOPULMONARY DYSPLASIA IN TERMS OF HLA PHENOTYPE AND PERINATAL HISTORY

Panov P., Panova L., Akhmadeeva E.

Abstract

Major histocompatibility complex genes and perinatal histories were analyzed in extremely premature infants with bronchopulmonary dysplasia (BPD). Immunogenetic markers for predisposition to the disease and its resistance were ascertained; the most important maternal and neonatal risk factors were specified; a differentiated regimen was elaborated to prevent BPD.
Vrach. 2014;25(9):39-43
pages 39-43 views

THE LEVEL OF sPECAM-1 DURING SYSTEMIC OZONE THERAPY

Yuryeva M., Vinnik Y., Salmlna A., Teplyakova O., Drobushevskaya A., Tretyakova N.

Abstract

Systemic ozone therapy used during combination treatment shows a significant reduction in the titer of soluble platelet endothelial cell adhesion molecule-1 (sPECAM-1) in the peripheral plasma of patients with local cold injury and arterosclerosis obliterans of the lower extremities.
Vrach. 2014;25(9):44-46
pages 44-46 views

PROTEIN-ENERGY MALNUTRITION IN ELDERLY PATIENTS AFTER GASTRIC SURGERY

Baranovsky A., Protopopova O.

Abstract

The role of true food intolerance in the development of protein-energy malnutrition in elderly patients after gastric surgery has been studied.
Vrach. 2014;25(9):46-49
pages 46-49 views

THE PARAMETERS OF HEMOSTASIS AND PROTEIN AND LIPID METABOLISM AND THE DURATION OF TYPE 1 DIABETES MELLITUS

Petrik G., Pavllshchuk S.

Abstract

It has been found that the platelet coagulation hemostatic changes occurring at the onset of type 1 diabetes mellitus (DM1) are steady-state and unrelated to disease duration and their associated alterations in carbohydrate, protein, and lipid metabolic parameters are determined by the duration of DM1.
Vrach. 2014;25(9):50-53
pages 50-53 views

VACCINATION WITH THE RUSSIAN INFLUENZA VIROSOME-FORMULATED VACCINE ULTRIX® IN ADULTS 18-60 YEARS OF AGE

Feldblyum I., Polushklna A., Vorobyeva N.

Abstract

This prospective randomized clinical observation of 18-60-year-old adults vaccinated with the Russian influenza split virosome-formulated inactivated vaccine Ultrix® has evaluated its reactogenicity, safety, immunogenicity, and preventive efficacy. The vaccine shows high safety profile, low reactogenicity, sufficient immunogenicity, and high preventive efficacy.
Vrach. 2014;25(9):56-58
pages 56-58 views

IMPLANTABLE CARDIAC MONITORS IN THE CHOICE OF TREATMENT POLICY IN CHILDREN WITH SYNCOPE

Trofimova T., Termosesov S., Shkolnikova M.

Abstract

Long-term continuous ECG registration (for as long as 3 years) using implantable cardiac monitors can establish the cause of childhood syncope of unclear etiology in more than half of cases.
Vrach. 2014;25(9):59-65
pages 59-65 views

FIVE YEARS’ EXPERIENCE WITH MODIFIED CESAREAN SECTION

Butunov O., Oboskalova T., Glukhov E., Anisimov K.

Abstract

The applied modification of cesarean section using electrosurgical technologies, argon plasma coagulation of a uterine suture in particular, considerably reduces the rate of severe endometritis in the postoperative period.
Vrach. 2014;25(9):66-68
pages 66-68 views

USE OF CORONATERA IN PATIENTS WITH ISCHEMIC HEART DISEASE IN COMBINATION WITH ARTERIAL HYPERTENSION IN SANATORIUM TREATMENT

Ovcharov A.

Abstract

The results of treatment of ischemic heart disease in combination with arterial hypertension using routine methods and using Coronatera in the resort were compared. Preliminary studies have shown that the use of Coronatera during the course (18 days) leads to a decrease in systolic blood pressure on 7,15%, which is the best result. More powerful studies are needed to confirm the result and the formation of methodical recommendations on the application of Coronatera.
Vrach. 2014;25(9):69-70
pages 69-70 views

INFORMATION REPLICATION OF MEDICAL LIE: STUDY OF GENDER-SEX ASPECTS

Groshev I., Doru-Tovt V.

Abstract

The paper analyzes reasons for medical lie and the specific features of its different types. It gives gender differences in the propensity to lie. The general and specific characteristics of the pattern of a lying situation image, which are determined by sex (gender) differences, are shown.
Vrach. 2014;25(9):72-76
pages 72-76 views

SOCIOMEDICAL LOSSES DUE TO DEATHS OF THE POPULATION OF AN INDUSTRIAL TOWN AND MEASURES FOR THEIR REDUCTION

Kallnkln D., Karpov A., Takhauov R., Semenova Y., Koshel A., Klokov S., Samoilova Y., Oreshln A.

Abstract

The paper presents data on life and labor potential losses due to deaths of the population of an industrial town and the results of practical measures aimed at reducing sociomedical losses.
Vrach. 2014;25(9):77-80
pages 77-80 views

AN EFFECTIVE HEAD OF A URBAN POLYCLINIC (RESULTS OF A SOCIOLOGICAL SURVEY)

Taits B., Kosenko A., Stvollnsky I.

Abstract

The performed comprehensive study could establish differences in the opinion of physicians and heads as to the obligatory character traits of an effective head.
Vrach. 2014;25(9):80-84
pages 80-84 views

AN AUTOMATED CLINICAL GUIDELINES AND (SACRAL) TREATMENT AUDIT SYSTEM IN NEUROLOGY

Nazarenko G., Kleimenova E., Konstantinova M., Kashevskaya O., Payushchik S.

Abstract

The given system (using a neurological module as an example) provides support for treatment decision on the basis of guidelines and individual risk factors, generates protocols, and ensures a statistical analysis of data, automatic generation of a registry and an audit that includes quality indicators corrected for an individual risk profile.
Vrach. 2014;25(9):84-87
pages 84-87 views

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