Vol 25, No 11 (2014)

The local and systemic use of anti-adhesive agents has not as yet yielded satisfactory results in the majority of clinical trials and some agents are still in an experimental stage. There are a lot of unsolved problems in describing the pathogenesis of peritoneal commissures and in using their prevention methods based on pathogenetic mechanisms.

The article deals with surgical treatment for proximal humeral fractures by using current implants.

Febrile seizures are the most common paroxysmal events in pediatric practice; they constitute as high as 10% of all emergency medical cares. Correct diagnosis and appropriate management tactics in children prevent the development of complications.

The paper describes various combination therapies for acute respiratory infections in children. It gives the data available in the literature on the efficacy of Echinacea preparations, indications and recommendations for the use of Immunal® plus С.

Secondary tumors are extremely rare in the pattern of malignant laryngeal tumors. The paper describes a case of clear cell renal carcinoma metastasis to the thyroid and larynx, which leads to upper airway stenosis, and the challenges the authors have faced when verifying the pathological process and provides a rationale for the choice of surgical treatment.

The article describes a case of liquorrhea intraoperatively occurring during endoscopic endonasal removal of frontal sinus osteotoma. A surgeon’s tactic and a defect closure procedure are described in detail. The long-term postoperative results of surgical treatment are given.

The actual incidence of bladder and prostate tumors and their risk were found to be higher in Siberian chemical plant workers long exposed to occupational radiation than in persons working out of contact with ionizing radiation sources.

Osteoporosis (OP) is one of the major diseases concurrent with chronic obstructive pulmonary disease (COPD); it is frequently undiagnosed and associated with poor health and prognosis. The risk factors and special features of osteopenic syndrome are analyzed in patients with COPD. The high risk of fractures due to the wide spread of risk factors for OP and to a significant reduction in bone mineral density in patients with COPD necessitates the timely diagnosis, treatment, and prevention of osteopenia.

Приведен случай из практики: через 2 года после артроскопической хондропластики с укрытием хрящевого дефекта коллагеновой мембраной Chondro-Gide в ходе повторной артроскопии визуализирована область имплантации мембраны, представленная полноценным хрящевым регенератом.

Clinical and immunological examinations were made in 70 reproductive-aged women with laboratorily verified Candida and Mycoplasma infection of the lower genitourinary tract. In addition to clinical changes, the patients were found to have dysfunctions in the cellular components of the innate immunity system: impairments in phagocytic activity and oxygen-dependent metabolism. Incorporation of aminodihydrophthalasinedione sodium (Galavit®) into their combination treatment regimen contributed to more obvious normalization of clinical manifestations and more positive immunological changes than in the comparison group.

Lappaconitine hydrobromide (Allapinine) was used in a patient after successful resuscitation for ventricular fibrillation.

The concurrence of diabetes mellitus (DM) and pulmonary tuberculosis is more commonly diagnosed in young men; in most cases, carbohydrate metabolic disturbances precede the development of a specific process in the lung. Patients with type 1 DM were recorded to have severe disseminated forms of pulmonary tuberculosis; those with type 2 DM (DM2) were observed to have milder circumscribed forms (tuberculoma, focal tuberculosis) in 20.6% of cases. All patients with DM and pulmonary tuberculosis showed carbohydrate metabolic decompensation; in this connection, DM2 patients previously treated with sugar-lowering medications in tablet form should switch over to insulin treatment and those treated with insulin before hospitalization should increase its average daily dose by 59%.

Shows the need for a differentiated approach to prevention of infections associated with medical care.

The degree of material security of healthcare workers is one of the most important indices of their social status. Comparing the main sources of physicians’ incomes in the pre-Revolution Russia, the author highlights a gradual intensification of economic differentiation in the medical community.