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Vol 26, No 4 (2015)

Articles

CHRONIC OBLITERATING DISEASES OF THE LOWER EXTREMITY ARTERIES: PROGNOSTIC VALUE OF CARDIOVASCULAR RISK FACTORS

Lazutkina A., Gorbunov V.

Abstract

The paper gives the results of a 6-year prospective follow-up of 7959 locomotive crew mates at the Trans-Baikal railway. The prognostic value of cardiovascular risk factors and target organ lesions for the development of chronic obliterating diseases of the lower extremity arteries was studied.
Vrach. 2015;26(4):2-6
pages 2-6 views

CEREBRAL VENOUS CIRCULATION: DIAGNOSIS AND PRINCIPLES OF THERAPY

Pizova N.

Abstract

The paper considers the anatomy and physiology of cerebral venous circulation, the main types of its clinical manifestations, diagnostic principles, and treatment approaches. Possibilities of using L-lysine escinate are shown.
Vrach. 2015;26(4):7-10
pages 7-10 views

ECHOCARDIOGRAPHIC PARAMETERS OF THE HEART IN PREGNANT WOMEN WITH SOMATIC DISEASES

Konyshko N., Morozova T.

Abstract

The paper demonstrates the relationship of the time course of changes in the echocardiographic structural and geometric parameters in pregnant women with chronic and gestational hypertension to the type and degree of disease.
Vrach. 2015;26(4):11-14
pages 11-14 views

TREATMENT FOR INGUINAL HERNIA: TRENDS AND PROBLEMS

Chernousov A., Khorobrykh T., Slnyakln S., Vychuzhanln D., Belousov A.

Abstract

Surgical treatment in patients with inguinal hernias remains one of the most relevant problems in abdominal surgery. The authors consider general current approaches to surgical treatment for inguinal hernias in terms of their efficiency and safety.
Vrach. 2015;26(4):15-17
pages 15-17 views

IS IT POSSIBLE TO CURE ACUTE APPENDICITIS WITHOUT SURGERY?

Krylov N., Samokhvalov A.

Abstract

The obtained results give additional opportunities for the antibiotic treatment of acute appendicitis in patients, who had refused from surgery, and in patients which had severe concomitant diseases because nonperforated forms of acute appendicitis respond well to antibiotic therapy.
Vrach. 2015;26(4):18-20
pages 18-20 views

PRONORAN IN MONOTHERAPY AND COMBINED TREATMENT FOR PARKINSON’S DISEASE

Lyubimov A., Kretova A., Borzunova L., Krol N.

Abstract

Pronoran is one of the effective dopamine receptor agonists. It may be successfully used for the therapy of both early- and late-stage Parkinson’s disease, by improving day-to-day motor activity in patients and their quality of life.
Vrach. 2015;26(4):21-23
pages 21-23 views

ESTIMATION OF THE BENEFIT OF ACETYLSALICYLIC ACID IN THE PRIMARY PREVENTION OF CARDIOVASCULAR DISEASES

Napalkov D.

Abstract

The paper gives an update on the use of different acetylsalicylic acid formulations (enteric-coated aspirin and buffered aspirin with antacid) for the primary prevention of cardiovascular diseases and on the estimation of the benefit of proposed therapy.
Vrach. 2015;26(4):24-26
pages 24-26 views

TREATMENT OPTIMIZATION IN PATIENTS WITH DISSEMINATED ECZEMA

Khlsmatulllna Z., Abdrakhlmova N., Nadyrchenko R., Mustaflna G., Yamllkhanova A.

Abstract

The investigation has shown the high efficiency of a combination treatment option using the metabolic probiotic BACTISTATIN® to treat disseminated microbial eczema, by significantly reducing the severity of the disease.
Vrach. 2015;26(4):27-29
pages 27-29 views

POSSIBILITIES OF COMBINED THERAPY IN REDUCING A CARDIOVASCULAR RISK

Ermolaeva A., Dralova O., Maksimov M.

Abstract

The paper gives the results of investigating the antihypertensive and hypolipidemic efficiency of combined antihypertensive therapy with the angiotensin-converting enzyme inhibitor perindopril and the thiazide-like diuretic indapamide.
Vrach. 2015;26(4):30-33
pages 30-33 views

USE OF MYORELAXANTS IN THE TREATMENT OF RADICULOPATHY

Eremeeva I., Ryazantseva I., Khamitova R.

Abstract

Whether baclofen may be used in the occurrence of muscle tone syndrome in patients with dorsopathy has been studied. Combination treatment with myorelaxants has been shown to be effective in patients with spondylogenic radicular ischemia due to degenerative and dystrophic changes in the spine.
Vrach. 2015;26(4):33-34
pages 33-34 views

WRITER’S CRAMP

Shavlovskaya O.

Abstract

The paper describes a clinical case of writers cramp that is a focal dystonia of the hand. Its diagnosis is based only on the analysis of its clinical picture that is assessed solely during clinical examination. Rehabilitation measures to hand movement recovery and a 2-year follow-up were made clearly controlling all the recommendations to be fulfilled. Positive therapy-induced changes were achieved.
Vrach. 2015;26(4):36-39
pages 36-39 views

EEG FREQUENCY-POWER COMPONENTS IN PATIENTS WITH RESPIRATORY PANIC ATTACKS

Romanenko E., Vorobyeva O.

Abstract

Comparative analysis of ECG frequency-power characteristics at resting and after 3-minute hyperventilation showed that patients with respiratory panic attacks, unlike those with the typical pattern of attacks and healthy examinees, were observed to have higher slow wave activity with в-rhythm hypersynchronization in the temporal-central region.
Vrach. 2015;26(4):39-43
pages 39-43 views

VOMITING IN PREGNANT WOMEN: IS EVERYTHING ALWAYS SO WELL?

Mareeva M., Petrukhin V., Mravyan S., Shuginin I., Belousova E., Nikitina N.

Abstract

The occurrence of vomiting in pregnant women at different gestational ages may be associated with the development of hyperrenin secondary aldosteronism with normal blood pressure. At the same time, the prognosis may be very unfavorable for the mother and fetus.
Vrach. 2015;26(4):43-46
pages 43-46 views

HYPOTHYROIDISM IN PREGNANT WOMEN: CLINICAL AND MORPHOLOGICAL PARALLELS

Pavlova T., Malyutina E., Petrukhin V., Markovskaya V.

Abstract

Biochemical tests and morphological studies were performed in patients with hypothyroidism showed fetoplacental circulatory dysfunction; pathohistologically revealed changes in the vascular bed, uterus, and placenta may lead to severe maternal and fetal metabolic and ischemic disorders.
Vrach. 2015;26(4):47-49
pages 47-49 views

BREAST AUGMENTATION IN CONGENITAL DEFORMITY OF THE CHEST

Alyautdin S., Reshetov I., Milanov N.

Abstract

The paper presents an algorithm for estimating of the breast asymmetryin patients with chest deformity presenting for breast augmentation. Breast augmentation allowedto eliminatethis asymmetry. Morphometric analysis showed a high efficiency ofsuggested newsurgical techniques for correctionbreast asymmetry in patients with Poland syndrome.
Vrach. 2015;26(4):50-53
pages 50-53 views

PROSTHETIC TREATMENT OF PATIENTS WITH MUCOUS MEMBRANE DISEASE

Utyuzh A., Samusenkov V., Makarov A.

Abstract

This article describes the best practices of prosthetic treatment of patients with oral mucosa diseases. Research conducted at the First Moscow State University named Sechenov I., department of Prosthetic Dentistry revealed low patients' awareness of rules of use and care of orthopedic structures. This in turn affects the deterioration of patients' life as well as growth of oral mucosa diseases. The article proposes methods of prevention and treatment of these pathologies that improve the situation.
Vrach. 2015;26(4):53-55
pages 53-55 views

ATTENTION! A MOTOR TRANSPORT DRIVER AT THE RECEPTION

Elgarov A., Kalmykova M., Elgarov M.

Abstract

Hypertension and cardiac arrhythmias are common among drivers; they have significant risk factors for atherosclerosis. The paper considers the impact of this disease on the quality of professional efficiency and traffic safety, as well as the secondary prevention of hypertension in drivers.
Vrach. 2015;26(4):56-60
pages 56-60 views

BRONCHOSCOPY IN NEUROLOGICAL PRACTICE

Shteiner M., Biktagirov Y., Belousova T.

Abstract

Diagnostic seeking in neurological patients is more frequently aimed at revealing a primary focus in metastatic central nervous system involvement; the main therapy indications are associated with aspiration of gastric contents and massive lower respiratory tract obstruction with bronchial secretion.
Vrach. 2015;26(4):60-63
pages 60-63 views
pages 64-65 views

CORRECTION OF COGNITIVE IMPAIRMENTS AFTER AORTOCORONARY BYPASS SURGERY

Petrova M., Prokopenko S., Eremina O., Mozheiko E., Kaskaeva D.

Abstract

The paper describes an observation of a female patient with moderate cognitive impairments and coronary heart disease before and after aortocoronary bypass surgery, who perioperatively used citicoline (Ceraxon) as an agent of neuroprotection to reduce cognitive deficit.
Vrach. 2015;26(4):66-69
pages 66-69 views

IMPACT OF PROSTATE BIOPSY ON URODYNAMICS IN INFRAVESICAL OBSTRUCTION

Gevorkyan A., Avakyan A., Pavlyuk M., Ishmuratov M., Pinchuk I.

Abstract

The investigation of the impact of transrectal multifocal prostate puncture biopsy on urodynamic parameters with regard to the degree of infravesical obstruction revealed a high risk of complications with a prostate volume of >60 cm3.
Vrach. 2015;26(4):69-70
pages 69-70 views

BIOCHEMICAL PARAMETERS OF LIPID METABOLISM IN PATIENTS WITH UNSTABLE ANGINA AND HEMODYNAMICALLY SIGNIFICANT CORONARY STENOSIS

Petelina T., Musikhina N., Gapon L., Takkand A., Osipova I., Belosludtseva O.

Abstract

Seventy-five male and female patients aged 60.1±10.7 years with coronary heart disease (CHD) and unstable angina were examined. A group of patients with hemodynamically significant coronary stenosis (HSCS) was identified by selective coronary angiography. Higher levels of atherogenic lipid fractions were found in the patients with unstable angina and HSCS than in those without HSCS, with the equivalent activation of markers for a systemic inflammatory response and with endothelial dysfunction as plasma endothelin 1 hyperproduction being in the patients of both groups. There were multiple direct correlations between the levels of atherogenic lipid fractions, inflammatory markers, and the degree of coronary artery atherosclerotic stenosis.
Vrach. 2015;26(4):71-74
pages 71-74 views

FACTORS FOR ENDOTHELIAL DYSFUNCTION IN HYPERTENSIVE PATIENTS AND THE NEED FOR THEIR CONSIDERATION ON IMPLEMENTING IN THE SYSTEM OF THERAPEUTIC AND PREVENTIVE MEASURES

Semenova Y., Takhauov R., Karpov A., Litvinenko T., Borisova E., Plaksin M.

Abstract

The paper presents the results of evaluating the vessel structural and functional status in able-bodied men with hypertension, by estimating the contribution of cardiovascular risks to the pathogenesis of found changes, which is essential to improving the system of therapeutic and preventive measures during mass health examination of adults.
Vrach. 2015;26(4):74-78
pages 74-78 views

ADIPOKINES AND HORMONALLY METABOLIC INDICATORS IN PATIENTS WITH TYPE 2 DIABETES MELLITUS AND ASTHMA

Verbovoy A., Akhmerova R.

Abstract

Women with type 2 diabetes mellitus, asthma, and their concurrence were found to have hyperleptinemia, hyperresistenemia, a trend for decreased adiponectin levels in the presence of subclinical inflammation, and obvious insulin resistance with compensatory hyperinsulinemia and atherogenic dyslipidemia.
Vrach. 2015;26(4):78-81
pages 78-81 views

PERIPHERAL ARTERIES IN CHRONIC HEPATITIS AND LIVER CIRRHOSIS OF VIRAL ETIOLOGY

Morozova T., Grishina I.

Abstract

A reactive hyperemia test was shown to record a lower endothelial dilatory response in viral cirrhosis more frequently than in HBV- and HCV-infection-related chronic hepatitis, which is likely to be associated with severer organic changes in the smooth muscle cells of the vascular wall, with its stiffness and impaired endothelium-dependent mechanisms for regulation of vascular tone.
Vrach. 2015;26(4):81-84
pages 81-84 views

ABDOMINAL PAIN (FROM SYMPTOM TO NOSOLOGICAL ENTITY)

Nogaller A.

Abstract

The concept «pattern of painful sensations» encompasses the elucidation of the location of pain, its nature, intensity, incidence, constancy or periodicity, irradiation; the identification of factors causing pain appearance or intensification and those reducing pain; the detection of concomitant pain symptoms.
Vrach. 2015;26(4):85-87
pages 85-87 views