


Vol 26, No 4 (2015)
- Year: 2015
- Articles: 26
- URL: https://journals.eco-vector.com/0236-3054/issue/view/5949
Articles
CHRONIC OBLITERATING DISEASES OF THE LOWER EXTREMITY ARTERIES: PROGNOSTIC VALUE OF CARDIOVASCULAR RISK FACTORS
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












IS IT POSSIBLE TO CURE ACUTE APPENDICITIS WITHOUT SURGERY?
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















USE OF MYORELAXANTS IN THE TREATMENT OF RADICULOPATHY
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



WRITER’S CRAMP
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



EEG FREQUENCY-POWER COMPONENTS IN PATIENTS WITH RESPIRATORY PANIC ATTACKS
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



VOMITING IN PREGNANT WOMEN: IS EVERYTHING ALWAYS SO WELL?
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



HYPOTHYROIDISM IN PREGNANT WOMEN: CLINICAL AND MORPHOLOGICAL PARALLELS
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



BREAST AUGMENTATION IN CONGENITAL DEFORMITY OF THE CHEST
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



PROSTHETIC TREATMENT OF PATIENTS WITH MUCOUS MEMBRANE DISEASE
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



ATTENTION! A MOTOR TRANSPORT DRIVER AT THE RECEPTION
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



BRONCHOSCOPY IN NEUROLOGICAL PRACTICE
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



KONSENSUS EKSPERTOV PO VEDENIYu OSTEOARTRITA S KOMORBIDNOST'Yu V OBShchEY VRAChEBNOY PRAKTIKE
Vrach. 2015;26(4):64-65



CORRECTION OF COGNITIVE IMPAIRMENTS AFTER AORTOCORONARY BYPASS SURGERY
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






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



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



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



PERIPHERAL ARTERIES IN CHRONIC HEPATITIS AND LIVER CIRRHOSIS OF VIRAL ETIOLOGY
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



ABDOMINAL PAIN (FROM SYMPTOM TO NOSOLOGICAL ENTITY)
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


