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Vol 28, No 10 (2017)
- Year: 2017
- Articles: 25
- URL: https://journals.eco-vector.com/0236-3054/issue/view/5976
Articles
2-5
6-10
DIVERTICULOSIS AND DIVERTICULAR DISEASE
Abstract
Diverticular disease of the colon is often asymptomatic, its marked clinical manifestations occur only during the development of complications, such as inflammation, abscess, or perforation. The symptoms of the disease are varied and nonspecific, which requires that more sophisticated diagnostic methods be developed. According to the magnitude of clinical manifestations and the severity of patients’ status, medical or surgical treatment for this disease can be both outpatient and inpatient. The current methods for the diagnosis and treatment of diverticular disease and its complications are reviewed.
Vrach. 2017;28(10):11-15
11-15
15-18
19-22
COMORBID OSTEOPOROSIS: CHALLENGES AND NEW DIAGNOSTIC OPPORTUNITIES (Part 1)
Abstract
The paper gives data on the epidemiology, classification, and nature of comorbidities in patients with osteoporosis (OP). It shows the necessity of taking comorbidities into account, which makes it possible to improve the diagnosis of OP and the efficiency of its treatment.
Vrach. 2017;28(10):23-26
23-26
POLYMORPHIC VARIANTS IN THE CYP3A4 GENE, CYSTIC FIBROSIS, AND THE RISK OF ADVERSE REACTIONS TO ANTIBACTERIAL THERAPY IN CHILDREN
Abstract
Chronic pulmonary infection is a consequence of impaired mucociliary clearance in cystic fibrosis (CF). Patients with CF receive long-term cycles of high-dose antibacterial therapy (ABT). A study of the causes of antibiotic resistance and adverse reactions (ARs) is promising in these patients. The impact of polymorphic variants in the CYP3A4 gene on the risk of ARs during ABT and on the predisposition to gram-negative infection was investigated in children with CF.
Vrach. 2017;28(10):27-33
27-33
ANTIRECURRENT SURGICAL TACTICS FOR HYDATID CYST RUPTURE
Abstract
The authors evaluated the disinfectant effect of anti-parasitic solutions experimentally used for lavage of the abdominal cavity with hydatid cyst rupture into the latter. Two-month antirecurrent therapy with albendazole showed a 2.3-fold reduction in the incidence of abdominal echinococcosis in experimental animals (χ2=5.47; p=0.019).
Vrach. 2017;28(10):34-37
34-37
MIRIZZI SYNDROME-I: A CLINICAL CASE
Abstract
Mirizzi syndrome (MS) is a rare, severe complication of cholelithiasis, the original morphological sign of which is the compression of the proximal part of the hepaticocholedochus, which culminates in the formation of either a stricture or a cholecystobiliary fistula. For the preliminary diagnosis of MS, it is necessary to remember its basic and additional criteria (clinical, instrumental, including ultrasonographic and laboratory). The preoperative diagnosis of MS is a very difficult task for surgeons and ultrasonic diagnosticians; its solution makes it possible to choose adequate diagnostic and treatment tactics and to avoid complications during surgery for complicated calculous cholecystitis.
Vrach. 2017;28(10):38-42
38-42
AORTIC RUPTURE IN PREGNANT WOMEN WITH SYSTEMIC LUPUS ERYTHEMATOSUS
Abstract
The paper describes a case of aortic rupture in a pregnant woman with systemic lupus erythematosus occurring with a predominance of behavioral and memory problems. It points out its relatively favorable outcome and also considers prospects in the surgical treatment of even extensive aortic dissection.
Vrach. 2017;28(10):43-49
43-49
50-52
RHEUMATOLOGICAL SYNDROMES IN CONGENITAL UNDIFFERENTIATED CONNECTIVE TISSUE DYSPLASIA
Abstract
The paper gives a clinical case of congenital pathology in a 52-year-old patient; a concurrence of undifferentiated connective tissue dysplasia, muscular dystrophy, cardiomyopathy with arrhythmias, and articular syndrome. It traces the evolution of clinical manifestations ranging from childhood to the sixth decade of life.
Vrach. 2017;28(10):53-55
53-55
COMBINED TREATMENT FOR CHRONIC MIGRAINE: BOTULINUM TOXIN TYPE A AND VENLAFAXINE
Abstract
The paper presents the combined use of botulinum toxin type A and the antidepressant venlafaxine in patients with chronic migraine. The findings indicate the efficacy and safety of the proposed therapeutic strategy that has simultaneously an impact on different pathophysiological mechanisms of migraine as a primary disease and on comorbidities and modifiable factors for chronicity of headache, the most important of which are depression and excessive use of analgesics.
Vrach. 2017;28(10):56-62
56-62
60-62
63-64
FUNCTIONAL DISEASES OF THE DIGESTIVE ORGANS IN PRESCHOOL CHILDREN WITH SELECTIVE EATING
Abstract
The incidence of functional diseases of the digestive organs was investigated in preschool children with selective eating (SE). A questionnaire survey of their parents revealed that SE was observed in 46.1% of children. Protein-energy malnutrition due to poor malnutrition was established in 45.8% of cases. Unlike the healthy children, those with SE were significantly more frequently diagnosed with functional diseases of the digestive organs, mainly biliary tract disorders and functional constipation. The findings indicate that it is necessary to rehabilitate preschool children with SE.
Vrach. 2017;28(10):65-67
65-67
68-69
70-72
73-74
75-77
78-80
81-82
DIAGNOSTIC VALUE OF CARTILAGE OLIGOMERIC MATRIX PROTEIN IN CONNECTIVE TISSUE DISEASE
Abstract
The paper gives data on the diagnostic value of cartilage oligomeric matrix protein in connective tissue disease. The authors briefly outline the results of their own investigation aimed at determining the level of this protein as a biomarker of cartilage metabolism in children with hip dysplasia.
Vrach. 2017;28(10):83-84
83-84
85-87
Kal'protektin
Vrach. 2017;28(10):88-88
88-88