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Vol 29, No 1 (2018)

Articles

Optimal pharmacotherapy in outpatients who have experienced myocardial infarction

Svistunov A., Vasilyeva I., Osadchuk M.

Abstract

The paper considers the possibilities of using generic counterparts of their brand-name drugs in outpatients who have experienced myocardial infarction. Assessing the relationship between higher mental functions and blood pressure (BP), it is necessary to recognize the need for a rational approach to a stepwise BP reduction.
Vrach. 2018;29(1):3-6
pages 3-6 views

Intra-abdominal hypertension syndrome in modern physician practice

Khorobrykh T., Badaeva A., Galeeva A., Lebedeva M., Narbut A., Vychuzhanln D., Nurutdlnov R., Levkln V., Uddln L.

Abstract

Intra-abdominal hypertension and intra-abdominal hypertension syndrome are often concurrent with acute pancreatitis, sepsis, and intestinal obstruction, leading to increased mortality in patients. Just the same, intra-abdominal pressure is monitored regularly only in critical situations rather than on a permanent basis. Monitoring intra-abdominal pressure in the postoperative period is needed to prevent complications and to reduce mortality rates.
Vrach. 2018;29(1):7-9
pages 7-9 views

Gender features of myocardial structural and functional changes in patients with chronic glomerulonephritis at the predialysis stage of the disease

Murkamilov I., Aitbaev K., Fomin V., Rayimzhanov Z., Redzhapova N., Yusupov F., Aidarov Z.

Abstract

Male patients with glomerulonephritis at the predialysis stage of chronic kidney disease show a predominance of concentric left ventricular hypertrophy that is associated with the development of clinically significant cardiac arrhythmias. Whereas female patients with chronic glomerulonephritis have a lower glomerular filtration rate, anemia, a higher frequency of eccentric left ventricular hypertrophy and supraventricular ectopic activity.
Vrach. 2018;29(1):9-13
pages 9-13 views

The present view on the risks of premature birth

Zhukova E., Chilova R., Sychev D., Trifonova N., Proklova G.

Abstract

Miscarriage remains one of the important problems in obstetric practice and the prevention of risks for premature birth and the reduction of perinatal mortality do in general healthcare.
Vrach. 2018;29(1):14-15
pages 14-15 views

Psyllium as a lipid-lowering agent: results of a multicenter study

Levchenko S., Komissarenko I.

Abstract

A total of 721 patients aged 19 to 91 years were examined and treated in a multicenter randomized prospective study. The use of psyllium (Mucofalk) in multitargeted therapy was justified in patients with hyperlipidemia, metabolic syndrome, and constipation. Mucofalk was proven to have a lipid-lowering effect in all patient groups; it was demonstrated that the drug could be co-administered with statins for synergistic action in patients at high and very high risk for cardiovascular diseases. Stool was normalized in the majority of patients long treated with Mucofalk. Drug discontinuation was not required in any patient. Twenty-four Mucofalk therapy reduced body mass index by an average of 4.759.80% without substantial dietary restrictions in the patients.
Vrach. 2018;29(1):16-24
pages 16-24 views

Analysis of pharmacotherapy for hypertension in terms of overall cardiovascular risk

Potupchik T., Veselova O., Evert L., Makarova M., Averyanova O.

Abstract

The paper gives the results of an analysis of pharmacotherapy in patients with hypertension in terms of overall cardiovascular risk factors and their degree.
Vrach. 2018;29(1):25-28
pages 25-28 views

Central pontine myelinolysis

Damulin I., Strutsenko A., Bychenko V.

Abstract

The paper considers the etiology, pathogenesis, clinical features, treatment, and prognosis of central pontine myelinolysis (CPM). It described a case of CPM arising in eating disorders, regular alcohol consumption, and uncontrolled use of diuretics, which cause electrolyte disturbances.
Vrach. 2018;29(1):29-32
pages 29-32 views

Vessel elasticity in acute cerebral vascular disease

Agafonov K., Milyagin V., Maslova N., Agafonova M., Dorokhova A., Ivanova A., Popov Y., Rakov A.

Abstract

Comparative analysis of systolic pressure and pulse wave velocity (PWV) could establish the features of PWV, which reflected the specific features of the pathogenesis of a vascular complication for each groups, from the changes in the stiffness and elasticity of the vascular wall.
Vrach. 2018;29(1):32-34
pages 32-34 views

Hemodynamic parameters in women with hypoestrogenemia with metabolically healthy obesity

Khabibulina M.

Abstract

The paper gives the results of investigations, which suggest that young women with estro-gen deficiency and hypertension show a certain association between body mass index (BMI) and 24-hour monitoring readings, such as an elevation in systolic and diastolic blood pressure (BP) at different times of the day, the high magnitude and rate of morning surge in BP with a higher pres-sure-induced load as BMI increases. The high correlation of BMI and the power of LF waves that characterize the sympathetic portion of the spectrum may be regarded as evidence for a pathoge-netic relationship between BMI and the degree of sympathetic nervous system activity.
Vrach. 2018;29(1):34-37
pages 34-37 views

Comorbidity in patients with type 2 diabetes mellitus

Voloshinova E., Lobanova O., Kunitsyna M., Grlgoryeva E., Tsaturova K.

Abstract

The paper presents the frequency and pattern of comorbidities in patients with type 2 diabetes mellitus. It gives the features of chronic kidney disease and the risk of cardiovascular disease in this group of patients. Monitoring intra-abdominal pressure in the postoperative period is necessary to prevent complications and reduce mortality.
Vrach. 2018;29(1):38-39
pages 38-39 views

Trends in risk factors for cardiovascular events in patients undergoing kidney transplantion

Martirosyan S., Kosmacheva E.

Abstract

Structural and functional changes in the cardiovascular system, lipid spectrum and indicators were investigated to determine risk factors for complications in kidney recipients in different periods after transplantation.
Vrach. 2018;29(1):40-42
pages 40-42 views

A current approach to estimating the body composition of patients on hemodialysis

Yakovenko A., Rumyantsev A., Somova V.

Abstract

The authors compare the capabilities of caliperometry and bioimpendance measurements to estimate the body composition of patients on programmed hemodialysis.
Vrach. 2018;29(1):43-45
pages 43-45 views

Optimizing the assessment of chronic kidney disease stages in diabetic patients, by applying the computer program «Chronic_Kidney_Disease_Diagnostics»

Yarkova N.

Abstract

The paper considers the practicability of computer-aided calculation of glomerular filtration rate in diabetic patients, by applying the computer program “Chronic_ Kidney_Disease_Diagnostics” that makes it possible to diagnose chronic kidney disease at an early preclinical stage.
Vrach. 2018;29(1):45-48
pages 45-48 views

Evaluation of the endometrium in women with recurrent miscarriage

Solovyeva A., Ermolenko K., Gerasimova O.

Abstract

Recurrent miscarriage is a worldwide problem that has many causes: genetic, anatomic, endocrine, autoimmune, etc.; histopathological study of uterine aspiration after abortion can narrow the range. Identification of a dominant cause makes it possible to choose an individual treatment option and to improve perinatal outcomes.
Vrach. 2018;29(1):48-51
pages 48-51 views

Experience in treating vertebrogenic pain syndrome in pregnant women

Kirgizova O., Fedorov D.

Abstract

The paper gives the results of treatment using the methods of manual therapy and pharmacopuncture with bioregulatory drugs in pregnant women with vertebrogenic pain syndromes.
Vrach. 2018;29(1):52-54
pages 52-54 views

Myopia and orthokeratology treatment in combination with hardware treatment

Medvedeva M., Yarmamedov D.

Abstract

To identify the most effective methods for preventing the progression of myopia in children, the investigators investigated the results of using only spectacle correction, orthokeratology therapy and those of using hardware treatment with orthokeratology lenses.
Vrach. 2018;29(1):54-56
pages 54-56 views

Assessment of autonomic regulation of the cardiovascular system in adolescent boys of pre-draft age

Pshenichnaya E.

Abstract

Autonomic regulation of the cardiovascular system has been assessed in 192 boys of pre-draft age with various subclinical forms of cardiovascular diseases and in 50 children of a control group. The findings suggest that sympathicotonia is predominant in the examinees of the study group.
Vrach. 2018;29(1):56-59
pages 56-59 views

Oral а-galactosidase in clinical practice

Khlynov I., Chikunova M., Khromtsova O.

Abstract

The paper evaluates the efficacy and safety of oral а-galactosidase for flatulence and bloating.
Vrach. 2018;29(1):59-62
pages 59-62 views

The biologically active agent Osteomed in the combination treatment of large joint arthrosis

Raskachkin V., Tokarev A., Panov I.

Abstract

The paper presents the results of gonarthrosis treatment using a traditional basic treatment complex, para-articular ozone administration, and cycle Osteomed intake.
Vrach. 2018;29(1):63-66
pages 63-66 views

Relationship between foot pathology and knee osteoarthritis

Moisov A., Sereda A.

Abstract

Degenerative and dystrophic joint diseases of the lower extremity are a common orthopedic pathology in modern society with its intense rhythm of life and recurrent injuries, which aggravate the course of pathological processes. The paper describes the relationship between foot pathology and knee osteoarthritis.
Vrach. 2018;29(1):66-68
pages 66-68 views

Experience of knee arthroplasty

Kavalersky G., Smetanin S., Gritsyuk A., Lychagln A.

Abstract

Arthroplasty is the only current method against pain and movement stiffness in patients with knee osteoarthritis (KOA). The paper describes the features of knee arthroplasty in patients with rheumatoid arthritis.
Vrach. 2018;29(1):69-70
pages 69-70 views

The possibility of treating chronic lower limb ischemia in a day hospital

Abramyan A., Chumburidze I., Shtilman M., Andreev E.

Abstract

An optimized method to treat early-stage chronic lower limb ischemia in a day hospital has been devised and substantiated. The method includes lumbar chemical desympathization that improves quality of life in patients and enhances interventional reconstructive surgery.
Vrach. 2018;29(1):71-72
pages 71-72 views

A bioregulatory approach to treating persistent infections in children

Santalova G., Gasilina E.

Abstract

Bioregulatory medications normalize metabolic processes, activate and regulate the immune system, and contribute to the natural elimination of excess and harmful substances.
Vrach. 2018;29(1):73-73
pages 73-73 views

A bioregulatory approach to treating of non-specific pain in the back

Komleva N., Danilov A., Goncharenko I., Maryanovsky A.

Abstract

The use of Traumeel C to treat patients with nonspecific back pain has been investigated.
Vrach. 2018;29(1):74-75
pages 74-75 views

A case of fulminant ANCA-negative Wegener’s granulomatosis with primary ENT involvement

Fernando D., Shpotin V., Gostyunin A., Kudaev S.

Abstract

The paper describes a rare case of ANCA-negative Wegener's granulomatosis with a severe, fulminant course, which is manifested by primary ENT involvement.
Vrach. 2018;29(1):76-78
pages 76-78 views

Decreased cardiac mortality with nicorandil in patients with ischemic heart failure

Yoshihisa A., Sato Y., Watanabe S., Yokokawa T., Sato T., Suzuki S., Oikawa M., Kobayashi A., Takeishi Y.

Abstract

Effective treatments in heart failure (HF) patients with ischemic etiology have not been fully established. Nicorandil, combination of nitrate component and sarcolemmal adenosine triphosphate-sensitive potassium channel opener, is a potent vasodilator of coronary and peripheral vessels and has been used as an antianginal agent. Nicorandil is potentially effective for reducing mortality in patients with ischemic HF.
Vrach. 2018;29(1):79-82
pages 79-82 views
pages 83-84 views

Management of socioeconomic determinants of health at different levels

Amlaev K., Khoroshilova E.

Abstract

Every state has the duty to afford all citizens equal opportunities to preserve health through the management of socioeconomic determinants.
Vrach. 2018;29(1):85-87
pages 85-87 views

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