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Vol 29, No 3 (2018)

Articles

OCCUPATIONAL DISEASES DUE ТО FUNCTIONAL OVERSTRAIN OF THE LOCOMOTOR APPARATUS

Khalimov Y., Vlasenko A., Tsepkova G.

Abstract

Locomotor apparatus overstrain-induced diseases occupy an important place in the structure of occupational diseases. The latter have no specific symptoms and require no specific treatment. Occupational diseases, their diagnostics, the order of medical examinations, and working capacity examination are regulated by the normative documents of the Ministry of Health of the Russian Federation.
Vrach. 2018;29(3):3-9
pages 3-9 views

ADULT-ONSET ATOPIC DERMATITIS

Dvoryankova F., Denisova F., Piruzyan A., Korsunskaya I.

Abstract

Adult-onset atopic dermatitis is observed in 1-3% of adults. The concept of adult-onset atopic dermatitis has relatively recently come into use in the scientific literature. In most cases, atopic dermatitis results in a fairly sustained remission before puberty begins. However, in recent years, there have been more and more adult-onset atopic dermatitis cases when the disease persists or even starts to occur in adults. Atopic dermatitis in adult patients has the features of its clinical course and does not meet the diagnostic criteria adopted in pediatric practice. Therefore, the disease in adult patients becomes the diagnosis of exclusion in most cases, especially in de novo cases.
Vrach. 2018;29(3):9-13
pages 9-13 views

SURGICAL RISK IN ELECTIVE SURGERY

Kuznetsov N.

Abstract

The paper reflects the experience of studying a surgical risk in elective surgery and proposes a formula for individual quantitative perioperative prognosis during operations on thoracic and abdominal organs in patients with benign and malignant diseases. A classification of perioperative prognoses has been made; me characteristics of physicians’ decision making interventions in different perioperative prognoses have been studied; a number of theoretical issues of surgical risk solved.
Vrach. 2018;29(3):13-16
pages 13-16 views

PERIPROSTHETIC INFECTION DURING HIP ARTHROPLASTY

Murylev V., Kukovenko G., Elizarov P., Rukin Y., Tslgln N.

Abstract

The paper presents the current approach to an algorithm for the examination of patients with the menacing arthroplasty complication - periprosthetic infection of the hip joint. It considers tropic treatment options.
Vrach. 2018;29(3):17-22
pages 17-22 views

CHRONIC OBSTRUCTIVE PULMONARY DISEASE AS A FACTOR FOR THE DEVELOPMENT OF RENAL DYSFUNCTION

Bolotova E., Yavlyanskaya V., Budnikova A.

Abstract

The paper presents the factors and mechanisms of renal dysfunction in patients with chronic obstructive pulmonary disease. Special attention is paid to the role of systemic inflammation.
Vrach. 2018;29(3):22-26
pages 22-26 views

ETI0L0GIC AND PATHOGENETIC DIAGNOSIS OF CHRONIC TONSILLITIS

Nacharov P., Ryazantsev S.

Abstract

The paper provides an analysis of literature data, which shows that the etiology and pathogenesis of chronic tonsillitis have not been quite clear so far; there are no laboratory testing methods that can reliably identify palatine tonsillar decompensation.
Vrach. 2018;29(3):26-29
pages 26-29 views

ENDOTHELIAL PROTECTION IN THE REHABILITATION OF PATIENTS WITH POSTSTROKE APHASIA

Shishkova V., Remennlk A., Zotova L.

Abstract

An open randomized controlled study was conducted to comprehensively examine the dynamics of recovery of speech functions and to simultaneously estimate the level of markers for endothelial dysfunction in patients with prior ischemic stroke when naftidrofuryl (Duzofarm) is incorporated into the treatment regimen.
Vrach. 2018;29(3):29-35
pages 29-35 views

COGNITIVE IMPAIRMENT AND ANOSOGNOSIA IN THE ACUTE PERIOD OF ISCHEMIC STROKE

Agafonova M., Maslova N., Agafonov K., Ulacen T.

Abstract

The authors have conducted a comprehensive neuropsychological examination and evaluated the severity of neurological status (using standard scales) in 64 patients in acute ischemic stroke. They present data on the detection rate of cognitive impairment and anosognosia in these patients.
Vrach. 2018;29(3):35-37
pages 35-37 views

CHARACTER ACCENTUATION IN THE TRAINING OF PATIENTS WITH MYOCARDIAL INFARCTION

Krestova O., Bryukhanova I., Sedykh D., Vedernikova A., Gorbunova E.

Abstract

The paper analyzes the effectiveness of the training program considering the features of character accentuation in patients with myocardial infarction. The use of psychological correctional methods increases treatment adherence in patients with myocardial infarction by 1.5 times.
Vrach. 2018;29(3):38-41
pages 38-41 views

THE POSSIBILITY OF USING DRUGS OF NATURAL ORIGIN FOR VERTIGO IN THE PRACTICE OF AN OTOLARYNGOLOGIST

Karplshchenko S., Lavrenova G., Bervinova A.

Abstract

The paper presents a classification of vertigo and discusses clinical methods for the diagnosis of peripheral vestibulopathies, for the differential diagnosis of systemic vertigo according to various anamnestic and clinical data, as well as the main issues of patient management. It shows the clinical efficacy of Vertigoheel, which has been proven not only by numerous scientific research, but also by the authors' own clinical examples.
Vrach. 2018;29(3):42-45
pages 42-45 views

THE LEVELS OF CYTOKINES AND GROWTH FACTORS IN PREDICTING OCCUPATIONAL LUNG DISEASES

Babanov S., Builash D., Baikova A.

Abstract

The determination of an immunological profile in dust-induced lung diseases (chronic dust-induced bronchitis, silicosis, and pneumoconiosis due to exposure to welding aerosols) allows one not only to improve the quality of early diagnosis, but also to optimize the strategy of primary and secondary prevention, to predict the course of disease, and to reduce the frequency of incapacitating forms.
Vrach. 2018;29(3):45-49
pages 45-49 views

SURGICAL TREATMENT FOR INTRATEMPORAL TUMORS OF THE FACIAL NERVE

Dlab K., Nazhmutdlnov I., Karayan A., Kondratchlkov D., Orlova E., Yuslfov K.

Abstract

The existing management tactics for patients with intratemporal tumors of the facial nerve (microsurgical tumor excision with reconstruction of the facial nerve) is today complemented with more conservative methods: wait-and-see tactics with a follow-up, nerve decompression, and stereotactic radiosurgery. Nerve plasty with direct neurorrhaphy or autograft improves the function of the facial muscles. No tumor recurrences were recorded during the follow-up.
Vrach. 2018;29(3):49-54
pages 49-54 views

INTRAOPERATIVE COMPUTED TOMOGRAPHY FOR MAXILLARY SINUS FOREIGN BODIES

Karpishchenko S., Yaryomenko A., Zubareva A., Stancheva O., Karpishchenko E.

Abstract

The paper considers whether intraoperative computed tomography can be carried out during surgery for maxillary sinus foreign bodies and gives a clinical case.
Vrach. 2018;29(3):54-57
pages 54-57 views

CEPHALALGIA IN THE IMPAIRED STRUCTURES OF THE NASAL CAVITY

Filimonov S., Krlvosheln V.

Abstract

Cephalgia is the main symptom of different diseases. Cephalalgia frequently occurs in the presence of nasal mucosal contact points. The endoscopic examinations made by the authors and other rhinologists in this area have established the relationship between the impaired structure of the nasal cavity and the presence of cephalgia.
Vrach. 2018;29(3):57-60
pages 57-60 views

A CASE OF MALIGNANCY IN ATTICOANTRAL SUPPURATIVE OTITIS MEDIA

Korkmazov M., Dubinets I., Zyryanova K., Beloshangin A., Kryukova D.

Abstract

The paper describes a case of the destructive recurrent course of chronic atticoantral suppurative otitis media with cholestatoma, which occurs in the presence of HIV infection and type 2 diabetes mellitus in a thirty-year-old patient.
Vrach. 2018;29(3):60-63
pages 60-63 views

REPRESENTATION OF THE ISSUES OF MEDICAL REHABILITATION AND QUALITY OF LIFE IN PATIENTS WITH BREAST CANCER IN THE SCIENTIFIC MEDICAL LITERATURE

Solopova A., Idrisova L., Makatsaria A., Surenkov A., Moskvicheva V.

Abstract

To assess the scientific interest of medical investigators in and their attitude to the problem of medical rehabilitation and quality of life in patients with breast cancer, publications on this topic were analyzed. Content analysis was used as a method of qualitative and quantitative assessments of texts and text arrays, which allows the content interpretation of the found data and the formation of a picture of vision of the problem under study in modern medicine.
Vrach. 2018;29(3):64-66
pages 64-66 views

COMBINED THERAPY FOR CHRONIC PROSTATITIS AND PROSTATIC ADENOMA

Yakovets Y.

Abstract

The efficacy of combined therapy (with an etiotropic drug + an antibiotic) for chronic prostatitis concurrent with prostatic adenoma investigators was evaluated.
Vrach. 2018;29(3):66-69
pages 66-69 views

L-CARNITINE INJECTIONS IN THE EARLY REHABILITATION PERIOD OF ISCHEMIC STROKE

Chichanovskaya L., Bakhareva O., Sorokina K.

Abstract

The use of L-carnitine in patients with acute cerebrovascular accident substantially decreased the frequency of both cerebral and general somatic complaints (which was associated with a reduction in neurological deficit severity using the NIHSS scale) and the level of general asthenia and psychoemotional defect, which lowered outside help dependency in patients (by the Barthel index).
Vrach. 2018;29(3):70-74
pages 70-74 views

EFFICIENCY OF LOW-FREQUENCY MAGNETIC THERAPY USING A RUNNING MAGNETIC FIELD IN THE COMBINATION TREATMENT OF COXARTHROSIS

Byalovsky Y., Seklrln A., Smirnova S.

Abstract

Whether it is expedient to incorporate low-frequency pulsed magnetic therapy using a running magnetic field into the combination treatment of coxarthrosis is assessed.
Vrach. 2018;29(3):75-79
pages 75-79 views

TREATMENT METHODS FOR PATIENTS WITH EXTRAPERITONEAL RECTAL INJURIES

Pokrovsky K., Cherepanin R.A., Veselov D., Doditsa A.

Abstract

The authors analyze the results of surgical treatment in patients with extraperitoneal rectal injuries.
Vrach. 2018;29(3):79-81
pages 79-81 views

HYPERTENSIVE ANGI0RETIN0PATHY: CLINICAL AND MORPHOLOGICAL MANIFESTATIONS, CURRENT DIAGNOSIS

Moshetova L., Vorobyeva I., Dgebuadze A.

Abstract

Hypertensive angioretinopathy is detected in 40% of cases. Analysis of morphopathological, clinical, and morphological (according to optical coherence tomography data) findings, as well as data of current diagnosis (by taking into account blood flo win the retinal central artery and retinal photosensitivity) is of importance for the early diagnosis of retinopathy in hypertension.
Vrach. 2018;29(3):82-84
pages 82-84 views

BIОREGULATОRY DRUGS FOR ACUTE RESPIRATORY VIRAL INFECTIONS IN CHILDREN

Krutlkhlna S., Yablokova E.

Abstract

Frequent acute respiratory viral infections (6-10 episodes per year) in many children require the use of various medications, which leads to immunological tolerance. Their efficient and cost-effective replacement (or complement to drug therapy) is the combination bioregulatory medications manufactured by the company Heel.
Vrach. 2018;29(3):85-86
pages 85-86 views

BI0REGULATОRY DRUGS IN THE THERAPY OF NONALCOHOLIC FATTY LIVER DISEASE

Maksimov M.

Abstract

The main task of pharmacotherapy for nonalcoholic fatty liver disease is to prevent the development and progression of liver fibrosis. Currently, there are disputes about the efficacy of these or those hepatoprotectors; the ambiguity of this issue makes one search for optimal approaches to treating patients with liver disease.
Vrach. 2018;29(3):86-87
pages 86-87 views

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