Vol 29, No 12 (2018)

The theory of gastroenterological clusters has become one of the new concepts of the metabolic syndrome. The study of the relationship between the metabolic syndrome and some gastrointestinal diseases allows the latter to be considered as diagnostic criteria; however, it is impossible to use the information available in practical medicine, without having a clear understanding of all aspects of the formation of this correlation, which leaves the task unsolved.

The paper presents a study aimed at assessing oxidative stress in adolescents with recurrent headache. The study has revealed higher free radical levels and higher transferrin/ceruloplasmin ratios and, conversely, a lower level of antioxidant protection indicators than in health, which suggests that oxidative stress is activated in all clinical types of primary cephalgia.

The paper considers the problems of timely permanent electrocardiostimulation in patients with acute coronary syndrome and prior myocardial infarction, including the need for early implan-tation of a pacemaker to improve the quality and prognosis of life.

It is known that 30-60% of patients with prior cerebral stroke have cognitive disorders that considerably limit patients’ capacities that lead to disability and reduce the effectiveness of rehabilitation. The dose-dependent effect of ethylmethylhydroxypyridine succinate has been investigated for its impact on the mental functions of patients with cerebral stroke.

The first clinical manifestation of coronary heart disease (CHD) is often angina pectoris in women and myocardial infarction in men. The paper gives an algorithm for the diagnosis and treatment in stable CHD.

Chronic obstructive pulmonary disease (COPD) has become a global public health problem in recent decades, being one of the leading causes of death in the world. According to recently published data, the global COPD mortality rate remained virtually unchanged during 1990 to 2010: the average annual number of COPD deaths varies between 3 and 2.8 million [1]. In addition, COPD is the only disease, the deaths from which continue to increase: an average of 5-7 new cases per each 30-45 COPD-related deaths per year [2]. According to the WHO estimates, by 2020, COPD will rank third in the structure of mortality, surpassing all respiratory diseases [3]. This problem is especially urgent for Russia. Severe climatic conditions (in Western and Eastern Siberia), increasing public propensity for tobacco smoking, frequent respiratory infections, and the impact of professional pollutants on the body are the main factors predisposing to the development of COPD. Despite the development of the Global Initiative for Chronic Obstructive Pulmonary Disease (GOLD), the importance of which is difficult to overestimate, there is a clear need for a more in-depth analysis of all aspects of the disease.

Five types of surgical prognosis were stated after investigating 16 perioperative prognostic criteria. The authors emphasize that the prognostic indicators for high perioperative mortality should be regarded as an incentive for adequate preoperative therapy rather than as an excuse for refusing surgery

A clinical examination with interviews was made in a random sample of 945 Krasnodar residents aged over 45 years in order to study the prevalence and risk factors of peptic ulcer disease (PUD). The latter was diagnosed by endoscopy; Helicobacter pylori was determined by enzyme immunoassay detection of serum IgG antibodies

The efficiency of protein-energy malnutrition screening methods was evaluated in hemodialysis patients. It is not reasonable to use the Malnutrition Universal Screening Tool, the Nutritional Risk Screening, the Nottingham Screening Tool, the Malnutrition Screening Tool, and the Malnutrition Inflammation Score due to their low predictive value.

The authors have investigated the efficiency of local impulse magnetic therapy using an ALMAG+ apparatus in the combination treatment of patients with osteoarthrosis.

To improve the population’s literacy in health matters is an important governmental problem, the solution of which includes improvement the quality of information materials, adaption of health services to the needs of a patient, and improvement of the population’s general literacy, and training health professionals.