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卷 25, 编号 5 (2014)
- 年: 2014
- 文章: 24
- URL: https://journals.eco-vector.com/0236-3054/issue/view/5935
Articles
POLYMYALGIA RHEUMATICA: DIAGNOSIS, TREATMENT
摘要
The paper presents the data available in the Russian and foreign literature on the etiology, patho-genesis, clinical presentation, and treatment of polymyalgia rheumatica. It describes two cases of this disease successfully treated by the authors.
Vrach. 2014;25(5):2-5
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RESISTANT ARTERIAL HYPERTENSION: DIFFERENTIAL APPROACH TO THERAPY
摘要
The larger number of used drugs, the more complexity of a treatment regimen, and the higher cost of treatment usually deteriorate its adherence in hypertensive patients. Therefore, one must try to maximally simplify the treatment regimen. Thus, preference should be given to long-acting agents for the number of used drugs and their administration frequency to be reduced, as well as to fixed-dose antihypertensive drug combinations.
Vrach. 2014;25(5):6-12
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Samara State Medical University
摘要
The paper considers the specific features of the clinical manifestations, differential diagnosis, treatment, and prevention of occupational polyneuropathies caused by industrial vibration, contact ultrasound, physical overexertion, and chemical factors. It also describes the role of current drugs in the pharmacotherapy of occupational polyneuropathies.
Vrach. 2014;25(5):13-19
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POLYFASCICULAR OSTEOSYNTHESIS IS A PROMISING METHOD FOR SURGICAL TREATMENT OF FRACTURES
摘要
Polyfascicular osteosynthesis is a new mini-invasive method to treat fractures, which is safe for patients and accessible to the majority of traumatologists. This technology combines the benefits of wire and rod external fixators.
Vrach. 2014;25(5):19-23
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CURRENT PROTON PUMP INHIBITORS IN THE THERAPY OF GASTROESOPHAGEAL REFLUX DISEASE
摘要
The increase of the prevalence of gastroesophageal reflux disease (GERD) determines the importance of its timely diagnosis and adequate treatment. Proton pump inhibitors (PPIs) are basic agents for the therapy of GERD. The paper describes the pharmacokinetic benefits of the latest-generation PPIs, monoisomers, and their role in the therapy of GERD.
Vrach. 2014;25(5):24-28
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ACUTE ENTERIC INFECTIONS: PREVENTION OF FOOD TRANSMISSION ROUTE FOR PATHOGENS
摘要
The paper considers measures to prevent a food transmission route for acute enteric pathogens, namely, to prevent microbial food contamination and to eliminate microorganisms that can penetrate food.
Vrach. 2014;25(5):28-30
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EVALUATION OF THE EFFICIENCY OF COMBINED PHARMACOTHERAPY
摘要
The efficiency of combined pharmacotherapies was evaluated in rheumatic patients, by comparing the quantitative parameters of prediction of expected and potential drug interactions. The specific risk factors of potential drug interactions were assessed from the number of drugs that affected common pharmacodynamics and pharmacokinetic targets. The quantitative parameters of the nonspecific risk factors characterizing the total number of concurrently used drugs, their doses, and therapeutic range were obtained.
Vrach. 2014;25(5):31-36
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DIACARB IN CLINICAL PRACTICE
摘要
The paper describes a clinical case in which the use of acetozolamide (Diacarb) in a patient with chronic headache caused by impaired cerebrospinal fluid circulation could reduce the frequency and intensity of headache.
Vrach. 2014;25(5):37-38
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THE TRANSDERMAL GLUCOSAMINE COMPLEX CHONDROXIDE® MAXIMUM IN KNEE OSTEOARTHROSIS
摘要
The paper gives the results of a comparative controlled trial of topical Chondroxide® Maximum cream and intramuscular Alflutop solution used in patients with knee osteoarthrosis (OA). Analysis of the WOMAC index has shown the most dynamic pain response comparable for both test agents. The transdermal glucosamine complex Chondroxide® Maximum has proved to exert a symptom-modifying effect. The good tolerability and safe of the cream may be recommended for the combination therapy of OA.
Vrach. 2014;25(5):39-43
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NEW APPROACHES TO SURGICAL TREATMENT IN PATIENTS WITH DISTAL RECTAL CANCER
摘要
The paper describes a new method for surgical rehabilitation in patients after abdominoperineal extirpation for rectal cancer with the further creation of a controlled anal sphincter from the tender muscle of the thigh.
Vrach. 2014;25(5):44-46
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ENEMA-CLEAN PHOSPHATE ENEMA IN THE PRACTICE OF COLOPROCTOLOGY DEPARTАMENT AND OUTPATIENT OFFICES
摘要
Distal colon preparation (cleansing) requires agents that are maximum comfortable for a patient and cause the minimum side effects.
Vrach. 2014;25(5):46-47
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JUXTARENAL ABDOMINAL AORTIC ANEURYSM: DIAGNOSIS AND SURGICAL TREATMENT
摘要
The given clinical observation considers the diagnosis of juxtarenal abdominal aortic aneurysm and its surgical treatment.
Vrach. 2014;25(5):48-50
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EXPERIENCE IN TREATING PATIENTS WITH SPASTIC DIVERTICULAR DISEASE OF THE COLON
摘要
The paper analyzes the results of treatment in 676 patients with spastic diverticular disease of the colon at Moscow City Clinical Hospital Sixty-Seven in the past 3 years. It shows trends in surgical tactics and a direct relationship between the patients’ age, the time to seeking medical advice, and treatment results.
Vrach. 2014;25(5):50-51
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THE INFLUENCE OF LOW-INTENSITY OF INTRAVENOUS LASER IRRADIATION OF BLOOD ON THE CYTOKINE’S DYNAMICS OF PATIENTS WITH GASTROESOPHAGEAL REFLUX DISEASE
摘要
The aim of the research was to reveal the influence of low-energy laser radiation of blood on the cytokine’s dynamics of patients with gastroesophageal reflux disease and to compare the changes in the group that received drug therapy only. We studied the parameters 100 patients with gastroesophageal reflux disease. The low-energy laser radiation of blood significantly successful dynamics of the studied cytokines of patients with GERD.
Vrach. 2014;25(5):52-54
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DIAGNOSIS OF GIARDIASIS AND MONITORING THE EFFICIENCY OF ITS THERAPY IN CHILDREN
摘要
Giardiasis promotes the maintenance of a destructive and ulcerative process in children with multiple gastroduodenal erosions and peptic ulcer. The efficiency of antiparasitic therapy is monitored using the urea breath test (by the UBT-HN 3 procedure) during and 1.5 months after therapy.
Vrach. 2014;25(5):55-58
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DIAGNOSTIC ROLE OF ULTRASOUND STUDY IN RHEUMATOID ARTHRITIS IN CHILDREN AND ADOLESCENTS
摘要
Ultrasound study (USS) (sonography) is a simple, non-invasive technique of investigating the locomotor apparatus, which enjoys wide application when examining children and adolescents as it is not associated with the use of ionizing radiation that is harmful to the growing organism. At the present stage, sonography is a practically compulsory study in the examination of patients with joint inflammatory lesions and in the monitoring of their treatment results, including those in rheumatoid arthritis. USS enables one to visualize a minimum of joint effusion, to detail the magnitude of changes in the synovial membrane, and to diagnose tendon pathology.
Vrach. 2014;25(5):58-60
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PATHOMORPHOLOGICAL CHANGES IN OVARIAN TISSUE AFTER EXPOSURE TO HIGH-FREQUENCY ENERGY
摘要
The paper gives the results obtained in the study of the efficiency of argon plasma and bipolar coagulation in patients with benign ovarian tumors during surgical interventions.
Vrach. 2014;25(5):61-63
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SPECIFIC FEATURES OF THE FUNCTION OF THE ENDOCRINE SYSTEM IN PSORIASIS ASSOCIATED WITH METABOLIC SYNDROME
摘要
The effect of semax on hormonal activity was studied in 118 patients with psoriasis associated with metabolic syndrome during combination treatment.
Vrach. 2014;25(5):64-67
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AGE SPECIAL FEATURES OF ENDOTHELIUM DAMAGE IN PATIENTS WITH RHEUMATOID ARTHRITIS
摘要
Is discussed the state of endothelium in 78 patients with rheumatoid arthritis (RA) in the 3 groups: young, middle and old age and the possibility to use indices of the endothelial dysfunction as the risk factors of the development of cardiovascular complications in this contingent of patients.
Vrach. 2014;25(5):67-69
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A NOVEL DECISION ON HAND DERMATITIS CONTROL IN COSMETOLOGY HEALTH WORKERS AND PATIENTS
摘要
The prevalence of occupational contact dermatitis in medical specialists is an acute sociomedical problem. The dermatitis is caused by hand skin exposure to aggressive chemical and physical agents. The use of new-generation nanoliposomal emollients can solve this problem promptly. The results of observations show the good tolerability, efficacy, and health workers’ high appraisal of new-generation Laboratoire 3S GmbH hand skin care products.
Vrach. 2014;25(5):69-72
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OSTEOARTHROSIS IN PATIENTS WITH JOINT HYPERMOBILITY: SEVERITY AND RISK SIMULATION
摘要
The urgency of the problem with joint hypermobility (JHM) and its closely related JHM syndrome is determined not only by the prevalence of JHM among the able-bodied population, but also by the high risk of early osteoarthrosis (OA). The family pattern of JHM has been established, suggesting its genetic nature. An OA risk prediction model has been proposed to identify a high-risk group of patients with JHM and to implement early preventive measures in them.
Vrach. 2014;25(5):72-76
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CONFOCAL LASER ENDOMICROSCOPY IN THE DIAGNOSIS OF BILE DUCT DISEASES
摘要
The paper describes clinical cases of bile duct diseases (including cholangiocarcinoma) resulting from chronic pancreatobiliary diseases. Probe-based confocal laser endomicroscopy (PCLE) was first used to diagnose this pathology, which could specify and verify the diagnosis. The authors conjecture that PCLE can be of critical importance in the diagnosis of pancreatobiliary diseases if other techniques are ineffective or low informative.
Vrach. 2014;25(5):77-82
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APPROACHES TO ANALYZING MEDICAL CARE FOR PATIENTS WITH CHRONIC VIRAL HEPATITIS C AND B UNDER THE PRESENT CONDITIONS
摘要
The paper compares various (municipal, departmental, and university) models of medical care for patients with chronic hepatitis C and B from the viewpoint of their cost-efficiency and different antiviral therapy regimens, by making the ABC-VEN analysis and assessing the patients’ quality of life before and after treatment.
Vrach. 2014;25(5):83-85
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HEALTH CARE LOANS IN RUSSIAN FEDERATION: SITUATION ANALYSIS AND DEVELOPMENT PROSPECTS
摘要
Medical goods and services crediting is gradually increasing in the Russian Federation under market economy conditions. Health care loans do not conflict with the current legal frame work and could promote an increase in accessibility and public demand for paid medical services. Both for banks and for medical organizations (private and public) high-interest and profitable lending programs could be generated based on the analysis of international experience and of the Russian market of paid medical services.
Vrach. 2014;25(5):85-88
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