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卷 27, 编号 2 (2016)
- 年: 2016
- 文章: 28
- URL: https://journals.eco-vector.com/0236-3054/issue/view/5956
Articles
TRENDS IN THE DEVELOPMENT OF MEDICAL SCIENCE IN 2016 (ON THE BASIS OF A REVIEW OF THE UNIVERSITY OF CALIFORNIA, SAN FRANCISCO; THE AUTHOR’S TRANSLATION AND COMMENTS)
摘要
The paper presents main trends in the development of medical science in 2016 on the basis of a review of the University of California, San Francisco.
Vrach. 2016;27(2):2-3
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MODERN PROBLEMS OF DIAGNOSIS AND TREATMENT FUNCTIONAL DISEASES, ACCOMPANIED BY CONSTIPATION
摘要
Constipation is extremely urgent health problem. The prevalence of this syndrome in Russia is 20%. In the work with current recommendations presented effective schemes of diagnosis and treatment of chronic constipation, focused on various material resources.
Vrach. 2016;27(2):3-8
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DIFFICULTIES IN THE DIAGNOSIS OF INTERSTITIAL LUNG DISEASE
摘要
The paper presents current approaches to diagnosing interstitial lung fibrosis and describes a clinical case.
Vrach. 2016;27(2):9-10
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SILENT SINUS SYNDROME
摘要
Silent sinus syndrome (SSS) is called as spontaneous and progressive enophthalmos and descent of the eyeball with resorption of the orbital floor and inward retraction of the ipsilateral maxillary sinus (MS) wall. The problem is more commonly idiopathic. The negative pressure in the MS caused by obstruction of its natural ostium plays a leading role in the development of SSS. Its treatment is surgical; its goal is to restore MS drainage and aeration and to correct enophthalmos and descent of the eyeball.
Vrach. 2016;27(2):11-13
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DIFFICULTIES IN THE DIAGNOSIS OF INTERSTITIAL LUNG DISEASE
摘要
The paper gives the results of an investigation dealing with the immunopathogenetic features of chronic dust-induced bronchitis and chronic toxicochemical bronchitis.
Vrach. 2016;27(2):14-16
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CONSERVATIVE THERAPY FOR SNORING AND OBSTRUCTIVE SLEEP APNEA SYNDROME
摘要
The authors have investigated conservative treatments for snoring and obstructive sleep apnea syndrome: they have analyzed changes in nasal patency and apnea/hypopnea index in patients during halotherapy and topical intranasal glucocorticosteroid treatment.
Vrach. 2016;27(2):17-19
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THE APPROPRIATENESS OF EARLY USE OF A COMBINATION OF FUZAFUNGIN (BIOPAROX) AND FENSPIRID (EURESPAL) IN PATIENTS WITH INFLAMMATORY DISEASES OF THE UPPER RESPIRATORY TRACT
摘要
The paper considers the clinical efficiency of early use of a combination of fuzafungin (Bioparox) and fenspirid (Eurespal) to treat patients with mild to moderate acute and exacerbated chronic diseases of the upper respiratory tract. The tolerability of this treatment is rated by a physician and a patient.
Vrach. 2016;27(2):20-22
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STAGING PLEUROPNEUMONECTOMY IN A PATIENT WITH PROGRESSIVE COMPLICATED FIBROUS-CAVERNOUS LUNG TUBERCULOSIS
摘要
The treatment of patients with progressive disseminated fibrous-cavernous tuberculosis complicated by pyopneumothorax and pleural empyema with bronchial fistula is one of the most difficult problems of lung surgery. The specific features of this patient group are obvious respiratory dysfunctions, cardiopulmonary failure, which do not allow a radical interaction to be performed simultaneously. This clinical example demonstrates the efficiency of staging surgical tactics on the ipsilateral side of main lesion and further pleuropneumonectomy.
Vrach. 2016;27(2):23-27
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CAUSES OF POOR OUTCOME IN PATIENTS WITH GENERALIZED TUBERCULOSIS
摘要
The factors influencing a fatal outcome (HIV infection, chronic alcoholism, the complicated course of the disease) were retrospectively assessed in 50 patients with generalized tuberculosis (pulmonary tuberculosis concurrent with tuberculous meningitis). No chest X-ray for a long time and as a result the late diagnosis of tuberculosis lead to its aggravation, tuberculous involvement of the central nervous system, impairment of consciousness, and death from generalized tuberculosis in the first 2 months after the admission to a tuberculosis hospital.
Vrach. 2016;27(2):27-30
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CEREBROSPINAL FLUID OTORRHEA IN PATIENTS WITH INNER EAR MALFORMATIONS
摘要
A surgical algorithm was created to eliminate liquorrhea developing at cochlear implantation in patients with inner ear abnormalities. Intraoperative liquorrhea successfully eliminated in all cases occurred during 12 surgical interventions while dissecting the membrane of the fenestra cochleae or applying cochleostoma. Otoliquorrhea may be always completely removed at cochlear implantation via the classical approach irrespective of how the spiral canal is opened (through cochleostoma or the membrane of the fenestra cochleae). Intraoperative liquorrhea does not affect the results of auditory-verbal rehabilitation in patients with congenital inner ear abnormality.
Vrach. 2016;27(2):30-33
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PHOTODYNAMIC THERAPY FOR DISSIMINATED RESPIRATORY PAPILLOMATOSIS
摘要
Photodynamic therapy (PDT) for neoplasms is one of their most current treatments. The paper describes the use of PDT in 6 patients with severe disseminated recurrent respiratory papillomatosis.
Vrach. 2016;27(2):33-36
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BRONCHOSCOPY FOR BRONCHIAL SECRETION-INDUCED MASSIVE OBSTRUCTION OF THE LOWER RESPIRATORY TRACT
摘要
The results of treatment were assessed in 30 patients with severe respiratory failure in the presence of its rapid progression and suppressed natural expectoration.
Vrach. 2016;27(2):37-38
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SAFETY OF SPARING REMOVAL OF NASAL POLYPS IN ASTHMATIC PATIENTS
摘要
The results of treatment in 69 patients with asthma have indicated that nasal polypotomy using a radiofrequency loop and laser is safe and significantly improves quality of life in patients.
Vrach. 2016;27(2):39-40
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GLUTEN-FREE DIET IN THE COMBINATION TREATMENT OF CICATRICAL STENOSIS OF THE LARYNX
摘要
Multiple surgical interventions into the larynx could not produce a stable result because of rescarring in the described clinical observation of a female patient with cicatrical and paralytic laryngeal stenosis and tracheosoma. A gluten-free diet was recommended due to the found gluten susceptibility. As a consequence the manifestations of pharyngolaryngeal reflux were alleviated, which could preserve the steady-state lumen of the glottis after the laryngeal scar was dissected.
Vrach. 2016;27(2):41-43
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ENDOSCOPIC FRONTAL SINUS SURGERY
摘要
The paper presents experience with endonasal frontotomy in patients with different types of frontal sinus abnormalities. It describes the application of an electromagnetic navigation system during endoscopic rhinosurgery for the paranasal sinuses.
Vrach. 2016;27(2):44-45
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RADIATION THERAPY IN THE TREATMENT OF NON-SMALL-CELL LUNG CANCER
摘要
The paper considers the importance of radiotherapy in the combination treatment of patients with non-small-cell lung cancer (NSCLC). It describes different radiotherapy options and possibilities of combined treatments in patients with NSCLC.
Vrach. 2016;27(2):46-48
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ROLE OF A PRIMARY CARE PHYSICIAN IN THE EARLY DIAGNOSIS OF MELANOMA
摘要
The early diagnosis of melanoma will be able to reduce its mortality. In Russia, this problem should be solved by attracting primary care physicians who should refer patients with suspected pigmented masses to a dermatologist or an oncologist to specify a diagnosis.
Vrach. 2016;27(2):49-51
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A MOTOR TRANSPORT DRIVER WITH DIABETES MELLITUS AT THE RECEPTION
摘要
Diabetes mellitus was ascertained to have a negative impact on the quality of professional performance in drivers; pharmacotherapy ensures effective control of their psychosomatic health and safe vehicle driving.
Vrach. 2016;27(2):52-56
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EARLY SYMPTOMATIC THERAPY WITH ALGINATES AND ANTACIDS IN PATIENTS WITH GASTROESOPHAGEAL REFLUX DISEASE
摘要
A randomized clinical trial enrolling 86 patients with gastroesophageal reflux disease (GERD) has demonstrated the higher efficacy of an alginate than that of an aluminum and magnesium antacid in relieving the symptoms of GERD and dyspepsia.
Vrach. 2016;27(2):56-58
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ULTRASOUND ESTIMATION OF STRUCTURAL AND GEOMETRIC PARAMETERS IN PATIENTS WITH CHRONIC DIFFUSE LIVER DISEASES OF VIRAL ORIGIN
摘要
In patients with chronic diffuse liver diseases of viral origin, the leading types of a change in the geometry of left cardiac segments are remodeling to form predominantly concentric left ventricular hypertrophy. This type of left ventricular remodeling was encountered significantly more frequently in liver cirrhosis associated with HBV and HCV infection.
Vrach. 2016;27(2):59-61
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IMPACT OF THE DEGREE OF ACUTE MECHANICAL SMALL BOWEL OBSTRUCTION ON SURGICAL TACTICS
摘要
The paper gives data on the elaboration of and pathogenetic rationale for optimal management tactics for patients with acute mechanical small bowel obstruction.
Vrach. 2016;27(2):62-65
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ABOUT THE ANTI-HELICOBACTER THERAPY AT CHILDREN
摘要
The article contains data from different sources and the results of own research on application various schemes of antihelicobactery therapy at children with chronic gastroduodenitis. High efficiency of use is shown at treatment of this pathology of immunocorrigent medicines.
Vrach. 2016;27(2):65-67
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EFFECT OF OSTEOMED ON CONSOLIDATION OF BONE FRACTURES
摘要
The paper presents the results of investigating the efficacy of the new calcium-containing osteoprotector on the rate of callus formation in fractures.
Vrach. 2016;27(2):68-69
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ROLE OF COLONOSCOPY IN THE DIAGNOSIS OF COLONIC DYSPLASIA AND CANCER IN ULCERATIVE COLITIS
摘要
Patients with inflammatory bowel diseases are at high risk for colonic dysplasia and cancer, which necessitates endoscopic and histological examinations. Their results in these patients directly determine the management tactics that requires a multidisciplinary approach in many cases.
Vrach. 2016;27(2):70-76
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INNOVATIVE TREATMENTS FOR CYSTIC FIBROSIS
摘要
The review presents current etiological and pathogenetic methods for the personalized therapy of cystic fibrosis in relation to the class and type of mutation in the CFTR gene. It considers the first innovation agents for the treatment of cystic fibrosis and new promising developments.
Vrach. 2016;27(2):77-81
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COMMUNICATING SKILLS. THE STRUCTURE OF MEDICAL CONSULTATION
摘要
The quality of medical care and the results of treatment depend on the efficiency of information exchange between a physician and a patient. The medical consultation is a process that is well amenable to structuration. The physician’s knowledge of the elements constituting this process improves manageability in information exchange and reduces the risk of medical errors associated with communication defects. The key phases of the medical consultation and recommendations for effective behavior in each of them are given.
Vrach. 2016;27(2):81-83
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VOICE RECORDERS (DICTAPHONES) IN MEDICAL PRACTICE
摘要
The paper discusses whether it is necessary to use voice recorders to timely collect patient information with its further interpretation to fill in appropriate medical documentation.
Vrach. 2016;27(2):83-85
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FATAL OUTCOMES OF FIRST DIAGNOSED PULMONARY TUBERCULOSIS IN ITS LOW-INCIDENCE AREA
摘要
Ways of improving work on active detection of pulmonary tuberculosis are proposed on the basis of an analysis of deaths from the disease during the first year of a follow-up and its postmortem diagnosis in its low-incidence area.
Vrach. 2016;27(2):86-87
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