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卷 28, 编号 11 (2017)
- 年: 2017
- 文章: 26
- URL: https://journals.eco-vector.com/0236-3054/issue/view/5977
Articles
COMBINED OPERATIONS IN THORACIC ONCOLOGY
摘要
Surgical treatment in patients with locally advanced lung cancer growing into the mediastinal structures remains a difficult and still unsolved task. The paper gives indications for combined surgery in thoracic oncology.
Vrach. 2017;28(11):2-6
2-6
NEPHROTOXICITY OF NONSTEROIDAL ANTI-INFLAMMATORY DRUGS: MECHANISMS, CLINICAL PRESENTATIONS, PREVENTION
摘要
Nonsteroidal anti-inflammatory drugs (NSAIDs) that are among the most popular classes of drugs are a leading cause of renal side effects. The mechanism of action of NSAIDs is associated with blockade of synthesis of renal vasodilator prostaglandins due to inactivation of the enzyme cyclooxygenase. Acute tubulointerstitial nephritis is the most common cause of NSAID-induced kidney injury. In addition, the risk of development and progression of chronic kidney disease has been reported. In this connection, it is necessary to conduct controlled randomized studies of renal complications caused by NSAIDs; the results of these studies will increase awareness of the problem discussed among physicians and pharmacists. It is necessary to strictly regulate the prescription of NSAIDs, to use both their optimal dosages and optimal use duration, and to assess the presence of risk factors for renal complications. To timely diagnose the nephrotoxicity of NSAIDs, a follow-up study of serum creatinine levels should be done calculating glomerular filtration rate, renal concentrating ability (Zimnitskys test), and complete urinalysis indices.
Vrach. 2017;28(11):7-12
7-12
LOCAL THERAPY FOR HIV DAMAGES TO ENT ORGANS
摘要
The paper gives data on typical damages to the oropharynx, nose, paranasal sinuses, and ear, which are characteristic of HIV-positive patients, as well as the local therapy regimens elaborated on the basis of our clinic.
Vrach. 2017;28(11):13-15
13-15
PAPILLARY THYROID CANCER
摘要
The paper summarizes current views on the etiopathogenesis, clinical presentations, diagnosis, and treatment of papillary thyroid cancer.
Vrach. 2017;28(11):16-19
16-19
VOCAL APPARATUS DISEASES IN FUNCTIONAL OVERSTRAIN
摘要
The paper describes the features of occurrence of vocal apparatus diseases due to functional overstrain, their risk factors, clinical presentations, diagnosis, treatment, and prevention.
Vrach. 2017;28(11):20-24
20-24
COMORBID OSTEOPOROSIS: CHALLENGES AND NEW DIAGNOSTIC OPPORTUNITIES (Part 2)
摘要
The paper compares two comorbid osteoporosis (OP) treatment approaches: 1) a traditional approach to suppress osteoclast function and 2) a new one to support osteoblast function with anabolics. It shows the benefit of the anabolic properties of drone brood hormones in the treatment of comorbid OP.
Vrach. 2017;28(11):25-28
25-28
COMORBIDITIES AND REASONS OF DISCREPANCY BETWEEN DIAGNOSES IN TUBERCULOSIS DISPENSARY PATIENTS
摘要
The impact of HIV infection, tuberculosis, and other diseases on the causes of death was evaluated in tuberculosis dispensary patients (n = 591). In 29.3% of the patients, the cause of death was malignant neoplasms that were diagnosed in only half of the patients in their lifetime; lung cancer was most common (in 13.4% of cases). The cause of death was diseases of the circulatory system in 17.1% of the patients and chronic hepatitis in the stage of cirrhosis in 13.4%. In half of the patients with nontuberculous diseases of the respiratory system, the diagnosis of tuberculosis established during their lifetime was not confirmed at autopsy.
Vrach. 2017;28(11):29-32
29-32
CONCURRENT CHRONIC OBSTRUCTIVE PULMONARY DISEASE AND DIABETES MELLITUS TYPE 2
摘要
Chronic obstructive pulmonary disease is often associated with diabetes mellitus type 2. According to the literature, systemic inflammation is most frequently considered as a possible common pathogenetic component.
Vrach. 2017;28(11):33-35
33-35
PROGRAMMED RETHORACOTOMY AFTER PNEUMONECTOMY FOR LUNG GANGRENE
摘要
The paper describes one of the surgical treatments for common lung gangrene, by using compression intraoperative hemostasis and programming rethoracotomy.
Vrach. 2017;28(11):36-37
36-37
EXPERIENCE THE ENZYME-CONTAINING SORBENT ASEPTICORB®-DC FOR THE TREATMENT OF BURN WOUNDS
摘要
The paper gives the results of clinical testing the samples of the current wound-healing agent Asepticorb®-DC (OOO M.K. Aseptika) used to treat deep burn wounds in patients from the Burn Department, Far Eastern District Medical Center, Federal Biomedical Agency of Russia.
Vrach. 2017;28(11):38-41
38-41
NASAL SEPTAL SWELL BODY: WHAT IS IT?
摘要
The paper gives the data of a retrospective analysis of the literature on the structure, diagnosis, and treatments of nasal septum nasal swell body. It notes the important role of this structure in regulating air flows.
Vrach. 2017;28(11):42-43
42-43
OUR EXPERIENCE WITH ENDOSCOPIC FRONTOTOMY
摘要
The paper analyzes the literature covering the history of surgical treatment for frontal sinuses from the first steps to contemporary approaches, including the use of endoscopic and navigation technologies. It also retrospectively analyzes all cases requiring frontal sinus surgery in an ENT clinic in 2015-2016. A clinical example of surgical treatment for isolated frontal sinusitis is given.
Vrach. 2017;28(11):44-46
44-46
PREGNANCY AND CHRONIC TONSILLITIS
摘要
Chronic tonsillitis is detected in 80% of pregnant women with upper respiratory complaints and frequently associated with urinary tract and cardiovascular system problems and may contribute to miscarriage.
Vrach. 2017;28(11):47-48
47-48
THE MICROBIAL LANDSCAPE OF THE PALATINE TONSILS DURING AN EXACERBATION OF CHRONIC TONSILLITIS
摘要
The surface of the palatine tonsils was bacteriologically examined in patients with an exacerbation of chronic tonsillitis.
Vrach. 2017;28(11):49-51
49-51
A SYSTEMIC INFLAMMATORY RESPONSE IN PATIENTS WITH TUBERCULOSIS AND HIV INFECTION
摘要
This analysis has shown that the magnitude of a systemic inflammatory response in patients with tuberculosis and HIV infection increases in parallel with the severity of immune deficiency. The levels of C-reactive protein and α-antitrypsin were the most informative markers for the magnitude of a systemic inflammatory response.
Vrach. 2017;28(11):52-54
52-54
CARDIOPULMONARY COMORBIDITIES IN PATIENTS WITH NEW-ONSET TU-BERCULOSIS IN THE PRESENCE OF CHRONIC OBSTRUCTIVE PULMONARY DIS-EASE
摘要
Concurrent tuberculosis and chronic obstructive pulmonary disease have been found to signifi-cantly increase the incidence of cardiovascular diseases that in turn aggravate both the course of the underlying and concomitant diseases.
Vrach. 2017;28(11):55-57
55-57
CARDIOVASCULAR PATHOLOGY IN PATIENTS WITH CHRONIC OBSTRUCTIVE PULMONARY DISEASE IN DIFFERENT TYPES OF LUNG STRUCTURAL CHANGES
摘要
Mean diurnal systolic and diastolic blood pressures and echocardiographic parameters were estimated in patients with chronic obstructive pulmonary disease in different types of lung structural changes as evidenced by multislice spiral computed tomography.
Vrach. 2017;28(11):58-61
58-61
TIME COURSE OF CHANGES IN THE INDICATORS OF CENTRAL AORTIC PRESSURE AND QUALITY OF LIFE
摘要
The authors have investigated the impact of combined antihypertensive therapy on the indicators and quality of life in patients with high-grade hypertension.
Vrach. 2017;28(11):62-63
62-63
MASTOID CAVITY CHROMATOSCOPY DURING SANITIZING OPERATIONS ON THE EAR
摘要
It is shown that 0.4% aqueous indigo carmine is the one of the optimal test dyes used for mastoid cavity chromatoscopy during sanitizing operations on the middle ear.
Vrach. 2017;28(11):64-65
64-65
RHINITIS SICCA ANTERIOR
摘要
Rhinitis sicca anterior is a local chronic inflammatory process that is most often limited by the areas of the anterior and caudal parts of the nasal septum and the related lateral parts of the nasal vestibule. The main etiological factor is occupational hazards and physical characteristics of the environment: inhaled air humidity and temperature. The authors also discuss the role of hyperglycemia (diabetes), endocrine disorders, hormonal alterations during pregnancy, depressive states, and recurrent acute rhinitis. The predisposing role of chronic mechanical injuries (nose pickers) is not ruled out. Along with the etiology and clinical presentations of the disease, therapy for rhinitis sicca anterior is considered in detail, by taking into account the data available in the current literature on the use of inhalation, ectoine-containing nasal sprays, irrigation treatment, and protective means.
Vrach. 2017;28(11):66-68
66-68
ROLE OF VASCULAR ENDOTHELIAL GROWTH FACTOR AND ITS SOLUBLE RECEPTOR TYPE 2 IN PATIENTS WITH EXUDATIVE PSORIASIS
摘要
The paper considers information on the pathogenesis of psoriasis, the specific features of angiogenesis in patients with psoriasis. The baseline serum levels of free vascular endothelial growth factor (VEGF) and its soluble receptor type 2 (sVEGF-R2) were determined in patients with exudative psoriasis and in apparently healthy individuals (a control group). A correlation analysis was carried out to assess an association between the baseline levels of VEGF, sVEGF-R2 in the serum of patients with exudative psoriasis, Psoriasis Area and Severity Index (PASI), patient age, and a VEGF/sVEGF-R2 ratio.
Vrach. 2017;28(11):69-71
69-71
STEPWISE THERAPY FOR TROPHIC ULCERS IN THE PRESENSE OF VENOUS INSUFFICIENCY
摘要
The paper presents current data on skin ulcerative defects associated with venous insufficiency. It considers approaches to therapy for this disease and gives the results of the authors’ own observations.
Vrach. 2017;28(11):72-73
72-73
ANALYSIS OF THE RESULTS OF FIVE-YEAR COMBINATION TREATMENT IN CHRONIC HEPATITIS C PATIENTS WITH SEVERE LIVER FIBROSIS AND CYTOPENIA
摘要
В клинике инфекционных болезней Самарского государственного университета в течение 5 лет наблюдали больных хроническим гепатитом С, осложненным фиброзом печени продвинутой стадии и цитопенией. В их лечении при отсутствии возможностей этиотропного лечения наряду с общепринятой патогенетической терапией использовался рекомбинантный интерлейкин-2 российского производства (Ронколейкин®). Предложенная нами схема ведения пациентов, оказывая комплексное, в том числе заместительное иммунореставрационное действие, позволяет длительно сохранять компенсаторные возможности печени и иммунной системы, что дает возможность через определенный срок при улучшении состояния пациента (и/или при изменении условий финансирования) вернуться к обсуждению этиотропного элиминирующего лечения.
Vrach. 2017;28(11):74-78
74-78
LONG-TERM RESULTS OF OPEN, LAPAROSCOPIC, AND ROBOT-ASSISTED PARTIAL NEPHRECTOMY
摘要
The purpose of this paper was to investigate the long-term functional outcomes of surgical treatment for localized kidney cancer by open, laparoscopic or robot-assisted partial nephrectomy (RAPN). 40-45% of patients experienced acute kidney injury in the postoperative period; subsequently, there was a gradual decline in glomerular filtration rate. RAPN is not only an optimal organ-sparing operation, but also slows the progression of chronic kidney disease.
Vrach. 2017;28(11):79-82
79-82
USE OF A MODIFIED PROCEDURE FOR DETERMINING THE LEUKOCYTE INDEX OF ENDOGENOUS INTOXICATION IN CHILDREN WITH URINARY TRACT INFECTION
摘要
The paper presents a modified formula for the leukocyte index of endogenous intoxication according to age coefficients. It comparatively analyzes intoxication syndrome in children with urinary tract infection in relation to comorbidity and age.
Vrach. 2017;28(11):83-84
83-84
HEMATURIA IN CHRONIC OBSTRUCTIVE PYELONEPHRITIS: A NEED TO CONTROL PLATELET FUNCTIONAL ACTIVITY
摘要
Hematuria and platelet reactivity are evaluated in patients with chronic obstructive pyelonephritis.
Vrach. 2017;28(11):85-86
85-86