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卷 29, 编号 7 (2018)
- 年: 2018
- 文章: 20
- URL: https://journals.eco-vector.com/0236-3054/issue/view/5986
Articles
The foundation for stroke prevention in current clinical practice
摘要
Ischemic stroke (IS) is a complex multifactorial disease with a now widely discussed polyfactor hereditary component and biochemical, metabolic, inflammatory, coagulation, and hemodynamic factors. Its development is also influenced by environmental conditions. The assessment of the contribution of various risk factors to the prognosis of a first and recurrent IS can serve as the basis for developing personalized programs for primary and secondary IS prevention, especially in high-risk group patients. The issues of primary and secondary stroke prevention are common for neurologists, cardiologists, endocrinologists, therapists, and, of course, general practitioners.
Vrach. 2018;29(7):3-12
3-12
Epidemiological survey strategy and risk assessment in occupational medicine
摘要
The paper considers the problem with assessment of cause-and-effect relationships in occupational pathological studies and occupational medicine, by applying methodological approaches of clinical epidemiology (the term evidence-based medicine is better known in the Russian Federation). It also discusses the issues of evidence and causation in occupational medicine, the organization and conduction of epidemiological surveys using the specialized questionnaires, as well as clinical, functional, molecular, and genetic studies. The organizational and methodical bases for the assessment and management of professional risks in industrial medicine are under discussion.
Vrach. 2018;29(7):13-19
13-19
Chronic occupational diseases induced by exposure to the most common organic solvents
摘要
Organic solvents commonly used in various production activities are organic substances and compounds, which are characterized by a variety of chemical structures and physical properties. Long-term uncontrolled exposure to organic solvents can cause a variety of chronic lesions of many organs and systems of the body.
Vrach. 2018;29(7):19-26
19-26
Gouty nephropathy: diagnosis, approaches to treatment
摘要
The paper considers the types of kidney injury in patients with gout, target urine pH values and uric acid levels in the blood, and the basic principles of nutrition and drug therapy in patients with gouty nephropathy.
Vrach. 2018;29(7):26-29
26-29
Metabolic syndrome and psoriasis
摘要
The paper describes current views on the pathogenesis of metabolic syndrome and its correlation with skin abnormality, such as psoriasis. It indicates the relationship between insulin resistance and the severity of the psoriatic process. There are data on the management of patients with metabolic syndrome and psoriasis: the design of a follow-up and the recommendations for lifestyle and combination therapy.
Vrach. 2018;29(7):30-32
30-32
Overweight and vital exhaustion in men: prevalence and relationships
摘要
The high prevalence of vital exhaustion especially concurrent with overweight in the open male population shows that the prevention of cardiovascular disease should include measures to optimize nutrition and physical activity, by taking into account psychosocial determinants.
Vrach. 2018;29(7):33-35
33-35
The innovative drug Polyhemostat in the treatment of bleeding
摘要
The innovative drug Polyhemostat has been designed and patented by Russian scientists and registered by the Ministry of Health of the Russian Federation. The drug has been undergone pre- and post-registration clinical studies in a number of leading Russian clinics and military hospitals. The paper considers the experience in topically applying Polyhemostat.
Vrach. 2018;29(7):35-39
35-39
Polypragmasia in ophthalmic practice
摘要
The paper provides a discussion of the clinical case of female patient P. aged 70 years, who applied for examination to the Advisory Department, Eye Hospital, with the previously verified diagnosis of grade 1a open-angle glaucoma, early cataract, and mild hypermetropia. During instillations of the local formulation of a ß-adrenoblocker and an а-adrenomimetic in combination with paroxetine (an antidepressant of the selective serotonin reuptake inhibitor group), the patient developed weakness, hypotension, and bradycardia (blood pressure, 100/60 mm Hg; heart rate, 58 beats/min). In this case, there was a serious adverse reaction that was significantly associated with the adverse drug interaction according to the Horn-Hansten scale).
Vrach. 2018;29(7):40-43
40-43
A complex case of the differential diagnosis of granulomatosis with polyangiitis (Wegener’s granulomatosis) in a patient with long-term drug immunosuppression
摘要
The paper describes a clinical case of the differential diagnosis of local Wegeneds granulomatosis in a patient with long-term drug immunosuppression..
Vrach. 2018;29(7):43-47
43-47
Post-traumatic diaphragmatic hernias: diagnosis and treatment
摘要
Post-traumatic diaphragmatic hernias (PDH) account for about 13% of all diaphragmatic hernias. Due to difficulties in the diagnosis of PDH, it is necessary to develop protocols for examination of patients with isolated and mixed chest injury, by using the results of multispiral computed tomography, the most informative method for instrumental diagnosis in such patients. General practitioners, surgeons of specialized departments should be also informed further about the diagnosis and treatment of PDH in order to form their greater alertness to this category of patients.
Vrach. 2018;29(7):48-50
48-50
Pyoderma gangrenosum: a clinical case
摘要
The paper describes a rare clinical case of a patient with pyoderma gangrenosum. It discusses the etiology, pathogenesis, clinical presentations, and differential diagnosis of this disease and principles of its treatment.
Vrach. 2018;29(7):51-53
51-53
Characteristics of lipid metabolism in patients with acromegaly
摘要
The paper considers the characteristics of lipid metabolism in patients with acromegaly; their relationship to duration and to the hormonal activity of somatotropinoma.
Vrach. 2018;29(7):54-56
54-56
Use of zinc sulfate for peptic ulcer
摘要
The incorporation of zinc sulfate into the standard treatment regimen for peptic duodenal bulb ulcer can eliminate immunological shifts occurring in this pathology and results in an increase in the peripheral blood levels of leukocytes, lymphocytes, Tlymphocytes, and B lymphocytes and a decrease in the blood levels of IgM, circulating immune complexes, and the proinflammatory cytokine tumor necrosis factor-α.
Vrach. 2018;29(7):57-59
57-59
Panniculitis: the features of its course and outcomes
摘要
The paper presents the results obtained in the study of the course and outcomes of different types of panniculitis.
Vrach. 2018;29(7):60-62
60-62
Individual rehabilitation therapy techniques for osteoarthritis
摘要
Osteoarthritis (OA) is one of the most common joint diseases. The problem of its treatment needs to form the new approaches meeting the high safety requirements, especially in elderly people with comorbidity. A patient group of 72 people aged 38 to 76 years with a reliable diagnosis of OA and long-standing severe pain syndrome was selected. Thirty-two patients received treatment with ionized gel with hyaluronic acid and transcranial electrostimulation sessions, resulting in a reduction in pain by 56% of the baseline value on the visual analog scale, which was 2.3 times higher than that in the control group (24.3%). Upon completion of a 10-session cycle, the dose of used nonsteroidal anti-inflammatory drugs (NSAIDs) was reduced by 2 times in 58% of cases in the study group; 10% of patients completely discontinued the drugs; 4 weeks later only 25% of patients resumed taking NSAIDs at an average therapeutic dose. The use of ionized hyalurone-containing gel and transcranial electrical stimulation in patients with chronic pain syndrome in OA can be a promising rehabilitation technique at the stage of restorative treatment.
Vrach. 2018;29(7):63-67
63-67
Low-frequency magnetic therapy in the combination treatment of atherosclerosis obliterans of the lower extremities
摘要
The authors have investigated the efficiency of magnetic therapy with a running pulsed magnetic field generated by an ALMAG+ apparatus in the combination treatment of atheroscle-rosis obliterans the lower extremities.
Vrach. 2018;29(7):68-72
68-72
Pathogenetic communication of erectile dysfunction, anxiety and depressive disorders in hypertension
摘要
Erectile dysfunction (ED) in patients with arterial hypertension (AH) is very common, reaching according to various authors 70%, with accompanying psychoemotional disorders aggravate the course of sexual as well as somatic disorders. Associated pathology increases the risk of premature death, worsens the prognosis and reduced social functioning of patients. The common pathogenetic mechanisms of ED, anxiety and depressive disorders and hypertension are endothelial dysfunction with decreased nitric oxide, low levels of androgens, the violation of cortico-visceral connections with the imbalance of the hypothalamic-pituitary-adrenal system and sympathicotonia. Complex pathophysiology requires prescription of adequate anti-hypertensive and psychotherapy, effective treatment of erectile dysfunction.
Vrach. 2018;29(7):72-78
72-78
Hormone replacement and cardiotropic therapy in young men with hypertension, overweight, and androgen deficiency
摘要
Eighty-five men with hypertension, testosterone deficiency, and overweight were treated. The patients achieved a significantly effective result of 6-week treatment with minimal doses of a combined drug (10 mg lisinopril and 5 mg amlodipine) and minimal doses of hormone replacement therapy (transdermal gel 5 g and testosterone 50 mg daily). Early detection and timely treatment can prevent possible cardiovascular events. This therapy has a positive impact on blood pressure, vascular bed, erectile dysfunction, left cardiac remodeling, and psychological status.
Vrach. 2018;29(7):78-83
78-83
Osteosynthesis of open femoral fractures
摘要
Open femoral fractures are a serious problem of modern traumatology. Various approaches to primary wound debridement and fracture stabilization have been developed. The paper analyzes the experience with delayed external osteosynthesis.
Vrach. 2018;29(7):84-86
84-86
Melanoma of the nasal cavity
摘要
The paper describes a rare clinical case of extracutaneous nasal melanoma spreading to the sinuses with the development of nasal vestibular abscess and pansinusitis.
Vrach. 2018;29(7):87-88
87-88