Vol 24, No 4 (2018)

Articles
A STUDY OF THE MEDICO-SOCIAL ASPECTS OF MORBIDITY AMONG ADULTS AND CHILDREN IN THE ARAB COUNTRIES OF THE MIDDLE EAST
Polunin V.S., Al-Sabunchi A.M., Korolik V.V., Buslayeva G.N.
Abstract
For morbidity is assessed the health of the population, which influence the socio-economic conditions and lifestyle factors, conditions and external factors Wednesday, biological conditions and factors, conditions and factors of the system and service health care. In Russia regularly examines the details of medico-demographic aspects of population health, but the necessary activities to enhance the health of the population of the countries of the Middle East hampered by various problems. Purpose - a study of the medico-social aspects of morbidity among adults and children in the Arab countries of the Middle East. Materials and methods. The research of health status of the population and the influence of socio-hygienic factors in Yemen, Iraq and Syria during the period of 2005-2010, studied modern informational materials on this issue. Results-the health status of the population of Yemen, Iraq and Syria is under the constant influence of the complex socio-hygienic factors mostly negative for the high morbidity of population, the low availability of medical assistance and health literacy, poor living conditions, material income. The first 5 places in the structure of morbidity of the population occupy: andnfekcionnye and parasitic diseases (28.3%), diseases of bodies of digestion (26.1%), respiratory (13.7%), circulatory (12.3%), injuries ( 3.6%), accounting for 83.5% of pathology. Total morbidity adult and children population of the countries surveyed the first three places are occupied by respiratory diseases, infectious diseases and diseases of the digestive system. Almost half of the urban population have daccess to primary health services in the countries studied, the inhabitants of the village-only every fourth. This process in the period from 2011 to 2017 years worsened in connection with military actions. Correction of the prevailing situation is possible only with the establishment of peace and the use of preventive recommendations.
Medical Journal of the Russian Federation. 2018;24(4):172-175
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ANALYSIS OF SURGERY FOR INGUINAL HERNIA UNDER HERNIA CENTER
Sazhin A.V., Andriyashkin A.V., Ivakhov G.B., Mamadumarov V.A., Nikishkov A.S., Loban K.M., Teplykh A.V., Shadin K.I.
Abstract
The purpose of research - to evaluate the spectrum of surgical procedures performed in patients with inguinal hernias, in clinical practice, surgical hospital in Moscow. Material and methods. Cross-sectional study carried out with sequential selection of all patients with inguinal hernias operated in a planned manner in the surgical clinic CCH № 1 named after N.I. Pirogov in Moscow in the period from September 1, 2017 on December 31, 2017 The study was observational in nature, exclusion criteria were not. The study included 175 patients with inguinal hernias. Found 201 inguinal hernia, made 201 hernioplasty. Results. 42 (20.9%) patients underwent “open” alloplastic - Liechtenstein operation (in all cases a one-sided). Videolaparoscopic intervention conducted 133 patients (26 in the hernia observations wore a bilateral nature, only 159 procedures (79.1%)). TAPP hernioplasty performed in 140 cases (69.6% of 118 patients) TER hernioplasty - in 19 (9.5%, 15 patients). Lichtenstein operation performed usually patients with large hernial ring (3 cm). Among patients who underwent intervention Endovideosurgery dominated patients with hernial ring to 1.5 cm. Also, among patients who underwent open surgery, patients are often met with oblique hernias. Furthermore, Liechtenstein operation was performed in patients with severe concomitant therapeutic pathology, inguinal-scrotal hernia, endotracheal failure of anesthesia. Complications in the immediate postoperative period, fixed in 1 (0.5%) patients - after TAPP formed preperitoneal hematoma. The mean hospital stay of 2.6 days. Signs of relapse of the disease, the formation of chronic pain, septic, and venous thromboembolic complications were recorded. Conclusion. The vast majority of operations for inguinal hernia in the CCH № 1 named after N.I. Pirogov during the reporting period 2017 Endovideosurgery satisfied (79.1%). The widespread introduction of minimally invasive technologies endovideosurgical work according to current clinical guidelines, training of employees, the formation of a significant flow profile allows patients to surgical hospital of the city hospital to assist patients with inguinal hernias at the level of the world standards.
Medical Journal of the Russian Federation. 2018;24(4):176-179
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COMPARATIVE EVALUATION OF BONE TISSUE REGENERATION WITH LIMITED DEFECTS OF THE PARIETAL BONE (EXPERIMENTAL STUDY ON ANIMAL MODELS)
Khelminskaya N.M., Ettinger A.P., Kravets V.I., Polivoda M.D., Goncharova A.V., Krasnov N.M.
Abstract
At today, in practice of dental surgeons and maxillofacial surgeons offten used synthetic osteoplastic material which contain in its constitution hydroxyapatite,tricalcium phosphate, collagen, glycosaminoglycans (GAG), chondroitin sulfate, calcium sulfate and phosphate, antibacterial and anti-inflammatory drugs in various combinations and proportions. The bone replacement materialsserve as a framework on the basis of which in afterwards mature bone tissue forming. It should be noted that it is not possible to achieve full recovery of the lost bone tissue, in most cases unfinished regeneration is observed. In the presented work was made a comparative evaluationof the effectivness usage osteoplastic materials for replacement of limited defects of bone tissue in animal experiments.
Medical Journal of the Russian Federation. 2018;24(4):180-184
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PERIODS OF CHILDHOOD
Vaganov P.D., Yanovskaya E.Y., Mandzhieva E.T.
Abstract
The article is designed as a lecture for students of medical universities, as well as for practicing doctors. It shows the periods of childhood with characteristic for each stage features of a growing organism.
Medical Journal of the Russian Federation. 2018;24(4):185-190
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DIGOXINE IN PATIENTS WITH CHRONIC HEART FAILURE: PRO AND CONTRA
Melekhov A.V., Gendlin G.E.
Abstract
Review of Russian and foreing clinical guidelines in aspect of digoxine use in chronic heart failure. Main clinical trials in this area are briefly discussed. Key questions of practical digoxine use at various categories of chronic heart failure patients are covered.
Medical Journal of the Russian Federation. 2018;24(4):191-194
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PSEUDOARTHROSIS OF THE FEMORAL NECK: FEATURES OF THE ORIGIN AND TACTICS OF TREATMEN
Egiazaryan K.A., Sirotin I.V., But-Gusaim A.B., Gorbachev M.A.
Abstract
Pseudoarthrosis of the femoral neck is a severe lesion of the hip joint area, the outcome of which in most cases is persistent disability of patients, a significant decrease in the quality of life, a violation of their ability to maintain and self-service ability. The frequent development of pseudoarthrosis in this segment is primarily due to the peculiarities of trophic proximal femur and poor bone quality, which is common in elderly and senile patients. Currently, the preferred method of surgical treatment of patients with pseudoarthrosis of the femoral neck is currently hip arthroplasty. Objective - to summarize the tactical and technical difficulties in the preparation of patients, as well as possible ways to improve the quality of treatment for patients with pseudoarthrosis of the femoral neck. Materials and methods. According to foreign and domestic literature, all available studies on the problem of treatment of pseudoarthrosis of the femoral neck. Results. The development of a false joint significantly complicates the intraoperative development of osteoporosis, the expressed shortening of the limb, the formation of the flexion-leading contracture of the hip joint, and the expressed cicatricial degeneration of the soft tissues in the affected area. Arguments in favor of treatment of patients with this pathology by the method of total hip arthroplasty are presented. Conclusion. The problem of improving the quality of treatment for patients with pectoral pseudoarthrosis is topical and deserves close attention.
Medical Journal of the Russian Federation. 2018;24(4):195-198
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PLASMA FLOW SURGICAL TECHNOLOGY: FROM THE SOURCES - TO OUR DAY
Shulutko A.M., Osmanov E.G., Semikov V.I., Macharadze A.D.
Abstract
Among various methods of thermal energy them a special place is occupied by plasma surgical technology. The article details the historical aspects of the formation and development of plasma technology - in Russia and in Western countries. Types of plasma surgical installations of domestic production, the history of their creation are described. Separately presented air-plasma technology, received in recent years, widespread in general and military surgery. It should be noted that this technology has been successfully tested in abdominal and thoracic surgery, operative gynecology, dentistry and oncology. However, as time has shown, it is most in demand in the treatment of various kinds of purulent-inflammatory diseases. Based on the literature data, the areas of practical application of the technique, the features of the plasma-physical effect in various regimes, the possibility of its combined use together with other physico-chemical methods are described. The authors used foreign databases Web of Science, MedLine, as well as the Russian resource of RINTS.
Medical Journal of the Russian Federation. 2018;24(4):199-205
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PARVOVIRUS B19: FEATURES OF PREVALENCE IN ONCOLOGICAL PATIENTS
Zykova T.A., Shevyakova E.A.
Abstract
The review provides information on the prevalence of parvovirus B19 infection, its spread in various regions of Russia is examined in detail. A brief description of various clinical manifestations of parvovirus infection is given. In more detail, the review discusses the role of parvovirus B19 in the development of cancer and, in particular, oncohematological diseases, the percentage of infection among patients; the importance of timely laboratory diagnosis of this infection is shown.
Medical Journal of the Russian Federation. 2018;24(4):206-212
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NEUROLOGICAL MANIFESTATIONS OF PRIMARY CHOLESTATIC LIVER DISEASES
Shulpekova J.O., Shirokova E.N., Rusyaev V.Y., Damulin I.V.
Abstract
The most typical and early signs of primary cholestatic liver diseases are represented by itching, prominent asthenia and autonomic dysfunction. These abnormalities significantly affect the quality of life. The data obtained relate itching and asthenic syndrome in cholestatic liver diseases to pathological changes of the central nervous system (CNS). The special scales for assessment of severity of asthenic manifestations, itching and quality of life in primary biliary cholangitis were developed. Besides, memory defects and loss of concentration ability are quite often seen even in non-cirrhotic patients. These defects have a tendency to progress without obvious associations with biochemical and histological parameters of liver disease severity. Some investigators underline the association of asthenic and cognitive disorders with autonomic dysfunction, systolic hypotension and impaired brain perfusion. The origin of itching in cholestatic liver diseases is largely attributed to central nociceptive sensitization and an increased tone of endogenous opiate system. Pathogenetic mechanisms of CNS dysfunction in non-cirrhotic patients with cholestatic diseases may involve neuroinflammation, hypovitaminosis D and E, influence of secondary hyperparathyroidism and exсessive bile acids concentration in blood.
Medical Journal of the Russian Federation. 2018;24(4):213-219
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UTERUS AND VAGINAL APLASIA AND PELVIC KIDNEY - MANAGEMENT AND SURGICAL POSSIBILITY IN CONGENITAL ANOMALY CORRECTION
Bobkova M.V., Arakelyan A.S., Kozachenko I.F., Yarotskaya E.L., Adamyan L.V.
Abstract
Objective. To clarify the possibilities and peculiarities of neovagival creation among the patients with MRKX syndrome and pelvic kidney. Subject and methods. Examination and surgical treatment were conducted in 3 patients with MRKX syndrome and pelvic kidney, including total laparoscopic colpopoiesis in 2 patients. Results. After surgical correction of vaginal and uterus aplasia in patiets with MRKX syndrome and pelvic kidney neovagina were created. In one patients neovagina were restore after previous surgery by vaginal approach because of extensive adhesions and high risk of laparoscopic surgery. In 2 patients - total laparoscopic colpopoiesis were perform without complications. Conclusion. Our clinical observations of surgical treatment in patients with MRKX syndrome and pelvic kidney shows possible surgical approaches of neovaginal creation depending of previous surgery and pelvic kidney localization, established during laparoscopy. Improvement of endoscopic technique and new modifications of neovaginal construction let us to increase the indications and possibilities of neovaginoplasty in patients with MRKX syndrome and pelvic kidney.
Medical Journal of the Russian Federation. 2018;24(4):220-224
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