Vol 8, No 1 (2017)

Articles
THE RESULTS OF THE FIRST DECADE OF WORK IN THE SYSTEM OF FMBA OF RUSSIA. PROSPECTS AND ACHIEVEMENTS OF SOUTH REGIONAL MEDICAL CENTER
Krishtopin V.S., Pleskachev S.A., Osetrova I.I.
Abstract
Thе article summarizes some results of work of the Southern Regional Medical Centre FMBA of Russia, analyses the results of the carried-out work for organizational structure improvement, restructuring of hospital bedspace and increasing the efficiency of treatment process. Examines the achieved indicators of access to health care, as well as forms and methods to enhance management skills of senior management. Much attention is paid to the basic directions of information technologies use in practical activities of medical organization.
Journal of Clinical Practice. 2017;8(1):3-10
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INDUSTRIAL MEDICINE: EXPERIENCE AND PROBLEMS
Ivashova I.S., Vanin A.V., Moiseenko D.A.
Abstract
The article discusses the positive experience of the Southern regional medical center of FMBA of Russia in the system of industrial healthcare. Describes the experience of work in selected areas of industrial medicine - diving and marine medicine, the tasks and the experience of the Center of professional pathology, discussed a number of problematic issues.
Journal of Clinical Practice. 2017;8(1):11-17
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THE RESULTS OF INFORMATIONAL TECHNOLOGIES IMPLEMENTATION IN SOUTHERN REGIONAL MEDICAL CENTER FMBA OF RUSSIA
Gerasimov A.E., Bessoltsev M.A., Êorsunov L.S.
Abstract
The article summarizes the results of the implementation in the Southern Regional Medical Center FMBA of Russia one of the directions of the Programme for modernization of the healthcare system - information technology. Considered the basic directions of the Programme implementation and methods for their realization.The conclusion is that the use of information technologies is absolutely necessary for fully-fledged activities of any medical organization.
Journal of Clinical Practice. 2017;8(1):18-24
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POSSIBILITIES OF ENDOVASCULAR TREATMENT OF PATIENTS WITH INFRARENAL AORTIC OCCLUSION
Dorofeeva N.P., Ivanchenko D.N., Mashtalova O.G., Kulikova I.E., Chibineva S.A., Orekchova Y.N., Kiyashko E.E., Radchenko E.Y.
Abstract
Quality of life is one of the indicators for a comprehensive assessment of the patient’s condition. Depression and reduced kidney function can impair the quality of life. Cognitive impairmen taffects negatively on patients’ quality of life. We examined 47 patients with stable angina pectoris. It was found that the presence of depressive symptoms is associated with a reduction in the quality of life with using the SF-36 scale. Worsening renal function was also associated with the deterioration of quality of life and worsening of depressive symptoms. The cognitive dysfunction has progressed with decreasing renal function.
Journal of Clinical Practice. 2017;8(1):25-29
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THE QUALITY OF LIFE IN PATIENTS WITH CORONARY HEART DISEASE
Zholkovsky A.V., Ermolenko V.V., Borondzhiyan T.S., Timofeeva L.L., Chubarov V.E., Urusov I.A.
Abstract
Occlusion of terminal aorta is mostly often caused by atherosclerosis and the development of lower limb ischemia requires prompt treatment. In addition to the open aortic surgery recanalization and stenting can also be used. The article presents the first experience of endovascular treatment in patients with good immediate and mid-term results. This method is suitable to use in patients with contraindications to general anesthesia.
Journal of Clinical Practice. 2017;8(1):30-34
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9-YEAR EXPERIENCE OF LARGE JOINTS ARTHROPLASTY
Chesnikov S.G., Timoshenko M.E., Dediaev S.I., Rosenberg D.V.
Abstract
Experience of small trauma and orthopedic Department shows the high efficiency of modern orthopedic technologies in major joint replacement. The application of the concept of FTS significantly reduces the cost of treatment and allows to accelerate the rehabilitation of patients.
Journal of Clinical Practice. 2017;8(1):35-39
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INTRAOPERATIONAL CORRECTION OF HAEMODYNAMIC DISTURBANCES IN PATIENTS UNDERGOING LAPAROSCOPIC SURGERY FOR HIATAL HERNIA
Burikov M.A., Katelnitsky I.I., Skazkin I.V., Timofeeva L.L.
Abstract
The aim of the article is to review the results of regional lower limb haemodynamics, haemostatic disturbances in patients undergoing laparoscopic surgery for hiatal hernia and intermittent pneumocompression in terms of embolism prevention. The impact of laparoscopic surgical technique on linear bloodflow velocity and venous diameter in lower limbs.
Journal of Clinical Practice. 2017;8(1):40-45
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ANALYSIS OF EARLY POST-OPERATIONAL COMPLICATIONS IN PATIENTS UNDERGOING LAPAROSCOPIC SURGERY FOR HIATAL HERNIA
Burikov M.A., Shoolgin O.V., Skazkin I.V., Kinyakin A.I., Sokirenko I.A.
Abstract
In order to identify the advantages of the original modification of Nissen fundoplication techniques and identify the safest mash material for prosthetic reinforcement of hiatal closure, was made analysis of early postoperative complications in 121 patients with hiatal hernia.The formation of the non tension fundoplication reduces the level of early postoperative complications. The usage of biological prosthesis has the advantage in comparison with synthetic ones. In general, the usage of mashes significantly increases the severity of the complaints of patients after the intervention, but most of them are within 3-14 days of the postoperative period.
Journal of Clinical Practice. 2017;8(1):46-49
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HETEROTOPIC CONTINENT OR INCONTINENT URINARY DIVERSION:MAKING THE OPTIMAL CHOICE
Perepechay V.A., Spitsyn I.M., Vasilyev O.N., Kogan M.I.
Abstract
Introduction. Quality of life and survival rate of post-cystectomy patients depend on the urinary diversion methods [1,2].Purpose of the study. A comparison of morbidity, survival rate, and quality of life in patients after heterotopic continent or incontinent urinary diversions.Materials and methods. During the period from 1998 to 2016, 36 heterotopic intestinal diversions were performed using urine containment method according to the Kock pouch scheme in our modification, and 61 incontinent heterotopic intestinal Bricker diversions. We evaluated the comorbid conditions (Charlson comorbidity index), postoperative complications (acc. to Clavien-Dindo), survival rate (acc. to E.L. Kaplan, P. Meier), and the quality of life of patients (SF-36) using complex statistical analysis.Results. Early and late complications not related and related to urinary diversion prevailed in the group of patients after Bricker surgery without statistical significance. With longer postoperative monitoring periods the share of complications related to urinary diversion increases, while the frequency of delayed complications and survival rate show no statistical difference in both groups. No reliable differences were revealed in the quality of life in all cases of cutaneous urinary diversion.Discussion. 80% of patients after the Kock pouch surgery (mod.) throughout the medium follow-up period of over 5 years remain continent and enjoy high quality of life. It is necessary to develop and implement in clinical practice new and more advanced statistical tools for evaluation of the patients’ quality of life depending upon the type of urinary diversion after cystectomy.Conclusion. Heterotopic continent diversion (Kock pouch (mod.)) in comparison with the incontinent method (Bricker) does not increase morbidity or decrease the survival rate, and provides for higher quality of life.
Journal of Clinical Practice. 2017;8(1):50-57
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POSSIBILITY OF COMPLEX LOCALIZATION INTRACRANIAL TUMORS HIGH-TECH MICRONEUROSURGERY WITH INITIALLY HIGH SURGICAL RISK
Airapetov K.G.
Abstract
The combination of modern methods of functional and adequate sparing microneurosurgery and neuroanesthesia let successfully carry out the removal of intracranial tumors difficult localization, despite the high surgical risk, which increases the life expectancy of patients and improve their quality of life
Journal of Clinical Practice. 2017;8(1):58-61
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CLINICAL CASE OF SURGERY KIDNEY CANCER WITH TUMOR THROMBUS IN THE ATRIUM AND ISOLATED LIVER METASTASIS
Perepechay V.A., Zholkovsky A.V., Burikov M.A., Makhno Y.E., Spitsyn I.M., Siryak A.V.
Abstract
Presents a clinical case of successful surgical treatment of kidney cancer with tumor thrombus of the inferior vena cava (IVC) to the level of the atrium, with simultaneous resection of segment I of the liver containing a single metastasis, in 57-year patient.
Journal of Clinical Practice. 2017;8(1):62-66
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SIDE EFFECTS OF PROLONGED ANTIARRHYTHMIC THERAPY WITH AMIODARONE
Dorofeeva N.P., Ivanchenko D.N., Mashtalova O.G., Kulikova I.E., Chibineva S.A., Ter-Akopyan A.O., Sklyarov F.V., Kiyashko E.E.
Abstract
Atrial fibrillation is widespread in population. It determines extensive use of antiarrhythmic drugs such as amiodarone. Thyroid lesion is one of common side effects of this therapy. The article describes a clinical case of photosensitivity’s development in the application of amiodarone
Journal of Clinical Practice. 2017;8(1):67-70
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DIRECT CONSTANT HIS BUNDLE PACING: HEMODYNAMIC BENEFIT AND LONG-TERM CLINICAL PROSPECT
Zholkovskiy A.V., Sklyarov F.V., Chudinov G.V., Ponomarev A.V., Peskov N.A., Tatyanchenko A.A., Korshunov V.V.
Abstract
Analysing the example of unusual case of a successful direct constant His bundle pacing, we would like to draw specialist’s attention to details of procedure and some important electrophysiological particularities we have come across during operation. Long-term (7 years) results ( pacing options, ECG data, changes of left ventricle ejection fraction and patient’s quality of life) were considered too.
Journal of Clinical Practice. 2017;8(1):71-77
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THE FIRST EXPERIENCE OF PULMONARY VEINS CRYOABLATION IN THE TREATMENT OF ATRIAL FIBRILLATION
Sklyarov F.V., Zholkovsky A.V., Sumsky M.A., Kornienko A.A., Pleskachev A.S., Borondgiyan T.S., Chudinov G.V.
Abstract
The review of domestic and foreign literary sources and own experience of cryoballon ablation, the modern method of treatment of patients with AF is presented. The indications are detailed, the data on the effectiveness and safety of the technique are given. Particular attention is paid to comparing the cryoballoon and radiofrequency isolation of the pulmonary veins.
Journal of Clinical Practice. 2017;8(1):78-82
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GYNECOLOGY OF EXPERT LEVEL
Kogan O.M.
Abstract
В преддверии празднования Международного женского дня в марте 2016 года в Ростовской клинической больнице Южного окружного медицинского центра Федерального медико-биологического агентства открыл свои двери уникальный для Ростовской области центр - «Женское здоровье». Главной задачей нового сформированного структурного подразделения федерального уровня стало оказание комплексной высококачественной медицинской помощи гинекологическим пациенткам, находящимся в возрастной группе от 18 лет и до постменопаузы.О первых успехах и достижениях, а также о главных отличительных особенностях и планах на будущее рассказывает руководитель Центра, главный внештатный акушер-гинеколог ФГБУЗ ЮОМЦ ФМБА России, заведующая отделением гинекологии, врач акушер-гинеколог высшей категории, к.м.н. - Коган Ольга Михайловна.
Journal of Clinical Practice. 2017;8(1):83-85
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