Vol 2, No 3 (2011)

Articles
APPLICATION OF INTEGRATED PROPRIOCEPTIVE CORRECTION IN MOTOR RECOVERY IN PATIENTS WITH STROKE
Shvarkov S.B., Titova E.U., Mizieva Z.M., Matveeva O.S., Bobrovskaya A.N.
Abstract
We assessed the application of the proprioceptive correction method supporting stimulating foot massage "PIONt" and pull-suit "Regent" in medical rehabilitation of patients underwent spinal or cerebral strokes. The analysis of the neurological deficiency dynamics was performed; effectiveness of the neuro-rehabilitation predictors and mechanisms of proprioceptive correction method action were discussed. The significance of proprioceptive correction methods in a comprehensive restoration of neurologic function in stroke patients was shown.
Journal of Clinical Practice. 2011;2(3):3-8
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MULTIDISCIPLINARY TEAM VALUE IN RECOVERY TREATMENT OF PATIENTS WITH CEREBROVASCULAR DISEASES
Shirshova E.V.
Abstract
The results of a comprehensive clinical examination of 418 patients with various manifestations of cerebrovascular diseases (CVD) are analyzed. From the standpoint of functional disorders the analysis identified clinical manifestations CVD was performed and clarified their influence on the restriction of the fundamental types of activity. Multidisciplinary approach in restorative treatment and rehabilitation of patients with CVD is justified.
Journal of Clinical Practice. 2011;2(3):9-14
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STRUCTURALLY-RESONANT ELECTRO- AND ELECTROMAGNETIC THERAPY IN TREATMENT OF PATIENTS WITH ISCHEMIC STROKE
Kuzovlev O.P., Afonina N.S.
Abstract
Possibility of structurally-resonant therapy (SRT) application on 108 patients with an ischemic stroke is studied. Research has shown that SRT use a combination with the traditional treatment in neurology has advantage in comparison with the standard therapy alone. This method allows to achieve improvement of laboratory indicators, restoration of pelvis functions up to 75% of patients already in first three days.Method increases patients mobility, their independence in an everyday life, improves quality of life.
Journal of Clinical Practice. 2011;2(3):15-19
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THE INFLUENCE OF HIGHLY TECHNOLOGICAL TREATMENT METHODS ON THE LEVEL OF PRIMARY DISABILITY IN THE ALTAY REGION POPULATION CAUSED BY MUSCULOSKELETAL SYSTEM AND TRAUMA CONSEQUENCES
Goncharenko A.G., Maletin S.I., Shuvalov A.Y., Kolyado A.V., Tyulupa V.G.
Abstract
The analysis of dynamics and structure of primary disability of the Altay region population caused by diseases and consequences of lower extremities trauma was provided. The influence of highly technological treatment methods on the level of primary disability was assessed.
Journal of Clinical Practice. 2011;2(3):19-23
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PREVALENCE OF PROBLEM DRINKING AND ALCOHOL RELATED PROBLEMS AMONG TEAM SPORTS PLAYERS
Medvedev S.A., Zverev Y.P.
Abstract
The aim of the present study was to assess the reasons and the pattern of alcohol consumption and the prevalence of alcohol related problems among professional soccer and basketball players. Psychometric instrument included Russian version of "AUDIT". The results demonstrated presence of significant alcoholization of sportsmen, which was reflected in the absence of responders abstaining from alcohol, preference for strong alcoholic beverages, high mean "AUDIT" score (7,4 ± 3,1) and alcohol consumption (401,7 ± 271,2 ml of ethanol per month). About one third of sportsmen consumed alcohol at dangerous level. The typical pattern of alcohol consumption was characterized by frequent intake of alcohol and consumption of 5 and more drinks on a typical day of drinking. About 93% of athletes experienced alcohol related problems.
Journal of Clinical Practice. 2011;2(3):24-28
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KIDNEYS AND UPPER URINARY TRACT ULTRASONOGRAPHIC DATA IN CHRONIC SPINAL CORD INJURY PATIENTS
Belashkin I.I., Kochetkov A.V.
Abstract
The results of comprehensive study of kidneys and upper urinary tract uro-ultrasonographic data in174 chronic patients after spinal cord injury (SCI) are presented. It shows that neurourological pathological changes are frequently supported by uroinfection, firstly pyelonephritis (32%). Nephrolithiasis was diagnosed in 11,5% patients. Concrement's minimal diameter was diagnosed in 19% with their self-discharge in 12,6%. Varying degrees of hydronephrosis was diagnosed in 17,2% and cysts in 7%. The frequency/severity of neurourological changes depends on the time after SCI, the degree of neurological deficit, type of urinary excretion and pressure sores.
Journal of Clinical Practice. 2011;2(3):29-33
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VITAMINS AND MINERALS AS AN ALTERNATIVES TO REDUCE THE SYMPTOMS OF MENOPAUSE AFTER OOPHORECTOMY IN WOMEN OVER 45 YEARS OLD
Levakov S.A., Kedrova A.G., Vanke N.S., Kozhurina E.V., Kaganovskaya L.M.
Abstract
Menopause is an unavoidable change that every woman will experience, assuming she reaches middle age and beyond. An early menopause can be related to the surgical removal of the uterus and/or both ovaries. The article presents the main evaluation of the clinical severity and characteristics of the menopausal syndrome after oophorectomy. Our experience has shown that vitamins and minerals, as an alternative to hormone replacement therapy reduces the severity of menopause symptoms. They play a central role in many body processes for menopausal women. Studies have linked it to preventing heart disease, osteoporosis, diabetes, cancer and weight gain. If that seems like a lot of prevention in one little vitamin, it is. The problem, though, is that as many as half of adults are deficient in vitamines and minerals and are therefore their minimum dose is not benefiting. Therefore, initiation of therapy always requires high doses of vitamins and minerals.
Journal of Clinical Practice. 2011;2(3):34-40
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ENDOVASCULAR AORTIC ANEURYSM REPAIR AS A CHOICE METHOD IN PATIENTS WITH HIGH RISK OF COMPLICATIONS
Chupin A.V., Kolosov R.V., Zaitsev M.V., Parshin P.Y., Orekhov P.Y., Deryabin S.V., Kemezh Y.V., Sitnikov A.V., Lebedev D.P.
Abstract
Методика эндопротезирования аневризм брюшной аорты за последние десятилетия используется все более часто. Данное вмешательство показано пациентам с высоким хирургическим и анестезиологическим риском открытого оперативного пособия. Рассматривается опыт 29 эндопротезирований аневризм брюшной аорты EXLUDER Core у пожилых пациентов с высоким риском открытого оперативного вмешательства. В ближайшем и отдаленном периоде летальных исходов не отмечено. После эндопротезирования аневризмы брюшной аорты не отмечено кардиальных и дыхательных осложнений в ближайшие сроки после операции. При динамическом наблюдении (1, 6, 12 мес. после операции) пациентов при компьютерной томографии осложнений (миграции эндопротеза, увеличение диаметра аневризмы, эндоликов I типа) не отмечено. Таким образом, эндопротезирование аневризмы брюшной аорты является методом выбора для пациентов группы высокого риска.
Journal of Clinical Practice. 2011;2(3):41-46
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HOSPITAL STAGE OF REHABILITATION
Laktionova L.V., Illarionov V.E., Kuzovlev O.P.
Abstract
In the article the questions of medical rehabilitation at a hospital stage, terminology, indications and contra-indications, staging actions are considered. The general algorithm of rehabilitation in clinic is illustrated.
Journal of Clinical Practice. 2011;2(3):47-51
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ORGANISATIONAL ASPECTS OF REHABILITATION IN THE MEDICAL-SANITARY UNIT OF THE INDUSTRIAL ENTERPRISE
Baiburin F.Y., Antropov V.I., Khramova E.V.
Abstract
This article discusses the organization of the rehabilitation in a medical-sanitary unit of an industrial enterprise, using the example of the Central Medical-Sanitary Unit N 119. It also identifies the basic regulatory documents and presents main results of the rehabilitation work for enterprise's employees .
Journal of Clinical Practice. 2011;2(3):51-55
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CRITERIA OF CENTRAL MEDICAL SANITARY UNIT № 119 FMBA OF RUSSIA FOR TEMPORARY DISABILITY EXPERTISE
Kulyga V.N., Mishin N.R.
Abstract
The article presents the original criteria developed in CMSU № 119 FMBA of Russia for an objective evaluation of this important area of medical unit as expertise of temporary disability.
Journal of Clinical Practice. 2011;2(3):56-57
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THE FIRST EXPERIENCE OF SURGICAL TREATMENT OF CHRONIC THROMBOEMBOLIC PULMONARY HYPERTENSION
Chupin A.V., Averyanov A.V., Chernjak B.B., Kemezh J.V., Sitnikov A.V., Prokofeva N.V., Kasjanova N.J., Bubnov V.A.
Abstract
The case report of successful pulmonary thromboendarterectomy in 34 years old patient, suffered of chronic thromboembolic pulmonary hypertension and severe respiratory failure during 9 years is described.
Journal of Clinical Practice. 2011;2(3):58-64
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PRIMARY SCLEROSING CHOLANGITIS AS THE DEBUT OF CROHN'S DISEASE
Urazova Y.A., Semendyaeva M.E., Bakulina I.F., Sazonov D.V., Lesnyak V.N., Zabozlaev F.G., Ivanov Y.V., Silin A.Y.
Abstract
This is an example of 34 years old patient who suffered from Crohn's disease with the abenteric effect of primary sclerosing cholangitis (PSC). PSC signs were observed during last 2 years and was a basis for clinical concept that led to Crohn's disease confirmation.
Journal of Clinical Practice. 2011;2(3):65-70
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THE PROBLEM OF PERITONITIS AT THE PRESENT STAGE OF MEDICINE DEVELOPMENT
Ivanov J.V., Istomin N.P., Solovev N.A.
Abstract
In the article new views on some questions concerning classifications, surgical treatment and features of intensive therapy of peritonitis are presented. The special attention is attracted to correct estimation of patients severity level depending on which antibacterial therapy has been chosen. The general principle of antibacterial therapy consists that than patient's condition is heavier, more powerful and less toxic antibacterial drugs should be applied. Successful treatment of a peritonitis demands at the present stage of medicine development from the doctor of profound knowledge on the given problem and the interdisciplinary approach at its decision.
Journal of Clinical Practice. 2011;2(3):71-78
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SIMULATION AS AN APPROACH TO STUDY SURGICAL PATHOLOGY IN WEIGHTLESSNESS
Panchenkov D.N., Astakhov D.A., Alikhanov R.B., Baranov A.V., Nechunaev A.A.
Abstract
This paper considers the modeling methods of peritonitis and effects of microgravity. We provide information about the probability of disease development in long duration space flight.
Journal of Clinical Practice. 2011;2(3):78-84
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SPINAL CORD NEUROSTIMULATION – NEW METHOD FOR THE TREATMENT OF PAIN AND SPASTIC SYNDROMES
Safin A.V., Kuzovlev O.P.
Abstract
The article is devoted to a new technique in neurosurgery – spinal cord neurostimulation. It has also focused on the patophysiology of pain and spastic syndromes. Surgical treatment of pain, spasti-city and stages of neurostimulation are also considered.
Journal of Clinical Practice. 2011;2(3):85-90
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