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MEDICINE

ISSN 2227-6017 (ONLINE), ISSN 2303-9868 (PRINT), DOI: 10.18454/IRJ.2227-6017
ПИ № ФС 77 - 51217, 16+

OPPORTUNITIES AND DEVELOPMENT PROSPECTS FOR RADIATION DIAGNOSTICS OF CARDIOVASCULAR DISEASES OF THE REPUBLICAN HOSPITAL NAMED AFTER N.A. SEMASHKO IN THE REPUBLIC OF BURYATIA

Posted in 2019, Issue № 9(87) September 2019, MEDICINE | 0 comments

Cardiovascular diseases are the leading cause of population death; therefore, the diagnosis and detection of these diseases are of great importance for timely treatment and improvement of prognostic data. Radiation diagnostics has a special place in the volume of cardiological and cardio-surgical care.

Republican Clinical Hospital named after N.A. Semashko provides high-tech medical care. This article analyses data on the use of radiation diagnostics in cardiology of the Republican Clinical Hospital named after N.A. Semashko and provides a review of recent developments in non-invasive diagnostics of cardiovascular diseases describing the prospect of their implementation.

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COGNITIVE DISORDERS OF PATIENTS WITH TYPE 1 AND 2 DIABETES MELLITUS

Posted in 2019, Issue № 9(87) September 2019, MEDICINE | 0 comments

The authors have conducted a comparative screening analysis of cognitive dysfunctions among patients aged 35-45 years with type 1 and type 2 diabetes mellitus. Cognitive impairment are more often found in patients with type 2 diabetes mellitus, and this was due to an increase in the proportion of predemental moderate cognitive impairment. Type 2 diabetes mellitus is characterized by a predominance of cognitive dysfunctions in men, due to mild and moderate cognitive impairment, in the amount observed two times more often than in women. However, in women with type 2 diabetes mellitus, cognitive disorders were not detected in 52% of cases, which is 2.6 times more often than in men.

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FEATURES OF USING STEVIA IN FUNCTIONAL NUTRITION FOR TYPE 2 DIABETES MELLITUS

Posted in 2019, Issue № 9(87) September 2019, MEDICINE | 0 comments

The article discusses the results of the latest research carried out by the scientists on the use of plant extract of stevia in nutrition for type 2 diabetes mellitus. The author of the article focuses on the positive and negative properties of the stevioside sweetener while indicating possible side effects. The study also discusses risk factors for developing type 2 diabetes mellitus, as well as antidiabetic, antihyperlipidemic, antiplatelet, angioprotective, antimicrobial and antihypertensive effects of stevia extract, outlines the need for further research on the effect of stevia on weight loss.

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PREGNANCY AND CHILDBIRTH OF PREGNANT TEENAGERS UNDER MODERN CONDITIONS

Posted in 2019, Issue № 9(87) September 2019, MEDICINE | 0 comments

Pregnancy and childbirth in primiparous adolescents is a serious obstetric problem since the amount of complications is much higher than in pregnant women over 18 years of age. Later appeal for registration for pregnancy, irregular visits, and a high frequency of hypochromic anemia are typical in the group of adolescents. The leading complication in childbirth is the weakness of the labor force and discoordinated labor activity, which are indications for surgical delivery in this group. The postpartum period is marked by an increased frequency of hypotonic bleeding.

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FORECASTING LACTATION DISTURBANCES BY PLACENTA HOR-MONE LEVEL AFTER IN VITRO FERTILIZATION

Posted in 2019, Issue № 9(87) September 2019, MEDICINE | 0 comments

A study was made of the possibility of forecasting lactation disturbances by the level of placental hormones in women after in vitro fertilization (IVF) and embryo transfer (ET) depending on the form of infertility in a single-term, full-term pregnancy. The studies were carried out in three subgroups with tubal-peritoneal, endocrine, and male infertility factors, which were compared with an independent pregnancy. We assessed the hormonal function of the placenta, revealed a high frequency of compensated placental insufficiency in the IVF group. In the subgroups, there was a decrease in the production of placenta hormones (progesterone, estriol, placental lactogen) preparing the mammary glands for lactation, which was reflected in a decrease of normal lactation by 5 days in all subgroups. It is concluded that the increased incidence of lactation (hypogalactia) in the first two weeks after birth is associated with a decrease in the hormonal function of the placenta.

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COMPARISON OF THE FREQUENCY OF FOCAL ENAMEL DEMINERALIZATION DEPENDING ON THE TIME OF TREATMENT AND THE USE OF REMOVABLE AND FIXED ORTHODONTIC APPLIANCES

Posted in 2019, Issue № 9(87) September 2019, MEDICINE | 0 comments

It is established that qualitative and quantitative changes in the composition of mixed saliva occur in the early stages of orthodontic treatment, while at the same time the isolation of an enameled area takes place, which impedes remineralization. There is a lack of knowledge concerning the occurrence of caries in the spot stage during orthodontic treatment on removable and fixed appliances, as well as the correlation of demineralization with the time of wearing the device. We conducted comparative analysis of the frequency of occurrence of focal demineralization of enamel when wearing removable and fixed appliances and determined its dependence on treatment time. For the study, 5 groups of patients were formed according to the type of appliances used and the time of use, whereas the first group did not use any orthodontic appliances and was a control one. The highest prevalence of carious enamel lesions in the fixation area of the apparatus was detected in the group with fixed orthodontic constructions worn for two years or more. The smallest damage to the enamel was observed in the group with removable orthodontic appliances worn up to a year and a half. Despite the differences, when using any of the types of orthodontic appliances we recommended remineralizing therapy or treatment of superficial caries with the indicated infiltration method after the completion of the treatment.

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MEDICAL AND STATISTICAL ASPECTS OF OPHTHALMOLOGICAL HEALTH OF WORKING RAILWAY PERSONNEL

Posted in 2019, Issue № 8(86) August 2019, MEDICINE | 0 comments

The article presents materials based on the study of the ophthalmological health of Russian railway personnel (102 people in total) working on railroads rolling stock: 42.0% in locomotive crews, 29.0% in servicing rolling stock mechanics, and 29.0% in other positions providing the movement of trains.

During the study, a set of special techniques was used: Schirmer 1 test to assess the tearing; the method of eight consecutive tests (with glasses and without glasses) on the “Mesotest-2” apparatus for the study of mesopic (twilight) vision. For the subjective assessment of vision and asthenia, an ES-20 questionnaire and the MFI-20 test were applied.

As a result of the study, a number of medical and statistical features of the ophthalmological health of working railway personnel were discovered, which enabled the planning of a complex of treatment and preventive measures implemented later under the conditions of the Interdisciplinary Centre for Eye Microsurgery of JSC Russian Railways with regard to the narrow professional affiliation of employees.

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THE AFFECTIVE DISTURBANCE IN PEOPLE WITH ALZHEIMER’ AND VASCULAR DEMENTIA

Posted in 2019, Issue № 8(86) August 2019, MEDICINE | 0 comments

Introduction: The evaluation and treatment of affective symptoms in the people with dementia have an important role in the engagement in daily activities, relationships and the quality of life for them and their families.

Objective: Our aim was to evaluate Affective Disturbance in people with Alzheimer’s (AD) and vascular dementia (VD).

Subjects and Methods: We assessed the scores of the Affective Disturbance Subscale of the BEHAVE-AD in 30 people with AD and 30 people with VD, scoring 0-3 based on severity rating of the symptoms.

Results: The Affective Disturbance was present in 86% of people with vascular dementia and in 36.6% in people with Alzheimer’s dementia.

Conclusion: An understanding of mood symptoms in people with AD can aid in planning appropriate pharmacological and nonpharmacological treatment and also to help in giving appropriate advice to caregivers.

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DYNAMICS OF HOMEOSTASIS INDICATORS IN PATIENTS WITH ACUTE PANCREATITIS DEPENDING ON THE METHOD OF NUTRITIONAL SUPPORT

Posted in 2019, Issue № 8(86) August 2019, MEDICINE | 0 comments

We examined and treated 82 patients with severe acute pancreatitis (AP) – the choice of the method of nutritional support depended on the functioning of the gastrointestinal tract. The first group included patients (n = 37) with severe AP, who, on the 2nd day of intensive care, still had the manifestations of intestinal insufficiency, and, therefore, underwent full parenteral nutrition with three-component bags. The 2nd group included patients (n = 45), who underwent early enteral nutrition through a nasogastroduodenal probe since 2 days of the course of the disease. Beginning with 3rd day, energy requirements were covered by the combined PN and EN method.

Stress-induced hyperglycemia and hypoproteinemia developed during the first days of the disease in patients with severe acute pancreatitis. Normalization of the level of glycemia and average values of the total blood protein passed more quickly against the background of combined enteral and parenteral nutrition, which enabled achieving the target calorie content (25 kcal/kg) and a protein dose of up to 1.5 g/kg on the 5th day of nutritional support.

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METASTASES IN CERVICAL LYMPH NODES FROM UNDIAGNOSED PRIMARY SITE. BREEDING METHOD IN DIAGNOSTICS AND TREATMENT

Posted in 2014, Issue March 2014, MEDICINE | 0 comments

This article is devoted to discussion of a problem of standardization of tactics in diagnostics and treatment at patients with cancer metastases in lymph nodes of a neck from unknown primary site, considering the high social importance of this cohort of patients. The most frequent localizations of primary site of metastases in lymph nodes of a neck are considered.

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FЕАTURES OF CLINICAL DIAGNOSIS OF LATENT IRON DEFICIENCY IN WOMEN WITH TUBAL INFERTILITY

Posted in 2014, Issue March 2014, MEDICINE | 0 comments

The cohort of 123 women with tubal sterility was examined to evaluate the diagnostic accuracy of hyposiderosis symptoms. 52 patients out of 123 had latent iron deficiency, confirmed by laboratory tests. The sensitivity of hyposiderosis symptoms known signs is detected to be under 40 percent. Therefore it is impossible to establish reliable set of patients for laboratory screening of latent iron deficiency.

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ANALYTICAL SOLUTIONS TO ASSESS THE LEVELS OF CONTAMINATION OF THE SKIN WORKING WITH PESTICIDES

Posted in 2014, Issue March 2014, MEDICINE | 0 comments

The article presents the biological model for assessing the completeness of the flush for the study of pesticide skin contamination working to maintain their health.

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KINESIATRICS AS A PREVENTIVE MEASURE AND A REHABILITATION THERAPY FOR CERVICAL-SPINE INSTABILITY

Posted in 2014, Issue March 2014, MEDICINE | 0 comments

The reasons of cervical-spine instability are considered, evidence is provided to show the significance of systematic multiple treatment of this abnormal condition by combining the means and methods of remedial and recreational exercises.

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MICROCIRCULATION IN PATIENTS WITH CHRONIC KIDNEY DISEASE, ON HEMODIALYSIS

Posted in 2014, Issue March 2014, MEDICINE | 0 comments

The article discusses thestate ofthe microvasculaturein patients with chronickidney disease. 81 patients were included with chronic kidney diseasestage VI-V. Microcirculation was studied using laser Doppler flowmetry before the hemodialysis procedure, during and after its completion. Carrying out the procedure programmed hemodialysis does not affect the status of the microvasculature.

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POSINDROMNYJ APPROACH TO SUPERVISION OF CANCER PATIENTS IV CLINICAL GROUP

Posted in 2014, Issue March 2014, MEDICINE | 0 comments

This article presents the main links of functional standards supervision district doctor of oncology patients IV clinical group: cause-and-effect diagrams of homeostasis in these patients, the integration of clinical manifestations in syndromes, generate models, and algorithms.

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CLINICAL AND PATHOGENETIC PARALLELS IN FORMATION HYPERTENSION AND PEPTIC ULCER DISEASE AMONG RAILWAY WORKERS

Posted in 2014, Issue March 2014, MEDICINE | 0 comments

A high frequency of comorbidity of hypertension and peptic ulcer disease, as well as their mutual compounding effect on the course of the disease, make this task urgent. Sighting study of this syntrophy is necessary to ensure traffic safety and preserving their health requires because of the large number of risk factors this nosology, and the impact of the complex of harmful factors on the railway workers.

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VASCULAR COGNITIVE IMPAIRMENTS IN PATIENTS AFTER ISCHEMIC STROKE

Posted in 2014, Issue March 2014, MEDICINE | 0 comments

27 patients (age yonger than 65) were examined after the ischemic stroke in the past. All the patients had a pronounced dyslipidemia. The cognitive impairments being observed only in 6 patients from 27 (22%). This small group was characterized by arterial hypertension or repeated cerebral circulation disorders. More often the vascular cognitive impairments were found in the patients with the chronic current of the cerebrovascular disease.

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THE FEATURE BASAL BLOOD FLOW IN PATIENT WITH CHRONIC KIDNEY DISEASE

Posted in 2014, Issue March 2014, MEDICINE | 0 comments

The article discusses the state of the microvasculature in patients with chronic kidney disease. 91 patients were included with chronic kidney disease stage I-III. Microcirculation was studied using laser Doppler flowmetry. In patients with early manifestations of renal dysfunction infringements regulation of vascular tone.

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THE ROLE OF PHYSICAL TRAINING AND EXERCISE IN KEEPING UP REPRODUCTIVE HEALTH

Posted in 2014, Issue March 2014, MEDICINE | 0 comments

According to the study the public health is one of the pressing challenges faced by the modern society. In this respect, physical training and exercise become increasingly important as a means of keeping up reproductive health.

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CLINICO-EPIDEMIOLOGICAL CHARACTERISTIC OF PATIENTS WITH CHRONIC VIRAL HEPATITIS IN SAMARA REGION

Posted in 2014, Issue March 2014, MEDICINE | 0 comments

Оne of the approaches to increase the effectiveness of the treatment of patients with chronic hepatitis b in HBV in the face of limited financial means, is a more efficient use of antiviral medicines. Therefore, the goal was to provide clinical and epidemiological characteristics of patients with HBV in the Samara region, on the roster to get medicines to state programs.

The clinic of infectious diseases GBOU HPE SamGMU at the first stage of the study examined the results of complex examination of patients with HBV, under medical observation and entries in the register of the regional programme “modernization of the health of the Samara region (n = 336). In the second phase, among patients, motivated for treatment, patients were identified (n = 169) for the antiviral therapy (htp) according to EASL (HBV DNA more than 2-thousand IU/ml). A detailed analysis of the known predictors of effectiveness PW: gender, age, presence of HBeAg, HBV genotype and viral load, the original level of ALAT, the stage of fibrosis, previous treatment is allowed to allocate 3 patient groups: Group 1 (10%): primary NVeAg-negative with the genotype of HBV DNA and the NVeAg-positive — all under the age of 60 years and low viral load values; 2 Group (34%): primary NVeAg-negative, with genotype D of HBV DNA and low viral load values; 3 Group (56%): NVeAg-negative (primary and recurrent diseases), with genotype D of HBV DNA and high viral load. The additional criteria allowed detailing every selection, individual approach to the choice of drug, and hence the management of the funds.

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