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Academic and research periodical “MIA Medical Bulletin” N 2 – 2017 (LXXXVII) was published

Подписан в печать 23.03.2017

CONTENTS

Health care management in the Ministry

DEVELOPMENT OF DEPARTMENTAL MEDICINE AS A BASE OF HEALTH

PROMOTION OF INTERNAL AFFAIRS AGENCIES STAFF

Sidorenko V., Zubritskiy V.

At present, the Office of Medical Support of the Department of Logistical and Medical Support of the Ministry of Internal Affairs of the Russian Federation manages the Medical Support Service of the Ministry. The Office

of Medical Support conducts organizational and methodological management of the Central Medical Care Unit of the Ministry of Internal Affairs of Russia, 84 Medical Care Units of the Ministry of Internal Affairs of Russia in subjects of the Russian Federation and 41 health institutions of the Ministry. As a result of reforming the Ministry, in 2016, six sanatoria of abolished federal agencies and the Central Polyclinic of the FDCS of Russia (renamed to the Central Polyclinic N 3 of the Ministry of Internal Affairs of Russia) were transferred under the supervision of the Office of Medical Support. Therefore, the number of personnel of the Medical Support Service of the Ministry of Internal Affairs of Russia has increased and is about 34 thousand people now.

Key words: internal affairs agencies staff, the Medical Support Service of the Ministry of Internal Affairs of Russia.

Surgery

ENDOVASCULAR SURGICAL CORRECTION OF PORTAL HYPERTENSION

Zubritskiy V., Abramov M., Zemlyanoy A., Andreyev A.

Transjugular intrahepatic portosystemic shunt (TIPS) is the most commonly used method of portal hypertension operative repair. Endovascular embolization of stomach varicosities and a splenic artery is used much less often.

Key words: portal hypertension, TIPS.

PHAGOPROPHYLAXIS AND BACTERIOPHAGE TREATMENT

OF SURGICAL INFECTIONS

Bryusov P., Zubritskiy V., Islamov R., Nizovoi A., Fominikh Ye.

Search for alternative and synergistic of antibiotics methods for the prevention and treatment of infectious complications of wounds is a topical problem due to the constant formation of antibiotic resistance of pathogenic microorganisms. The article deals with the various aspects of bacteriophages using for these purposes. There are biological properties of bacteriophages and the historical background on these preparations in the article. The authors assessed the possibility of phage drugs for treatment and prevention of infectious complications of wounds and detected that the preparations containing several active phages against the main pathogens of surgical infection were most suitable for these purposes. The authors assessed the polyvalent pyobacteriophage “Sextaphag” in vitro and its efficacy in clinical use. Based on the analysis of literature data and results of their own studies the authors concluded that the use of pyobacteriophages was promising for prevention and treatment of infectious complications of wounds.

Key words: bacteriophage, wound infection, surgical infections, phagoprophylaxis, bacteriophage treatment.

Therapy

EFFICACY EVALUATION OF TABLET SILICA ENTEROSORBENT BASED OF SILICON OXIDE

FOR PATIENTS WITH HEPATOBILIARY SYSTEM’S DISEASES

Tsibayeva Ye., Maximova Ye., Zabolotniy K.

The article shows the efficacy of silica enterosorbent “White Carbon” in the complex therapy of epatobiliary system’s diseases, such as toxic and viral hepatitises, chronic non-calculous cholecystitis, nonalcoholic fatty liver disease.

Key words: enterosorption, silicon oxide, hepatobiliary system.

Cardiology

COMPARATIVE ANALYSIS OF PROGRESS OF CARDIOVASCULAR DISEASES’ RISK

FACTORS IN POLICE OFFICERS OF INDIA AND RUSSIA

Davhale R., Amirov N., Khisamiyev R., Ginatullina L.

The study shows a high frequency of risk factors of cardiovascular diseases among police officers of India and Russia.

Key words: risk factors, cardiovascular diseases, police officers.

SPECIFICS OF PARAMETERS OF REGIONAL VASCULAR STIFFNESS AND ENDOTHELIUM

FUNCTIONS IN PATIENTS WITH HIGH CARDIOVASCULAR RISK

Oleynikov V., Burko N., Salyamova L.

The article deals with the assessment of the impact of metabolic disorders in conjunction with obstructive sleep apnea syndrome on endothelium functions and parameters of vascular stiffness in patients with arterial hypertension of 1–2 degrees.

Key words: obstructive sleep apnea syndrome, arterial hypertension.

Neurology

PROBLEMS OF DIFFERENTIAL DIAGNOSTICS OF STROKE (Clinical observation)

Tsibaeva E., Maksimova E., Solovyeva V., Kamaev Yu., Maksimova M.

The article deals with the problems of differential diagnostics of cerebral ischemic stroke and acute disseminated encephalomyelitis.

Key words: ischemic stroke, acute disseminated encephalomyelitis, bulbar disorders, magnetic resonance imaging, artery dissection.

Pulmonology

PNEUMONIA IN PATIENTS WITH IMMUNODEFICIENCY

Mironov M., Yashchenko A.

At present, detecting pneumonia with concomitant decrease in immunity is growing constantly. Doctors of various specialties are increasingly faced with the problem of diagnosis and treatment of pneumonia in patients with immunodeficiency. It is necessary to imagine clearly all the variants of the X-ray picture of infiltrative changes in the lungs. Immunocorrecting therapy is most effective only when the level of immunity is detected and treatment is directed at a specific cause of the disease.

Key words: pneumonia, immunodeficiency states, patients with low immune function, cytostatic treatment, HIV infection, empirical antibacterial therapy.

Gastroenterology

HYBRID REGIMEN OF ERADICATION THERAPY OF HELICOBACTER PYLORI

INFECTION IN TERMS OF “THE MAASTRICHT V CONSENSUS REPORT”

Yurenev Yu., Dicheva D., Berezutskaya O., Bayeva T., Partsvanna-Vinogradova Ye., Golovkina N.,

Maruchshak A., Gulenchenko Yu.

Clinicians observe a marked decrease in the effectiveness of empirical therapy of Helicobacter pylori (H.pylori) infection due to the increasing resistance to antibiotics. In view of this fact, it is very important to detect the regimens of eradication therapy, which have acceptable effectiveness, safety and tolerance now. The hybrid eradication therapy regimen of P.I. Hsu, et al (2011) attracted the wide attention of the gastroenterological community due to its high efficiency and good safety profile. Aspects of hybrid therapy are described insufficiently in the Russian medical literature, so the authors consider it expedient to systematize and present data on this regimen of eradication therapy.

Key words: Helicobacter pylori infection, eradication therapy, hybrid therapy, resistance.

Military medical exаmination

OPTIMIZATION OF MEDICAL EXAMINATION OF ATTESTED OFFICERS

OF INTERNAL AFFAIRS AGENCIES WITH ARTERIAL HYPERTENSION

Vatutin M., Bulatova G., Novoseltseva L.

The authors analyze the applicable documents regulating the work of doctors of military physician boards for medical examination of officers of internal affairs agencies with arterial hypertension; they point to some current contradictions in these documents and suggest a way of their eliminating.

Key words: military physician board, arterial hypertension.

PROBLEMS OF MILITARY MEDICAL EXAMINATION OF HEARING LOSS

Titova Ye.

The articles deals with the comparative analysis of types and methods of audiologic examination as applied to medical examination of hearing loss. The author gives a brief description of the expert algorithm for military medical examination in various powerwielding agencies of the Russian Federation and analyses the similar algorithms of civilian ministries and agencies, which carry out forensic medical examination, aviation physical examination, occupational pathology and occupation diseases examination. The most urgent problems of military-medical examination of this pathology are detected in the article.

Key words: hearing loss, audiologic examination, military medical examination.

Clinical observation

OTOLITHIASIS: THE CLINICAL PROBLEM FOR A THERAPEUTIST (CASE REPORT)

Smolyaninov S., Piskov V., Sklyarov R., Maltsev T.

The article deals with the diagnosis and therapy of one of the rarely diagnosed pathologies otolithiasis (canalolithiasis) as the most common cause of benign paroxysmal positional vertigo. If interpretation of the symptomatology and direction of the diagnostic search are correct this disease is well diagnosed and cured, using simple methods performed in the outpatient setting in most cases.

Key words: otolithiasis, Dix – Hallpike maneuver, Epley maneuver.

Public health

BRIEF ANALYSIS OF HEALTH STATUS OF SPECIAL GROUPS OF PERSONS

SERVING THE SENTENCE IN PLACES OF DEPRIVATION OF FREEDOM

Timerzyanov M., Polunina N.

The article deals with the analysis of available medical literature including statistical data on morbidity of persons serving the sentence in places of deprivation of freedom both in Russia and abroad. The studying the social status of a woman, rules and norms of detention for women, pregnant women, mothers with their children makes it possible to introduce amendments into the maternity and child welfare laws of the Russian Federation.

Key words: women, health, penitentiary system, prisoners.

Urology

THERAPEUTIC ALTERNATIVES OF BENIGN PROSTATIC HYPERPLASIA

(IN THE PRACTICE OF THE MAIN CLINICAL HOSPITAL OF THE MINISTRY

OF INTERIOR OF RUSSIA)

Melnik K., Ukhov S.

Therapeutic alternatives of benign prostatic hyperplasia are widely used to treat patients with aggravated history. These methods do not cause surgical trauma, do not require anesthesia; therefore, they can be used in the outpatient setting.

Key words: prostatic hyperplasia, transurethral resection of prostate, therapeutic alternatives.

Functional diagnostics

NEW NON-INVASIVE METHOD OF ULTRASOUND DIAGNOSIS

OF CORONARY HEART DISEASE

Mikheyev N., Zharikova M.

The article deals with the studying the diagnostic consideration of stress echocardiography in the early diagnosis of stenosis of coronary arteries using stressing agents with alternative provocation of myocardial ischemia.

Key words: stress echocardiography, dipyridamole, dobutamine, coronary atherosclerosis.

Psychotherapy

EMOTIONAL BURNOUT SYNDROME IN OFFICERS OF INTERNAL AFFAIRS

AGENCIES DETACHED FOR SERVICE TO THE NORTH CAUCASIAN REGION

Fazliyev M., Mikhalyeva O., Nagayeva R.

The article deals with the stages of emotional burnout syndrome, its symptoms in officers of internal affairs agencies, which took part in combat missions in the North Caucasian Region. The authors studied the manifestations of emotional burnout syndrome and detected ways of treatment and rehabilitation of combatants.

Key words: rehabilitation, emotional burnout syndrome, psychocorrection, V. Boyko test.

07.06.2017More

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