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Academic and research periodical “MIA Medical Bulletin” N 2 – 2018 (ХСIII) was published

Academic and research periodical “MIA Medical Bulletin” N 2 – 2018 (ХСIII) was published

Подписан в печать 19.03.2018

CONTENTS

Important

TRAUMA SURGERY: FUNDAMENTAL AND APPLIED ASPECTS

Glad`ko V., Zubritskiy V.

The trauma surgical service in Russia has been fully institutionalized after the publication of the relevant orders of the Ministry of Healthcare and Socal Development of Russia in 2012 and 2013.

Key words: surgical service, trauma surgery, multitrauma, polytrauma.

Surgery

CLINICAL USE OF PREVENTION METHODS OF VENOUS THROMBOEMBOLIC COMPLICATIONS IN TRAUMATOLOGICAL PATIENTS

Glad’ko V., Zubritskiy V., Koltovich A., Martirosyan K., Vasin V.

Timely detection of deep venous thrombosis and prophylaxis thromboembolic complications in traumatological patients is a very important medical problem. Consolidated efforts of doctors of all specialties are necessary to solve this problem. The article deals with the analysis of results of clinical use of modern prevention methods of venous thromboembolic complications in 109 patients with orthopedic injuries. Preventive measures included the use of mechanical methods, pharmacological prophylaxis with heparins of various molecular weights. Endovascular interventions with the installation of a cava filter were performed in the case of embolus thrombosis for the prevention of pulmonary embolism.

Key words: venous thromboembolic complications, prophylaxis, thrombosis, embolism, fracture, retrograde ileography, hemostatic system.

REIMPLANTATION OF CRYOPRESERVED VIABLE AUTODERMAL TRANSPLANTS IN SEVERE ORTHOPEDIC TRAUMAS

Zubritskiy V., Ivashkin A., Zagorodniy N., Artemyev A., Fominikh Ye., Vasilyev A., Lebedeva Yu.

There is a need for reimplantation of dermal grafts in process of severe orthopedic trauma treatment in clinical practice. In such a case, graft survival is important for positive results of therapy.

Key words: skin reimplantation, severe trauma, locomotor system, dermal transplants.

MALIGNANT SKIN AND SOFT TISSUE NEOPLASMS AS PURULENT DISEASES IN PRACTICE OF A POLYCLINICS SURGEON

Prishchepov I., Milov V., Fruktov S., Glukhov P., Yemelyanov A.

Despite relatively favorable world and domestic statistics of the diagnosis and treatment of malignant skin neoplasms (except melanoma), the problem of early, timely diagnosis is urgent, especially in an initial outpatient examination.

Key words: malignant skin neoplasms, purulent diseases.

Clinical case

THE CASE OF TREATMENT OF A PATIENT WITH DIEULAFOYS DISEASE (In the 5th Military Clinical Hospital of the National Guard Forces Command of the Russian Federation)

Kolesnik V., Belov S., Pisarenko A., Sidoruk V.

The article deals with the study case of patient G. in which was diagnosed Dieulafoys Disease; the patient underwent surgery for acute recurrent gastrointestinal hemorrhages (F Ia).

Key words: Dieulafoys Disease, intramural arteriovenous malformations, acute gastrointestinal hemorrhages.

Cardiology

RIGHT VENTRICLE INFARCTION IN INTERNAL DISEASE CLINIC

Amirov N., Abdrakhmanova A., Gaifullina R.

The article deals with the analysis of publications about the specifics of diagnosis and treatment of right ventricle infarction. The distinctions of isolated right ventricle infarction are the absence of symptoms of acute left heart strain and blood stagnation of pulmonary circulation. Injections of vasodilators and diuretics, stress tests, inotropic support are limited in treatment of isolated right ventricle infarction. Closer monitoring of cardiac rhythm and cardiac rate is necessary. Knowledge of pathogenesis, clinical manifestations and therapeutic approaches to right ventricle infarction is an important element of the professional qualification of a modern doctor.

Key words: myocardial infarction, right ventricle, diagnosis.

RATIONALE FOR EARLY CLINICAL AND INSTRUMENTAL DIAGNOSTICS OF HYPERTENSION STAGE 1 IN PILOT PERSONNEL

Godilo-Godlevskiy V.

The article presents data characterizing the prevalence of hypertension among the pilot personnel, the recommendations of the ANA, ACC 2017, offering new criteria for diagnosis of hypertension, one of the available methods for evaluating endothelial dysfunction (ED) recommended by the author for the diagnosis of hypertension Stage 1 in pilot personnel. The results of the investigation of pulse wave velocity and ED in flying professionals with certain severity of pathology are presented too.

Key words: arterial hypertension, endothelial dysfunction, aviation medicine.

Clinical pharmacology

POLYPRAGMASY: ASPECTS, PROBLEMS AND SOLUTIONS

Kamayev Yu., Yashchenko A., Tsibayeva Ye.

The problem of polypragmasy is closely related to the problem of drug interaction. Polypragmasy makes it impossible to control the effectiveness of therapy, increases material costs, and reduces compliance. In this connection, it is necessary to develop and implement effective mechanisms of correct prescription of medicinal products only in circumstances of appropriate therapeutic indications, patients’ awareness about the benefits of the preferred therapeutic approach and its possible complications in treatment, and regular monitoring of patients’ compliance. Recommended criteria for evaluating the rationality of drug therapy (STOPP/START criteria, Beers Criteria, Index MAI) should be used for effective treatment and minimization of drug adverse side effects. Medical professionals should try to balance individual risks and benefits for patients using all possible ways and implement appropriate mechanisms for monitoring and analyzing decisions about prescribing medicines to patients, especially from highrisk groups.

Key words: polypragmasy, drug interaction, efficiency of treatment, drug adverse side effects, criteria for evaluating the rationality of drug therapy, STOPP/START criteria, Beers Criteria, Index MAI, level of health literacy.

Gastroenterology

IRRITABLE BOWEL SYNDROME – ROMAN CRITERIA IV (2016)

Konkova L., Konkov A.

The article deals with one of the most common functional gastrointestinal diseases, irritable bowel syndrome (IBS). The authors give the new diagnostic criteria, detect the main differences from the previous version, and describe the specifics of pathophysiology, diagnosis of IBS. The article presents a modern view of pharmacotherapy of IBS according to the Roman criteria IV.

Key words: irritable bowel syndrome, Roman criteria IV, pathophysiology, diagnosis, treatment.

MODERN PERSPECTIVES OF TREATMENT OF DIGESTIVE ORGANS DISEASES ASSOCIATED WITH HELICOBACTER-PYLORI INFECTION: ANTIBIOTICS WITH ENHANCED SAFETY PROFILE FOR INTESTINAL MICROFLORA

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

The article deals with the assessment of clinical efficacy and safety of ecoantibiotics in eradication therapy of patients with Helicobacter-pylori infection. The authors detected improving the tolerability of antibiotic therapy with decreasing its side effects and increasing the level of therapy completion.

Keywords: ecoantibiotics, Helicobacter-pylori infection, eradication, drug adverse side effects.

Otorhinolaryngology

A CASE STUDY OF MASSIVE MIDDLE EAR CHOLESTEATOMA

Verulashvili L., Klenskiy A., Zayonchkovskaya I., Savelyev Ye., Khamzina Ye.

The article deals with a rare case study of massive middle ear cholesteatoma in a man of age 24. A mass lesion with clear contours and visualized auditory ossicles was detected by the use of computed tomography. It was removed by a sanitizing operation with ossiculoplasty and tympanoplasty.

Key words: cholesteatoma, middle ear, computed tomography.

Urology

MORPHOLOGICAL DIAGNOSIS OF PROSTATE NEUROENDOCRINE CANCER

Melnik K., Arefyev M.

The development of new laboratory technologies greatly simplified the identification of neuroendocrine cells. One of the most characteristic markers of neuroendocrine components is chromogranin A. Another universal antigen in this group of tumors is CD56 receptor.

Key words: prostate gland, neuroendocrine carcinoma.

Medical rehabilitation

EXPERIENCE OF USING INTEGRATED REHABILITATION SYSTEM SPA CAPSULE “ALPHA LED LIGHT SPA™” IN THE SANATORIUM “RUSSIA” OF THE NATIONAL GUARD FORCES COMMAND OF THE RUSSIAN FEDERATION

Munin I., Lisitsin V., Khrolenko A., Grechanov S., Osipov P.

The article deals with the analysis of results of clinical and psychopathological examination of 53 military persons, which underwent rehabilitation after combat missions in the sanatorium “Russia” of the National Guard Forces Command of the Russian Federation. The integrated rehabilitation system Spa Capsule “Alpha Led Light Spa™” from “Sybaritic” was used in rehabilitation programs developed in the sanatorium. The purpose of the research was to study the effectiveness of this system for medical and psychological rehabilitation. Pathopsychic register-syndromes were detected in patients in the process of research. More active positive dynamics of the course of psychopathological disorders was in the research group compared with the control group after using the integrated rehabilitation system Spa Capsule “Alpha Led Light Spa™” from “Sybaritic”.

Key words: medical and psychological rehabilitation, pathopsychic register-syndromes, psychopathological disorders, military personnel of the National Guard Forces Command.

ARRANGEMENT OF MEDICAL AND PSYCHOLOGICAL REHABILITATION OF THE STAFF OF INTERNAL AFFAIRS AGENCIES OF THE BELGOROD REGION

Artebyakina O., Amelin A., Chernousova Ye., Shaternikova O.

Timely medical and psychological rehabilitation makes it possible to detect the signs of psycho-emotional stress, disruption of adaptation systems, and diseases’ risk factors in the early stages, minimize the consequences of stay of internal affairs agencies officers in strenuous conditions of professional activity, restore their efficiency, save and possibly improve their quality of life. There is no doubt that, it will increase combat effectiveness in the performance of service tasks.

Key words: staff of internal affairs agencies, medical and psychological rehabilitation.

Health care management

THE ROLE OF STATISTICS AND ANALYSIS OF MAIN HEALTH INDICATORS OF THE STAFF OF INTERNAL AFFAIRS AGENCIES OF THE CHUVASH REPUBLIC IN ASSESSMENT OF ACTIVITY OF THE MEDICAL CARE UNIT

Ivanitskaya O.

The article deals with the analysis of main health indicators of the staff of internal affairs agencies of the Chuvash Republic for the period from 2012 to 2016. The author assesses the measures for preserving and improving the staff health.

Key words: medical support, statistics, morbidity dynamics, health indicators, prophylactic medical examination.

Psychiatry

PRINCIPLES OF SELECTION IN GROUPS OF HIGH RISK OF PRE-NEUROTIC DISORDERS AMONG POLICE OFFICERS

Bezchasniy К., Marilov V.

The article deals with the main psychoprophylactic approaches to the formation of a risk group in the progress of pre-neurotic disorders among police officers. The authors give an algorithm for evaluation and early detection of personality characteristics, which can be a prerequisite for forming pre-neurotic disorders.

Key words: pre-neurotic disorders, police officers, psychohygiene.

27.04.2018More

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