No 28 (2013)
- Year: 2013
- Articles: 16
- URL: https://almclinmed.ru/jour/issue/view/1
- DOI: https://doi.org/10.18786/2072-0505-2013-28
Full Issue
COMPLEX TREATMENT OF PATIENTS WITH POSTURAL PHOBIC DIZZINESS
Abstract
A total of 25 patients with postural phobic dizziness were examined. Somatic state and neurological status were assessed, neurovisualization and stabilometric investigation were carried out as well as a neuropsychological testing using estimation scales. The efficiency of complex rehabilitation was revealed including vestibular gymnastics, stabilometric training, psychotherapy, and pharmacotherapy in correction of psychoemotional disturbances.
MICROBIOLOGICAL CRITERIA TO ASSESS THE EFFICIENCY OF ANTIBACTERIAL PHOTODYNAMIC THERAPY IN PATIENTS WITH CHRONIC TONSILITIS
Abstract
Investigation of the structure, incidence, and concentration of the microorganisms vegetating on the lacunal mucosa of the palatine tonsils was carried out. Based on the data obtained, the priority pathogenes were determined: Streptococcus (group D) and E. faecalis. Studying the degree of lacunal mucosa sowing with microorganisms enabled elaboration of criteria to assess efficiency of the treatment applied.
ANTIBIOTIC RESISTANCE OF PSEUDOMONAS AERUGINOSA STRAINS WITH DIFFERENT PIGMENT PRODUCTION ABILITY
Abstract
The sensitivity to different clinical antibiotics of P. aeruginosa strains with different ability for pigment production (Carbenicillin, Levofloxacin, Ciprofloxacin, Cefoperazone, Imipenem, Meronenem, Amikacin, Gentamicin) has been determined. The moderate statistical association between chromogenesis and sensitivity to antibiotics for the majority of preparations has been found out, close correlation being noted for aminoglycosides.
TISSUE AND CELL REACTION OF THE SYNOVIAL MEDIA TO INTRAARTICULAR INJECTION OF POLYMER VISCOPROSTHESIS “NOLTREX” IN EXPERIMENTAL CONDITIONS
Abstract
Reaction of synovial membrane and cartilage on 1 ml of polymer gel «NOLTREX» injected into the cavity of jumping joint of 20 rabbits was investigated. Biological inertness and safety of noltrex injected into the joint cavity was established.
TRANSLATIONAL CELLULAR IMMUNOTHERAPY FOR CADAVERIC KIDNEY ALLOGRAFT IN UROLOGICAL PATIENTS
Abstract
The first domestic experience of translational cellular immunotherapy application in recipients of cadaveric renal allograft is presented. We present the analysis of the clinical, laboratory and immunological data and also the results of transplant protocol biopsy on the 30th and 180th days after transplantation. Clinical, laboratory, immunological, and histological benefits in patients of the main group were revealed. As а result, some mechanisms that explain the possibility to form immunological tolerance were established.
EFFICIENCY AND SAFETY OF BICARBONATE DIALYTIC SOLUTIONS WITH ACETIC AND LACTIC ACIDS IN CARRYING OUT THE PROGRAM HEMODIALYSIS OF PATIENTS WITH END-STAGE OF CHRONIC RENAL DISEASE
Abstract
The data on the influence of bicarbonate dialytic solutions with acetic and lactic acids on the blood acid-base and electrolytic status, parameters of system hemodynamics, and oxidative stress indices in conditions of program hemodialysis are presented in the article.
PALMAR-AND-PLANTAR ERYTHRODYSESTHESIA IS A SERIOUS COMPLICATION AFTER CAPECYTABIN: OUR OWN EXPERIENCE
Abstract
Some drugs used in chemotherapy of patients with malignant tumors, together with the definite efficiency, is capable of inducing some side effects. In particular, while using capecytabin, development of severe complication – palmar-plantar erythrodysesthesia – is quite possible. Our own observation of this complication is presented in the article.
PROGNOSTIC SIGNIFICANCE OF MORPHLOGICAL INVESTIGATION OF PULMONARY TISSUES BIOPSY SAMPLES IN PATIENTS WITH SARCOIDOSIS AND NON-SPECIFIC INTERSTITIAL PNEUMONIA
Abstract
The number of myofibroblasts, the wall thickness of pulmonary arteries of small caliber, and degree of pulmonary fibrosis by Ashcroft scale were assessed in biopsy samples of pulmonary tissue in patients with sarcoidosis and nonspecific interstitial pneumonia. The data obtained were compared with the efficiency of patient therapy with system glucocorticoids. It was found that resistance to steroid therapy in sarcoidosis patients was determined by increase in the number of myofibroblasts in pulmonary tissue, their appearance within interalveolar septa and wasn’t associated with the expression of pulmonary fibrosis and the level of pulmonary diffusion capacity. Hormonal resistance in non-specific interstitial pneumonia correlated to the thickness of pulmonary arteries of small caliber.
MOLECULES OF MIDDLE MASS AS AN INDICATOR OF DIVERS’ «HYPERBARIC INTOXICATION»
Abstract
The aim of the study was to determine the content of the molecules of middle mass before and after a simulated «diving» in the blood plasma of subjects who had different initial resistance to decompression sickness, toxic effect of nitrogen and oxygen. An increase in the concentration of the middle mass molecules was revealed after a simulated dive in a pressure chamber in the blood plasma of subjects who were unstable to the adverse effects of hyperbaric factors. The changes discovered are the most prominent in the development of decompression gas-generation and toxic effect of oxygen. Unidirectional action of unfavorable hyperbaric factors was shown to induce human endogenous intoxication with possible development of the syndrome of «hyperbaric intoxication».
PREVENTION OF WOUND COMPLICATIONS IN LEG AMPUTATION IN PATIENTS WITH ACUTE AND CHRONIC ARTERIAL ISCHEMIA BY LASER IRRADIATION
Abstract
The article presents the results of using low-intensity laser irradiation in order to prevent the development of postoperative wound complications in patients with acute and chronic arterial ischemia of the lower extremities after the leg amputation. The results of ultrasonic research are presented. The risk factors of development of wound complications were investigated.
NEPHROLITHIASIS IN PRIMARY HYPERPARATHYROIDISM
Abstract
Analysis of 185 patients operated on from 2000 to 2010 was carried out. Nephrolithiasis was diagnosed in 108 (58,3%). In 45 (24,3%), it was a guiding symptom which caused symptom survey for PHPT. Renal PHPT form accounted for 25%. Staghorn kidney stones were found in 17 (9,1%). Two-sided nephrolithiasis was observed in 15 (8,1%); in 4 patients, it was due to staghorn stones. The analysis revealed a high prevalence of nephrolithiasis in patients with PHPT.
TREATMENT RESULTS IN DIABETIC FOOT SYNDROM PATIENTS
Abstract
We carried out a retrospective analysis of 130 case histories of patients who were treated at the Clinic of General Surgery of the Saratov State Medical University from 2010 to 2012. It shows worsening factors of treatment results in patients with purulent complications of diabetic foot syndrome.
SCIENTIFIC REVIEWS, LECTURES
ETIOPATHOGENENETIC ASPECTS OF SEPTIC COMPLICATIONS AND UROSEPSIS IN PATIENTS WITH UROLOGICAL DISEASE BEFORE AND AFTER RENAL TRANSPLANTATION: A MODERN VIEW ON THE PROBLEM
Abstract
Pyoseptic complications in patients with urologic diseases before and after renal grafting remain one of the most difficult clinical problems of contemporary nephrology and transplantation because of the high patient mortality that accounts for 60% even in the most prestigious domestic and foreign clinics. Studying different aspects of etiology and pathogenesis of pyoseptic complications and urosepsis in patients with chronic renal failure before and after renal transplantation opens wide opportunities for their prevention, prognosis, and treatment.
MAXILLARY SINUSITIS: A CONTEMPORARY VIEW ON THE DIAGNOSTICS, THERAPY AND REHABILITATION
Abstract
The article presents etiological factors of iatrogenic character enabling maxillary sinusitis onset as well as its pathogenesis, clinical course features, and contemporary diagnosis. Surgical operative modalities were compared, and tactics of patient management in rehabilitation period was described. The necessity to work out novel methods of complex treatment and rehabilitation for patients with maxillary sinusitis was substantiated.