No 28 (2013)

COMPLEX TREATMENT OF PATIENTS WITH POSTURAL PHOBIC DIZZINESS

Romanоva M.V., Isakova E.V., Kotov S.V.

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.

 

Almanac of Clinical Medicine. 2013;(28):3-8
pages 3-8 views

MICROBIOLOGICAL CRITERIA TO ASSESS THE EFFICIENCY OF ANTIBACTERIAL PHOTODYNAMIC THERAPY IN PATIENTS WITH CHRONIC TONSILITIS

Rusanova E.V., Nasedkin A.N., Svistushkin V.M., Pychteyeva E.N., Zagalskaya N.V.

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.


Almanac of Clinical Medicine. 2013;(28):9-12
pages 9-12 views

ANTIBIOTIC RESISTANCE OF PSEUDOMONAS AERUGINOSA STRAINS WITH DIFFERENT PIGMENT PRODUCTION ABILITY

Zhdanova O.S., Krasnozhenov E.P., Sosnin E.A., Gudkova L.V., Gritsuta A.V., Protas I.M., Efitz A.V.

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.

 

 


Almanac of Clinical Medicine. 2013;(28):13-17
pages 13-17 views

TISSUE AND CELL REACTION OF THE SYNOVIAL MEDIA TO INTRAARTICULAR INJECTION OF POLYMER VISCOPROSTHESIS “NOLTREX” IN EXPERIMENTAL CONDITIONS

Shekhter A.B., Zar V.V., Voloshin V.P., Lopatin V.V.

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.

Almanac of Clinical Medicine. 2013;(28):20-24
pages 20-24 views

TRANSLATIONAL CELLULAR IMMUNOTHERAPY FOR CADAVERIC KIDNEY ALLOGRAFT IN UROLOGICAL PATIENTS

Fedulkina V.A., Vatazin A.V., Kildyushevskiy A.V., Stolyarevich E.S., Kantaria R.O., Zulkarnayev A.B.

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.

Almanac of Clinical Medicine. 2013;(28):25-31
pages 25-31 views

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

Marchenko T.V., Morozov Y.A., Dementieva I.I., Vaya L.V.

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.

Almanac of Clinical Medicine. 2013;(28):32-36
pages 32-36 views

PALMAR-AND-PLANTAR ERYTHRODYSESTHESIA IS A SERIOUS COMPLICATION AFTER CAPECYTABIN: OUR OWN EXPERIENCE

Kogonia L.M., Mazurin V.S., Ilnitskaya O.V., Gukasyan E.A., Kuzmichov V.A., Sidorov M.A.

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.

Almanac of Clinical Medicine. 2013;(28):37-40
pages 37-40 views

PROGNOSTIC SIGNIFICANCE OF MORPHLOGICAL INVESTIGATION OF PULMONARY TISSUES BIOPSY SAMPLES IN PATIENTS WITH SARCOIDOSIS AND NON-SPECIFIC INTERSTITIAL PNEUMONIA

Terpigorev S.A., Korsakova N.A., Paleyev F.N., Gurevich L.E., Ilchenko V.A.

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.

Almanac of Clinical Medicine. 2013;(28):41-47
pages 41-47 views

MOLECULES OF MIDDLE MASS AS AN INDICATOR OF DIVERS’ «HYPERBARIC INTOXICATION»

Shitov A.Y.

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».

Almanac of Clinical Medicine. 2013;(28):48-52
pages 48-52 views

PREVENTION OF WOUND COMPLICATIONS IN LEG AMPUTATION IN PATIENTS WITH ACUTE AND CHRONIC ARTERIAL ISCHEMIA BY LASER IRRADIATION

Ulyanov A.V.

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.

Almanac of Clinical Medicine. 2013;(28):53-57
pages 53-57 views

NEPHROLITHIASIS IN PRIMARY HYPERPARATHYROIDISM

Alaev D.S., Kotova I.V.

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.

Almanac of Clinical Medicine. 2013;(28):58-60
pages 58-60 views

TREATMENT RESULTS IN DIABETIC FOOT SYNDROM PATIENTS

Shapkin J.G., Efimov E.V., Khoroshkevich A.V.

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.

Almanac of Clinical Medicine. 2013;(28):61-64
pages 61-64 views

KIMURA’S DISEASE (DESCRIPTION OF A RARE OBSERVATION)

Nikitin A.A., Kazantseva I.A., Spiridonova N.Z., Gorbachova Y.V., Stuchilov V.A., Lapshin V.P., Stepanova E.A.

Abstract

The authors describe a 74-year-old patient with a verified, rare for Europe Kimura’s disease, its classic radiographic and histological appearance, persistent course, and resistance to the treatment methods.

Almanac of Clinical Medicine. 2013;(28):65-69
pages 65-69 views

SCIENTIFIC REVIEWS, LECTURES

METHODS OF EXTRACORPOREAL HEMOCORRECTION IN COMPLEX TREATMENT OF BACTERIAL AND VIRAL INFECTIONS AFTER KIDNEY TRANSPLANTATION

Vatazin A.V., Astakhov P.V., Zulkarnaev A.B., Krstic M., Kantaria R.O., Fedulkina V.A.

Abstract

Scientific publications devoted to the contemporary prospective selected and combined extracorporeal modalities to treat complications after renal allotransplantation were analyzed involving pyoseptic processes and viral hepatites.

Almanac of Clinical Medicine. 2013;(28):72-78
pages 72-78 views

ETIOPATHOGENENETIC ASPECTS OF SEPTIC COMPLICATIONS AND UROSEPSIS IN PATIENTS WITH UROLOGICAL DISEASE BEFORE AND AFTER RENAL TRANSPLANTATION: A MODERN VIEW ON THE PROBLEM

Krstic M., Zulkarnayev A.B.

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.

Almanac of Clinical Medicine. 2013;(28):79-81
pages 79-81 views

MAXILLARY SINUSITIS: A CONTEMPORARY VIEW ON THE DIAGNOSTICS, THERAPY AND REHABILITATION

Sipkin A.M., Nikitin A.A., Lapshin V.P., Nikitin D.A., Chukumov R.M., Kryazhinova I.A.

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.

Almanac of Clinical Medicine. 2013;(28):82-87
pages 82-87 views

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