No 65 (2016)

Articles
THE RESULTS OF THE WORK OF THE INSTITUTE OF HERNIOLOGY NAMED AFTER PROFESSOR E. N. LYUBYKH TREATMENT OF PATIENTS WITH MIDLINE POSTOPERATIVE HERNIAS FROM 1992 TO 2015
Polubkova G.V., Strygin O.V., Mikhailova G.N., Usov Y.V., Borzilov D.S., Volkov A.I., Prokhorov G.V., Strygin A.O., Sorokin A.V., Makhotina G.O., Boronin A.A., Skorobogatov S.A., Sergeeva E.M.
Abstract
The article presents the results of the Institute of herniology in the treatment of patients with midline incisional hernias. The analysis of the main methods of hernioplasty applied in the Institute of herniology in these types of hernias, including hardware methods of treatment. There is modular system of treatment median postoperative hernias with the point of view of functionally- oriented approach.
Medical Scientific Bulletin of Central Chernozemye (Naučno-medicinskij vestnik Centralʹnogo Černozemʹâ). 2016;(65):4-9
views
EVALUATION OF RESULTS OF LAPAROSCOPIC TRANSABDOMINAL PREPERITONEAL PLASTY IN THE TREATMENT OF PATIENTS WITH INGUINAL HERNIAS
Polubkova G.V., Cherednikov E.F., Kashurnikova M.A., Shlikov O.A., Usov Y.V., Tkachev I.E., Zvolsky R.V., Dorokhinf T.S., Tyukhtin A.V.
Abstract
Todayminimally invasive technique (TAPP) is actually being implemented in a lot of hospital. The article provides evaluation of immediate and remote results of transabdominal preperitoneal laparoscopic placty made of 240 patients on clinical bases Institute of herniology of Voronezhcity clinical emergency hospital N1 and city's policlinic N7. Key words: transabdominal laparoscopic hernia repair, the results of treatm.
Medical Scientific Bulletin of Central Chernozemye (Naučno-medicinskij vestnik Centralʹnogo Černozemʹâ). 2016;(65):10-13
views
EXPERIENCE OF APPLICATION OF TOPOGRAPHICALLY AND ANATOMICALLY BASED, FUNCTIONALLY-ORIENTED METHODS OF PLASTY OF INGUINAL HERNIAS
Strygin O.V., Polubkova V.V., Mikhailova G.N., Cherednikov E.F., Gulyaev A.A., Krasikov A.I., Kuzmina O.I., Strygin E.A., Tsurcan V.A.
Abstract
Voronezh State Medical University At the Institute of herniology named after Professor E. N. Lyubykh held research on the study of anatomy and topography in patients with inguinal hernias and healthy people. Significant changes in patients with inguinal hernias: expressed in the increase of the angle of the inguinal ligament and the shortening of the inguinal ligaments etc. The study of surgical anatomy has shown that in all patients, marked by high inguinal interval triangular shape in which impossible to complete the switching function of the inguinal canal. At the Institute of herniology named after Professor E. N. Lyubykh developed and implemented in the clinic substantiated anatomically and functionally-oriented methods of plasty of the inguinal canals for patients with unilateral (patent No. 2246904 27.02.2005) and bilateral inguinal hernias (copyright certificate №1819577 12.10.1992). They allow the correction of pathological changes in the inquind area. The results are presented in surgical treatment of 1314 gracenotea. Application of the proposed methods plastics helped to reduce the number of recurrences to 0.3%. At the same time, the methods of the Institute of herniology for the treatment of patients with inguinal hernias allow to avoid complications associated with the implantation of prostheses that can be recommended for wide implementation in practical surgery.
Medical Scientific Bulletin of Central Chernozemye (Naučno-medicinskij vestnik Centralʹnogo Černozemʹâ). 2016;(65):14-19
views
THE EFFECTIVENESS OF THE MODERN APPROACH TO THE TREATMENT OF PATIENT WITH GASTRODUODENAL HEMORRAGE IN MULTIPROFILE HOSPITALE
Cherednikov E.F., Deryaeva O.G., Ovchinnikov I.F., Cherednikov E.E., Adianov V.V., Bondarenko A.A., Yakushev F.K.
Abstract
Presents the results of treatment of gastroduodenal bleeding in 209 patients in emergency, the elderly and senile age, with a high degree of operational risk in a multi-hospital based on a multidisciplinary approach and the individual methods of a combined hemostasis. The developed program allowed to reduce the frequency of recurrence of hemorrhage in 2.5 and to decrease the mortality rate 2.1 times.
Medical Scientific Bulletin of Central Chernozemye (Naučno-medicinskij vestnik Centralʹnogo Černozemʹâ). 2016;(65):20-26
views
EXPERIMENTAL STUDY OF NEW MEANS OF LOCAL HEMOSTASIS IN THE TREATMENT OF GASTRIC BLEEDING
Cherednikov E.F., Kashurnikova M.A., Romantcov M.N., Barannikov S.V., Bolchovitinov A.E., Gaponenkov D.G., Lubimov P.U.
Abstract
We Studied haemostatic, adhesive, reparative properties and biological inertness of new hemostatic agents (polygamists, jelplast, NovoSeven) and hydrophilic granular sorbents (gelvin, unlovin, diovin, diolefin, Sephadex). The in vitro experiments was performed using native blood donor volunteers on electrocochleography N-334. The invivo experiments performed on 15 mongrel dogs. The results showed that the maximal hemostatic activity have jelplast and NovoSeven, and leading in its hemostatic activity among granular sorbents is diovin, and sephadex. The experiment has proved that the combined use of zaplatani and divine is the best combination, amplifying haemostatic effect with simultaneous acceleration of processes of regeneration in gastric ulcers.
Medical Scientific Bulletin of Central Chernozemye (Naučno-medicinskij vestnik Centralʹnogo Černozemʹâ). 2016;(65):27-33
views
K.O. Fursov, A.V. Popov, E.A. Bednjakova, V.P. Shalkin THE QUESTION OF THE EFFECT OF THE SIZE AND LOCATION OF DISCONTINUITIES THE SYNDROME MALLORY WEISS ON THE CLINICAL COURSE OF THE DISEASE
Cherednikov E.F., Maleev Y.V., Batkaev A.R., Litovkina T.E., Fursov K.O., Popov A.V., Bednjakova E.A., Shalkin V.P.
Abstract
An urgent problem of the urgent surgery is the treatment of acute gastrointestinal bleeding (GIB), in particular, ulcerative hemorrhage, occurring at 25.0 to 41.0% of cases. The analysis of the characteristics of size and localization of discontinuities in the syndrome Mallory-Weiss (SMV) in patients who underwent treatment in the Voronezh city specialized Center for the treatment of patients with acute GIB BUZ IN UGQBSN No. 1 (clinical base of the Department of faculty surgery, state medical University them. N. N. Burdenko, head - Professor E. F. Cherednikov). Peculiarities of influence of the size and localization of discontinuities in CMB on the clinical course of the disease
Medical Scientific Bulletin of Central Chernozemye (Naučno-medicinskij vestnik Centralʹnogo Černozemʹâ). 2016;(65):34-41
views
DIAGNOSTIC, TREATMENT , COMPLICATIONS AND TREATMENT OUTCOMES OF PELVIS FRACTURES
Samoday V.G., Pankov A.B., Polozov S.E.
Abstract
Pelvis fractures especially with polythrauma produce significant problem in treatment. This work provides analysis basic principles diagnostic and treatment, errors and complications , results of treatment 54 patients with plural and unstable pelvis fractures, which have been treated in Voronezh City Emergency Clinical Hospital N1.
Medical Scientific Bulletin of Central Chernozemye (Naučno-medicinskij vestnik Centralʹnogo Černozemʹâ). 2016;(65):42-45
views
OUT-PATIENT TREATMENT OF INTRA JOINT CHANGES
Gubanov A.V., Samodai V.G.
Abstract
The main task of treatment of intra-articulate fractures is prevention of development of severe post-traumatic osteoarthritis. The way of out-patient treatment by early intra-articulate introduction of chondroprotectors Zeel-T and Adgelon is presented in article. Two groups of patients on 50 people with localization of fractures in large joints of the lower extremities have been created. In control group the standard out-patient treatment was carried out. In clinical group consecutive intra-articulate introduction of chondroprotectors was added to standard therapy. When comparing results of treatment in 6 months in the studied group earlier restoration of function of a joint, fast knocking over of a pain syndrome, reduction of terms of disability was noted. These criteria demonstrated delay of destructive processes in the injured joint at patients of clinical group.
Medical Scientific Bulletin of Central Chernozemye (Naučno-medicinskij vestnik Centralʹnogo Černozemʹâ). 2016;(65):46-50
views
IMPROVEMENT OF THE ENDOPROSTHESIS OF THE HIP JOINT
Varfolomeev D.I., Varfolomeev V.G.
Abstract
At present total hip replacement is one of the most effective types of surgical treatment of the patients with diseases and injuries of the hip joint. However, the incidence of complications after this operation still remains high. Dislocation and polyethylene wear complications are serious problems after surgery. The endoprosthesis of the hip joint was developed for prevention of these complications. The original endoprosthesis of the hip joint has been developed for their prevention. There is a possibility of non-invasive rotation of the liner in this implant in the postoperative period. This reduces the risk of complications and prevents possible revision surgery. It also increases the life of the implant.
Medical Scientific Bulletin of Central Chernozemye (Naučno-medicinskij vestnik Centralʹnogo Černozemʹâ). 2016;(65):51-57
views
CLINICAL ASSESSMENT OF A NEW LOW-INVASIVE WAY OF A REINSERTION OF A DISTAL BICEPS TENDON OF BRACHIUM
Samoday V.G., Kachalov M.V.
Abstract
Research was referred on a clinical assessment of a new low-invasive way of a reinsertion of a distal biceps tendon of a brachium and was randomized character. The objects of the study were 18 patients who were divided into study and control groups. In the main group the offered original way of a reinsertion of a distal biceps tendon of a brachium, and in control - its classical prototype. It is as a result established that the pain syndrome in the main group was authentically less (26,5±1,7). It is proved that the results of surgical treatment of patients with lesions of the distal biceps tendon of brachium using minimally invasive techniques offered in the majority of cases, good (30%) and satisfactory (70%), which can’t be expected from the classical methods.
Medical Scientific Bulletin of Central Chernozemye (Naučno-medicinskij vestnik Centralʹnogo Černozemʹâ). 2016;(65):58-63
views
EROSIVE AND ULCERATIVE LESIONS OF STOMACH AND DUODENUM IN MEDICAL PATIENTS PREVENTION OF BLEEDING
Budnevskiy A.V., Popov A.V., Cherednikov E.F., Kuranosov A.Y., Volkova I.V., Fursov K.O., Martyanova E.I.
Abstract
The program of prevention of gastroduodenal bleeding in patients with therapeutic pathology based on a multidisciplinary approach to the early diagnosis of symptomatic erosive and ulcerative gastroduodenal lesions, in their early local prophylactic treatment of granular sorbents, will improve the results of treatment due to the prevention of hemorrhagic complications, emergency operations, reduce mortality.
Medical Scientific Bulletin of Central Chernozemye (Naučno-medicinskij vestnik Centralʹnogo Černozemʹâ). 2016;(65):64-71
views
POSSIBILITY OF EARLY DIAGNOSIS FEVERISH CONDITIONS AT STEPS POLYCLINIC- EMERGENCY DEPARTMENT - HOSPITAL
Grechkin V.I., Romashov B.B., Meskova S.I., Bedirova G.R., Kuranosov A.Y., Fes'kova A.A.
Abstract
Analysis of 164 cases of fever patients at step polyclinic- emergency department - hospital was conducted to study the febrile syndrome structure. Of the 164 febrile patients with pneumonia was found in 47 cases, infective endocarditis - 37, chronic alcoholic hepatitis - in 23 rheumatoid arthritis (psevdoseptichesky variant) - in 2, systemic lupus erythematosus - in 1, polymyositis - in 2, acute pyelonephritis (or aggravation chronic) - in 15 tumors of various localization - in 37 patients. Informativeness of some blood indicators of acute inflammation, X-ray and ultrasound examination in the early diagnosis of infective endocarditis and pneumonia was analyzed.
Medical Scientific Bulletin of Central Chernozemye (Naučno-medicinskij vestnik Centralʹnogo Černozemʹâ). 2016;(65):72-78
views
PRODUCTIVE COUGH EVALUATION WITH SPECTRAL TUSSOFONOBAROGRAPHY IN PATIENTS WITH CHRONIC OBSTRUCTIVE PULMONARY DISEASE AND VENTRAL HERNIAS
Ovsyannikov E.S., Drobysheva E.S., Pankova G.N., Feskova A.A., Pertsev A.V., Tokmachev R.E.
Abstract
A survey of 69 patients with COPD and the anterior abdominal wall hernias using spectral tussofonobarography revealed differences in the time-frequency characteristics of productive and non-productive cough sound, which will perform a differential correction of pathology in perioperative period.
Medical Scientific Bulletin of Central Chernozemye (Naučno-medicinskij vestnik Centralʹnogo Černozemʹâ). 2016;(65):79-84
views
COMPLEX TREATMENT AND PREVENTION PROGRAM IN PATIENTS WITH CHRONIC OBSTRUCTIVE PULMONARY DISEASE
Pertsev A.V., Ovsyannikov E.S., Romashov B.B., Grechkin V.I., Shegida Y.V., Pankova G.N.
Abstract
The clinical efficiency of inclusion in the standard medical treatment of patients with chronic obstructive pulmonary disease the annual influenza vaccine, reception of erdostein and a course of pulmonary rehabilitation for the purpose of prevention of disease recurrence is presented in the article.
Medical Scientific Bulletin of Central Chernozemye (Naučno-medicinskij vestnik Centralʹnogo Černozemʹâ). 2016;(65):85-93
views
CLINICAL EFFICACY OF PULSED NON-POLARIZED RED LIGHT IN THE TREATMENT OF PATIENTS WITH BRONCHIAL ASTHMA
Provotorov V.M., Filatova Y.I., Segida V.Y., Pavlygina D.E., Pankova G.N., Bahmutova M.V.
Abstract
Currently asthma is an urgent public health problem. In the pathogenesis of this disease an important role is played by the imbalance in prooxidant-antioxidant system with formation of oxidative stress, which justifies the use of antioxidants in treatment of patients with asthma. In addition, in the therapy of BA is a widely used non-pharmacological methods. The application of pulsed non-polarized red light reduces the imbalance in prooxidant-antioxidant system and promotes the improvement of asthma control.
Medical Scientific Bulletin of Central Chernozemye (Naučno-medicinskij vestnik Centralʹnogo Černozemʹâ). 2016;(65):94-98
views
CHRONIC HEART FAILURE AND TYPE 2 DIABETES: EPIDEMIOLOGY, CLINICAL FEATURES AND TREATMENT
Tokmachev R.E., Drobyscheva E.S., Tokmachev E.V., Ovsyannikov E.S., Alferovа E.N.
Abstract
Voronezh State Medical University This article deals with the peculiarities of the development and course of chronic heart failure (CHF) in patients with type II diabetes mellitus and the principal drugs used in the treatment of these diseases.
Medical Scientific Bulletin of Central Chernozemye (Naučno-medicinskij vestnik Centralʹnogo Černozemʹâ). 2016;(65):99-104
views
COMORBIDITY: CHRONIC HEART FAILURE AND CHRONIC OBSTRUCTIVE PULMONARY DISEASE
Tokmachev R.E., Drobyscheva E.S., Tokmachev E.V., Ovsyannikov E.S.
Abstract
Patients with chronic heart failure (CHF), one of the most frequently associated pathology is a chronic obstructive pulmonary disease (COPD). In addition, in 13% of cases the cause of CHF is COPD according to the Society for heart failure. Diagnosis of heart failure in COPD and COPD in CHF, especially in the early stages is difficult because of similar clinical picture of these diseases. This leads to the fact that in real life we are faced with underdiagnosis of these pathologies.
Medical Scientific Bulletin of Central Chernozemye (Naučno-medicinskij vestnik Centralʹnogo Černozemʹâ). 2016;(65):105-108
views
A CLINICAL CASE OF ISOLATED HEMIHYPERTROPHY
Polyanskaya O.V., Dynnik O.P., Kutashov V.A.
Abstract
The work is devoted to the description of a clinical case of hemihypertrophy in young man of 17 years old. It is of interest because of the rare occurrence of this pathology, and due to its specific clinical picture of the disease, including asymmetric overgrowth of limbs, torso and face, anomalies in the structure of the skeleton, a disorder of the nervous system in the form of trophic, vascular, sensitive disturbances, combined with abnormalities of the internal organs, such as heart, kidneys, venous sinuses of the brain.
Medical Scientific Bulletin of Central Chernozemye (Naučno-medicinskij vestnik Centralʹnogo Černozemʹâ). 2016;(65):109-116
views
FEATURES OF DIAGNOSTICS AND NEUROLOGIC MANIFESTATIONS OF THE CATASTROPHIC ANTI-PHOSPHOLIPID SYNDROME
Kutashov V.A., Ulyanova O.V., Habarova T.Y., Skorokhodov A.P., Belinskaya V.V., Dutova T.I., Dudina A.A., Titarenko A.A.
Abstract
The anti-phospholipid syndrome falls into with one of the actual low-studied nosological problems in a neurology today. Most often fibrinferments are localized in brain vessels, leading to sharp violations of brain blood circulation. Epileptic seizures, a dementia, headaches, a chorea, peripheral neuropathy, miyelo-and the encephalopathies which are phenomenologically reminding the multiple sclerosis (MS) can be other neurologic manifestations of AFS. One of heavy displays of this pathology is the catastrophic anti-phospholipid syndrome (KAFS).
Medical Scientific Bulletin of Central Chernozemye (Naučno-medicinskij vestnik Centralʹnogo Černozemʹâ). 2016;(65):117-123
views
NEW TREATMENT OPTIONS FOR VERTEBRAL DORSOPATHIES USING THE PREPARATION OF L-LYSINE AESCINAT
Dutova T.I., Belinskaya V.V., Skorohodov A.P., Dudina A.A.
Abstract
The article describes a clinical study conducted to evaluate the efficacy of parenteral angioprotectors direct anti-edema effect of L-lysine aescinat in complex treatment of patients with acute pain in the cervical spine. The study involved 60 patients with dorsalgia. Details are set out the study design, clinical characteristics of the study and control groups. According to the results of the clinical study the efficacy of L-lysine at aescinat dorsopathies was confirmed. It was concluded that the feasibility of using this drug in the treatment of acute pain syndromes with local edema component in vertebral pathology.
Medical Scientific Bulletin of Central Chernozemye (Naučno-medicinskij vestnik Centralʹnogo Černozemʹâ). 2016;(65):124-130
views
GENETIC ASPECTS OF MUTATIONS, ASSOCIATED WITH AN ISCHEMIC STROKE AT THE PERSONS OF YOUNG AGE
Dutova T.I., Atyakshin D.A., Tsvetikova L.N.
Abstract
Ischemic stroke (IS) in young age is a heterogeneous disease. Among multiple risk factors, significant role belongs to polymorphisms in genes encoding the hemostatic system, fibrinolysis, immune response and vascular tone. Studies of frequencies of these polymorphisms in genes among young patients with ischemic stroke are rare and their role in development of the disease has not been fully determined. This study included 15 young adults diagnosed with "ischemic stroke". The control group consisted of 15 healthy young adults and 15 elderly patients diagnosed with "ischemic stroke". Analysis of polymorphisms in genes controlling hyperhomocysteinemia, immune response, vascular tone was performedwith polymerase chain reaction. It has been established that mutations in genes that control hyperhomocysteinemia, immune response, state of vascular tone play important role in pathogenesis of Ischemic stroke in young age. The results indicate the expedience of inclusion genetic research to standard diagnostics of Ischemic stroke among young adults, which will optimize the diagnostic methods and help in developing measures in preventing recurrence of the disease.
Medical Scientific Bulletin of Central Chernozemye (Naučno-medicinskij vestnik Centralʹnogo Černozemʹâ). 2016;(65):131-141
views
THE ROLE OF THE DISSECTION OF THE CAROTID AND VERTEBRAL ARTERIES IN THE DEVELOPMENT OF CEREBROVASCULAR DISORDERS
Dutova T.I., Belinskaya V.V., Skorohodov A.P., Solodukhina M.A.
Abstract
The article provides an overview of published data relating to dissections carotid arteries, as one of the major causes of stroke in young people. The questions of etiology, clinical presentation, diagnosis. Is a personal observation to the study of the DNA for the presence of a genetic predisposition to vascular disease.
Medical Scientific Bulletin of Central Chernozemye (Naučno-medicinskij vestnik Centralʹnogo Černozemʹâ). 2016;(65):142-146
views
USE OF NEUROPROTECTORS IN THERAPY OF THE CAROTID ISCHEMIC STROKE
Sazonov I.E., Lavrentyeva I.V., Kudinov A.A., Yarmonov S.N.
Abstract
Cerebrovascular disease and stroke take one of the first places in the structure of overall morbidity in the world. Out of the total mortality in the Russian Federation acute cerebrovascular accident (CVA) in second place after coronary heart disease and up to 21.4%, and disability after stroke reaches the figure of 3.2 per 10 thousand. Population, ranking first among all causes permanent disability. Thus, the widespread, high mortality and disability in the population due to cerebrovascular disease and stroke allows us to consider them not only as medical, but also social and economic problem. Due to the above the question of adequate and effective treatment of an ischemic stroke, allowing to reduce terms of treatment of the patient is actual.
Medical Scientific Bulletin of Central Chernozemye (Naučno-medicinskij vestnik Centralʹnogo Černozemʹâ). 2016;(65):147-150
views
THE ANALYSIS OF FUNCTIONAL OUTCOMES AT THE PATIENTS WITH GIPERTENZIVNY INTRACEREBRAL HEMORRHAGES OPERATED WITH USE OF TOOLS WITH LIGHT BY FIBER OPTICS
Herman M.I., Afanasiev A.N., Balashova A.A.
Abstract
Outcomes at 62 patients with GVMK are analysed. Decrease in a lethality and improvement of outcomes on ADL scale at the patients operated with use of tools with illumination by fiber optics is shown.
Medical Scientific Bulletin of Central Chernozemye (Naučno-medicinskij vestnik Centralʹnogo Černozemʹâ). 2016;(65):151-156
views
MEANING GENETICALLY DETERMINED THROMBOPHILIC STATES INDEVELOPMENT OF ATHEROTHROMBOTIC SUBTYPE OF ISCHEMIC STROKE IN YOUNG ADULTS
Dutova T.I., Skorohodov A.P.
Abstract
The article describes the role of genetically caused thrombophilia in the development of ischemic stroke. We describe two clinical cases of young patients with arterial thromboses of various localization.
Medical Scientific Bulletin of Central Chernozemye (Naučno-medicinskij vestnik Centralʹnogo Černozemʹâ). 2016;(65):157-164
views
USE STRATEGY "THERAPY OBJECTIVES" IN APPOINTING THE DRUG ALTERS THE COURSE OF MULTIPLE SCLEROSIS TAKING INTO ACCOUNT GENETIC FACTORS
Dutova T.I., Skorohodov A.P., Ulyanova O.V.
Abstract
MS Treatment is one of the most serious problems of practical neurology, however, recently there have been effective ways to influence the course of the disease. This was made possible thanks to the development of modern approaches, based on knowledge of the immunopathogenesis of this disease. At present, for the treatment of MS is widely used drugs that change the course of MS (PITRS); they in any way affect the development of immunopathological processes. In the article the role of studies of immune response genes before selecting PITRS group of drugs.
Medical Scientific Bulletin of Central Chernozemye (Naučno-medicinskij vestnik Centralʹnogo Černozemʹâ). 2016;(65):165-169
views
COOPERATION VSMU THEM. N. N. BURDENKO IN THE TREATMENT OF PATIENT WITH SURGICAL PATOLOGIES OF THE 30TH ANNIVERSARY OF VORONEZH CITY CLINICAL HOSPITAL OF EMERGENSY MEDICAL CARE №1
Chernov A.V., Cherednikov E.F., Polubkova G.V., Glukhov A.A., Strygin O.V., Usov Y.V., Volkova I.V.
Abstract
The experience of cooperation of the Department of faculty surgery, Voronezh state medical university them. N. N. Burdenko and Voronezh city clinical hospital of emergency medical care № 1. The result of the interaction was the establishment of two medical research Centres: city specialized Center of gastroduodenal bleeding and the Institute of herniology. Long-term cooperation experience has shown the real ways of increasing efficiency through collaboration of University scientists and medical practitioners.
Medical Scientific Bulletin of Central Chernozemye (Naučno-medicinskij vestnik Centralʹnogo Černozemʹâ). 2016;(65):170-175
views
ANALYSIS OF THE INTERNAL PICTURE OF THE DISEASE AT THE MEDICAL AND SOCIAL EXAMINATION OF YOUNG DISABLED PEOPLE WHO HAVE HAD A HEAD INJURY
Yesaulenko I.E., Budnevsky A.V., Kutashov V.A., Ulyanova O.V.
Abstract
Traditionally, it so happened that the study of the internal picture of the disease (UNHCR) conducted mostly in line with the Russian clinical psychology. The physician in any specialty, taking into account the WKB particular patient has an opportunity to more fully reveal the etiology, pathogenesis, disease clinic and choose the best algorithm for therapeutic and diagnostic system, guided by the characteristics of the patient's personality. Improving rehabilitation and medical-social examination of patients who underwent a traumatic brain injury (TBI) in young and of working age, it can be achieved by adequate maintenance of these patients, not only in acute but also in subsequent periods after suffering head trauma. This requires a correct assessment of clinical prognosis and rehabilitation, taking into account characteristics of pathogenic effects of trauma and subjective (personal) relationship of man to the situation. The study of WKB when TBI is a significant area not only for health care workers and psychologists, but also becomes a central element in the analysis and understanding of the patient's personal perspective of neurology, neurosurgery, psychiatry, rehabilitation. It requires a holistic comprehensive assessment of WKB in young patients undergoing CCT as subjective picture of the disease begins to act as a magnifying glass, allowing a glimpse into the inner world of the patient.
Medical Scientific Bulletin of Central Chernozemye (Naučno-medicinskij vestnik Centralʹnogo Černozemʹâ). 2016;(65):176-182
views
AN INTEGRATED APPROACH TO THE REHABILITATION OF PATIENTS, WHO HAVE SUFFERED FROM NON-DEVELOPING PREGNANCY
Voronina E.V., Perelygina I.O., Denisova N.V.
Abstract
The experience of medical treatment of 450 patients with non-developing pregnancy was generalized. There is agreement on the necessity of antimicrobial complex therapy, together with immunologic reabilitation and physiotherapy in order to maintain good reproductive health of patients.
Medical Scientific Bulletin of Central Chernozemye (Naučno-medicinskij vestnik Centralʹnogo Černozemʹâ). 2016;(65):183-186
views
THE ORGANIZATIONAL ASPECTS OF IMPROVING THE QUALITY OF FIRST AID MEDICAL CARE OF ACUTE CORONARY SYNDROMES IN THE VORONEZH REGION
Rozhkov S.A., Okunevskiy A.I.
Abstract
This article presents the organizational aspects of improving the quality of medical care of acute coronary syndrome in the Voronezh.
Medical Scientific Bulletin of Central Chernozemye (Naučno-medicinskij vestnik Centralʹnogo Černozemʹâ). 2016;(65):187-193
views
TELECARDIOGRAPHY AND INFORMATIZATION IN THE AMBULANCE MEDICAL AID
Rozhkov S.A., Okunevskiy A.I., Sonnikova I.V.
Abstract
Telecardiography technology in the ambulatory practice can improve the quality of diagnostics the patient with acute coronary syndrome (ACS) and other diseases of the circulatory system.
Medical Scientific Bulletin of Central Chernozemye (Naučno-medicinskij vestnik Centralʹnogo Černozemʹâ). 2016;(65):194-199
views
MICRORHEOLOGICAL PROPERTIES OF ERYTHROCYTES AFTER HARDWARE PROCESSING
Struk U.V., Zamjatina N.A., Yakusheva O.A., Chaikina N.N.
Abstract
Voronezh regional clinical hospital №1. Abnormal uterine bleeding is a severe complication in operative obstetrics. Reinfusion proper scour erythrocytes has found wide application for blood replacement. However, the processing hardware modifies proper red-blood cells characteristics. This fact has a negative influence on oxygen delivery process to the tissues. We investigated auto erythrocytes condition after the processing hardware by Cell-saver 5. Significant variation of erythrocytes deformability have been registered. While morphological indexes and heterogeneity of red-blood cells are kept previous. Given case supports optimal conditions for oxygen delivery to the tissues.
Medical Scientific Bulletin of Central Chernozemye (Naučno-medicinskij vestnik Centralʹnogo Černozemʹâ). 2016;(65):200-205
views
ANALYSIS OF 15 YEARS' EXPERIENCE OF TREATMENT OF VICTIMS WITH THE COMBINED CRANIOFACIAL DAMAGES
Kharitonov D.Y., Afanasyev A.N., Dmitriyev V.V., Afanasyev N.A.
Abstract
From 2000 to 2014 on the basis of NHO VGKBSMP-1 examination and treatment of 1691 victims with the combined craniofacial trauma is conducted. The gender structure of a trauma, distribution of patients on age, the mechanism of receiving the combined craniofacial damages, communication of weight of a craniocereberal trauma with damages of face zones is studied. The algorithm of diagnostics and treatment of a kraniofatsialny trauma, practical recommendations are developed.
Medical Scientific Bulletin of Central Chernozemye (Naučno-medicinskij vestnik Centralʹnogo Černozemʹâ). 2016;(65):206-213
views

This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies