Vol 22, No 2 (2019)

Articles
PROGRAM ACTIVITIES TO DETECT FACTORS OF THE RISK OF THE STATE OF REPRODUCTIVE HEALTH OF YOUNG STUDENTS IN THE VORONEZH REGION
Madykin Y.Y., Zolotuhin O.V., Horoshih N.V., Ievlev A.A., Zolotuhin V.O.
Abstract
The violation of the reproductive function of married men is of particular importance today, both medical and social. Demographic indicators in Russia and in many other countries indicate an increase in the incidence of infertile (infertile) status of men [1,4]. The questionnaire survey of students in the Voronezh region is held within the framework of the interdepartmental project "Study for Health!", One of the sections of which is the subproject "You and I are a Healthy Family". This subproject is aimed at the prevention and strengthening of male and female reproductive health. A preliminary analysis of the questionnaire survey showed the presence of risk factors in the area of reproductive health in almost every sixth student who needs a specialist from a urologist andrologist. However, the reluctance of students to continue the examination in order to exclude or confirm the presence of the corresponding problems, speaks of the low social activity of young students with regard to responsibility for their own reproductive health.
Applied Information Aspects of Medicine (Prikladnye informacionnye aspekty mediciny). 2019;22(2):4-8
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TEMPORARY FIXATION OF THE EDGES OF THE SYNTHETIC LOOP OF PREVENTION OF RECURRENCE OF URINARY INCONTINENCE AFTER SURGERY TOT
Pyanich V.N., Prokofyeva L.I., Sheremetova L.S.
Abstract
Urinary incontinence leads to social disadaptation of women. Urinary incontinence affects up to 25% of the female population, and with age the percentage increases from the minimum age of 20-24 years to 30% by 50 years. Free vaginal obturator (TVT-O) is now one of the most effective and popular procedures for the surgical treatment of stress urinary incontinence in women. The effectiveness of different variants of suburethral plastic according to other different studies is 80-90%. The problem of treatment of patients with recurrent urinary incontinence remains quite acute. The recurrence of urinary incontinence is noted in 5.8% of patients with mixed form. Subsequently, in order to prevent this complication, temporary fixation of the prosthesis edges and fixation of the mesh under the middle part of the urethra were used. Loop migration is one of the causes of recurrence of urinary incontinence. Temporary fixation of the loop and prevention of loop displacement from the middle urethra can reduce the risk of recurrence of urinary incontinence.
Applied Information Aspects of Medicine (Prikladnye informacionnye aspekty mediciny). 2019;22(2):9-12
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FORECASTING DEVELOPMENT OF COMPLICATIONS IN PREGNANT WOMEN PATIENTS WITH DIABETES MELLITUS TYPE 2
Frolov M.V., Sudakova O.A.
Abstract
The article is devoted to the aspects of predicting the development of complications in pregnant women with diabetes mellitus. Pregnancy is a special condition of the body. The state when the restructuring of the entire body of a woman, including hormonal. Diabetes mellitus can worsen the course of almost any disease, leads to a number of complications, and as for pregnancy, it can lead to spontaneous abortion or fetal death. However, diabetes is not a kind of sentence. Against the background of adequate therapy and being able to predict the development of complications in patients, it is possible to achieve a “smooth” course of pregnancy. The article is of particular interest to endocrinologists and gynecologists.
Applied Information Aspects of Medicine (Prikladnye informacionnye aspekty mediciny). 2019;22(2):13-17
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OPTIMIZATION OF A CHOICE OF DEVELOPMENT TOOLS IN THE DESIGN OF THE DATABASE "PHARMACOECONOMIC ANALYSIS OF THE MOVEMENT OF MEDICINES IN HEALTH FACILITIES"
Sudakov O.V., Berejnova T.A., Gladskikh N.A., Alekseev N.Y.
Abstract
The use of information technologies at the present stage is an important component of the success of the medical institution. Among other things, informational analytical methods are actively used in such a section as clinical pharmacology. The paper studied the method of retrospective evaluation of expenditure of resources allocated for drug supply - ABC-VEN analysis, using database theory, SQL language foundations, comparative analysis of existing DBMS. The algorithm of development of a database storing information on procurement of drugs in LPU and carrying out automated ABC-analysis of purchased medicines within the framework of theory of systems of medical decisions and mathematical methods of optimization is presented.
Applied Information Aspects of Medicine (Prikladnye informacionnye aspekty mediciny). 2019;22(2):18-23
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IMMEDIATE AND DISTANT RESULTS OF TREATMENT OF PATIENTS WITH EXACERBATION OF CHRONIC OBSTRUCTIVE PULMONARY DISEASE AND ACCOMPANYING ISCHEMIC HEART DISEASE USING ROFLUMILAST
Shishkin E.S., Provotorov V.M.
Abstract
Today, chronic obstructive pulmonary disease (COPD) is seen as a serious medical and social problem that remains unresolved. COPD is known to be a long-term current inflammatory process that affects all structures of pulmonary tissue. Often, the "classic" local inflammatory process becomes systemic. At the same time, its essence is completely changed. Chronic obstructive pulmonary disease and ischemic heart disease have a wide prevalence and are often combined in one patient. Systemic inflammation is a common pathogenetic mechanism of COPD and IBS. The high concentration of various systemic markers of inflammation is associated with the exacerbation of atherosclerosis and the development of its complications. The use of roflumilast changes the course of COPD and IBS.
Applied Information Aspects of Medicine (Prikladnye informacionnye aspekty mediciny). 2019;22(2):24-29
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CLINICAL EFFECTIVENESS OF CHRONIC OBSTRUCTIVE PULMONARY DISEASE IN EXACERBATION STAGE WITH ACCOMPANYING ISCHEMIC HEART DISEASE IN USING PHOSPHODIESTERASE INHIBITOR
Shishkina E.S., Provotorov V.M.
Abstract
Chronic obstructive pulmonary disease and ischemic heart disease have a wide prevalence and are often combined in one patient. Systemic inflammation is among the common mechanisms of COPD and IBS pathogenesis. As is known, the high concentration of various systemic markers of inflammation, among which C-RB, ИЛ-6, ИЛ-18 and TNF-a are associated with the exacerbation of atherosclerosis and the development of its complications. The article presents the results of use of phosphodiesierase-4 inhibitor in patients with acute COPD and IBS.
Applied Information Aspects of Medicine (Prikladnye informacionnye aspekty mediciny). 2019;22(2):30-34
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ASSESSMENT OF THE ANEMIC SYNDROME STRUCTURE AND PREVALENCE AMONG INTERNAL MEDICINE PATIENTS
Kravchenko A.Y., Chernik T.A., Simion A.U.
Abstract
The issues of the structure and prevalence of anemic syndrome (AS) among internal medicine patients were studied, the quality of life of patients with anemia was assessed. Anemia is the most common hematological pathology that accompanies many chronic diseases. Most often in clinical practice you can find a combination of anemia with acute and chronic infections, oncological and autoimmune diseases. The final data showed that 101 patients (46.1%) of the 219 patients studied had anemia. As a distinct disease, anemia was detected in only 7 cases (3.2%), and as background and / or comorbidities - 94 surveyed (42.9%), 49 of them were women (48.5%) and 52 men (51.5%). The average age of the subjects who had anemia was: for men 65.3 ± 10.5 years; for women 63.1 ± 8.4 years. Most often, this pathology occurred in old age (62.5% of patients). Mild anemia was observed in 93 patients (92%), moderate severity - in 7 (6.9%), and severe - in 1 study (1.1%). It is also worth mentioning that only 8 patients out of 101 with AS (7.9%), this pathology was reflected in the clinical diagnosis.
Applied Information Aspects of Medicine (Prikladnye informacionnye aspekty mediciny). 2019;22(2):35-39
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MICROALBUMINURIA IN PATIENTS, HAVING THE RISK OF DEVELOPING CHRONIC KIDNEY DISEASE
Bala A.U., Chernych T.M.
Abstract
The aim of the study was to establish the presence of chronic kidney disease or its risk factors in patients visiting medical institutions of the Voronezh region. Diagnostic test strips were used to determine the level of albumin and creatinine urine. 750 people were examined. Patients with diabetes mellitus, hypertension, and obesity were included in the study. Patients older than 70 years or younger than 18 years, patients with fever or patients with established kidney disease were excluded from the examination. The modified indicators were identified from 189 patients. The level of albuminuria a 1-was established in 83% of patients, the level of albuminuria a 2-in 14% of patients, the level of albuminuria A3-in 3% of patients. The first stage of chronic kidney disease was revealed in 66% of patients, the second stage was revealed in 28% of patients, the third stage was revealed in 5% of patients, the fourth stage was revealed in 1% of patients. The Department of health of the Voronezh region for the organization of examination of patients with CKD used the results of the study.
Applied Information Aspects of Medicine (Prikladnye informacionnye aspekty mediciny). 2019;22(2):40-44
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IDENTIFICATION OF RISK FACTORS OF DEVELOPMENT OF GESTATION DIABETES
Frolov M.V., Sudakova O.A.
Abstract
The article is devoted to the aspects of identifying risk factors for the development of gestational diabetes. Gestational diabetes can have a negative impact not only on the health of the pregnant woman, but also on the health of the unborn child. The survey data of pregnant women, including the identification of the main manifestations of gestational diabetes, as well as the main laboratory parameters. The work is interesting in that it covers the time span from pregnancy to 3 months of a woman’s life after giving birth and is of interest to practical doctors - obstetrician-gynecologists and endocrinologists.
Applied Information Aspects of Medicine (Prikladnye informacionnye aspekty mediciny). 2019;22(2):45-50
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ANALYSIS OF THE REASONS OF THE INSIGHT PROCESS IN THE FIELD OF ATTACHMENTS IN WOMEN
Frolov M.V., Sudakova O.A.
Abstract
The article is devoted to the analysis of the causes of adhesions in the field of appendages in women. The problem is relevant, since every year the number of women visiting gynecologists increases, due to adhesions in the internal genital organs and pelvic organs. As a result of a variety of causes, spikes appear that interfere with normal pregnancy, dramatically increasing the chance of ectopic pregnancy and other complications. The article provides data on a comprehensive survey of women with adhesions of the fallopian tubes. A feature of this study was precisely a comprehensive examination, including not only standard methods and analyzes, but also an immunoglobulin blood test, IgM + IgA + IgG, according to blood ELISA. The data obtained in the study are of interest for obstetrician-gynecologists, and can also be used in the educational process of the departments in the training of doctors, residents, as well as in refresher courses.
Applied Information Aspects of Medicine (Prikladnye informacionnye aspekty mediciny). 2019;22(2):51-56
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EXPERIENCE OF AUTO-TRANSPLANTATIONS OF DAMAGED MAINS NERVOUS TRUNKS IN PATIENTS WITH TYPE 2 DIABETES MELLITUS USING MRI
Chernykh A.V., Sudakov D.V., Yakusheva N.V., Ostapenko P.A.
Abstract
The article is devoted to the experience of autotransplantation of injured main nerve trunks in patients with type 2 diabetes. Diabetes mellitus is an aggravating factor for the course of any disease, becoming a real disaster for surgical doctors, especially those who are involved in autotransplantation damaged injured nerve trunks. A feature of this work was the use in the preoperative period, in addition to standard research methods - magnetic resonance imaging, with the aim of improving the quality of surgical interventions. In the preoperative period, thanks to the use of this method, more accurate data were obtained on the location of the sural nerve, used as an autograft, and its main characteristics (length, thickness). The article also presents data on the variant anatomy of the gastrocnemius nerve and the long-term results of surgical intervention associated with the complete or partial restoration of the function of the nerve trunk.
Applied Information Aspects of Medicine (Prikladnye informacionnye aspekty mediciny). 2019;22(2):57-62
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IMPROVING THE QUALITY OF RECONSTRUCTIVE INTERVENTIONS BY ANALYSIS OF COMBINED INJURIES OF THE AREA
Chernykh A.V., Sudakov D.V., Yakusheva N.V., Tikhonov A.N.
Abstract
The article discusses the issue of improving the quality of reconstructive interventions, by analyzing the combined injuries of the forearm area. The problem of complex complex fractures of the upper extremities and the forearm area, in particular, is becoming increasingly relevant from year to year. Every year in the Russian Federation, and throughout the world, the number of injuries increases, which often leads to the disability of patients - more often people of working age. The article presents data analysis of combined injuries of the forearm. Special attention is paid to tendon injuries, in combination with damage to nearby anatomical structures. An analysis of flexor tendon damage at different levels of the forearm is given. The obtained data can be used in predicting surgical interventions in the forearm area.
Applied Information Aspects of Medicine (Prikladnye informacionnye aspekty mediciny). 2019;22(2):63-68
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THE ANALYSIS OF BONE CALCIUM PHOSPHATES CONTAINED IN BIOACTIVE COMPOSITIONS PRODUCED BY “TYANSHI” CORPORATION
Poprygina T.D., Ponomareva N.I.
Abstract
The bone calcium phosphates of biologically active compositions produced by “Tyanshi” corporation (Tiens, China) have been investigated with the help of XRD, SEM, LRSMA, IRS methods. It was proved, that the main inorganic compound of the powders “High calcium content” is hydroxyapatite, which does not belong to nanocrystalline material though. In accordance with elemental analysis and IRS, the powders contain organic substances, but declared in commercial advertising microelements (magnesium, iron, iodine, copper, manganese, selenium etc.) were not found. The analyzed composition has been chosen as an impregnating component of bone implants for the future experiments.
Applied Information Aspects of Medicine (Prikladnye informacionnye aspekty mediciny). 2019;22(2):69-75
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