Bulletin of RSMU

ISSN Print 2500–1094 ISSN Online 2542–1204

BIOMEDICAL JOURNAL OF PIROGOV UNIVERSITY (MOSCOW, RUSSIA)

Yudin AL, Yumatova EA, Sologubova GF, Aliev MM

The multidetector computed tomography diagnosis results of sclerosing mesenteritis in 76 patients are presented. Typical signs of sclerosing mesenteritis are discussed and indices of diagnostic value are estimated. The main pattern ("fat ring" sign) achieves 100 % specificity and positive predictive value and 75 % sensitivity.

Received: 2012-06-15

Published online: 2017-01-05

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Schegolev AA, Mitichkin AE, Al Sabunchi OA, Valetov SA, Pavlychev AV, Klochneva EA

The aim of this study was to evaluate the efficacy of using intravenous form of proton pump inhibitors in treatment of patients with upper gastrointestinal bleeding. The study included 71 patients. 30 patients in the first group received parenteral antisecretory therapy with omeprazole and the second group of 41 patients received omeprazole in capsules. The study confirmed the effectiveness of medicamental hemostasis with the usage of intravenous proton pump inhibitors in patients of that group as a part of a combined therapy based on the method of endoscopic prevention of recurrent hemorrhage.

Received: 2012-07-13

Published online: 2017-01-05

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Solodkiy VA, Sinev YuV, Ivanova OV, Grunin IB, Kolomatskaya PB

There is reviewed the potential clinical application of confocal laser endomicroscopy in the diagnosis of the gastrointestinal tract. This is a new noninvasive technique that allows with the help of a miniature confocal endomicroscopy runtime routine endiscopic procedure in vivo in real time to obtain images of the mucous membrane of the gastrointestinal tract in high resolution (the so-called virtual biopsy).

Received: 2012-06-04

Published online: 2017-01-05

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Skoroglyadov AV, Askerko EA, Tsushko VV

The outcome of treatment of 55 patients with blocked posterior dislocation of shoulder was estimated in a period of 1–24 months (mean 14.25 ± 5.91 months). The analysis showed that the index was very low with a mean value of 1.61 ± 0.42 points. The low outcome was due to the vast anatomical injuries which brought to the functional disturbances. The experience of the recovery operations showed the difficulty in the selection of operative methods. In 21 cases plastic surgery was done which was worked out in the clinic. This allowed the recovery of the anatomical interrelations and significantly improved the function of the upper extremity. It was concluded that in 9.00 ± 0.97 months after surgery and rehabilitation treatment in patients (on index scale), the pain syndrome was slightly present or completely eliminated. There was a significant increase in active movements with satisfactory and good recovery of the shoulderjoint function.

Received: 2012-03-21

Published online: 2017-01-05

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Lazishvili GD, Blinov AB, Gordienko DI, Morozov DS, Kornaev AS, Shukyur-Zade ER, Zatikyan VR

The article deals with the peculiarities of using interlocking plates and biocomposite materials in the operative treatment of proximal and distal humerus fractures. The authors in details describe basic materials and methods, surgical technology. The data obtained demonstrate that the above method allows to achieve minimally invasive humerus reposition, stabilization and early rehabilitation.

Received: 2011-12-12

Published online: 2017-01-05

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Bart BYa, Zakharenko GD, Kasatikova LA, Kudina EV

The article is devoted to the history of the Department of outpatient therapy No. 1 of the Medical Faculty. It reflects the progress in the implementation of the Department's own methods of teaching in skills training, in the improvement of diagnostic methods and treatment of the diseases of the cardiovascular and bronchopulmonary systems in the prehospital period. There are outlined the main trends of educational-methodical and scientific research work.

Received: 2012-07-02

Published online: 2017-01-05

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Larina VN, Bart BYa, Golovko MG, Dergunova EN, Mamtsev BN

The aim of this study was to identify the factors negatively affecting the course of chronic heart failure (CHF) and prognosis in elderly patients having been observed in the polyclinic. Data were collected on 248 patients aged 60 to 85 years with CHF II–IV FC NYHA due to ischemic heart disease or hypertension. During the period over two years there were hospitalized 191 (77 %) patients. There were detected independent risk factors for hospitalization of elderly patients with heart failure and low adherence to treatment, as well as predictors of their development. It was shown that low therapy adherence was associated with non-severe chronic heart failure, preserved left ventricular ejection fraction and low level of a patient's education.

Received: 2012-07-02

Published online: 2017-01-05

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Vartanyan EA, Dergunova EN, Bart BYa, Larina VN, Skakova TI

The research objective was to analyze a structurally functional condition of the right ventricle of patients with chronic heart failure. All 57 patients underwent an echocardiography. The received results allow to draw a conclusion that structural and functional processes of remodeling of the right ventricle with its global dysfunction, accrue with an overload of a small circle of blood circulation: from passive venous post-capillary pulmonary hypertension up to the development of jet hypertension against high pulmonary vascular resistance.

Received: 2012-07-02

Published online: 2017-01-05

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