Bulletin of RSMU

ISSN Print 2500–1094 ISSN Online 2542–1204

BIOMEDICAL JOURNAL OF PIROGOV UNIVERSITY (MOSCOW, RUSSIA)

Golubeva GYu, Golubev YuYu, Melentiev AS

It was studied a comparative analysis of variability of cardiac rhythm in 105 patients with complicated and uncomplicated arterial hypertension. It was shown that in the majority of patients with stable course of arterial hypertension it was found a moderate reduction in the indices of heart rate variability, reflecting a relative increase of the tone of the sympathetic nervous system while preserving parasympathetic influences. The occurrence of hypertensive crises was associated with a significant decrease in all indices of heart rate variability, clear predominance of sympathetic activity and a sharp oppression inhibition of vagal effects on the cardiovascular system.

Received: 2012-06-29

Published online: 2017-01-05

DOI:

Comments 0

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

DOI:

Comments 0

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

DOI:

Comments 0

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

DOI:

Comments 0

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

DOI:

Comments 0

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

DOI:

Comments 0

Brodskiy MS, Solovyev SS, Golovko MG

Objective determination of the stage of the disease and the severity of chronic obstructive pulmonary disease (COPD) is necessary for selecting the appropriate therapy, and should be taken into account, beside the existing degree of bronchial obstruction, the current level of patient's symptoms, exacerbation risk, and the presence of comorbidities. Modified British Medical Research Council (MRC) questionnaire and the COPD Assessment Test (CAT) validated to assess symptoms in patients with COPD may be used as a part of the comprehensive criteria of severity, as well as used in medical practice to determine the effectiveness of pharmacotherapy.

Received: 2012-07-02

Published online: 2017-01-05

DOI:

Comments 0

Larina VN, Runikhina NK, Mikhaylusova MP, Benevskaya VF, Sharashkina NV

The aim of the study was to examine the cognitive status in postmenopausal women with arterial hypertension observed in outpatient settings. 58 women from 44 to 88 years old with arterial hypertension were under study. It was shown that cognitive impairments were found in 40.8 % of women with hypertension during the menopause. It was found that early age at menopause, the presence of depressive status, obesity, changes in the structural-functional state of the left heart and metabolic disorders were associated with decreased cognitive function in women with hypertension.

Received: 2012-07-02

Published online: 2017-01-05

DOI:

Comments 0