Bulletin of RSMU

ISSN Print 2500–1094 ISSN Online 2542–1204

BIOMEDICAL JOURNAL OF PIROGOV UNIVERSITY (MOSCOW, RUSSIA)

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

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

DOI:

Comments 0

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

DOI:

Comments 0