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Fractional flow reserve assessment for guiding the strategy of endovascular treatment of patients with chronic coronary syndrome and multivessel coronary artery disease 用于指导慢性冠状动脉综合征和多支血管冠状动脉疾病患者血管内治疗策略的分数血流储备评估
Pub Date : 2023-11-04 DOI: 10.32756/0869-5490-2023-4-41-44
E. L. Vartanyan, R.S. Polyakov, L. Dyachuk, D.V. Fetzer, Y. Arutyunova, N.A. Karanadze, M.A. Trukhanova, N. A. Mironov, S.T. Matskeplishvili
To evaluate the impact of fractional flow reserve (FFR) assessment on the choice of the myocardial revascularization strategy in patients with ischemic heart disease and multivessel coronary artery disease and to compare the long-term outcomes of complete functional or anatomical revascularization.
目的:评估分数血流储备(FFR)评估对缺血性心脏病和多支血管冠状动脉疾病患者选择心肌血管重建策略的影响,并比较完全功能性或解剖性血管重建的长期疗效。
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引用次数: 0
Optimal dosage regimen of Ranquilon® for patients with anxiety associated with neurasthenia and adaptation disorders: phase II clinical trial 针对神经衰弱和适应障碍相关焦虑症患者的兰喹隆®最佳剂量方案:II 期临床试验
Pub Date : 2023-11-04 DOI: 10.32756/0869-5490-2023-4-36-40
O. Goncharov, D. Mavani, A. Ledovskikh, L. Tsukurova, M. Gavrik, I. Balaban, A. Globenko, A. Kapashin, M. Pasko
To determine the optimal dosing of Ranquilon® (N-(6-phenylhexanoyl)-glycyl-L-tryptophan amide) tablets (Valenta Pharm JSC) for the treatment of patients with anxiety associated with neurasthenia and adjustment disorders.
目的确定Ranquilon®(N-(6-苯基己酰)-甘氨酰-L-色氨酸酰胺)片剂(Valenta Pharm JSC)治疗神经衰弱和适应障碍相关焦虑症患者的最佳剂量。
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引用次数: 0
Implementation of clinical pharmacology consultation into the obligatory medical insurance system 将临床药理咨询纳入强制性医疗保险制度
Pub Date : 2023-11-04 DOI: 10.32756/0869-5490-2023-4-77-80
А. Fedorenko, A. Burbello, D.A. Sychev, M. Pokladova
To determine the rationale for implementation of clinical pharmacology consultation into the Russian obligatory medical insurance system.
确定在俄罗斯强制性医疗保险制度中实施临床药理学咨询的理由。
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引用次数: 0
Clinical significance of antibodies to the M-type phospholipase A2 receptor in patients with primary membranous nephropathy 原发性膜性肾病患者体内的 M 型磷脂酶 A2 受体抗体的临床意义
Pub Date : 2023-11-04 DOI: 10.32756/0869-5490-2023-4-45-50
P. Kakhsurueva, E. Kamyshova, I.N. Bobkova, E. Andreeva, O.A. Li
To evaluate the significance of circulating antibodies to the M-type phospholipase A2 receptor (anti-PLA2R) in the diagnosis of primary membranous nephropathy (MN) and the determination of the clinical features of the disease.
评估 M 型磷脂酶 A2 受体循环抗体(抗 PLA2R)在诊断原发性膜性肾病(MN)和确定该病临床特征方面的意义。
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引用次数: 0
Use of real-world data for drug development 将真实世界的数据用于药物开发
Pub Date : 2023-11-04 DOI: 10.32756/0869-5490-2023-4-16-23
A.S. Kolbin, R.R. Niyazov, V.V. Kalinichenko, S.V. Glagolev
The use of real-world data (RWD) and real-world evidence (RWE) is an international trend in the modern healthcare system. In a review article, the authors highlight the use of RWD/RWE for drug development in the following categories: drug-drug interactions; dose selection in special populations such as patients with elimination organ dysfunction; dosing optimization in children; the use of quantitative clinical pharmacology in model-based drug development; use of RWE as a parallel data source to complement a randomized controlled trial to extend indications; RWD/RWE to create an external control group for rare diseases.
使用真实世界数据(RWD)和真实世界证据(RWE)是现代医疗保健系统的国际趋势。在一篇综述文章中,作者强调了真实世界数据/真实世界证据在以下几类药物开发中的应用:药物与药物之间的相互作用;特殊人群(如消除器官功能障碍的患者)的剂量选择;儿童用药剂量优化;在基于模型的药物开发中使用定量临床药理学;使用真实世界证据作为平行数据源补充随机对照试验以扩大适应症;使用真实世界数据/真实世界证据为罕见病建立外部对照组。
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引用次数: 0
Chronic renal failure in Fabry disease: the long-term survival on renal replacement therapy 法布里病的慢性肾衰竭:肾替代疗法的长期存活率
Pub Date : 2023-11-04 DOI: 10.32756/0869-5490-2023-4-58-63
E. Tao, A. Moiseev, N. Bulanov, V. Sholomova, S. Moiseev
To evaluate survival among patients with Fabry disease (FD) depending on the type of renal replacement therapy and to investigate the efficacy of dialysis screening in the early diagnosis of FD in relatives of probands.
评估法布里病(Fabry disease,FD)患者的存活率取决于肾脏替代疗法的类型,并研究透析筛查在早期诊断法布里病探明者亲属中的疗效。
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引用次数: 0
Nephrotic syndrome: ethiological factors and differential diagnosis 肾病综合征:病因和鉴别诊断
Pub Date : 2023-11-04 DOI: 10.32756/0869-5490-2023-4-5-15
S. Moiseev, I.N. Bobkova, N. Chebotareva, N. Bulanov
Nephrotic syndrome (NS), characterized by proteinuria >3.5 g daily and hypoalbuminemia (± oedema and dyslipidemia) is one of the leading manifestations of various glomerular diseases, both primary and secondary (systemic autoimmune diseases, diabetes mellitus, amyloidosis, monoclonal gammapathy, malignancy, infections, drugs, etc). Kidney biopsy is usually required to establish the cause of NS in adult patients and to choose optimal treatment. In a review article, the authors discuss the most common ethiological factors of NS and its differential diagnosis.
肾病综合征(NS)以每日蛋白尿大于 3.5 克和低蛋白血症(伴有水肿和血脂异常)为特征,是各种肾小球疾病(原发性和继发性)(全身自身免疫性疾病、糖尿病、淀粉样变性、单克隆丙种球蛋白病、恶性肿瘤、感染、药物等)的主要表现之一。通常需要进行肾活检,以确定成人患者出现 NS 的病因,并选择最佳治疗方法。作者在一篇综述文章中讨论了NS最常见的病因及其鉴别诊断。
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引用次数: 0
Hypophosphatasia in adults: how not to overlook a rare disease? 成人低磷酸盐症:如何避免忽视罕见疾病?
Pub Date : 2023-11-04 DOI: 10.32756/0869-5490-2023-4-64-72
S. Moiseev, N. Chebotareva, A. Moiseev, P. Novikov, V. Sholomova
Hypophosphatasia (HPP) is a rare hereditary disease characterized by reduced activity of tissue-nonspecific alkaline phosphatase (TNSALP) encoded by ALPL gene, defective mineralization of bone (osteomalacia) and various musculoskeletal manifestations, such as bone deformity, teeth loss, recurrent fractures, chronic bone and muscle pain, reduced muscular strength, etc. Deficiency of TNSALP activity leads to the extracellular accumulation of its substrates, including inorganic pyrophosphate that inhibits bone mineralization. Homozygous and compound heterozygous mutations of the ALPL gene are associated with a lower TNSALP activity and HPP severity. However, heterozygous dominant negative variants can also result in clinical manifestations. The authors present two adult patients with HPP and discuss diverse clinical features of the disease and the efficacy of asfotase alpha, the human recombinant enzyme-replacement therapy that replaces deficient TNSALP. In adults and adolescents with pediatric-onset HPP, treatment with asfotase alfa was associated with improved functional abilities and health-related quality of life.
低磷酸盐血症(HPP)是一种罕见的遗传性疾病,其特征是由 ALPL 基因编码的组织非特异性碱性磷酸酶(TNSALP)活性降低、骨矿化缺陷(骨软化症)以及各种肌肉骨骼表现,如骨畸形、牙齿脱落、反复骨折、慢性骨痛和肌肉痛、肌肉力量减弱等。TNSALP 活性缺乏会导致其底物在细胞外堆积,包括抑制骨矿化的无机焦磷酸盐。ALPL 基因的同源和复合杂合突变与 TNSALP 活性降低和 HPP 严重程度有关。然而,杂合子显性阴性变异也会导致临床表现。作者介绍了两名患有 HPP 的成年患者,并讨论了该病的各种临床特征以及替代缺乏的 TNSALP 的人类重组酶替代疗法 asfotase alpha 的疗效。在成人和青少年小儿型HPP患者中,使用asfotase alfa治疗可改善患者的功能和与健康相关的生活质量。
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引用次数: 0
Features of myocardial infarction with ST segment elevation in patients with non-alcoholic liver steatosis and steatohepatitis 非酒精性脂肪肝和脂肪性肝炎患者心肌梗死伴 ST 段抬高的特征
Pub Date : 2023-11-04 DOI: 10.32756/0869-5490-2023-4-51-57
V. A. Tretyakova, O. V. Ermilov, P. K. Alferov
To evaluate the features of ST-segment elevation myocardial infarction (STEMI) in patients with two types of metabolic-associated fatty liver disease (MAFLD), that is, liver steatosis (LS) and steatohepatitis (SH).
目的:评估两种代谢相关性脂肪肝(MAFLD)(即肝脂肪变性(LS)和脂肪性肝炎(SH))患者 ST 段抬高型心肌梗死(STEMI)的特征。
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引用次数: 0
Prognostic value of various iron deficiency criteria in patients with decompensated heart failure 失代偿性心力衰竭患者各种缺铁标准的预后价值
Pub Date : 2023-11-04 DOI: 10.32756/0869-5490-2023-4-30-35
Z. Kobalava, A. Lapshin, S. Galochkin
To evaluate prognosis of hospitalized patients with decompensated heart failure (HF) and iron deficiency (ID) and the changes in ID occurrence without iron supplementation.
目的:评估失代偿性心力衰竭(HF)合并缺铁(ID)住院患者的预后,以及在不补充铁剂的情况下,ID发生率的变化。
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引用次数: 0
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Clinical pharmacology and therapy
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