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Glavvrač (Chief Medical Officer)最新文献

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Application of interactive methods in the study of antibiotic therapy in the subject of clinical pharmacology 交互方法在临床药理学抗生素治疗研究中的应用
Pub Date : 2022-07-25 DOI: 10.33920/med-03-2208-22
S. Kasymova, M. Khabirova
At present, almost all developed countries of the world have realized the need to reform their education systems so that students really become the central figure in the educational process, and so that the cognitive activity of the student is in the center of attention of teachers and researchers. The preparation of a highly qualified specialist who is in demand in the market and able to independently make decisions within the framework of professional competence is the main task of the teacher. Such training is impossible without the introduction of new forms and methods of teaching. The purpose and objectives of the work: to determine the effectiveness of the introduction of modern interactive teaching methods into the educational process during a practical lesson on the topic "Antibiotic Therapy" in Clinical Pharmacology.
目前,世界上几乎所有的发达国家都意识到改革教育体制的必要性,使学生真正成为教育过程中的中心人物,使学生的认知活动成为教师和研究者关注的焦点。教师的主要任务是培养市场上需要的、能够在专业能力框架内独立决策的高素质专家。如果不引入新的教学形式和方法,这种训练是不可能的。工作的目的和目标:在临床药理学“抗生素治疗”主题的实践课程中,确定将现代互动教学方法引入教育过程的有效性。
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引用次数: 0
Adverse drug reaction detected as a result of taking a combined antiseptic medicine 联合使用抗菌药物后发现药物不良反应
Pub Date : 2022-07-25 DOI: 10.33920/med-03-2208-04
A. Kuchaeva, R. F. Gaĭfullin, D.B. Timerkaeva, M. Maksimov, E. B. Mikhailova
Antiseptic drugs (R02AA) are the most commonly used symptomatic drugs for the treatment of patients with symptoms of catarrhal pharyngitis. According to the ATC classification, 311 medicines belong to the group of antiseptic drugs. Such a variety of drugs accounts for the problem of choice and, as a result, a decrease in the effectiveness of the treatment and the manifestation of a large number of side effects. The purpose of the research: to conduct an informational and analytical study of a combined antiseptic that caused an adverse drug reaction in a patient diagnosed with pharyngitis.
抗菌药物(R02AA)是治疗卡他性咽炎症状患者最常用的对症药物。根据ATC的分类,311种药物属于抗菌药物组。如此繁多的药物造成了选择的问题,结果导致治疗效果下降,并表现出大量的副作用。本研究的目的:对一种联合抗菌剂在诊断为咽炎的患者中引起药物不良反应进行信息和分析研究。
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引用次数: 0
Preliminary screening of potential analgesics among cyanothioacetamide derivatives 氰硫乙酰胺衍生物潜在镇痛药的初步筛选
Pub Date : 2022-07-25 DOI: 10.33920/med-03-2208-08
E. Bibik, I. S. Oleĭnik, A. Saul, B. S. Krivokolysko, K. Frolov, V. Dotsenko, S. Krivokolysko
The aim of the research: to study the ability of cyanothioacetamide derivatives synthesized by us on the basis of the research laboratory “Khimeks”, Lugansk State University named after Volodymyr Dahl [1], which have low acute oral toxicity in experiments in vivo [2], to bind to potential biological targets.
研究目的:研究我们在卢甘斯克国立大学“Khimeks”研究实验室的基础上合成的以Volodymyr Dahl命名的氰硫乙酰胺衍生物[1],该衍生物在体内实验中具有较低的急性口服毒性[2],与潜在的生物靶点结合的能力。
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引用次数: 0
Efficacy of ceftaroline in the therapy of respiratory infections 头孢他林治疗呼吸道感染的疗效观察
Pub Date : 2022-07-25 DOI: 10.33920/med-03-2208-21
A. Z. Kamliya, M. Maksimov
The growing resistance of infectious agents to antimicrobial drugs (AMDs) is an important issue in antimicrobial therapy. The rate of emergence of new antibiotics against the background of the development and reproduction of resistant microorganisms is in stagnation. Ceftaroline, one of the AMD representatives, has valuable properties, which, among other things, distinguish it from other antibiotics. It is especially valuable for its activity against the main causative agent of the skin and soft tissue infection S. aureus (MRSA). It also exhibits activity against penicillin-, macrolide- and fluoroquinolone-resistant pneumococci, as well as Haemophilus influenzae strains that produce beta-lactamases, and provides opportunities for the treatment of respiratory infections.
感染因子对抗菌药物的耐药性日益增长是抗菌药物治疗中的一个重要问题。在耐药微生物发展和繁殖的背景下,新抗生素的出现速度停滞不前。头孢他林(Ceftaroline)是AMD的代表之一,具有宝贵的特性,与其他抗生素区别开来。它对皮肤和软组织感染的主要病原体金黄色葡萄球菌(MRSA)的活性尤其有价值。它还显示出对青霉素、大环内酯和氟喹诺酮类耐药肺炎球菌以及产生β -内酰胺酶的流感嗜血杆菌菌株的活性,并为治疗呼吸道感染提供了机会。
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引用次数: 0
Use of cefepime/sulbactam in the treatment of infections caused by carbapenem-resistant bacteria 使用头孢吡肟/舒巴坦治疗碳青霉烯耐药细菌引起的感染
Pub Date : 2022-07-25 DOI: 10.33920/med-03-2208-02
A. N. Koshmanova, M. Maksimov
Cefepime/sulbactam is a combined antibiotic with a wide spectrum of antimicrobial activity, including cefepime, the fourth-generation cephalosporin, and sulbactam, the beta-lactamase inhibitor, in a 1:1 ratio. Cefepime/sulbactam has a bactericidal effect: it causes a disorder in cell wall synthesis due to blockade of transpeptidase and a disorder in the formation of cross-links in peptidoglycan [1]. Today, the problem of antibiotic resistance is growing rapidly. In the WHO list, a critically high level of priority for the development of new antibiotics is occupied by infections caused by ESBL-producing gram-negative bacteria that are resistant to cephalosporins, as well as carbapenem-resistant Enterobacterales, Acinetobacter baumannii and Pseudomonas aeruginosa [2]. Infections caused by multiresistant bacteria are characterized by a longer course, require prolonged hospitalization, are very difficult to treat with modern antibacterial drugs, and increase the risk of death [3]. In this regard, a deeper study of the action of individual antibacterial drugs and their combination with β-lactamase inhibitors in the treatment of diseases caused by multiresistant microorganisms is crucial.
头孢吡肟/舒巴坦是一种具有广谱抗菌活性的联合抗生素,包括头孢吡肟(第四代头孢菌素)和舒巴坦(β -内酰胺酶抑制剂),比例为1:1。头孢吡肟/舒巴坦具有杀菌作用:由于阻断转肽酶,导致细胞壁合成紊乱,肽聚糖交联形成紊乱[1]。今天,抗生素耐药性问题正在迅速发展。在世卫组织的清单中,由产esbl的革兰氏阴性菌(对头孢菌素耐药)以及耐碳青霉烯肠杆菌、鲍曼不动杆菌和铜绿假单胞菌引起的感染占据了开发新抗生素的高度优先级别[2]。多重耐药菌引起的感染病程较长,住院时间较长,现代抗菌药物难以治疗,死亡风险增加[3]。在这方面,深入研究单个抗菌药物的作用及其与β-内酰胺酶抑制剂在治疗多重耐药微生物引起的疾病中的作用至关重要。
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引用次数: 0
Study of autoimmune mechanisms of neuroleptics action 抗精神病药作用的自身免疫机制研究
Pub Date : 2022-07-25 DOI: 10.33920/med-03-2208-16
M. Baturina, E. Beyer
The authors set a goal to evaluate the severity of haloperidol catalepsy depending on the level of autoantibodies to dopamine receptors and dopamine in laboratory rats that were subjected to long-term administration of neuroleptics.
作者设定了一个目标来评估氟哌啶醇猝厥的严重程度,这取决于长期服用抗精神病药的实验室大鼠对多巴胺受体和多巴胺的自身抗体水平。
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引用次数: 0
Approaches to studying the internal picture of treatment in patients with paranoid schizophrenia 偏执型精神分裂症患者治疗内部图景的研究方法
Pub Date : 2022-07-25 DOI: 10.33920/med-03-2208-17
O. V. Bashmakova, D. G. Semenikhin
The concept of the internal picture of the disease is widely used in domestic medical, as well as medical and psychological practice; its practical use increases the effectiveness of therapeutic and rehabilitation processes. The development of the concept of the internal picture of the disease is the formation of ideas about the internal picture of treatment and the internal picture of pharmacotherapy. The internal picture of treatment is defined as the patient's subjective perception of the treatment process from going to the doctor to changing the lifestyle in the dynamics of the therapeutic process. In the internal picture of treatment, sensory and intellectual levels are distinguished. The study of the internal picture of the disease in schizophrenia and the dissociation of mental functions with the separation of the associative process and emotional, sensory experience, and the presence of productive symptoms contribute to the formation of an inadequate attitude towards the disease, which enhances the patient's disadaptation.
疾病内象的概念在国内医学以及医学和心理实践中被广泛应用;它的实际应用增加了治疗和康复过程的有效性。疾病内在图景概念的发展,是关于治疗内在图景和药物治疗内在图景观念的形成。治疗的内部图景被定义为患者对治疗过程的主观感知,从去看医生到改变生活方式,在治疗过程的动态中。在治疗的内部图景中,感觉和智力水平是有区别的。对精神分裂症疾病内部图景的研究,以及联想过程与情感、感官体验分离导致的心理功能分离,以及生产性症状的出现,导致对疾病的态度不充分,从而增强了患者的适应障碍。
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引用次数: 0
Pharmacoeconomic features of increased costs of direct-acting and oral anticoagulants in a multidisciplinary hospital in 2019–2021 某多学科医院2019-2021年直接作用抗凝剂和口服抗凝剂成本增加的药物经济学特征
Pub Date : 2022-07-25 DOI: 10.33920/med-03-2208-20
E. R. Kadyseva, L. Kulagina
The purpose of the work is to analyze the costs of direct-acting anticoagulants and oral anticoagulants from the total cost of medicines by years in a multidisciplinary hospital, as well as to calculate the cost of a daily prophylactic dose of drugs on the example of apixaban and sodium heparin
本研究的目的是从某多学科医院按年用药总成本分析直接作用抗凝剂和口服抗凝剂的成本,并以阿哌沙班和肝素钠为例计算每日预防剂量药物的成本
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引用次数: 0
Amitriptyline as a reference antidepressant. r ational pharmacotherapy for depression with chronic pain and insomnia 阿米替林作为参考抗抑郁药。抑郁症伴慢性疼痛和失眠的国家药物治疗
Pub Date : 2022-07-25 DOI: 10.33920/med-03-2208-10
A.D. Akhmedzhanova, M. Maksimov
According to WHO, depressive disorders are 4 times more common among patients suffering from chronic pain with insomnia. Insomnia in depression complicated by pain is a clinical syndrome characterized by nocturnal sleep disorders and related disorders during daytime wakefulness, occurring even when there is sufficient time and conditions for sleep. Treatment of insomnia patients with amitriptyline, phenazepam, and bromocamphor reduced the average duration of hospitalization, improved the patients’ quality of life, and reduced the frequency of seeking neurological care.
据世卫组织称,在患有慢性疼痛并伴有失眠症的患者中,抑郁症的发病率要高出四倍。抑郁症伴疼痛性失眠是一种以夜间睡眠障碍及白天清醒时相关障碍为特征的临床综合征,即使有充足的睡眠时间和条件也会发生。阿米替林、非那西泮和溴樟脑治疗失眠患者可缩短平均住院时间,改善患者的生活质量,减少寻求神经系统护理的频率。
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引用次数: 0
Omalizumab adverse reactions and safety Omalizumab的不良反应和安全性
Pub Date : 2022-07-25 DOI: 10.33920/med-03-2208-07
K. O. Shnaider, M. Maksimov, B. Romanov, A. Shikaleva
Omalizumab is one of the longest-used monoclonal antibodies and the first available treatment option for severe allergic asthma in patients aged 6 years and older. Its efficacy and safety were established in several randomized controlled trials, leading to its final registration over 15 years ago. In most cases, long-term treatment with omalizumab is safe and does not increase the risk of adverse reactions. However, over the years, there has been a trend towards an increase in the registration of adverse events associated with the use of omalizumab.
Omalizumab是使用时间最长的单克隆抗体之一,也是6岁及以上患者严重过敏性哮喘的第一种可用治疗选择。它的有效性和安全性在几项随机对照试验中得到证实,最终于15年前注册。在大多数情况下,长期使用omalizumab治疗是安全的,不会增加不良反应的风险。然而,多年来,与使用omalizumab相关的不良事件的登记有增加的趋势。
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Glavvrač (Chief Medical Officer)
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