Pub Date : 2023-01-01DOI: 10.51922/2074-5044.2023.2.33
Karpovich Y. L., Pronko T. P., Meleshko A. B.
The article presents current data on the syndrome of joint hypermobility. The analysis of the main morphometric parameters of the cardiovascular system detected by ultrasound examination of the heart in medical students with joint hypermobility syndrome in the age group of 20–28 years was carried out. A high prevalence of left ventricular false tendons, mitral valve prolapse, with a changes in the geometry of the heart, with an increase in the longitudinal dimensions of the left atrium and left ventricle without changes in the volumes of the left heart, with an increase in the longitudinal dimensions and volume of the right atrium in comparison with those in practically healthy individuals were revealed. Recommendations are given on the necessity for screening of this nosology in young patients with signs of connective tissue disorders.
{"title":"ULTRASOUND CHARACTERISTICS OF THE HEART CHANGES IN PATIENTS WITH JOINT HYPERMOBILITY SYNDROME","authors":"Karpovich Y. L., Pronko T. P., Meleshko A. B.","doi":"10.51922/2074-5044.2023.2.33","DOIUrl":"https://doi.org/10.51922/2074-5044.2023.2.33","url":null,"abstract":"The article presents current data on the syndrome of joint hypermobility. The analysis of the main morphometric parameters of the cardiovascular system detected by ultrasound examination of the heart in medical students with joint hypermobility syndrome in the age group of 20–28 years was carried out. A high prevalence of left ventricular false tendons, mitral valve prolapse, with a changes in the geometry of the heart, with an increase in the longitudinal dimensions of the left atrium and left ventricle without changes in the volumes of the left heart, with an increase in the longitudinal dimensions and volume of the right atrium in comparison with those in practically healthy individuals were revealed. Recommendations are given on the necessity for screening of this nosology in young patients with signs of connective tissue disorders.","PeriodicalId":86137,"journal":{"name":"Military surgeon","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70859403","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-01DOI: 10.51922/2074-5044.2023.1.47
Yagur V. E., Chizh K. A., Dostanko N. Y.
The presented paper is devoted to the epidemiological characteristics of systemic lupus erythematosus as one of the most common systemic connective tissue diseases. Data on age, sex, racial and geographical differences of this pathology in different countries are given. Much attention is paid to a detailed review of data on primary morbidity (incidence) and general morbidity (prevalence). The results of authors’ own study of prevalence and incidence of systemic lupus erythematosus in the urban population of the Republic of Belarus are analyzed. An example of using the results obtained to calculate the need in specialized inpatient medical care for patients with systemic lupus erythematosus within its rational planning is proposed.
{"title":"THE INCIDENCE AND PREVALENCE OF SYSTEMIC LUPUS ERYTHEMATOSUS AMONG THE ADULT URBAN POPULATION IN BELARUSIAN POPULATION","authors":"Yagur V. E., Chizh K. A., Dostanko N. Y.","doi":"10.51922/2074-5044.2023.1.47","DOIUrl":"https://doi.org/10.51922/2074-5044.2023.1.47","url":null,"abstract":"The presented paper is devoted to the epidemiological characteristics of systemic lupus erythematosus as one of the most common systemic connective tissue diseases. Data on age, sex, racial and geographical differences of this pathology in different countries are given. Much attention is paid to a detailed review of data on primary morbidity (incidence) and general morbidity (prevalence). The results of authors’ own study of prevalence and incidence of systemic lupus erythematosus in the urban population of the Republic of Belarus are analyzed. An example of using the results obtained to calculate the need in specialized inpatient medical care for patients with systemic lupus erythematosus within its rational planning is proposed.","PeriodicalId":86137,"journal":{"name":"Military surgeon","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70857313","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-01DOI: 10.51922/2074-5044.2023.1.72
Chur N. N., Skoda M. V., Neverov P. S., Kondratenko G. G., Kernozhitsky Y. I., Mikhailova N. M.
Today, in surgery of the arteries of the lower extremities in diabetes mellitus and atherosclerosis, the autovein is the gold standard. It does not require any selection, conservation, or other preparation methods necessary for its application. However, its use in some cases is limited due to their parametric characteristics (length, diameter), loss of time for their preparation, and their absence. For these categories of patients, the method of choice is the use of vascular allografts. The article presents the experience of 25 cases of post-mortem donor vascular grafts in 24 patients with lower limb revascularization with critical ischemia. All patients were divided into 2 groups: 13 patients were included in the first group with neuroischemic form of diabetic foot syndrome, and 11 patients were included in the second group with obliterating atherosclerosis of vessels (arteries) of the lower extremities. Positive results were noted in 20 patients (83.3%). In the immediate and long-term periods after revascularization with a donor graft (1 - artery, 3 - vein), high amputations were performed in 4 (16.7%) cases, all patients with diabetes mellitus.
{"title":"EXPERIENCE OF USE OF DONOR VASCULAR GRAFTS IN SURGERY OF THE MAIN ARTERIES OF THE LOWER LIMB","authors":"Chur N. N., Skoda M. V., Neverov P. S., Kondratenko G. G., Kernozhitsky Y. I., Mikhailova N. M.","doi":"10.51922/2074-5044.2023.1.72","DOIUrl":"https://doi.org/10.51922/2074-5044.2023.1.72","url":null,"abstract":"Today, in surgery of the arteries of the lower extremities in diabetes mellitus and atherosclerosis, the autovein is the gold standard. It does not require any selection, conservation, or other preparation methods necessary for its application. However, its use in some cases is limited due to their parametric characteristics (length, diameter), loss of time for their preparation, and their absence. For these categories of patients, the method of choice is the use of vascular allografts. The article presents the experience of 25 cases of post-mortem donor vascular grafts in 24 patients with lower limb revascularization with critical ischemia. All patients were divided into 2 groups: 13 patients were included in the first group with neuroischemic form of diabetic foot syndrome, and 11 patients were included in the second group with obliterating atherosclerosis of vessels (arteries) of the lower extremities. Positive results were noted in 20 patients (83.3%). In the immediate and long-term periods after revascularization with a donor graft (1 - artery, 3 - vein), high amputations were performed in 4 (16.7%) cases, all patients with diabetes mellitus.","PeriodicalId":86137,"journal":{"name":"Military surgeon","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70857443","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-01DOI: 10.51922/2074-5044.2023.2.130
Svitо E. R.
This article will focus on the well-known symptom of heartburn and a disease closely related to it – GERD. In a concise and accessible presentation, the causes and mechanism of the development of the disease and symptom in particular, as well as their complications, will be described. Detailed recommendations for adjusting lifestyle are given. It will be useful both for specialists with medical education and for a wide range of readers.
{"title":"GASTROESOPHAGEAL REFLUX DISEASE","authors":"Svitо E. R.","doi":"10.51922/2074-5044.2023.2.130","DOIUrl":"https://doi.org/10.51922/2074-5044.2023.2.130","url":null,"abstract":"This article will focus on the well-known symptom of heartburn and a disease closely related to it – GERD. In a concise and accessible presentation, the causes and mechanism of the development of the disease and symptom in particular, as well as their complications, will be described. Detailed recommendations for adjusting lifestyle are given. It will be useful both for specialists with medical education and for a wide range of readers.","PeriodicalId":86137,"journal":{"name":"Military surgeon","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70858371","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-01DOI: 10.51922/2074-5044.2023.1.120
Chur N. N., Kondratenko G. G., Yakubouski S. U., Vasilevich A. P.
Modern information on the problem of thyroid nodules is represented. The main diagnostic methods are discussed. The characteristic of the thyroid nodule, multinodular process and goiter is given. It is noted that inadequate pre- and intraoperative diagnostics, incorrect interpretation of research results often lead to inadequate scope of surgical intervention and unsatisfactory long-term results of treatment. One of the main conclusions is the search for new, more informative and safer methods for diagnosing the nature of thyroid nodules, which is crucial in choosing a treatment method that is adequate to the extent of the operation.
{"title":"MODERN ASPECTS OF DIAGNOSTICS OF THYROID NODULES","authors":"Chur N. N., Kondratenko G. G., Yakubouski S. U., Vasilevich A. P.","doi":"10.51922/2074-5044.2023.1.120","DOIUrl":"https://doi.org/10.51922/2074-5044.2023.1.120","url":null,"abstract":"Modern information on the problem of thyroid nodules is represented. The main diagnostic methods are discussed. The characteristic of the thyroid nodule, multinodular process and goiter is given. It is noted that inadequate pre- and intraoperative diagnostics, incorrect interpretation of research results often lead to inadequate scope of surgical intervention and unsatisfactory long-term results of treatment. One of the main conclusions is the search for new, more informative and safer methods for diagnosing the nature of thyroid nodules, which is crucial in choosing a treatment method that is adequate to the extent of the operation.","PeriodicalId":86137,"journal":{"name":"Military surgeon","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70856544","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-01DOI: 10.51922/2074-5044.2023.2.90
Zhuravkov Y. L., Koroleva А. А., Zhuravkovа A. Y.
By the WHO data, cardiovascular diseases are the most common causes of death all over the world, thus more four of five death cases from cardiovascular diseases occur as a result of an infarct and a stroke and has premature character. One of the reasons of development of these diseases is the thrombosis, i.e. formation of potentially lethal thrombs in vessels. Therefore working out and application antithrombotic agents is priority in medicine. This short review is dedicated to these drugs.
{"title":"ANTITHROMBOTIC THERAPY TODAY. The report 1","authors":"Zhuravkov Y. L., Koroleva А. А., Zhuravkovа A. Y.","doi":"10.51922/2074-5044.2023.2.90","DOIUrl":"https://doi.org/10.51922/2074-5044.2023.2.90","url":null,"abstract":"By the WHO data, cardiovascular diseases are the most common causes of death all over the world, thus more four of five death cases from cardiovascular diseases occur as a result of an infarct and a stroke and has premature character. One of the reasons of development of these diseases is the thrombosis, i.e. formation of potentially lethal thrombs in vessels. Therefore working out and application antithrombotic agents is priority in medicine. This short review is dedicated to these drugs.","PeriodicalId":86137,"journal":{"name":"Military surgeon","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70859478","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-01DOI: 10.51922/2074-5044.2023.2.123
Zhyzneuski V. A., Blakhov N. Y., Trukhan A. P., Mazanik A. V., Kavalionak L. V.
Perforation of the small bovel diverticulum is a fairly rare pathology in the structure of all emergency surgical diseases of the abdominal cavity and it is 0,5–2,3%. The absence of pathognomonic clinical manifestations makes it difficult to diagnose disease.
{"title":"PERFORATION OF THE SMALL BOVEL DIVERTICULUM","authors":"Zhyzneuski V. A., Blakhov N. Y., Trukhan A. P., Mazanik A. V., Kavalionak L. V.","doi":"10.51922/2074-5044.2023.2.123","DOIUrl":"https://doi.org/10.51922/2074-5044.2023.2.123","url":null,"abstract":"Perforation of the small bovel diverticulum is a fairly rare pathology in the structure of all emergency surgical diseases of the abdominal cavity and it is 0,5–2,3%. The absence of pathognomonic clinical manifestations makes it difficult to diagnose disease.","PeriodicalId":86137,"journal":{"name":"Military surgeon","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70857906","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-01DOI: 10.51922/2074-5044.2023.1.36
Pohodenko-Chudakova I. O., Slizhykovz K. Yu.
The aim of the study was to determine the informative value of electropuncture testing in patients with salivary stone disease. Objects and methods. The study was performed at the clinical bases of the Department of Surgical Dentistry of the educational institution "Belarusian State Medical University". Using electropuncture testing, 74 patients aged 2558 years (the main group) with diagnosis of salivary stone disease of the submandibular salivary gland were examined. The control group was represented by 30 practically healthy persons. The data obtained during the survey were subjected to statistical processing using the application software package "Statistica 10.0". At the end of the study, the diagnostic effectiveness of electropuncture testing was determined. Results. Functional deviations of auricular points corresponding to the function of the endocrine glands, kidneys – 46%, and the excretory system – 30% were determined in 41% of patients. In 3% of patients, there were no changes in these systems and organs that can affect the metabolic processes of the body. In addition, 3% of the patient had significant functional abnormalities in organ systems that did not affect metabolic processes. Conclusion. Electropuncture testing has a diagnostic efficiency of 98% in the analysis of organs and systems responsible for and involved in metabolic processes in patients suffering from salivary stone disease and allows at least 49% of observations to reliably (for two or more interested organ systems) identify metabolic disorders in individuals of this category which is an indirect confirmation of one of the links in the pathogenesis of the disease under study.
{"title":"RESULTS OF ELECTROPUNCTURE TESTING IN PATIENTS WITH SALIVARY STONE DISEASE","authors":"Pohodenko-Chudakova I. O., Slizhykovz K. Yu.","doi":"10.51922/2074-5044.2023.1.36","DOIUrl":"https://doi.org/10.51922/2074-5044.2023.1.36","url":null,"abstract":"The aim of the study was to determine the informative value of electropuncture testing in patients with salivary stone disease. Objects and methods. The study was performed at the clinical bases of the Department of Surgical Dentistry of the educational institution \"Belarusian State Medical University\". Using electropuncture testing, 74 patients aged 2558 years (the main group) with diagnosis of salivary stone disease of the submandibular salivary gland were examined. The control group was represented by 30 practically healthy persons. The data obtained during the survey were subjected to statistical processing using the application software package \"Statistica 10.0\". At the end of the study, the diagnostic effectiveness of electropuncture testing was determined. Results. Functional deviations of auricular points corresponding to the function of the endocrine glands, kidneys – 46%, and the excretory system – 30% were determined in 41% of patients. In 3% of patients, there were no changes in these systems and organs that can affect the metabolic processes of the body. In addition, 3% of the patient had significant functional abnormalities in organ systems that did not affect metabolic processes. Conclusion. Electropuncture testing has a diagnostic efficiency of 98% in the analysis of organs and systems responsible for and involved in metabolic processes in patients suffering from salivary stone disease and allows at least 49% of observations to reliably (for two or more interested organ systems) identify metabolic disorders in individuals of this category which is an indirect confirmation of one of the links in the pathogenesis of the disease under study.","PeriodicalId":86137,"journal":{"name":"Military surgeon","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70857123","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-01DOI: 10.51922/2074-5044.2023.1.96
Kurchenkova V. I., Kapralov N. V., Shalamitskaya-Huleviсh I. A.
In the fourth part of our literary review devoted to diseases of the small intestine, information is provided about celiac disease, i.e. about "suffering from intestinal disorder" (translated from Greek). According to the classification, autoimmune and allergic conditions associated with gluten, as well as non-celiac gluten sensitivity are considered. The modern possibilities of diagnosis and differential diagnosis of these disorders are presented. Gluten itself, an important fraction of wheat, rye and barley, is characterized. Accurate diagnosis of celiac disease at the present stage is the possibility of conducting second–order tests to detect antibodies to deaminated gliadin peptides, antibodies to endomysium and its main antigen – the enzyme tissue transglutaminase. Histological changes by stages, the role of HLA-DQ2/DQ8 in the pathogenesis of celiac disease are presented. The basis of treatment is compliance with an elimination diet. Further described are herpetiform dermatitis, gluten ataxia, variants of wheat allergy, which includes more than three hundred proteins, thirty of them are recognized as allergenic. Modern tests for determining specific IgE, available for prescribing and detecting allergens. Non–celiac sensitivity (NCCHG) to gluten is the diagnosis of exclusion. NCCHG triggers. Solerno criteria. Risk groups for celiac disease.
{"title":"DISEASES OF THE SMALL INTESTINE. PART 4. CELIAC DISEASE AND OTHER DISORDERS ASSOCIATED WITH GLUTEN","authors":"Kurchenkova V. I., Kapralov N. V., Shalamitskaya-Huleviсh I. A.","doi":"10.51922/2074-5044.2023.1.96","DOIUrl":"https://doi.org/10.51922/2074-5044.2023.1.96","url":null,"abstract":"In the fourth part of our literary review devoted to diseases of the small intestine, information is provided about celiac disease, i.e. about \"suffering from intestinal disorder\" (translated from Greek). According to the classification, autoimmune and allergic conditions associated with gluten, as well as non-celiac gluten sensitivity are considered. The modern possibilities of diagnosis and differential diagnosis of these disorders are presented. Gluten itself, an important fraction of wheat, rye and barley, is characterized. Accurate diagnosis of celiac disease at the present stage is the possibility of conducting second–order tests to detect antibodies to deaminated gliadin peptides, antibodies to endomysium and its main antigen – the enzyme tissue transglutaminase. Histological changes by stages, the role of HLA-DQ2/DQ8 in the pathogenesis of celiac disease are presented. The basis of treatment is compliance with an elimination diet. Further described are herpetiform dermatitis, gluten ataxia, variants of wheat allergy, which includes more than three hundred proteins, thirty of them are recognized as allergenic. Modern tests for determining specific IgE, available for prescribing and detecting allergens. Non–celiac sensitivity (NCCHG) to gluten is the diagnosis of exclusion. NCCHG triggers. Solerno criteria. Risk groups for celiac disease.","PeriodicalId":86137,"journal":{"name":"Military surgeon","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70857703","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-01DOI: 10.51922/2074-5044.2023.2.119
Belyanko V. V.
The article presents the tasks of the medical service, carried out in order to plan and organize measures to protect personnel from exposure to hazardous chemicals in the event of emergencies at chemically hazardous industrial facilities, and to eliminate the consequences of such accidents. A brief description of the methods for predicting the consequences of a chemical accident is given, sources for obtaining information about hazardous production facilities are identified.
{"title":"TOPICAL ISSUES OF PLANNING AND ORGANIZATION OF MEDICAL SERVICE EVENTS IN THE EVENT OF EMERGENCY SITUATIONS AT HAZARDOUS PRODUCTION FACILITIES","authors":"Belyanko V. V.","doi":"10.51922/2074-5044.2023.2.119","DOIUrl":"https://doi.org/10.51922/2074-5044.2023.2.119","url":null,"abstract":"The article presents the tasks of the medical service, carried out in order to plan and organize measures to protect personnel from exposure to hazardous chemicals in the event of emergencies at chemically hazardous industrial facilities, and to eliminate the consequences of such accidents. A brief description of the methods for predicting the consequences of a chemical accident is given, sources for obtaining information about hazardous production facilities are identified.","PeriodicalId":86137,"journal":{"name":"Military surgeon","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70857775","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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