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To the 50th anniversary of the Department of Hospital Pediatrics of Samara State Medical University 为萨马拉国立医科大学医院儿科系成立50周年
Pub Date : 2023-01-01 DOI: 10.32000/2072-1757-2023-1-111-117
G. Makovetskaya, L. Mazur
The article is dedicated to the 50th anniversary of the Hospital Pediatrics Department. The main events in the history of the Department since its foundation in 1973 and the achievements of its members are presented.
这篇文章是献给医院小儿科成立50周年的。介绍了自1973年成立以来该部历史上的主要事件及其成员的成就。
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引用次数: 0
Neuron-specific enolase of liquor as an objective marker of cognitive impairments in HIV-associated encephalopathy 白酒神经元特异性烯醇化酶作为hiv相关脑病认知障碍的客观标志物
Pub Date : 2023-01-01 DOI: 10.32000/2072-1757-2023-2-37-41
Yuliya V. Karakulova, N. E. Seksyaev, D. Sosnin
One of the main causes of cognitive dysfunction in a late stage of HIV infection is HIV-associated encephalopathy. The direct neurotropic impact of HIV creates the pathogenic basis for this clinical syndrome. The purpose — to evaluate the cognitive status and neuron-specific enolase (NSE) level in cerebrospinal fluid (CSF) in HIV-encephalopathy patients. Material and methods. 35 patients were included in the study. They were divided into two groups: 20 patients (9 females and 11 males) with cognitive dysfunction and confirmed diagnosis of HIV/AIDS and 15 patients (6 females and 9 males) were in comparison group. The cognitive status was investigated by mini-mental state examination (MMSE), international HIV-dementia scale (IHDS) and frontal assessment battery (FAB). CSF level of NSE were investigated by ELISA test. Results. Correlation between cognitive dysfunction severity and NSE level in CSF was determined in HIV-encephalopathy patients. Conclusion. NSE level changing in CSF is an objective indicator of clinical severity of HIV-encephalopathy and neurotropic impact of HIV.
HIV感染晚期认知功能障碍的主要原因之一是HIV相关脑病。HIV的直接嗜神经作用为这种临床综合征创造了致病基础。目的:评价hiv -脑病患者脑脊液(CSF)的认知状态和神经元特异性烯醇化酶(NSE)水平。材料和方法。研究纳入了35名患者。将确诊为HIV/AIDS的认知功能障碍患者20例(女9例,男11例)和对照组15例(女6例,男9例)分为两组。采用简易精神状态检查(MMSE)、国际hiv -痴呆量表(IHDS)和正面评估组(FAB)对认知状况进行调查。采用酶联免疫吸附试验(ELISA)检测脑脊液水平。结果。测定hiv -脑病患者脑脊液中NSE水平与认知功能障碍严重程度的相关性。结论。脑脊液中NSE水平变化是反映HIV-脑病临床严重程度和HIV嗜神经影响的客观指标。
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引用次数: 0
History of the development of the hemodialysis service in the Republic of Tatarstan 鞑靼斯坦共和国血液透析服务的发展历史
Pub Date : 2023-01-01 DOI: 10.32000/2072-1757-2023-3-8-13
N. R. Gatiyatullin, A. Maksudova, M. Khasanova, M. D. Trofimova
The article provides information on the formation of hemodialysis service in the Republic of Tatarstan, starting from the first Russian «artificial kidney» model, the first arterio-venous shunt and dialyzer to the present day.
本文提供了鞑靼斯坦共和国血液透析服务的形成信息,从俄罗斯第一个“人工肾脏”模型,第一个动静脉分流器和透析器到今天。
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引用次数: 0
Clinical case of combined post-COVID syndrome in a child 1例儿童合并covid - 19后综合征临床报告
Pub Date : 2023-01-01 DOI: 10.32000/2072-1757-2023-2-115-120
A. Sabitova, I. V. Sitdikova, V. Anokhin, G. R. Fatkullina, G. Kamasheva, V. M. Timasheva
Despite the fact that the new coronavirus infection in children proceeds much milder than in adults, the pediatric practice is facing a problem associated with the general concept of «post-COVID conditions», including Multisystem Inflammatory Syndrome in Children (MIS-C) associated with COVID-19 and a complex of disease processes with various manifestations, united by the concept of postacute consequences of treatment or hospitalization for SARS-CoV-2 infection (PASC). The article describes a clinical case of combined post-COVID syndrome, in the form of a MIS-C and the subsequent development of PASC in the form of long-term recurrent urticarial rash elements in a 10-year-old child, simulating reactions similar to serum sickness and chronic urticaria.
尽管儿童中的新型冠状病毒感染的进展比成人温和得多,但儿科实践正面临着与“后covid条件”的一般概念相关的问题,包括与COVID-19相关的儿童多系统炎症综合征(MIS-C)以及具有各种表现的疾病过程的复杂性,这些疾病过程与SARS-CoV-2感染治疗或住院后急性后果的概念相结合。本文描述了一名10岁儿童的合并后冠状病毒综合征临床病例,以misc的形式出现,随后以长期复发性荨麻疹元素的形式发展为PASC,模拟类似血清病和慢性荨麻疹的反应。
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引用次数: 0
To the 105th anniversary of Kazan school of traumatologists-orthopedists. Transosseous compression-distraction osteosynthesis. Continuing traditions 为喀山创伤矫形医师学校成立105周年干杯。经骨压迫-牵张成骨术。持续的传统
Pub Date : 2023-01-01 DOI: 10.32000/2072-1757-2023-3-9-17
I. Pankov, S. D. Sirazitdinov, A. Emelin
The article presents a brief historical sketch of developing the method of transosseous compression-distraction osteosynthesis in Kazan school of traumatologists-orthopedists. The historical roots of Kazan school of traumatologists-orthopedists are shown. Succession of traditions in the work of the School founders is marked. The stages of improving the method of transosseous compression-distraction osteosynthesis are described by the example the works by doctors and researchers of Kazan Scientific-research Institute for traumatology and orthopedics and its successor — Scientific-practical center for trauma at Republic Clinical Hospital.
本文简要介绍喀山创伤骨科学派发展经骨压迫-牵张成骨方法的历史概况。喀山创伤骨科学派的历史根源被展示出来。学校创始人的工作传统的继承是显著的。以喀山创伤骨科科学研究所及其后继的共和国临床医院创伤科学实践中心的医生和研究人员的工作为例,介绍了经骨压迫-牵张成骨法的改进阶段。
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引用次数: 0
Acute coronary syndrome in patients with aortic valve stenosis 主动脉瓣狭窄患者的急性冠状动脉综合征
Pub Date : 2023-01-01 DOI: 10.32000/2072-1757-2023-2-73-78
M. Mukanova, F. Kopylov, R. Komarov, I. I. Serebrennikov, F. S. Gafurov, A. N. Khuziakhmedov, N. Babakulova, A. Ismailbaev
The purpose — to assess the acute coronary syndrome (ACS) clinical aspects in patients with aortic stenosis. Material and methods. This is a retrospective single-center study that included comparison of hospital and midterm outcomes of ACS and aortic stenosis (n = 95, divided into the following groups: group 1 — severe aortic stenosis + ACS (n = 39); group 2 — moderate aortic stenosis + ACS (n = 28); group 3 — ACS without aortic stenosis (the control group selected using «Propensity matching» method) (n = 28)). Results. Hospital mortality did not differ statistically between the groups. In group 1, there was a tendency to worse survival within 1 year. In groups with aortic malformation, ACS with ST segment elevation was less common — p = 0.0002 and p = 0.001, respectively. In group 1, 23.1% of patients had intact coronary arteries. Conclusions. Severe aortic valve stenosis in some cases «mimics» acute coronary syndrome, which is indicated by significantly more frequent detection of intact coronary arteries in this cohort. Aortic stenosis of varying degrees does not lead to an increase in the frequency of early postoperative complications and 30-day mortality after PCI.
目的:探讨主动脉瓣狭窄患者急性冠脉综合征(ACS)的临床特点。材料和方法。这是一项回顾性单中心研究,包括ACS和主动脉狭窄的医院和中期结局的比较(n = 95,分为以下组:1组-严重主动脉狭窄+ ACS (n = 39);2组-中度主动脉狭窄+ ACS (n = 28);3组- ACS无主动脉瓣狭窄(采用«倾向匹配»方法选择的对照组)(n = 28)。结果。两组之间的住院死亡率没有统计学差异。1组患者1年内生存率有下降趋势。在主动脉畸形组,ST段抬高的ACS发生率较低,分别为p = 0.0002和p = 0.001。在第1组,23.1%的患者冠状动脉完整。结论。在一些病例中,严重的主动脉瓣狭窄“类似”急性冠状动脉综合征,这表明在这个队列中,完整冠状动脉的检测明显更频繁。不同程度的主动脉狭窄并不会导致PCI术后早期并发症和30天死亡率的增加。
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引用次数: 0
On the terms of restoration of finger flexors’ tendons after injury with a profiled metal sheet 异型钢板修复指屈肌腱损伤的研究
Pub Date : 2023-01-01 DOI: 10.32000/2072-1757-2023-3-41-44
R. Mullin, R. T. Radkov, D. S. Eflova
The purpose — clinical assessment of the algorithm of terms of the restoration of the finger tendons’ flexor after an injury with a profiled metal sheet. Results. Based on the study results, an algorithm for restorative operations on tendons after an injury with a profiled metal sheet was proposed. When the skin-tendon flap width-to-length ratio is 1:3 or more, one-stage reconstruction of the deep flexor tendon is possible. If the flap width-to-length ratio is less than 1:3, it is necessary to conduct a primary delayed (in 7–10 days) or staged reconstruction of the deep flexor tendon with skin restoration. Conclusion. The presented graphical model of «profiled metal sheet injury» allows giving a clinical assessment of the blood supply to the skin-tendon flap and differentiating treatment of patients with varying degrees of injury severity. In turn, the restoration of normal blood circulation in the injured segment accelerates the healing process, reduces the percentage of complications, and ultimately determines the success of the surgical intervention.
目的:探讨指腱屈肌损伤后金属钢板修复方法的临床评价。结果。在此基础上,提出了一种异型钢板损伤后肌腱修复手术算法。当皮肤腱瓣宽长比为1:3或更多时,可以一期重建深屈肌腱。如果皮瓣宽度与长度比小于1:3,则需要进行一期延迟(7-10天)或分阶段重建深屈肌腱并进行皮肤修复。结论。所提出的“金属板损伤”的图形模型允许对皮肤肌腱皮瓣的血液供应进行临床评估,并对不同程度损伤严重程度的患者进行区分治疗。反过来,损伤节段正常血液循环的恢复加速愈合过程,减少并发症的百分比,并最终决定手术干预的成功。
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引用次数: 0
Contribution of the scientific, medical and public activity of Viktor Konstantinovich Menshikov into the development of Russian pediatrics 维克多·康斯坦丁诺维奇·门希科夫的科学、医学和公共活动对俄罗斯儿科发展的贡献
Pub Date : 2023-01-01 DOI: 10.32000/2072-1757-2023-4-143-148
O. I. Pikuza, S. V. Maltsev, A. M. Zakirova, F. Rizvanova, E. Generalova
The article reflects the diverse activity of Prof. V.K. Menshikov as a clinician, a pedagogue, and a researcher. Detailed information is presented about the formation, based on a Kazan children’s hospital, of a new direction in rendering medical assistance to babies and in nutrition science; the contribution of Prof. V.K. Menshikov into training of medical and scientific staff in TASSR and far beyond is shown.
这篇文章反映了V.K. Menshikov教授作为临床医生、教师和研究人员的多样化活动。报告详细介绍了喀山儿童医院在向婴儿提供医疗援助和营养科学方面形成的新方向;V.K. Menshikov教授为培训TASSR及其他地区的医务和科学人员所作的贡献。
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引用次数: 0
Features of treatment of the combined functional disorders of gastrointestinal tract in patients who had a new coronavirus infection on an outpatient basis 新型冠状病毒感染患者消化道合并功能障碍门诊治疗特点
Pub Date : 2023-01-01 DOI: 10.32000/2072-1757-2023-1-38-41
M. S. Turchinа, M. V. Bukreeva, Zh. E. Annenkova, Yu. M. Morozov, T. I. Obolenskaya
Patients with COVID-19 often suffer from a variety of gastrointestinal disorders. Often this is directly related to the effect of the virus on the epithelial cells of the gastrointestinal tract, as well as the prescription of drugs for the new coronavirus infection treatment. In some patients, gastrointestinal disturbances precede the onset of respiratory symptoms and remain for a long time after recovery, significantly reducing the quality of life. Approximately every second patient who had a COVID-19 infection suffers from stool disorders and dyspeptic symptoms. The most common variant of post-covid lesions of the gastrointestinal tract is functional dyspepsia and irritable bowel syndrome, which outpatient doctors have recently encountered more and more often. In most cases, the attending physician pays more attention to the pulmonary and cardiological manifestations of coronavirus infection, while the symptoms of gastrointestinal lesions are considered minor. The purpose of this article — is to consider possible methods for correcting the functional pathology of the gastrointestinal tract in patients after a COVID-19 infection.
COVID-19患者通常患有各种胃肠道疾病。这通常与病毒对胃肠道上皮细胞的影响以及治疗新型冠状病毒感染的药物处方直接相关。在一些患者中,胃肠道紊乱先于呼吸道症状出现,并在康复后持续很长时间,显著降低了生活质量。大约每两名感染COVID-19的患者中就有一名患有大便紊乱和消化不良症状。新冠肺炎后胃肠道病变最常见的变体是功能性消化不良和肠易激综合征,门诊医生最近遇到的情况越来越多。在大多数情况下,主治医师更关注冠状病毒感染的肺部和心脏学表现,而胃肠道病变的症状则被认为是次要的。本文的目的是考虑纠正COVID-19感染后患者胃肠道功能病理的可能方法。
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引用次数: 1
Treating chronic instability of the acromioclavicular joint 治疗肩锁关节慢性不稳定
Pub Date : 2023-01-01 DOI: 10.32000/2072-1757-2023-3-23-28
R. Salikhov, M. Chekunov, O. Teplov, D. Galimov, V. Solovyev
The acromioclavicular joint is the link between the collarbone and the scapula, responsible for synchronizing movements in the upper shoulder girdle. Chronic instability of the acromioclavicular joint leads to changes in the orientation of the scapula, which provokes kinematic disorders leading to chronic pain. In case of acute dislocation of the acromial end of the clavicle, minimally invasive techniques are usually used, such as fixation with spokes or a hook-shaped plate, or arthroscopic fixation. Surgical techniques for the treatment of patients with acromioclavicular joint chronic symptomatic instability differ significantly from those used to treat patients with acute dislocation of the acromioclavicular joint. In this case, reconstruction of torn ligaments is necessary, because the biological potential of restoring these structures is exhausted after 3–4 weeks. The range of possibilities includes anatomical and non-anatomical techniques, open and minimally invasive procedures using arthroscopy, as well as biological and synthetic transplants. This article presents the authors’ approach to treating such patients and describes the modern reliable surgical technique.
肩锁关节是连接锁骨和肩胛骨的纽带,负责上肩带的同步运动。肩锁关节的慢性不稳定导致肩胛骨方向的改变,从而引起运动紊乱,导致慢性疼痛。对于锁骨肩峰端急性脱位,通常采用微创技术,如用辐条或钩形钢板固定或关节镜固定。治疗肩锁关节慢性症状性不稳定患者的手术技术与治疗急性肩锁关节脱位患者的手术技术有很大不同。在这种情况下,重建撕裂的韧带是必要的,因为恢复这些结构的生物潜力在3-4周后耗尽。可能性的范围包括解剖和非解剖技术,使用关节镜的开放和微创手术,以及生物和合成移植。本文介绍了作者治疗此类患者的方法,并介绍了现代可靠的手术技术。
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引用次数: 0
期刊
中国实用医药
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