Pub Date : 2023-01-01DOI: 10.32000/2072-1757-2023-3-44-47
E. I. Khadieva, S. Yakupova, R. Abdrakipov, N. Zhuravleva
This article presents a clinical case in which a patient observed by neurologists with a diagnosis of neuropathy and treated with anticonvulsants and antidepressants developed new clinical manifestations and laboratory changes characteristic of systemic lupus erythematosus. A clinical version emerged that the neurological changes were the disease onset, followed by the development of the remaining clinical and laboratory symptoms (the diagnosis fully met the 2019 EULAR criteria — a score of 16 points, 10 points are sufficient to make a diagnosis). However, after a very short and low-dose therapy with methylprednisolone and hydroxychloroquine and withdrawal of anticonvulsants, there was a rapid recovery of specific antibodies and improvement of clinical symptoms, which allowed assuming drug-induced lupus erythematosus in this patient. Currently, the list of drugs that can cause this problem includes more than 100 drugs.
{"title":"Drug-induced lupus erythematosus","authors":"E. I. Khadieva, S. Yakupova, R. Abdrakipov, N. Zhuravleva","doi":"10.32000/2072-1757-2023-3-44-47","DOIUrl":"https://doi.org/10.32000/2072-1757-2023-3-44-47","url":null,"abstract":"This article presents a clinical case in which a patient observed by neurologists with a diagnosis of neuropathy and treated with anticonvulsants and antidepressants developed new clinical manifestations and laboratory changes characteristic of systemic lupus erythematosus. A clinical version emerged that the neurological changes were the disease onset, followed by the development of the remaining clinical and laboratory symptoms (the diagnosis fully met the 2019 EULAR criteria — a score of 16 points, 10 points are sufficient to make a diagnosis). However, after a very short and low-dose therapy with methylprednisolone and hydroxychloroquine and withdrawal of anticonvulsants, there was a rapid recovery of specific antibodies and improvement of clinical symptoms, which allowed assuming drug-induced lupus erythematosus in this patient. Currently, the list of drugs that can cause this problem includes more than 100 drugs.","PeriodicalId":9821,"journal":{"name":"中国实用医药","volume":"25 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85424058","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: 10.32000/2072-1757-2023-3-24-31
S. E. Munasipova, Z. Zalyalova, A. A. Terekhova
This article discusses the issues of muscular dystonia pathogenesis that are relevant to modern medicine, as well as the possibility of using the pathogenetic concept as a substrate to supplement the classification criteria. Reviewing the international publications on etiopathophysiology, genetics and classification, the article summarizes the main mechanisms for the occurrence of a pathological process at different levels of the nervous system. Despite the frequent clinical similarity of the symptoms of various forms of muscular dystonia, these symptoms may be the result of dysfunction of completely different genetic and neurophysiological mechanisms. The article focuses on the importance of studying the etiological and pathogenetic mechanisms and their further implementation in clinical practice in order to develop more accurate treatment techniques aimed at eliminating the specific causes of the development of specific forms of muscular dystonia.
{"title":"Etiological and pathogenetic mechanisms of forming muscle dystonias","authors":"S. E. Munasipova, Z. Zalyalova, A. A. Terekhova","doi":"10.32000/2072-1757-2023-3-24-31","DOIUrl":"https://doi.org/10.32000/2072-1757-2023-3-24-31","url":null,"abstract":"This article discusses the issues of muscular dystonia pathogenesis that are relevant to modern medicine, as well as the possibility of using the pathogenetic concept as a substrate to supplement the classification criteria. Reviewing the international publications on etiopathophysiology, genetics and classification, the article summarizes the main mechanisms for the occurrence of a pathological process at different levels of the nervous system. Despite the frequent clinical similarity of the symptoms of various forms of muscular dystonia, these symptoms may be the result of dysfunction of completely different genetic and neurophysiological mechanisms. The article focuses on the importance of studying the etiological and pathogenetic mechanisms and their further implementation in clinical practice in order to develop more accurate treatment techniques aimed at eliminating the specific causes of the development of specific forms of muscular dystonia.","PeriodicalId":9821,"journal":{"name":"中国实用医药","volume":"41 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90228991","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: 10.32000/2072-1757-2023-3-125-129
D. Mukhametova, E. Belousova, A. Odintsova, E. N. Gabitova, R. Shakirov, M. I. Ziganshin, I. Raginov, A. R. Yangurazova, A. Galieva
The article presents a clinical case of a rare disease — primary intestinal T-cell lymphoma (PITL). A distinctive feature of PITL is the absence of typical clinical, laboratory and instrumental manifestations. This requires performing differential diagnosis with other diseases such as Crohn’s disease, chronic mesenteric ischemia and infections. The diagnostic standard of PITL is morphological verification. In this case, the diagnosis of PITL, NOS was made during the immunohistochemistry of the biopsy of the resected intestine.
{"title":"Complexity of the differential diagnosis of primary T-cell lymphoma and Crohn’s disease by the example of a clinical case","authors":"D. Mukhametova, E. Belousova, A. Odintsova, E. N. Gabitova, R. Shakirov, M. I. Ziganshin, I. Raginov, A. R. Yangurazova, A. Galieva","doi":"10.32000/2072-1757-2023-3-125-129","DOIUrl":"https://doi.org/10.32000/2072-1757-2023-3-125-129","url":null,"abstract":"The article presents a clinical case of a rare disease — primary intestinal T-cell lymphoma (PITL). A distinctive feature of PITL is the absence of typical clinical, laboratory and instrumental manifestations. This requires performing differential diagnosis with other diseases such as Crohn’s disease, chronic mesenteric ischemia and infections. The diagnostic standard of PITL is morphological verification. In this case, the diagnosis of PITL, NOS was made during the immunohistochemistry of the biopsy of the resected intestine.","PeriodicalId":9821,"journal":{"name":"中国实用医药","volume":"81 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90269783","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: 10.32000/2072-1757-2023-3-138-140
G. Nurullina, T. Khalfina, O. Fakhrutdinova, L. Gainutdinova, R. D. Mutigullin
The article presents the results of a clinical observation of a case of acute kidney injury with an end-stage renal disease development in a patient who had had COVID-19 twice. The difficulties of the diagnostic search and further therapy are described. The characteristics of the clinical course and functional features of the patient are given. The mechanisms of the SARS-CoV-2 virus impact on the human body and their role in kidney damage are considered. This clinical case is an example of a rapid loss of kidney function with the development of end-stage renal disease against the background of COVID-19.
{"title":"Clinical observation of a patient with a progressive decrease of renal function after COVID-19","authors":"G. Nurullina, T. Khalfina, O. Fakhrutdinova, L. Gainutdinova, R. D. Mutigullin","doi":"10.32000/2072-1757-2023-3-138-140","DOIUrl":"https://doi.org/10.32000/2072-1757-2023-3-138-140","url":null,"abstract":"The article presents the results of a clinical observation of a case of acute kidney injury with an end-stage renal disease development in a patient who had had COVID-19 twice. The difficulties of the diagnostic search and further therapy are described. The characteristics of the clinical course and functional features of the patient are given. The mechanisms of the SARS-CoV-2 virus impact on the human body and their role in kidney damage are considered. This clinical case is an example of a rapid loss of kidney function with the development of end-stage renal disease against the background of COVID-19.","PeriodicalId":9821,"journal":{"name":"中国实用医药","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":"83102267","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: 10.32000/2072-1757-2023-3-14-18
T. Kiseleva, F. Valeeva, D. R. Islamova, M. S. Medvedeva
Type 2 diabetes mellitus (DM2) is a polygenic, multifactorial disease resulting from the interaction of genetic, epigenetic and environmental factors. Given the significant genetic and genomic research in this area, the role of genetic factors in the pathogenesis of DM2 is becoming increasingly clear. The review presents current information in the genetics of DM2, describes the technology of genome wide-associated system (GWAS) based on high-resolution biochips for the simultaneous analysis of thousands of genetic variants in a large number of patients. Due to the use of genome-wide studies, about 100 genes and more than 700 polymorphisms associated with T2DM have been described. The review provides a description of the most common genes and their polymorphisms (TCF7L2, KCNJ11, PPARG) identified by the GWAS method and showing a strong association with T2DM in various populations. In addition, the article notes the role of the ADRB2 gene, whose polymorphisms can also contribute to the development of carbohydrate metabolism disorders. The results of a study on the assessment of the relationship between the rs1042714 ADRB2 polymorphism and indicators of carbohydrate metabolism in different periods of life of overweight and obese women are presented.
{"title":"Genetic aspects of type 2 diabetes mellitus","authors":"T. Kiseleva, F. Valeeva, D. R. Islamova, M. S. Medvedeva","doi":"10.32000/2072-1757-2023-3-14-18","DOIUrl":"https://doi.org/10.32000/2072-1757-2023-3-14-18","url":null,"abstract":"Type 2 diabetes mellitus (DM2) is a polygenic, multifactorial disease resulting from the interaction of genetic, epigenetic and environmental factors. Given the significant genetic and genomic research in this area, the role of genetic factors in the pathogenesis of DM2 is becoming increasingly clear. The review presents current information in the genetics of DM2, describes the technology of genome wide-associated system (GWAS) based on high-resolution biochips for the simultaneous analysis of thousands of genetic variants in a large number of patients. Due to the use of genome-wide studies, about 100 genes and more than 700 polymorphisms associated with T2DM have been described. The review provides a description of the most common genes and their polymorphisms (TCF7L2, KCNJ11, PPARG) identified by the GWAS method and showing a strong association with T2DM in various populations. In addition, the article notes the role of the ADRB2 gene, whose polymorphisms can also contribute to the development of carbohydrate metabolism disorders. The results of a study on the assessment of the relationship between the rs1042714 ADRB2 polymorphism and indicators of carbohydrate metabolism in different periods of life of overweight and obese women are presented.","PeriodicalId":9821,"journal":{"name":"中国实用医药","volume":"5 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87169866","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: 10.32000/2072-1757-2023-4-30-36
D. Anikin, I. Solovyeva, I. Demko, E. Sobko, N. Gordeeva, A. Kraposhina
Bronchial asthma and obesity are showing a steady increase in incidence worldwide, incurring significant economic losses for society. There is no doubt about the pathogenetic role of obesity in the development of cardiovascular events. The purpose is to analyze the current data that demonstrate the impact of asthma and obesity association on the increased risk of cardiovascular disease. The critical role of obesity is noted as a risk factor for the development and progression of both bronchial asthma and cardiovascular diseases. The review emphasizes importance of determining cardiovascular and cardiometabolic risks according to generally accepted scales specified in clinical guidelines. As part of the review, the combination of bronchial asthma and cardiovascular diseases was analyzed, and their etiopathogenetic interdependence was noted. The role of metabolic processes in adipose tissue is shown, which can increase both inflammation in bronchial asthma and lead to the progression of cardiovascular diseases. Understanding the mechanisms of mutual influence will allow for personalized treatment, as well as the prevention of cardiovascular accidents in patients with bronchial asthma and obesity.
{"title":"Analysis of cardiovascular and cardiometabolic risks in the association of bronchial asthma and obesity","authors":"D. Anikin, I. Solovyeva, I. Demko, E. Sobko, N. Gordeeva, A. Kraposhina","doi":"10.32000/2072-1757-2023-4-30-36","DOIUrl":"https://doi.org/10.32000/2072-1757-2023-4-30-36","url":null,"abstract":"Bronchial asthma and obesity are showing a steady increase in incidence worldwide, incurring significant economic losses for society. There is no doubt about the pathogenetic role of obesity in the development of cardiovascular events. The purpose is to analyze the current data that demonstrate the impact of asthma and obesity association on the increased risk of cardiovascular disease. The critical role of obesity is noted as a risk factor for the development and progression of both bronchial asthma and cardiovascular diseases. The review emphasizes importance of determining cardiovascular and cardiometabolic risks according to generally accepted scales specified in clinical guidelines. As part of the review, the combination of bronchial asthma and cardiovascular diseases was analyzed, and their etiopathogenetic interdependence was noted. The role of metabolic processes in adipose tissue is shown, which can increase both inflammation in bronchial asthma and lead to the progression of cardiovascular diseases. Understanding the mechanisms of mutual influence will allow for personalized treatment, as well as the prevention of cardiovascular accidents in patients with bronchial asthma and obesity.","PeriodicalId":9821,"journal":{"name":"中国实用医药","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":"88559343","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: 10.32000/2072-1757-2023-1-81-87
E. Bushueva, L. I. Gerasimova, O. Sharapova, T. I. Dianova, O. N. Ivanova
Exercise tolerance, as a functional indicator of the health status of children and adolescents, can be determined using a simple, accessible, safe and maximally physiological out-of-laboratory 6-minute walking test (T6MX), which is based on the quantitative result of the distance traveled in 6 minutes at the submaximal load level. This test was introduced in 1963, more than 15 countries presented reference equations and formulas, percentile curves and control values for children and adolescents. In the Russian Federation, normative data developed on a large sample of children were not presented, therefore the use of the test in childhood is limited. The purpose — to create normative parameters of T6MX depending on gender and age for healthy children and adolescents. Materials and methods. A continuous one-time personalized examination was conducted of 3693 children of the I–II health groups aged 7 to 18 (girls — 48.8%, boys — 51.2%) who attended comprehensive and secondary specialized educational institutions of the Chuvash Republic. Anthropometric and physiometric measurements were carried out, all children passed the 6-minute walking test. Results. The median distance traveled by boys of the junior school group was 492.5 [435; 535.8] m, by girls — 504.8 [463; 548.5] m, by boys of the middle school group —570.5 [503.5; 614.3] m, by girls — 551.8 [519.5; 608] m, by boys of the senior school group —500.8 [452.8; 539] m, by girls — 509.5 [464.5; 548.5] m. The results of T6MX in the general population of the examined schoolchildren did not show a significant correlation with anthropometric or physiometric indicators. Conclusions. In the junior and middle school age, the distance traveled by boys was greater compared to girls; with increasing age in the senior school group, test results decrease in adolescents; 17 and 18-year-old girls walk a longer distance in 6 minutes than boys of the same age.
{"title":"6-minute walking test indicators in healthy children and adolescents","authors":"E. Bushueva, L. I. Gerasimova, O. Sharapova, T. I. Dianova, O. N. Ivanova","doi":"10.32000/2072-1757-2023-1-81-87","DOIUrl":"https://doi.org/10.32000/2072-1757-2023-1-81-87","url":null,"abstract":"Exercise tolerance, as a functional indicator of the health status of children and adolescents, can be determined using a simple, accessible, safe and maximally physiological out-of-laboratory 6-minute walking test (T6MX), which is based on the quantitative result of the distance traveled in 6 minutes at the submaximal load level. This test was introduced in 1963, more than 15 countries presented reference equations and formulas, percentile curves and control values for children and adolescents. In the Russian Federation, normative data developed on a large sample of children were not presented, therefore the use of the test in childhood is limited. The purpose — to create normative parameters of T6MX depending on gender and age for healthy children and adolescents. Materials and methods. A continuous one-time personalized examination was conducted of 3693 children of the I–II health groups aged 7 to 18 (girls — 48.8%, boys — 51.2%) who attended comprehensive and secondary specialized educational institutions of the Chuvash Republic. Anthropometric and physiometric measurements were carried out, all children passed the 6-minute walking test. Results. The median distance traveled by boys of the junior school group was 492.5 [435; 535.8] m, by girls — 504.8 [463; 548.5] m, by boys of the middle school group —570.5 [503.5; 614.3] m, by girls — 551.8 [519.5; 608] m, by boys of the senior school group —500.8 [452.8; 539] m, by girls — 509.5 [464.5; 548.5] m. The results of T6MX in the general population of the examined schoolchildren did not show a significant correlation with anthropometric or physiometric indicators. Conclusions. In the junior and middle school age, the distance traveled by boys was greater compared to girls; with increasing age in the senior school group, test results decrease in adolescents; 17 and 18-year-old girls walk a longer distance in 6 minutes than boys of the same age.","PeriodicalId":9821,"journal":{"name":"中国实用医药","volume":"8 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81980305","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: 10.32000/2072-1757-2023-3-60-63
M. V. Blokhina, O. G. Safina
Within the framework of the study, based on a review of literary sources, lean production technologies in healthcare and the main approaches to their implementation are studied; the principles, methods and tools of lean production in the consultative and diagnostic polyclinic of the Republic Clinical Hospital of the Ministry of Health of the Republic of Tatarstan are analyzed, including from the standpoint of the paramedical personnel participation in their implementation; with the help of a specially designed questionnaire, the opinion of the nursing staff of consultative and diagnostic polyclinic on the work organization and the nursing staff role in the implementation of the lean production concept was studied; recommendations were made for the development of the concept of lean production in the polyclinic of a large multidisciplinary hospital.
{"title":"Participation of nursing staff in the implementation of the Lean Production project in a large multidisciplinary hospital","authors":"M. V. Blokhina, O. G. Safina","doi":"10.32000/2072-1757-2023-3-60-63","DOIUrl":"https://doi.org/10.32000/2072-1757-2023-3-60-63","url":null,"abstract":"Within the framework of the study, based on a review of literary sources, lean production technologies in healthcare and the main approaches to their implementation are studied; the principles, methods and tools of lean production in the consultative and diagnostic polyclinic of the Republic Clinical Hospital of the Ministry of Health of the Republic of Tatarstan are analyzed, including from the standpoint of the paramedical personnel participation in their implementation; with the help of a specially designed questionnaire, the opinion of the nursing staff of consultative and diagnostic polyclinic on the work organization and the nursing staff role in the implementation of the lean production concept was studied; recommendations were made for the development of the concept of lean production in the polyclinic of a large multidisciplinary hospital.","PeriodicalId":9821,"journal":{"name":"中国实用医药","volume":"30 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73065506","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: 10.32000/2072-1757-2023-3-18-22
A. Y. Teregulov, B. N. Bodjgua, M. B. Yakovlev, D. P. Dosmanova, B. M. Gadiev
The purpose — to analyze current data on renal artery stenting in vasorenal hypertension, ischemic nephropathy, and end-stage renal failure; to consider a clinical case. Material and methods. A clinical case is presented of bilateral stenting of the renal arteries in a patient with vasorenal hypertension, chronic kidney disease of the fifth degree in a multidisciplinary hospital with a favorable course. The article describes the clinical results after endovascular intervention, a literature review on the management and selection of patients with renal artery stenosis for revascularization. Results. After simultaneous bilateral stenting of the renal arteries in a patient with end-stage renal insufficiency, renal function returned to normal; the patient stopped the sessions of programmed hemodialysis. Conclusions. Stenting of renal arteries can normalize the kidney function even in the terminal stage of chronic kidney disease. There are no clear clinical recommendations for the selection of patients for renal arteries endovascular stenting in the terminal stage of chronic kidney disease. The tactic of simultaneous bilateral stenting was obviously justified in this clinical case.
{"title":"Bilateral stenting of renal arteries as a treatment for vasorenal hypertension and chronic kidney disease. Clinical case and literature review","authors":"A. Y. Teregulov, B. N. Bodjgua, M. B. Yakovlev, D. P. Dosmanova, B. M. Gadiev","doi":"10.32000/2072-1757-2023-3-18-22","DOIUrl":"https://doi.org/10.32000/2072-1757-2023-3-18-22","url":null,"abstract":"The purpose — to analyze current data on renal artery stenting in vasorenal hypertension, ischemic nephropathy, and end-stage renal failure; to consider a clinical case. Material and methods. A clinical case is presented of bilateral stenting of the renal arteries in a patient with vasorenal hypertension, chronic kidney disease of the fifth degree in a multidisciplinary hospital with a favorable course. The article describes the clinical results after endovascular intervention, a literature review on the management and selection of patients with renal artery stenosis for revascularization. Results. After simultaneous bilateral stenting of the renal arteries in a patient with end-stage renal insufficiency, renal function returned to normal; the patient stopped the sessions of programmed hemodialysis. Conclusions. Stenting of renal arteries can normalize the kidney function even in the terminal stage of chronic kidney disease. There are no clear clinical recommendations for the selection of patients for renal arteries endovascular stenting in the terminal stage of chronic kidney disease. The tactic of simultaneous bilateral stenting was obviously justified in this clinical case.","PeriodicalId":9821,"journal":{"name":"中国实用医药","volume":"109 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73342249","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: 10.32000/2072-1757-2023-3-6-8
R. Khabibyanov, A. Skvortsov, M. V. Maleev, M. A. Nikitin
The paper presents the concept of an external fixation device for the surgical treatment of unstable fractures, as well as congenital and acquired deformities of the pelvic ring. The main approaches are analyzed, which were used for the treatment of this pathology in the last 20–30 years, both by the Russian and foreign surgeons. Based on the authors’ experience, the aspects are described that need to be considered during surgical intervention carried out to restore geometry and function in the treatment of unstable fractures, congenital and acquired deformities of the pelvic ring.
{"title":"History of pelvis surgery in unstable fractures, congenital and acquired deformities of pelvic ring in the Republic of Tatarstan","authors":"R. Khabibyanov, A. Skvortsov, M. V. Maleev, M. A. Nikitin","doi":"10.32000/2072-1757-2023-3-6-8","DOIUrl":"https://doi.org/10.32000/2072-1757-2023-3-6-8","url":null,"abstract":"The paper presents the concept of an external fixation device for the surgical treatment of unstable fractures, as well as congenital and acquired deformities of the pelvic ring. The main approaches are analyzed, which were used for the treatment of this pathology in the last 20–30 years, both by the Russian and foreign surgeons. Based on the authors’ experience, the aspects are described that need to be considered during surgical intervention carried out to restore geometry and function in the treatment of unstable fractures, congenital and acquired deformities of the pelvic ring.","PeriodicalId":9821,"journal":{"name":"中国实用医药","volume":"20 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73173926","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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