Pub Date : 2023-01-01DOI: 10.32000/2072-1757-2023-4-116-122
I. S. Sultanov, I. E. Boboshko, L. A. Zhdanova
The purpose — to study the constitutional features of physical and neuropsychic development of 4–7 year old children of intro- and extravert types with chronic adenoiditis. Material and methods. The study included preschool children with a verified diagnosis of chronic adenoiditis. The control group consisted of conditionally healthy children without chronic diseases. All children were divided into introverts and extraverts. The features of somatometric and somatoscopic indicators of physical development, emotional, characterological and intellectual indicators of neuropsychic development and socialization were studied. Results. For introverted children with chronic adenoiditis, the disease onset occurred at the age of 3–4 years; obstructive sleep apnea syndrome in combination with snoring prevailed; the duration was about a year and a half; frequent acute purulent otitis media with a long monotonous course, the manifestation of excessive vagotonia and pronounced disorders of sound reproduction were observed. In extroverted children, chronic adenoiditis debuted at the age of 4–5 years, in the form of postnasal syndrome with night cough, excessive sympathicotonia and with earlier formation of exudative otitis and hearing loss; the duration of the disease was about six months. Introverts with chronic adenoiditis were three times more likely than healthy children of this type to have body mass deficiency and microsomia, lower indicators of social activity, abstract thinking, attention, fine motor skills and semantic memory. In extroverts with chronic adenoiditis, among the variants of physical development disorders, the frequency of excess body weight and macrosomia doubled, the level of impulsivity increased, discipline, large-motor giftedness, conceptual and visual-imaginative thinking decreased. Conclusion. Clinical and functional differences in the course of chronic adenoiditis in children of intro- and extravert types and the identified features of their physical and neuropsychic development can be the basis for creating differentiated programs for their medical and social support on an outpatient basis. The constitutional approach makes it possible to assess the psychophysiological features of individual qualities that make up the «ground» of the disease, both to make a reasonable choice of an effective combination of health disorders correction and prevention methods, and to ensure the fullest realization of a child’s physical and social potential.
{"title":"Constitutional features of health in preschool children with recurrent respiratory pathology","authors":"I. S. Sultanov, I. E. Boboshko, L. A. Zhdanova","doi":"10.32000/2072-1757-2023-4-116-122","DOIUrl":"https://doi.org/10.32000/2072-1757-2023-4-116-122","url":null,"abstract":"The purpose — to study the constitutional features of physical and neuropsychic development of 4–7 year old children of intro- and extravert types with chronic adenoiditis. Material and methods. The study included preschool children with a verified diagnosis of chronic adenoiditis. The control group consisted of conditionally healthy children without chronic diseases. All children were divided into introverts and extraverts. The features of somatometric and somatoscopic indicators of physical development, emotional, characterological and intellectual indicators of neuropsychic development and socialization were studied. Results. For introverted children with chronic adenoiditis, the disease onset occurred at the age of 3–4 years; obstructive sleep apnea syndrome in combination with snoring prevailed; the duration was about a year and a half; frequent acute purulent otitis media with a long monotonous course, the manifestation of excessive vagotonia and pronounced disorders of sound reproduction were observed. In extroverted children, chronic adenoiditis debuted at the age of 4–5 years, in the form of postnasal syndrome with night cough, excessive sympathicotonia and with earlier formation of exudative otitis and hearing loss; the duration of the disease was about six months. Introverts with chronic adenoiditis were three times more likely than healthy children of this type to have body mass deficiency and microsomia, lower indicators of social activity, abstract thinking, attention, fine motor skills and semantic memory. In extroverts with chronic adenoiditis, among the variants of physical development disorders, the frequency of excess body weight and macrosomia doubled, the level of impulsivity increased, discipline, large-motor giftedness, conceptual and visual-imaginative thinking decreased. Conclusion. Clinical and functional differences in the course of chronic adenoiditis in children of intro- and extravert types and the identified features of their physical and neuropsychic development can be the basis for creating differentiated programs for their medical and social support on an outpatient basis. The constitutional approach makes it possible to assess the psychophysiological features of individual qualities that make up the «ground» of the disease, both to make a reasonable choice of an effective combination of health disorders correction and prevention methods, and to ensure the fullest realization of a child’s physical and social potential.","PeriodicalId":9821,"journal":{"name":"中国实用医药","volume":"50 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82251658","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: 10.32000/2072-1757-2023-4-102-107
A. M. Vorobev, V. Ruzov, M. A. Melnikova, V. A. Kadebina
The purpose — to assess the importance of stress echocardiography in identifying the nature and severity of cardiac dysfunction in patients with myocardial infarction. Material and methods.86 patients were examined at the outpatient stage of rehabilitation 6 weeks after myocardial infarction with primary coronary angioplasty with stenting. Results.Echocardiography revealed left ventricular hypertrophy (LVH) in 34 patients with myocardial infarction with concomitant arterial hypertension. Patients with LVH are characterized by more pronounced structural and functional LV remodeling, which is expressed in a lower LVEF and increased LVEDD, LVESVand LVEDV(p<0.05). There were no differences in stroke volume between patients with and without LVH. The performed diastolic stress test in patients with LVH is characterized by significantly lower average early diastolic mitral annular velocity e` (7.6 vs. 9.3 cm/s, p<0.01) without differences in the peak early transmitral Doppler flow velocity E (69.8 vs 78.0, p>0.05) compared with patients without LVH. The revealed differences between patients with and without LVH are due to a higher post-exercise velocity e` in patients with normal LV geometry and a decrease in eccentric LVH subgroup. Conclusions.1) Patients with LVH in the early postinfarction period (6 weeks) have more pronounced LV systolic dysfunction, expressed in a decrease in LVEF and an increase in LVEDD, LVESV, LVEDV compared to patients without LVH.2) Left ventricular hypertrophy, in conditions of myocardial infarction, is associated with latent diastolic dysfunction, which is manifested by a lower average early diastolic mitral annular velocity e` after the stress-test.
{"title":"Stress echocardiography in the diagnosis of cardiac dysfunction in the early post-infarction period","authors":"A. M. Vorobev, V. Ruzov, M. A. Melnikova, V. A. Kadebina","doi":"10.32000/2072-1757-2023-4-102-107","DOIUrl":"https://doi.org/10.32000/2072-1757-2023-4-102-107","url":null,"abstract":"The purpose — to assess the importance of stress echocardiography in identifying the nature and severity of cardiac dysfunction in patients with myocardial infarction. Material and methods.86 patients were examined at the outpatient stage of rehabilitation 6 weeks after myocardial infarction with primary coronary angioplasty with stenting. Results.Echocardiography revealed left ventricular hypertrophy (LVH) in 34 patients with myocardial infarction with concomitant arterial hypertension. Patients with LVH are characterized by more pronounced structural and functional LV remodeling, which is expressed in a lower LVEF and increased LVEDD, LVESVand LVEDV(p<0.05). There were no differences in stroke volume between patients with and without LVH. The performed diastolic stress test in patients with LVH is characterized by significantly lower average early diastolic mitral annular velocity e` (7.6 vs. 9.3 cm/s, p<0.01) without differences in the peak early transmitral Doppler flow velocity E (69.8 vs 78.0, p>0.05) compared with patients without LVH. The revealed differences between patients with and without LVH are due to a higher post-exercise velocity e` in patients with normal LV geometry and a decrease in eccentric LVH subgroup. Conclusions.1) Patients with LVH in the early postinfarction period (6 weeks) have more pronounced LV systolic dysfunction, expressed in a decrease in LVEF and an increase in LVEDD, LVESV, LVEDV compared to patients without LVH.2) Left ventricular hypertrophy, in conditions of myocardial infarction, is associated with latent diastolic dysfunction, which is manifested by a lower average early diastolic mitral annular velocity e` after the stress-test.","PeriodicalId":9821,"journal":{"name":"中国实用医药","volume":"79 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83780339","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: 10.32000/2072-1757-2023-3-29-35
A. Khasanov, A. V. Arzamastseva, I. Raginov
Preeclampsia is one of the most important problems in obstetrics. Every year, preeclampsia affects 6–8% of pregnant women in developed countries and over 20% pregnant women in developing countries. It is noted that together with obstetric bleeding and infectious complications, preeclampsia constitutes the so-called «deadly triad» and is the cause of the overwhelming number of maternal deaths. The possibilities of treating preeclampsia are limited only to symptomatic therapy, and in the absence of the desired effect, the patient is offered delivery. To date, new, pathogenetically determined, methods of treatment aimed at inhibiting the activity of membrane-attacking molecules are being considered. This literature review provides information on the role of the trophoblast in the pathogenesis of preeclampsia. The increase in the concentration of trophoblast cells in the mother’s blood leads to excessive activation of the complement system, which causes multiple endothelial damage, leading to multiple organ failure.
{"title":"Feto-maternal microchimerism: a cause of preeclampsia? The role of trophoblast in the prognosis of pregnancy complicated by preeclampsia","authors":"A. Khasanov, A. V. Arzamastseva, I. Raginov","doi":"10.32000/2072-1757-2023-3-29-35","DOIUrl":"https://doi.org/10.32000/2072-1757-2023-3-29-35","url":null,"abstract":"Preeclampsia is one of the most important problems in obstetrics. Every year, preeclampsia affects 6–8% of pregnant women in developed countries and over 20% pregnant women in developing countries. It is noted that together with obstetric bleeding and infectious complications, preeclampsia constitutes the so-called «deadly triad» and is the cause of the overwhelming number of maternal deaths. The possibilities of treating preeclampsia are limited only to symptomatic therapy, and in the absence of the desired effect, the patient is offered delivery. To date, new, pathogenetically determined, methods of treatment aimed at inhibiting the activity of membrane-attacking molecules are being considered. This literature review provides information on the role of the trophoblast in the pathogenesis of preeclampsia. The increase in the concentration of trophoblast cells in the mother’s blood leads to excessive activation of the complement system, which causes multiple endothelial damage, leading to multiple organ failure.","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":"83839270","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: 10.32000/2072-1757-2023-4-37-40
R. Gabidullina, F. F. Minnullina, T. N. Shigabutdinova, D. I. Akhmetova, A. Zaripova, S. I. Kharitonova
The purpose — to summarize the results of molecular genetic studies of adenomyosis and endometriosis. Material and methods. Review of publications based on search results in the electronic resources PubMed, Elibrary, EMBASE and Google Scholar. Results. Marked differences between endometriosis and adenomyosis in pathogenesis, lesion localisation and clinical features have led to the recognition of adenomyosis as a separate clinical entity. In the new International Classification of Diseases 11th Revision, adenomyosis was removed from the section «Endometriosis» (GA10) and presented as a separate disease «Adenomyosis». Identical KRAS mutations in epithelial cells in endometriosis, adenomyosis and combined endometriosis suggest that adenomyosis and endometriosis are oligoclonal lesions arising from populations of cells of the basal layer of the endometrium carrying a specific driver mutation. Medication strategies that block ovarian steroidogenesis, as well as local estrogen synthesis, are a long-term treatment option for these chronic diseases. Conclusion. The results of molecular genetic studies indicate that endometriosis and adenomyosis are related conditions with a common molecular etiology.
{"title":"Adenomyosis and endometriosis: common features","authors":"R. Gabidullina, F. F. Minnullina, T. N. Shigabutdinova, D. I. Akhmetova, A. Zaripova, S. I. Kharitonova","doi":"10.32000/2072-1757-2023-4-37-40","DOIUrl":"https://doi.org/10.32000/2072-1757-2023-4-37-40","url":null,"abstract":"The purpose — to summarize the results of molecular genetic studies of adenomyosis and endometriosis. Material and methods. Review of publications based on search results in the electronic resources PubMed, Elibrary, EMBASE and Google Scholar. Results. Marked differences between endometriosis and adenomyosis in pathogenesis, lesion localisation and clinical features have led to the recognition of adenomyosis as a separate clinical entity. In the new International Classification of Diseases 11th Revision, adenomyosis was removed from the section «Endometriosis» (GA10) and presented as a separate disease «Adenomyosis». Identical KRAS mutations in epithelial cells in endometriosis, adenomyosis and combined endometriosis suggest that adenomyosis and endometriosis are oligoclonal lesions arising from populations of cells of the basal layer of the endometrium carrying a specific driver mutation. Medication strategies that block ovarian steroidogenesis, as well as local estrogen synthesis, are a long-term treatment option for these chronic diseases. Conclusion. The results of molecular genetic studies indicate that endometriosis and adenomyosis are related conditions with a common molecular etiology.","PeriodicalId":9821,"journal":{"name":"中国实用医药","volume":"63 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84073944","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: 10.32000/2072-1757-2022-3-2-85-90
D. Kolchin, V. Ruzov, L. N. Savonenkova
Taking into account the conflicting literature data on the frequency of the clinical form of pulmonary tuberculosis and its impact on the structural and functional state of the heart, an echocardiographic assessment of heart parameters was carried out in patients with pulmonary tuberculosis and its relationship with the vascular endothelial growth factor VEGF-A. The purpose — to evaluate the relationship between the structural and functional state of the myocardium and the concentration of VEGF in the blood serum in patients with pulmonary tuberculosis. Material and methods. The study included 77 patients with newly diagnosed pulmonary tuberculosis. During the study, the patients were randomized into 3 groups: group 1 — patients with an infiltrative form (n = 42), group 2 — patients with a disseminated form (n = 20), group 3 — patients with fibrous-cavernous form of pulmonary tuberculosis (n = 15). The control group consisted of 10 volunteers. B-mode echocardiography was performed and VEGF concentration was assessed by ELISA. Results. Higher values of RV length, LA area and RA area, and mean LA pressure were found in patients with fibrous-cavernous form, which is due to hypertrophy of the right heart, as indicated by higher values of wall thickness RV — 4.12 mm vs 3.70 in patients of the control group. A high concentration of VEGF-A in the blood serum is associated with higher parameters of erythrocyte sedimentation rate and platelet count, which may indicate a more pronounced systemic inflammatory response in the infiltrative form of pulmonary tuberculosis. Conclusion. Pulmonary tuberculosis is accompanied by structural and functional remodeling of the right and left parts of the heart, the severity of which is associated with the clinical form of the disease. The infiltrative form of pulmonary tuberculosis is associated with significantly higher values of the pro-inflammatory angiogenic cytokine VEGF-A compared to other clinical forms of tuberculosis and the control group.
{"title":"Interrelation between the structural-functional condition of myocardium and the activity of vascular-endothelial growth factor and blood inflammatory reaction in patients with pulmonary tuberculosis","authors":"D. Kolchin, V. Ruzov, L. N. Savonenkova","doi":"10.32000/2072-1757-2022-3-2-85-90","DOIUrl":"https://doi.org/10.32000/2072-1757-2022-3-2-85-90","url":null,"abstract":"Taking into account the conflicting literature data on the frequency of the clinical form of pulmonary tuberculosis and its impact on the structural and functional state of the heart, an echocardiographic assessment of heart parameters was carried out in patients with pulmonary tuberculosis and its relationship with the vascular endothelial growth factor VEGF-A. The purpose — to evaluate the relationship between the structural and functional state of the myocardium and the concentration of VEGF in the blood serum in patients with pulmonary tuberculosis. Material and methods. The study included 77 patients with newly diagnosed pulmonary tuberculosis. During the study, the patients were randomized into 3 groups: group 1 — patients with an infiltrative form (n = 42), group 2 — patients with a disseminated form (n = 20), group 3 — patients with fibrous-cavernous form of pulmonary tuberculosis (n = 15). The control group consisted of 10 volunteers. B-mode echocardiography was performed and VEGF concentration was assessed by ELISA. Results. Higher values of RV length, LA area and RA area, and mean LA pressure were found in patients with fibrous-cavernous form, which is due to hypertrophy of the right heart, as indicated by higher values of wall thickness RV — 4.12 mm vs 3.70 in patients of the control group. A high concentration of VEGF-A in the blood serum is associated with higher parameters of erythrocyte sedimentation rate and platelet count, which may indicate a more pronounced systemic inflammatory response in the infiltrative form of pulmonary tuberculosis. Conclusion. Pulmonary tuberculosis is accompanied by structural and functional remodeling of the right and left parts of the heart, the severity of which is associated with the clinical form of the disease. The infiltrative form of pulmonary tuberculosis is associated with significantly higher values of the pro-inflammatory angiogenic cytokine VEGF-A compared to other clinical forms of tuberculosis and the control group.","PeriodicalId":9821,"journal":{"name":"中国实用医药","volume":"42 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83041213","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: 10.32000/2072-1757-2023-1-76-80
O. I. Pikuza, A. M. Zakirova, E. V. Volyanyuk, V. S. Filatov, A. V. Pikuza, A. M. Zakirov
In the structure of children’s morbidity, one of the leading places is occupied by a class of respiratory diseases, which in quantitative terms is formed mainly by acute respiratory infections. The purpose — to investigate and evaluate the indicator significance of the functional potential of colonization defense in respiratory tract diseases.The paper presents the results of a study of colonization resistance indicators using modern research methods (colonization index, artificial colonization of the buccal epithelium and antiadhesive activity of saliva) in 184 patients aged 5 to 18 years with acute bronchitis, recurrent bronchitis and community-acquired pneumonia.Results. In a comparative aspect, the heterogeneity of the colonization level on buccal epitheliocytes of indigenous microflora (oral streptococci) was clearly traced, depending on the topic of the respiratory tract inflammatory lesion. Colonization resistance suffered the most in patients with community-acquired pneumonia. In patients of this group, the colonization index was within 0.89 (0.07) standard units (p < 0.01), which was combined with a pronounced adhesion of Candida albicans on buccal epitheliocytes (r = -0.72). In patients with acute bronchitis, the colonization index was 1.86 (0.21) standard units; with recurrent course of bronchitis – 1.27 (0.19) units (p < 0.01), while the indicators of the control group were 2.03 (0,18). The presence of less typical microorganisms in the oropharynx reflects the weakening of colonization resistance, signaling destabilization processes focused on the mucous membranes level.Conclusion. The deficiency of the mucosal protection functional reserve should be regarded as an unfavorable diagnostic marker of the course of a respiratory infection and the initiation of a bacterial inflammatory process in the respiratory system.
{"title":"Functional potential of colonization defense of buccal epitheliocytes as an indicator of the clinical course of respiratory tract diseases","authors":"O. I. Pikuza, A. M. Zakirova, E. V. Volyanyuk, V. S. Filatov, A. V. Pikuza, A. M. Zakirov","doi":"10.32000/2072-1757-2023-1-76-80","DOIUrl":"https://doi.org/10.32000/2072-1757-2023-1-76-80","url":null,"abstract":"In the structure of children’s morbidity, one of the leading places is occupied by a class of respiratory diseases, which in quantitative terms is formed mainly by acute respiratory infections. The purpose — to investigate and evaluate the indicator significance of the functional potential of colonization defense in respiratory tract diseases.The paper presents the results of a study of colonization resistance indicators using modern research methods (colonization index, artificial colonization of the buccal epithelium and antiadhesive activity of saliva) in 184 patients aged 5 to 18 years with acute bronchitis, recurrent bronchitis and community-acquired pneumonia.Results. In a comparative aspect, the heterogeneity of the colonization level on buccal epitheliocytes of indigenous microflora (oral streptococci) was clearly traced, depending on the topic of the respiratory tract inflammatory lesion. Colonization resistance suffered the most in patients with community-acquired pneumonia. In patients of this group, the colonization index was within 0.89 (0.07) standard units (p < 0.01), which was combined with a pronounced adhesion of Candida albicans on buccal epitheliocytes (r = -0.72). In patients with acute bronchitis, the colonization index was 1.86 (0.21) standard units; with recurrent course of bronchitis – 1.27 (0.19) units (p < 0.01), while the indicators of the control group were 2.03 (0,18). The presence of less typical microorganisms in the oropharynx reflects the weakening of colonization resistance, signaling destabilization processes focused on the mucous membranes level.Conclusion. The deficiency of the mucosal protection functional reserve should be regarded as an unfavorable diagnostic marker of the course of a respiratory infection and the initiation of a bacterial inflammatory process in the respiratory system.","PeriodicalId":9821,"journal":{"name":"中国实用医药","volume":"18 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78754214","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: 10.32000/2072-1757-2023-3-130-133
A. Z. Nigmedzyanova, L. Kulagina, E. R. Kadyseva, R. V. Davletshina
The article presents a description of a rare clinical case of consequences of accidental intra-arterial administration of bicillin with the development of Hoigne syndrome.
本文介绍了一个罕见的临床病例的后果意外动脉内给药比西林与Hoigne综合征的发展。
{"title":"Consequences of accidental intra-arterial administration of bicillin — Hoigne syndrome","authors":"A. Z. Nigmedzyanova, L. Kulagina, E. R. Kadyseva, R. V. Davletshina","doi":"10.32000/2072-1757-2023-3-130-133","DOIUrl":"https://doi.org/10.32000/2072-1757-2023-3-130-133","url":null,"abstract":"The article presents a description of a rare clinical case of consequences of accidental intra-arterial administration of bicillin with the development of Hoigne syndrome.","PeriodicalId":9821,"journal":{"name":"中国实用医药","volume":"98 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79161125","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: 10.32000/2072-1757-2023-3-75-79
A. Khasanov, F. F. Minullina
In modern obstetrics, aggressive technologies are often used in the management of childbirth, the harm of which was mentioned by Hendrik van Deventer. The founder of classical obstetrics, born in Holland in 1651 and working during the epoch of obstetrics renaissance, Deventer wrote eight books popular till today. Deventer was an active opponent of aggressive obstetrics — he did not use obstetric forceps, nor the vacuum extraction of the fetus that was emerging at that time. He was the first to give a detailed description of the pelvis and to suggest that the shape and size of the pelvic bone could cause difficulties in childbirth. His instructions — to change the position of a woman in labor with pathological insertions of the fetal head are widely used by modern obstetricians. The term «Deventer’s pelvis» went down in the history of obstetrics – a simple flat pelvis, in which all direct dimensions are reduced (the planes of the entrance, cavity and exit of the pelvis). One of the varieties of Deventer’s pelvis is a reduction of only the direct size of the wide part of the pelvic cavity (with all other normal pelvic sizes), which occurs in 15–18% of all pregnant women. The presented clinical observation shows how the use of the Kristeller’s technique with a delayed fetal head can lead to severe traumatic complications in both the mother and the fetus. The authors recommend measuring the pubic-sacral size, which shows the size of the sacral cavity, to all pregnant women.
在现代产科中，侵略性技术经常用于分娩管理，其危害被Hendrik van Deventer提到。德文特尔是古典产科的创始人，1651年出生于荷兰，在产科复兴时期工作，他写了八本书，直到今天仍然很受欢迎。Deventer是激进产科的积极反对者——他不使用产钳，也不使用当时正在出现的胎儿的真空抽吸。他是第一个详细描述骨盆的人，并提出骨盆骨的形状和大小可能导致分娩困难。他的指示-改变产妇的位置，病理插入胎儿的头被现代产科医生广泛使用。“Deventer’s骨盆”一词在产科的历史上被记载下来——一种简单的扁平骨盆，所有的直接尺寸都缩小了(骨盆的入口、腔和出口的平面)。德文特氏骨盆的一种类型是盆腔宽部的直接缩小(与所有其他正常的盆腔大小一样)，发生在所有孕妇的15-18%。目前的临床观察显示，如何使用Kristeller的技术与延迟胎头可导致严重的创伤并发症，在母亲和胎儿。作者建议所有孕妇测量耻骨-骶骨大小，这显示了骶骨腔的大小。
{"title":"Deventer’s pelvis, «gate of life» and the aggressive management of childbirth at the present time. Сlinical observation","authors":"A. Khasanov, F. F. Minullina","doi":"10.32000/2072-1757-2023-3-75-79","DOIUrl":"https://doi.org/10.32000/2072-1757-2023-3-75-79","url":null,"abstract":"In modern obstetrics, aggressive technologies are often used in the management of childbirth, the harm of which was mentioned by Hendrik van Deventer. The founder of classical obstetrics, born in Holland in 1651 and working during the epoch of obstetrics renaissance, Deventer wrote eight books popular till today. Deventer was an active opponent of aggressive obstetrics — he did not use obstetric forceps, nor the vacuum extraction of the fetus that was emerging at that time. He was the first to give a detailed description of the pelvis and to suggest that the shape and size of the pelvic bone could cause difficulties in childbirth. His instructions — to change the position of a woman in labor with pathological insertions of the fetal head are widely used by modern obstetricians. The term «Deventer’s pelvis» went down in the history of obstetrics – a simple flat pelvis, in which all direct dimensions are reduced (the planes of the entrance, cavity and exit of the pelvis). One of the varieties of Deventer’s pelvis is a reduction of only the direct size of the wide part of the pelvic cavity (with all other normal pelvic sizes), which occurs in 15–18% of all pregnant women. The presented clinical observation shows how the use of the Kristeller’s technique with a delayed fetal head can lead to severe traumatic complications in both the mother and the fetus. The authors recommend measuring the pubic-sacral size, which shows the size of the sacral cavity, to all pregnant women.","PeriodicalId":9821,"journal":{"name":"中国实用医药","volume":"97 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81410371","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: 10.32000/2072-1757-2023-1-96-98
E. R. Mekhtieva, A. G. Yashchuk, I. Musin, E. Popova, A. G. Imelbayeva, A. Tyurina
The article describes a case of complications after surgical treatment of a patient with Mayer — Rokitansky — Kuster — Hauser syndrome, which is characterized by underdevelopment of the Muller ducts derivatives in girls and is manifested by malformations of the vagina and uterus. The features of the diagnosis and surgical treatment of complications using the latest endoscopic techniques are also described.
{"title":"Surgical treatment of neovaginal prolapse in a patient with Mayer — Rokitansky — Kuster — Hauser syndrome (clinical case)","authors":"E. R. Mekhtieva, A. G. Yashchuk, I. Musin, E. Popova, A. G. Imelbayeva, A. Tyurina","doi":"10.32000/2072-1757-2023-1-96-98","DOIUrl":"https://doi.org/10.32000/2072-1757-2023-1-96-98","url":null,"abstract":"The article describes a case of complications after surgical treatment of a patient with Mayer — Rokitansky — Kuster — Hauser syndrome, which is characterized by underdevelopment of the Muller ducts derivatives in girls and is manifested by malformations of the vagina and uterus. The features of the diagnosis and surgical treatment of complications using the latest endoscopic techniques are also described.","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":"89134711","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: 10.32000/2072-1757-2023-3-121-124
D. Mukhametova, E. Bodryagina, A. Odintsova, L. Kupkenova, D. F. Shafikova, B. M. Fontenelle, D. Abdulganieva
The article presents a clinical case of a new coronavirus infection in a patient with CD. The onset of the viral infection occurred during severe exacerbation of CD, what led to induction of infliximab therapy. The difficulty of managing patients with COVID-19 and immunoinflammatory diseases is discussed.
{"title":"Clinical case of infliximab induction in a patient with Crohn’s disease and acute new coronavirus infection","authors":"D. Mukhametova, E. Bodryagina, A. Odintsova, L. Kupkenova, D. F. Shafikova, B. M. Fontenelle, D. Abdulganieva","doi":"10.32000/2072-1757-2023-3-121-124","DOIUrl":"https://doi.org/10.32000/2072-1757-2023-3-121-124","url":null,"abstract":"The article presents a clinical case of a new coronavirus infection in a patient with CD. The onset of the viral infection occurred during severe exacerbation of CD, what led to induction of infliximab therapy. The difficulty of managing patients with COVID-19 and immunoinflammatory diseases is discussed.","PeriodicalId":9821,"journal":{"name":"中国实用医药","volume":"107 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86255648","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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