scholarly journals Osteoarthritis as an interdisciplinary problem: treatment algorithm for physicians and general practitioners

2021 ◽  
Vol 15 (5) ◽  
pp. 68-75
Author(s):  
A. M. Lila ◽  
L. I. Alekseeva ◽  
E. A. Taskina ◽  
N. G. Kashevarova
Keyword(s):  
Adverse Effects ◽  
Medical Care ◽  
Treatment Algorithm ◽  
Collaborative Management ◽  
Functional Disorders ◽  
Red Flags ◽  
Surgical Methods ◽  
Early Use ◽  
Combined Drugs ◽  
Methods Of Treatment

Modern therapy of osteoarthritis (OA) consists of four sequential stages and includes non-pharmacological, pharmacological and surgical methods of treatment, and also assumes the possibility of collaborative management of the patient by doctors of different specialties, which allows to optimize the processes of diagnosis and treatment. The article presents simple and convenient algorithms, including diagnostic criteria, options for providing medical care, as well as situations (so-called red flags) that require referral of a patient to a specialist, primarily a rheumatologist. It has been demonstrated that the early use of the well-proven SYSADOA in any localization of OA, in particular the combined drugs of chondroitin sulfate and glucosamine, can increase the effectiveness of treatment, reduce possible functional disorders, and minimize the adverse effects of analgesic therapy.

scholarly journals EVPATORIA MILITARY CHILDREN'S CLINICAL SANATORIUM NAMED AFTER E. P. GLINKA: A HISTORY LONGER 100 YEARS

2020 ◽  
Vol 26 (3) ◽  
pp. 4-11
Author(s):  
Уи. N. Ponomarenko
Keyword(s):  
Medical Care ◽  
Medical Institution ◽  
Unique System ◽  
Surgical Methods ◽  
History Of ◽  
Natural Healing ◽  
Methods Of Treatment

The article highlights the main data on the centenary history of the Yevpatoria military children's clinical sanatorium named after E. P. Glinka. Attention is drawn to the main directions of the sanatorium's activities at all stages of its formation and development. For 100 years of operation, the sanatorium has created a unique system for treating children and adults, which includes the complex application of surgical methods of treatment in combination with natural healing factors, which allows the most complete and continuous medical care at all stages of rehabilitation in a single medical institution.

Modern molecular and biological aspects of endometriosis-associated infertility

GYNECOLOGY ◽  
2019 ◽  
Vol 21 (5) ◽  
pp. 12-15
Author(s):  
Anastasiia S Safronova ◽  
Mikhail Yu Vysokikh ◽  
Vladimir D Chuprynin ◽  
Natalia A Buralkina
Keyword(s):  
Signaling Pathways ◽  
Recurrence Rate ◽  
High Recurrence Rate ◽  
Modern Drug ◽  
Surgical Methods ◽  
Prevention And Treatment ◽  
Biological Aspects ◽  
Methods Of Treatment ◽  
New Strategies

There is currently no consensus on the etiopathogenetic nature of endometriosis. The causes of aggressive, progressive, infiltrative growth of endometrioid tissue also remain unclear. An important problem remains the high recurrence rate of endometriosis, despite the availability of modern drug and surgical methods of treatment. The study of the central signaling pathways and the search for new key molecules is of paramount importance for a better understanding of the pathogenesis of the disease, and is also an important step in the development of new strategies for the diagnosis, prevention and treatment of endometriosis.

METASTATIC LESION OF THE SPINE: DIAGNOSIS AND TACTICS OF SURGICAL TREATMENT

2019 ◽  
Vol 65 (6) ◽  
pp. 868-876
Author(s):  
Anton Yarikov ◽  
Anton Yermolaev ◽  
Igor Smirnov ◽  
Anton Denisov ◽  
Olga Perlmutter ◽  
...  
Keyword(s):  
Malignant Tumors ◽  
Epidemiological Studies ◽  
Metastatic Lesion ◽  
Spinal Cord Damage ◽  
Metastatic Lesions ◽  
Spinal Lesions ◽  
Cancer Pathology ◽  
Surgical Methods ◽  
The Stability ◽  
Methods Of Treatment

Epidemiological studies show an increase in the number of people with cancer. Bone metastases are a frequent manifestation of generalized cancer, because it is in malignant tumors of the spine more often than other bones of the skeleton becomes a target for metastasis. The article describes in detail the methods of diagnosis of spinal lesions in cancer pathology. Particular attention is paid to the scales reflecting the severity of the patient’s condition, the degree of spinal cord damage, the severity of pain in metastasis to the spine, the prognosis of survival in oncovertebrology and evaluation of the stability of the spine in metastatic lesions. Further, the paper presents non-radical (decompression, vertebroplasty) and radical (spondylectomy, corporectomy) surgical methods of treatment

The value of endoscopic examination methods in infertile marriage

2021 ◽  
Vol 50 (3) ◽  
pp. 52-56
Author(s):  
I. E. Korneeva
Keyword(s):  
Medical Care ◽  
Retrospective Analysis ◽  
Reproductive Function ◽  
Endoscopic Examination ◽  
Female Infertility ◽  
Infertile Women ◽  
Important Stage ◽  
Examination Methods ◽  
Endoscopic Methods ◽  
Methods Of Treatment

To optimize the management of infertile women the estimation of efficacy of endoscopic methods of treatment (laparoscopy and hysteroscopy) in this category of patients was undertaken. With the method of retrospective analysis clinico- laboratory and endoscopic examination of2785 sterile pairs was carried out. The results of the study showed that endoscopic methods are not only the most important stage of diagnostics but also the first pathogenetically substantiated stage in treating female infertility. It became clear that half of the patients demonstrated from 2 till 5 factors in pathogenesis of reproductive function abnormalities that brings on the necessity of elaboratingthe algorithm of treatingparticular patients considering the disturbances revealed.So, to increase the effectiveness of treating the patients in question, distinct standards of medical care should be put into practice.

Treatment of inflammatory diseases of the female genitalia with iontophoresis

1927 ◽  
Vol 23 (4) ◽  
pp. 425-429
Author(s):  
N. S. Utochnikova
Keyword(s):  
Young Women ◽  
Surgical Intervention ◽  
Inflammatory Diseases ◽  
The Other ◽  
Female Genitalia ◽  
Physical Methods ◽  
Surgical Methods ◽  
The One ◽  
Methods Of Treatment ◽  
Female Genital

The treatment of inflammatory diseases of the female genitalia has long been one of the most important tasks of the gynecologist. With the development of surgery, surgical methods of treatment began to be applied: exudates were removed, the uterus and inflamed appendages were extirpated, etc.; but the danger of surgical intervention on the one hand, and on the other - the severe consequences of removal of organs such as ovaries, especially in young women - forced gynecologists to spend much effort in discovering and improving non-operative methods of treatment of inflammatory diseases of the female genital parts. Among these methods, physical methods such as water, mud, light baths, massage, etc., as well as those related to electricity have long been prominent.

scholarly journals For examination and dietetics pregnant women and women who have recently given birth.

2020 ◽  
Vol 5 (1) ◽  
pp. 37-39
Author(s):  
G. Cordy
Keyword(s):  
Pregnant Women ◽  
Uterine Prolapse ◽  
New Work ◽  
Genital Apparatus ◽  
Surgical Methods ◽  
Methods Of Treatment ◽  
Female Genital

The author praises the Thure Brandt's method of treatment diseases of female genital organs and says that he has come to the development of this method to such perfection that new work in this area can only be directed at the discovery of the newest information on the physiology and pathology of the female genital apparatus, for the Thure Brandt's method to be shown to the indications for method and the reason for his success. It is also known that in case of uterine prolapse, in old and neglected cases, this method of raising the uterus and massage can give an amazingly quick and perfect result, in other cases it is not. Obviously, failure is the result of various anatomical relationships, and, according to the author, the bending of the uterus back and its side positions, where pessaries and surgical methods of treatment are more intelligent.

scholarly journals INDICATIONS FOR INJECTION OF BULKING AGENTS FOR THE TREATMENT OF ANAL INCONTINENCE

2017 ◽  
pp. 43-48
Author(s):  
A. I. Nedozymovany ◽  
E. A. Dementeva ◽  
D. E. Popov ◽  
S. V. Vasiliev
Keyword(s):  
Comparative Analysis ◽  
Anal Canal ◽  
Anal Incontinence ◽  
Bulking Agents ◽  
Study Objective ◽  
Relevant Today ◽  
Surgical Methods ◽  
The Mean ◽  
Methods Of Treatment

Despite of lots conservative and surgical methods of treatment, the problem of anal incontinence is relevant today and remains unresolved. Since the beginning of the 1990s attempts ofimplantation of bulking agents in order to increase the basal pressure in the anal canal were begun. Domestic product “ДАМ+” used in the study. OBJECTIVE. To determine the indications for injection of bulking agents for the treatment of anal incontinence. Research the possibility of using the drug “ДАМ+,” with assessment of treatment outcomes. During a period of 2014 to 2016 there were 30 patients with anal incontinence of various etiologies involved in research. The mean age was 47,5 ± 6,5 years. Injection of bulking agent “ДАМ+” were performed by the punction of submucosa of the anal canal in 3 points, andfollowed by a comparative analysis of the survey after treatment. Average follow-up was 12,1 ± 0,97 months. The study we have identified indications for the implementation of bulking agents for correction of anal incontinence, and the estimation results.

scholarly journals ETHICAL DIMENSIONS OF WILLINGNESS TO PAY FOR MEDICAL CARE IN BULGARIA

2018 ◽  
Vol 6 (1) ◽  
pp. 516-522
Author(s):  
Kalina Peycheva ◽  
Mariela Deliverska
Keyword(s):  
Higher Education ◽  
Medical Care ◽  
Education Level ◽  
Medical Services ◽  
Medical Professionals ◽  
Chi Square ◽  
New Methods ◽  
Gender And Education ◽  
Anonymous Questionnaire ◽  
Methods Of Treatment

Regardless of what both patients and medical professionals might think, nowadays there is no free medicine. The need of changing the pattern is emphasized and people should become more responsible for their own health. The aim is to find a connection between the trust in GPs, prophylactic check-ups, new methods of treatment and the willingness of patients to pay for the received medical services. Material and Method: A questionnaire was prepared for the purposes of the study. The methods utilized were a direct individual anonymous questionnaire, statistical – descriptive, analytical (Chi-square). The answers were examined and statistically processed according to age, gender and education level of the participants. Results: 1. The results regarding the trust in GP is very unconvincing – only 14,5 % believe in their GP. 2. The percentage of believers in prophylactic check-ups is high - 57,9%.  3.The percentage of those who believe in the new methods and means for treatment is high, over 80%, while no difference is found with respect to the patients’ education level. 4. The patients often (86%) pay for the treatment of a specialist. 5. People with higher education more readily pay for medical care. Conclusions: 1. The lack of trust in GP combined with the strong belief in prophylactic check - ups and the new methods for diagnostic and treatment of diseases lead to higher expectations of patients towards the medical services and their readiness to pay for these services. 2. The patients indicate readiness to pay for medical services which is a part of the patients’ readiness to take care for their own health.

scholarly journals Patient with inoperable pheochromocytoma

2015 ◽  
Vol 22 (3) ◽  
pp. 216 ◽  
Author(s):  
D. Brancíková ◽  
Z. Mechl ◽  
Z. Adam ◽  
E. Jandáková ◽  
Z. Pavlovský ◽  
...  
Keyword(s):  
Adverse Effects ◽  
Maintenance Therapy ◽  
General Condition ◽  
Multiple Endocrine Neoplasia ◽  
Systemic Treatment ◽  
Abdominal Cavity ◽  
Treatment Algorithm ◽  
Endocrine Neoplasia ◽  
Disease Stabilization ◽  
Low Incidence

Malignant pheochromocytoma is a tumour with a very low incidence that occurs sporadically or in the presence of multiple endocrine neoplasia. We present the case of a woman with a sporadic occurrence of pheochromocytoma diagnosed in the phase of multiple dissemination in the abdominal cavity and overexpressing adrenaline, noradrenaline, and dopamine. Local transarterial chemoembolization and systemic treatment with lanreotide resulted in a very good response, a decrease in the production of catecholamines for 12 months and a partial decrease for another 8 months, with stabilization of disease determined by imaging.Systemic treatment with tegafur resulted in disease stabilization lasting 50 months, after which the drug was discontinued because of adverse effects. Maintenance therapy with lanreotide continues, and no disease progression has been observed for 4 months.The treatment algorithm for such patients is multidisciplinary and must always take into account the current scope of the disease, intercurrence, and the general condition of the patient.

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