INCREASING OF SURGICAL EFFICACY OF CYSTIC ECHINOCOCCOSIS OF LIVER IN PEDIATRIC SURGERY

2013 ◽  
Vol 4 (1) ◽  
pp. 62-64
Author(s):  
Sergey Viktorovich Minaev ◽  
Igor Nikolayevich Gerasimenko ◽  
Nikolay Ivanovich Bykov
Keyword(s):  
Cystic Echinococcosis ◽  
Pediatric Surgery ◽  
Main Group ◽  
Control Group ◽  
Medical Academy ◽  
Combined Use ◽  
Duration Of Hospitalization ◽  
Residual Cavity ◽  
State Medical Academy ◽  
And Control

From 1990 until 2010 retrospective study was carried out to investigate the occurrence of cystic echinococcosis (CE) of liver in children at Stavropol Regional children hospital in clinical wards of Stavropol State Medical Academy. We treated 60 children from 3 to 15 years with hepatic CE. In 22 (36.7%) patients had hepatic CE, in 38 (63.3%) — combines CE of the liver and lungs. Patients were divided into two equal groups: main and control. In the main group was used omentoplastiсa of residual cavity after closed echinococсectomy. In the control group — capitonage. In main group performed pre-and postoperative chemotherapy with nemozol at a dose of 10–15mg/kg/day and wobenzym in the dose of 1 tablet per 6 kg of body weight three times per day. In the main group complications occurred in 6.7% of children. In the control group, the complication rate was 23.2%. The number of relapses in the control group was 6 cases, in the main group is not mentioned. Accordingly the combined use of omentoplastiсa of residual cavity after closed echinococсectomy with nemozol and polyenzyme therapy to avoid recurrence of the CE, as well as shorten the duration of hospitalization and number of postoperative complications in children.

Thromboembolic complications prevention in the obstetric practice

2017 ◽  
pp. 19-24
Author(s):  
O.V. Grishchenko ◽  
◽  
V.V. Bobrytska ◽  
Keyword(s):  
Pulmonary Embolism ◽  
Comparison Group ◽  
Main Group ◽  
Control Group ◽  
Efficacy And Safety ◽  
Thromboembolic Complications ◽  
Moderate Risk ◽  
Obstetric Practice ◽  
Thrombotic Complications ◽  
And Control

The objective: To evaluate the clinical efficacy and safety of Enoxaparin-Pharmex for the prevention of thrombotic complications (pulmonary embolism) in the postoperative period in patients with moderate risk of these complications. Patients and methods. The study included 50 women after a caesarean section had an average degree of risk of pulmonary embolism. Patients were divided into the main group (n=25) and control group (n=25) in accordance with the treatment: patients of the main group received postoperative Еnoxaparin- Pharmex, group comparisons enoxaparin sodium (brand foreign manufacturer’s). Patients in both groups received the drug at a dose of 20 mg for 5 days, 1 time per day subcutaneously. Results. The research data analysis showed identity results of hemostasiogram of patients in the main group and the comparison group, no side effects after treatment in both groups. Conclusion. The clinical studies suggest the drug Enoxaparin-Pharmex is effective, safe LMWH, which can be used to prevent troboembolic complications, including post-operative treatment in obstetric practice. Spectrum of Enoxaparin-Pharmex can be extended to the prevention and treatment of thromboembolic conditions of varying severity with appropriate doses of the drug. Key words: Enoxaparin-Pharmex, prevention of pulmonary embolism.

scholarly journals Potentiality for Efficacy Increase in Treat­ment of Diaphysial Shin Fractures Based on Ilizarov Technique

2005 ◽  
Vol 12 (1) ◽  
pp. 11
Author(s):  
A. G Guseinov
Keyword(s):  
Dynamic Compression ◽  
Axial Loading ◽  
Main Group ◽  
Control Group ◽  
Ilizarov Technique ◽  
New Techniques ◽  
X Ray ◽  
Ilizarov Apparatus ◽  
Duration Of Hospitalization ◽  
Bone Fragments

In treatment of 87 patients (main group) with diaphysial shin fractures new techniques and devices for optimization of transosseous extrafocal osteosynthesis by Ilizarov were applied. All techniques and devices, i.e. devices for the perfection of Ilizarov apparatus stability, for bone fragment reposition, console compression arrangement for extrafocal osteosynthesis in commi­nuted fractures, devices for damper compression of bone fragments, for prevention of lower extremity edema at extrafocal osteosynthesis, for provision of early axial loading in Ilizarov apparatus, for activization of osteogenesis using asymmetrical dynamic compression were elabo­rated by the author. Control group (108 patients) was treated by traditional Ilizarov technique. Treatment results were assessed at terms from 4 months to 2 years. Data of clinical, X-ray and functional examinations as well as terms of fracture healing, duration of hospitalization and terms of working ability restoration were better in the main group as compared to the control one. In the main group good results were achieved in 47.1%c, satisfactory — in 49.4%, poor — in 3.5% of cases, in control group — 30.6%, 63.0%, 6.4%, respectively. Author believes that further perfection of Ilizarov technique is reasonable.

scholarly journals ANALYSIS OF THE DYNAMICS OF FUNCTIONAL OCCLUSION INDICATORS IN THE CONSTRUCTION OF OCCLUSION SURFACES OF ORTHOPEDIC STRUCTURES

2020 ◽  
Vol 73 (12) ◽  
pp. 2651-2656
Author(s):  
Svitlana P. Yarova ◽  
Sergii O. Turchenenko ◽  
Iryna M. Tkachenko ◽  
Yuriy Yu. Yarov
Keyword(s):  
Functional Condition ◽  
Masticatory Muscles ◽  
Main Group ◽  
Suggested Method ◽  
Control Group ◽  
Orthopedic Treatment ◽  
Functional Parameters ◽  
Occlusal Surfaces ◽  
Left And Right ◽  
And Control

The aim: Is to evaluate the effectiveness of the proposed method of constructing occlusal surfaces of orthopedic structures by monitoring the dynamics of functional indicators of occlusion and the functional condition of the masticatory muscles. Materials and methods: The object of the study was made up by 64 patients with included defects of the dentition of the 3rd class according to Kennedy. Patients were divided into two equal groups – the main group (patients were treated by using the suggested method of construction of occlusal surfaces of orthopedic structures) and control (dentition defects were replaced according to the traditional protocol). Results: The results of evaluating the effectiveness of the proposed method showed that the index of symmetry of the anterior bundles of the temporal muscles dropped by 18.5%, the index of symmetry of the masticatory muscles reduced by 22%, the torque of the mandible reduced by 32%, the index of stabilizing occlusal – by 27%, relative efforts of balance disturbance for more than 10 % regarding the left and right reduced by a factor of 4.4, the rate of opening time was 1.5 times higher than before, the rate of time of opening of the jaws – 1.8 times. Conclusions: The use of the suggested method of orthopedic treatment with temporary structures leads to probable changes in the studied functional parameters in comparison with the control group (p <0,05).

The Lowering of Bilirubin Levels in Full-Term Newborns by the Effect of Combined Massage Therapy and Phototherapy Practice

2019 ◽  
Author(s):  
Shokoufeh Ahmadipour ◽  
Mahnaz Mardani ◽  
Azam Mohsenzadeh ◽  
Parastoo Baharvand ◽  
Mohammad Nazeri
Keyword(s):  
Bilirubin Level ◽  
Intervention Group ◽  
Massage Therapy ◽  
Serum Bilirubin Level ◽  
Full Term ◽  
Control Group ◽  
Term Infants ◽  
Significant Difference ◽  
Duration Of Hospitalization ◽  
And Control

Objective Various therapeutic treatments have been prescribed for decreasing the bilirubin level. Massage therapy is one of the neonate treatments for jaundice. The aim of this study is to investigate the effects of combined massage therapy and phototherapy on neonatal jaundice. Study Design This study was performed at Shahid Madani Hospital in the city of Khorramabad in 2016, where 83 healthy full-term infants were enrolled. They were selected through convenience sampling and then were randomly assigned to the intervention and control groups. The control group (n = 43) received phototherapy, whereas infants in the intervention group (n = 40) received 4 days of massage and phototherapy. The serum bilirubin level, frequency of stooling and amount of urination, duration of hospitalization, and feeding frequency were analyzed using SPSS by descriptive and analytical statistics (mixed regression models). Results Baseline levels of bilirubin were similar between the two groups (p > 0.05). The bilirubin level was measured as 13.4 ± 0.7 mg/dL in the intervention group on day 1. It stood at 14.4 ± 1.5 mg/dL in the control group, which was not statistically significantly different. However, the mean bilirubin level was decreased on day 4 of hospitalization to 7.4 ± 0.56 mg/dL and 9.0 ± 2.3 mg/dL, showing a significant difference decrease in the intervention and control group (p < 0.05), respectively. Conclusion Intervention had a significant role in decreasing the bilirubin level, amount of urination, and duration of hospitalization of full-term infants suffering from hyperbilirubinemia.

The effects of shungite on somatoform disorders in athletes

2015 ◽  
Vol 9 (1) ◽  
pp. 0-0
Author(s):  
Белых ◽  
E. Belykh ◽  
Несмеянов ◽  
A. Nesmeyanov ◽  
Борисова ◽  
...  
Keyword(s):  
Infectious Diseases ◽  
Somatoform Disorders ◽  
Muscle Tone ◽  
Main Group ◽  
Control Group ◽  
Undesirable Effect ◽  
Biomedical Technologies ◽  
Instrumental Effect ◽  
And Control

The article demonstrates the importance of the application of new biomedical technologies in the correction of somatoform disorders in athletes. In observation were 86 athletes playing sports. Comprehensive clinical, psychological and instrumental examination showed that 11, 3% of them have some somatic pathology, but the complaint didn’t match up to this pathology, she had overdone character. Moreover, in this group in 36.4% of cases, there are previous histories of acute infectious diseases. The athletes were divided into two equal groups (main and control) by 43 people. In the main group, the athletes were treated orally with shungite in the form of tablets, in the control group - the psycho-pharmacotherapy. The same clinical and instrumental effect was observed in both groups. In the control group the undesirable effect of reducing muscle tone, drowsiness was detected. This allowed the authors to consider that it is expedient to use shungite for the correction of sym-tomatics in athletes with somatoform disorders.

scholarly journals The tolerability and clinical efficacy of “OKOMISTIN” in combination with “Oftalmoferon” in comparison to “Oftalmoferon” as monotherapy in the treatment of adenoviral eye diseases

2013 ◽  
Vol 6 (4) ◽  
pp. 51-54 ◽  
Author(s):  
Yury Sergeevich Astakhov ◽  
Vitaly Olegovich Sokolov ◽  
Natalia Vladimirovna Morozova ◽  
Dmitrii Alexandrovich Borisov ◽  
Galina Viktorovna Polovinkina ◽  
...  
Keyword(s):  
Clinical Efficacy ◽  
Main Group ◽  
Eye Diseases ◽  
Control Group ◽  
Allergic Reactions ◽  
Significant Morbidity ◽  
Important Goal ◽  
Clinical Recovery ◽  
Combined Use ◽  
Acute Conjunctivitis

Rationale. Adenovirus accounts for 48% to 62% of the cases of acute conjunctivitis [3, 4], and causes significant morbidity. Because of this, an important goal of clinical research is to find new medications which are effective in reducing the symptoms and which are easily tolerated. Objective. To estimate the tolerability and clinical efficacy of “Okomistin” in combination with “Oftalmoferon” in comparison to “Oftalmoferon” as monotherapy in the treatment of adenoviral eye diseases. Material and methods. 42 patients with adenoviral conjunctivitis were monitored. Their age ranged from19 to 59 years. Patients were divided into two groups: the main group and the control group. Patients of the main group received instillations of “Oftalmoferon” 6-8 times a day and those of “Okomistin” qid, patients of the control group - instillations of “Oftalmoferon” 6-8 times a day as monotherapy. Results. Combined use of “Okomistin” and “Oftalmoferon” significantly decreases the time of clinical recovery, is well tolerated, and does not cause toxic and allergic reactions. Conclusion. Combined use of “Okomistin” and “Oftalmoferon” in comparison to “Oftalmoferon” as monotherapy is more effective, but necessitates the use of ophthalmic lubricants.

scholarly journals PERIOPERATIVE ANESTHESIA: TO DO OR NOT TO DO?

2018 ◽  
Vol 25 (2) ◽  
pp. 36-40
Author(s):  
S. A. Firsov ◽  
A. S. Lepilov ◽  
R. P. Matveev ◽  
V. S. Savinkin
Keyword(s):  
Hip Arthroplasty ◽  
Motor System ◽  
Main Group ◽  
Narcotic Analgesic ◽  
Control Group ◽  
Control Groups ◽  
Treatment Results ◽  
Analog Scale ◽  
And Control

Introduction. In patients with chronic loco-motor system diseases the pain often persists after arthroplasty and does not respond to symptomatic therapy.Purpose of study: to evaluate the efficacy of perioperative use of Meloxicam in patients after hip arthroplasty. Patients and methods. The follow-up covered 120 patients (mean age 64.4±5.23 years) after hip arthroplasty. In the main group (n=60) Meloxicam was given 7 days prior to and 3 weeks after surgery; after intervention narcotic analgesic was used on the request. In control group (n=60) the patients were only on narcotic analgesic on request after operation. Treatment results were assessed by 100-millimeter visual analog scale (VAS) and D’Aubigné-Postel Score.Results. Seven days before the surgery the pain severity in the main and control groups was comparable: 85±2.3 and 84±2.1, respectively. In 2 days after operation the pain relief was more pronounced in the main group — 69±2.1 mm versus 82±3.4 mm in the control group (p0.05). In 3 months those indices made up 10±2.1 and 35±12.6 mm (p0.001), respectively. In the main group the result was assessed as the excellent and good in 22 patients, in the rest of patients as satisfactory by d’Aubigné-Postel Score. In the control group the good result was recorded in 9, satisfactory — in 47 and poor — in 4 cases.Conclusion. Meloxicam may be considered as an effective perioperative analgesic in large joints arthroplasty.

scholarly journals Psychodiagnostics of suicide

2019 ◽  
pp. 3-9
Author(s):  
G. K. Dzub ◽  
V. A. Protzyc ◽  
V. A. Protzyc
Keyword(s):  
Depressive Disorders ◽  
Self Esteem ◽  
Psychological Research ◽  
Main Group ◽  
Control Group ◽  
Self Assessment ◽  
Suicidal Attempts ◽  
The Difference ◽  
High Level ◽  
And Control

An original hypothesis for the detection of suicidal readiness has been proposed: the dissociation between low self-esteem of personal qualitiesand high level of claims in behavior exists in all types of suicides. The main point is that suicide occurs in a situation where environmental conditions are appear to be completely incompatible with a person’s self-esteem; preserving the personality then the protective adaptive response of the personality is accomplished in the most radical way – self-destruction. Therefore, to detect readiness for suicide, you can use the methods of experimental psychological (psychodiagnostic) research. These are methods of self-assessment of a situation, that is, a tests assessing one's own merits and determining the level of claims in behavior. Discrepancies in the performance of these tests will reflect the degree of readiness for suicide. Confirmation has been obtained through clinical and experimental psychological research. On the material of 240 subjects, the modified methods of Dembo – Rubinstein and Hoppe were used. The main group consisted of 160 persons who committed suicidal attempts, of which 98 women and 62 men, average age (41.0 ± 9.7) years, including 86 with depressive disorders, 46 with neurotic disorders and 28 mentally healthy. In the control group there were 80 healthy individuals who did not commit suicidal attempts, with identical gender balance, average age and social status. The modification of the methods was that the results were presented in quantitative terms in points. In the main group, the dissociation indicators between the high level of claims and low self-esteem according to the methods of Dembo – Rubinstein and F. Hoppe were 46.8 ± 4.6, and in the control group – 27.00 ± 5.24 (P < 0,001). The difference between dissociation in the main and control groups is very significant (P < 0,0005), a score of 40–45 points indicates a suicidal risk, and 50–55 and more confidently point to the upcoming suicide attempt. As a result, the hypothesis is confirmed and a valid method of predicting suicide or assessing the degree of its risk arises; the method is suitable for practical use.

scholarly journals Comparison of Cornea Endothelial Cells Density the After Aspiration of Dense Cataracts using Two Variants of Phacoemulsification Parameters

2018 ◽  
Vol 15 (2S) ◽  
pp. 145-152
Author(s):  
S. V. Shukhaev ◽  
E. V. Boiko
Keyword(s):  
Endothelial Cells ◽  
Postoperative Complications ◽  
Cell Loss ◽  
Main Group ◽  
Cell Counting ◽  
Control Group ◽  
Corneal Endothelial Cells ◽  
Significant Difference ◽  
Ultrasound Energy ◽  
And Control

Purpose: to compare two types of phacoemulsification parameters (combination ultrasound and torsional US with IP) with estimating the number of postoperative complications caused by intraoperative trauma of corneal endothelial cells.Patients and methods. 72 patients underwent phacoemulsification with IOL implantation. Patients were randomly divided into two groups (main n = 33 and control n = 39). During the aspiration of lens fragments in the main group the combination ultrasound was used, while torsional US with IP was used in the control group. Endothelial cell counting and other examinations were performed 1 day, 1 week and 6 months after the surgery.Results. CDVA in the explored groups 1 week after the surgery was similar: the main group — 0.813 ± 0.228, the control group — 0.765 ± 0.250, There was also no statistically significant difference in the thickness of the cornea between the groups: the main group — 533.48 ± 12.41, the control group — 536.44 ± 10.92. At the same time, a statistically significant difference was found in the density of endothelial cells: the main group: 1871.30 ± 187.41 (after 1 week), 1865 ± 178.9 (after 6 months); control group: 1809.63 ± 225.43 (after 1 week), 1791 ± 230.82 (after 6 months). The percentage of cell loss was, respectively, lower in the main group at all times of observation: 3.90% (after 1 day), 4.54% (after 1 week), 4.9% (after 6 months). In the control group: 7.71% (after 1 day), 9.25% (after 1 week), 10.4% (after 6 months).Conclusions. Data obtained in this study has showed the advantages of combination ultrasound in comparison with torsional US with IP, when performing aspiration of dense lenses. Due to lower consumption of ultrasound energy and higher aspiration rate of the fragments, combination ultrasound can reduce the loss of corneal endothelial cells and decrease the number and severity of postoperative complications associated with it. 

scholarly journals Diagnostic capabilities of different methods of laser doppler flowmetry spectral indexes assessment in patients with diabetic microangiopathy

2021 ◽  
Vol 10 (2) ◽  
pp. 18-24
Author(s):  
P. V. Vasilev ◽  
N. P. Erofeev ◽  
A. N. Shishkin
Keyword(s):  
Diabetes Mellitus ◽  
Laser Doppler Flowmetry ◽  
Main Group ◽  
Laser Doppler ◽  
Diabetic Microangiopathy ◽  
Control Group ◽  
Spectral Parameters ◽  
Doppler Flowmetry ◽  
Diagnostic Capabilities ◽  
And Control

The article contains the results of a study of two different methods for calculating the spectral parameters of laser Doppler flowmetry in patients with diabetic microangiopathy caused by type 2 diabetes mellitus (main group) and those with excluded diabetes mellitus (control group). Spectral indices were calculated using either average or maximum amplitudes of the frequency ranges. When comparing the contribution of respiratory and pulse fluxmotions using average amplitudes, there were significant (p < 0.05) differences between the main and control groups. On the contrary, when using the maximum amplitudes, no significant differences were noted (p > 0.05). Also, significant correlations were found between the contributions of respiratory and pulse fluxmotions and the estimated glomerular filtration rate in the main group, using both calculation methods. These studies indicate the feasibility of using a technique based on the analysis of average amplitudes to increase the specificity of laser Doppler flowmetry as a method for diagnosing diabetic microangiopathy.

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