scholarly journals The relationship of the anatomical features of the structure of the main veins with clinical manifestations of venous pathology and osteoarticular system of the lower limbs

2017 ◽  
Vol 9 (4) ◽  
pp. 270
Author(s):  
Galina Viktorovna Yarovenko ◽  
S. E. Katorkin ◽  
P. N. Myshentsev
Keyword(s):  
Clinical Manifestations ◽  
Lower Limbs ◽  
Anatomical Features ◽  
Relationship Of ◽  
The Relationship

Цель. Оптимизация лечебно-диагностической тактики у пациентов с хроническими заболеваниями вен (ХЗВ) путем оценки анатомических особенностей магистральных вен и изменений опорно-двигательной системы (ОДС) нижних конечностей. Метериалы и методы. Проведено комплексное обследование 293 пациентов с ХЗВ и сопутствующей патологией ОДС. Выполнялась ультразвуковая допплерография и ангиосканирование на аппаратах «Aloka 4», «Logic 7» и «SonoScape». Клинический анализ движений проводился на аппаратно-программном комплексе «МБН-Биомеханика» и включал подометрию, гониометрию и функциональную электромиографию. Деформации стоп оценивались цифровой фотоплантографией.Результаты. Типичное анатомическое строение венозной системы выявлено у 156 (53,2%) пациентов. У 147 (50,1%) обнаружена относительная клапанная несостоятельность общей бедренной (ОБВ), подколенной (ПкВ) или берцовых вен. У 23 (7,8%) пациентов выявлено удвоение поверхностной бедренной вены (ПБВ) с совокупным диаметром ПБВ 16,3±2,5 мм. Дилатация глубоких вен зафиксирована у 31 (10,6%) пациента. Транспозиция ПБВ отмечена у 13 (4,4%) пациентов. В подкожной венозной системе наиболее часто выявлялось У-образное разделение большой подкожной вены (БПВ) у устья - 30 (10,2%) пациентов или ее удвоение - 24 (8,2%). Вена Леонардо выявлена у 10 (3,4%), а вена Джиакомини у 23 (7,8%) пациентов. У пациентов с С3 и С4 классами хронической венозной недостаточности (ХВН) нетравматические деформации стоп выявлены у 59 (68,6%) и 51 (79,6%), артроз суставов стоп – у 25 (29,1%) и 21 (32,8%). При С5-С6 классах деформации стоп II-III степени с нарушением рессорной, балансировочной и толчковой функции диагностированы в 65 (94,2%) наблюдениях. Это значительно снижает эффективность мышечно-венозной помпы. Формируется артрогенный конгестивный синдром. Заключение. Анатомические особенности вен нижних конечностей и сопутствующая патология опорно-двигательной системы способствуют усугублению клинических проявлений ХВН. При выборе методов диагностики и тактики лечения необходим комплексный междисциплинарный подход.Ключевые слова: хроническая венозная недостаточность, анатомия вен, диагностика, оперативное лечение

SYSTEMIC LUPUS ERYTHEMATOSUS AND SYNDROMES POSSIBLY RELATED

PEDIATRICS ◽  
1957 ◽  
Vol 19 (6) ◽  
pp. 1109-1123
Author(s):  
M. A. Ogryzlo ◽  
H. A. Smythe
Keyword(s):  
Systemic Lupus Erythematosus ◽  
Lupus Erythematosus ◽  
Serum Proteins ◽  
Clinical Manifestations ◽  
Electrophoretic Pattern ◽  
Chemotherapeutic Agents ◽  
Systemic Lupus ◽  
Relationship Of ◽  
The Relationship

Attention is drawn to the difficulties that may be encountered in the positive identification and classification of many patients suspected of suffering from systemic lupus erythematosus. Much of this is due to a lack of specific criteria, either clinical or pathologic, for the diagnosis of the disease. The problem has been made more difficult by the recognition of a number of other syndromes that bear a superficial resemblance to systemic lupus erythematosus, yet differ in clinical manifestations, natural course, prognosis and other respects. A feature common to the group is the presence of the L.E. cell phenomenon. The related conditions differ from lupus enythematosus in that the L.E. phenomenon may only be demonstrable intermittently especially during severe exacerbations of the disease, while at the same time disturbances in the electrophoretic pattern of the serum proteins may be much more profound. In systemic rheumatoid disease the prognosis without steroid therapy is better than in systemic lupus erythematosus, although the morbidity may be great. The reactions which follow administration of certain chemotherapeutic agents are of considerable interest, particularly in view of the similarity to lupus erythematosus and rheumatoid arthritis, and the reversibility on withdrawal of the offending agent. The relationship of these syndromes to each other and to classical systemic lupus erythematosus has not yet been resolved, and inclusion of them under the diagnosis of systemic lupus erythematosus at this time must be regarded as premature.

scholarly journals The relationship between the deep fibular nerve and the dorsalis pedis artery and its surgical importance

2009 ◽  
Vol 42 (01) ◽  
pp. 018-021
Author(s):  
R. Chitra
Keyword(s):  
Vascular Supply ◽  
Lower Limbs ◽  
Surgical Approaches ◽  
Tarsal Tunnel ◽  
Detailed Knowledge ◽  
Dorsalis Pedis Artery ◽  
Extensor Hallucis Longus ◽  
Relationship Of ◽  
The Relationship ◽  
Fibular Nerve

ABSTRACTThe aim of this study was to demonstrate the relationship between the deep fibular nerve and the dorsalis pedis artery to provide useful anatomical knowledge for safe surgical approaches in plastic surgery. The dissection of 30 cadaver lower limbs was undertaken to describe the relationship of the deep fibular nerve to the dorsalis pedis artery in the anterior tarsal tunnel and on the dorsum of the foot. The anterior tarsal tunnel is a flattened space between the inferior extensor retinaculum and the fascia overlying the talus and navicular. The deep fibular nerve and its branches pass longitudinally through this fibro-osseous tunnel, deep to the tendons of the extensor hallucis longus and extensor digitorum longus. Four distinct relationships of the deep fibular nerve to the dorsalis pedis artery were determined. The dorsalis pedis neurovascular island flap contains both the dorsalis pedis artery and the deep fibular nerve. Because the design of a neurovascular free flap requires detailed knowledge of the nerve and vascular supply, the data presented here are intended to help surgeons during surgical approaches to the foot and ankle.

The relationship of the level of circulating antiangiogenic factors to the clinical manifestations of preeclampsia

2009 ◽  
Vol 29 (5) ◽  
pp. 464-470 ◽  
Author(s):  
Young Nam Kim ◽  
Dae Shim Lee ◽  
Dae Hoon Jeong ◽  
Moon Su Sung ◽  
Ki Tae Kim
Keyword(s):  
Clinical Manifestations ◽  
Antiangiogenic Factors ◽  
Relationship Of ◽  
The Relationship

scholarly journals The phenomenon of rosacea-rushes (theoretical aspects)

2021 ◽  
Vol 26 (2) ◽  
pp. 33-39
Author(s):  
V.A. Bocharov ◽  
V.V. Bocharova ◽  
M.M. Lebediuk ◽  
A.A.S. Sarayreh ◽  
L.V. Kuts
Keyword(s):  
Clinical Manifestations ◽  
Reproductive Function ◽  
Local Heat ◽  
Cellular Level ◽  
Reproductive Age ◽  
Theoretical Substantiation ◽  
Promising Area ◽  
The Face ◽  
Relationship Of ◽  
The Relationship

According to the decisions of international scientific forums, the problem of phenomenon of rosacea (acne rosacea), a common dermatosis with numerous unexplained aspects of etiopathogenesis is a promising area of modern medical research. The aim of the study was theoretical substantiation of the essential features of the mechanisms of occurrence, development and clinical manifestations of the first signs of rosacea in women of reproductive age. The use of a systematic analytical methodical approach to assess the data of clinical and laboratory examinations of women with rosacea, conducted in different regions of the world, allowed to establish the originality of such manifestations of dermatosis as the appearance of unexpected rushes to limited areas of the face, accompanied by local redness and local heat areas of the skin differring significantly from similar rushes in other diseases or syndromes (menopause, migraine, etc.). It is established that the peculiarity of the relationship of these clinical characteristics (from English: rush, ruddy, redness, rosacea, reproductive age of women, reaction) allows to indicate the first signs of dermatosis as a phenomenon inherent in this disease Rush-Ruddy-Rosacea-Reproduce-Reaction (abbreviated – «5-R»), the key pathophysiological target of which (as well as the disease as a whole) is a disorder of a set of hierarchically dependent mechanisms of the evolutionarily determined motivational need to ensure reproductive function in women (both at the cellular level and extracellular structures of the ovaries, and at different levels of subcortical formations and centers of the cortex of the cerebral hemispheres). The phenomenon of rosacea rush is closely related to other phenomena of this dermatosis – hypersensitivity of bradykinin receptors, actinic elastosis, development of post erythematous telangiectasia. The prospect of further research on the problem of rosacea is to study the relationship of disorders in the functional systems of molecules of signaling compounds of different classes (hormones, eicosanoids, neuropeptides, kinins, cytokines and others) in the pathogenesis of the disease.

scholarly journals Modern aspects of the conservation and promotion of health of firefighters

2019 ◽  
Vol 95 (12) ◽  
pp. 1175-1179
Author(s):  
V. S. Rukavishnikov ◽  
Irina V. Kolycheva ◽  
O. L. Lakhman
Keyword(s):  
Conceptual Model ◽  
Working Conditions ◽  
Clinical Manifestations ◽  
Toxic Substances ◽  
State Of Health ◽  
Incipient Stage ◽  
Quantitative Content ◽  
Relationship Of ◽  
The Relationship

On the basis of complex hygienic studies there were determined conditions of the work of firefighters in liquidation of foci of fires at the incipient stage, identified the complex of toxic substances, their quantitative content in the area of the smoke of fires. The analysis of the etiological role of occupational factors in the shaping of the morbidity and the physiological and clinical manifestations, established indices of the risk for occupational and industrial-caused pathology have allowed to substantiate the relationship of a number of nosological forms associated with working conditions of firefighters. There was developed a system of preventive activities for the promotion and preservation of the health of firefighters, as well as a conceptual model for monitoring of working conditions and state of health.

scholarly journals The relationship of systemic vascular lesions to clinical manifestations in systemic lupus erythematosus

Ensho ◽  
1983 ◽  
Vol 3 (2) ◽  
pp. 144-150
Author(s):  
Hiroshi Hashimoto ◽  
Soichiro Maekawa ◽  
Hajime Nasu ◽  
Takao Okada ◽  
Yuichi Shiokawa ◽  
...  
Keyword(s):  
Systemic Lupus Erythematosus ◽  
Lupus Erythematosus ◽  
Clinical Manifestations ◽  
Vascular Lesions ◽  
Systemic Lupus ◽  
Relationship Of ◽  
The Relationship

The Relationship of Blood Viscosity to Coronary Artery Disease

1979 ◽  
Author(s):  
G.D.O. Lowe ◽  
M.M. Drummond ◽  
A.R. Lorimer ◽  
I. Hutton ◽  
C.D. Forbes ◽  
...  
Keyword(s):  
Coronary Artery Disease ◽  
Coronary Artery ◽  
Coronary Arteries ◽  
Blood Viscosity ◽  
Clinical Manifestations ◽  
Plasma Lipid ◽  
Coronary Artery Occlusion ◽  
Artery Disease ◽  
Relationship Of ◽  
The Relationship

Increases in blood viscosity and its determinants (haematocrit and plasma fibrinogen) have been described in groups of subjects with clinical manifestations of arterial disease (myocardial infarction, angina, claudication). Viscosity factors may also be risk associations in prospective studies. We have studied the relationship of blood viscosity (shear rate 100s-0), haematocrit and fibrinogen to the extent of coronary artery occlusion in 50 males, aged 30-55, prior to coronary arteriography for chest pain. 26 subjects had significant occlusion (>50 per cent stenosis) of 2 or 3 major coronary arteries: 24 had single vessel disease or normal coronary arteries. 25 healthy controls were also studied. There were no significant differences in age or smoking habits between the three groups: use of beta-adrenergic blockers and plasma lipid levels were comparable in the two arteriography groups. Patients with extensive coronary artery disease had increased levels of viscosity and haematocrit (p<0.005), fibrinogen (p<0. 02) and viscosity corrected for haematocrit (p<0. 05), compared to angiographic or asymptomatic controls.

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