EPIDEMIOLOGICAL ASPECTS OF ACUTE APPENDICITIS ACCORDING TO THE CENTRAL CITY CLINICAL HOSPITAL OF ALMATY

Vestnik ◽  
2021 ◽  
pp. 399-403
Author(s):  
М.С. Малгаждаров ◽  
В.М. Мадьяров ◽  
М.Н. Турбекова
Keyword(s):  
Acute Appendicitis ◽  
Central City ◽  
Case Histories ◽  
Clinical Hospital

В статье проанализировано 1759 случаев острого аппендицита по данным историй болезней пациентов, проходивших лечение на базе Центрального городской клинической больницы с 2015 по 2017 гг. Выявлены основные эпидемиолгические аспекты данной патологии. The article analyzes 1759 cases of acute appendicitis according to the case histories of patients treated at the Central City Clinical Hospital from 2015 to 2017. The main epidemiological aspects of this pathology have been identified.

scholarly journals Risk Factors for diarrhea associated with Clostridium difficile in patients at a clinical hospital

2019 ◽  
Vol 91 (11) ◽  
pp. 20-25
Author(s):  
Y N Yarushina ◽  
G B Kolotova ◽  
V A Rudnov ◽  
V A Bagin
Keyword(s):  
Risk Factors ◽  
Intensive Care Unit ◽  
Intensive Care ◽  
Clostridium Difficile ◽  
Antibiotic Therapy ◽  
Case Histories ◽  
Clinical Hospital ◽  
Comorbidity Index ◽  
Autonomous Institution ◽  
Therapeutic Profile

Aim: to identify risk factors for Clostridium difficile infection in patients of a therapeutic clinic in a multidisciplinary hospital. Materials and methods. A retrospective analysis of 110 case histories of patients who were hospitalized in therapeutic departments in the Municipal Autonomous Institution “City Clinical Hospital No. 40” in Yekaterinburg (MAU City Clinical Hospital No. 40) in 2014-2015 was conducted, in which antibiotic therapy has developed diarrhea. According to the results of the study of coprofiltrate on Clostridium difficile (CD), patients were divided into 2 groups: 60 patients with a positive result and 50 patients with a negative result. Results. The proportion of patients with CD infection in the structure of patients of the therapeutic profile of the MAU GKB No.40 for 2014-2015 amounted to 0.42%. Predictors of the risk of developing diarrhea associated with CD infection in patients are: age over 65 years (OS 4.33, 95% CI 1.15-16.20, p=0.028), Charlson comorbidity index more than 2 points (OS 3.05, 95% CI 1.29-7.23, p=0.016), the presence of anemia (OR 2.32, 95% CI 1.07-5.02, p=0.048), chronic dialysis in patients with chronic renal insufficiency (CRF) (OR 8.64, 95% CI 1.05-70.81, p=0.020), patients staying in hospital for more than 5 days (OR 3.50, 95% CI 1.57-7.75, p=0.003) and hospitalization of patients in the intensive care unit (ICU) lasting more than 1 day (OS 9.80, 95% CI 1.20-79.47, p=0.011), the use of proton pump inhibitors (PPIs) (OR 2.82, 95% CI 1.12-7.11, p=0.041), antibiotic therapy more than 10 days (OS 39.62, 95% CI 10.85-144.71, p

scholarly journals Unligature method of laparoscopic appendectomy in children

2020 ◽  
Vol 10 (1) ◽  
pp. 53-58
Author(s):  
Vyacheslav G. Svarich ◽  
Evgeniy G. Perevozchikov ◽  
Ilya M. Kagantsov
Keyword(s):  
Postoperative Complications ◽  
Acute Appendicitis ◽  
Laparoscopic Appendectomy ◽  
Open Appendectomy ◽  
Operation Time ◽  
High Energy ◽  
Inflammatory Infiltration ◽  
Surgical Department ◽  
Clinical Hospital ◽  
Digital Assessment

Aim. On the basis of the accumulated clinical material to show the possibility of a ligature-free method of laparoscopic appendectomy in children. Materials and methods. From 2000 to 2019, 2044 children with acute appendicitis were treated in the surgical department of the Republican childrens clinical hospital in Syktyvkar. Of these, 651 patients had an open appendectomy with treatment of the stump of the vermiform process by the submersible method, 1363 children had a laparoscopic appendectomy with ligature treatment of the stump of the process, and 32 patients had their first non-ligature laparoscopic appendectomy with the intersection of the vermiform process with the Ligasure device. Results. On average, surgery for ligature-free laparoscopic appendectomy lasted 7 3 minutes less than for laparoscopic appendectomy using the ligature method for treating the stump of the worm-like process. Experimentally, it was found that this method of appendectomy should not be used when the thickness of the worm-like process is more than 1.5 cm, with pronounced inflammatory infiltration of the caecum dome and perforation at the base of the process. With ligature-free appendectomy, the operation time was reduced. In the period from 1 to 6 months, there were no intra-abdominal postoperative complications associated with the new method of surgery. Conclusion. Ligar-free laparoscopic appendectomy in children using modern high-energy platforms with a digital assessment of the degree of tissue coagulation readiness made it possible to avoid intraoperative and postoperative complications, simplify the technique of its implementation, and reduce the time of surgery.

DEVELOPMENT OF PNEUMOCONIOSIS IN YOUNG PEOPLE LIVING IN A LOCAL ARMED CONFRONTATION ZONE

2021 ◽  
Author(s):  
G. Myakotkina ◽  
◽  
O. Petizina ◽  
E. Yanchenko ◽  
Keyword(s):  
Young People ◽  
Retrospective Analysis ◽  
Chronic Stress ◽  
Occupational Disease ◽  
Armed Conflict ◽  
Primary Diagnosis ◽  
Case Histories ◽  
Clinical Hospital ◽  
Conflict Zone ◽  
Medical Histories

Abstract: One of the main diseases of occupational etiology in miners is pneumoconiosis. A retrospective analysis of 4,780 case histories of the occupational pathological department of the STATE ESTABLISHMENT «LUGANSK REPUBLICAN CLINICAL HOSPITAL» of the LUGANSK PEOPLE'S REPUBLIC with the first established diagnosis of an occupational disease was carried out. A sample of medical histories of patients with primary diagnosis of pneumoconiosis in young miners was carried out. The comparison was made with the years of «peaceful» life and the years of exposure to chronic stress caused by living in a zone of armed conflict. As a result, there was an increase in the number of reported cases of pneumoconiosis among young, most able-bodied miners living in an armed conflict zone. Changes in the lungs were characterized by the presence of nodular forms, greater prevalence and severity of fibrous process.

USE OF EFFERENT THERAPY METHODS IN THE TREATMENT OF DESTRUCTIVE PANCREATITIS

Vestnik ◽  
2021 ◽  
pp. 206-209
Author(s):  
А.Т. Джумабеков ◽  
А.Ж. Артыкбаев ◽  
Р.Е. Каштаев ◽  
С.С. Калиева ◽  
С.Ж. Жанбырбаев ◽  
...  
Keyword(s):  
Septic Shock ◽  
Inpatient Treatment ◽  
Central City ◽  
Intensive Therapy ◽  
Clinical Manifestations ◽  
Respiratory Disorders ◽  
Clinical Hospital ◽  
Severe Intoxication ◽  
Sepsis And Septic Shock

Своевременное включение методов эфферентной терапии (гемодиафильтрация, плазмаферез) в комплексную интенсивную терапию сепсиса и септического шока у больных с острым деструктивным панкреатитом, находящихся на стационарном лечении в ЦГКБ г. Алматы, позволило быстро стабилизировать гемодинамику, респираторные нарушения и отказаться от применения адреномиметиков, а также значительно уменьшить клинические проявления тяжелой интоксикации, гипоксии и эндотоксикоза. Timely inclusion of efferent therapy methods (hemodiafiltration, plasmapheresis) in the complex intensive therapy of sepsis and septic shock in patients with acute destructive pancreatitis who are inpatient treatment at the Central city clinical hospital in Almaty, made it possible to quickly stabilize hemodynamics, respiratory disorders and abandon the use of adrenomimetics, as well as significantly reduce the clinical manifestations of severe intoxication, hypoxia and endotoxicosis.

Pharmacoepidiological study of the effectiveness of procaine (novocaine) in combination with other drugs in the treatment of pain syndrome in acute pancreatitis

2020 ◽  
pp. 7-19
Author(s):  
Valery B. МAKSIMENKO ◽  
Esedulla M. ОSMANOV ◽  
Marina V. MAKEDONSKAYA ◽  
Arkady I. TRUFANOV ◽  
Luka A. GROMAKOV
Keyword(s):  
Acute Pancreatitis ◽  
Gastric Secretion ◽  
Intravenous Injection ◽  
Analgesic Effect ◽  
Pain Syndrome ◽  
Case Histories ◽  
Pharmacological Agents ◽  
Clinical Hospital ◽  
Surgery Department ◽  
Old Men

The purpose of the study : on the base of statistical and pharmacoepidemiological researches to study the effectiveness of procaine (novocaine) and to develop optimal combinations of pharmacological agents in the treatment of pain in acute pancreatitis. Materials and methods . In a cohort retrospective research, we studied case histories of 131 patients with acute pancreatitis who were treated at Surgery Department of Archbishop Luka City Clinical Hospital of Tambov. Among them, 71 men (54.2 %) and 60 women (45.8 %), whose average age was 52.5, including 46 years old men and 59 years old women. We studied the number of medicines used to treat the pain syndrome, the time of its relief, and made a pharmacoepidemiological assessment of the effectiveness of treatment with novocaine in combination with various drugs. Procaine was injected intravenously in the form of a 0.25-0.5 % solution. Results . We found out that combination of procaine with non-steroidal anti-inflammatory medicines and gastric secretion blockers have an effective analgesic effect. Treatment of pain by intravenous injection of a solution of novocaine and its combination with anticholinergic and myotrop antispasmodics was ineffective.

scholarly journals CLINICO-ETIOLOGICAL CHARACTERISTICS OF ACUTE INTESTINAL INFECTIONS IN HOSPITALIZED CHILDREN OF MOSCOW IN 2015—2017

2018 ◽  
Vol 17 (3) ◽  
pp. 27-33 ◽  
Author(s):  
O. V. Molochkova ◽  
O. B. Kovalev ◽  
A. L. Rossina ◽  
O. V. Shamsheva ◽  
A. A. Korsunsky ◽  
...  
Keyword(s):  
Young Children ◽  
Clinical Manifestations ◽  
Staphylococcal Infection ◽  
Hospitalized Children ◽  
Case Histories ◽  
Clinical Hospital ◽  
Infectious Disease Department ◽  
Topical Diagnosis ◽  
Intestinal Infections ◽  
Causative Agents

A retrospective analysis of the etiological structure and clinical manifestations of acute intestinal infections was conducted in 8459  children hospitalized in a specialized infectious disease department at the Children's City Clinical Hospital No.9 in Moscow,  in 2015—2017 based on the study of statistical reports of the Children's City Clinical Hospital No.9 for 2015—2017 and 2417 case histories of children aged 1 month to 18 years old.It was found that children with age 1—7 years of age (58.5%) are more likely to have acute intestinal infections and are hospitalized. The etiological interpretation of acute intestinal infections remains at a low level and is 28.6%. The leading causative agents of acute intestinal infections are viruses (83%), mainly rotaviruses (62%), less often noroviruses (18%). Topical diagnosis in the vast majority of patients with acute intestinal infections was gastroenteritis (74.7%), which leads to the development of toxicosis with exsiccosis,  especially in young children, which is the reason for hospitalization  in the hospital. The share of bacterial diarrhea is small (17%), among them salmonella  is significant, and in young children  — staphylococcal infection. In recent years, the relevance of identifying campylobacter and clostridium, these pathogens may be the cause of the development of diarrhea with hemoccolitis.

scholarly journals Analysis of Combined Traumas in Children After Road Traffic Accidents (Data of the City Children’s Clinical Hospital Ambulance, Bishkek)

2020 ◽  
Vol 6 (3) ◽  
pp. 145-149
Author(s):  
T. Omurbekov ◽  
M. Zhoroev ◽  
M. Samsaliev
Keyword(s):  
Medical Care ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Kyrgyz Republic ◽  
Road Traffic Accidents ◽  
Emergency Medical Care ◽  
Case Histories ◽  
Clinical Hospital ◽  
The City ◽  
Combined Injuries

The article presents a retrospective analysis of case histories of 4638 patients with combined injuries after an accident who were hospitalized in the City Children’s Clinical hospital of Emergency Medical Care in Bishkek (Kyrgyz Republic) from 2016 to 2018.

FEATURE OF SURGICAL TREATMENT OF GASTRODUODENAL BLEEDING

Vestnik ◽  
2021 ◽  
pp. 215-223
Author(s):  
А.Т. Джумабеков ◽  
Р.Е. Каштаев ◽  
С.М. Жарменов ◽  
С.Ж. Жанбырбаев ◽  
А.Ж. Артыкбаев ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Inpatient Treatment ◽  
Central City ◽  
Postoperative Mortality ◽  
Endoscopic Hemostasis ◽  
Clinical Hospital ◽  
Results Of Treatment

Применение принципов комплексного использования эндоскопического гемостаза и использование эрадикационной, антисекреторной терапии у больных с гастродуоденальным кровотечением, находящихся на стационарном лечении в ЦГКБ г. Алматы, позволило улучшить результаты лечения больных, значительно снизить количество осложнений после операций, сократить частоту как общей, так и послеоперационной летальности. The application of the principles of the integrated use of endoscopic hemostasis and the use of eradication, antisecretory therapy in patients with gastroduodenal bleeding who are inpatient treatment at the Central City Clinical Hospital of Almaty, made it possible to improve the results of treatment of patients, significantly reduce the number of complications after surgery, and reduce the incidence of both general and postoperative mortality.

RADIATION DIAGNOSTICS OF STRESS BONE RESTRUCTURING

Vestnik ◽  
2021 ◽  
pp. 252-255
Author(s):  
К.Х. Мухамеджанов
Keyword(s):  
Computed Tomography ◽  
Bone Remodeling ◽  
Central City ◽  
Clinical Manifestations ◽  
Conventional Radiography ◽  
Diagnostic Problem ◽  
X Ray ◽  
Clinical Hospital ◽  
Bone Stress ◽  
Tomography Analysis

В данной статье представлены результаты клинических проявлений и рентгенологических исследований, перестройки костной ткани. Результаты наших исследований показали, что обычная рентгенография не решает всей проблемы диагностики стрессовых переломов напряжения. Мы в данной публикации выделяем те случаи, когда обычная рентгенография не в силах решить проблему диагностики и требует использования дополнительных методов лучевой диагностики. Исследование проведено на базе ЦГКБ г. Алматы. Под нашим наблюдением находились 11 (100%) больных, у которых заподозрено наличие перестройки костей. У 6 (54.5%) больных данные рентгенологического исследования указывали, на наличие стрессовой перестройки кости у 5 (45,5%) больных признаки были сомнительными. Применение компьютерной томографии (КТ) и динамическое рентгенологическое исследование позволило установить диагноз стрессовой перегрузки костей. This article presents the results of clinical manifestations and X-ray studies of the bone remodeling. The results of our research have shown that conventional radiography does not solve the entire problem of diagnosing stress fractures of tension. In this publication, we highlight those cases when conventional radiography is unable to solve the diagnostic problem and requires the use of additional methods of radiation diagnostics. The research was carried out on the basis of the Central City Clinical Hospital of Almaty. We observed 11 (100%) patients in whom the presence of bone remodeling was suspected. In 6 (54.5%) patients, X-ray examination data indicated that the presence of stress bone remodeling in 5 (45.5%) patients were dubious. The use of computed tomography analysis (CT) and dynamic X-ray examination made it possible to establish the diagnosis of bone stress overload.

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