Colorectal Cancer in Patient with Functional Gastrointestinal Symptoms

Aim. A clinical observation to highlight the importance of detailed examination in patients with functional gastrointestinal symptoms.Key points. A 28-yo female patient was admitted with complains of left ileal pain, abdominal distention and up to 4-day stool delay. The complaints had long been interpreted as clinical manifestations of irritable bowel syndrome. No significant abnormalities were revealed in outpatient check-up (general and biochemical blood panels, stool test, abdominal ultrasound, oesophagogastroduodenoscopy). Colonoscopy was performed on admission, with diagnosis of rectal adenocarcinoma. The patient had a prompt surgical intervention, repeated courses of polychemotherapy and is currently followed by an oncologist and coloproctologist. No relapse signs have been reported.Conclusion. Patients with the complaints satisfying the Rome Criteria Revision IV for functional gastrointestinal diseases should have a thorough examination as per recommendations of the Russian Gastroenterological Association and Russian Association of Coloproctologists.

Focus ultrasound for cardiology practice. Russian consensus document

This document is a consensus document of Russian Specialists in Heart Failure, Russian Society of Cardiology, Russian Association of Specialists in Ultrasound Diagnostics in Medicine and Russian Society for the Prevention of Noncommunicable Diseases. In the document a definition of focus ultrasound is stated and discussed when it can be used in cardiology practice in Russian Federation.

The historical significance of the ARMU during the NEP and Ukrainization

The article examines the circumstances of the founding of the Association of Revolutionary Art of Ukraine (ARMU), its program principles and significance in the history of Ukrainian art in the second half of the 1920s — early 1930s. The cultural and political reasons and consequences of the introduction of the NEP, Ukrainization, collectivization and reform of art education in the Ukrainian SSR, as well as the changes that took place after the transfer of power in the USSR from V. Lenin to J. Stalin were analyzed. It was found that the ARMU was founded against the background of intensifying competition between left and right wings of art, as well as the emergence of branches of the Russian associations AHRR (Association of Artists of Revolutionary Russia) and LEF (Left Front of Art) in the Ukrainian SSR. It is shown how the connection of the ARMU with the Kyiv Art Institute (KKhI), its rector, teachers and students influenced the formation of a broad program of this association, which proclaimed the equality of all types of fine arts and design. It is analyzed how the resolutions of the Communist Party and the peculiarities of cultural policy in the field of fine arts in the Ukrainian SSR during the time of O. Shumsky and M. Skrypnyk influenced the activities of art associations and the ARMU in particular. The statements of the ideologists of the ARMU I. Vrona and V. Sedlyar about the realism and activity of the Russian association of the AKhRR in the Ukrainian SSR are analyzed. The consequences of the collapse of the NEP and Ukrainization, with the fight against formalism on the fate of the ARMU and its members were revealed.

Chronic pain in older and senile patients. Clinical guidelines

The present document developed by the Russian Association of Gerontologists and Geriatricians represents the Clinical guidelines on chronic pain in older and senile patients. The Clinical guidelines were endorsed by Scientific Council of the Ministry of Health of the Russian Federation in December 2020.Clinical guidelines are focused on geriatricians providing medical care in outpatient and hospital settings, general practitioners, and physiotherapists.The document sets out the pain syndrom screening and diagnosis principles in older patients, management and treatment approaches in patients with chronic pain, as well as the prevention, rehabilitation, medical care organization issues and quality control criteria for its provision in this category of persons.

RAACI’s and NAEPID’s position paper: vaccination of patients with PID and HAE against COVID-19.

Since the end of 2019, the whole world has been seized by the COVID-19 pandemic caused by the SARS-CoV2 virus. To date, the infection has led to more than 4 million deaths worldwide, and to more than 140 thousand deaths in Russia. COVID-19 (abbreviation for COronaVIrus Disease 2019) is a potentially severe acute respiratory infection caused by the SARS-CoV-2 coronavirus (2019-nCoV). Vaccination against COVID-19 plays a key role in stopping the pandemic. According to existing experience in infections prevention, mass vaccination will reduce the viruss expansion and the risk of vaccine-resistant strains development. In the context of the COVID-19 the question of the feasibility and safety of vaccination of patients with Primary Immunodeficiency and Hereditary Angioedema arises. The Russian Association of Allergists and Clinical Immunologists and the National Association of Experts in Primary Immunodeficiencies have developed and approved a position paper on vaccination of patients with Primary Immunodeficiency and Hereditary Angioedema against COVID-19. This position paper provides answers to key questions regarding the vaccination of patients with these diseases.

RAACI’s position paper: vaccination of patients with allergic disease PID and HAE against COVID-19.

One of the key tasks of the last year is to stop the spread of COVID-19 infection (an abbreviation of the English COronaVIrus Disease 2019), which caused a pandemic that led to the deaths of more than 4 million people around the world, and caused more than 140 thousand deaths in Russia. COVID-19 is caused by the SARS-CoV-2 (2019-nCoV) virus of the coronavirus family. Vaccination plays a leading role in ending the pandemic. Currently, 5 vaccines against COVID-19 have been registered in Russia: Sputnik V, Sputnik light, EpiVacCorona, EpiVacCorona-Н, СoviVak. The short follow-up period and the absence of randomized placebo-controlled trials of COVID-19 vaccines in certain groups of patients with chronic diseases cause a large number of questions about the effectiveness/safety of vaccination in these groups of patients. Taking into account the wide spread of allergic diseases and the heterogeneity of patients with allergopathology, experts of the Russian Association of Allergology and Clinical Immunology have developed and approved a position document on vaccination of patients with allergopathology.

On the Occasion of the Anniversary of Ivan I. Dedov

On February 12, 2021, endocrinologists of our country celebrate the anniversary of Ivan Ivanovich Dedov, Honored Scientist of the Russian Federation, member of the Presidium of the Russian Academy of Sciences, President of the Endocrinology Research Centre, President of the Russian Association of Endocrinologists, chief freelance expert-endocrinologist of the Ministry of Health of Russia Ivan Ivanovich Dedov — a famous scientist who plays a key role in the organization and ideology of the country’s endocrinological service. The editorial board and editorial board of the journal «Clinical and Experimental Thyroidology» join the numerous congratulations addressed to Academician I.I. Dedov, wishing to continue to constantly implement his inspiring ideas and plans.

Ventricular arrhythmias. Ventricular tachycardias and sudden cardiac death. 2020 Clinical guidelines

Russian Society of Cardiology (RSC).With the participation of Russian Scientific Society of Clinical Electrophysiology, Arrhythmology and Cardiac Pacing, Russian Association of Pediatric Cardiologists, Society for Holter Monitoring and Noninvasive Electrocardiology.Approved by the Scientific and Practical Council of the Russian Ministry of Health.

2020 Clinical guidelines for Atrial fibrillation and atrial flutter

Russian Society of Cardiology (RSC).With the participation of Russian Scientific Society of Clinical Electrophysiology, Arrhythmology and Cardiac Pacing, Russian Association of Cardiovascular Surgeons.Approved by the Scientific and Practical Council of the Russian Ministry of Health.

An information leaflet for patients receiving treatment by intravitreal drug injections. Recommendations of the Expert Council on retinal and optic nerve diseases of the Association of Ophthalmologists, an All-Russian public organization

The widespread introduction of intravitreal drug injections into clinical practice has highlighted a number of issues to be solved, including the risk of serious complications, the treatment burden on patients and the patient’s insufficient adherence to treatment, as well as a significant effect on the healthcare cost and effort. One of the ways to resolve the issues is to increase the patients’ awareness concerning the therapy they are about to receive, which contributes to the patients’ understanding of the details of treatment and enables them to make correct decisions. The best option of presenting such information to the patient is to provide them with a written document. The Expert Council on Retinal and Optic Nerve Diseases of the All-Russian Association of Ophthalmologists has developed, approved and tested an information brochure for patients who receive intravitreal injections. It offers brief information on what the procedure is, contraindications, details of preparation, and symptoms, both common ones and those requiring emergency assistance. The paper outlines the results of the study and presents a layout of an information leaflet for patients recommended for use in the Russian Federation.