Ucenye Zapiski SanktPeterburgskogo Gosudarstvennogo Medicinskogo Universiteta im Akad IP Pavlova最新文献

{"title":"Features of carbohydrate metabolism disorders in acute pancreatitis","authors":"A. N. Shcherbyuk, S. V. Morozov, A. I. Lobakov, V. M. Manuilov, N. V. Karpov, D. A. Mohov, A. N. Levitskaya, K. N. Levitskaya, S. V. Shalamova","doi":"10.24884/1607-4181-2022-29-4-25-30","DOIUrl":"https://doi.org/10.24884/1607-4181-2022-29-4-25-30","url":null,"abstract":"Introduction. Endocrine insufficiency of the pancreas manifests, as a rule, in the form of carbohydrate metabolism disorders. Methods and materials. The levels of insulin concentration were analyzed in 21 patients with various forms of acute pancreatitis with a degree of clinical severity on the APACHE II scale from 10 to 14 (12±2) and the levels of glucagon concentration in 16 patients with a degree of clinical severity on the APACHE II scale from 8 to 10 (9±1) on the 1st, 3rd and 7th day since the onset of disease, the dynamics of blood glycemia was observed in all patients. Results . As a result, despite the relatively normal blood glucose level in all observations compared with the control group, there was a decrease in insulin by more than 2 times, a decrease in glucagon by 1.5 times, the level of which increased by the outcome of the disease. In the presence of normoglycemia in all studied cases. Conclusions . The obtained data indicates that insufficiency of insulin and glucagon exists in all forms of AP. Relative normoglycemia is caused by absolute insulin insufficiency against the background of interstitial edema of the pancreas in AP. Correction of endocrine disorders in AP is a promising direction in the treatment of patients with various forms of AP.","PeriodicalId":31266,"journal":{"name":"Ucenye Zapiski SanktPeterburgskogo Gosudarstvennogo Medicinskogo Universiteta im Akad IP Pavlova","volume":"345 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135950136","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A modern approach to evaluating the effectiveness of the respiratory rehabilitation program for patients after a new coronavirus infection COVID-19","authors":"V. V. Afanasyeva, A. A. Potapchuk","doi":"10.24884/1607-4181-2022-29-4-82-88","DOIUrl":"https://doi.org/10.24884/1607-4181-2022-29-4-82-88","url":null,"abstract":"The objective was to evaluate the effectiveness of the respiratory rehabilitation program for patients after a new coronavirus infection COVID-19 from the standpoint of the International Classification of Functioning, Disability and Health. Methods and materials. A study of 59 patients who underwent a new coronavirus infection COVID-19 and were hospitalized after 2–3 months for a rehabilitation course was conducted on the basis of the Pavlov University in 2020–2022. The main group included 38 patients (12 men and 26 women), the comparison group consisted of 21 patients (14 men and 7 women). The program of respiratory rehabilitation of patients who underwent COVD-19 included therapeutic gymnastics (breathing exercises, restorative physical exercises, special strength-oriented physical exercises), Nordic walking and physiotherapy procedures. The program developed by us was implemented during 2 weeks of inpatient stay of patients. Evaluation of the effectiveness of the respiratory rehabilitation program for patients who underwent COVID-19 was carried out on the basis of GOST R 57960 – 2017 “Evaluation of the results of rehabilitation services”. Results. Based on the evaluation of the effectiveness of rehabilitation in both groups according to GOST R 57960 – 2017 “Evaluation of the results of rehabilitation services”, the sum of individual indicators in patients of the main group was 84.7 points, the average score was 2.2. The sum of individual indicators in patients of the comparison group was 25.4 points, the average score was 1.2. Thus, the effectiveness of respiratory rehabilitation of patients of the main group according to GOST – excellent, in patients of the comparison group – satisfactory. Conclusions. The ICF categories have been formed, which allow us to provide objective information about the condition of patients who have undergone a new coronavirus infection in moderate and severe forms. A program of respiratory rehabilitation has been developed, including classes in breathing exercises, restorative physical exercises, special strength-oriented physical exercises, Nordic walking, and physiotherapy procedures. The effectiveness of respiratory rehabilitation of patients of the main group can be recognized as excellent.","PeriodicalId":31266,"journal":{"name":"Ucenye Zapiski SanktPeterburgskogo Gosudarstvennogo Medicinskogo Universiteta im Akad IP Pavlova","volume":"79 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135339291","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"АНТИАГРЕГАНТНАЯ ТЕРАПИЯ В ПРОФИЛАКТИКЕ НАРУШЕНИЙ МОЗГОВОГО КРОВООБРАЩЕНИЯ","authors":"Ольга Владимировна Родионова, Виктор Александрович Сорокоумов, Т. В. Вавилова, Ю. Д. Богатенкова, М. М. Мнускина, И Г Крупоткина, Людмила Алексеевна Исаева","doi":"10.24884/1607-4181-2017-24-1-15-21","DOIUrl":"https://doi.org/10.24884/1607-4181-2017-24-1-15-21","url":null,"abstract":"Currently the problem of preventing cerebrovascular disorders, in which antiplatelet therapy takes one of the leading places, remains relevant. The efficiency of the therapy depends on a large number of modifiable and non-modifiable factors. There are many methods to assess the severity of the response to antiplatelet therapy, but there is no common approach to the assessment of the results and their prognostic significance. Further studies of this issue are essential with the aim of individualization of antiplatelet therapy thereby increasing its efficiency and safety.","PeriodicalId":31266,"journal":{"name":"Ucenye Zapiski SanktPeterburgskogo Gosudarstvennogo Medicinskogo Universiteta im Akad IP Pavlova","volume":"24 1","pages":"15-21"},"PeriodicalIF":0.0,"publicationDate":"2017-01-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69116209","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Комплексная нейрореабилитация при парапротеин-ассоциированной периферической нейропатии","authors":"A. A. Alexey, M. V. Yakovleva, A. G. Smochilin","doi":"10.24884/1607-4181-2016-23-4-81-87","DOIUrl":"https://doi.org/10.24884/1607-4181-2016-23-4-81-87","url":null,"abstract":"Nowadays, treatment of paraproteinemic polyneuropathy is a fairly complex interdisciplinary process. The main method of therapy is still the use of chemotherapeutic drugs as means of pathogenetic treatment of the underlying disease. However, the use of chemotherapy with neurotoxicity can cause development of toxic polyneuropathy which increases neurological deficit. Any comprehensive neurorehabilitation program for patients with these forms of polyneuropathies have not been developed to date. The article presents data of clinical observations of 26 patients with paraproteinemic polyneuropathy which had undergone a course of neurorehabilitation treatment, both medical and nondrug technologies, including the methods of kinesiotherapy and physiotherapy.","PeriodicalId":31266,"journal":{"name":"Ucenye Zapiski SanktPeterburgskogo Gosudarstvennogo Medicinskogo Universiteta im Akad IP Pavlova","volume":"23 1","pages":"81-87"},"PeriodicalIF":0.0,"publicationDate":"2016-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69116129","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Современные представления о рациональной диагностике и лечении приобретенной миастении. Часть 1: диагностика","authors":"С. Н. Бардаков, С. А. Живолупов, Евгений Робертович Баранцевич, М. В. Захаров, И. Н. Самарцев","doi":"10.24884/1607-4181-2016-23-2-20-26","DOIUrl":"https://doi.org/10.24884/1607-4181-2016-23-2-20-26","url":null,"abstract":"Acquired myasthenia gravis is an autoimmune disease, based on the imbalance of humoral and cellular immunity, characterized by weakness and fatigue of skeletal muscles, and in some cases involvement of the heart muscle. In most cases, the object of the autoimmune destruction is peripheral nicotinic acetylcholine receptors of the postsynaptic membrane of the neuromuscular synapse. In myasthenia gravis there has been identified a number of other antigenic targets: muscle-specific tyrosine kinase, lowdensity lipoprotein receptor-related protein 4, titin, and ryanodine receptors skeletal muscles. Their specificity and pathogenetic role have been disclosed, but it is about 15-20% of seronegative forms that require further immunological research. Accurate diagnosis depends on the efficient detection of clinical forms of myasthenia gravis and full analysis of the autoimmune mechanisms underlying the disease.","PeriodicalId":31266,"journal":{"name":"Ucenye Zapiski SanktPeterburgskogo Gosudarstvennogo Medicinskogo Universiteta im Akad IP Pavlova","volume":"41 1","pages":"20-26"},"PeriodicalIF":0.0,"publicationDate":"2016-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69116167","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"ПСИХОЛОГИЧЕСКИЕ ОСОБЕННОСТИ И СЕМЕЙНЫЕ ЭМОЦИОНАЛЬНЫЕ КОММУНИКАЦИИ МАТЕРЕЙ НАРКОЗАВИСИМЫХ","authors":"Ж. В. Береза, Елена Рудольфовна Исаева, С. В. Горбатов, Д. С. Антипина","doi":"10.24884/1607-4181-2016-23-2-35-38","DOIUrl":"https://doi.org/10.24884/1607-4181-2016-23-2-35-38","url":null,"abstract":"The paper is devoted to study of peculiarities of emotional communication in families of drug addicts as well as personal characteristics of their mothers, and possible violations in receiving of social assistance. 91 families have been surveyed: 30 families of healthy individuals and 61 families of patients with drug addiction. Survey included: level of co-dependence, the intensity of psychopathological symptoms, level of anxiety and depressive experience of the mothers of drug addicts, their styles of emotional communication and level of social assistance. Study revealed the negative styles of emotional communications in the parent families of drug addicts in comparison with the styles of emotional communications in the families of healthy persons. The mothers of drug addicts differed from the mothers of healthy persons with increased level of paranoid features, suspiciousness, high hostility, anxiety, increased number of phobic fears and obsessions; they are less socially integrated, and are reluctant to seek emotional and instrumental support from others.","PeriodicalId":31266,"journal":{"name":"Ucenye Zapiski SanktPeterburgskogo Gosudarstvennogo Medicinskogo Universiteta im Akad IP Pavlova","volume":"23 1","pages":"35-38"},"PeriodicalIF":0.0,"publicationDate":"2016-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69116239","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"ИВАН ПЕТРОВИЧ ПАВЛОВ","authors":"В. П. Бякина, Т. В. Давыдова, Н. А. Маслова","doi":"10.24884/1607-4181-2016-23-1-6-9","DOIUrl":"https://doi.org/10.24884/1607-4181-2016-23-1-6-9","url":null,"abstract":"The article is coincided with the anniversary – 80 years after appellation of the nameof I. P. Pavlov to the First Saint Petersburg State Medical University. The paper describes the scientific path of the first Nobel laureate of Russia. The article highlighted the most important achievements in the field of physiology. The article highlighted the pedagogical activity of I. P. Pavlov, named his outstanding disciples and followers.","PeriodicalId":31266,"journal":{"name":"Ucenye Zapiski SanktPeterburgskogo Gosudarstvennogo Medicinskogo Universiteta im Akad IP Pavlova","volume":"23 1","pages":"6-9"},"PeriodicalIF":0.0,"publicationDate":"2016-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69115416","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Current understanding of the rational diagnostics and treatment of acquired myasthenia gravis. Part 2: treatment","authors":"S. Bardakov, S. A. Zhivolupov, E. R. Barantsevich, M. V. Zakharov, I. N. Samartsev","doi":"10.24884/1607-4181-2016-23-3-6-11","DOIUrl":"https://doi.org/10.24884/1607-4181-2016-23-3-6-11","url":null,"abstract":"","PeriodicalId":31266,"journal":{"name":"Ucenye Zapiski SanktPeterburgskogo Gosudarstvennogo Medicinskogo Universiteta im Akad IP Pavlova","volume":"23 1","pages":"6-11"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69115913","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Chronic obstructive pulmonary disease and chronic heart failure in elderly people: literature review","authors":"V. Gubkina, V. Trofimov, L. Tsvetkova, T. Pogoda, Y. I. Mumortsev, D. A. Suntsov","doi":"10.24884/1607-4181-2016-23-2-11-15","DOIUrl":"https://doi.org/10.24884/1607-4181-2016-23-2-11-15","url":null,"abstract":"","PeriodicalId":31266,"journal":{"name":"Ucenye Zapiski SanktPeterburgskogo Gosudarstvennogo Medicinskogo Universiteta im Akad IP Pavlova","volume":"23 1","pages":"11-15"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69115976","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"РОЛЬ МЕДИЦИНСКОЙ СЕСТРЫ В МУЛЬТИДИСЦИПЛИНАРНОЙ БРИГАДЕ РЕАБИЛИТАЦИОННОГО ПРОФИЛЯ","authors":"Н. Г. Петрова, Светлана Александровна Калинина, Т. И. Миннулин","doi":"10.24884/1607-4181-2016-23-3-16-17","DOIUrl":"https://doi.org/10.24884/1607-4181-2016-23-3-16-17","url":null,"abstract":"A feature of a multidisciplinary approach to national health care system is the lack of nursing staff in the brigades, which reduces their clinical and costeffectiveness. A nurse implements problemoriented nursing process, basing on the patient’s level of adaptation to opportunities changed in accordance with the main FIC domains. Traditionally nurses take over the functions of patients’ social adaption. The article presents the data of sociological research of nurses, engaged in rehabilitation departments. The main evident problem of rehabilitation is a fundamental change of the role functions of nurses, which is associated with the transformation into the scientific discipline of centuriesold experience of nursing care, the integration of international experience in the practice of national health care.","PeriodicalId":31266,"journal":{"name":"Ucenye Zapiski SanktPeterburgskogo Gosudarstvennogo Medicinskogo Universiteta im Akad IP Pavlova","volume":"23 1","pages":"16-17"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69116336","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}