Glavvrač (Chief Medical Officer)最新文献

{"title":"Experience in optimizing pharmacotherapy for prolonged postinfectious cough","authors":"R. A. Bontsevich, G. I. Zavitkevich, M. L. Maksimov","doi":"10.33920/med-03-2402-01","DOIUrl":"https://doi.org/10.33920/med-03-2402-01","url":null,"abstract":"The paper describes the rationale for the method and the experience of optimizing pharmacotherapy for prolonged postinfectious cough using such drugs as budesonide, butamirate, levodropropizine, and animal fats.","PeriodicalId":500680,"journal":{"name":"Glavvrač (Chief Medical Officer)","volume":"6 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140440008","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":"Experience of the pandemic in the context of changing doctor-patient relationship","authors":"A. S. Pluzhnikova, M. M. Filamofitskaya, Ya. D. Basharova","doi":"10.33920/med-03-2402-04","DOIUrl":"https://doi.org/10.33920/med-03-2402-04","url":null,"abstract":"The article deals with the issue of transformation of doctor-patient relationship during the COVID-19 pandemic. The main aspects investigated by analyzing the results of the questionnaire survey were the attitude of Moscow residents to their health, their personal experience of overcoming the pandemic, and its impact on the perception of medical professionals. According to the results, the experience of overcoming the pandemic had a positive impact on changing the perception of the doctor's image and of the medical community in general. Survey participants noted the heroization of medical professionals' actions during the fight against the novel coronavirus infection, which resulted in a general rise in the level of trust in doctors and an increase in the status of the medical profession. Muscovites believe that part of the responsibility for their health lies with medical professionals. However, taking into account that behavioral strategies of a substantial number of the respondents are marked by low activity of observing the principles of healthy lifestyle, the presence of bad habits, low medical aid appealability at the occurrence of primary signs of disease, and non-compliance with doctor's prescriptions, it significantly complicates the possibility of providing medical care and preserving health.","PeriodicalId":500680,"journal":{"name":"Glavvrač (Chief Medical Officer)","volume":"15 8","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140441158","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":"Transcranial magnetic stimulation in the rehabilitation complex for patients with cervical spine hernia","authors":"B. R. Shodmonov, A. R. Sattarov, S. S. Saidov, G. A. Boymurodov","doi":"10.33920/med-03-2402-05","DOIUrl":"https://doi.org/10.33920/med-03-2402-05","url":null,"abstract":"The purpose of the study is to analyze the results of using TMS in patients in the early period after removal of herniated discs of the cervical spine. Material and methods. The study was based on the analysis of 51 patients with cervical spine hernias (30 (58.8 %) men, 21 (41.2 %) women aged 23–72 years, with mean age of 42.8 years). All patients underwent discectomy of the cervical spine in the self-supporting department of the National Center for Rehabilitation and Prosthetics of the Disabled during the period of 2018–2022. The patients were divided into two groups. The first group consisted of 31 (60.7 %) patients who underwent discectomy of cervical hernias followed by TMS in the early postoperative period. The second group included 20 (39.3 %) patients who underwent discectomy without using TMS. Results and discussion. The results of open surgical interventions were assessed in two groups, according to the surgical intervention performed and the use of TMS. The first (study) group of 31 (60.7 %) patients underwent «discectomy with decompression of the spinal cord and subsequent stabilization with an improved cylindrical cage and the use of TMS in the early postoperative period». The second group of the patients underwent discectomy using cylindrical cages, laminectomy from the posterior approach, and laminectomy using transpedicular or transarticular stabilization without subsequent TMS. Conclusions. The use of an improved cylindrical cage for herniated cervical spine is justified and timely; the application of transcranial magnetic stimulation in the early postoperative stage in patients with a herniated disc of the cervical spine restores neurological deficits and awakens long-lost functions of a group of muscles and, in some cases, of entire organs.","PeriodicalId":500680,"journal":{"name":"Glavvrač (Chief Medical Officer)","volume":"73 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140438252","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":"Impact of academic load on psycho-emotional state of high school students during preparation for and passing of the final assessment","authors":"P. V. Galimyanova, P. A. Katsman","doi":"10.33920/med-03-2402-03","DOIUrl":"https://doi.org/10.33920/med-03-2402-03","url":null,"abstract":"The article presents the results of a medical and sociological study aimed at examining the impact of increased academic load on the well-being of high school students in Moscow during the preparation and examination period. According to the obtained data, this period is characterized by a significant increase in academic load, disruption of regular routines, and loss of social connections, which can lead to destabilization of students' psycho- emotional state. The majority of survey participants reported experiencing symptoms of stress, including nervousness, irritability, excessive fatigue, changes in eating habits, etc. which negatively affect their ability to absorb new material. In the opinion of high school students, the psychological support provided in schools often has a formal nature, limited to collective measures such as workshops and training sessions.","PeriodicalId":500680,"journal":{"name":"Glavvrač (Chief Medical Officer)","volume":"13 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140438474","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":"Studying the attitude of Moscow residents to mod - ern medical services (on the case of electronic medical records)","authors":"V. A. Vershinina, S. V. Kyshtymova, M. D. Khorina","doi":"10.33920/med-03-2402-02","DOIUrl":"https://doi.org/10.33920/med-03-2402-02","url":null,"abstract":"The article presents the results of pilot research aimed at the study of attitudes to modern digital medical services, such as electronic medical records. The article addresses the issues of availability of the service for citizens, its usability, and features of personal experience of Moscow residents dealing with electronic medical records. The authors point out the relevance of digital services for improving doctor-patient-medical organization interaction. The study results can be useful for medical institutions, city administrations, and healthcare experts seeking to optimize the use of electronic medical records and improve the quality of medical care for Moscow residents.","PeriodicalId":500680,"journal":{"name":"Glavvrač (Chief Medical Officer)","volume":"9 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140440563","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":"Bacterial vaginosis and related sexually transmitted diseases as a risk factor for tubalperitoneal infertility (literature review)","authors":"M. S. Danilova, R. A. Bontsevich, M. L. Maksimov","doi":"10.33920/med-03-2401-04","DOIUrl":"https://doi.org/10.33920/med-03-2401-04","url":null,"abstract":"The article presents a review of the literature on a pressing problem in clinical medicine — risk factors for tubo-peritoneal infertility. Bacterial vaginosis (BV) is one of the factors of increased risk of tubo-peritoneal infertility. Presumably, there are two mechanisms of tubo-peritoneal infertility associated with BV: firstly, the increased levels of proinflammatory cytokines, resulting in the attack of seminal fluid, and secondly, the cleavage of cervical mucus by bacterial mucinases, which improves adhesion by pathogenic microorganisms, contributing to colonization with a further tendency to diseases of the upper reproductive tract, including infertility. Women who have BV are more likely to suffer from inflammatory diseases of the pelvic organs caused by C. trachomatis and N. gonorrhoeae, which leads to tubo- peritoneal infertility. Therefore, timely detection and treatment of BV is crucial.","PeriodicalId":500680,"journal":{"name":"Glavvrač (Chief Medical Officer)","volume":"80 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140500624","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":"Coxarthrosis is the hidden enemy of movement","authors":"M. D. Yelokhina","doi":"10.33920/med-03-2401-05","DOIUrl":"https://doi.org/10.33920/med-03-2401-05","url":null,"abstract":"The article is devoted to coxarthrosis, a disease that is relevant in our time of inactivity. Hip arthrosis is a medical and social issue. The article discusses the clinical manifestations of the disease, studies to establish the diagnosis, factors contributing to the rapid development of the disease, stages of the disease, treatment methods, morbidity analysis, and preventive measures","PeriodicalId":500680,"journal":{"name":"Glavvrač (Chief Medical Officer)","volume":"339 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140500981","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":"Safety of dabigatran","authors":"K. O. Schneider, A. P. Kondrakhin, M. L. Maksimov","doi":"10.33920/med-03-2401-01","DOIUrl":"https://doi.org/10.33920/med-03-2401-01","url":null,"abstract":"Thrombosis ranks first among the leading causes of death worldwide and is a fatal risk factor for patients’ health. Rapid diagnosis and appropriate treatment are necessary. There are three categories of antithrombotic agents: antiplatelet agents, anticoagulants, and fibrinolytics. Anticoagulants are first-line therapy for the prevention and treatment of venous thrombi. Dabigatran etexilate is a direct thrombin inhibitor. The effectiveness of dabigatran has been demonstrated in several clinical studies for the prevention of venous thromboembolism in patients undergoing total hip or total knee arthroplasty, for the prevention of stroke in patients with non-valvular atrial fibrillation, and in the treatment of acute venous thromboembolism. Some studies have demonstrated that the use of dabigatran leads to an increased risk of bleeding. Therefore, the purpose of this review is to examine the safety of dabigatran in patients over 18 years of age. We identified potentially relevant studies by searching the electronic databases PubMed, Web of Science, Cochrane Library, MEDLINE, and Google Scholar. Further, according to the inclusion and exclusion criteria, as well as by means of independent selection, all the authors of this article selected the sources that were suitable according to the criteria and compiled this review.","PeriodicalId":500680,"journal":{"name":"Glavvrač (Chief Medical Officer)","volume":"291 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140499968","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":"The structure of anxiety and depressive disorders in patients of the neurological hospital","authors":"E. E. Fokina","doi":"10.33920/med-03-2401-03","DOIUrl":"https://doi.org/10.33920/med-03-2401-03","url":null,"abstract":"The article analyzes the structure of anxiety-depressive disorders in neurological hospital patients. The study used validated scales: the Hospital Anxiety and Depression Scale (HADS) and the scale for assessing the level of reactive and personal anxiety (developed by C. D. Spielberger and adapted by Yu. L. Khanin). The author comes to the conclusion that more than a half of the patients surveyed experience feelings of anxiety or depression at subclinical and severe levels. In addition, in patients with anxiet y trait anxiety predominates.","PeriodicalId":500680,"journal":{"name":"Glavvrač (Chief Medical Officer)","volume":"257 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140500120","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":"The use of statins and inhibitors of proprotein convertase subtilisin-kexin type 9 (PCSK 9) in patients with dyslipidemia","authors":"R. M. Lupachev, M. L. Maksimov","doi":"10.33920/med-03-2401-02","DOIUrl":"https://doi.org/10.33920/med-03-2401-02","url":null,"abstract":"Scientific relevance. According to the WHO data, cardiovascular diseases rank first as the cause of human death. In 2022, 18,601,923 people died from cardiovascular diseases, which amounted to 33 % of the total mortality in the world. Malignant neoplasms rank second with 9,958,133 deaths, representing 17.6 % of total mortality. Among cardiovascular diseases, ischemic heart disease (IHD), the pathogenesis of which is associated with impaired cholesterol and lipoprotein metabolism, is leading. The use of statin drugs is recommended as a first-line lipid-lowering therapy. As an alternative to HMG-CoA reductase inhibitors (statins), proprotein convertase subtilisin/kexin type 9 inhibitors (PCSK9) were discovered in 2003, however, they are less popular due to insuf ficient data on these drugs and their costliness. Purpose of the work: to study the safety of using proprotein convertase subtilisin/kexin type 9 (PCSK9) inhibitors in patients with dyslipidemia and compare the advantages and disadvantages in relation to the ef fects of HMG-CoA reductase (statins). Discussion: The analysis of literature data has shown that the most frequent manifestations of intolerance to statins are muscle symptoms. The main mechanisms of statin-associated complications are mediated by inhibition of HMG-CoA reductase, as well as by the effect of drugs on cellular and subcellular processes, skeletal muscles and genetic features of patients. PCSK9 inhibitors have a fundamentally different mechanism of action — they bind and inactivate PCSK9, which leads to a decrease of low-density lipoprotein cholesterol in the blood level. A small number of undesirable reactions have been identified for drugs of this group, the most important of which is immunogenicity. However, even if patients have antibodies to PCSK9 inhibitor, the efficacy of the drug in reducing the level of low-density lipoproteins remains high.Conclusion. In medical studies, PCSK9 inhibitors have been shown to perform better compared to HMG-CoA reductase inhibitors; meanwhile, patients continue to use statins as lipid-lowering medications.","PeriodicalId":500680,"journal":{"name":"Glavvrač (Chief Medical Officer)","volume":"39 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140500420","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}