[Research and practical conference on "The Modern Technologies in Rehabilitation Medicine].
Explore the source record for details and available documents.
Biomedical subjects
Publications and source records attributed to V I Burtsev.
Explore the source record for details and available documents.
149 patients stated at primarily examination as healthy had subsequently myocardial infarction (MI) at the age of 28-55 years. Preinfarction mean level of the risk factors was 3.3 per a man. For 5 years after MI the patients received differentiated therapy oriented to individual features of ischemic heart disease (IHD). The response was achieved in the majority of patients. To the end of the trial repeated MI occurred in 12.8% of the patients. 80.1% of them had angina pectoris (89.2%-angina of class I and II). 89.3% of the patients were able to work, 87.2% have lowered their mean level of risk factors to 1.5. It is demonstrated that a favourable course of postmyocardial infarction IHD was determined by adequacy of prophylactic measures rather than by health status before MI.
170 patients with primary diagnosis of NCA underwent detailed examination by the therapist, neuropathologist, endocrinologist, urologist, gynecologist and psychiatrist. Primary diagnosis was confirmed only in 47 patients, the other 123 patients had different somatic, neurological or psychic disorders. These 47 and 123 patients were considered as having NCA as a syndrome and as an independent nosological entity, respectively. NCA as a syndrome was associated with blood hypertension, nervous asthenia, ischemic heart disease, spinal osteochondrosis. One third of the patients had neuropsychic disorders. The conclusion is made that all the NCA patients require detailed therapeutic, neurological and psychic examinations to exclude hypertension, asthenoneurotic states, ischemic heart disease and spinal osteochondrosis.
Explore the source record for details and available documents.
Exacerbations of duodenal ulcer (DU) were treated outpatient in 130 DU sufferers who failed previous chemotherapy. The treatment consisted of acupuncture, laser therapy, diet and drugs. All the patients achieved remission, relief of vegetative disorders. DU healing took less time (by 7-10 days) than in control group. Application of the acupuncture and laser radiation allowed assignment of minimal drug doses. 3-year long-term results showed the absence of recurrences for 1-3 years. 87 DU patients gave up smoking after additional acupuncture according to the special regimen. The conclusion is made that acupuncture combined with laser therapy is effective against DU, safe and usable in outpatient setting.
107 male patients with diabetes mellitus type II (DM) combined with hypertension aged 62 to 76 years were divided into 5 groups comparable by DM but different by characteristics of hypertension, ischemic heart disease or other associated diseases the presence of which determined the choice of one or another drugs against hypertension. These drugs belonging to 5 groups (calcium antagonists, inhibitors of angiotensin converting enzymes, beta-blockers, alpha-blockers, agonists of imidasoline receptors) were compared in monotherapy and combined therapy for hypotensive activity and safety. It was found that monotherapy with corinfar, capoten, and cint had a potent hypotensive effect, atenolol and prasosin had moderate hypotensive efficacy and caused side effects more frequently. In differentiated use of the above drugs negative effects on associated diseases did not occur.
21 patients on programmed hemodialysis for chronic renal insufficiency underwent hemodiafiltration (HDF) using dialyzers with highly-penetrable membrane made of polysulfone (Hemoflow F-40 and Hemoflow F-60). HDF has improved the patients' condition, eradicated skin itch, reduced polyneuropathy. Compared to standard hemodialysis, blood levels of creatinine and urea dropped by 6.9 and 3.7% more significantly. beta 2-microglobulin in the blood went down by 25.4 and 42.4%. The technique is provided of the removed filtrate replacement at the expense of the dialyzing liquid. The technique warrants a 60% decrease per session in blood beta 2-microglobulin.
Explore the source record for details and available documents.
A clinical trial of arthrotek (Searle) in 60 RA patients aged 16-77 years demonstrated its high anti-inflammatory activity in 47 of them. These patients have received a complete treatment course, 10 patients were not included in the overall estimations because of side affects (gastric pains and nausea) causing them to withdraw early in the treatment course, 3 patients were nonresponders. The responders experienced attenuation of joint pain, morning stiffness. Inflammation in some joints declined, the articular index decreased.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
The authors have developed a 2-stage program of coronary heart disease detection in the setting of an outpatient clinic. Stage 1 is performed in the examination department, stage 2 in the cardiological department. The 3-year experience covering 10,000 males aged 20-59 served the basis for dividing the patients into 3 groups: patients with the disease risk factors (group I), patients with definite disease (group II) and patients with probable disease (group III). A differential approach to management of each group patients is validated.
Explore the source record for details and available documents.
Two groups of patients with terminal chronic renal failure (TCRF) treated from 1970 to 1979 (group 1) and in 1980-1989 (group 2) have been compared in respect to treatment results. All the patients underwent programmed hemodialysis performed on different equipment and according to different regimens. The results of group 2 appeared better: the lethality decreased by 18%, mean survival from 6 months to 4.5 years, up to half of the patients were able to receive hemodialysis procedures outpatiently, 30% of the patients were prepared to receive a renal transplant. The above positive shifts were achieved due to utilization of updated equipment, improved water purification, 3-stage technique of hemodialysis, antianemic drug eprex and vanalpha against osteodystrophy.
Explore the source record for details and available documents.
Main complains, clinical appearance of the disease and laboratory findings have been evaluated for 28 patients with pulmonary embolism and its complications. The diagnosis made at x-ray and computed tomography examination proved valid in 85% of cases confirming the efficiency of their combined use in this disease. The author believe a comprehensive approach promising in solving the problem of pulmonary embolism.
Explore the source record for details and available documents.