Бібліотека Вінницького національного медичного університету ім. М.І.Пирогова

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Вид документа : Статья из журнала
Шифр издания :
Автор(ы) : Зозуляκ Η. В.
Заглавие : Проблема розвитку нітраторезистентності у хворих на стабільну стенокардію IIIФК із супутньою артеріальною гіпертензією та шляхи її діагностики
Место публикации : Архів клінічної медицини: науково-практичний журнал. - 2012. - № 2. - С. 42-45 (Шифр АУ26/2012/2)
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Вид документа : Статья из журнала
Шифр издания :
Автор(ы) : Mourafiq O., Echchaoui A., Tbouda M., Chefry B., Bouabid A. S., Benchebba D., Boussouga M.
Заглавие : A case of arteriovenous malformation involving the hand
Место публикации : Арх. клін. медицини. - Івано-Франківськ, 2017. - N 1. - С. 33-34 (Шифр АУ26/2017/1)
MeSH-главная: АРТЕРИОВЕНОЗНЫЕ МАЛЬФОРМАЦИИ -- ARTERIOVENOUS MALFORMATIONS
КИСТЬ -- HAND
Аннотация: Arteriovenous malformations of the hand and wrist are uncommon and may involve any anatomic structure of the body. They may often lead to chronic pain and dysfunction. Treatment ranges from conservative measures to amputation with a high risk of complications and recurrence. We hereby report a rare case of an arteriovenous malformation in a 47-year-old woman who presented with a painless swelling of die dorsum of her left hand, which was treated successfully by surgical excision
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Вид документа : Статья из журнала
Шифр издания :
Автор(ы) : Dzhus M. B.
Заглавие : Juvenile idiopathic arthritis in adults: long-term observation of Ukrainian patients
Место публикации : Арх. клін. медицини. - Івано-Франківськ, 2017. - N 1. - С. 10-14 (Шифр АУ26/2017/1)
MeSH-главная: АРТРИТ ЮВЕНИЛЬНЫЙ -- ARTHRITIS, JUVENILE
НАБЛЮДЕНИЕ -- OBSERVATION
ВЗРОСЛЫЕ -- ADULT
Аннотация: Patients with juvenile idiopathic arthritis older than 18 years and with more than 3 years of disease duration living in different parts of Ukraine were included into the study. Data regarding sociodemographic features, fulfillment of adult classification criteria, Health Assessment Questionnaire, articular and extra-articular Juvenile Arthritis Damage Index and disease activity were analyzed. We observed 122 adult patients with the history of juvenile idiopathic arthritis irrespective of the presence of active inflammation at the moment of the examination. This group included patients from different regions of Ukraine diagnosed with juvenile idiopathic arthritis during 1984 - 2013. An adult rheumatologist examined all patients and the diagnosis was revised according to the adult classification of rheumatic diseases. Typical diagnostic criteria for rheumatoid arthritis were estimated in 32,8 % of patients, ankylosing spondylitis - in 31,1 % of patients, undifferentiated arthritis - in 13,9 % of patients, Stillіs disease - in 4,9 % of patients, psoriatic arthritis - in 0,8 % of patients, steady clinical laboratory remission - in 16,5 % of patients. Most patients (81,8 %) with rheumatoid factor positive polyarticular juvenile idiopathic arthritis fell under rheumatoid arthritis criteria in adulthood, and in 85 % of patients with enthesitis-related arthritis as well as 53,8 % of patients with extended oligoarthritis ankylosing spondylitis developed in adulthoixi. 68,8 % of patients with systemic juvenile idiopathic arthritis, 68 % of patients with rheumatoid factor negative polyarthritic subtype and 55 % of patients with enthesitis-related arthritis had disability and incapacitation. Minimal disorders of the patientsі general condition according to the Health Assessment Questionnaire in adult age were found in most subtypes of juvenile idiopathic arthritis classified according to the International League of Associations for Rheumatology (extended and persistent oligoarthritis, rheumatoid factor positive polyarthritis, systemic subtype); moderate disorders of the general condition were found in enthesitis-related arthritis and rheumatoid factor negative polyarthritis. Side effects of juvenile idiopathic arthritis according to the articular Juvenile Arthritis Damage Index included severe articular damage being most frequently found in systemic and rheumatoid factor positive polyarthritis subtypes of juvenile idiopathic arthritis, while side effects of juvenile idiopathic arthritis according to the extra-articular Juvenile Arthritis Damage Index included extra-articular damage being found in systemic and rheumatoid factor negative polyarthritis subtypes of juvenile idiopathic arthritis, that was confirmed by the assessment of physical health according to the Short Form Health Survey-36, which was the worst in patients with systemic (40,3 +- 12,6) and rheumatoid factor negative polyarthritis (38,9 +- 9,4) subtypes of juvenile idiopathic arthritis. Conclusions: further research of remote consequences of juvenile idiopathic arthritis in adult age and long-term observation of such patients require a detailed study to improve diagnostics and provide adequate treatment of rheumatic diseases with juvenile onset in adult age
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Вид документа : Статья из журнала
Шифр издания :
Автор(ы) : Rumaneh W.
Заглавие : Plasma level of high-sensitive C-reactive protein in patients with acute myocardial infarction and arterial hypertension
Место публикации : Арх. клін. медицини. - Івано-Франківськ, 2017. - N 1. - С. 21-23 (Шифр АУ26/2017/1)
MeSH-главная: ИНФАРКТ МИОКАРДА -- MYOCARDIAL INFARCTION
ОСТРАЯ БОЛЕЗНЬ -- ACUTE DISEASE
ГИПЕРТЕНЗИЯ -- HYPERTENSION
C-РЕАКТИВНЫЙ БЕЛОК -- C-REACTIVE PROTEIN
Аннотация: Abstract Arterial hypertension is an independent predictor of acute myocardial infarction. Nowadays., plasma level of high-sensitive C- reactive protein is a marker of cardiovascular risk. The objective of the research was to evaluate plasma level of high-sensitive C-reactive protein in patients with acute myocardial infarction and arterial hypertension depending on myocardial remodeling type. Materials and methods. 130 patients with myocardial infarction (63 individuals with concomitant arterial hypertension and 67 individuals without it) were observed. Transthoracic echocardiogram was used. To evaluate plasma level of high-sensitive C-reactive protein the ELISA method was applied. Results. Plasma level of high-sensitive C-reactive protein in patients with acute myocardial infarction increased by 5.11 times compared to the control group: (10.67 [5.43; 12.89]) mg/1 and (2.09 [1.40; 4.60]) mg/L, respectively (p0.001). In myocardial infarction and arterial hypertension, this parameter increased by 6.57 times (to (13.73 [7.05; 15.17]) mg 1) (p0.001): and by 1.27 times (p0.05) as compared to patients without arterial hypertension. No differences in plasma level of high-sensitive C-reactive protein were detected in patients with different types of left ventricular remodeling. Conclusions. Acute myocardial infarction caused by high plasma level of high-sensitive C-reactive protein is severer in co-existent arterial hypertension. There are no differences in blood levels of high-sensitive C-reactive protein depending on the type of left ventricular remodeling
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Вид документа : Статья из журнала
Шифр издания :
Автор(ы) : Savchuk N. V., Vakaliuk I. P.
Заглавие : Dynamics of heart failure markers in patients after past myocardial infarction with the use of potassium and magnesium salts of gluconic acid, eplerenone and rivaroxaban
Место публикации : Арх. клін. медицини. - Івано-Франківськ, 2017. - N 1. - С. 23-27 (Шифр АУ26/2017/1)
MeSH-главная: СЕРДЕЧНАЯ НЕДОСТАТОЧНОСТЬ -- HEART FAILURE
ИНФАРКТ МИОКАРДА -- MYOCARDIAL INFARCTION
СЕРДЕЧНО-СОСУДИСТЫЕ СРЕДСТВА -- CARDIOVASCULAR AGENTS
Аннотация: The objective of the research was to increase die efficiency of treatment of patients with chronic heart failure (CHF) and postinfarction cardiosclerosis by adding potassium and magnesium salts of gluconic acid, eplereaone and rivaroxaban to the background therapy taking into account the indices of growth differentiation factor 15 (GDF-15), aldosterone and galectin-3. Emmunoenzymometric determination of the galectin-3, GDF-15 and aldosterone levels concentration in blood serum was conducted to achieve the stated objective. 42 patients with CNF and post-infarction cardiosclerosis after coronary artery stenting in the acute period of myocardial infarction (MI) were examined. The patients were randomized into four groups according to the peculiarities of treatment. Group I included patients with CHF and post-infarction cardiosclerosis treated with the background therapy (BT). Group II consisted of patients with CHF who were treated with BT and addition of potassium and magnesium salts of gluconic acid. Group III included patients with CHF who were prescribed eplerenone secondary to BT. Group IV consisted of patients who were treated with BT and rivaroxaban. The proposed treatment regimens were proved to be effective in reduction of GDF-15, aldosterone and galectin-3 indices in 12 months of treatment. Conducted therapy with die use of rivaroxaban secondary to BT led to more intensive decrease in GDF-15 concentration in comparison with the use of potassium and magnesium salts of gluconic acid or eplerenone on the background of BT. This index constituted (2110,21 +- 107,4) pg/ml before the treatment in these patients and significantly decreased to (1286,75 +- 109,6) pg/ml being significantly before the therapy. The perfonned treatment with the use of eplerenone secondary to BT was proved to be more effective for normalization of aldosterone and galectin-3 levels in blood serum compared to other studied treatment regimens. The average value of aldosterone changed in the treatment process by 67,24 %. Thus, the average level of this index constituted (139,8 +- 7,63) pg/ml before the treatment and was equal to (45,8 +- 5,52) pg/ml at the end of the treatment course. The average value of galectin-3 in patients with CHF and post-infarction cardiosclerosis was noted to be (34,69 +- 1,67) ng/ml before the treatment. It constituted (22,53 +- 0,98) ng/ml after the end of treatment being significantly lower compared to the value before the treatment. The average value of this index changed in the course of twelve-month treatment by 35,05 %. Lower risk of sudden cardiac arrest (SCA), acute coronary syndrome (ACS) and stroke was observed in the patients with CHF and postinfarction cardiosclerosis with the use of rivaroxaban secondary to BT. Conclusions: thus, the use of rivaroxaban combination therapy secondary to BT led to more intensive decrease in GDF-15 concentration in comparison with the use of potassium and magnesium salts of gluconic acid or eplerenone. Conducted therapy with the use of eplerenone on the background of BT was more effective for the normalization of galectin-3 and aldosterone levels in the blood compared to other studied reatment regimens
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Вид документа : Статья из журнала
Шифр издания :
Автор(ы) : Shalamay U. P., Kovalchuk L. Ye., Voronych-Semchenko N. M.
Заглавие : Immunogenetic status of children with mild iodine deficiency, latent iron deficiency and their combination
Место публикации : Арх. клін. медицини. - Івано-Франківськ, 2017. - N 2. - С. 35-40 (Шифр АУ26/2017/2)
MeSH-главная: ИОД -- IODINE
АНЕМИЯ ЖЕЛЕЗОДЕФИЦИТНАЯ -- ANEMIA, IRON-DEFICIENCY
ИММУНОГЕНЕТИЧЕСКИЕ ПРОЦЕССЫ -- IMMUNOGENETIC PROCESSES
ДЕТИ -- CHILD
Аннотация: Due to the prevalence of microelementosis (including iodine and iron deficiencies), cytogenetic abnormalities in children with microelement imbalance were studied. The objective of the research was to assess the abnormalities in the immunogenetic status of the organism by the frequency and spectrum of chromosomal aberrations, associations of acrocentric chromosomes and to determine the frequency of micronuclei in peripheral blood leukocytes in children with mild iodine deficiency, latent iron deficiency and their combination. There were examined 68 boys and 65 girls at the age of 6 to 18 years. In the analysis of indicators the main attention was paid to the age- (6 - 11 and 12 - 18 years) and gender-related peculiarities. In all the children, associations of acrocentric chromosomes of two chromosomes were most commonly observed: in the control group, this indicator was 73,74 %; in iodine deficiency, it was 67,72 %; in iron deficiency, it was 67,68 %; in combined microelementosis, the indictor was 68,68 %. Chromosomal abnormalities were recorded in 56,03 % of children. However, in the control group, this indicator was 40,94 %, while in microelement imbalance, it was 71,13 %. The most significant changes in the spectrum of chromosomal aberrations were identified in iodine and iron deficiencies (increase in the frequency of paired fragments, dicentrics, translocations, and the presence of a ring chromosome). Conclusions: changes in the frequency and characteristics of the number of chromosomes in associations of acrocentric chromosomes, the frequency and spectrum of chromosomal aberrations, and the number of micronuclei indicated genotype instability, especially in iodine deficiency and combined microelement imbalance
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Вид документа : Статья из журнала
Шифр издания :
Автор(ы) : Fedorov S., Izhytska N., Kulpok-Baginski T., Nadolny K.
Заглавие : The modern aspects of acute heart failure management
Место публикации : Арх. клін. медицини. - Івано-Франківськ, 2017. - N 1. - С. 4-6 (Шифр АУ26/2017/1)
MeSH-главная: СЕРДЕЧНАЯ НЕДОСТАТОЧНОСТЬ -- HEART FAILURE
ОСТРАЯ БОЛЕЗНЬ -- ACUTE DISEASE
Аннотация: Acute heart failure (AHF) is one the most common causes of morbidity and mortality. The prognosis of patients admitted with AHF remains dismal, with over 20 % experiencing recurrent HF admission and over 20 % dying during the first year after initial admission. The purpose of this study was to provide contemporary perspective for hospital management of AHF within the context of the most recent data and to provide guidance, based on expert opinions, to practicing physicians and other healthcare professionals. In this paper we reviewed of current updated European Cardiology Society (ESC) HF guideline (2016) and modern trials for AHF from Medscape database. Diuretics are the main medications in the treatment of patients with AHF and signs of fluid overload and congestion. Intravenous vasodilators are the second most used agent in AHF. Their use was shown to be associated with lower mortality, and a delay in administration was associated with a higher mortality. Use of an inotropic medications (such as dopamine, dobutamine, milrinone, levosimendan, epinephrine, norepenephrine) should be reserved for patients with a severe reduction in cardiac output resulting in compromised vital organ perfusion, which occurs most often in hypotensive AHF. Conclusion: acute heart failure is a life-threatening medical condition, which needs emergency management for death prevention
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Вид документа : Статья из журнала
Шифр издания :
Заглавие : XI Міжнародний медичний форум «Інновації в медицині — здоров’я нації»
Параллельн. заглавия :XI International Medical Forum "Innovations in Medicine — the Flealth of the Nation"
Место публикации : Архів офтальмології України. - 2020. - Т. 8, № 2. - С. 81-82 (Шифр АУ44/2020/8/2)
MeSH-главная: ОФТАЛЬМОЛОГИЯ -- OPHTHALMOLOGY
ЗДРАВООХРАНЕНИЯ ИННОВАЦИИ И УСОВЕРШЕНСТВОВАНИЕ -- HEALTH CARE REFORM
СЪЕЗДЫ, СИМПОЗИУМЫ -- CONVENTIONS, SYMPOSIUMS
МЕЖДУНАРОДНОЕ СОТРУДНИЧЕСТВО -- INTERNATIONAL COOPERATION
УКРАИНА -- UKRAINE
Аннотация: 16-18 вересня 2020 року відбудеться довгоочікувана подія у сфері охорони здоров’я України – XІ Міжнародний медичний форум «Інновації в медицині – здоров’я нації»
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Вид документа : Статья из журнала
Шифр издания :
Заглавие : «Рефракційний пленер’2021»: огляд ключових питань
Параллельн. заглавия :«Refractive Plein Air 2021»: an overview of key issues
Место публикации : Архів офтальмології України. - 2021. - Т. 9, № 3. - С. 45-50 (Шифр АУ44/2021/9/3)
MeSH-главная: КОНГРЕССЫ КАК ТЕМА -- CONGRESSES AS TOPIC
ОБЗОР -- REVIEW
РЕФРАКЦИЯ ГЛАЗА -- REFRACTION, OCULAR
Аннотация: Свято науки і краси — п’ята науково-практична конференція з міжнародною участю «Рефракційний пленер’2021» відбулася 28–30 жовтня 2021 р. у м. Києві, в Українському домі
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10.

Вид документа : Статья из журнала
Шифр издания :
Автор(ы) : Іванишин Л. Я.
Заглавие : Сучасні уявлення про етіологію, патогенез та діагностичні критерії артеріальної гіпотензії в дітей
Место публикации : Архів клінічної медицини: Науково-практичний журнал. - 2002. - № 1. - С. 12-14 (Шифр АУ26/2002/1)
MeSH-главная: ДЕТИ -- CHILD
ГИПЕРТЕНЗИЯ -- HYPERTENSION
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