8 research outputs found

    Comparison of different methods for antihypertensive therapy edema PNDS crises complicated for hemorrhagic stroke type

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    Objective: Π’ΠΎ study the hypotensive (antihypertensive) effect of the intravenous form of Adalat (calcium antagonist β€” dihydropyridine series) in patients with CC complicated by hemorrhagic stroke type. Materials and methods: survey included patients with a diagnosis of HA complicated stroke, they were treated by intravenous form of Adalat (dihydropyridine calcium antagonist) and Enap. Typed group comprised 61 people (average age 57 ~ 6.1). Patients with GK complicated with the stroke were divided into 2 groups using envelopes for the comparative evaluation of the effectiveness of two types of antihypertensive tearpii (Adalat and Enap). In the main group included 30 patients who were treated with intravenous 5 mg Adalat (50 ml) in order to relieve GK complicated by stroke. Of these, 17 men and 13 women. The groups were evaluated by the following indicators: blood pressure monitoring, ECG monitoring around the clock, monitoring indicators of central and peripheral hemodynamics, doppler ultrasound of neck vessels and brain vessels.ЦСль Ρ€Π°Π±ΠΎΡ‚Ρ‹: ΠΈΠ·ΡƒΡ‡ΠΈΡ‚ΡŒ Π³ΠΈΠΏΠΎΡ‚Π΅Π½Π·ΠΈΠ²Π½Ρ‹ΠΉ (Π°Π½Ρ‚ΡˆΠΏΠ΅Ρ€Ρ‚Π΅Π½Π·ΠΈΠ²Π½Ρ‹ΠΉ)эффСкт Π²Π½ΡƒΡ‚Ρ€ΠΈΠ²Π΅Π½Π½ΠΎΠΉ Ρ„ΠΎΡ€ΠΌΡ‹ Π°Π΄Π°Π»Π°Ρ‚Π° (антагонист ΠΊΠ°Π»ΡŒΡ†ΠΈΡ -Π΄ΠΈΠ³ΠΈΠ΄Ρ€ΠΎΠΏΠΈΡ€ΠΈΠ΄ΠΈΠ½ΠΎΠ²Ρ‹ΠΉ ряд) Ρƒ Π±ΠΎΠ»ΡŒΠ½Ρ‹Ρ… с Π“Πš ослоТнСнный ОНМК ΠΏΠΎ гСмморагичСскому Ρ‚ΠΈΠΏΡƒ. ΠœΠ°Ρ‚Π΅Ρ€ΠΈΠ°Π»Ρ‹ ΠΈ ΠΌΠ΅Ρ‚ΠΎΠ΄Ρ‹: Π² исслСдованиС Π²ΠΊΠ»ΡŽΡ‡Π΅Π½Π½Ρ‹Π΅ ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚Ρ‹ с Π΄ΠΈΠ°Π³Π½ΠΎΠ·ΠΎΠΌ Π“Πš ослоТнСнный ОНМК, ΠΎΠ½ΠΈ ΠΏΠΎΠ»ΡƒΡ‡Π°Π»ΠΈ Ρ‚Π΅Ρ€Π°ΠΏΠΈΡŽ Π²Π½ΡƒΡ‚Ρ€ΠΈΠ²Π΅Π½Π½ΠΎΠΉ Ρ„ΠΎΡ€ΠΌΠΎΠΉ Π°Π΄Π°Π»Π°Ρ‚Π° (Π΄ΠΈΠ³ΠΈΠ΄Ρ€ΠΎΠΏΠΈΡ€ΠΈΠ΄ΠΈΠ½ΠΎΠ²Ρ‹ΠΉ антагонист ΠΊΠ°Π»ΡŒΡ†ΠΈΡ) ΠΈ Π·Π½Π°Π»Π° Набранная Π³Ρ€ΡƒΠΏΠΏΠ° составила 61 Ρ‡Π΅Π»ΠΎΠ²Π΅ΠΊ (срСдний возраст 57-6,1). ΠŸΠ°Ρ†ΠΈΠ΅Π½Ρ‚Ρ‹ с ослоТнСнным Π“Πš Π² Π²ΠΈΠ΄Π΅ ОНМК Π±Ρ‹Π»ΠΈ Ρ€Π°Π·Π΄Π΅Π»Π΅Π½Ρ‹ Π½Π° 2 Π³Ρ€ΡƒΠΏΠΏΡ‹ ΠΌΠ΅Ρ‚ΠΎΠ΄ΠΎΠΌ ΠΊΠΎΠ½Π²Π΅Ρ€Ρ‚ΠΎΠ² для ΡΡ€Π°Π²Π½ΠΈΡ‚Π΅Π»ΡŒΠ½ΠΎΠΉ ΠΎΡ†Π΅Π½ΠΊΠΈ эффСктивности Π΄Π²ΡƒΡ… Π²ΠΈΠ΄ΠΎΠ² Π³ΠΈΠΏΠΎΡ‚Π΅Π½Π·ΠΈΠ²Π½ΠΎΠΉ Ρ‚Π΅Π°Ρ€ΠΏΠΈΠΈ (Π°Π΄Π°Π»Π°Ρ‚Π° ΠΈ энапа). Π’ ΠΎΡΠ½ΠΎΠ²Π½ΡƒΡŽ Π³Ρ€ΡƒΠΏΠΏΡƒ вошли 30 Π±ΠΎΠ»ΡŒΠ½Ρ‹Ρ…, ΠΊΠΎΡ‚ΠΎΡ€Ρ‹Π΅ ΠΏΠΎΠ»ΡƒΡ‡Π°Π»ΠΈ Ρ‚Π΅Ρ€Π°ΠΏΠΈΡŽ Π²Π½ΡƒΡ‚Ρ€ΠΈΠ²Π΅Π½Π½Ρ‹ΠΌ Π°Π΄Π°Π»Π°Ρ‚ΠΎΠΌ 5 ΠΌΠ³ (50 ΠΌΠ») с Ρ†Π΅Π»ΡŒΡŽ купирования Π“Πš ослоТнСнного ОНМК. Из Π½ΠΈΡ… 17 ΠΌΡƒΠΆΡ‡ΠΈΠ½ ΠΈ 13 ΠΆΠ΅Π½Ρ‰ΠΈΠ½. Π’ Π³Ρ€ΡƒΠΏΠΏΠ°Ρ… Π±Ρ‹Π»ΠΈ ΠΎΡ†Π΅Π½Π΅Π½Ρ‹ ΡΠ»Π΅Π΄ΡƒΡŽΡ‰ΠΈΠ΅ ΠΏΠΎΠΊΠ°Π·Π°Ρ‚Π΅Π»ΠΈ: ΠΌΠΎΠ½ΠΈΡ‚ΠΎΡ€ΠΈΡ€ΠΎΠ²Π°Π½ΠΈΠ΅ АД крутосуточноС ΠΌΠΎΠ½ΠΈΡ‚ΠΎΡ€ΠΈΡ€ΠΎΠ²Π°Π½ΠΈΠ΅ Π­ΠšΠ“, ΠΌΠΎΠ½ΠΈΡ‚ΠΎΡ€ΠΈΡ€ΠΎΠ²Π°Π½ΠΈΠ΅ ΠΏΠΎΠΊΠ°Π·Π°Ρ‚Π΅Π»Π΅ΠΉ Ρ†Π΅Π½Ρ‚Ρ€Π°Π»ΡŒΠ½ΠΎΠΉ ΠΈ пСрифСричСской Π³Π΅ΠΌΠΎΠ΄ΠΈΠ½Π°ΠΌΠΈΠΊΠΈ, Π£Π—Π”Π“ сосудов шСи ΠΈ Π³ΠΎΠ»ΠΎΠ²Π½ΠΎΠ³ΠΎ ΠΌΠΎΠ·Π³Π°

    Comparative analysis of von wiliebrand factor and brain natriuretic peptide in patients with acute coronary syndrome

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    The aim of our study was to investigate the dynamics of changes in biomarkers von Wiliebrand factor, BNP in patients with ACS without ST-segment elevation and with ST-segment elevation, including patirnts with percutaneous coronary intervention (PCI). The study included 207 patients, including 124 men and 83 women. According to the results of investigation is we concluded that the definition of the FIB, BNP, is essential for the correct therapy and to determine the prognosis.ЦСлью нашСго исслСдования являлось ΠΈΠ·ΡƒΡ‡Π΅Π½ΠΈΠ΅ Π΄ΠΈΠ½Π°ΠΌΠΈΠΊΠΈ измСнСния Π±ΠΈΠΎΠΌΠ°Ρ€ΠΊΠ΅Ρ€ΠΎΠ² Ρ„Π’6, МНУП Ρƒ Π±ΠΎΠ»ΡŒΠ½Ρ‹Ρ… с ОКБ Π±Π΅Π· подъСма сСгмСнта ST ΠΈ с подъСмом сСгмСнта ST, Π² Ρ‚ΠΎΠΌ числС ΠΏΠΎΠ΄Π²Π΅Ρ€Π³Π°ΡŽΡ‰ΠΈΡ…ΡΡ чрСскоТным ΠΊΠΎΡ€ΠΎΠ½Π°Ρ€Π½Ρ‹ΠΌ Π²ΠΌΠ΅ΡˆΠ°Ρ‚Π΅Π»ΡŒΡΡ‚Π²Π°ΠΌ (Π§ΠšΠ’). Π’ исслСдованиС Π±Ρ‹Π»ΠΈ Π²ΠΊΠ»ΡŽΡ‡Π΅Π½Ρ‹ 207 Π±ΠΎΠ»ΡŒΠ½Ρ‹Ρ…, ΠΈΠ· Π½ΠΈΡ… 124 ΠΌΡƒΠΆΡ‡ΠΈΠ½Ρ‹ ΠΈ 83 ΠΆΠ΅Π½Ρ‰ΠΈΠ½Ρ‹. По Ρ€Π΅Π·ΡƒΠ»ΡŒΡ‚Π°Ρ‚Π°ΠΌ исслСдования ΠΌΡ‹ сдСлали Π²Ρ‹Π²ΠΎΠ΄ Ρ‡Ρ‚ΠΎ ΠΎΠΏΡ€Π΅Π΄Π΅Π»Π΅Π½ΠΈΠ΅ Ρ„Π’6, МНУП, ΠΈΠΌΠ΅Π΅Ρ‚ Π²Π°ΠΆΠ½ΠΎΠ΅ Π·Π½Π°Ρ‡Π΅Π½ΠΈΠ΅ для ΠΊΠΎΡ€Ρ€Π΅ΠΊΡ†ΠΈΠΈ Ρ‚Π΅Ρ€Π°ΠΏΠΈΠΈ, Π° Ρ‚Π°ΠΊΠΆΠ΅ для опрСдСлСния ΠΏΡ€ΠΎΠ³Π½ΠΎΠ·Π°

    Experience of application ivabradine at patients with astable stenocardia in the combination to the metabolic syndrome

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    Aim: to estimate efficiency of application ivabradine at patients with an astable stenocardia in a combination to a metabolic syndrome in the presence of hyperdynamic type of blood circulation. 90 patients have been included in research with established diagnosis an astable stenocardia. Haemodynamics type evaluated by integrated rheovasography method with β€˜Diamant M’ device. Conclusions: 1. Ivabradine it is represented a perspective drug for the control of frequency of heart rate at patients with an astable stenocardia in a combination to a metabolic syndrome in the presence of hyperdynamic type of blood circulation. 2. The combination p-blockers with ivabradine allows to lower a dose p-blockers for achievement of optimum frequency of heart rate.ЦСль Ρ€Π°Π±ΠΎΡ‚Ρ‹: ΠΎΡ†Π΅Π½ΠΈΡ‚ΡŒ ΡΡ„Ρ„Π΅ΠΊΡ‚ΠΈΠ²Π½ΠΎΡΡ‚ΡŒ примСнСния ΠΈΠ²Π°Π±Ρ€Π°Π΄ΠΈΠ½Π° Ρƒ Π±ΠΎΠ»ΡŒΠ½Ρ‹Ρ… Π˜Π‘Π‘ Π½Π΅ΡΡ‚Π°Π±ΠΈΠ»ΡŒΠ½ΠΎΠΉ стСнокардиСй Π² сочСтании с мСтаболичСским синдромом ΠΏΡ€ΠΈ Π½Π°Π»ΠΈΡ‡ΠΈΠΈ гипСрдинамичСского Ρ‚ΠΈΠΏΠ° кровообращСния. Π’ исслСдованиС Π±Ρ‹Π»ΠΈ Π²ΠΊΠ»ΡŽΡ‡Π΅Π½Ρ‹ 90 ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚ΠΎΠ² с установлСнным Π΄ΠΈΠ°Π³Π½ΠΎΠ·ΠΎΠΌ Π˜Π‘Π‘ Π½Π΅ΡΡ‚Π°Π±ΠΈΠ»ΡŒΠ½Π°Ρ стСнокардия. Π£ ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚ΠΎΠ² опрСдСлялся Ρ‚ΠΈΠΏ Π³Π΅ΠΌΠΎΠ΄ΠΈΠ½Π°ΠΌΠΈΠΊΠΈ ΠΌΠ΅Ρ‚ΠΎΠ΄ΠΎΠΌ ΠΈΠ½Ρ‚Π΅Π³Ρ€Π°Π»ΡŒΠ½ΠΎΠΉ Ρ€Π΅ΠΎΠ²Π°Π·ΠΎΠ³Ρ€Π°Ρ„ΠΈΠΈ Π°ΠΏΠΏΠ°Ρ€Π°Ρ‚ΠΎΠΌ Β«Π”ΠΈΠ°ΠΌΠ°Π½Ρ‚-М». Π’Ρ‹Π²ΠΎΠ΄Ρ‹: 1. Π˜Π²Π°Π±Ρ€Π°Π΄ΠΈΠ½ прСдставляСтся пСрспСктивным ΠΏΡ€Π΅ΠΏΠ°Ρ€Π°Ρ‚ΠΎΠΌ для контроля частоты сСрдСчных сокращСний Ρƒ ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚ΠΎΠ² с Π˜Π‘Π‘ Π½Π΅ΡΡ‚Π°Π±ΠΈΠ»ΡŒΠ½ΠΎΠΉ стСнокардиСй Π² сочСтании с мСтаболичСским синдромом ΠΏΡ€ΠΈ Π½Π°Π»ΠΈΡ‡ΠΈΠΈ гипСрдинамичСского Ρ‚ΠΈΠΏΠ° кровообращСния. 2. Π‘ΠΎΡ‡Π΅Ρ‚Π°Π½ΠΈΠ΅ p-Π°Π΄Ρ€Π΅Π½ΠΎΠ±Π»ΠΎΠΊΠ°Ρ‚ΠΎΡ€Π° с ΠΈΠ²Π°Π±Ρ€Π°Π΄ΠΈΠ½ΠΎΠΌ позволяСт ΡΠ½ΠΈΠ·ΠΈΡ‚ΡŒ Π΄ΠΎΠ·Ρƒ p-Π°Π΄Ρ€Π΅Π½ΠΎΠ±Π»ΠΎΠΊΠ°Ρ‚ΠΎΡ€Π° для достиТСния ΠΎΠΏΡ‚ΠΈΠΌΠ°Π»ΡŒΠ½ΠΎΠΉ частоты сСрдСчных сокращСний

    Dietology elective course as an element of implementing a healthy way of life for prospective physicians

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    The article presents the results of mastering the dietology elective course by 6-year students of the faculty of general medicine.Π’ ΡΡ‚Π°Ρ‚ΡŒΠ΅ прСдставлСн Π°Π½Π°Π»ΠΈΠ· Ρ€Π΅Π·ΡƒΠ»ΡŒΡ‚Π°Ρ‚ΠΎΠ² освоСния ΠΏΡ€ΠΎΠ³Ρ€Π°ΠΌΠΌΡ‹ элСктива ΠΏΠΎ Π΄ΠΈΠ΅Ρ‚ΠΎΠ»ΠΎΠ³ΠΈΠΈ студСнтами 6 курса Π»Π΅Ρ‡Π΅Π±Π½ΠΎ-профилактичСского Ρ„Π°ΠΊΡƒΠ»ΡŒΡ‚Π΅Ρ‚

    Assessment of the professional competence of the 5- and 6-year studentsof the faculty of general medicine in the course of studying hospital therapy

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    The article presents the results of the analysis of mastering the professional competencies of 5- and 6-year students of the faculty of general medicine for the period from 2016 to 2018.Π’ ΡΡ‚Π°Ρ‚ΡŒΠ΅ прСдставлСны Ρ€Π΅Π·ΡƒΠ»ΡŒΡ‚Π°Ρ‚Ρ‹ Π°Π½Π°Π»ΠΈΠ·Π° овладСния ΠΏΡ€ΠΎΡ„Π΅ΡΡΠΈΠΎΠ½Π°Π»ΡŒΠ½Ρ‹ΠΌΠΈ компСтСнциями студСнтов 5-6 курсов Π»Π΅Ρ‡Π΅Π±Π½ΠΎ-профилактичСского Ρ„Π°ΠΊΡƒΠ»ΡŒΡ‚Π΅Ρ‚Π° Π·Π° ΠΏΠ΅Ρ€ΠΈΠΎΠ΄ с 2016 ΠΏΠΎ 2018 Π³Π³

    Department of hospital therapy and emergency medical care β€” 60 years of tradition and innovation

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    The article briefly highlights the main milestones of development of the Department of Hospital Therapy and Emergency Medical Π‘are for 60 years since its foundation. Attention is paid to the continuity of the traditions of innovative medical science and education development in the framework of the main mission of the Ural State Medical University.Π’ ΡΡ‚Π°Ρ‚ΡŒΠ΅ ΠΊΡ€Π°Ρ‚ΠΊΠΎ освСщСны основныС этапы становлСния ΠΈ развития ΠΊΠ°Ρ„Π΅Π΄Ρ€Ρ‹ Π³ΠΎΡΠΏΠΈΡ‚Π°Π»ΡŒΠ½ΠΎΠΉ Ρ‚Π΅Ρ€Π°ΠΏΠΈΠΈ ΠΈ скорой мСдицинской ΠΏΠΎΠΌΠΎΡ‰ΠΈ Π² Ρ‚Π΅Ρ‡Π΅Π½ΠΈΠ΅ 60 Π»Π΅Ρ‚ с ΠΌΠΎΠΌΠ΅Π½Ρ‚Π° создания. Π£Π΄Π΅Π»Π΅Π½ΠΎ Π²Π½ΠΈΠΌΠ°Π½ΠΈΠ΅ прССмствСнности традициям ΠΈΠ½Π½ΠΎΠ²Π°Ρ†ΠΈΠΎΠ½Π½ΠΎΠ³ΠΎ развития мСдицинской Π½Π°ΡƒΠΊΠΈ ΠΈ образования Π² Ρ€Π°ΠΌΠΊΠ°Ρ… Ρ€Π΅Π°Π»ΠΈΠ·Π°Ρ†ΠΈΠΈ основной миссии Π£Ρ€Π°Π»ΡŒΡΠΊΠΎΠ³ΠΎ государствСнного мСдицинского унивСрситСта

    The introduction of score-rating system of evaluating achievements of students on discipline "hospital therapy"

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    The article presents the score-rating system of evaluation of achievements of students in the department of hospital therapy.Π’ ΡΡ‚Π°Ρ‚ΡŒΠ΅ прСдставлСна балльно-рСйтинговая систСма ΠΎΡ†Π΅Π½ΠΊΠΈ достиТСний студСнтов Π½Π° ΠΊΠ°Ρ„Π΅Π΄Ρ€Π΅ Π³ΠΎΡΠΏΠΈΡ‚Π°Π»ΡŒΠ½ΠΎΠΉ Ρ‚Π΅Ρ€Π°ΠΏΠΈΠΈ
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