A clinical case of a combination of Covid 19 and bronchiolitis caused by respiratory syncytial virus in a child

The aim of the study - to describe a clinical case of a combination of a new coronavirus infection caused by COVID19 and bronchiolitis caused by respiratory syncytial virus in a childЦель исследования - описание клинического случая сочетания у ребенка новой коронавирусной инфекции, вызванной COVID19 и бронхиолита, вызванного респираторно-синцитиальным вирусо

Clinical and anamnestic characteristics of oocyte donors

The aim of the study - to study the clinical and anamnestic characteristics of women participating in assisted reproductive technology (ART) programs as oocyte donors.Цель исследования - изучить клинические и анамнестические характеристики женщин, участвующих в программах вспомогательных репродуктивных технологий (ВРТ) в качестве доноров ооцито

Attitude of children and adults to the pandemic of coronavirus infection and anti-epidemic measures

The paper presents the results of a questionnaire survey of 140 people (70 parents and 70 children 11-12 years old), on the basis of which awareness was assessed on the prevention of coronavirus infection, changes in attitudes towards quarantine measures over time. The volume of execution of prescribed anti-epidemic measures and the attitude of children and parents to the forced distance learning format were also analyzedВ работе приведены результаты анкетирования 140 человек (70 родителей и 70 детей 11-12 лет), на основании которых проведена оценка осведомлённости по вопросам профилактики коронавирусной инфекции, изменения отношения к карантинным мерам в динамике. Также проанализирован объем исполнения предписанных противоэпидемических мероприятий, и отношение детей и родителей к вынужденному дистанционному формату обучени

The use of combined therapy of iodine, selenium and zinc in the treatment of autoimmune thyroiditis.

The positive results of combined therapy with iodine, selenium and zinc in the treatment of autoimmune thyroiditis are presented.Приведены положительные результаты сочетанной терапии препаратами йода, селена и цинка при лечении аутоиммунного тиреоидита

Morphological characteristics of osteoarthropathy and osteomyelitis in patients with diabetic foot syndrome

The results of histological examination of the tissues of the lower limb segments removed during surgery in 14 patients with diabetic osteoarthropathy complicated by osteomyelitis are presented.Приведены результаты гистологического исследования тканей, удаленных во время операций сегментов нижних конечностей у 14 пациентов с диабетической остеоартропатией, осложненной остеомиелитом

Features of type 2 diabetes mellitus and its pharmacotherapy in outpatients

Background. Type 2 diabetes mellitus (DM) remains the most common type of DM and is associat-ed with disabling complications, reduced quality of life and reduced life expectancy. Satisfactory control of carbohydrate metabolism remains the key way to manage them. Aim. To perform a retrospective analysis of carbohydrate metabolism (in terms of glycated hemoglobin – HbA1c), the prevalence of complications, and features of hypoglycemic and concomitant therapy in patients with type 2 DM. Materials and methods. The analysis of sex and age characteristics, achieved level of HbA1c, diabetes complications, sugar-reducing and concomitant therapy according to the data of outpatient records of the patients who are on dispensary registration with an endocrinologist in the Endocrinology Department of the Consultative and Diagnostic Polyclinic of the Tomsk Regional Clinical Hospital in Tomsk was carried out. Results. 546 outpatient medical records of patients with type 2 DM were analysed, among which there were 39.6% men (n=216) with a history of type 2 DM 8.0 years [3.0; 13.0] , median age 64.0 years [54.5; 71.0] and 60.4% women (n=330), history of type 2 DM 10.0 years [5.0; 15.0], median age 70.0 years [63.0; 75.0]. The achieved HbA1c level in men was 7.6% [6.3; 9.0] and in women 7.4% [6.4; 9.1]. 19.4% of men and 13.6% of women had an aggravated history of type 2 DM. According to the history, 6.5% of men (n=14) and 3% of women (n=10) with type 2 DM had a history of stroke, and myocardial infarction 12% (n=26) and 1.5% (n=5), respectively. Among the analysed outpatient records of type 2 DM patients, 18.5% of men (n=40) and 12.4% of women (n=41) were found to have diabetic nephropathy. Diabetic retinopathy was reported in 9.3% (n=20) of men and 4.2% (n=14) of women. Diabetic macroangiopathies were detected in 29.6% (n=64) of males and 9.7% (n=32) of females. Among other chronic complications of DM, diabetic neuroosteoarthropathy was recorded in 1% (n=2) of males and 3% (n=10) of females, diabetic polyneuropathy in 25% (n=54) and 21.5% (n=71), respectively. Diabetic foot was diagnosed in 1.9% (n=4) of men and 1.8% (n=6) of women. Among comorbid pathology, obesity was diagnosed in 45.4% (n=88) of men and 69.1% (n=228) of women, dyslipidaemia in 10.2% (n=22) and 10.6% (n=35) respectively, hypertension in 39.8% (n=86) and 32.6% (n=108) of cases. The diagnosis of non-alcoholic fatty liver disease was verified in 3.7% of men (n=7) and 1.8% of women (n=6), chronic heart failure in 7.4% of men (n=16) and 2.4% of women (n=8) registered for type 2 DM. According to the analysed outpatient records, 4.1% (n=23) of patients received diet therapy, 48.3% (n=263) received monotherapy and 47.6% (n=260) received combination therapy for type 2 DM. Metformin was the most commonly used monotherapy for type 2 DM 36.1% (n=197), followed by insulin 6.9% (n=38), sulfonylurea derivatives – 2.7% (n=15). Combination of metformin and dipeptidyl peptidase-4 inhibitors (13.9%) was the most commonly used combination therapy. Conclusion. Analysis of the current situation in the diabetology service will help to identify weaknesses and strengths, which is necessary to optimise existing therapeutic approaches in accordance with current clinical recommendations