Mallignant ischemic stroke: clinical and biochemical features of diagnosis DOI Creative Commons

N. V. Gluschenkova,

Oleg G. Sarkisian, З. А. Гончарова

и другие.

South Russian Journal of Therapeutic Practice, Год журнала: 2023, Номер 4(2), С. 35 - 45

Опубликована: Июль 4, 2023

Ischemic stroke (IS) remains the most common neurological pathology [1,2] and can manifest itself in form of malignant ischemic (MIS), leading not only to severe disability patient, but life-threatening conditions [3,4]. Malignant is one formidable manifestations stroke, threatening working population likelihood death without appointment timely therapy. Diagnosis:“Malignant stroke” occur no earlier than 12-24 hours, during which time irreversible changes brain may occur, accompanied by its pronounced edema, with threat subsequent herniation, therefore, adequate therapy necessary as soon possible [5,6] . Taking into account peculiarities course disease, there a need search for predictors MIS. In order predict consequences, above literature review, we consider modern approaches diagnosing stroke. The analysis data allows us determine some clinical laboratory development methods assessing severity Various possibilities using studied markers purpose practical use early diagnosis MIS are considered. Based on data, diagnostics were analyzed prescribe before onset brain.

Язык: Английский

Antihypertensive therapy in pregnant women with chronic hypertension DOI Creative Commons
В. С. Чулков, Е. С. Николенко, V. D. Nikolaeva

и другие.

Meditsinskiy sovet = Medical Council, Год журнала: 2024, Номер 13, С. 34 - 44

Опубликована: Сен. 1, 2024

Chronic hypertension (CH) complicates the course of pregnancy in 1-2% cases, and it is increasingly common. Compared with normotensive women, women CH have a high risk maternal perinatal complications. Antihypertensive treatment halves severe but does not reduce incidence preeclampsia or serious complications, which may be due to small number observations studies conducted. In addition, affect mortality morbidity fetus and/or newborn, regardless start date antihypertensive therapy. Traditionally used drugs been proven teratogenic, while there an increase frequency congenital malformations associated primarily uncontrolled chronic hypertension. Although prescribing approved agents for all during are effective lowering blood pressure most remains unclear whether optimal drug monotherapy combinations best used. An alternative approach individualize using characteristics characteristics, addition levels (for example, variability), also prognostic value. This review examines current data on pregnant from perspective national international recommendations. Discussion existing unresolved issues can serve as basis personalized management CH.

Язык: Английский

Процитировано

2

The review of the bronchial asthma morbidity in the population of the Russian Federation DOI Creative Commons

E. V. Bystritskaya,

Т. Н. Биличенко

PULMONOLOGIYA, Год журнала: 2022, Номер 32(5), С. 651 - 660

Опубликована: Сен. 21, 2022

According to the World Health Organization (WHO), bronchial asthma (BA) is a major non-communicable disease which affects both adults and children thereby impacts economy. The aim . To analyze morbidity follow-up care in Russia 2019 as compared with 2014. Methods official statistical data of Ministry Federal State Statistics Service (Rosstat) on BA was used. defined class X J45 – J46 (asthma, asthmatic status) according International Classification Diseases Health-Related Problems, 10th revision 1 989 (ICD-10). Results 961.6 2014 1085.0 (+11.4%; p < 0,001) per 100 thousand total population (1,592,596 people). accounted for 2.7% all respiratory diseases (RD) morbidity. were higher than average 4 federal districts (FD) maximum rate Siberian FD (1,185.5 1,507.1 population, respectively). In 2019, decreased among aged 0 14 years, did not change 15 17 years increased adults. highest rates registered North-Western (2,943.7 corresponding age group). 87.1% patients received care. 32.3% people (944.3 population) under number recorded (1,328.3 population), lowest North Caucasian (288.3). Conclusion There an increase from numbers reported adolescents FD. quality medical correlated high coverage

Язык: Английский

Процитировано

11

MOLECULAR MECHANISMS DEFINING APPLICATION OF GLYCINE AND ZINC COMBINATIONIN CORRECTION OF STRESS AND ANXIETY MAIN MANIFESTATIONS DOI Creative Commons
V. N. Shishkova, Yaroslav R. Nartsissov, Viktoriia Titova

и другие.

Pharmacy & Pharmacology, Год журнала: 2022, Номер 10(5), С. 404 - 415

Опубликована: Дек. 11, 2022

The aim of the work was to carry out a systematic analysis molecular mechanisms that determine possibility combined use amino acid glycine and zinc compounds for treatment patients with manifestations stress anxiety. Materials methods. Information retrieval (Scopus, PubMed) library (eLibrary) databases were used as research tools. In some cases, ResearchGate application applied semantic search. generalization references carried on topic, covering period from 2000 present time. Results. It has been shown glycine, along gamma-aminobutyric (GABA), is key neurotransmitter regulates physiological inhibition processes in central nervous system (CNS) by increasing transmembrane conductance specific pentameric ligand-gated ion channels. introduction ions can potentiate opening these receptors their affinity resulting an inhibitory increase CNS neurons. replenishment deficiency important element correction post-stress dysfunction system. A balanced intake essential most people who experience daily effects multiple stresses This combination especially useful experiencing state chronic psycho-emotional maladaptation, including those have difficulty falling asleep. Conclusion. maintenance concentration body healthy person leads development stable anti-anxiety effect, which accompanied normalization sleep-wake rhythm, makes it possible good rest without any loss working efficiency after waking up.

Язык: Английский

Процитировано

10

Strategy for the management and prevention of psycho-emotional disorders in the GP’s practice DOI Creative Commons
V. N. Shishkova

Meditsinskiy sovet = Medical Council, Год журнала: 2023, Номер 6, С. 76 - 82

Опубликована: Май 4, 2023

Psycho-emotional disorders, such as anxiety acute and chronic stress, are significant risk factors for the development complicated course of both major cardiovascular other common non-communicable diseases. The psycho-emotional disorders significantly reduce patients’ motivation adherence to lifestyle changes drug therapy, worse quality life, increase disability healthcare system expenditures. topicality issues diagnosis management in general practitioner’s practice is caused, on one hand, by high rates these patients with diseases, deterioration life an adverse outcomes, inadequate awareness risks associated sphere status patients. includes pharmacological non-pharmacological treatments. Antidepressants that fall into class selective serotonin or norepinephrine reuptake inhibitors first-line drugs used treatment most discussed. However, prescription requires take account a wide range possible side effects including CVDs. Drugs have fast onsets sedative anti-anxiety action, also known tranquilizers, more widely real-world clinical practice. Tofisopam promising from this group therapeutic cardiological efficacy safety tofisopam been studied numerous studies diseases long-term use drug.

Язык: Английский

Процитировано

5

Psychoemotional stress as a risk factor for the development of noncommunicable diseases DOI
Л. И. Гоманова, Yu. А. Balanova, С. Е. Евстифеева

и другие.

Russian Journal of Preventive Medicine, Год журнала: 2023, Номер 26(8), С. 114 - 114

Опубликована: Янв. 1, 2023

Язык: Английский

Процитировано

5

Anxiety in subjects with cardiovascular disease: Current diagnostic strategies and therapeutic options. A review DOI Creative Commons
V. N. Shishkova

Terapevticheskii arkhiv, Год журнала: 2023, Номер 95(8), С. 710 - 715

Опубликована: Окт. 11, 2023

Anxiety and anxiety disorders are important modifiable risk factors for cardiovascular other common chronic non-communicable diseases complications. significantly reduce the motivation adherence of patients to lifestyle changes drug therapy, worsen quality life, increase disability costs health care system. The issues diagnosis therapy relevant practice physicians cardiologists due high incidence in with diseases, a decrease life an adverse outcomes, also insufficient awareness risks associated psycho-emotional state patients. Therapy includes both non-drug methods. first-line drugs treating most selective serotonin reuptake inhibitors or serotonin-norepinephrine inhibitors. possible side effects these agents should be considered. Sedative anti-anxiety drugs, including non-benzodiazepine tranquilizers, more commonly used. studied from this class therapeutic cardiological is fabomotizole. efficacy safety fabomotizole, long-term use, have been numerous studies wide range disorders.

Язык: Английский

Процитировано

4

Chronic non-communicable diseases and alcohol consumption in the regions of the Russian Federation. Part 1. Morbidity and mortality from cardiovascular diseases DOI
О. Н. Курочкина

Russian Journal of Preventive Medicine, Год журнала: 2024, Номер 27(1), С. 50 - 50

Опубликована: Янв. 1, 2024

Язык: Английский

Процитировано

1

Obesity in the 21st Century. Prevalence, Phenotypes, Course Variants and Consequences DOI Open Access
И. Т. Муркамилов, D. Ymankulov, А. И. Сабирова

и другие.

Bulletin of Science and Practice, Год журнала: 2024, Номер 10(4), С. 268 - 303

Опубликована: Апрель 15, 2024

The review article examines the issues of obesity regarding its prevalence, phenotypes, course and consequences. anatomical, physiological functional features adipose tissue are discussed. “Discussion” section presents authors’ own clinical observations on therapeutic surgical in treatment obesity. Currently, is divided into white, brown beige. White can turn each other through beige stage. volume activity require greater expenditure metabolism oxygen molecules more pronounced women. components extracellular matrix collagen types I, III, V, VI. structure varies depending location, size fat, age, gender, state kidneys, thyroid gland, nature food, energy sleep patterns. With intense work cold exposure, hormone irisin formed skeletal muscles, which promotes transformation white or beige, helps reduce body weight obesity, has a beneficial effect type 2 diabetes mellitus associated diseases. Traditionally, obese individuals metabolically healthy unhealthy based degree metabolic disorders. In visceral lipolysis occurs with high intensity, supports development inflammation. decreased expression adiponectin accelerates atherosclerotic cardiovascular As increases, acquires an inflammatory phenotype, manifested by increased cytokines (interleukin-6, interleukin-1, interleukin-17, tumor necrosis factor-alpha), hyperactivation renin-angiotensin-aldosterone system, as well excessive cell infiltration immune system (leukocytes, neutrophils, T-lymphocytes, monocytes, macrophages). During inflammation tissue, (M1) atherogenic (M4) phenotypes macrophages dominate. morbid number reach up to 50% all cells.

Язык: Английский

Процитировано

1

Detection of overweight and behavioral risk factors for its development within screening DOI
M.S. Kulikova, А. М. Калинина, L. Yu. Drozdova

и другие.

Russian Journal of Preventive Medicine, Год журнала: 2024, Номер 27(9), С. 37 - 37

Опубликована: Янв. 1, 2024

Язык: Английский

Процитировано

1

Individually Perceived Parameters of Residential Infrastructure and Their Relationship with Cardiovascular Risk Factors DOI Open Access
Т. А. Мулерова, T. F. Gaziev, Е. Д. Баздырев

и другие.

Healthcare, Год журнала: 2024, Номер 12(19), С. 2004 - 2004

Опубликована: Окт. 7, 2024

In modern medicine, studies devoted to the assessment of parameters residential infrastructure and population’s attitude towards them have become quite large-scale. Objectives: The aim study was establish associations between individually perceived main modifiable cardiovascular risk factors (hypertension, obesity, lipid carbohydrate metabolism disorders) in one subjects Russian Federation. Methods: epidemiological “Study influence social on chronic non-communicable diseases” started 2015 ended 2023. sample formed by using stratification method based assignment a medical organization. included 1598 respondents aged 35 70 years (491 rural residents). conducted subjective opinions neighborhood environment walkability scale (NEWS) questionnaire, divided into eight scales. Logistic regression analysis used identify factors; odds ratio (OR) 95% confidence interval were evaluated. Results: Individually B, reflecting accessibility facilities, associated with hypertension [OR = 1.33], obesity 1.40], abdominal 1.59]. Elements C, describing streets area, increased likelihood developing 1.42] visceral 1.43]. characteristics represented D that evaluates pedestrian infrastructure, all major (hypertension 1.65], 1.62] 1.82], disorders 1.41] 1.44]). Conclusion: Social various aspects important criteria for determining health. Environmental conditions affect through behavioral patterns shape respondent’s lifestyle. Interventions urban planning—increasing facilities population, pedestrian-friendly environment, improving physical activity resources areas, planning recreation landscaping—can most concept prevention diseases.

Язык: Английский

Процитировано

1