Archive of Clinical Medicine
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Peculiarities of Echocardiographic Examination in Infants with Aortic Stenosis
No full textAnalysis of the basic echocardiographic parameters in infants with aortic stenosis of Ivano-Frankivsk region was performed. The basic anatomical and hemodynamic peculiarities of aortic stenosis at valvular, subvalvular and supravalvular levels were determined. The most common form of aortic stenosis is valvular stenosis which accounts for 70% of all congenital heart disease and can be combined with different anatomic variants of commissural fusion, dysplasia of valve cusp, and hypoplasia of the aortic valve ring. 59 children with aortic stenosis under one year old were examined. Depending on the severity of aortic stenosis the children were divided into the following groups: 45.9% of cases were diagnosed with mild aortic stenosis, 23.7% of cases were diagnosed with moderate aortic stenosis, severe aortic stenosis was registered in 13.5% of cases and critical aortic stenosis was seen in 16.9% of cases. Basic echocardiographic parameters were defined. They included end diastolic volume index, ejection fraction, the Tei index, left ventricular mass index and pressure gradients across the aortic valve. As a result of dynamic monitoring of patients with different degrees of aortic stenosis the changes in basic echocardiographic parameters were defined and high sensitiveness and informativeness of Tei index for determining optimum further management of children with aortic stenosis were proved.
Experience in Generation of Practical Skills at First Medical Aid and Conduction of Treatment-Evacuative Measures at Head and Neck Surgery Courses
No full textoai:ojs.ifnmujournal.com:article/182The article highlights the actuality of education of first medical aid basics at battlefield in the current context. Experience of skills formation concerning first medical aid to injured people at battlefield was provided as well as the conduction of treatment-evacuation measures in the current context during thematic advanced training in head and neck surgery. Importance of traditional teaching approaches and modern teaching technologies was shown
Estimating of Cells Processes in Endometrial Hyperplasia in Women with Extragenital Pathology
No full textChanges at the cellular and subcellular levels evolving in hyperplastic endometrium in women with extragenital pathology were estimated. This enabled further evaluation of the treatment efficacy. The study involved 105 women with endometrial hyperplasia and extragenital pathology in perimenopausal period. Diagnostics included general clinical examinations, the study of sex and gonadotropic hormones levels in blood serum, lipid and carbohydrate metabolism indices, transabdominal and transvaginal sonography, endoscopic examination using “Karl Storz” heteroscope and endometrial biopsy with followed histological examination of tissues from uterus cavity. The activity of intracellular ATP transport system of endoplasmic reticulum of endometrial cells was assessed according to the difference of inorganic phosphorus content determined by Fiske-Subbarow method.Results revealed the presence of correlation between histopathological characteristics of endometrium and changes of Ca2+, Mg2+ - ATP-activity of endoplasmic reticulum in the application of progestogens in women with endometrial hyperplasia. The highest level of Ca2+, Mg2+ - ATP-activity was determined in cases of atypical endometrial hyperplasia. The activity of these indicators decreased in the following sequence: focal adenomatosis, nonatypical complex hyperplasia, simple nonatypical hyperplasia, endometrial polyps, phase of proliferation and secretion. Presence of glandular component in polyps was characterized by increase in Ca2 +, Mg2 + - ATP activity, the presence of fibrous component was accompanied by their decrease. Therefore, reduction of Ca2+, Mg2+ - ATP-activity and positive morphological transformation of the endometrium during progestin therapy in women with endometrial hyperplasia indicate the efficacy and can be considered as prognostic criteria
Hemochromatosis and Hemosiderosis in Children
No full textHemochromatosis involves the group of diseases of different etiology and morphological features of affected organs. Hemochromatosis is usually inherited; however, it can also develop secondary to various diseases. In this case, the accumulation of iron in parenchymal organs in the form of hemosiderin leading to disruption of their structure and function is typical. An early or preclinical diagnosis of the disease is of great importance for its prognosis as in case of untimely diagnosis significant abnormalities in various organs and systems are observed.
Interactive study as a method of cooperative groups studying “Orthodontics” at the ІV course of Faculty of Dentistry according to Credit-Modular System
No full textInteractive education is a special form of teaching that provides the best conditions for intellectual growth and success of the students. The management of the interactive education includes formation of clinical situations, role games, resolution of the problems based on analysis of clinical situations. The method of cooperative groups is a part of interactive education. We have introduced the method of cooperative groups as part of the lesson “Final module control № 2” for students of ІV course at the faculty of dentistry in order to improve knowledge consolidation in “Orthodontics”. The conduction of the final module control by such method also enables to assess the student’s knowledge gained during the semester as well as develop clinical approach. The results of interactive technologies using method of cooperative groups at the Department of Pediatric Dentistry demonstrated the increase in students’ motivation to study and revise the topics of final module control, increase in the level of the material awareness, formation of communication skills, the ability to develop the questions, correct the colleagues regarding the issues of treatment or diagnosis, mastering of practical skills and as a result improvement of professional aptitude. Therefore, we can assume that implementation of different technologies of cooperative education is essential in professional training of the future dentists.
Survey of Indian students in IFNMU. The nutritional status of medical students
No full textThe survey of 56 Indian students being in 2nd - 6th year of study was made.The objective of the research was to estimate the nutritional status of medical students. Traditional Indian cuisine is full of an array of hot spices. Different climate in our countries causes different water intake regimes. The students may not always develop healthy eating habits.Conclusions. 35 (62.5%) students consumed a lot of spicy foods. Spicy food was considered to be the main cause of gastrointestinal disorders in 16 (28.57%) students, 17 (30.36 %) students suffered from heartburn, 6 (10.71 %) students developed an epigastric pain, regurgitation of gastric contents was detected in 3 (5.36 %) students, and 4 (7.14 %) students were diagnosed with late epigastric pain. Dull pain and heaviness in the upper abdomen were registered in 3 (5.36) students, flatulence was detected in 9 (16.07%) students, and 9 (16.07 %) students had chronic gastrointestinal diseases in the past.
Effectiveness of Complex Treatment of Patients with Chronic Heart Failure Taking into Account Immune System Condition
No full textIn order to evaluate glutargin and imunofan efficiency the changes of clinical manifestations and parameters of cellular and humoral immunity, oxidation-reduction processes, metabolic intoxication depending on CHF stage were studied in 96 patients suffering from arterial hypertension with chronic heart failure (CHF). Secondary immunodeficiency, activation of lipid peroxidation and metabolic intoxication increasing with CHF stage developed in patients with FC III CHF at stage II A and FC IV at stage II B according to NYHA. The use of glutargin and imunofan in complex treatment of the patients with CHF improves the effectiveness of treatment, the cellular and humoral immunity indices, reduces secondary immunodeficiency and metabolic intoxication
Study of Quality of Life in Patients Who Underwent Surgery for Chronic Pancreatitis Complicated by Biliary Hypertension
No full textIn 2009-2015, 127 patients with complicated forms of chronic pancreatitis (CP) underwent surgical treatment at the department of general surgery of the Ivano-Frankivsk Regional Clinical Hospital. Chronic pancreatitis was accompanied by biliary hypertension in 39 (30.7%) patients. In 14 (11.1%) patients biliary hypertension was combined with chronic duodenal obstruction (CDO) and in 4 (3.1%) patients a combination of BH + CDO and local venous hypertension (VH) of the vessels in pancreatobiliary area was found. There were 36 (92.3%) men and 3 (7.7%) women at the age of 21 to 60 years. Remote results of surgical treatment were assessed when examining patients, performing USG, and filling out the Medical Outcome Study 36-Item Short Form Health Survey (SF-36). All patients with CP complicated by BH underwent surgery. 5 (12.8 %) patients underwent the Whipple resection, 11 (28.3 %) patients underwent the Frey’s procedure, in 2 (5.1 %) patients the Berne modification of Beger procedure was performed, in 8 (20.5 %) patients longitudinal pancreaticojejunostomy was performed, 7 (17.9 %) patients underwent endoscopic intervention of the main pancreatic duct (in 2 patients endoscopic cystoduodenostomy was performed and 5 patients underwent transpapillary intervention of bile ducts and the main pancreatic duct), biliodigestive anastomoses were applied to 2 (5.1 %) patients and cystenterostomy was performed in 3 (7.7 %) patients. Quality of life was traced in 24 (61.5 %) patients during the period from six month to 5 years after surgery. The lowest indicators of quality of life were found among the patients who underwent endoscopic interventions. Surgical resection of the pancreas in CP and BH (the Frey’s procedure, the Berne modification, and pancreaticoduodenal resection) were accompanied by better indicators of quality of life in the remote postoperative period in comparison with drainage operations (including endoscopic ones), which did not eliminate the morphological substrate of the disease and did not prevent the progression of the disease. To obtain good remote results of surgical treatment of patients with CP complicated by BH and improve their quality of life, it is necessary to conduct complete pre-surgery examination of patients, assess the intraoperational situation adequately and select surgical procedure according to individual indicators
Treatment of Edema Syndrome in Patients with Chronic Cor Pulmonale
No full text66 patients with chronic cor pulmonale and edema syndrome received torasemide. Additionally, the main group (21 patients) received angiotensin II receptor antagonist - irbesartan. Hemodynamic parameters, parameters of ventilation and renin-angiotensin-aldosterone system as well as dynamics of cyclic nucleotides and endothelin-1 were investigated. More pronounced positive clinical and laboratory changes resulting in edema syndrome and recovery of myocardial function were observed in the main group of patients who received torasemide and irbesartan compared to the comparison group
Clinical Peculiarities of Recurrent and Chronic Bronchitis in Children (Part 2)
No full textCase history features and description of objective changes in children with bronchopulmonary diseases were the subject of the research. Case history features in children with chronic and recurrent bronchitis were studied in detail. It was shown that ineffectiveness of outpatient treatment with the need for hospitalization occurred in 60-80% of cases, antibiotic therapy inefficiency with the need for anti-infective drugs change was in one third of patients at previous stages of the disease. Extragenital pathologies in mothers (ARVI during pregnancy, anemia of pregnancy, TORCH infections, smoking and taking medication, amniotic fluid contamination), complicated perinatal period (asphyxia during delivery, chronic intrauterine hypoxia, pneumonia of newborn), delivery pathologies (Cesarean section, poor uterine contraction strength, premature rupture of membrane and CNS perinatal affection) were indicated to be the risk factors for the development of bronchopulmonary diseases in children. The main characteristics of anthropometric measurements, objective changes in children with bronchopulmonary disease were identified with defining of basic diagnostic criteria for each nosology