Texas Journal of Medical Science
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    866 research outputs found

    The Role of Metabolic Syndrome in The Nature of Postinfarction Remodeling of The Heart in Patients with Chronic Heart Failure

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    The aim is to study of heart’s structure and hemodynamic indicators according to composition of metabolic syndrome components in the patient with chronic heart failure (CHF)functional class (FC) IIIII. 62 men-patient with cardiosclerosis after heart attack were examined by the way of echocardiography on CHF FC II-III (NYHA). According to metabolic syndrome components they are devided into 3 groups: 1 st group (n=20), patients without signs of metabolic syndrome; 2nd group (n=21) patients with combination of dyslipidemia (DLP), abdominal obesity (AO), arterial hypertenion (AG) and hypertriglyceridemia; 3rd group (n=21) with different combination of dyslipoproteinemia, diabetes and obesity also AG and hypertriglyceridemia. in CHF passed with metabolic syndrome is seen a clear sign of heart’s systolic and diastolic.the presence of metabolic syndrome in CHF also its progressing is the subject to be hypertrophy of left ventricle, breaking the transmitral blood flow, also thickening of barier between ventricles and left ventricle back thicknes

    Studying the C174g Polymorphism of The Il6 Gene in the Formation of Diabetic Foot Syndrome in Patients with Diabetes Mellitus

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    The criteria for risk stratification of the formation of diabetic foot syndrome in patients with diabetes mellitus based on the carriage of the interleukin 6 gene were studied. The clinical group included 96 patients aged 40 to 75 years with diabetes mellitus complicated by diabetic foot syndrome. The control group consisted of 83 healthy individuals. The results obtained by the authors demonstrate that the presence of the C/G genotype of the C174G polymorphism of the IL6 gene has a clear correlation with predisposition to the development of diabetic foot syndrome. In order to effectively prevent the development of diabetic foot syndrome, it is advisable to recommend genotyping of the C174G polymorphism in the IL6 gen

    Pneumonia in Children with Vitamin D Deficiency

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    This article discusses the course of pneumonia in children with vitamin D deficiency. In the article, newborn children and their mothers are taken as example

    Some Aspects of Tuberculous Lung Lesions in Covid Patients

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    A comprehensive analysis of 215 patients with tuberculosis and new coronavirus infection (COVID-19) showed that 40 (18.6%) were referred by anti-tuberculosis institutions, 174 (80.9%) by the general medical network, and one (0.5%) applied for help yourself. Tuberculosis was detected earlier than the COVID-19 attack in 41 (19.1%) cases, specific changes in the lungs were detected simultaneously or later than viral pneumonia in 174 (80.9%)

    Modern Views on The Diagnosis of Orthodontic Patients

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    Orthodontics is a specialized branch of dentistry that focuses on diagnosing and correcting irregularities in tooth and jaw alignment. Over the years, there have been significant advancements in the methods used to diagnose orthodontic patients. Modern orthodontic practices now rely on a variety of approaches to ensure accurate diagnoses. This article explores these modern views on the diagnosis of orthodontic patient

    Features and Clinical Manifestations of Allergy Spread in Children

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    Allergies have become increasingly prevalent among children, posing significant health challenges worldwide. This scientific article explores the features and clinical manifestations of the spread of allergies in children. Drawing upon current research and clinical observations, this study examines the various types of allergies commonly encountered in pediatric populations, including food allergies, respiratory allergies, and atopic dermatitis. The article delves into the underlying mechanisms of allergic reactions, risk factors associated with allergy development, and the impact of allergies on children's physical and psychosocial well-being. Understanding the features and clinical manifestations of allergy spread in children is crucial for early detection, accurate diagnosis, and effective management of allergic condition

    Assessment of Clinical, Biochemical and Hormonal Aspects of Women of Fertile Age with Polycystic Ovary Syndrome

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    Assessment of patient management tactics and the effectiveness of polycystic ovary syndrome (PCOS) therapy, taking into account modern international recommendations. Inadequate assessment of the menstrual cycle without taking into account modern characteristics of the normal menstrual cycle leads to overdiagnosis and, as a result, the appointment of unnecessary therapy. The incidence of PCOS among women of young fertile age with menstrual disorders was 49.5%. Clinical hyperandrogenism of varying severity was detected in all patients with PCOS. The use of microdosed COCs containing drospirenone in the treatment of PCOS in 93% of cases reduces the severity of clinical hyperandrogenism, normalizes the menstrual cycle and improves anxiety indicators by 16.5

    Current Solutions for the Treatment of Patients with Urogenital Candidosis and Evaluation of Clinical and Mycologic Efficacy

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    Objective of the study to determine clinical and mycological efficacy of urogenital candidiasis treatment in dynamics depending on sex and place of residence of patient

    New Coronavirus Infection

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    COVID-19 (from the English Coronavirus disease 2019) is a new epidemic infectious disease characterized by a relatively high contagiousness and the likelihood of developing life-threatening complications in the form of acute respiratory distress syndrome, acute respiratory and multiple organ failure. a retrospective analysis of the incidence, clinical course and treatment of children with COVID-19 who were treated in a specialized hospital for the treatment of patients with coronavirus infection. We conducted a retrospective analysis of the case histories of 86 children of various ages who were hospitalized with a confirmed diagnosis of a new coronavirus infection COVID-19 in September-November 2020. There were 51 (%) boys, 34 (%) girls. Depending on age, patients were divided into 4 groups: up to 1 year - 7 (%), from 1 year to 6 years - 27 (%), from 7 to 12 years - 26 (%) and over 12 years - 26 (% ). Studies have shown that children with mild COVID-19 were treated on an outpatient basis and therefore were not included in the surveyed group. Children with moderate and severe forms of COVID-19 received inpatient treatment, and in our study, patients with moderate course - 57 (66.3%), and a severe course was noted in 29 (33.7%) children

    Surgical Treatment of Plantar Fasciitis After failure of Conservative Treatment

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    Plantar fasciitis is a common problem faced almost daily in our orthopedic clinic, and it is not easy to satisfy patients with a curative treatment in a short period of time; it is characterized by deep pain in the plantar aspect of the heel, particularly on arising from bed, although the pain often subsides after few steps, in some patients the pain will persist for a long period. Aim of the study: To evaluate the result of surgical treatment in cases of plantar fasciitis which are not respond to conservative treatment. Methods: Prospective study was conducted at the Department of Orthopedic Surgery in Al-Kadhemiyah Teaching Hospital from November 2010 to May 2012 to evaluate 50 patients com¬plaining of inferior heel pain. There were 30 females and 20 males; the main presenting symptoms were pain on the inferno-medial aspect of the heel exacerbating by prolongs weight-bearing and in the morning following sleep. The age of the patients is 23-58 years. Bilateral heel pain presented in 10 patients in our series; therefore, the overall number of heels treated in our series was 60 heels. All of the patients were treated first conservatively by rest, anti-inflammatory drugs, and local corticosteroid injection. 13 patients showed no response, so we advised them for surgery; 12 patients out of 13 accepted surgery and were treated by plantar fascial release. Patients with systemic diseases had been excluded from our study. Results: Regarding treatment, 37 patients (74%) respond to conservative treatment, while 13 patients (26%) had no response to conservative treatment. Therefore they were advised to undergo surgery, and 12 of them accepted surgery. Nine patients (75%) undergoing surgery had a good result (pain-free) 17% of patients undergoing surgery in our study showed fair results (pain after heavy exercise), while 8% showed poor results (persistent pain). Per-operative drilling of calcaneum showed to be effective in post-operative heel pain relieve, which may be due to reduced intra-osseous pressure. Regarding complications, 6% showed superficial wound infection, which was treated conservatively by rest and antibiotics for seven days. Post-operative back slab for two weeks is important to decrease post-operative pain and to facilitate soft tissue healin

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