DOCSLIB.ORG

2020 Университетская Клиника University Clinic

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
2020 Университетская Клиника University Clinic МИНИСТЕРСТВО ЗДРАВООХРАНЕНИЯ ДОНЕЦКОЙ НАРОДНОЙ РЕСПУБЛИКИ ГОСУДАРСТВЕННАЯ ОБРАЗОВАТЕЛЬНАЯ ОРГАНИЗАЦИЯ ВЫСШЕГО ПРОФЕССИОНАЛЬНОГО ОБРАЗОВАНИЯ «ДОНЕЦКИЙ НАЦИОНАЛЬНЫЙ МЕДИЦИНСКИЙ УНИВЕРСИТЕТ ИМЕНИ М. ГОРЬКОГО» научно-практический журнал УНИВЕРСИТЕТСКАЯ КЛИНИКА scientifi c practical journal UNIVERSITY CLINIC № 2 (35), 2020 Главный редактор ISSN 1819-0464 Игнатенко Г.А. Университетская Клиника научно-практический журнал Зам. главного редактора University Clinic Колесников А.Н. scientifi c practical journal Ответственный секретарь № 2 (35), 2020 Смирнов Н.Л. Учредитель журнала Редакционная коллегия ГОО ВПО «Донецкий Абрамов В.А. (Донецк) национальный медицинский Васильев А.А. (Донецк) университет имени М. Горького» Ватутин Н.Т. (Донецк) Джоджуа А.Г. (Донецк) Свидетельсво о регистрации Дубовая А.В. (Донецк) средства массовой информации ААА № 000167 от 16.10.2017 г. Игнатенко Т.С. (Донецк) Клемин В.А. (Донецк) Издатель журнала Коктышев И.В. (Донецк) ГОО ВПО «Донецкий Луцкий И.С. (Донецк) национальный медицинский Налетов С.В. (Донецк) университет имени М. Горького» Оприщенко А.А. (Донецк) Адрес редакции и издателя Чурилов А.В. (Донецк) 83003,г. Донецк, пр. Ильича, 16 Редакционный совет Журнал включен в Перечень рецен- Батюшин М.М. (Ростов-на-Дону) зируемых научных изданий, в кото- Вакуленко И.П. (Донецк) рых должны быть опубликованы Городник Г.А. (Донецк) основные научные результаты дис- сертаций (Приказ МОН ДНР № 1466 Григоренко А.П. (Белгород) от 26.12.2017 г.) Каливраджиян Э.С. (Воронеж) Крутиков Е.С. (Симферополь ) Журнал зарегистрирован и индек- Кувшинов Д.Ю. (Кемерово) сируется в Российском индексе на- Кулемзина Т.В. (Донецк) учного цитирования (РИНЦ), Google Мухин И.В. (Донецк) Scholar, Ulrich's Periodicals Directory, Index Copernicus International (ICI) Обедин А.Н. (Ставрополь) Седаков И.Е. (Донецк) Рекомендовано к изданию Селезнев К.Г. (Донецк) Ученым советом Слепушкин В.Д. (Владикавказ) ГОО ВПО ДОННМУ ИМ. М. ГОРЬКОГО Тотиков В.З. (Владикавказ) Шемонаев В.И. (Волгоград) Подписано в печать 29.05.2020 Формат 60×84/8. Щербинин А.В. (Донецк) Гарнитура PT Serif, PT Sans Тираж 100 экз. Распротраняется бесплатно Отпечатано в типографии ФЛП Кири- енко С.Г. с оригинал-макета заказчи- ка. Свидетельство о государственной регистрации физического лица- предпринимателя № 40160 серия АА02 от 05.12.2014 г. 83014, г. Донецк, пр. Дзержинского, 55/105. Университетская Клиника | 2020, № 2 (35) Содержание Г.А. Игнатенко, С.В. Налётов, С.В. Титиевский, Е.А. Контовский, Е.Н. Кошелева, А.В. Дубовик, Е.Н. Налётова, М.М. Алесинский, О.С. Налётова, Ю.О. Брыжатая Э.Л. Белевцова КОРРЕКЦИЯ ЭНДОТЕЛИАЛЬНОЙ ДИСФУНКЦИИ ОПРОС ПАЦИЕНТОВ КАК СПОСОБ ВЫЯВЛЕНИЯ ФАКТОРОВ, У БОЛЬНЫХ С МИКРОСОСУДИСТОЙ ПРИВОДЯЩИХ К НИЗКОЙ КОМПЛАЕНТНОСТИ СТЕНОКАРДИЕЙ .................................................................................. 60 И РАССТРОЙСТВУ АДАПТАЦИИ У БОЛЬНЫХ ГИПЕРТОНИЧЕСКОЙ БОЛЕЗНЬЮ, ПРОЖИВАЮЩИХ Д.В. Евдокимов, Ю.В. Кузнецов, Ю.В. Сидорова НА ДОНБАССЕ ...................................................................................... 5 ДВОЙСТВЕННЫЕ ТРАНСДУКЦИОННЫЕ ФУНКЦИИ НЕЙРОНАЛЬНЫХ ГЛУТАМАТНЫХ РЕЦЕПТОРОВ Д.В. Вегнер N-МЕТИЛ-D-АСПАРТАТА И ИХ РОЛЬ В ФИЗИОЛОГИИ ТЯЖЕЛАЯ ТРАВМА ГРУДИ.О ПОСЛЕОПЕРАЦИОННОМ И ПАТОЛОГИИ ГОЛОВНОГО МОЗГА ............................................ 67 ДРЕНИРОВАНИИ ПЛЕВРАЛЬНОЙ ПОЛОСТИ .......................... 12 А.Д. Зубов, А.П. Зятьева Е.П. Котелевец АЛЬТЕРНАТИВНЫЙ ВЗГЛЯД НА АКТИВАЦИЮ МОНИТОРИНГ ВИДОВОГО СОСТАВА НЕОПЛАСТИЧЕСКОГО АНГИОГЕНЕЗА В ОПУХОЛЕВОЙ И АНТИБИОТИКОРЕЗИСТЕНТНОСТИ ТКАНИ ....................................................................................................78 ВОЗБУДИТЕЛЕЙ УРОИНФЕКЦИЙ ................................................ 20 Е.А. Шумаева, В.И. Гринчук Г.А. Игнатенко, И.В. Мухин, Т.С. Игнатенко, Н.Ю. Паниева АНАЛИЗ ЗАРУБЕЖНЫХ СИСТЕМ ГОСУДАРСТВЕННОГО ДИНАМИКА КЛИНИКО-ЛАБОРАТОРНЫХПРОЯВЛЕНИЙ ТИ- ОБЯЗАТЕЛЬНОГО МЕДИЦИНСКОГО СТРАХОВАНИЯ ..........84 РОИДНОГО СИНДРОМА У ГИПЕРТЕНЗИВНЫХ БОЛЬНЫХ ПЕРВИЧНЫМ ГИПОТИРЕОЗОМ В.А. Бондаревский-Колотий НА ФОНЕ ЛЕЧЕНИЯ ........................................................................... 25 ИОНИЗИРУЮЩЕЕ ИЗЛУЧЕНИЕ КАК ФАКТОР РАЗВИТИЯ ЛУЧЕВОЙ КАТАРАКТЫ У МЕДИЦИНСКИХ РАБОТНИКОВ О.А. Бешуля (АНАЛИТИЧЕСКИЙ ОБЗОР ЛИТЕРАТУРЫ) ................................ 92 ГЕНДЕРНЫЕ ОСОБЕННОСТИ КОПИНГ-СТРАТЕГИЙ У СТУДЕНЧЕСКОЙ МОЛОДЕЖИ С РАССТРОЙСТВАМИ Е.А. Шумаева, О.В. Гура АДАПТАЦИИ ......................................................................................... 33 АНАЛИЗ ГОСУДАРСТВЕННОЙ ПОЛИТИКИ КОНТРОЛЯ ЗА ОБОРОТОМ ЛЕКАРСТВЕННЫХ СРЕДСТВ Г.А. Игнатенко, И.В. Мухин, Р.А. Джоджуа, В РОССИЙСКОЙ ФЕДЕРАЦИИ ...................................................... 100 А.В. Дубовик, Е.А. Контовский ПРИЧИНЫ СМЕРТИ МОЛОДЫХ БОЛЬНЫХ А.Н. Колесников, А.А. Алексеенко ГЕНЕТИЧЕСКИ ИНДУЦИРОВАННОЙ ОСНОВНЫЕ АСПЕКТЫ ПРОВЕДЕНИЯ АНЕСТЕЗИИ ГИПЕРТОНИЧЕСКОЙ БОЛЕЗНЬЮ ................................................ 39 В ДЕТСКОЙ СТОМАТОЛОГИИ ........................................................ 107 С.Л. Бойко, М.Ю. Сурмач А.В. Коноваленко ИМИДЖ ЗДРАВООХРАНЕНИЯ ЭВОЛЮЦИЯ ДЕФИНИЦИЙ И ДИАГНОСТИКИ СЕПСИСА ГЛАЗАМИ РУКОВОДИТЕЛЯ ............................................................. 44 И РЕАКЦИИ СИСТЕМНОГО ВОСПАЛИТЕЛЬНОГО ОТВЕТА .................................................................................................... 114 Г.А. Игнатенко, И.В. Мухин, К.А. Ступакова, А.В. Дубовик, Е.А. Контовский М.П. Лимаренко, Д.В. Искович ГИПЕРУРИКЕМИЯ У БОЛЬНЫХ ГЕНЕТИЧЕСКИ СИНДРОМ РЕМХЕЛЬДА У ДЕТЕЙ: СОВРЕМЕННЫЙ ВЗГЛЯД ИНДУЦИРОВАННЫМ МЕТАБОЛИЧЕСКИМ НА ДАВНЮЮ ПРОБЛЕМУ ................................................................ 122 СИНДРОМОМ ....................................................................................... 51 Е.В. Корж, Н.А. Подчос, Л.Н. Родимова, И.В. Ермишина И.М. Островский, Е.В. Прохоров, А.В. Налетов, ИДИОПАТИЧЕСКИЙ ЛЕГОЧНЫЙ ФИБРОЗ В М.Ю Нарижный ПРАКТИКЕ ФТИЗИАТРА .................................................................. 127 ОЦЕНКА СОСТОЯНИЯ ЗДОРОВЬЯ ПОДРОСТКОВ В УСЛОВИЯХ ДЛИТЕЛЬНОГО ВОЕННОГО КОНФЛИКТА Л.Ф. Чалая, А.В. Налетов, Д.И. Масюта, О.Н. Москалюк (по данным интернет-анкетирования) ....................................... 57 СИНДРОМ МАРФАНА: СЛУЧАЙ ИЗ ПРАКТИКИ...................... 132 3 Университетская Клиника | 2020, № 2 (35) Э.Ф. Баринов, О.И. Николенко, Е.Д. Крахоткина, Т.И. Фабер И.К. Ельский, Н.Л. Смирнов, А.А. Васильев МЕЖДИСЦИПЛИНАРНАЯ ИНТЕГРАЦИЯ В РЕАЛИЗАЦИИ СОЦИАЛЬНЫЕ СЕТИ В СИСТЕМЕ ВЫСШЕГО КОМПЕТЕНТНОСТНОГО ПОДХОДА В СИСТЕМЕ МЕДИЦИНСКОГО ОБРАЗОВАНИЯ................................................ 145 МЕДИЦИНСКОГО ОБРАЗОВАНИЯ................................................ 135 О.Л. Максименко, Е.А. Статинова, Ю.И. Коценко, С.В. Козуля, С.Е. Балицкий В.С. Сохина, Е.В. Авсянкина ЧАСТНАЯ МЕДИЦИНА КАК СРЕДСТВО ПРОТИВ КОРРУПЦИИ ПОЗНАВАТЕЛЬНАЯ АКТИВНОСТЬ СТУДЕНТОВ В СИСТЕМЕ ЗДРАВООХРАНЕНИЯ ................................................ 140 КАК ОСНОВА ЛИЧНОСТНО-ОРИЕНТИРОВАННОГО ПОДХОДА В ПРОЦЕССЕ ОБУЧЕНИЯ НЕВРОЛОГИИ .............. 149 4 ОРИГИНАЛЬНОЕ ИССЛЕДОВАНИЕ УДК 616.12-008.331.1-085+615.252.349.7 DOI: 10.26435/UC.V0I2(35).437 Г.А. Игнатенко, С.В. Налётов, С.В. Титиевский, Е.Н. Налётова, М.М. Алесинский, О.С. Налётова, Э.Л. Белевцова ГОО ВПО «Донецкий национальный медицинский университет имени М. Горького», Донецк ОПРОС ПАЦИЕНТОВ КАК СПОСОБ ВЫЯВЛЕНИЯ ФАКТОРОВ, ПРИВОДЯЩИХ К НИЗКОЙ КОМПЛАЕНТНОСТИ И РАССТРОЙСТВУ АДАПТАЦИИ У БОЛЬНЫХ ГИПЕРТОНИЧЕСКОЙ БОЛЕЗНЬЮ, ПРОЖИВАЮЩИХ НА ДОНБАССЕ В настоящее время депрессия рассматрива- Выявление факторов, влияющих на психиче- ется как независимый фактор риска в патоге- ское здоровье больных ГБ, проживающих в на- нетической цепи сердечно-сосудистых заболе- стоящее время на Донбассе, поможет устано- ваний (ССЗ), а не как вторичная эмоциональная вить у них причины низкой комплаентности и реакция на заболевание. В условиях длительно- развития расстройств адаптации, а это, в свою го воздействия стресса, обусловленного граж- очередь, – определить тактику комплексного ле- данским конфликтом на Донбассе, все чаще на- чения. блюдается ассоциированная патология – гипер- ЦЕЛЬ РАБОТЫ тоническая болезнь (ГБ), сочетанная с расстрой- ством адаптации. Количество таких пациентов Разработать и оценить опросники, позво- продолжает увеличиваться. Само пребывание ляющие выявить факторы, приводящие к низ- в условиях постоянной психической травмы не кой комплаентности и расстройству адаптации может не влиять на психическое здоровье чело- у больных ГБ II стадии, проживающих на Дон- века, что, бесспорно, будет определять течение бассе. и исход ГБ [2, 7]. МАТЕРИАЛ И МЕТОДЫ К сожалению, эффективность лекарственной терапии у больных ГБ, получающих её, как пра- Для реализации поставленной цели первона- вило, невысока. Чаще причина недостаточного чально нами был разработан опросник для выяв- гипотензивного эффекта состоит не в том, ка- ления причин низкой приверженности лечению кие антигипертензивные лекарственные сред- больных, проживающих в условиях граждан- ства (АГЛС) принимает больной, а в том, в какой ского конфликта в 2014-2015 гг. [2, 5, 6]. Опро- степени пациент следует рекомендациям вра- сник содержит 5 основных вопросов, позволяю- ча, т.е., в приверженности лечению – компла- щих выявить причины низкой комплаентности ентности (compliance) [1, 5, 6, 8, 10]. Факторов, больных, проживающих на Донбассе с момента определяющих уровень приверженности лече- начала гражданского конфликта. Вопрос №2 со- нию больных ГБ, много: осознание больным не- держит 3 уточняющих подпункта, позволяющих обходимости лечения, наличие лекарств в апте-
Load more

Recommended publications
  • HANDBOOK of Medicinal Herbs SECOND EDITION
    HANDBOOK OF Medicinal Herbs SECOND EDITION 1284_frame_FM Page 2 Thursday, May 23, 2002 10:53 AM HANDBOOK OF Medicinal Herbs SECOND EDITION James A. Duke with Mary Jo Bogenschutz-Godwin Judi duCellier Peggy-Ann K. Duke CRC PRESS Boca Raton London New York Washington, D.C. Peggy-Ann K. Duke has the copyright to all black and white line and color illustrations. The author would like to express thanks to Nature’s Herbs for the color slides presented in the book. Library of Congress Cataloging-in-Publication Data Duke, James A., 1929- Handbook of medicinal herbs / James A. Duke, with Mary Jo Bogenschutz-Godwin, Judi duCellier, Peggy-Ann K. Duke.-- 2nd ed. p. cm. Previously published: CRC handbook of medicinal herbs. Includes bibliographical references and index. ISBN 0-8493-1284-1 (alk. paper) 1. Medicinal plants. 2. Herbs. 3. Herbals. 4. Traditional medicine. 5. Material medica, Vegetable. I. Duke, James A., 1929- CRC handbook of medicinal herbs. II. Title. [DNLM: 1. Medicine, Herbal. 2. Plants, Medicinal.] QK99.A1 D83 2002 615′.321--dc21 2002017548 This book contains information obtained from authentic and highly regarded sources. Reprinted material is quoted with permission, and sources are indicated. A wide variety of references are listed. Reasonable efforts have been made to publish reliable data and information, but the author and the publisher cannot assume responsibility for the validity of all materials or for the consequences of their use. Neither this book nor any part may be reproduced or transmitted in any form or by any means, electronic or mechanical, including photocopying, microfilming, and recording, or by any information storage or retrieval system, without prior permission in writing from the publisher.
    [Show full text]
  • The Secret Diaries of Hitler's Doctor
    THE SECRET DIARIES OF HITLER’S DOCTOR the secret diaries of hitler’s doctor This edition ISBN ––– Publishers of the various editions of The Secret Diaries of Hitler’s Doctor included Britain: Sidgwick & Jackson, Ltd.; Grafton; Panther Germany: Der Stern; Goldmann Verlag (Bertelsmann AG); Heyne Taschenbuchverlag France: Editions Acropole United States: William Morrow Inc. First Printing Second Printing Electronic Edition Focal Point Edition © Parforce UK Ltd. – An Adobe pdf (Portable Document Format) edition of this book is uploaded onto the FPP website at http://www.fpp.co.uk/books as a tool for students and academics. It can be downloaded for reading and study purposes only, and is not to be commercially distributed in any form. All rights reserved. No part of this publication may be commercially reproduced, copied, or transmitted save with written permission of the author in accordance with the provisions of the Copyright Act (as amended). Any person who does any unauthorised act in relation to this publication may be liable to criminal prosecution and to civil claims for damages. Readers are invited to submit any typographical errors to David Irving by mail at the address below, or via email at [email protected]. Informed comments and corrections on historical points are also welcomed. Focal Point Publications London WJ SE the secret diaries of hitler’s doctor David Irving is the son of a Royal Navy commander. Incompletely educated at Imperial College of Science & Technology and at University College London, he subsequently spent a year in Germany working in a steel mill and perfecting his fluency in the German language.
    [Show full text]
  • Atrial Fibrillation and Gastroesophageal Reflux Disease: Association Mechanisms, Treatment Approaches
    Russian Journal of Cardiology 2019; 24, Additional issue (December) https://russjcardiol.elpub.ru ISSN 1560‑4071 (print) doi:10.15829/1560‑4071‑2019‑7‑103‑109 ISSN 2618‑7620 (online) Atrial fibrillation and gastroesophageal reflux disease: association mechanisms, treatment approaches Antropova O. N., Pyrikova N. V., Osipova I. V. The article is devoted to assessing the relationship of atrial Key words: gastroesophageal reflux disease, proton pump fibrillation (AF) and gastroesophageal reflux disease inhibitors, radiofrequency ablation, atrial fibrillation. (GERD). We studied possible anatomical correlations, com- mon risk factors and mechanisms of AF development in Conflicts of Interest: nothing to declare. patients with gastroesophageal reflux. We demonstrated Altai State Medical University, Barnaul, Russia. the problems of the treatment of such patients, since a number of studies have proved the possibility of using pro- Antropova O. N.* ORCID: 0000-0002-6233-7202, Pyrikova ton pump inhibitors in the treatment of AF. In other cases the N. V. ORCID: 0000-0003-4387-7737, Osipova I. V. ORCID: arrhythmogenic effect of these drugs was obtained. Treat- 0000-0002-6845-6173. ment of AF by catheter ablation most commonly worsens the course of GORD and can lead to the development of *Corresponding author: [email protected] fatal complications. Large-scale prospective researches are needed for further detailed study of AF and GERD asso- Received: 16.04.2019 ciations, as well as tactics for management of these Revision Received: 29.05.2019 patients. Accepted: 06.06.2019 For citation: Antropova O. N., Pyrikova N. V., Osipova I. V. Atrial fibrillation and gastroesophageal reflux disease: association mechanisms, treatment approaches.
    [Show full text]
  • Pocket Guide to Herbal Medicine
    www.ketabdownload.com 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 h www.ketabdownload.com Pocket Guide 1 2 3 to Herbal Medicine 4 5 6 7 8 Karin Kraft, M.D. 9 Professor 10 Outpatient Clinic 11 University of Rostock 12 Germany 13 14 15 Christopher Hobbs, L.Ac., A.H.G. 16 Clinical Herbalist and Acupuncturist in Private Practice 17 Davis, California 18 USA 19 20 21 22 23 24 Foreword by Jonathan Treasure 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 Thieme 50 Stuttgart · New York www.ketabdownload.com Library of Congress Cataloging-in- Important note: Medicine is an ever- Publication Data is available from the changing science undergoing continual publisher development. Research and clinical experi- 1 ence are continually expanding our knowl- 2 edge, in particular our knowledge of proper 3 treatment and drug therapy. Insofar as this book mentions any dosage or application, 4 readers may rest assured that the authors, 5 editors, and publishers have made every 6 effort to ensure that such references are in 7 accordance with the state of knowledge at 8 the time of production of the book. 9 Nevertheless, this does not involve, imply, or express any guarantee or responsibility 10 on the part of the publishers in respect to 11 any dosage instructions and forms of appli- 12 cations stated in the book.
    [Show full text]
  • WO 2017/083750 Al 18 May 20 17 (18.05.2017) W P O P C T
    (12) INTERNATIONAL APPLICATION PUBLISHED UNDER THE PATENT COOPERATION TREATY (PCT) (19) World Intellectual Property Organization International Bureau (10) International Publication Number (43) International Publication Date WO 2017/083750 Al 18 May 20 17 (18.05.2017) W P O P C T (51) International Patent Classification: KW, KZ, LA, LC, LK, LR, LS, LU, LY, MA, MD, ME, C07K 14/52 (2006.01) A61K 48/00 (2006.01) MG, MK, MN, MW, MX, MY, MZ, NA, NG, NI, NO, NZ, A61K 38/16 (2006.01) C12N 15/62 (2006.01) OM, PA, PE, PG, PH, PL, PT, QA, RO, RS, RU, RW, SA, SC, SD, SE, SG, SK, SL, SM, ST, SV, SY, TH, TJ, TM, (21) International Application Number: TN, TR, TT, TZ, UA, UG, US, UZ, VC, VN, ZA, ZM, PCT/US20 16/06 1668 ZW. (22) International Filing Date: (84) Designated States (unless otherwise indicated, for every 11 November 2016 ( 11. 1 1.2016) kind of regional protection available): ARIPO (BW, GH, (25) Filing Language: English GM, KE, LR, LS, MW, MZ, NA, RW, SD, SL, ST, SZ, TZ, UG, ZM, ZW), Eurasian (AM, AZ, BY, KG, KZ, RU, (26) Publication Language: English TJ, TM), European (AL, AT, BE, BG, CH, CY, CZ, DE, (30) Priority Data: DK, EE, ES, FI, FR, GB, GR, HR, HU, IE, IS, IT, LT, LU, 62/254,139 11 November 2015 ( 11. 11.2015) US LV, MC, MK, MT, NL, NO, PL, PT, RO, RS, SE, SI, SK, SM, TR), OAPI (BF, BJ, CF, CG, CI, CM, GA, GN, GQ, (71) Applicant: INTREXON CORPORATION [US/US]; GW, KM, ML, MR, NE, SN, TD, TG).
    [Show full text]
  • CRC Handbook of Medicinal Spices 0849312795
    CRC HANDBOOK OF Medicinal Spices James A. Duke with Mary Jo Bogenschutz-Godwin Judi duCellier Peggy-Ann K. Duke – “Illustrator” CRC PRESS Boca Raton London New York Washington, D.C. Peggy-Ann K. Duke has the copyright to all black and white line illustrations. Library of Congress Cataloging-in-Publication Data CRC handbook of medicinal spices / James A. Duke … [et al.]. p. cm. Includes bibliographical references and index. ISBN 0-8493-1279-5 (alk. paper) 1. Materia medica, Vegetable--Handbooks, manuals, etc. 2. Spices--Therapeutic use--Handbooks, manuals, etc. 3. Herbs--Therapeutic use--Handbooks, manuals, etc. I. Duke, James A., 1929- RS164 .C826 2002 615′.321--dc21 2002067412 This book contains information obtained from authentic and highly regarded sources. Reprinted material is quoted with permission, and sources are indicated. A wide variety of references are listed. Reasonable efforts have been made to publish reliable data and information, but the author and the publisher cannot assume responsibility for the validity of all materials or for the consequences of their use. Neither this book nor any part may be reproduced or transmitted in any form or by any means, electronic or mechanical, including photocopying, microfilming, and recording, or by any information storage or retrieval system, without prior permission in writing from the publisher. The consent of CRC Press LLC does not extend to copying for general distribution, for promotion, for creating new works, or for resale. Specific permission must be obtained in writing from CRC Press LLC for such copying. Direct all inquiries to CRC Press LLC, 2000 N.W. Corporate Blvd., Boca Raton, Florida 33431.
    [Show full text]
  • The Role of Gastric and Small Intestinal Mechanisms in Postprandial Hypotension
    The role of gastric and small intestinal mechanisms in postprandial hypotension A thesis submitted by Lora Vanis For the degree of Doctor in Philosophy School of Medicine Discipline of Medicine The University of Adelaide Centre of Clinical Research Excellence in Nutritional Physiology, Interventions & Outcomes September 2010 Table of contents Thesis abstract……………………………………………….............I Declaration of originality………………………………………….VI Dedication………………………………………………………...VIII Acknowledgments…………………………………………………...X Publications arising from thesis……………………………….…XV Chapter 1: Pathophysiology of postprandial hypotension 1.1 Introduction .............................................................................................2 1.2 Prevalence and significance of postprandial hypotension ....................... 3 1.2.1 Prevalence of postprandial hypotension in the elderly ........................ 4 1.2.2 Prevalence of postprandial hypotension in diabetes mellitus ..............5 1.2.3 Prevalence of postprandial hypotension in patients with other illnesses ............................................................................................................. 5 1.2.4 Significance of postprandial hypotension............................................ 6 1.3 Factors influencing postprandial blood pressure.....................................6 1.3.1 Meal composition ................................................................................7 1.3.2 Meal volume/macronutrient load .......................................................
    [Show full text]
  • Download an Example File with Cardiology and Hypertension (PDF)
    Legal Disclaimer All diagnostic and therapeutic procedures in the field of science and medicine are continuously evolving: Therefore the herein presented medical evidence is state of the technical and scientific art at the time of the editorial deadline for the respective edition of the book. All details provided herein related to a particular therapeutic mode of administration and dosing of drugs are screened employing utmost measures of accuracy and precision. Unless explicitly specified otherwise, all drug administration and dosing regimens presented herein are for healthy adults with normal renal and hepatic function. Liability cannot be assumed for any type of dosing and administration regimen presented herein. Each reader is advised to carefully consult the respective market authorization holders directions for use of the recommended drugs, medical devices and other means of therapy and diagnosis. This applies in particular also to market authorization holders summaries of product characteristics for pharmaceutical products. Despite all care, there may be translation errors. The reader is advised to carefully check information related to the indication for use, contraindications, dosing recommendations, side effects and interactions with other medications! All modes of medication use and administration are at the consumers risk. The author and his team cannot be held responsible for any damage caused by wrong therapy or diagnosis. Please refer to, i.e: www.leitlinien.de or www.guideline.gov The trade name of a trade name registered product does not provide the legal privilege to employ the trade name as a free trade mark even if it is not specifically marked as such. Drugs which are sold as generics are referred to throughout the book by their generic name and not necessarily by a particular brand name Remark: ICD 10 code version 1.3 has been employed for the index.
    [Show full text]
  • Nestmann Pharma Compendium
    Nestmann Pharma Compendium MEDICINE OF EXPERIENCE Herbal Tinctures Homeopathic Dilutions Combination Remedies 810-610-CM001 biomedicine.com Nestmann Pharma Introduction Nestmann Pharma’s professional line of German complex homeopathics and herb- al remedies are recognized for their out- standing quality and effectiveness in Europe for over 50 years. This reputation has prompt- ed Nestmann to become known as the ‘drainage people’ in Europe and are the remedies preferred by German practi- tioners. Use of these remedies can be a cost effective and successful means of achieving targeted eliminative improvement, making a critical difference in patient recovery. This exceptional drainage line is available exclusively through Biomed. The Nestmann Pharma homeopathic and herbal compendium is a great desktop ref- erence tool for using the Nestmann Pharma remedies. It provides extensive details on each remedy including ingredients, dosage, contraindications and clinical pearls from practitioner’s experience. The compendium also contains general reference material on drainage remedies with a history of Nest- mann Pharma, a quick reference guide by indication for the entire Nestmann Pharma line, and comprehensive protocols using the Nestmann drainage remedies. Gain the clinical benefits from three gen- erations of knowledge using the Nestmann Pharma remedies! 2 | Nestmann Compendium Nestmann Pharma Remedies Herbal Tinctures Homeopathic Dilutions Combination Remedies A-Hepatica Liver detoxification Absinthium Acid reflux, digestive aid Adrenum
    [Show full text]
  • The Differential Diagnosis of Dyspnea Dominik Berliner, Nils Schneider, Tobias Welte, and Johann Bauersachs
    MEDICINE CONTINUING MEDICAL EDUCATION The Differential Diagnosis of Dyspnea Dominik Berliner, Nils Schneider, Tobias Welte, and Johann Bauersachs SUMMARY yspnea (shortness of breath) is a common D symptom affecting as many as 25% of patients Background: Dyspnea is a common symptom affecting as seen in the ambulatory setting. It can be caused by many as 25% of patients seen in the ambulatory setting. It many different underlying conditions, some of can arise from many different underlying conditions and is which arise acutely and can be life-threatening (e.g., sometimes a manifestation of a life-threatening disease. pulmonary embolism, acute myocardial infarction). Methods: This review is based on pertinent articles Thus, rapid evaluation and targeted diagnostic retrieved by a selective search in PubMed, and on studies are of central importance. Overlapping pertinent guidelines. clinical presentations and comorbid diseases, e.g., Results: The term dyspnea refers to a wide variety of congestive heart failure and chronic obstructive pul- subjective perceptions, some of which can be influenced monary disease (COPD), can make the diagnostic by the patient’s emotional state. A distinction is drawn evaluation of dyspnea a clinical challenge, all the between dyspnea of acute onset and chronic dyspnea: the more so as the term “dyspnea” covers a wide variety latter, by definition, has been present for more than four of subjective experiences. The presence of this weeks. The history, physical examination, and observation symptom is already a predictor of increased mortal- of the patient’s breathing pattern often lead to the correct ity. diagnosis, yet, in 30–50% of cases, more diagnostic studies are needed, including biomarker measurements Learning goals and other ancillary tests.
    [Show full text]
  • Vasovagal Response - Wikipedia, the Free Encyclopedia 7/17/15, 15:19 Vasovagal Response from Wikipedia, the Free Encyclopedia
    Vasovagal response - Wikipedia, the free encyclopedia 7/17/15, 15:19 Vasovagal response From Wikipedia, the free encyclopedia A vagal episode or vasovagal response or vasovagal attack[1] (also Vasovagal episode called neurocardiogenic syncope) is a malaise mediated by the vagus nerve. When it leads to syncope or "fainting", it is called a vasovagal syncope, which is the most common type of fainting.[2] Vasovagal syncope is most commonly discovered in adolescents and in older adults.[3] There are different syncope syndromes which all fall under the umbrella of vasovagal syncope. The common element among these conditions is the central mechanism leading to loss of consciousness. The differences among them are in the factors that trigger this mechanism. Contents 1 Signs and symptoms 2 Cause 3 Pathophysiology 4 Diagnosis 5 Treatment 6 Prognosis 7 See also Vagus nerve 8 References Classification and external resources 9 External links Specialty Neurology ICD-10 R55 Signs and symptoms (http://apps.who.int/classifications/icd10/browse/2015/en#/R55) ICD-9-CM 78Ø.2 (http://www.icd9data.com/getICD9Code.ashx? Episodes of vasovagal response are icd9=78Ø.2) typically recurrent, and usually occur DiseasesDB 13777 (http://www.diseasesdatabase.com/ddb13777.htm) when the predisposed person is exposed to a specific trigger. Prior to losing MeSH D019462 (https://www.nlm.nih.gov/cgi/mesh/2015/MB_cgi? consciousness, the individual frequently field=uid&term=D019462) https://en.wikipedia.org/wiki/Vasovagal_response Page 1 of 7 Vasovagal response - Wikipedia, the free encyclopedia 7/17/15, 15:19 experiences early signs or symptoms such as lightheadedness, nausea, the feeling of being extremely hot or cold (accompanied by sweating), ringing in the ears (tinnitus), an uncomfortable feeling in the heart, fuzzy thoughts, confusion, a slight inability to speak/form words (sometimes combined with mild stuttering), weakness and visual disturbances such as lights seeming too bright, fuzzy or tunnel vision, black cloud-like spots in vision, and a feeling of nervousness can occur as well.
    [Show full text]