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Lechaschi Vrach

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No 10 (2019)
8-10 171
Abstract

In order to find out the doctors knowledge about effective methods of smoking cessation, a survey of 86 internists and general practitioners, as well as 14 residents was conducted. Results of the survey confirm the need for systematic training of doctors on effective smoking cessation. 

11-16 203
Abstract

The article deals with the causes and types of hearing impairment with characteristic types of audiograms. Methods of their diagnostics and possibilities and prospects of therapy are defined. It is noted that many forms of hearing loss require cooperative actions of otorhinolaryngologists, neurologists and physiotherapists. 

17-19 165
Abstract

The article presents the data on infection significance in broncho-obstructive syndrome formation in children. Special attention is paid to the recurrent episodes of obstructive bronchitis. The introduced clinical case proves the optimum management strategy using, mainly, etiotropic therapy. It was shown, that, in revealing the virus of herpes 6th type, inosine pranobex is effective. 

20-24 177
Abstract

Existing approaches to treatment of patients with vestibular migraine were considered. All the approaches were based on the reports on the disease occurrences, retrospective cohort studies, and open tests. It was shown that further study of vestibular migraine was needed, basing on general diagnostic criteria. 

25-27 179
Abstract

The effectiveness and safety of the front epipharyngoscopy method for diagnostics of adenoids and adenoiditis in children were determined. The method makes it possible to objectify for parents the presence of adenoids and their inflammation; it can be used by pediatricians and ENT during preventive examinations of children. Only a spatula is required for its implementation. 

30-35 240
Abstract

Modern views of stroke prevention are discussed. Universally recognized strategies of stroke prevention are analyzed and new approaches to preventive treatment of cerebral circulation disorders are proposed. 

36-39 238
Abstract

Main conditions constituting perinatal cerebral lesions in infants, are considered from position of pediatric neurologist’s out-patient check-ups and follow-up. Contemporary approaches to diagnostics and treatment of the above mentioned pathologies are discussed. 

40-46 181
Abstract

The article covers dementia in elderly patients and Alzheimer’s disease as the most frequent reason of dementia. Clinical manifestations and diagnostic criteria for Alzheimer’s disease were considered, as well as approaches to its treatment. 

47-51 195
Abstract

The article offers diagnostic and therapeutic programs for examining and treatment of male patients suffering from libido disorders, which are more often caused by borderline mental disorders. A description of comprehensive diagnosis of these disorders is given, as well as clinical variants of their course, principles and tactics of treatment and rehabilitation measures, taking into account the structure of mental and sexual pathology. Particular attention is paid to the differential diagnosis of sexual desire disorders in the framework of various mental disorders. 

52-55 352
Abstract

According to world literature, the frequency of registration of cephalogemate in newborns is 0,2–4,0%. Cephalohematomas most often develop after applying vacuum extraction. Most subperiosteal hemorrhages in children are resolved on their own. In 2–5% of cases, resorption of cephalohematomas does not occur and complications may occur in the form of suppuration and calcination. Routine puncture and aspiration with cephalogemate in children should not be carried out. 

60-64 190
Abstract

Approaches to the therapy of regurgitation syndrome in children at the first year of life were considered. It was shown that use of children’s milk mixtures with viscosity improver, which change the mixture consistence and increasing its viscosity, helps overcome functional gastrointestinal disorders, such as regurgitations, intestinal colic, functional constipations. Variants of anti-reflux milk mixtures were suggested. 

65-67 1519
Abstract

Comparative analysis of effectiveness of two protocols of antibiotic therapy in the treatment of community-acquired pneumonia (CAP) in pregnant women was performed. The study included 98 pregnant women with severe CAP. The first group consisted of 45 pregnant women with CAP who underwent combined therapy with ceftriaxone and erythromycin. The second group consisted of pregnant women who were prescribed penicillin. The results showed that it is advisable to start antimicrobial therapy with monotherapy and, if necessary, add a second antibiotic. The conclusion about the effectiveness or inefficiency of antimicrobials should be done on average after 48–72 hours. 

68-71 155
Abstract

The basis for this study was the high incidence of Barrett’s esophagus (BE) among males — police officers. According to the data of the Medical department of the Ministry of Internal Affairs of the Russian Federation for the Republic of Sakha, among 1589 examined police officers in 2016–2018, BE was diagnosed in 45.5% with an upward trend (2016 — 33,3%; 2017 — 38,5% and 2018 — 64,6%). The purpose of the study was to identify significant risk factors for BE in males — police officers with a diagnosis of gastroesophageal reflux disease (GERD). We examined 78 patients — males aged 24 to 55 years (average age 41,53 ± 6,5), who were police officers and were diagnosed with GERD, including erosive and non-erosive forms. 

72-79 2786
Abstract

The results of a multicenter randomized double-blind placebo-controlled clinical trial in parallel groups carried out in 2012–2015 aimed to reveal the efficacy and safety of the antiviral drug ergoferon in the treatment of acute respiratory tract infection in adults are presented. 



ISSN 1560-5175 (Print)
ISSN 2687-1181 (Online)