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1.
Artigo em Russo | MEDLINE | ID: mdl-31464287

RESUMO

AIM: To evaluate the efficacy of the training method of rehabilitation of patients with neurogenic dysphagia in ischemic stroke carried out with the use of special nutrient mixtures as part of combination therapy. MATERIAL AND METHODS: The study included 65 patients (35 men and 30 women, aged 45 to 80 years) with dysphagia in the acute period of ischemic stroke. Thirty patients were treated with special binding compounds as part of a combination therapy. Thirty-five patients did not use the mixture. The dynamics of the recovery function of swallowing using PAS (the Penetration-Aspiration Scale) and FEDSS (the Fiberoptic Endoscopic Dysphagia Severity Scale), as well as the transition from tube to independent feeding were studied. RESULTS AND CONCLUSION: The training method of rehabilitation with the help of special nutritional mixtures allows achieving significantly better indicators of restoration of swallowing function assessed with PAS and FEDSS in patients with ischemic stroke and neurogenic dysphagia. This trend is most pronounced in the group of patients with pseudobulbar syndrome. The application of the training method leads to a significantly better transition from tube to independent feeding. Tracheal intubation and mechanical ventilation are an additional factor aggravating swallowing disorders.


Assuntos
Isquemia Encefálica , Transtornos de Deglutição/reabilitação , Acidente Vascular Cerebral , Idoso , Idoso de 80 Anos ou mais , Isquemia Encefálica/complicações , Deglutição , Transtornos de Deglutição/etiologia , Feminino , Humanos , Unidades de Terapia Intensiva , Masculino , Pessoa de Meia-Idade , Acidente Vascular Cerebral/complicações , Resultado do Tratamento
2.
Voen Med Zh ; 330(12): 24-6, 2009 Dec.
Artigo em Russo | MEDLINE | ID: mdl-20201365

RESUMO

There were examined 124 medical histories of patients with psoriatic disease in progressing stage. It's found that including of hardware-generated filtrational-membrane plasmapheresis, providing a middle-volume exfusion of plasma and following compensation of missing volume by water-electrolytic balanced solution at the beginning of intensive therapy of acute stage of disease is pathogenesisly proved and effective. Advancing using of plasmapheresis is shown on examples of patients with PASI more then 18 points, tending to decreasing of duration of acute form and severity of pathological process.


Assuntos
Cuidados Críticos , Plasmaferese , Psoríase/terapia , Adulto , Complexo Antígeno-Anticorpo/imunologia , Complexo Antígeno-Anticorpo/metabolismo , Biomarcadores/sangue , Humanos , Imunidade Celular , Masculino , Pessoa de Meia-Idade , Psoríase/sangue , Psoríase/imunologia , Psoríase/fisiopatologia , Estudos Retrospectivos
3.
Voen Med Zh ; 330(12): 58-60, 2009 Dec.
Artigo em Russo | MEDLINE | ID: mdl-20201370

RESUMO

Orenburg military hospital, founded according to decree of empress Anna Ioanovna one year later after grounding of fortress Orenburg, started it's work in June 1744. To the beginning of the Great Patriotic War 1941-1945 the hospital was a big military treatment institute. In 1946-1958 the hospital was a regional hospital of South-Ural military region, and then--regional hospital of Baikal military region. Hospital takes an active party in life of the Armed Forces in general, it's staff comprises veterans of Afgan war, of other flash points, military servicemen and civil staff taken part in peacemaking operations.


Assuntos
Hospitais Militares/história , Medicina Militar/história , Aniversários e Eventos Especiais , História do Século XVIII , História do Século XIX , História do Século XX , História do Século XXI , Federação Russa
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