Saratov JOURNAL of Medical and Scientific Research

Saratov Regional Hospital for Veterans of Wars

A method of improving clinical work with patients with peptic ulcer of stomach and duodenum

Year: 2018, volume 14 Issue: №2 Pages: 334-337
Heading: Gerontology and geriatrics Article type: Original article
Authors: Lipatova T.E., Tyultyaeva L.A., Nazarov M.M., Semenov S.V.
Organization: Saratov Regional Hospital for Veterans of Wars
Summary:

Objective: identification of risk groups for development of complications of ulcerous disease of stomach and duodenum.Material and Methods. We used data from the official statistical reports of the health Committee of the city of Saratov and the logs of incoming and departures/deaths of patients in the surgical and gastroenterology clinics of the city (1976-2006). The parameters of the prevalence of gastric ulcer and duodenal ulcer and its complications in the population of different age groups are analyzed. Linear regression analysis, odds ratio, and analysis of the speed characteristics of the dynamics of the studied parameters in time (mean, minimum, maximum speed, range of the dynamics of the studied parameters, the number of changes in the sign of the speed of change in the prevalence of the studied parameters) were applied. Results. It was found that the probability of complications of the disease is higher among those age groups, which are characterized by a frequent change in the sign of the rate of change in the prevalence of the pathology. The necessity of age accounting in stratification of the risk of complications of gastric ulcer and duodenal ulcer and the multiplicity of medical observation of persons of different ages with this pathology, taking into account the analytical parameters of the disease. Conclusion. The scheme of determining the multiplicity of dispensary examinations of patients with gastric ulcer and duodenal ulcer is proposed.

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Comparative "portrait" of a hospital patient in Saratov Regional Hospital for Veterans of Wars in 2005 and 2017

Year: 2018, volume 14 Issue: №2 Pages: 349-351
Heading: Gerontology and geriatrics Article type: Original article
Authors: Tyultyaeva L.A., Lipatova Т.Е., Bulychev S.V., Kovalev Е.Р., Alipova L.N.
Organization: Saratov Regional Hospital for Veterans of Wars, Saratov State Medical University
Summary:

Objective: to analyze the number of patients, patients' opinions about the work of the medical institution in 2005 and 2017. Material and Methods. The data of the survey of patients of the Saratov Regional Hospital for Veterans of Wars in 2005 and 2017 are analyzed. Results. From 2005 to 2017, there was a change in the sex (decrease in the proportion of hospitalized men) and age (increase in the proportion of hospitalized patients over the age of 60 years) composition of hospital patients. The increase of the general educational level of patients, the increase of the share of patients who are in this hospital not for the first time is revealed. The share of patients satisfied with medical work and work of the power supply unit in this hospital has increased. The preference of paternalistic style of interaction between a doctor and a patient, typical for both patients in 2005 and patients in 2017, was revealed. Conclusion. Despite the increase in the educational level of patients and the increase in satisfaction with the work of the hospital, patients of this medical institution prefer a paternalistic style of interaction with the doctor.

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The structure of the "acute abdomen" in a period of social stress in a large industrial center

Year: 2018, volume 14 Issue: №2 Pages: 338-341
Heading: Gerontology and geriatrics Article type: Original article
Authors: Lipatova Т.Е., Tyultyaeva L.A., Semenov S.V., Kovalev Е.Р.
Organization: Saratov Regional Hospital for Veterans of Wars, Saratov State Medical University
Summary:

Purpose: to analyze the prevalence of acute abdominal pathology in the period of social stress. Material and Methods. The data of official statistical reports of the Saratov city health Committee and the logs of patients admitted and discharged / deceased in the surgical clinics of the city were studied. The prevalence of acute appendicitis, acute cholecystitis, acute pancreatitis, acute intestinal obstruction, gastrointestinal bleeding, perforation of ulcers during 1990-2006 among the population of different age groups (young, mature, elderly /old) was investigated. The significance of differences between the groups was assessed using white's T-test. Results. A decrease in the prevalence of acute appendicitis, an increase in the prevalence of acute pancreatitis and gastrointestinal bleeding. Differences in the prevalence of acute abdominal diseases in patients of different age groups were found: an increase in the prevalence of acute pancreatitis mainly in the young population. There is a tendency to gradual Erasure of sexual differences in acute cholecystitis and acute pancreatitis in this period. Conclusion. The analyzed time interval was characterized by changes in the structure of the "acute abdomen", which may be associated with social changes in society during this period.

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Healthy ageing and regional health care system of the Great Patriotic War veterans

Year: 2018, volume 14 Issue: №2 Pages: 330-334
Heading: Gerontology and geriatrics Article type: Author's opinion
Authors: Denisova Т.P.,Lipatova Т.Е., Shuldyakov V.A., Kovalev E.P., Alipova L.N.
Organization: Saratov Regional Hospital for Veterans of Wars, Saratov Ministry for Public Health
Summary:

The term of "Healthy Ageing" is about creating the environments and opportunities that enable people to be and to do what they value throughout their lives. Healthy ageing require multipurpose policy framework with biological, social, economic, cultural and ecological aspects. The long-term experience of Saratov Regional Hospital for War Veterans in development and management of competencies required for healthy ageing programs is generalized in the article. Science evidence base of healthy ageing was formulated including results of the original studies with veterans of Great Patriotic War involved.

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Clinical diagnosis in terms of insurance medicine

Year: 2018, volume 14 Issue: №2 Pages: 327-330
Heading: Gerontology and geriatrics Article type: Author's opinion
Authors: Denisova Т.Р., Lipatova Т.Е., Malinova L.I., Tyultyaeva L.A., Kovalev Е.Р., Alipova L.N., Vakhlyueva O.G.
Organization: Saratov Regional Hospital for Veterans of Wars, Saratov State Medical University
Summary:

Medical institutions in the conditions of insurance medicine are faced with not always justified interference of insurance companies in the structure of diagnosis and diagnostic process, whose violate the essence of the concepts of clinical classifications and statistical coding of diagnoses provided by ICD-10. Such a situation ultimately harms the patient and society, makes it difficult both to monitorthe adequacy of the ongoing treatment activities, and to protect the patient's rights to receive qualified medical care and doctor's rights.

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Interaction of atherosclerosis and ageing: is there any discussion questionable?

Year: 2018, volume 14 Issue: №2 Pages: 322-327
Heading: Gerontology and geriatrics Article type: Author's opinion
Authors: Denisova Т.Р., Lipatova Т.Е., Alipova L.N., Yegorova A.V.
Organization: Saratov Regional Hospital for Veterans of Wars, Saratov State Medical University
Summary:

Age-related diseases and their link to involutionary processes in human organism remain as one of the burning problems in internal medicine. The article focuses on the discussable questions of the most common mechanisms of atherogenesis and ageing, their similarity and difference. Both processes mutually burdens each other, bringing the "fading" of the organism closer.

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Renal dysfunction and state of metabolic and hemodynamic factors in patients with arterial hypertension

Year: 2011, volume 7 Issue: №4 Pages: 837-842
Heading: Internal Diseases Article type: Original article
Authors: Kurkina T.V., Bogoslovskaya S.I., Svistunov А.А., Kodochigova A.L, Glybochko G.Kh., Klochkov V.A.
Organization: Saratov State Medical University, Saratov Regional Hospital for Veterans of Wars, Saratov Institute of Cardiology, Russia, First Moscow State Medical University n.a. I.M. Sechenov
Summary:

The aim of the investigation is to carry out comparative evaluation of metabolic and hemodynamic indices in patients with arterial hypertension (AH) and renal dysfunction; to study the interrelation between arterial blood pressure level normalization and the presence or lack of microalbuminuria (MAU) in the morning urine portion of patients with AH after therapy with antihypertensive preparations (APs) of various groups. Methods. 121 persons have been investigated, 91 out — patients of both sexes, aged 33-55, with the diagnosis of arterial hypertension of stage II risk III, who have been taking Perindopril, Telmisartan and Bisoprolol for3 months. The control of arterial pressure level, biochemical analysis of metabolic indices and morning urine portion test for microalbuminuria has been carried out. Results. MAU has been revealed in 17,6% patients, occurring more frequently in men than in women. Microalbuminuria is accompanied by reliable decrease of total and ionized calcium and magnesium concentrations, an increase of potassium level in blood plasma, increase of cholesterol, triglycerides, glucose and levels. Patients with AH and renal dysfunction reliably demonstrate higher levels of systolic and diastolic arterial pressure in the morning and evening hours, their normalization effect after APs intake is significantly interconnected with MAU presence. Conclusion. In patients with AH and MAU the main risk factors of cardio-vascular diseases development are more expressed. Microalbuminuria is a risk factor in patients with arterial hypertension and may influence on the basic blood electrolyte balance. While carrying out antihypertensive therapy the presence of MAU should be taken into consideration

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Population aspects of formation of gastroenterological pathology in patients of different age groups

Year: 2011, volume 7 Issue: №4 Pages: 783-786
Heading: Health Service Organization Article type: Short message
Authors: Shuldyakov V.A., Tyultyaeva L.A, Denisova T.P., Chernenkov Yu.V., Alipova L.N.
Organization: Saratov State Medical University, Saratov Regional Hospital for Veterans of Wars
Summary:

Process of development of the most important forms of pathology of the digestive organs among people of different ages has been analyzed in a large industrial center for sixteen years. The age groups liable to gastroenterological pathology have been identified under conditions of social stress

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Monitoring of internal diseases dissemination (digestive disorders)

Year: 2011, volume 7 Issue: №4 Pages: 772-776
Heading: Health Service Organization Article type: Author's opinion
Authors: Denisova T.P., Shuldyakov V.A., Tyultyaeva L.A., Chernenkov Yu.V., Alipova L.N., Sadjaya L.A.
Organization: Saratov Socio-Economic Institute of Plekhanov Russian University of Economics, Saratov State Medical University, Saratov Regional Hospital for Veterans of Wars, Saratov Institute of Cardiology, Russia
Summary:

The most important forms of digestive pathology have been analyzed in a large industrial center for 16 years. Development of fragment of the phase portraits in a multidimensional space on the planes of «time dependence of the parameter — rate of its change» allowed forming prognosis for further course of specific nosology form of gastrointestinal tract lesion and optimizing treatment tactics

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Cardiovascular pathology in veterans of Great Patriotic War and aged patients: spectrum and clinical pattern

Year: 2011, volume 7 Issue: №3 Pages: 614-619
Heading: Internal Diseases Article type: Author's opinion
Authors: Denisova Т.Р., Malinova L.I., Shuldyakov V.A., Alipova L.N., Shuvalov S.S., Silina T.S.
Organization: Saratov State Medical University, Saratov Regional Hospital for Veterans of Wars, Saratov Institute of Cardiology, Russia
Summary:

Cardiovascular pathology spectrum and dynamics in veterans of Great Patriotic War and aged patients of Volga agricultural and industrial region were studied. Clinical signs and course of cardiovascular pathology in aged patients were determined. A «dissolution» phenomenon of chronic cardiovascular pathology was revealed in patients aged over 100 years

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