Saratov JOURNAL of Medical and Scientific Research

Ryazan State Medical University n.a. I.L.Pavlov

Effect of cataract phacoemulsification on the dynamics of intraocular pressure in patients with primary open-angle glaucoma

Year: 2018, volume 14 Issue: №4 Pages: 837-841
Heading: Ophtalmology Article type: Original article
Authors: Kolesnikov A.V., Kolesnikova M.A., Mironenko L.V., Baranova O.V., Tarasova N.S.
Organization: Ryazan State Medical University n.a. I.L.Pavlov, Regional Clinical Hospital n.a. N.A. Semashko
Summary:

Purpose: to assess the dynamics of intraocular pressure (IOP) after cataract phacoemulsification (CFE) with intraocular lens (IOL) implantation in patients with cataract in combination with primary open-angle glaucoma (POAG). Material and Methods. The subject of this study was the analysis of IOP after CFE in 65 patients (89 eyes) with cataract in combination with POAG. Among the examined patients, the initial stage of glaucoma was noted in 14.6% cases; developed stage in 55.1 % cases, far-reaching stage in 30.3% cases. IOP was compensated in 84.5% cases, and sub-compensated in hypotensive mode in 15.5% cases. The observation period was from 1 month up to 2 years. Results. In dependence of IOP after surgery, patients were divided into three groups: IOP exactly like in preoperative level, below and above the initial IOP In most cases, at all times IOP corresponded to the preoperative level and after 2 years it was noted in 77.4%. The number of patients with ophthalmotonus below the baseline (1-8 mm) decreased from 63.2% in 1-3 months after surgery to 16.1 % in two years. An increase in ophthalmotonus (by 3-4 mm) was noted in 27% of cases, however, a persistent increase in IOP, which required correction, was 7.9% at stage III of glaucoma, and in the rest of the eyes IOP normalized by itself. Conclusion. According to the results of the study, it can be concluded that there is an ambiguous effect of CFE with IOL implantation on IOP in patients with cataract in combination with POAG, which necessitates further study.

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Correlation of cardiointervalometric and somatosensory evoked potential parameters in male and female patients with epilepsy

Year: 2017, volume 13 Issue: №1 Pages: 149-154
Heading: Neurology Article type: Original article
Authors: Lesik О.О., Zhadnov V.A.
Organization: Ryazan State Medical University n.a. I.L.Pavlov
Summary:

Somatosensory evoked potentials and cardiointervalometry can be used as additional methods of examination of patients with epilepsy. Aim: determination of relationships between functional state of the brain and stress on regulatory systems, so as to assess the adaptive potential of male and female patients with epilepsy. Materials and methods. 46 male patients (group 1) and 34 female patients (group 2) diagnosed with epilepsy participated in the study. Analyzed parameters included maximum amplitude, total area of somatosensory evoked potentials and cardio-intervalometric parameters. Results. In patients with epilepsy, there is an increase in EAP indicators that suggestive of increased neu-ronal synchronization. However, with hyperventilation physiological probe, male patients demonstrated inhibition while female patients demonstrated stimulating effect of the brain. This tendency persisted in both groups of patients after hyperventilation. Cardiointervalometric findings in female patients were consistent with vagotony, indicative of normal activity of regulatory systems and the autonomous regulation of heart rhythm. Male patients with epilepsy require significant energy in order to adapt to the load, resulting to stress of regulatory systems. Conclusion. Additional methods of examination identify features of the functional state of the brain and stress on regulatory systems in male and female patients with epilepsy. Signs of disadaptation and unfavorable course ofthe disease allow timely diagnosis and improve the quality of life ofthe patient.

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Medicosocial assistance to children in difficult situations

Year: 2012, volume 8 Issue: №2 Pages: 305-307
Heading: Sociology of Medicine Article type: Author's opinion
Authors: Medvedeva О.V., Dmitriev A.V., Petrova E.I.
Organization: Ryazan State Medical University n.a. I.L.Pavlov, Ryazan Regional Clinical Perinatal Center
Summary:

Provision of medical and social assistance to children at risk groups has been analyzed theoretically. Information of medical and social assistance to children in the city of Ryazan has been presented

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Cardiovascular mortality: quality diagnostics analysis and causal statistics of lethal outcomes

Year: 2011, volume 7 Issue: №1 Pages: 091-096
Heading: Internal Diseases Article type: Original article
Authors: Nikulina N.N.
Organization: Ryazan State Medical University n.a. I.L.Pavlov
Summary:

The high cardiovascular mortality (CVM) proves the necessity of verification analysis of cardiovascular death causes. The research goal is to determine the quality, facilities and peculiarities of cardiovascular diseases (CVD) of postmortem diagnostics and statistical recording as a cause of death. 1972 successive cases of CVM in Voronezh, Ryazan and Khanty-Mansiysk have been analyzed. The majority of deaths caused by CVD were classified as fatalities occurring outside hospital and in the absence of medical care (88.0%). Incidence of cardiovascular deaths was confirmed by autopsy in 28.3% cases. With increasing age, the incidence of detecting CVD as a cause of death increased, while the frequency of referral to autopsy consistently decreased. Chronic Ischemic Heart Disease (IHD) forms comprising 48.3% of all CVM were confirmed by autopsy results only in 29.5% of cases. Acute IHD forms (including myocardial infarction) accounted for only 11.6% of CVM; however this diagnosis was based on autopsy results in 72.4% of cases. The high death rate outside hospital and in the absence of medical care with the rare referral to autopsy, especially for elderly having chronic CVD, does not provide reliable statistical information on CVM

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