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[Clinical aspects of diagnosis and treatment of glossodynia in elderly and senile people.].
Adv Gerontol
November 2022
S.M.Kirov Military Medical Academy, 6 Akademik Lebedev str., St. Petersburg 194044, Russian Federation, e-mail:
Glossodynia is a disease that is difficult to diagnose and treat. Persons of older age groups are in the most risk of its occurrence. This is due to the fact that its etiological factors are: age-related changes, general somatic diseases, usage of some pharmacological drugs, changes in the psycho-emotional background.
View Article and Find Full Text PDFThe purpose of the study was to analyse the in-hospital results of surgical treatment in a total of 275 patients presenting with atherosclerotic occlusive and stenotic lesions of the aortofemoral segment within the framework of a single-centre prospective register. The authors performed a detailed analysis of prognostic significance of a wide spectrum of clinico-instrumental, anatomo-angiographic and perioperative factors, followed by revealing the causes of an unfavourable prognosis during the in-hospital period. Based on the obtained findings, they determined significant risk factors for an unfavourable outcome: clinicodemographic (chronic renal insufficiency, grade IV chronic lower limb ischaemia) and surgical (cross-clamping of the aorta for more than 30 min).
View Article and Find Full Text PDFThere were analyzed the results of examination and treatment of 12 patients, suffering critical ischemia of the lower extremities tissues in the occlusion-stenotic affection of the femoro-popliteo-tibial segment vessels, to whom miniinvasive endovascular interventions were done. Complex clinico-instrumental examination of the patients (ultrasound duplex scanning, roentgenocontrast angiography, multispiral CT with intravenous contrasting) have permitted to substantiate the indications for conduction of endovascular interventions for critical ischemia of the lower extremities. The zone of reconstruction passability was confirmed after performance of endovascular transcutaneous balloon angioplasty in the follow-up terms up to 1 year in 9 (75%) patients, the lower extremities were saved in 10 (83.
View Article and Find Full Text PDFThe study included 112 patients with acute myocardial infarction and elevated ST segment on ECG depending on the presence of obstructive sleep apnoea syndrome (OSAS). Dynamic analysis clinico-instrumental characteristics after the hospital-based treatment revealed insufficient reduction of ST segment by day 14 of therapy that correlated with severity of the disease estimated from the apnoea/hypopnoea index. Only these patients responded to the treatment by a decrease of the left ventricular ejection fraction as a marker of systolic dysfunction.
View Article and Find Full Text PDFThe authors made an analysis of observations of 46 patients. They describe algorithm and problems of clinico-instrumental and X-ray diagnostics, strategy of operative treatment and postoperative complications.
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