Terapevt Arkh
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An attempt was made to outline a program of intensive care on the basis of experience with 396 patients with hematologic diseases admitted in a critical condition (shock of various genesis, mainly bacterial, acute liver and renal insufficiency, spontaneous hemorrhage, etc.) taking into account the characteristic signs of such patients. The percentage of patients transferred to the hematology department rose from 36.2 to 47.9% as a result of 14-year experience. A conclusion was made of the appropriateness of such a department in each major inpatient hematologic clinic.
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Comparative Study
[Fatty acids of the omega-3 line in the erythrocytes of Chukchi with myocardial hypertrophy].
A study was made of the fatty acid composition of erythrocytes in the Chukchi aged 30 to 59 with myocardial hypertrophy and in controls. In erythrocytes of the Chukchi the percentage of polyunsaturated fatty acids of omega-3 series including eicosapentaenoic acid was increased (C 20:5), and the percentage of linoleic acid and arachidonic acid was decreased (C 18:2 and C 20:4, respectively) as compared to similar indices of erythrocytes in Muscovites. Myocardial hypertrophy was diagnosed in the Chukchi in whom the percentage C 20:5 in erythrocytes was higher and exceeded that in PL. It was assumed that changes in the fatty acid composition of cell membranes played certain part in disorder of their function and the development of myocardial hypertrophy in the Chukchi.
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An epidemiological survey was conducted among men aged 40 to 59 to study interrelationships of the nutritional patterns in 2 ethnic groups of population and the prevalence of CHD and risk factors of its development. The nutritional habits of the indigenous Kirghiz population in the city of Frunze differed significantly from those of the alien population (Russians, Ukrainians, etc.) and were characterized by a higher consumption of proteins and complex carbohydrates. ⋯ Coronary heart disease, arterial hypertension, smoking, excess body mass, low physical activity were equally common among the Kirghiz and Europeans. Hypercholesterinemia was noted more frequently in Europeans whereas hypertriglyceridemia was more common among the Kirghiz.
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The main parameters of humoral and cellular immunity as well as indices of nonspecific body resistance were studied in 70 patients with iron deficiency anemia. A decrease in the content of the main classes of immunoglobulins and an increase in the CIC level were noted. ⋯ A relative and absolute decrease in the level of T-helpers was revealed. Certain correlation between some clinical and immunological indices was observed.