Klinicheskaia meditsina
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Klinicheskaia meditsina · Jan 2014
Case Reports[Successful treatment of severe HCV-cryoglobulinemic vasculitis with the use of CD20 monoclonalantibodies and antiviral agents].
This paper reports a case of successfuid treatment of severe HCV-cryoglobulinemic vasculitis with ulcerative necrotic skin lesions, digital necrosis, cryoglobulinemic glomnerulonephritis and sensorimotor neuropathy. Possibilities for the change of prognosis in the patients with HCV-cryoglobulinemic vasculitis are discussed along with the prospects for the improvement of antiviral and pathogenetic therapy.
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Klinicheskaia meditsina · Jan 2014
[Postoperative complications after orthotopic heart transplantation].
We analysed postoperative complications in 106 patients after orthotopic heart transplantation based on the results of prospective observations during 2 year follow-up. Survival was estimated at 83% (88 patients). ⋯ It is concluded that heart transplantation should be followed by thorough observation of the patients based at a specialized multi-field clinic to ensure continuous treatment and reduce lethality. Risk factors of unfavourable prognosis of heart transplantation are identified.
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Klinicheskaia meditsina · Jan 2014
Biography Historical Article[The wound and death of the Russian military commander P.I. Bagration. Part 2].
Medical care provided to P. I. Bagration wounded in the battle of Borodino is described on the day-to-day basis.
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Klinicheskaia meditsina · Jan 2014
Comparative Study[Comparative evaluation of the health status of descendants of people residing in environmentally unfriendly regions by means of mathematical modeling].
The aim of the study was to evaluate reproductive health of descendants of people who experienced effects of adverse environmental factors, such as radiation and chemical contamination (the descendants themselves were unaffected by these factors). Reproductive health of women was assessed by mathematical modeling. Factors of greatest importance for the health status of the descendants were distinguished among the 76 ones studied. It was shown that reproductive health of the subjects descending from the people exposed to radiation deteriorated more significantly than of those whose ancestors were affected by chemical factors.