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Biomedical subjects

E G Dmitriev

Publications and source records attributed to E G Dmitriev.

7 recordsLinked to original sources
PubMed2004

[Expert work during technogenic extreme situations (Report II)].

The article is devoted to the organizational principles of work of expert institutions and its subdivisions with reference to technogenic catastrophes with mass victims. The problems of interactions of representatives from different structures and departments made busy with the work at the place of event are discussed in terms of forensic medicine. Special attention is paid to the problems of expert institution readiness for work under conditions of extreme situations depending on the medical-and-tactical characteristics of damage focus.

Disaster Planning↗
PubMed2003

[Comparative evaluation of effects of various bronchodilators in sarcoidosis].

The investigation was undertaken to compare three bronchodilators on patients with respiratory sarcoidosis. Ninety patients (66 females and 24 males) with intrathoracic sarcoidosis were examined. X-ray stages I, II, III, and IV were seen in 48.9, 46.7, 3.3, and 1.1%, respectively. A flow-volume curve was recorded on a Masterscreen Pnevmo apparatus (Erich Jaeger) before and after inhalations of salbutamol (200 micrograms, a flask), ipratropium bromide (40 micrograms, a flask), and 1 ml of berodual solution through a Boreal nebulizer. The mean baseline values of forced expiration were normal, except for MOS75 (51.0 +/- 1.3% of the normal values). After salbutamol, the increment of MOS75 was higher than that after ipratropium (20.7 +/- 3.1% and 12.3 +/- 2.3%, respectively, p < 0.05); however, after berodual nebulization, the increase in MOS50 was greater than that after inhalation of ipratropium (17.2 +/- 1.9% versus 10.7 +/- 1.6%, p < 0.05) or salbutamol (10.1 +/- 6%, p < 0.01). The changes in these parameters in smokers and nonsmokers were similar. The one-month or more inhalation of budesonide (benacort) potentiated the bronchodilating action of salbutamol on all the parameters of forced expiration, but failed to affect the effect of ipratropium and berodual. Prednisolone did not affect the effects of bronchodilators. A combination of beta 2 agonist and inhaled steroid may be effective in intrathoracic sarcoidosis with the bronchial obstruction syndrome. The mechanism of varying action of the drugs having different mechanisms of action requires further investigations.

Adult↗
PubMed2003

[Expert work during technogenc emergency situations (Report I)].

The authors discuss the organizational principles of the work of expert institution and its subdivisions with reference to technogenic catastrophes accompanied with mass human victims. The problems of interaction of the representatives from different structures and departments taking part in the work at the place of event are considered in terms of forensic medicine. The attention is concentrated on the problems of expert institution readiness to work under conditions of extreme situations depending on the medicotactical characteristics of defeat focus.

Disasters↗
PubMed2001

[Comparison of flow-volume curve parameters in patients with respiratory sarcoidosis and chronic non-specific pulmonary diseases].

62 patients with respiratory sarcoidosis (RS) and 50 patients with chronic nonspecific pulmonary diseases (CNSPD) inhaled 1 ml (250 mg ipratronium bromide and 500 mcg phenoterol hydrobromide) berodual by means of nebulizer. 68% of the examinees responded with obstruction of the distal part of the respiratory tree. RS causes partially reversible defects in permeability, primarily at the level of small bronchi. Berodual-induced changes in the curve flow-volume in RS differed from those in CNSPD patients by the absence of a rise in the exhalation power. Lofgren's syndrome deteriorated reversibility of bronchial permeability defects in RS patients. Smoking effects on bronchial permeability and reversibility of relevant defects in RS patients were insignificant. Pathogenesis of reversible obstruction in sarcoidosis demands further studies.

Adult↗
PubMed2000

[The state legal and expert identification aspects of protecting the right of the person for citizens of the Russian Federation].

The article deals with the questions concerning the problem of person identification, different extreme situations. This problem is closely connected with ensuring of national security of Russia. The authors give the definition of person's right in contact with constant threat to violate this right. Two categories of person's properties are analysed (material and not material) with the help of which it is possible to establish identity of man and his personality. It is noted that protection of person's rights is carried out in six forms. For the first time the possibilities to create organisational system of person identification in the form of Federal service are discussed that must be legislatively secured. Scientific investigation of this problem allowed the authors to submit concrete proposals concerning the question of organisation of state service for person identification.

Civil Rights↗
PubMed1996

Thoracoscopic surgery in the management of mediastinal masses. Indications, complications, limitations.

BACKGROUND: In recent times thoracoscopy has been used for diagnoses and treatment of mediastinal masses. This study is a preliminary review of indications, complications, and limitations in this field of surgery. METHODS: Twenty-eight patients with mediastinal masses were operated in the Clinical Oncological Centre, Kazan. Twenty-two of them had anterior mediastinal growths; six had posterior mediastinal tumors. Thoracoscopy was diagnostic in 14 cases; it was therapeutic in 14 cases. RESULTS: The definite diagnosis was achieved in all patients. In cases of benign lesions the operations were successfully completed thoracoscopically. All patients underwent a postoperative period with low pain and short postoperative time. CONCLUSIONS: Video-assisted thoracoscopy is indicated in cases of mediastinal masses, both for diagnosis and treatment. It has significant advantages compared to normal thoracoscopy and mediastinoscopy.

Adolescent↗