[Experience in organizing correspondence instruction for military therapists in functional diagnosis].
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Biomedical subjects
Publications and source records attributed to E V Ermakov.
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The paper is concerned with a comparative assessment of the efficacy of employment of various methods of drug administration with the help of an injection needle through a gastric fibroscope in the multimodality therapy of duodenal ulcer patients. The assessment of the administration of gastrosol to 33 patients, solcoseryl to 27 and the granulocyte concentrate to 42 showed that most effective was administration of the granulocyte concentrate in the presence of antacids and cholinolytics. The employment of this method in multimodality therapy of duodenal ulcer made it possible to reduce the time of cicatrization and obtaining a good clinical remission.
In 90 patients with peptic ulcer of the stomach and duodenum, the times required for the healing of ulcerous defects were studied and compared after local irradiation with low-energy (infrared) laser and hyperbaric oxygenation. Analysis of the data obtained attests to the similar (in terms of the times of the healing of gastric and duodenal ulcers) clinical efficacy of the methods under comparison. This makes it possible to regard hyperbaric oxygenation and the local use of infrared laser as the methods of choice (with regard to individual tolerance) for the treatment of peptic ulcer.
The authors provide the data concerning changes in humoral and cellular immunity as well as factors of nonspecific defense under the effect of a new treatment method for frequently relapsing peptic ulcer. The method is based on administering a granulocyte concentrate by ulcer pricking around. It was noted that in peptic ulcer patients, humoral and cellular immunity returned to normal as did the factors of nonspecific defense.
The authors provide the reported data on the epidemiology, morphology, clinical picture and treatment of Legionnaires' disease. Demonstrate a wide disease prevalence and note a high percentage of grave patterns of Legionnaires' disease. Stress the necessity of etiological verification of the diagnosis in pulmonary diseases. The possibility of concomitant lung injury by different microorganisms interfering with the diagnosis and instituting a goal-oriented etiotropic therapy (by tetracycline and erythromycin in Legionnaires' disease) is discussed with reference to clinical material. The authors are also concerned with changes in the immune status of patients with the disease under consideration and approaches to their correction.
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The authors provide the results of application of sanitation bronchoscopy in patients with nonspecific lung diseases. Differential (depending on the disease etiology, endobronchitis pattern, immunity) application of antibacterial drugs, bacteriophages, immunity and regeneration stimulants substantially improves the disease course and prognosis. As compared to the control group, the main group patients manifested a more rapid positive dynamics of the immunological parameters.
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