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I V Makarov

Publications and source records attributed to I V Makarov.

16 recordsLinked to original sources
PubMed2004

[Ultrasound duplex scanning in the assessment of the effectiveness of gravitation therapy and conservative treatment of patients with atherosclerosis obliterans of the lower extremities].

Ultrasound duplex scanning was used to compare the results of the treatment of 162 patients suffering from atherosclerosis obliterans of the lower extremities. It is to be noted that 50 patients were administered only gravitation therapy, 72 patients underwent a complex of treatment measures including, in addition to gravitation therapy, physiotherapy and drug treatment, and 40 patients received conservative treatment alone. The assessment criteria were the maximal systolic velocity of blood flow (V(max)), end diastolic mean, velocity (V(min)), mean maximal velocity (V(mean)), volume velocity of blood flow (V(vol)), ankle/brachial index (ABI), and index of regional perfusion (IRP), proposed by us and representing the percent ratio of the volume velocity of blood flow to the minute heart volume (MHV). It has been revealed in the course of the treatment that the best clinical outcome was recorded in patients who received a complex of treatment measures. The use of gravitation therapy alone provided better treatment results as compared to those obtained in patients administered standard conservative therapy. Of all the indicators used, only V(mean), V(vol), ABI and IRP are of the clinical significance. However, the most significant information on the segmental blood flow was obtained on the assessment of the IRP whose values did not depend on the changes in central hemodynamics. In contrast to the ABI, the advantage of the IRP lies in the possibility of blood flow assessment in different segments and arteries of the extremities. So, the use of the quantitative indicators of ultrasound duplex scanning and, first of all, of the IRP, allows an objective evaluation of the segmental blood flow and may serve one of the significant criteria of the treatment effectiveness.

Adult↗
PubMed2003

[The use of gravitation overloading in the treatment of obliterative atherosclerosis of lower extremity arteries].

The article sums up results of treatment of 152 patients with obliterating atherosclerosis of the lower extremity arteries which were exposed to 2-3 G gravitation overloading made in a centrifuge of a short radius in direction head--pelvis. The gravitation overloading in the regimen followed were not found to have negative effects of central hemodynamics. Peripheral circulation was noted to considerably improve which is confirmed: 1) by clinical data showing 2-5 times longer distance of painless walking; 2) by the data of ultrasound dopplerography manifested as larger volume rate of blood flow and regional perfusion index; 3) by thermographic explorations evidencing the recovery of the thermoprophile of the legs and feet. Thus, the application of gravitation overloading is a new effective method of conservative treatment of patients with the pathology in question.

Aged↗
PubMed2003

[Effect of mild gravitational overload on the progression of lower limb arteriosclerosis obliterans].

The paper analyses the effect of mild gravitational overload (MGO) produced by patient's centrifugation in short-radius centrifuge in cranio-sacral orientation (+Gz) as a part of combined therapy for lower limb arteriosclerosis obliterans. Total 211 patients with I-II grade disease were divided into 3 groups: the first group (59 patients) was treated only by MGO, the second (100 patients) received both MGO and conventional conservative therapy, the third control group (52 patients) underwent conventional therapy only. The best clinical outcome was achieved in the 1st and 2nd groups. Pain-free walking distance increased 2-5-fold (vs 1.5 in control), mean volume blood flow velocity in different arterial beds increased 21-33% (vs 7.5% in control), index of regional perfusion - 25-29% (vs 10% in control), ankle-brachial index - 0.09-0.17 (vs 0.03 in control). Computer termography revealed recovery of leg and foot termographic picture in 86.67%, 92.59%, and 42.86% of cases in the 1st, 2nd and 3rd groups, respectively. Similarly, exercise tolerance measured by bicycle ergometry increased in the 1st and 2nd groups 1.5-1.9-fold (mean 60-85 s) and 1.3-fold (mean 37 s) in control. Thus mild gravitational overload has demonstrated clinical effectiveness in complex therapy of lower limb arteriosclerosis obliterans.

Adult↗
PubMed2002

[Thermography in diagnosis and treatment efficacy evaluation of lower limbs arterial diseases].

Possibilities of thermography for diagnosis of lower limbs arterial diseases and evaluation of treatment results were analyzed. Quantitative evaluation of infra-red imaging with detection of mean temperature, area of thermo-profile and thermographic index is proposed. Possibility of this method for detection of microcirculatory disorders in the limbs before clinical manifestation is demonstrated. Therefore thermography is a reliable method of early diagnosis. Thermography permits to perform qualitative and quantitative analysis of regional blood flow and microcirculation and consequently to use this method for evaluation of treatment efficacy.

Adult↗
PubMed1998

[The use of a microsurgical precision technic for applying a gastroduodenal anastomosis in a Billroth-I gastric resection].

Advantages of the formation of gastroduodenal anastomosis using the microsurgical precision technique as compared to the two-row interrupted Albert-Lembert suture and the one-row suture of Pirogov-Mateshuk were established in an experimental investigation in 63 dogs. The article describes the precision suture technique proposed by the authors which was used in Billroth-I resection of the stomach in 15 patients. It was shown that the use of the precision suture resulted in healing by the first intention type, without motor evacuatory disorders and with shorter time of hospital treatment.

Adult↗
PubMedDate not supplied

[Mental disorders in hospitalized children].

The authors made a statistical analysis of 1491 case histories in children aged 4-14 years treated for various psychotic disorders at a mental hospital in 1992-2001. The proportion of these children remained to be relatively stable and averaged 14.2% of the total number of inpatients. Throughout the 10-year follow-up, among children with psychoses, boys were prevalent: an average ratio of boys to girls being 3.4:1. In Saint Petersburg, there has been recently a steady reduction in the number of children with psychosis admitted to hospitals, the number patients treated in the outpatient setting being on the increase. At the same time the rates of rehospitalizations are also on the rise of patients mainly with severest psychoses. In the past 10 years, Saint Petersburg has been a town of a steady rise in the number of disabled individuals due to mental diseases among children with schizophrenia and dementia admitted to the hospital.

Adolescent↗