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Biomedical subjects

N N Klimko

Publications and source records attributed to N N Klimko.

9 recordsLinked to original sources
PubMed1998

[The empirical antibiotic therapy of patients with acute leukemias: the results of a multicenter study].

AIM: To evaluate efficacy of ampicilline/sulbactame and fluconasole in the regimen of empirical antibiotic therapy in patients with acute leukemia. MATERIALS AND METHODS: The trial covered 14 hematological departments of Russia and 1 of Ukraine. Acute myeloid leukemia patients were included. 92 cases of fever in 56 patients with analysis of efficacy in 66 cases were considered. At the first stage of empirical antibiotic therapy, cefoperason (4 g/day) and gentamycin (240 mg/day) were administered. If no response was reached, ampicilline/sulbactam (7.5 g/day) was added. This was the second stage. If no response occurred for 5 days the three drugs were joined by fluconasol (400 mg followed by 200 mg). RESULTS: Fever of unclear genesis was cured in 82% (28 of 34), clinical infection--in 80% (20 of 25), microbiologically confirmed infection--in 4 of 7 cases. A complete response to the empirical antibiotic therapy was registered in 52 of 66 cases (79%). 7(10.5%) patients died of infectious complications. 7(10.5%) received other antibiotics.

Acute Disease↗
PubMed1992

[Secondary pneumonia in subjects with acute leukemia].

UNLABELLED: Of 105 patients with acute leukoses secondary pneumonias were found in 47.6%. A dependence was found of the frequency of pneumonia on the severity of initial hyperleukocytosis and duration of post-cytostatic agranulocytosis. The efficiency of routine criteria of diagnosis was 66% and increased significantly in microbiological and cytological investigation of the bronchoalveolar lavage fluid. TREATMENT: combined antibacterial therapy, antifungal, desintoxicating agents; in severe cases--endobronchial administration of monogroup leucocytic mass.

Acute Disease↗
PubMedDate not supplied

[Use of computed tomography in the examination of patients with endocrine ophthalmopathy].

Combined investigation of 29 patients with Basedow's disease, 5 patients with autoimmune thyroiditis, and 4 patients with mixed toxic goiter was carried out including computerized tomography (CT) of the orbits. The investigation of 10 patients was repeated 6 months after the first one. Signs of endocrine ophthalmopathy were detected in 28 patients with Basedow's disease and in 2 patients with autoimmune thyroiditis. Characteristic CT signs of retrobulbar tissue changes in endocrine ophthalmopathy were defined. The use of CT of the orbits was shown to improve early diagnosis of endocrine ophthalmopathies, to assess the time course of the disease and therapeutic efficacy. The authors proposed 3 variants of endocrine ophthalmopathy with regard to the involvement of the oculomotor muscles or retrobulbar fat tissue, revealed by CT.

Adolescent↗
PubMedDate not supplied

[Immunohematologic changes in pituitary adenomas].

The authors conducted studies of colony-producing capacity of precursor cells of bone marrow granulomonopoiesis and cytogenetic study of blood T lymphocytes in 13 patients with adenoma of the hypophysis. It was established that adenomas of the hypophysis are attended by the development of functional deficiency of T lymphocytes and the resultant disturbance of T cell regulation of granulomonopoiesis. The disorder of granulomonopoiesis occurs at the level of the precursor cells in the bone marrow.

Adenoma, Acidophil↗
PubMedDate not supplied

[Parameters of carbohydrate metabolism in patients before and after removal of insulinoma].

Measurements of the daily fluctuations in the sugar blood levels, fasting test, the double glucose tolerance test, and measurements of the blood insulin and C peptide levels were carried out in 13 patients with organic hyperinsulinism prior to insulinoma removal and in the immediate and late periods after it. The double glucose tolerance test was for the first time used to study carbohydrate metabolism in patients with organic hyperinsulinism. The curve of this test in insulinoma patients was found to resemble that in health though with lower levels and a more abrupt lowering of its end section. This feature may be used to define the origin of hyperinsulinism. No correlation between the blood glucose, insulin, and C peptide levels was detectable before surgery in this patient population. After surgery the imbalance in these three parameters relationships is eliminated. Carbohydrate metabolism parameters normalized after the operation; the lowest blood sugar level was increased twofold in the fasting test. Transitory hyperglycemia persisted for two weeks after elimination of hyperinsulinism. Daily fluctuations in the blood sugar levels normalize during the third week after surgery.

Adolescent↗
PubMedDate not supplied

[Method of diagnosis of Epstein-Barr virus infection].

An original methodological approach to the diagnosis of Epstein-Barr virus (EBV) infection is proposed, consisting in the detection of viral DNA in peripheral blood lymphocytes using in situ DNA hybridization. EBV DNA was found in 6 (50%) patients with lymphomas and in 1 (33%) with infective endocarditis out of 26 examined recipients of blood components. No EBV DNA was found in peripheral blood lymphocytes of 14 regular donors. Normalization of the immune status of a patient and use of blood components containing no EBV is the key factor in the prevention of EBV infection. Biohit test system for in situ hybridization of EBV DNA may be used for diagnostic monitoring of EBV infection and screening of blood and tissue donors.

DNA, Viral↗