Saratov JOURNAL of Medical and Scientific Research

Scholomova E.I.

Saratov State Medical University, Department of Nervous System Diseases, Post-graduate

Effectiveness criteria of early rehabilitative treatment of patients with postoperative upper plexopathy

Year: 2017, volume 13 Issue: №1 Pages: 057-061
Heading: Neurology Article type: Original article
Authors: Tosheva M.l., Sholomov I.I., Sholomova E.l.
Organization: Saratov State Medical University
Summary:

The damage of the peripheral nervous system often acts as a complication of extensive surgical interventions on the removal of malignant breast tumors. The research goal is to evaluate the criteria for the effectiveness of early rehabilitation treatment of postoperative upper plexopathies. Material and Methods. The analyzed results of complex diagnosis and treatment of 162 women undergoing radical mastectomy for breast cancer, aged 33 to 79 years were presented. The examination included neurological examination, analysis of the psychological state using the HADS scales, Janet Taylor and HDRS, holding electroneuromyography Results. 98.76% of cases of patients after radical mastectomy for malignant breast tumors were diagnosed with unilateral shoulder complex. At 1.24% it established a bilateral lesion of the brachial plexus. The presence of pain is not a leading complaint in all cases. Among patients with classical mastectomy performed significantly prevailed damage of the intercostal nerves III and IV. In post-operative patients with the retrofit radical mastectomy neuro- and plexopathy were often diagnosed. Consent to one-stage reconstructive surgery is directly correlated with the level of education and marital status. Indicators of depression and anxiety were lower after reconstructive plastic surgery. Conclusion. The criteria for the effectiveness of early rehabilitation treatment of postoperative upper plexopathies were obtained. The decisions on the nature and scope of reconstructive and plastic surgery were established to be in conjunction with the social components of life of patients.

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Comorbid diseases at patients with HIV-induced neurological disorders

Year: 2016, volume 12 Issue: №3 Pages: 388-390
Heading: Neurology Article type: Original article
Authors: Sholomova E.l., Rebrov К.А., Sholomov I.I.
Organization: Saratov City clinic №11, Saratov State Medical University
Summary:

Objective: to estimate the structure and frequency of detection of secondary diseases in patients with neurological manifestations of HIV infection. Materials and methods. The study involved 304 patients infected with HIV. Results. The defeat of the nervous system in HIV infection occur encephalopathy, cerebral vascular lesions, meningitis, subacute encephalitis, secondary CNS lesions. The number of CD4-lymphocytes in HIV-infected patients with neurological disorders was significantly lower. Most of them have comorbid diseases. The most commonly diagnosed hepatitis С and B, herpes, cytomegalovirus infection, chlamydia, Candida, toxoplasmosis and tuberculosis, mixed infection. Hepatitis В and С and herpes are the most widely represented in patients with HIV-induced encephalopathy and cerebrovascular form of HIV. The presence of cytomegalovirus infection is correlated with the development of subacute encephalitis. Conclusion. Manifestations of nervous system pathology in HIV polymorphic and correlated with the presence of secondary comorbid pathology. Such conditions are due to underlying disease immunological parameters.

Subclinical forms of neuropathy with diaphyseal fractures of the humerus

Year: 2012, volume 8 Issue: №2 Pages: 556-560
Heading: Neurology Article type: Original article
Authors: Sholomova E.I., Romanenko V.Yu., Ninel V.G., Аrutyunyan Т.R., Sholomov I.I., Shuldyakov А.А.
Organization: Saratov Scientific Research Institute of Traumatology and Orthopedics, Saratov State Medical University
Summary:

Aim of the study. To identify the frequency of subclinical neuropathy in patients with diaphyseal fractures of the hu-merus in different periods of treatment. Materials and methods. Held clinical-following systems survey of 122 patients with diaphyseal fractures of the shoulder bone. Results. At 57 after neurological examination and electromyographic diagnosed with post-traumatic neuropathy. Conclusion. As a result of research implemented its purpose. Revealed the frequency of post-traumatic neuropathy, as complications of fractures of the shoulder bone. Not always the defeat of the peripheral nerves of the manifest clinically, which complicates the diagnosis. Give a description of the locations and forms of damage, describes in detail the dynamics of the violations identifed in the course of treatment. Considered are the questions of diagnostics of latent forms of neuropathy and stages of their manifestations.

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Quality of life of patients with upper extremity fractures

Year: 2011, volume 7 Issue: №2 Pages: 510-512
Heading: Traumatology and Orthopedics Article type: Short message
Authors: Sholomova E.I., Levchenko К.К., Arutunyan T.R., Ninel V.G.
Organization: Saratov State Medical University, Saratov Scientific Research Institute of Traumatology and Orthopedics
Summary:

90 patients with upper extremity fractures took part in the study. The injured patients were treated with rod and pin-and-rod type external fixation devices and by means of external immobilization. It was demonstrated that quality of life to the moment of device removal was 8-9 points higher in patients treated with pin type external fixation in comparison with pin-and-rod type. Quality of life was higher in patients with proximal upper extremity injuries

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Anxiety level in patients with fractures of extremities. Saratov Journal of Medical Scientific Research

Year: 2011, volume 7 Issue: №2 Pages: 450-453
Heading: Neurology Article type: Original article
Authors: Barylnik Yu.B., Ornatskaya N.A., Sholomova E.I., Arutyunyan T.R.
Organization: Saratov State Medical University
Summary:

Estimation of situational and personal anxiety levels has been done by Spielberger»s Stait-Trait Anxiety Inventory. Data were collected from 30 patients with fractures of extremities who were under treatment in the department of trau-matology during the first three days after the moment of trauma. These levels were compared to those of 24 people of random age and sex. Comparison results state that high level of anxiety has been observed for the majority of patients with trauma regardless of fracture localization, pain syndrome level and degree of functional disability

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EXTERNAL FIXATION OF FOREARM SHAFT FRACTURE

Year: 2008, volume 4 Issue: №2 Pages: 105-109
Heading: Traumatology and Orthopedics Article type: Original article
Authors: K.K. Levchenko, O.V. Beidik, Kh. S. Karnaev, T.N. Lukpanova, E.I. Scholomova
Organization: Saratov State Medical University
Summary:

The authors of the article suggest way of surgical treatment of forearm fracture using pivot external fixation, which provides great inflexibility of fixation and reduction of complications.

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