Saratov JOURNAL of Medical and Scientific Research

Semenov S.V.

Saratov Regional Clinical Hospital for Veterans of Wars, Head of the Department of Polyclinic, Candidate of Medical Sciences

Successful treatment of pulmonary tuberculosis in old age (clinical case)

Year: 2020, volume 16 Issue: №1 Pages: 176-180
Heading: Тhematic supplement Article type: Case report
Authors: Morozova T.I., Salina T.Yu., Semenov S.V.
Organization: Regional Hospital for War Veterans, Saratov, Saratov State Medical University
Summary:

Elderly people are a high-risk group for developing tuberculosis, with difficulties in diagnosis and treatment with an uncertain prognosis. We present a clinical case of tuberculosis with a favorable outcome in a patient aged 86 with a large numerous comorbid pathologies, including an organic brain disease with intellectual and behavioral disorders. This clinical observation demonstrates an atypical course of tuberculosis in the elderly, a slow reverse dynamics of the process and a cure with large residual changes in the lungs.

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Active monitoring system for elderly and senile patients in a hospital for war veterans

Year: 2020, volume 16 Issue: №1 Pages: 145-150
Heading: Тhematic supplement Article type: Author's opinion
Authors: Denisova Т.Р., Zhuk S.V., Nasarov M.I., Lipatova Т.Е., Alipova L.N., Semenov S.V., Avdienko I.V., Barinova I.V.
Organization: Regional Hospital for War Veterans, Saratov, Saratov State Medical University
Summary:

One of the most important problems of modern healthcare is the development of a scientifically based system of active monitoring of patients of older age groups and the provision of medical care to them using the new medical examination procedure. The results of a two-stage monitoring for 5.5 thousand patients of different ages with the inclusion of screening geriatric assessment and the study of a number of hormonal-metabolic markers of aging are presented. Among the elderly, the number of diseases reaches ten or more, the vast majority of such patients belong to the III and IV health groups. Among the elderly, the number of diseases reaches ten or more, the vast majority of such patients belong to the 3rd and 4th health groups. A high level of patient satisfaction was revealed during an optimized clinical examination scenario. Conducting a staged medical observation with synchronous geriatric assessment allows you to form the most homogeneous group of patients. It is necessary to take into account the following factors: age, initial signs of fragility, the level of markers of hormonal-metabolic wilt, the presence and degree of polymorbidity, which is important for monitoring and treating patients, as well as for modifying geriatric function.

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A method of improving clinical work with patients with peptic ulcer of stomach and duodenum

Year: 2018, volume 14 Issue: №2 Pages: 334-337
Heading: Gerontology and geriatrics Article type: Original article
Authors: Lipatova T.E., Tyultyaeva L.A., Nazarov M.M., Semenov S.V.
Organization: Saratov Regional Hospital for Veterans of Wars
Summary:

Objective: identification of risk groups for development of complications of ulcerous disease of stomach and duodenum.Material and Methods. We used data from the official statistical reports of the health Committee of the city of Saratov and the logs of incoming and departures/deaths of patients in the surgical and gastroenterology clinics of the city (1976-2006). The parameters of the prevalence of gastric ulcer and duodenal ulcer and its complications in the population of different age groups are analyzed. Linear regression analysis, odds ratio, and analysis of the speed characteristics of the dynamics of the studied parameters in time (mean, minimum, maximum speed, range of the dynamics of the studied parameters, the number of changes in the sign of the speed of change in the prevalence of the studied parameters) were applied. Results. It was found that the probability of complications of the disease is higher among those age groups, which are characterized by a frequent change in the sign of the rate of change in the prevalence of the pathology. The necessity of age accounting in stratification of the risk of complications of gastric ulcer and duodenal ulcer and the multiplicity of medical observation of persons of different ages with this pathology, taking into account the analytical parameters of the disease. Conclusion. The scheme of determining the multiplicity of dispensary examinations of patients with gastric ulcer and duodenal ulcer is proposed.

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FEATURES OF CLINICAL COURSE OF GASTROESOPHAGEAL REFLUX DISEASE IN NEWLY RECRUITED WITH CONNECTIVE TISSUE UNDIFFERENTIATED DYSPLASIA SYNDROME

Year: 2008, volume 4 Issue: №4 Pages: 46-49
Heading: Internal Diseases Article type: Original article
Authors: S.V. Semenov, E.I. Kashkina
Organization: Saratov State Medical University, Saratov Military Medical Institute
Summary:

The presence of connective tissue undifferentiated dysplasia syndrome against a background of psychological stress at newly recruited can promote the risk of gastroesophageal reflux disease occurrence. To the utmost, correlation between the gastroesophageal reflux disease and such manifestations of connective tissue undifferentiated dysplasia syndrome as asthenic constitution, chest deformation, Gothic palate and hypermobility of joints was found

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