Saratov JOURNAL of Medical and Scientific Research

Khilgiyaev R.H.

Saratov State Medical University n.a. Razumovsky, Department of General Surgery, Assistant, Candidate of Medical Science

Vasily Ivanovich Razumovsky — the first rector and founder of General Surgery Department of Saratov Medical University (to the 110th anniversary of University foundation)

Year: 2019, volume 15 Issue: №4 Pages: 951-954
Heading: Scientific schools and memorable dates Article type:
Authors: Shapkin Yu.G., Khilgiyaev R.Kh., Scripal E.A.
Organization: Saratov State Medical University
Summary:

The article shows the role of Professor V.I. Razumovsky in the development of national surgery, in the organization of Saratov Medical University, in the formation of the General Surgery Department.

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Probability of developing severe sepsis in patients of elderly and senile age with necrotic erysipelas

Year: 2015, volume 11 Issue: №2 Pages: 198-201
Heading: Phthisiology Article type: Original article
Authors: Shapkin Yu.G., Khilgiyaev R.H., Mikhailenko K.A.
Organization: Saratov State Medical University
Summary:

Objective: the probable determination of severe sepsis in patients of elderly and senile age with necrotic erysipelas based on a comprehensive assessment (clinical examination using systems — scales and determination of the level markers of SIRS). Material and methods. The analysis of peculiarities of necrotic erysipelas clinical course in 59 patients. The first group consisted of 17 patients with severe sepsis, the second — 18 patients with sepsis without multiple organ failure, in the comparison group —22 patients with local infection. We determined albumin, urea, creatinine, pro-calcitonin of plasma. The scale SAPS III was used to quantify SIRS, scale SOFA —to determine the extent of damage to organs and systems. Results. The most sensitive marker of developing sepsis in patients with necrotic erysipelas was procalcitonin. The second important indicator of SIRS severity in patients with necrotic erysipelas was the blood albumin. Scale SAPS III also allows to select a group of patients with high risk of developing severe sepsis. Use of the SOFA to predict the scale has been found out to be less important. Conclusion. A comprehensive assessment of the severity of the condition by scale SAPS III in combination with determining the levels of procalcitonin and plasma albumin is advisable to apply for prediction the probability of developing severe sepsis in patients of elderly and senile age with necrotic erysipelas. For the last indicator it is important to assess of absolute values and the decrease of its concentration.

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General surgery in higher medical schools: innovative teaching methods

Year: 2011, volume 7 Issue: №4 Pages: 992-993
Heading: Pedagogics and Education Article type: Author's opinion
Authors: Shapkin Y.G., Kapralov S.V., Khilgiyaev R.H., Belikov A.M., Horoshkevich A.V.
Organization: Saratov State Medical University
Summary:

Educational programmes and computer tests are important in teaching of general surgery. Application of modern computer and Internet technologies in the educational process improves quality of training

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