Tactics Of Therapy Research Articles

The choice of tactics of immunocorrecting therapy in patients with chronic leukaemias

Green architecture usually symbolise the sustainability of modern cities. While urban central areas are usually endowed with a multitude of green spaces, they are also the areas that are most prone to the undesirable effects of growth and urbanisation. Planning of sustainable cities serves as a fundamental catalyst for change, improving environmental quality of the natural and built environments, and upgrading conditions for development of green architecture. This paper analyses strategies that have been used in Baku, Azerbaijan, and a focuses on the strategies of sustainable development, that have been used to upgrade the environmental quality of this city.

Plenum of the All-Union Scientific Society of Obstetricians and Gynecologists

The plenum of the All-Union Scientific Society of Obstetricians and Gynecologists was devoted to obstetric hemorrhages. Corresponding member of the USSR Academy of Medical Sciences, Professor G. M. Savelyeva (Moscow) in her report "Principles of reimbursement of blood loss in obstetric hemorrhage" recommended the following tactics of infusion and transfusion therapy based on the results of examination of 200 parturients. For blood loss of 0.6-0.8% of body weight, the total volume of infusions should be 80-100%, and hemotransfusions can be abstained from. For infusions preference should be given to gelatinol, reopolyglucin, their combination with crystalloids.

Penicillins and macrolides in the treatment of community-acquired respiratory tract infections.

The use of penicillins and macrolides in the management of community-acquired respiratory tract infections is evaluated in relation to such factors as antimicrobial activity, stability, pharmacokinetics and adverse reactions. Attention is directed to the side effects of drugs, e.g. to the clear advantages of 16 (e.g. spiramycin) vs. 14 (e.g. erythromycin)-membered ring macrolides, and examples are drawn to illustrate the tactics of antimicrobial therapy in the management of pneumonias.

Hemodilution tactics of infusion therapy in oncogynecological operations

In the last decade, controlled hemodilution has been widely used in clinical practice. This technique has a number of positive properties: it helps to improve blood rheology, restore microcirculation, reduce total peripheral resistance, coagulation potential of blood, increase cardiac output with lower energy consumption in the myocardium [2, 4, 5-7]. During prolonged and traumatic surgical interventions, central and peripheral circulatory disorders are possible, especially in elderly and senile people and in patients with concomitant diseases of vital body systems. To stabilize hemodynamic parameters at an optimal level during surgery against the background of adequate anesthesia, the tactics of infusion therapy is essential [1, 3].

Malignant Solid Tumors in Children: A Review

This book, in ten chapters and an epilogue, provides an overview of cancer in children and an up-to-date perspective on the diagnosis and treatment of five common childhood malignancies. In the first chapter, the author analyzes the data on incidence, childhood deaths, and tumor types given in the Third National Cancer Survey, the Surveillance Epidemiology and End Results Program of the National Cancer Institute, and other published series. Etiology, genetic considerations, strategy and tactics of cancer therapy, concepts of prognosis, and clinical research are also discussed. In the second chapter he reviews the systematic approach to treatment of a child who may have a solid malignant neoplasm. Principles of therapy are discussed in chapter 3. These chapters are particularly good for medical students, house staff, and practicing physicians. Particularly useful to pediatric hematologists, oncologists, and fellows in training is the next chapter on the response of various solid malignant neoplasms

Malignant Solid Tumors in Children

In this volume, the author has drawn on his many years of experience in the treatment of children with cancer. In the preface, he acknowledges that the attitudes expressed in the volume reflect author bias and, to some degree, a limitation of discussion to tumor studies with which he has had the most direct personal experience. Dr Sutow has devoted almost half of this volume to some general considerations of childhood cancer and its treatment. There are useful, albeit brief discussions of incidence, the special nature of childhood neoplasms in comparison with those in adults, and those factors of apparent importance in cause. He has also provided some interesting background discussion concerning the strategy and tactics of cancer therapy for those unfamiliar with modern treatment concepts. The discussion of specific tumors is limited to five of the more common childhood neoplasms: neuroblastoma, Wilms' tumor, rhabdomyosarcoma, Ewing's sarcoma, and osteosarcoma. The

Divorce therapy: an in-depth survey of therapists' views.

In-depth interviews were conducted with 21 highly experienced therapists on the criteria of a constructive divorce, the obstacles to achieving such a divorce, and the strategies and tactics of divorce therapy. The primary criterion of a constructive divorce was the successful completion of the process of psychic separation and the protection of the welfare of minor children. Therapy may focus on the decision to get divorced and/or the negotiation of the terms of a divorce settlement. Three types of therapeutic strategies were identified: reflexive intervention by which the therapist orients himself to the marital problems and attempts to gain the trust and confidence of the partners; contextual interventions by which he tries to promote a climate conducive to decision-making; and substantive interventions intended to produce resolution on terms the therapist has come to believe are inevitable or necessary. The nascent state of divorce therapy as an area of therapeutic specialization is noted. The problem of diagnostic criteria for divorce, the relationship between therapists and lawyers, the nature and consequence of therapist impartiality, and the degree to which therapists should mediate the terms of divorce are considered central issues meriting further study.

Education of an anesthesiologist in the conditions of the russian-Ukrainian war and the results of pain treatment in patients with gunshot and mine-explosive wounds during the stages of treatment in the Armed Forces of Ukraine

Education of military anesthesiologists is critical to improving outcomes for patients with gunshot and mine-explosive wounds. After all, it is the anesthesiologist who assesses the severity of the patient’s condition, plans the tactics of intensive therapy and predicts the long-term prospects of treatment. Such components of intensive therapy include pain treatment. Ineffective analgesia or the lack of high-quality countermeasures against pain can cause its chronicity. Unfortunately, chronic pain in patients with gunshot wounds is diagnosed in 70% of cases, and in 83.3% of patients with mine-explosive wounds. That is why studying the results of the impact, stress factors of war on the patient and the education of anesthesiologists in the issues of pain treatment, on the processes of chronic pain are important and can potentially improve the results of treatment of such patients in the long term.Methods. The results of treatment of 1166 patients with gunshot and mine-explosive wounds are presented. Pain intensity was diagnosed using a visual analog scale (VAS). The presence of acute stress reaction (ASR) was diagnosed using The hospital anxiety and depression scale (HADS) and medical history, the diagnosis was established by a psychiatrist.Satisfaction with the results of treatment was studied using the Chaban quality of life scale (CQLS). Diagnosis of post-traumatic stress disorders (PTSD) – using the Mississippi Scale for Combat-Related PTSD (M-PTSD). Comparison of groups was carried out according to the Mann-Whitney test and the chi-square test, taking into account the correction for continuity. To analyze the relationship between the risks of receiving a negative treatment result and factor characteristics, the methodof building univariate and multivariate logistic regression models was used. The quality of the models was evaluated by the area under the ROC curve (AUC – Area under the ROC curve) To quantify the degree of influence of the factor characteristic, the odds ratio indicator was calculated.Result. A very strong relationship between the chronicity of pain and the presence of ASR in patients, as well as CQLS data at the time of discharge from the medical institution and 1 and 3 months after treatment (AUC>0.9) was revealed. A connection with the presence of PTSD was revealed according to the M-PTSD 1 and 3 months after wounds (AUC=0.65 95% CI 0.62-0.68). Also, a high risk of chronic pain (≥95.6% of patients with chronic pain) is observed in patients with ASR at admission and HADS data >10 points, CQLS at discharge ≤75, CQLS after 1 month ≤66, CQLS after 3 months ≤66.Conclusions. Taking into account the results of the analysis, it is clear that military anesthesiologists planning intensive care and predicting the long-term prospects of pain treatment should have the knowledge and practical skills of related specialties, because the acute stress reaction and quality of life according to the CQLS have a strong relationship with the risk of chronic pain, which requires special diagnostics.
 Trial registrationClinicalTrials.gov: Retrospectively registered on July 28,2022 NCT05478642

Treatment of childhood schizophrenia. A three-year comparison of day and residental treatment.

IN THE PAST two decades, the climate of professional activity with schizophrenic children has been dominated by therapeutic intention. Therapeutic procedures which have been employed include individual psychotherapy, drug therapy, education, and even the precisely defined procedures of instrumental conditioning. The major trend, however, has been toward the most comprehensive programs of corrective treatment, popularly termed milieu therapy. Milieu therapy uses all the known tactics of individual therapy. Most significantly, however, it deliberately contacts the disordered child 24 hours a day with the ambitious goal of enhancing ego growth through the meaningful use of psychosocial processes. Generally speaking, the concept of milieu therapy has evolved within the organizational framework of residential treatment, implying round-the-clock therapeutic interaction with the child for seven days, each week, for 12 months of the year and over long periods of time. Under such circumstances, the child