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1.
Ter Arkh ; 95(12): 1128-1132, 2023 Dec 28.
Artigo em Russo | MEDLINE | ID: mdl-38785052

RESUMO

This study is aimed at investigating epileptic seizures, one of the consequences of traumatic brain injury (TBI). Immediate and early post-traumatic seizures, as well as late post-traumatic epileptic seizures or post-traumatic epilepsy, can have different pathogenetic bases. The following key risk factors associated with post-traumatic epilepsy are known: duration of unconsciousness, gunshot wounds, intracranial hemorrhage, diffuse axonal injury, prolonged (more than 3 days) post-traumatic amnesia, acute subdural hematoma with surgical evacuation, immediate and early post-traumatic epileptic seizures, fracture of the skull bones. The role of genetic factors in post-traumatic seizures is poorly understood due to the complexity and multiple causal mechanisms. This paper addresses the role of genetic factors in the occurrence and severity of epileptic events in patients with TBI. In particular, we investigated the role of the Cys112Arg single nucleotide polymorphism of the apolipoprotein E gene. Apolipoprotein E is known for its role in the transport and metabolism of lipids and, therefore, the development of cardiovascular diseases; it is also associated with Alzheimer's disease and has recently been studied in the context of association with epilepsy. The study shows an association between this polymorphism and the risk of immediate and early epileptic seizures in patients with severe TBI.


Assuntos
Apolipoproteínas E , Lesões Encefálicas Traumáticas , Epilepsia Pós-Traumática , Polimorfismo de Nucleotídeo Único , Humanos , Apolipoproteínas E/genética , Lesões Encefálicas Traumáticas/genética , Lesões Encefálicas Traumáticas/complicações , Epilepsia Pós-Traumática/genética , Epilepsia Pós-Traumática/etiologia , Predisposição Genética para Doença , Fatores de Risco
2.
Ter Arkh ; 94(7): 914-919, 2022 Aug 12.
Artigo em Russo | MEDLINE | ID: mdl-36286952

RESUMO

The worlds older population is growing dramatically. At the same time, ensuring an appropriate high standard of living for the elderly by reducing of morbidity and disability of geriatric patients is one of the main objectives of the modern healthcare system. However, changes associated with body aging necessitate application of novel approaches to the correction of pharmacotherapy and usage of specialized dosage forms. Such medicinal products provide both an appropriate therapeutic effect and facilitate their use. Presented review considers several features of pharmacotherapy of geriatric patients.


Assuntos
Geriatria , Humanos , Idoso , Envelhecimento , Atenção à Saúde , Polimedicação
3.
Ter Arkh ; 94(8): 1020-1027, 2022 Oct 12.
Artigo em Russo | MEDLINE | ID: mdl-36286984

RESUMO

Age-associated disorders, including cognitive functions, that often occur in geriatric patients, necessitate the use of novel approaches to provide appropriate medical care, pharmacoprophylaxis and pharmacotherapy among them. At the same time, an important objective of the national healthcare system is not only stimulating of pharmaceutical companies and pharmacies to expand the range of medicines intended for elderly patients, but also increasing availability of medicinal products, including the integration of extemporaneous formulations into clinical practice. Presented review considers several features of the regulation of the use of extemporaneous formulations in the treatment of geriatric patients. Examples of prescriptions that are used in Russian medical practice and are of the greatest interest in the treatment of elderly patients are also presented.


Assuntos
Farmácias , Humanos , Idoso , Composição de Medicamentos , Atenção à Saúde , Preparações Farmacêuticas , Federação Russa
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