[Clinical and functional features of chronic obstructive pulmonary disease in elderly patients in the Rostov region.]

The study showed the presence of COPD clinical and functional features in elderly patients. Among the statistically significant features, one should highlight the high incidence of COPD (49,7% of the total number of elderly examined) in combination with the shortest duration of the disease in the group of people who have never smoked; the greatest degree of airflow restriction, the maximum severity of pulmonary hypertension and hypoxemia, along with the highest frequency and severity of exacerbations of the underlying disease in the group of patients with COPD, indicating the presence of occupational hazards in the history; the minimum pronounced decrease in quality of life indicators in the group of smokers in combination with an earlier onset of the underlying disease (in comparison with non-smoking patients of the same age). The revealed features can be informative in the diagnosis, treatment, prognosis of the underlying disease and the development of more effective methods of prevention and rehabilitation.

[Features of vegetative dysfunction development in patients with cholelithiasis before and after cholecystectomy].

UNLABELLED: The aim of the present study was a comprehensive study of the features autonomic nervous system in cholelithiasis before and after cholecystectomy. MATERIALS AND METHODS: 88 patients aged 40 to 60 years. 55 patients with cholelithiasis before and after laparoscopic cholecystectomy (CE). Control group consisted of 33 patients of similar age and gender. To investigate the function of the autonomic nervous system were evaluated themes complaint history, physical examination data, and used less Tod mathematical analysis of cardiac rhythm by Baevsky RM using the author's computer-related programs "Korveg" with the definition of heart rate variability and table--Solovevoj Wayne. RESULTS AND CONCLUSIONS: The study of autonomic provision in rest and during exercise were increased sympathetic activity, exceeding those in the control group. Studies indicate a tendency to sympathicotonia patients with gall stones before and after cholecystectomy, which is enhanced adaptive compensatory mechanisms to maintain homeostasis in the body. Identify logical connections between clinical and autonomic indicators will predict flow pattern cholelithiasis before and after cholecystectomy, as well as pick individual therapy for each patient taking into account the autonomic features that can be widely used in practical medicine--not.