Medical Journal of the Russian Federation

Peer-review bimonthly academic medical journal. 

About

The journal founded in 1937 is intended for physicians of all specialties, healthcare professionals, drug developers and regulators, researchers of scientific, medical and educational organizations

Being the Central national medical publication, the journal primarily covers the practical problems of diagnosis and treatment of diseases, as well as information on the most important and actual theoretical and practical problems of health care and medical science in Russia and other countries.

The reader will find on the pages of the journal reviews, lectures and original articles that have priority and deserve to be published in the national Russian medical journal.

Editor-in-Chief

Founder

Publisher

Articles types

  • reviews
  • systematic reviews and metaanalyses
  • original research
  • clinical case reports and series
  • letters to the editor
  • short communications
  • clinial practice guidelines

APC, Publication & Distribution

  • Bimonthly issues (6 times a year)
  • Continuoulsly publications online (Online First)
  • Hybrid Access (Open Access articles published with CC BY-NC-ND 4.0 License)
  • articles in English & Russian
  • Article submission charge

Indexation

  • Russian Science Citation Index (on WoS)
  • CrossRef
  • Google Scholar
  • Ulrich’s International Periodicals Directory
  • WorldCat

Announcements

 
No announcements have been published.
 
More Announcements...

Current Issue

Open Access Open Access  Restricted Access Access granted  Restricted Access Subscription or Fee Access

Vol 28, No 5 (2022)

Cover Page

Full Issue

Open Access Open Access
Restricted Access Access granted
Restricted Access Subscription or Fee Access

Original Research Articles

Comparative study of the effect of vortioxetine on sexual function in outpatient patients with non-psychotic depression
Krylatykh V.Y., Aleshkina G.A.
Abstract

BACKGROUND: The negative effect of sexual dysfunction on the quality of life is often underestimated, although it is one of the determinants of antidepressant tolerance. According to the results of international studies, the prevalence of sexual dysfunction in patients with depression treated with selective serotonin reuptake inhibitors or selective serotonin and norepinephrine reuptake inhibitors is 27–65% in women and 26–57% in men. Treatment with fewer adverse sexual effects should be considered a potential first-line option in patients with psychiatric condition interested in maintaining a sexual life.

AIM: To study the effects of vortioxetine and citalopram on the sexual function of outpatients with non-psychotic depression.

MATERIALS AND METHODS: The study was conducted based on the Center for Psychosomatic Medicine and Psychotherapy. We examined 134 patients (mean age, 35.8±7.6 years) who underwent outpatient treatment by a psychiatrist. Among them, 71 patients received vortioxetine, 45 patients had depressive states of endogenous origin (15 patients with affective disorders and 30 patients with schizotypal disorder), and 26 patients had adjustment disorder. Citalopram was administered in 63 patients: 39 with depressive conditions within endogenous diseases (18 with affective disorders and 21 with schizotypal disorder) and 24 patients with adjustment disorder. The study lasted for 6 weeks, after which sexual function was assessed.

RESULTS: In the groups taking vortioxetine and citalopram, significant differences were found in the incidence of sexual dysfunction: the use of vortioxetine compared with citalopram allowed patients to maintain libido and orgasmic function and, in some cases, helped restore the sexual sphere.

CONCLUSION: The data obtained showed that vortioxetine was statistically significantly more favorable in relation to sexual function.

Medical Journal of the Russian Federation. 2022;28(5):333-343
pages 333-343 views
Preventive chronotherapy of diltiazem in old patients with ischemic heart disease, stable stenocardia II–III functional classes
Zaslavskaya R.M.
Abstract

BACKGROUND: This study developed a new variant of chronotherapy — preventive chronotherapy with a calcium antagonist of prolonged action — diltiazem, which is provided before the onset of myocardial ischemia (painful and pain-free) in accordance with ECG monitoring data in older patients with stable angina pectoris.

AIM: This study aimed to examine the effectiveness of preventive chronotherapy with diltiazem in older patients with coronary heart disease and stable angina pectoris of II–III functional classes in comparison with traditional treatment with diltiazem without taking into account the onset of myocardial ischemia during the day.

MAATERIALS AND METHODS: The study included two randomized groups of patients with coronary heart disease, i.e., stable angina pectoris. Group 1 included patients (n=15) receiving preventive chronotherapy with diltiazem. Group 2 consisted of patients (n=10) with angina pectoris of 2–3 functional classes treated with diltiazem by the traditional method. EchoСG was used in the work. ECG–Holter monitoring and bimanual physical activity were conducted. The course of treatment was 10 days.

RESULTS: The results indicated the advantage of preventive chronotherapy with diltiazem in comparison with traditional treatment. This is confirmed by a more pronounced therapeutic effect in the form of an improvement in myocardial contractile function, decrease in myocardial energy expenditure, increase in exercise tolerance and antianginal, anti-ischemic, and vasodilating effects of diltiazem used in preventive chronotherapy mode (i.e., with an increase in the occurrence time of myocardial ischemia).

CONCLUSION: The study data obtained made it possible to establish more pronounced antianginal, anti-ischemic, and hypotensive effects of preventive chronotherapy with diltiazem than these effects of traditional treatment. Moreover, preventive chronotherapy was associated with a greater tolerance to physical activity and a decrease in myocardial energy expenditure.

Medical Journal of the Russian Federation. 2022;28(5):345-351
pages 345-351 views
Analysis of availability of separate medical dental personnel of medical organizations of the region for 2019-2021
Akhedzhak-Naguze S.К., Shiltsova T.A., Zhane K.A., Naguze A.A., Chukho M.А.
Abstract

BACKGROUND: The main factor that determines the priority direction in the development of a medical organization and the health system as a whole is the optimization of personnel. This study analyzed the provision of medical organizations of the Krasnodar Territory with individual medical dental personnel. This study is quite relevant because the present socio-economic formation is based on the personal qualities and experience of highly qualified personnel of the organization, which is the basis for the competitive advantage of medical organizations in the market of goods and services.

AIMS: To analyze the main indicators of staffing by orthodontists, dentists, and pediatric dentists of medical organizations in the Krasnodar Territory for 2019–2021.

MATERIALS AND METHODS: The study participants were selected medical dental personnel with Krasnodar Krai specialties, namely, orthodontics, dentistry, and pediatric dentistry for 2019–2021. The association between the need for the effective use of healthcare personnel resources and the potential needs of the population in dental medical care was determined. The study analyzed the statistical data of reporting forms of medical organizations of Krasnodar Krai “Information about medical organization” (p. N 30) during the study period. The statistical analysis of data was conducted using Microsoft Office software package. Analytical, logical, and statistical methods of research were used.

RESULTS: The analysis of the availability of separate medical dental personnel of medical organizations of Krasnodar Territory for 2019–2021 revealed an increase in the number of regular and occupied positions of orthodontic doctors and dentists and a decrease in the number of staff and employed pediatric dentists. The number of orthodontists and dentists in pediatrics decreased slightly, whereas the number of dentists increased. The number of certified and accredited doctors in all specialties has increased.

CONCLUSIONS: This study revealed the main indicators of staffing by orthodontic doctors, dentists, doctors, and pediatric dentists of medical organizations of the Krasnodar Krai health system for 2019–2021.

Medical Journal of the Russian Federation. 2022;28(5):353-363
pages 353-363 views

Reviews

Klotho protein and atherosclerotic cardiovascular diseases: prolonging the thread of life
Alieva A.M., Reznik E.V., Teplova N.V., Voronkova K.V., Khachirova E.A., Sarakaeva L.R., Valiev R.K., Kotikova I.A., Nikitin I.G.
Abstract

To date, the most widely used biomarkers are natriuretic peptides and cardiac troponins. Many other biomarkers have also been identified, but only a few of them have found application in actual clinical practice. This review focuses on the Klotho protein and its role in cardiovascular diseases.

In 1997, a gene that slows down the aging process was identified. It was named Klotho (Greek, Κλωθώ, “spinning”; Latin, Clotho; English, Klotho) in honor of the goddess of ancient Greek mythology, spinning the thread of life and being the personification of the steady, calm course of fate. Mice with an insertional mutation in the region of the Klotho gene promoter were characterized by premature aging processes. Three families of Klotho are known: α-Klotho, β-Klotho, and γ-Klotho, and the most studied is α-Klotho. The Klotho protein consists of a large extracellular domain and a short C-terminal intracellular region. The extracellular domain consists of two repeat sequences called KL1 and KL2. α-Klotho and β-Klotho contain the KL1 and KL2 domains, respectively, and γ-Klotho contains only the KL1 domain. The Klotho gene in humans is located on chromosome 13q12 and consists of five exons. The Klotho protein is mainly expressed in the distal convoluted tubules of the kidneys and the vascular epithelial plexus of the cerebral ventricles. At lower concentrations, the Klotho gene is also found in other organs and tissues, particularly in the heart.

Many studies have demonstrated the protective role of the Klotho protein in cardiovascular pathology. The pleiotropic properties of this protein are reflected in the diversity and interaction of cardioprotective mechanisms. The regulation of the concentrations of the Klotho protein in the blood and its expression in heart cells with the help of drugs can play a significant role in cellular metabolism and represent a promising target for the treatment of heart and vascular pathologies.

Medical Journal of the Russian Federation. 2022;28(5):365-380
pages 365-380 views
Virtual reality as a technology of multimodal correction of post-stroke motor and cognitive disturbances in conditions of multitasking functioning (literature review)
Kostenko E.V., Petrova L.V., Pogonchenkova I.V., Kopasheva V.D.
Abstract

The article presents an overview of innovative technologies based on the methods of sensorimotor retraining of patients using virtual reality technology as a promising in the comprehensive rehabilitation of patients who have suffered a cerebral stroke. High level of evidence studies (RCTs, meta-analyses, and systematic reviews) index in the PubMed, Cochrane Library, ClinicalTrials.gov databases are analyzed. Training with multisensory effects on visual, auditory, vestibular, and kinesthetic analyzers in multitasking conditions have beneficial effects on cognitive and motor training, retraining, neuropsychological status of the patien,t and an increase in the level of motivation to achieve success in the rehabilitation. The synergistic nature of the multimodal effects of virtual reality makes it possible to expand the possibilities and increase the effectiveness of medical rehabilitation in patients who have undergone cerebral stroke.

Medical Journal of the Russian Federation. 2022;28(5):381-394
pages 381-394 views
Regulatory and legal regulation of medical care in the «cosmetology» profile in the Russian Federation
Kubanov A.A., Kolsanova O.A., Chertukhina O.B.
Abstract

The theoretical and methodological bases of the present study are scientific works, theoretical and methodological developments, current publications of domestic scientists, official normative legal acts, and description of their application in the practical activities of medical organizations providing cosmetology services. This study aimed to examine studies that have focused on the most pressing issues of the legal regulation of medical care to the population of the Russian Federation in the field of «cosmetology», identify the main problems associated with the legal regulation of the industry, and summarize the proposals of medical organizations for its improvement.

In the study, a survey study was conducted, which allowed researchers to identify and summarize the known literature on this topic, regardless of the publication type and study design. The study presents an analysis of the regulatory and legal regulations of the activities of employees and medical organizations providing services in the field of cosmetology. After completing the initial literature search, the authors analyzed, compared, summarized, and systematized the published information.

The analysis made it possible to distribute the data obtained in several key areas of regulatory and legal regulation of domestic cosmetology, i.e., an excursion into history, regulatory and legal support for the activities of a cosmetology medical organization at the present stage, modern requirements for the activities of a doctor, in relation to medical cosmetology care. A content analysis was conducted on the use by medical organizations in the regions of the Russian Federation of the regulatory framework of the cosmetology industry, assessed its effect on the system of providing cosmetological care to the population at the present stage, identified several problems related to the legal regulation of the activities of medical cosmetology organizations and summarized proposals for its improvement.

Medical Journal of the Russian Federation. 2022;28(5):395-407
pages 395-407 views

Case reports

Surgical treatment of patients with visually stressful work from the standpoint of the occurrence of postoperative anisometropia: clinical case
Pokrovsky D.F., Ovechkin N.I.
Abstract

BACKGROUND: To date, several debatable aspects of cataract phacoemulsification (PEC) in the literature exist, one of which is the study of the surgical features in patients with visually stressful work (VLT) and binocular cataract.

CLINICAL CASE DESCRIPTION: In this case, we evaluated the effectiveness of surgical treatment of binocular cataract in a patient with VLT from the standpoint of the occurrence of postoperative anisometropia (A). The patient complained of decreased visual acuity in both eyes. The patient is a chief accountant, and the time of daily visual work is at least 6 h a day. The results of the examination were as follows: A –0.1 relative units; quality of life (QOL) according to the questionnaire «KZS-22» — 152 points, which corresponds to the compensation stage of asthenopia. The patient underwent a standard PEC, and the target refraction was ±0.5 diopters. The operation on the second eye was performed on day 18 after the operation on the first. The results of the examination 7 days after the first operation were A of –0.2 relative; units and QOL of 176 points («normal»). The results of the examination before the second operation (18 days after the first) were A of –0.4 relative units and QOL of 138 points «decompensation of asthenopia»). The results of the examination 7 days after the second operation were A of 0.1 relative units and QOL of 189 points («normal»).

CONCLUSION: The surgical treatment of binocular cataract in patients with VLT is based on an earlier (7–10 days) operation on the second eye to reduce the adverse effects of anisometropia, manifested by severe asthenopia. If a second operation is possible within the specified timeframe, a one-stage binocular PEC should be considered.

Medical Journal of the Russian Federation. 2022;28(5):409-413
pages 409-413 views


This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies