A5033767918- Emergency and Acute Care Studies
- Sepsis Diagnosis and Treatment
- Healthcare Systems and Public Health
- COVID-19 Clinical Research Studies
- Neonatal Respiratory Health Research
- Child and Adolescent Health
- Long-Term Effects of COVID-19
- Hormonal Regulation and Hypertension
- Diet and metabolism studies
- COVID-19 and Mental Health
- Pharmaceutical Practices and Patient Outcomes
- Respiratory Support and Mechanisms
- Diabetes Treatment and Management
- Trauma and Emergency Care Studies
- Paraoxonase enzyme and polymorphisms
- Chronic Obstructive Pulmonary Disease (COPD) Research
- Bone health and osteoporosis research
- Medication Adherence and Compliance
- Asthma and respiratory diseases
- Opinion Dynamics and Social Influence
- Healthcare professionals’ stress and burnout
- COVID-19 and healthcare impacts
- Liver Disease Diagnosis and Treatment
- Ultrasound in Clinical Applications
- Neurological Disorders and Treatments
Saratov State Medical University
2014-2024
Cincinnati Children's Hospital Medical Center
2019-2023
University of Cincinnati
2022-2023
General Department of Preventive Medicine
2021
Use of high-flow nasal cannula (HFNC) for bronchiolitis has increased, but data describing the current use and impact this therapy are limited. Our objective with study was to describe HFNC in a pediatric emergency department (ED) from 2013 2019 explore associations clinical outcomes.This retrospective cohort children aged 2 24 months diagnosis bronchiolitis. The primary outcome initiation ED. Secondary outcomes included admission rate, ICU (PICU) admission, transfer PICU floor, endotracheal...
Pediatric asthma exacerbations are a common cause of emergency medical services (EMS) encounters. Bronchodilators and systemic corticosteroids mainstays exacerbation therapy, yet data on the efficacy EMS administration mixed. This study's objective was to assess association between pediatric patients hospital admission rates based severity transport intervals.
Aim. To evaluate the relationship of various factors with adherence to therapy in cardiovascular patients after a coronavirus disease 2019 (COVID-19). Material and methods. The study included 284 (inpatients — 176, outpatients 108) diseases (hypertension, heart failure (HF), coronary artery disease, atrial fibrillation) COVID-19. We collected data on history, made questionnaire survey about COVID-19 course (symptoms, their severity, self-assessment severity). Paraclinical diagnostic...
OBJECTIVES: Documentation of children’s tobacco smoke exposure (TSE) in the electronic health record (EHR) can have important implications for clinical care. However, it may not be accurate if is based on biochemical assessment, most reliable method verifying TSE. Our objectives were to compare accuracy EHR classification TSE with cotinine verification and explore parent child variables associated biochemically verified METHODS: Participants 171 hospitalized pediatric patients (ages 0–17...
During the COVID-19 pandemic, many emergency medical services (EMS) agencies modified treatment guidelines for clinical care and standard operating procedures. For prehospital of pediatric asthma exacerbations, modifications included changes to bronchodilator administration, systemic corticosteroid introduction alternative medications. Since timely administration bronchodilators corticosteroids has been shown improve outcomes, we investigated association protocol in management on hospital...
Aim. To study the subjective opinion of patients and doctors about their individual experiences with adherence to treatment for chronic cardiovascular diseases in group focused interview physicians. Material methods. 3 groups from clinical studies adhering doctor's recommendations (focus-group 1) hospitalized events, not after discharge 2) one focus-group were analyzed. Group discussion was performed by a moderator (experienced sociologist, no medical training who familiar physicians)....
In the emergency department (ED), prompt administration of systemic corticosteroids for pediatric asthma exacerbations decreases hospital admission rates. However, there is sparse evidence whether earlier by medical services (EMS) clinicians, prior to ED arrival, further improves outcomes.
Aim . To study clinical, laboratory and psychological aspects of moderate coronavirus disease 2019 (COVID-19) in cardiovascular patients one month after discharge from the hospital. Material methods The included 88 with diseases hospitalized for COVID-19. After 1 month, 72 respondents continued participation study. Medical history collection, physical examination, diagnostic investigations were performed. We used Hospital Anxiety Depression Scale (HADS) by Zigmond A. S., Snaith R. P., Beck...
Aim . To study the relation of various factors with adherence to long-term drug therapy in patients cardiovascular diseases district hospital small town Saratov Region and from clinical medical university. Material methods The hospitalized were included into prospective treatment. Questioning determination attitude respondents their health, desire receive information about disease, level awareness therapy, degree participation treatment process, nature relationship attending physician was...
There are disparities in multiple aspects of pediatric asthma care; however, prehospital care largely undescribed. This study's objective was to examine racial and geographic emergency medical services (EMS) medication administration patients with asthma.This is a substudy the Early Administration Steroids Ambulance Setting: An Observational Design Trial, which includes data from ages 2-18 years. We examined rates EMS systemic corticosteroids inhaled bronchodilators by patient race. geocoded...
Objective: To inform the future development of a pediatric prehospital sepsis tool, we sought to 1) describe characteristics, emergent care, and outcomes for children with septic shock who are transported by emergency medicine services (EMS) compare them those self-transported; 2) determine EMS capture rate common screening parameters concordance between documented in record department (ED) record. Methods: This is retrospective cohort study ages 0 through 21 years presented ED 11/2013...
Aim. To study the differences in views on treatment among patients with cardiovascular diseases state and private outpatient clinics, as well motivation for choosing one of these clinics. Material methods. Anonymous voluntary survey cardiology (n=90) 2 (57.7%) 3 clinics (42.2%) was conducted Saratov. Results. 33.3% respondents were men; median age 65 years. Patients more likely to have retirement (p=0.0008), low income (p=0.0006), history hypertensive crises (p=0.0129) chronic heart failure...
Evidence for genetic polymophisms may contribute to the dependence on sex and age differences in biochemical phenotypes, clinical manifestation, severity success medical treatment of coronary artery disease (CAD) comes from a variety studies. Two polymorphisms, L55M Q192R, human antioxidant system paraoxonase 1 gene (PON1) have been shown be associated with increased risk CAD. The aim recent study was investigate possible association between polymorphic variants PON1 CAD patients different...
BACKGROUND: SARS-CoV-2 virus, which induces COVID-19, not only affects the lungs, but also negatively cardiovascular system, causing decompensation of existing diseases (CVD). AIM: Тo find out peculiarities course and treatment new coronavirus infection COVID-19 in patients with MATERIALS AND METHODS: A survey was conducted among CVD undergoing outpatient for COVID-19. special questionnaire developed containing 48 questions about symptoms prescribed therapy. The respondents were ill a...
Цель. Изучить различия во взглядах на лечение пациентов с сердечно-сосудистыми заболеваниями в государственных и частных поликлиниках, а также мотивацию выбора данных лечебных учреждений. Материал методы. Проведено анонимное добровольное анкетирование кардиологического профиля (n=90) 2 поликлиниках (57,7%) 3 клиниках (42,2%) г. Саратова. Результаты. Среди опрошенных 33,3% были мужчины, медиана возраста 65 лет. Большинство поликлиник люди пенсионного (p=0,0008), имеющие низкий материальный...
The aim of our study is researching influence vitamin D and osteocalcin polymorphic gene markers in people, who lived Blockaded Leningrad 1941-1944 detecting “critical age” peak bone mass formation these people. We included 48 peoples, 13 males 35 females. Osteodensitometry lumbar spine (L1-L4) proximal hip was used by dualenergy X-ray absorptiometer GE Lunar Prodigy Vision 6. Molecular diagnostic are: ApaI, TagI receptor (VDR) HindIII polymorphism polymerase chain reaction with restriction...
Asthma exacerbations are a frequent reason for pediatric emergency medical services (EMS) encounters. The objective of this study was to examine the implementation evidence-based treatments asthma in regional consortium EMS agencies.