Vol 10, No 3-4 (2010)
- Year: 2010
- Articles: 50
- URL: https://journals.rcsi.science/2410-3764/issue/view/1383
- DOI: https://doi.org/10.17816/2072-2354.2010.0.3-4
Articles
The results of the one-stage research of bone mineraldensityin inhabitants of Samara city
Abstract
Research is devoted to a low bone mineral density prevalence estimation of at Samara inhabitants. 5404 persons are surveyed. Frequency of an osteoporosis, osteopenia, as a whole investigated population, and also separately at men and women is defined, the quantity of inhabitants with low bone mass is calculated. The interrelation of bone mineral density and age is taped, change of frequency of an osteoporosis and osteopenia in ten years' age subgroups is shown. The obtained data is useful for preventive and treating actions planning, referred on augmentation of bone mass and decreasing of osteoporotic fractures risk.
Aspirantskiy Vestnik Povolzhiya. 2010;10(3-4):8-10
8-10
11-16
The highincidence of risk factorsand target organs lesionin foot-plate staff workerswith an arterial hypertension
Abstract
In this article we cite the data which demonstrates not only the high incidence of risk factors among foot-plate staff workers with hypertension but also their frequent combination. While analyzing the group of railway workers (locomotive drivers and their assistants) who are working in the conditions of high psycho-emotional stress caused by the necessity to ensure the safety of railway traffic, we have found out that target organs lesion can be observed in the first stage of hypertension. The results of our research show the necessity of primary prevention of hypertension among foot-plate staff workers.
Aspirantskiy Vestnik Povolzhiya. 2010;10(3-4):17-20
17-20
The levels of thecontrol bronchial asthmaand indicatorsof cells immunity
Abstract
Changes in in the subpopulation composition of lymphocytes in the subjects with bronchial asthma were studied. Fifty five subjects with a different asthma control level per GINA 2006 took part in the study. The study results in statistically significant reduction T- lymphocytes, increase CD 4+ and CD 20+ cells. The indefinite level CD 25+ lymphocyte could require combined maintenance therapy. Thus, concentration CD 3+ cells from 60,5 to 66, CD 4+ cells from 39 to 46, CD 20+ cells from 11 to 16 in asthma patients could be used as an index of inflammatory response and as an important criterion to choose the individual treatment.
Aspirantskiy Vestnik Povolzhiya. 2010;10(3-4):21-26
21-26
27-31
The endothelium-dependent vasodilatation dysfunction during carrying out the test with fatty loading as the factor of coronary atherosclerosis in patients with a metabolic syndrome, the correction possibility with rosuvastatin
Abstract
Influence of fatty meal during postprandial period on lipid spectrum and endothelium dysfunction on atherosclerosis of coronary vessels in patients with ischemic heart disease (IHD) and metabolic syndrome (MS) and correction of these factors with rosuvastatin was studied. It was shown that intake of food fats in IHD with MS and IHD with MS-free patients stimulated development of postprandial hyperlipemia of different severity and duration. In group 1 and 2 there was a definite and up to 6 hours in duration postprandial hypertriglyceridemia associated with growing of LDL cholesterol and lowering of HDL cholesterol. Index of endothelium function initially was depressed in all groups especially in gr. 1 and 2. Test with fatty loading led to vasospastic reaction, and decrease of endothelium function index in 2nd group was more prominent than in 1st group. So, the test of endothelium - dependent vasodilatation allows to allocate patients with more expressed injury of coronary vessels. Treatment with rosuvastatin (10 mg/day for 3 months) increased tolerance of the lipid-transport system to exogenous saturated fats and also increased index of endothelium function in postprandial period, defined by photoplethysmography.
Aspirantskiy Vestnik Povolzhiya. 2010;10(3-4):32-37
32-37
Atorvastatin (liptonorm)efficiency concerning the basicmanifestations of a metabolicsyndrome in patientswith osteoarthritis
Abstract
In research are included 68 patients with osteoarthritis and metabolic syndrome. Control group have made 33 patients receiving pathogenetic treatment of the osteoarthritis. In the basic group have been included 35 patients receiving against pathogenetic treatment of osteoarthritits atorvaststin (liptonorm), in a dosage of 10 mg/days In both groups traced biochemical, anthopometrical indicators, values of a BP, expressiveness of a painful syndrome on a scale VAS in rest and at movement, and also indexes Lequesne and WOMAC. Among the patients receiving atorvaststin (liptonorm), authentic weight reduction, circles of a waist and the hips, favorable influence on lipid spectrum of blood, stabilisation of values of a BP has been noted. In the basic group of patients expressiveness of a painful syndrome has appeared authentically more low both in rest, and at movement, thus Lequesne and WOMAC also had authentically lower values, in relation to control group of patients.
Aspirantskiy Vestnik Povolzhiya. 2010;10(3-4):38-44
38-44
The usage of the therapyin complex treatmentof chronic generalizedparodontitis in personsof elderlyand senile age
Abstract
The spreading of paradonthit among the people of the age 65-74 is about 99,7-100%. The number of harder forms of disease has increased during the last year. For saving adult,s guality of their life is important to provide keeping and saving the optimal function of teeth. Complex methodology of treatment the chronic paradonthit improve reliably the condition of paradont,s tissue. The clinic researehes confirm the improvement of microcirculation in the paradont,s tissue and the normalisation of trombothit,s agrigation. We managed to achieve stable remission of inflammation for all our patients
Aspirantskiy Vestnik Povolzhiya. 2010;10(3-4):45-49
45-49
The comparativeestimation of the efficiencyof the treatment schemes of chroniclaryngitis witha pharyngolaryngeal reflux
Abstract
The article deals with the effectiveness of two treatment regimens of chronic laryngitis: chronic laryngitis treatment and complex chronic laryngitis treatment secondary to gastroesophageal reflux disease and pharyngolaryngeal reflux. On the basis of the endoscopic checkup and the questionnaire survey of the patients the effectiveness of each treatment regimen was presented.
Aspirantskiy Vestnik Povolzhiya. 2010;10(3-4):50-56
50-56
The use of ronkolejkinin the complex therapyof the patientswith a relapseof HBeAg-negative chronic hepatitis B
Abstract
The article discusses the results of a comprehensive treatment of patients with a relapse of HBeAg-negative chronic hepatitis В. Presented using ;ronkolejkin in combination with lamivudine in this category of patients. Submissions studies indicate high efficiency destination this regimen for normalization of major clinical and biochemical and immunological indicators, repeat the patients with chronic hepatitis B.
Aspirantskiy Vestnik Povolzhiya. 2010;10(3-4):57-61
57-61
The pharmaco-ecomomicalestimation of the treatment programsof the patients with inflammatorydiseases of parodontitisand comorbid osteoarthritis
Abstract
The comparative pharmaco-ecomomical estimation of two methodical approaches to
conducting patients with chronic parodontitis and comorbid osteoarthritis knee joints is
given. The expediency of the athrophoon therapy according to the induction parameters
and remission preservation is proved.
Aspirantskiy Vestnik Povolzhiya. 2010;10(3-4):62-64
62-64
The functionalcapacity of the cardiovascularsystem and endothelialvasodilator functionin patients with chroniccardiac insufficiency
Abstract
Functional capacity of cardiovascular system is the most potent factor of body adaptation to exercise stress. The authors studied several short stress parameters of heart rhythm and arterial blood pressure, also as endothelial dependent flow-mediated vasodilatation in chronic heart insufficiency patients. This perspective controlled study revealed rate of heart rhythm recovery and endothelial function as the most usefull for functional reserve assessment.
Aspirantskiy Vestnik Povolzhiya. 2010;10(3-4):65-70
65-70
Von Willebrandsfactor and its value in the developmentof the endothelium dysfunctionin patients with arterial hypertension
Abstract
Much attention is paid lately to the research of risk factors of cardio-vascular disorders with the patients having arterial hypertensia. This work contains studies of dependence of Willebrandt factor level on manifestation of arterial pressure (AP) with the patients having arterial hypertensia, of age, of intima-media complex thickness. The control group was represented by practically healthy people.
A high correlation between the level of Willebrandt factor complex and above-mentioned risk factors was revealed.
Aspirantskiy Vestnik Povolzhiya. 2010;10(3-4):71-74
71-74
Up-to-date technologies of restorative medicine in the patients with a chronic obstructive pulmonary disease under sanatorium conditions
Abstract
The purpose of the study was to develop a new complex restorative treatment, including combined effects of method of alternating low-frequency current, and color therapy, aimed at improving the effectiveness of treatment of patients with chronic obstructive pulmonary disease. As a result of the work it was found that the complex, which includes the combined use of electrostimulating therapy by a variable low-frequency current and chromotherapy, improves the function of external respiration due to increase in forced vital capacity, forced expiratory volume in first second, and the growth of high-speed performance at the level of large bronchial tubes and average bronchial tubes, and also enhances the performance of autonomic regulation, and against the background of basic therapy provides a more pronounced clinical effect in the rehabilitative treatment of chronic obstructive pulmonary disease.
Aspirantskiy Vestnik Povolzhiya. 2010;10(3-4):75-79
75-79
Color therapy used in the patients with hypertension under sanatorium conditions
Abstract
77 patients are included in research, suffering by a hypertension. Patients have been parted on two groups. In the first group (22 patients) all received a complex resort therapy, including a diet №10, physiotherapy exercises, massage and an aromatherapy. In the second group (55 patients) in addition to complex treatment followed a course of color therapy. Efficiency of spent treatment was estimated on the basis of complaints of the patient, dynamics of arterial pressure, indicators of variability of a rhythm of heart, a rheocardiography. The obtained data has shown that application of a complex of the regenerative treatment including color therapy, for patients with hypertension: has allowed to lower indicators of a BP to the value close to physiological norms, to reach optimum vegetative regulation, satisfactory condition of mechanisms of adaptation, to normalise circulation type, to improve quality of a life of patients. At patients of the first group, color therapy which it was not spent, dynamics of indicators testified to less expressed stabilisation of the psychological, vegetative status.
Aspirantskiy Vestnik Povolzhiya. 2010;10(3-4):80-83
80-83
Biomechanics of a pulmonary circulation in patients with COLD I and II stages
Abstract
The work is devoted to the investigation g of biomechanics of a pulmonary artery at patients COLD I and II stages. 83 patients are examined. COLD I stage it has been diagnosed (GOLD, 2006) in 29 patients, II stage in 44 patients. Biomechanics was investigated by means of the automated analysis rheogramma of the pulmonary artery. Counted duration of phases (sek), indicators of the speed (an om/s) and the forces (om/s2) of moving of blood in system of the pulmonary artery. The systole and the diastole were investigated in the cycle of the pulmonary artery. The elastic component, the mascular one and the capillary - venous outflow of blood phase were determined in the systole.The time of pulsory wave distribution phase, the fast and slow inflow phase were determined in the diastole. In the systole marked hypodynamy was revealed in patients with COLD of II stage. In the diastole marked reduction of phases in patients of both groups, the speed and the force in patients with COLD of II stage.
Aspirantskiy Vestnik Povolzhiya. 2010;10(3-4):84-88
84-88
The analysis of the work of a regional center on rendering assistance to the patients with the movement disorders
Abstract
Movement disoders are frequently meeting illnesses of the central nervous system. To most often of them concern: Parkinson's diseases (PD), essensions tremor (ET) a muscular dystonia. Wrong diagnostics and not adequate therapy entails absence of expected effect (reduction of clinical displays), decrease(reduction) in quality of a life, not rational use of material resources. Results: the diagnosis the movement disoders has been confirmed at 387 (37,3 %) patients, were correctly treatment; the diagnosis 558 is wrongly exposed (53,8 %) to patients, are not truly appointed treatment 605 (58,3 %).
The conclusion. The received results are a substantiation for presence and necessity of the organization of the center of the movement disoders on rendering assistance by the patient with the movement disoders and carrying out of educational programs for doctors - neurologists, doctors of a primary link.
Aspirantskiy Vestnik Povolzhiya. 2010;10(3-4):89-93
89-93
New methods in a suppuration prophylaxis and stimulations of healing of wounds in abdominal surgery in persons of elderly and senile age
Abstract
Methods of stimulation of healing of fast and optimum scarring after operational wounds, a forward belly wall at persons of elderly and senile age are developed.
As a whole stimulation in the early postoperative period with serotonin, meksidol with ozone therapy promotes healing and prevention of suppuration of postoperative aseptic wounds provides a powerful anti-inflammatory effect. In addition, the impact affects the wall of the nutritional and management of post capillary, micro circulation tissue, promotes the formation of scar stretch a good cosmetic effect.
Aspirantskiy Vestnik Povolzhiya. 2010;10(3-4):94-96
94-96
To a question on complex surgical treatment congenital clubfoot in younger childrens age
Abstract
Congenital clubfoot is one of the most abundant congenital locomotor defects. Therapy results of 57 children (91 feet) with typical form of congenital clubfoot (1 to 3 years old) were analyzed. All of them were given a complex therapy including minimally invasive surgical interference and conservative management in pre- and postoperative period. Complex therapy in congenital clubfoot with minimally invasive surgical interference is a good way to correct all items of the defect and prevent ankylosis.
Aspirantskiy Vestnik Povolzhiya. 2010;10(3-4):97-102
97-102
Plastic completing of bone cavities with free perforated skin graft after necrseqestrectomy
Abstract
Questions of plastic completing of bone cavities with free perforated skin graft in cases of chronic posttraumatic osteomyelitis are considered in this article. Arguments of advantage of this kind of plastic over other ones are demonstrated in cases of 28 patients. Monitoring of engraftment with long-term results is described in detail. Prosecuted researches prove that completing of bone cavities with free perforated skin graft is effective in cases of skin deficiency, evident trophic or cicatricial transformation of adjacent muscles.
Aspirantskiy Vestnik Povolzhiya. 2010;10(3-4):103-107
103-107
Clinico-biomechanical research methods of gait pathology in patients with chronic venous insufficiency of lower extremities
Abstract
The article reviews the questions of diagnostic and medical rehabilitation of patients with chronic venous insufficiency and concomitant pathology of musculoskeletal apparatus of lower extremities. For the first time was specified functional picture of locomotive and statodynamical abnormalities of patients with phlebological pathology, summarized practical experience of biomechanical methods of locomotional reconstruction. Methods of rehalibitation with biomechanical monitoring help to correct functional insufficiency of lower extremities and improve musculovenous pomp.
Aspirantskiy Vestnik Povolzhiya. 2010;10(3-4):108-113
108-113
The evaluation of the course of the wound process in patients with hernioplasty using MASH technologies
Abstract
Carrying out of cytologic, immunologic and microbiologic control allows evaluating the
course of wound process at patients with hernioplasty using MASH technologies. Increase
rate of lymphocytes, macrophagocytes, revealing pathogenic microorganisms and Candidas,
decrease rate of immunoglobulin M, CD4+ indicates about development of complications in
wound. That has an influence on treatment tactics in postoperative period.
Aspirantskiy Vestnik Povolzhiya. 2010;10(3-4):114-115
114-115
The algorithm of diagnostics and tactics of treatment of victims with the multiple ribs fracture at the closed chest injury
Abstract
The article summarizes the experience of treatment 1,268 patients with chest injury,
including 92 patients with flail chest. A comparative analysis of the results of conservative
treatment of unstable chest (control group) and active surgical treatment (core group),
using the surgical methods of skeletal traction. Early traction rib fracture contributed to the
reduction of 2,5 times the term of patients on mechanical ventilation, reduced the number
of septic complications and a consequence resulted in mortality reduction.
Aspirantskiy Vestnik Povolzhiya. 2010;10(3-4):116-119
116-119
Cryogenic technologiesin the integumenthemangiome treatment
Abstract
Oh the base of investigation of patients the frequency of the oftenest forms? Process and localization of integument hemangiomes. The treatment of the patie nts is by crioactions on vessel formations with using new autonome porous nikelide applicators. The results show high effectivity on compare with another methods of treatments.
Aspirantskiy Vestnik Povolzhiya. 2010;10(3-4):120-123
120-123
The comparativeestimation of quality of the life of thepatients after variants of surgicaltreatment of perforativegastroduodenal ulcers
Abstract
The analysis of quality of life of 175 patients, which were executed different versions of operations on the occasion of perforative gastroduodenal ulcers (after simple suture of perforative ulcer at 27 (15,42%), excision of ulcer with suture at 52 - 29,71%, after excision of perforative ulcer with suture a defect and cover of suture line by the serosa-muscular patch of stomach at 91 - 52%, excision of perforative ulcer with substitution of defect by the layerful patch of stomach at 5 - 2,86% patients. The group of comparison is compiled 293 patients, which had a medical examination for placing in a job. The best indices quality of life, which approach to indices of group of comparison, observed after excision of perforated ulcer with suture a defect and cover of suture line by the serosa-muscular patch of stomach, worse - after simple suture of perforative ulcer.
Aspirantskiy Vestnik Povolzhiya. 2010;10(3-4):124-126
124-126
The results of hernioplasty on Lichtensteins operation in planned and emergency surgery
Abstract
The analysis of nearest outcomes and distant results of treatment of 402 patients, which were executed tension- free prosthetic inguinal hernioplasty by polypropylene reticulated implant on Lichtenstein is conduct. In 362 (90%) cases operations were planned, emergency - in 40 (10%) cases. The group of comparison is compiled 293 patients, which were executed traditional autohernioplasty. The best results were obtain after Lichtenstein's operation: the wound complications were arise in 77%, recurrence in 0,6% investigated patients, with good quality of life in 99,4% cases.
Aspirantskiy Vestnik Povolzhiya. 2010;10(3-4):127-131
127-131
Ecology and reproductive health of a pregnant woman and a newborn
Abstract
In a basis of the present research lays the determination of harmful factors influence on atmospheric air of Samara ciry on a state of pregnant women health. Frequency and structure of obstetrics and perinatal pathologies for development of the scientifically-proved criteria on its decrease have been studied. The careful selection of the basic and control groups spent by a principle a case-control, particularly identity on age, parity of pregnancy, labours, but differing only under the hygienic characteristic of residing district, has allowed to diagnose authentically a pathology of reproductive system of the women living in neighbouring regions of ecological trouble. Research will help to promote improvement not only reproductive health of women, but also a demographic situation of region as a whole.
Aspirantskiy Vestnik Povolzhiya. 2010;10(3-4):132-135
132-135
The functional state of albumin in children with glomerular and tubulointerstitial kidney lesions
Abstract
It is surveyed 107 children with glomerulonephritis, 110 patients with tubulointerstitial nephritis, group of control compose 40 children.
In all patients in the acute period and chronically course of illness, were not revealed reduction of albumin common concentration (ACC) in various degree. A various degree hypoalbuminemia to bind with patogenical various mechanism. A albumin effective concentration (AEC) at all glomerular and tubular pathology reduction too. At glomerulonephritis with nephrotical syndrome were revealed reduction AEC and low meaning of albumin binding reserve (ABR), as cumulating of conformation breach in molecule of albumin. At glomerulonephritis with nephritic syndrome tubulointerstitial defeats a kidney were revealed reduction ABR, what attest of less role of albumin in pathogenesis this diseases.
A low concentration of albumin to make an appearance of condition reduction him ecranical ability, reduction transport and detoxical function of plasma, assisted endogenic intoxication and progressive of disease.
Aspirantskiy Vestnik Povolzhiya. 2010;10(3-4):136-141
136-141
The evaluation of blood serum oxidative activity of women with metabolic syndrome after an artificial abortion
Abstract
The article analyses the dynamics of the rates of malondialdehyde, diene conjugate, catalase and superoxide dismutase before and after an artificial abortion of women with high and low risk of metabolic syndrome development. Activation of blood serum oxidative activity of women in pre-abortion period is discovered. 18 months later women with high risk of MS show decreased activity of antioxidative enzymes/biocatalysts accompanied by the increase of lipid peroxidation output. In the low-risk group the rate of oxidative stress normalizes. MS is found to create adverse conditions in the form of lipid peroxidation activation and decreased activity of antioxidative enzymes/biocatalysts.
Aspirantskiy Vestnik Povolzhiya. 2010;10(3-4):142-144
142-144
Etiology, clinical-pathogenic features and disintoxication function of cerebrospinal fluid in children with enterovirus meningitis
Abstract
In article features of serous meningitises enterovirus etiologi current at children in Samara oblast in 2008-2009 are shown. The spectrum of activators is submitted: at the majority of children have been allocated a virus of type ЕСНО. Viruses of Coxsackie type: Coxsackie B5, Coxsackie A9 have been identified in
smaller percent. Features of clinical current are presented depending on age. In article are shown to feature cerebrospinal to a liquid at children with serous meningitises enterovirus etiologi. On the basis of studying a functional condition albumin attempt to consider clinical-pathogenetic value dezintocsicaition functions cerebrospinal to a liquid is made at enterovirus infections at children's age.
Aspirantskiy Vestnik Povolzhiya. 2010;10(3-4):145-148
145-148
The structure and functional state of a thyroid gland in children and teenagers under iodic deficiency conditions
Abstract
It is carried out clinical, laboratory research of 360 children and teenagers in the age of 3-17 years (11.5±3.3 years), acted on inspection and treatment in children's somatic branch with a various pathology of bodies and systems. 6.6 % at a direction in a hospital had instructions on infringement of function of a thyroid gland. The basic group surveyed was made by children who have acted with pathology of various bodies and systems. Infringement of structure or function of a thyroid gland in children's age group is diagnosed in 31.2 % of cases, and more than in half of cases became a casual find at inspection of children with a somatic pathology. In 35.8 % it is diagnosed increase in a thyroid gland at a background of the normal maintenance of a level of hormones in blood that is specific to territory of iodic deficiency.
Aspirantskiy Vestnik Povolzhiya. 2010;10(3-4):149-154
149-154
The clinical and pathogenic value of an endogenous intoxication in children with an angina syndrome
Abstract
Syndrome of a sore throat accompanies a large number of infectious diseases in children, playing a significant clinical and pathogenic role. In childhood, we see him in particular with scarlet fever, infectious mononucleosis, lacunar tonsillitis. The relevance of his study determined a high incidence of these infections. As the frequency of occurrence, they are giving way to a visa regime. Especially increased number of cases of infectious mononucleosis - in 2,5 times in 2009 compared with the data of 2007 - because of the wide circulation of the causative agent of this disease among the population. The percentage of conversion of acute Epshtey-Barr virus infection in chronic.
Better off percentage of severe forms and complications of streptococcal infection (up to 20% in 2009.).
Aspirantskiy Vestnik Povolzhiya. 2010;10(3-4):155-158
155-158
Ethical and legal aspects of rendering medical assistance in perinatology
Abstract
In the article perinatal problems caused by thrombophilic statuses at pregnant women are surveyed. The special attention is given to ethical and legal aspects of invasive diagnostic methods of children born to mothers with the above-named pathology. The carried out analysis allows to draw a conclusion on necessity of development morally-ethical standards and perfection of the medical legislation.
Aspirantskiy Vestnik Povolzhiya. 2010;10(3-4):159-162
159-162
Mechanisms of the adaptation of primary school pupils to training process; risks, results and forecasting possibilities, prevention of deviations
Abstract
Article is devoted to a studying of the period and laws of school children`s adaptation to training process. The most significant factors influencing a current of school adaptation are singled out and studied. Among them in the lead are social and psychological problems. Authors offer one of possible variants of their forecasting as well as a complex of medico-psycho-pedagogical actions for prevention of both deviations in development and children's health state
Aspirantskiy Vestnik Povolzhiya. 2010;10(3-4):163-167
163-167
The influence of CagA-antigen Helicobacter pylori on non-ulcer dyspepsia in children
Abstract
In the article results of the examination of 122 patients hospitalised in gastroenterological
department of the Samara pediatric hospital №1, (age from 5 to 17 years) with a syndrome
non-ulcer dyspepsia are presented. The frequency of occurrence and influence of CagAantigen
Helicobacter pylori on non-ulcer dyspepsia was studied. Among surveyed children,
frequency Helicobacter pylori has made 51,6 %, from them CagА-antigen met in 41,3 % cases. It
has been noticed that non-ulcer dyspepsia, associated with CagA-positive strains Helicobacter
pylori, it is characterised more expressed clinical, endoscopic and morphological displays.
Aspirantskiy Vestnik Povolzhiya. 2010;10(3-4):168-171
168-171
The features of the complex approach while investigating the problems of sexual-reproductive types in military men
Abstract
now it is marked heightened interest to problems of reproductive health protection. Features of research of sexual problems of military men consist in complex use of pedagogical and medico-consultative actions. There are examined 829 military men. The used technique of revealing of problems of sexual - reproductive character at military men has allowed to carry out preventive and medical work in their intimate sphere effectively and provides the further perfection pedagogical and advisory actions.
Aspirantskiy Vestnik Povolzhiya. 2010;10(3-4):172-175
172-175
The medical and sociological analysis of the ophthalmologic staff of city polyclinic institutions
Abstract
The sociological analysis of the ophthalmologic staff of a polyclinic link of Astrakhan is lead by questioning 35 ophthalmologists (83,3 % from total) under specially developed questionnaire. The given analysis has allowed to reveal a lot of the existing problems interfering formation of a social - psychological climate, and also lowering motivation to work. On the basis of the received results of research offers on increase of prestige and the professional status of the doctor are generated.
Aspirantskiy Vestnik Povolzhiya. 2010;10(3-4):176-180
176-180
Efficiency of microinvasive 23Gauge chromovitrectomy in surgery treatment of the proliferative diabetic retinopathy complicated by tractional retina detachment
Abstract
In the article features and results of the treatment of proliferative diabetic retinopathy complicated by tractional retina detachment with application of modern microinvasive 23Gauge chromovitrectomy are studied. Microinvasive 23Gauge chromovitrectomy allows to achieve high anatomic and functional results in treatment proliferative diabetic retinopathy complicated by tractional retina detachment a mesh cover in the early and remote period of supervision. Intraoperative and postoperative complications are studied with anatomic and functional results.
Aspirantskiy Vestnik Povolzhiya. 2010;10(3-4):181-185
181-185
Process-oriented management in health care system
Abstract
The article deals with the theoretical and practical aspects of process-oriented medical management which may be regarded as an innovation in health care. The method is based on the business process reengineering conception. Recommendations are given on how to integrate business process organization decisions into a corporate structure and a quality management system. The article also touches upon the conditions of improving the system of managing a clinic on the basis of business process design, which is a highly topical problem amid the global economic crisis.
Aspirantskiy Vestnik Povolzhiya. 2010;10(3-4):186-193
186-193
Structural description of the in-patient geriatric medical assistance in the system of CMI in Samara
194-197
The influence of thymocyte peptides and antithymocyte immunoglobulin (ATG) on the postoperative period in the patients with a diabetic foot syndrome
Abstract
We present results of immunomodulatory treatment of 70 patients 48-74 years old with type II diabetes and purulent-necrotic lesions of the lower extremities. 13 patients (18,5%) received Imunophan, 12 patients (17,1%) received Thymogen, and 29 patients (41,4%) received Antilympholin-ATG. 16 patients (23%) did not receive any immunomodulator. According to the results, Imunophan and Antilympholin are preferable for this patient population. ATG-induced immunomodulatory effect was seen on the 4th day of therapy, i.e. 2 times quicker than in patients receiving Thymogen or Imunophan. Immunomodulators' positive effect on T-cell immunity and functional activity of neutrophils and monocytes/macrophages was associated with improvement of treatment results, length of treatment and timing of recovery. Authors consider it appropriate to use immunomodulators in this patient population with preference given to anti-thymocyte immunoglobulin (ATG).
Aspirantskiy Vestnik Povolzhiya. 2010;10(3-4):198-203
198-203
Morphological structure blood serum of the patients with pulmonary tuberculosis
Abstract
A special method worked out by the authors and called the method of wedge-shaped dehydration became the necessary methodic basis for the research into morphological structure of biological fluids. To study the specific features of infiltrative pulmonary tuberculosis and its treatment efficiency in patients over 60 years, the authors analyzed case histories of 80 patients who were divided into 2 group: 1) 40 patients aged 60 years or more and 2) 40 patients aged 18 to 50 years.
Aspirantskiy Vestnik Povolzhiya. 2010;10(3-4):204-210
204-210
The Analysis of fatal complication of myocardial infarction
Abstract
In this article addresses issues, which concerning immediate causes of death in patients suffered from myocardial infarction, their dependence of sex, age, multiplicity of myocardial infarction and it localization. 70 cases of myocardial infarction were analysed. As immediate cause of death edema of the lungs was found in 41,8%, myomalacia with hemotamponade in 17,4%, cardiogenic shock in 16,3%, arrhythmic shock in 15,1%, decompensation of chronic heart disease in 5,8% and others rare complications in 3,6%.
Authors' results were compared with the literature.
Aspirantskiy Vestnik Povolzhiya. 2010;10(3-4):211-214
211-214
The character of the haemodynamic answer at impulse hypergravitational physical activity in young men with normal heart rate and tachycardia
Abstract
Investigated character change of haemodynamics parametres at 20 young men aged 20,3±0,99 years with the normal and speeded up heart rate after physical activity with lowly - and highly amplitude impulse hypergravitation in comparison with usual static physical activity. It is established, that after usual static squat there is an activization of haemodynamics at participants with normal heart rate, mainly for vessels of average and small calibre. Influence lowly amplitude impulse hypergravitation causes the smaller haemodynamic answer, than traditional squat. In particular, increase of a tone of arteries at young men with a normal rhythm of heart occurs on 3 % less, and degree of vasodilation at participants with tachycardia on 4,7 % more low, than after traditional physical activity notwithstanding that activation of proprioceptive systems at the given influence above and training effect is reached faster. The perturbation effect of highly amplitude impulse hypergravitational physical activity is less expressed in comparison with usual physical activity and more expressed in comparison with lowly amplitude hypergravitation at participants with normal heart rate. Activization of haemodynamics at young men with a tachycardia occurs mainly for the account of vessels of large calibre.
Aspirantskiy Vestnik Povolzhiya. 2010;10(3-4):215-219
215-219
Biological properties and factors of pathogenic strains of Pseudomonas aeruginosa isolated from different sources
Abstract
In the study carried of biological properties and factors of pathogenic strains of Pseudomonas aeruginosa, isolated from patients with cystic fibrosis, diffuse external otitis, with surgical pathology, from healthy carriers. Revealed features of cultural properties, the presence of formation of pigment, hemolytic, phospholipase and proteolytic activity occur depending on the source selection. These data reveal the most significant biological and pathogenic features for identification of cultures.
Aspirantskiy Vestnik Povolzhiya. 2010;10(3-4):220-222
220-222
The influence of donor oxide of nitrogen on ionoregulations function of kidneys
Abstract
For research of influence of the donor oxide nitrogen on function of kidneys sharp experiences on rats with action studying perlinganite (nitroglycerine) in various doses on excretion waters, electrolits, creatinine and registration of indicators glomelular filtrations and tubular reabsorbing have been executed.
Aspirantskiy Vestnik Povolzhiya. 2010;10(3-4):223-228
223-228
Clinico-immunologic aspects of the vaccinal prevention of bacterial and virus infections in the patients with a chronic obstructive pulmonary disease (the literature review)
Abstract
The article is devoted the analysis of the available domestic and foreign scientific literature on a problem of vaccinal prevention of bacterial and virus infections at patients with chronic obstructive lung disease. In work the general characteristic and medico-social aspects of chronic obstructive lung disease, risk factors and immunopathogenesis features of disease are resulted. Also microbiological aspects of chronic obstructive lung disease, connected with vaccinal prevention of bacterial and virus infections are reflected. The data available in the literature on use of vaccines against S. pneumoniae, H. influenzae and a flu at patients with chronic obstructive lung disease and their influence on a clinical current of the disease, certain indicators of immunity and qualities of a life at the given category of patients is cited.
Aspirantskiy Vestnik Povolzhiya. 2010;10(3-4):229-235
229-235
The antioxidant therapy of toxicity induced by transplantable carcinoma and irradiation
Abstract
The objective of the study was the investigation of the status of oxidative damage in rats with transplantable cholangiocellular RS-1 carcinoma. We investigated the ability of derivative LBK-149 oxinicotinic acid to control oxidative damage induced by tumor and irradiation. LBK-149 at a dose of 100 mg/kg was injected i.p. or i.m. before or after irradiation. Biochemical methods were used for this investigation. The greatest therapeutic efficiency has noted been at a combination LBK-149 after irradiation, in comparison with monoirradiation and preventive injection of a LBK-149. It was shown that injection LBK-149 (100 mg/kg) in 10 day after irradiation has allowed to increase a doze of irradiation up to 5 Gy without increase of level of oxidative damage.
Aspirantskiy Vestnik Povolzhiya. 2010;10(3-4):236-239
236-239
Features of morphological structure of blood serum in the advanced patients suffering from acute myocardial infarction
Abstract
A special method of research of dehydrated blood serum samples for determination of morphological structure in people suffering from myocardial infarction was used. Morphological picture of blood serum was determined by the method of wedge-shaped dehydration. In patients with myocardial infarction with different types of blood circulation serious morphological changes were discovered. They looked like systematic and subsystematic anomalies. Main types of systematic changes in blood facia manifest themselves themselves in losing symmetrical location of its basic elements ( concretions, fragments, cracks ets.), changing their shapes or in their shapes or in their total absence.
Aspirantskiy Vestnik Povolzhiya. 2010;10(3-4):240-242
240-242
SVEDENIYa OB AVTORAKh
Aspirantskiy Vestnik Povolzhiya. 2010;10(3-4):243-246
243-246