No 51 (2013)

Articles
ANALYSIS RATES OF MORBIDITY IN PRESCHOOL DURING TREATMENT IMMUNOMODULATION DRUGS
Lydov D.V., Bugrimov D.Y., Zujkova А.A., Krasnorutckaya O.N., Petrova T.N.
Abstract
The study accepted attended by the 147 children 2 to 6 years old, who for 8 months was conducted a complex of preventive measures. The article presents a complex of preventive measures to reduce morbidity in pre-school institutions based on the use of immunomodulatory drugs, as one of the leading methods of nonspecific prophylaxis of acute respiratory diseases in children of preschool age. Proven clinical effectiveness of their use of the Redi preschoolers.
Научно-медицинский вестник Центрального Черноземья. 2013;(51):3-11
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FEATURES MANIFESTATIONS INERTIAL INJURIES IN CHILDREN
Popov V.L., Karavaev V.M.
Abstract
The study analyzed the results of forensic investigations 83 corpses of children from newborns to 18 years old, died in a fall from a height (63 cases) and hitting a car (21-up), and 200 cases of fatal injury in adults (110 falling from a height of 90 - hitting the car). The data on the prevalence of injuries displays acceleration in children and adults. The features of trauma in childhood, such as a large amount of inertia injury, organ injury is only damaged in the region of their fixing and the amount of damage caused by the acceleration trauma in children more. Vyvlena following pattern: the amount of inertia damage if dropped from a height greater than the vehicle collision.
Научно-медицинский вестник Центрального Черноземья. 2013;(51):12-20
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NEW TECHNIQUE OF RESEARCH ANATOMO-FUNKTSIONALNYH OF PARAMETERS OF FOOT AT PERSONS WITH SKOLIOTICHESKY DEFORMATION
Perepelkin A.I., Krayushkin A.I., Mucha U.P., Bezborodov S.A.
Abstract
In article use of a way of diagnostics of anatomic parameters of foot, based on the analysis of the pictures received by means of the upgraded scanner is considered. Efficiency of a method is proved in the analysis of anatomo-functional indicators of foot at school students with scoliosis. It is established that at children with 1 on 9 classes the gradual increase in length of foot is noted. Thus age features of dynamics of growth of foot are noted, regularities of features of growth depending on a scoliosis orientation are revealed. At children with scoliosis in the course of their growth reduction of coefficient To, reduction of a corner of NS'K is noted. Rates of change, both total area of a support, and the area of a support of various departments of foot have multidirectional character.
Научно-медицинский вестник Центрального Черноземья. 2013;(51):21-25
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DYNAMICS OF ANATOMIC PARAMETERS FEET OF GIRLS DEPENDING ON THE SIZE OF THE DOSED LOADING
Perepelkin A.I., Mandrikov V.B., Krayushkin A.I.
Abstract
with use of methods of a computer plantografiya, graphic-analytical interpretation of the image of foot and the system analysis 315 girls without pathology of the musculoskeletal device are examined. Girls are divided into 3 groups depending on degree of the increasing load of foot, equal 20%, 50% and 80% of body weight and type of a constitution. In each group the following parameters are determined: corner of 1 finger, calcaneal corner, average parameter of height of foot, width and length of foot. It was succeeded to reveal features of these parameters depending on the studied indicators.
Научно-медицинский вестник Центрального Черноземья. 2013;(51):26-31
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JUSTIFICATION OF THE COMBINED PHARMACOLOGICAL IMMUNOTHERAPY OF UROGENITAL CLAMIDIOSIS
Zemskov A.M., Startsevа S.V., Deyevа Y.A., Narayeva N.Y., Zhurikhinа I.I.
Abstract
It is surveyed 101 patients with urogenital clamidiosis at the age of 19-53 years. During research stanovleno existence of an inflammation, deficiency of T - an imbalance In - a supressiya of fagotsitarny of links of immunity. Carrying out basic neimmunotropny treatment of a disease doesn't eliminate disorder of protective reactions, but promotes modification of initial nature of standard violations. Inclusion in basic therapy of modulators korrigirut changes of an immunological homeostasis and realizes various mechanisms of action: at not OVIR, not OVIR in combination with gipokseny, not OVIR in a combination from superlymphoma. The complex three-component immunotherapy of pathology not OVIR, superlymphoma, gipokseny causes the maximum corrective effect.
Научно-медицинский вестник Центрального Черноземья. 2013;(51):32-36
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THE DIFFERENTIATED COMPLEX IMMUNOTHERAPY OF DEEP PIODERMIYA
Zemskov A.M., Startseva S.V., Deyevа Y.A., Narayeva N.Y., Zhurikhinа I.I.
Abstract
Laboratory data of patients with deep piodermiya are studied. To all patients correction of immunological frustration by additional inclusion of a combination of stimulators is carried out (the ozonized izotonichny solution of chloride of sodium, метаболик and an antioxidant гипоксен). The efficiency was prodemonstirovat by a method of basic therapy in a combination with the ozonized physiological solution and gipokseny. It is proved that their use promotes elimination of immunological frustration, raises a treatment immunotropnost, realizes the maximum normalization of an immunological homeostasis.
Научно-медицинский вестник Центрального Черноземья. 2013;(51):37-42
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THE DIFFERENTIATED CORRECTION OF IMMUNOLOGICAL FRUSTRATION IN TREATMENT OF PATIENTS WITH PYOINFLAMMATORY DISEASES OF SOFT FABRICS
Novoseltseva T.D., Zhurikhinа I.I.
Abstract
138 patients with a purulent infection of soft fabrics, the polucha.shchikh basic traditional treatment took part in research. As additional methods of therapy immunoproofreaders used: деринат, ликопид, their combination; изопренозин, глимурид, лимонтар. It is established that after traditional neimmunotropny therapy decrease in level of the maintenance of the general leukocytes, undifferentiated lymphocytes, eosinophils is observed; increase in quantity of CD3, CD4 - cages, concentration of IgG. When using a complex monoimmunotherapy reduction of a microbic obsemenennost and elimination of some immunological frustration is observed. When using of the combined modulation in the laboratory status of patients it is established steady anti-inflammatory, stimulating T - and the effect modulating immunity V-links.
Научно-медицинский вестник Центрального Черноземья. 2013;(51):43-47
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APPLICATION OF THE DIFFERENTIATED IMMUNOTHERAPY IN TREATMENT OF DISEASES OF THE URINARY SYSTEM
Zemskov A.M., Narayeva N.Y., Deyeva U.A., Startseva S.V., Zhurikhina I.I., Shabanov V.G.
Abstract
To patients with pyelonephritis and an urolithic illness it is carried out standard immunological inspection by tests of 1-2 levels. It is established that all aggravations surveyed in a stage have changes of immunological reactivity against traditional treatment. Use of immunomodulators in an aggravation stage that leads to almost full elimination of immunosupressorny action of treatment is proved and promotes correction of a number of immunological parameters, than achievement of clinical remission is caused.
Научно-медицинский вестник Центрального Черноземья. 2013;(51):48-51
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ACTIVITY OF GLUTATION-S-TRANSFERAZY AT PATIENTS WITH MEDICINAL HEPATITIS AGAINST STANDARD TREATMENT AND THE COMBINED THERAPY WITH MELAKSEN
Popov S.S., Shulgin K.K., Pashkov A.N., Shvedov G.I., Agarkov A.A.
Abstract
research included 45 people with medicinal hepatitis (29 men and 16 women) at the age of 21-75 years. All patients were sick with infiltrative tuberculosis of lungs. The average duration of a disease is 2,7±0,3 months. Patients are divided into 2 groups. The first group of patients (20 people) was on traditional treatment by gepatoprotektor, the second (25 people) - in addition to gepatoprotektor received мелаксен (Unifarm, Inc.) . The control group was made by 65 conditionally healthy people. It is established that activity of G-S-T in the first group of patients with medicinal hepatitis before purpose of gepatoprotektor decreased in 1,6 (p <0,05) time, and specific activity of enzyme decreased by 1,2 times. After carrying out basic therapy, activity of enzyme increased in 1,5 (p <0,05) time, thus specific activity increased in 1,8 (p <0,05) time. In the second group of patients with medicinal damage of a liver before carrying out therapy activity of G-S-T and specific activity changed in the same limits, as in the first group. After carrying out the combined treatment activity of this enzyme increased in 1,8 (p <0,05) time, and specific activity - in 2,3 (p≤0,05) time.
Научно-медицинский вестник Центрального Черноземья. 2013;(51):52-68
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DYNAMICS OF ADAPTATION OF PATIENTS WITH OPIUM ADDICTION IN THE CONDITIONS OF THE REHABILITATION DEPARTMENT OF THE HOSPITAL
Barabanova L.V.
Abstract
an analysis was conducted of medical records of patients undergoing rehabilitation in a hospital environment. The greatest value in achieving a positive outcome from the rehabilitation program is the patient's mood (closely associated with motivations) and interpersonal skills, disclosure of a therapist and a psychologist and participate in the first 7-10 days in the program.
Научно-медицинский вестник Центрального Черноземья. 2013;(51):69-73
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COMPLEX MEDIKO-SOCIAL RESEARCH OF HEALTH OF THE LIQUIDATORS OF RADIATION ACCIDENTS
Gundarova O.P., Fedorov V.P., Afanas'ev V.P.
Abstract
the study retrospectively examined data on the health status of 400 helicopter pilots, vypolnyali tasks on liquidation of consequences of failure on ChNPP in 1986 - 1987 and received a exposure dose of 22.6±0.6 to szv. The amendments relate to parts of the structures and did not affect the cell population as a whole, however, can affect the functional state of the nervous system, since not all the studied values of age matched controls.
Научно-медицинский вестник Центрального Черноземья. 2013;(51):74-84
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MINOR HEART ANOMALIES IN CHILDREN WITH UNDIFFERENTIATED CONNECTIVE TISSUE DYSPLASIA
Serejenko N.P., Balakireva E.A., Toroptsova O.V., Chevardova N.P., Balakireva A.I.
Abstract
after the clinical and instrumental examination of 44 children with signs of NDCT found that most children (75%) from the NDCT, identified various options for small anomalies of heart and vessels, among which the most frequently encountered chord ectopiceski located.
Научно-медицинский вестник Центрального Черноземья. 2013;(51):85-91
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COMPARATIVE ASSESSMENT OF VARIOUS MUSICAL AIMED AT HEMODYNAMIC HEALTH OF STUDENTS AND STUDENTS WITH VEGETATIVE DYSTONIA SYNDROME
Kireeva L.A., Kalinina N.V., Yakovlev V.N., Semiletova V.A.
Abstract
The study evaluated the effect of different music styles on hemodynamic parameters in healthy students and with the SVD. Three times the students evaluated SVD Kerdo index (VIC), Hildebrant factor (KH) and the adaptation value (AP) [5]. The above indicators are evaluated depending on the listening music napravleniy.Ustanovleno that after listening to classical music (Mozart) normal autonomic tone, provided by the coordinated activity of certain visceral systems, restored functioning of adjustment mechanisms. Especially positive effect of Mozart's music has the syndrome of the IRR. Therefore, interpretation of the music of Mozart with the aim of therapeutic intervention at the SVD can be considered pathogenetically justified in contrast to the rock and electronic music, which led to the failure of adaptation mechanisms even in healthy students.
Научно-медицинский вестник Центрального Черноземья. 2013;(51):92-96
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SURVEY RESULTS SICKLY PRESCHOOL AND THEIR RECOVERY
Kosobutskaya S.A.
Abstract
In iisledovanii studied clinical and immunological and microbiological features of frequently ill preschoolers organized groups and assessed the efficacy of the FIC with complex dysbiosis colon TSikloferon drugs in tablets and probiotic preparation Biovestin-lacto. study group consisted of 38 children are often ill with acute respiratory infections (ARI) and with functional bowel disorders, and 35 occasionally ill children, who were the comparison group. All the children were aged 4-6 years and attended an organized team for more than 2 years. It was found that the combination of drugs and TSikloferon Biovestin lacto-stimulating humoral and cellular immune response, normalizing subpopulations of immune cells (CD8), immunoregulatory index and increases the level of serum immunoglobulin A. The complex has a pronounced preventive activity, which manifests itself decrease the frequency of ARI 2 times, complications of 1.5 times, and the severity of the disease.
Научно-медицинский вестник Центрального Черноземья. 2013;(51):97-103
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ANALYSIS OF EXPRESSION POSTOPERATIVE PAIN DURING RESECTION OF A THYROID GLAND - TRAUMATIC MODELS OPERATION OF LOW - FROM THE POSITION OF THE CONCEPT ANTISTRESSFUL ANESTHETIC PROTECTION ORGANISM
Grigorovich R.I., Scriabin A.V., Biryukova T.A., Zaborinа I.A., Lavrent'ev A.A.
Abstract
Accepted in the study participated 30 patients with a diagnosis of "diffuse goiter I-II degree, euthyroidism." And "nodular goiter, euthyroidism" at the age of 25-65 years. Patients underwent a comprehensive evaluation of post-operative pain and the stress voltage rating of the autonomic nervous system by kardiontervalografii with mathematical analysis of heart rate and stress index calculation. The following results: the impact factors of perioperative stress in thyroid resection reliably leads to a pronounced voltage of adaptive resources of the autonomic nervous system of the type subcompensated hypersympathicotonia. The traditional method of postoperative analgesia does not ensure the prevention of postoperative pain, as well as the optimal level and duration of analgesia, which negatively affects the neurovegetative status and quality of life of patients in the early postoperative period.
Научно-медицинский вестник Центрального Черноземья. 2013;(51):104-110
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OCCUPATIONAL DISEASE AND ITS LINKS WITH PSYCHOGENIC FACTORS
Berezhnova T.A., Sklyarova T.P., Sklyarova A.V., Mehanteva L.E.
Abstract
Conducted psychodiagnostic examination using methods: Luscher test, questionnaire, a layered personality questionnaire (IPC) "Adaptability", a structured interview and psycho-physiological method. We studied the data of statistical reporting forms N 18 "About the sanitary condition of the Russian Federation"; N 24 "Information on the number of newly established occupational diseases (poisoning) in a year"; N 16-BH "Information about the causes of temporary disability." The analysis of changes in the dynamics of indicators characterizing the working conditions and the ranking of areas based on the analysis of social and hygienic monitoring indicators. Professional activities, especially in the context of insufficient rest, leads to the depletion of their mental and physical resources. Even the best individual adaptation and quality of stereotypes can not cope with the devastating consequences for the individual of chronic stress in conjunction with periodic extreme situations. The main target of their impact is neuro-psychic sphere. In order to prevent physical and psychosomatic developed a number of recommendations.
Научно-медицинский вестник Центрального Черноземья. 2013;(51):111-115
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CASE STUDY CONNECTIVE TISSUE DYSPLASIA IN CHILDREN
Balakireva A.I., Lavlinskiy L.I., Balakireva E.A.
Abstract
The sociological method studied the prevalence of connective tissue dysplasia in outpatient facilities in Voronezh. It was established that the level of interest of parents in prevention activities to preserve the health of their children is extremely low - less than 5.8%. Active detection of disease among children is low, as evidenced by the ignorance of the parents about the problems associated with CTD. The recommendations on vyyavleiyu and active prevention and diagnosis of CTD.
Научно-медицинский вестник Центрального Черноземья. 2013;(51):116-121
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FEATURES OF EDUCATIONAL MOTIVATION OF STUDENTS OF MEDICAL FACULTY OF THE MEDICAL SCHOOL
Semiletova V.A.
Abstract
Among the 49 students 2 and 3 courses of medical faculty studied the motivation of university studies, the methodology used to "Motivation of educational activity: the levels and types of diagnostic and structure of learning motivation. It was found that most of the students level of motivation - the acquisition of knowledge, the mastery of a profession and a diploma - medium and high. Only 13% of students gaining knowledge motive low, 4% of students of the low level of mastery motive profession, and 4% of students in the low level of motive graduation. In 52% of the students is dominated by external motivation, 48% - the internal motivation orientation training in medical school
Научно-медицинский вестник Центрального Черноземья. 2013;(51):122-127
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FUNCTIONAL ASSESSMENT OF STRESS-LIMITING ANESTHETIC EFFICIENCY IN OPERATIONS CORONARY STENTING
Yastrebov V.V., Struk Y.V.
Abstract
Among the 49 students 2 and 3 courses of medical faculty studied the motivation of university studies, the methodology used to "Motivation of educational activity: the levels and types of diagnostic and structure of learning motivation. It was found that most of the students level of motivation - the acquisition of knowledge, the mastery of a profession and a diploma - medium and high. Only 13% of students gaining knowledge motive low, 4% of students of the low level of mastery motive profession, and 4% of students in the low level of motive graduation. In 52% of the students is dominated by external motivation, 48% - the internal motivation orientation training in medical school.
Научно-медицинский вестник Центрального Черноземья. 2013;(51):128-133
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FEATURES OF STABILITY OF LIFE PEACE PEOPLE WITH PTSD
Serdyuk T.I.
Abstract
The article describes the concept of sustainability and post-traumatic stress disorder, as well as the stage of studies of the stability of the life-world of people with PTSD, which stated that the person who experienced a difficult situation, have the character of manifestations of the stability of the life of the world, which can be described as stagnation.
Научно-медицинский вестник Центрального Черноземья. 2013;(51):134-139
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ETIOLOGICAL APPROACHES TO DIAGNOSIS AND TREATMENT ON AN OUTPATIENT BASIS GLOSSALGIA
Borisova E.G.
Abstract
Clinical examination conducted 112 patients complaining of burning in the language area (48.2% - on the tongue, 18.7% - on the back, 33.1% - on the sides of the language). The study defined clinical diagnostic criteria glossalgia on the basis of establishing the fact of participation in the origin and development glossalgia local, systemic and psychological factors and groups offered a comprehensive program of psychological testing in outpatient conditions
Научно-медицинский вестник Центрального Черноземья. 2013;(51):140-144
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THE QUESTION OF THE SUBJECT OF LIFE
Buravkov B.P.
Abstract
The article considers the problem prepodaviniya methodology and approaches to the study of health and safety. BZ consider culture as a form of activity, which includes three aspects: educational, informative and practical. Comparative analysis showed a clear polyarizatsiyu- their attraction to the object or subject of activity and knowledge of GD. Keywords: life safety, teaching, professional level
Научно-медицинский вестник Центрального Черноземья. 2013;(51):145-148
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ACCESSIBLE ENVIRONMENT" IN BASHKORTOSTAN
Khabibullina I.R.
Abstract
The article discusses aspects of comfort and accessibility of the environment as a key indicator of equal opportunities for all its users. Analyzed the main directions of the program of the Russian Federation "Accessible Environment" in the field of physical culture and sports
Научно-медицинский вестник Центрального Черноземья. 2013;(51):149-153
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PSYCHOLOGICAL SUPPORT OF YOUNG DOCTORS
Korotkih N.G., Lovchikova M.V., Lesnikova I.N., Khachikyan V.V.
Abstract
The study Accepted participate medical specialists with experience from 3 to 5 years of both sexes in the amount of 15 people, of which over 1.5 years conducted surveillance, survey, questionnaire testing. As a result, it found that doctors specialists with little experience need psychological support to improve performance, stability, mental activity
Научно-медицинский вестник Центрального Черноземья. 2013;(51):154-159
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REDUCING THE PERIOD OF HOSPITAL TREATMENT OF PATIENTS WITH PHLEGMONS MAXILLOFACIAL AREA AND THE NECK ON THE BACKGROUND OF COMPLEX TREATMENT WITH MICROFINE FLOWS ANOLYTE SOLUTION
Azarova T.V., Glukhov A.A., Korotkih N.G.
Abstract
A comprehensive clinical and laboratory examination and treatment etiopathogenetic 66 patients aged 20 to 76 years, suffering from phlegmon of the maxillofacial area and neck, which made dressings daily. The effectiveness of treatment is enhanced by the development and introduction into clinical practice of the processing method of purulent wounds of maxillofacial area and neck microfine anolyte stream. The wounds in a shorter time are cleaned of tissue detritus, which leads to the imposition of secondary sutures early and as a result, reduced the length of stay of patients in the hospital and the period of temporary disability of the population.
Научно-медицинский вестник Центрального Черноземья. 2013;(51):160-167
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MORPHOLOGICAL SUBSTANTIATION OF USING PROGRAMMABLE MAGNETIC THERAPY IN PURULENT SURGERY
Glukhov A.A., Alexeyeva N.T., Skorynin O.S.
Abstract
In 144 white laboratory male rats, weighing 260 - 280 g were studied morphological changes in the area of wound defect in the healing of purulent wounds during treatment with programmable magnetic therapy (PMT). Proved efektivnost PMT, for the treatment of wounds with a pronounced necrotic component and a high level of bacterial contamination of the expediency of the method Hydroimpulsive rehabilitation. The use of programmable magnetic therapy through a bandage with ointment "Levomekol" against the background of pre-Hydroimpulsive reorganization improves efficiency of the developed method.
Научно-медицинский вестник Центрального Черноземья. 2013;(51):168-174
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STUDY OF MEDICAL AND PREVENTIVE ACTION LED LASER AT GLOSSALGIA
Borisova E.G.
Abstract
In a study of 62 patients participated Accepted with glossalgia aged 45 to 75 years that have passed medical and laser therapy. After 5 months, patients underwent a prophylactic course of laser therapy, without the use of drugs. Preventive action is the use of laser techniques showed the simplicity, the lack of side effects and economic benefits
Научно-медицинский вестник Центрального Черноземья. 2013;(51):175-178
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APPLICATION OF A NEW DEVICE "KARDIOVIZOR-: 6C" FOR EXPOSURE PRECLINICAL DIAGNOSIS OF MODIFIABLE RISK FACTORS ON THE HEALTH OF STUDENTS
Esina E.Y., Zuykova A.A.
Abstract
72 apparently healthy students of medical and pediatric departments VGMA them. Burdenko aged 21 - 26 years of evaluation "of the portrait," integrated indicators "Myocardium", "Rhythm", "Detailing code" and ECG changes were performed on the device "Kardiovizor-: 6C" at rest and during exercise . For the achievement of the norm accepted baseline indicator "Myocardium" after 4 minutes after exercise or deviation of not more than 1 value of the original, but not higher than 15%. ECG monitoring on the device "Cardiovisor-6C" during the exercise test students with HR "Office" alone, more than 80 beats per minute, and students with obesity revealed the presence of electrical heterogeneity of the myocardium
Научно-медицинский вестник Центрального Черноземья. 2013;(51):179-185
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CHOICE OF TACTICS OF TREATMENT OF VIRAL DISEASES OF THE EYE, TAKING INTO ACCOUNT THE STATE CLINICAL MANIFESTATIONS AND INTERFERON STATUS
Kovalevskaya M.A., Turovets E.K., Nyrkova E.A.
Abstract
clinical analyzes, ophthalmology and immunological data of the four groups of patients: Group 1 - 44 patients with adenovirus keratoconjunctivitis; Group 2 - 25 patients with superficial herpetic keratitis; Group 3 - 27 patients with deep herpetic keratitis; 4 group - 31 patients with mixed-infektsieypatsientov with VI visual organ. Pathogenetically substantiated method of choice due to the tactics of treatment of viral diseases of the eye, which takes into account the clinical symptoms, objective data and general ophthalmic examination and a study of interferon status of patients.
Научно-медицинский вестник Центрального Черноземья. 2013;(51):188-196
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