No 9 (2002)

Articles
DYNAMIC CHEMILUMINESCENT EXAMINATION OF SALIVA IN MUCOVISCIDOUS CHILDREN
Postnikova I.V., Pashkov A.N., Neretina A.F.
Abstract
Among children with chronic pulmonary pathology, a significant group consists of patients with cystic fibrosis: 6-14% according to various pulmonological clinics (S Yu Kaganov, 1992, AF Neretina, 1994, NI Kapranov, 1995). Cystic fibrosis (CF) is one of the most frequent genetically determined diseases. The prognosis for the life of children with CF is still serious. This explains the unflagging interest in further comprehensive study of this disease, the logical search for safe, informative diagnostic techniques and dynamic control.
Научно-медицинский вестник Центрального Черноземья. 2002;(9):3-7
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APPLICATION OF BIOFEEDBACK IN PATIENTS WITH VERTEBRAL OSTEOCHONDROSIS HAVING PROLONGED PAIN SYNDROME
Tyurina O.G., Aivasyan T.A., Zaitsev V.P., Gorbunov F.E.
Abstract
The mental state of the patient undoubtedly affects the features and intensity of the pain syndrome, all this indicates the appropriateness of using psychocorrection in the treatment of patients with prolonged pains, including those caused by osteochondrosis of the spine. It is shown that the inclusion of psychotherapy in a complex of therapeutic measures really allows to reduce the severity of the pain syndrome [7-9]. One of the most effective and available for the practice of health care is psycho-relaxation therapy using biofeedback devices (BFU). In a number of works [7, 12, 13] it was shown that the course of BOS leads to an increase in tolerance to stressful effects, a decrease in the severity of mental changes, a decrease in the level of anxiety, depression, and a reduction in the severity of headaches.
Научно-медицинский вестник Центрального Черноземья. 2002;(9):8-17
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ASSESSMENT CRITERIA FOR PSYCHOSOMATIC DISORDERS IN PATIENTS WITH BRONCHIAL ASTHMA AND METHODS OF ITS CORRECTION
Provotorov V.M., Suleimanova L.S., Budnevsky A.V.
Abstract
Currently, bronchial asthma is considered as a heterogeneous disease, in the pathogenesis of which an indisputable role is played by psychosomatic disorders and the close interaction of somatic and neuropsychic factors. Patients with asthma demonstrate a high level of negative emotions, and exacerbations of the disease are often associated with periods of heightened emotionality, with a causal relationship can be bilateral. Numerous domestic and foreign studies have demonstrated the role of alexithymia in the development and progression of asthma [3-5]. Patients with asthma with alexithymia have a higher level of neurotic personality than non-alexithymic individuals.
Научно-медицинский вестник Центрального Черноземья. 2002;(9):18-23
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ANALYSIS OF PSYCHOSOMATIC RELATIONS IN BRONCHIAL ASTHMA CLINICAL COURSE
Budnevsky A.V., Provotorov V.M., Vdovina O.V.
Abstract
In the development and progression of asthma, psychological and behavioral factors play a significant role [4, 5, 7-9]. The state of psychoemotional tension leads both to the dysregulation of the hormonal and immune systems with the development of secondary immunodeficiency, and to the development of psychosomatic diseases [2, 11, 15]. Regularities of psychoneurological relationships in asthma determine the need to include in the system of therapeutic and prophylactic measures in BA methods of psychotherapeutic and psychopharmacological correction, which will improve the quality of life in asthma.
Научно-медицинский вестник Центрального Черноземья. 2002;(9):24-32
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IMMUNOLOGIC REACTIVITY IN CHRONIC CARRIERS OF PATHOGENIC STAPHYLOCOCCUS, LOCATED ON FAUCES MUCOUS MEMBRANE, AND SUFFERING FROM PUSTULAR DERMAL DISEASES
Zemskov A.M., Buravleva I.V., Trutnev B.D., Popova V.P., Kalashnikova A.P., Novosel'tseva T.D., Cokolenko G.G., Tonkikh R.V., Zemskov M.A., Trutnev D.B.
Abstract
The problem of bacteriocarrier and pustular skin lesions to date can not be considered definitively resolved, there is an opinion that reduced immunological reactivity plays the role in the formation of pathology. From this point of view, it was interesting to trace the dependence of the disturbance of immunological reactivity in chronic carriers of pathogenic staphylococcus and pustular skin diseases from blood groups.
Научно-медицинский вестник Центрального Черноземья. 2002;(9):33-36
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PHYSICAL DEVELOPMENT OF TEENAGERS WITH BRONCHIAL ASTHMA AS A RISK CRITERION FOR SEVERE DISEASE COURSE
Klyucheva M.G., Ryvkin A.I., Troitskaya I.N., Reshetova T.N., Likhova I.N.
Abstract
The prevalence of asthma according to the ISAAC program among children aged 13-14 years varies from 2.6% to 4.8% (A.Sewart, 1997, D. Strachan, 1997). BA is not only a common, but also a dangerous pathology, leading to disability, and sometimes dramatic outcomes. It is known that chronic bronchopulmonary diseases in children can lead to a disruption of physical development, primarily, a body mass deficit. On the other hand, a number of authors (Aisanov ZR, 1999) found that a disturbed nutritional balance with respiratory pathology leads to a decrease in the production of surfactant, a violation of the clearance of bacteria by the lungs. There is evidence that the work of the respiratory muscles is largely due to the nutritional diet (Ascanasi, 1982). The reduction in diaphragm mass in patients with malnutrition occurs in proportion to the patient's weight loss (Palang et al. 1993).
Научно-медицинский вестник Центрального Черноземья. 2002;(9):37-42
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INFLUENCE OF SOME PSYCHOLOGICAL FEATURES OF PATIENTS WITH ISCHEMIC HEART DISEASE ON THEIR LIFE QUALITY
Kravchenko A.Y., Vladykina N.N., Kretinina T.I., Kutyurin G.V., Sergeyeva N.I., Ternovykh I.A.
Abstract
More and more attention is drawn to the problem of assessing the quality of life (QOL) in patients with cardiovascular diseases and, in particular, coronary heart disease (CHD). It is well known that for the patient not only indicators of physical condition are important, but also satisfaction in the mental, social and emotional spheres. The medical aspect of QOL is usually attributed to the impact of the disease itself and the resulting limitation of functional ability, as well as the treatment to the daily life of the patient. As one of the directions for the improvement of QOL of IHD patients should be the application of methods of psychotherapeutic and psychopharmacological correction of affective disorders, which include alexithymia. The specific forms and contents of these methods are of undoubted interest for further research.
Научно-медицинский вестник Центрального Черноземья. 2002;(9):43-46
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STUDY OF BLOOD CHEMILUMINESCENCE AND OPTICAL RADIATION USED IN FOTOHEMOTHERAPY EFFECTING IT
Yefimov A.S., Yefimova M.A., Beloshevskiy V.A., Shapovalova N.V.
Abstract
The study of oxidation-reduction and free-radical reactions is widely used in medicine to study the course of certain pathological processes. One of the recent direct methods for studying free radicals, active forms of oxygen and the reactions in which they participate, is the method of studying the intrinsic and activated chemiluminescence (CL) of blood cells [1]. The intrinsic CL accompanying the oxidation-reduction reactions is characterized by low intensity, therefore it is more convenient to study CL in the presence of activators, which intensify the luminescence many times, the most popular of which is luminol. CL is a rather capricious reaction, extremely sensitive to changes in the pH of the medium and to foreign impurities. Therefore, it seemed to us interesting to study not only quantitative characteristics, but also the spectrum of luminescence.
Научно-медицинский вестник Центрального Черноземья. 2002;(9):47-53
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PREVENTION AND TREATMENT OF IRON DEFICIENT ANEMIA IN CHILDREN
Velichko L.G., Neretina A.F., Duvarov S.P.
Abstract
All organisms need iron for growth and various metabolic pathways [1]. The bulk of iron is included in hemoglobin (60%) and myoglobin (9%) [3]. Normally, in a healthy adult, the total iron reserve is 3-5 g, or about 50-60 mg / kg body weight. Iron enters the human body from the external environment, where it is most common. Its level in the body is regulated by absorption in the intestine and erythropoietic activity of the bone marrow. In the case of a significant deficiency of iron in the body, as a result of which anemia develops, the consequences become irreversible.
Научно-медицинский вестник Центрального Черноземья. 2002;(9):54-60
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MORBIDITY STRUCTURE IN CHILDREN, WHOSE MOTHERS RECEIVED DEXAMETAZON IN THEIR PREGNANCY PERIOD
Logvinova I.I., Kaledina E.Y.
Abstract
In the last decade, the survival rate of premature infants significantly increased. One of the factors contributing to the improvement of survival is the administration of glucocorticoids to women with a threat of miscarriage at 24-34 weeks of gestation. The study of the effect of dexamethasone courses on the incidence of children showed that antenatal dexamethasone promotes the maturation of the fetal lungs and reduces the risk of developing the respiratory distress syndrome (SDR), the severity of intraventricular hemoglobulin (IVH) in intramuscular neonates, the risk of periventricular leukemal cysts, , Regulates erythropoiesis, has an immunomodulatory effect (LR Ment, W. Oh 1995, ECQuist-Fherson 1999, B.Chen 1999, MGErvin, JFPadbury 2000). However, there are data on the negative effect of antenatal glucocorticoids on the fetus.
Научно-медицинский вестник Центрального Черноземья. 2002;(9):61-66
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PREDICTION OF CEREBRO-VASCULAR PATHOLOGY DEVELOPMENT
Asanov A.Y., Klimanko G.Y., Choporov O.N.
Abstract
The incidence of cerebrovascular pathology is one of the main causes of mortality due to cerebral ischemia and cerebrovascular strokes. The death rate from cerebrovascular diseases in Russia is one of the highest in the world. In this regard, for rational preventive measures, a detailed study of medical-biological and socio-hygienic risk factors, including an analysis of their impact on the incidence of cerebrovascular pathology, is necessary.
Научно-медицинский вестник Центрального Черноземья. 2002;(9):67-70
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PSYCHOLOGICAL ASPECTS OF EDUCATION OF BRONCHIAL ASTHMA CHILDREN IN ASTHMA SCHOOL
Baranzaeva D.C., Zabolotskih T.V., Mizernitsky Y.L.
Abstract
In recent years, the prevalence of bronchial asthma continues to increase, having a significant impact on children and their families, decreasing the quality of life of patients, and further restricting work capacity. Being a chronic disease, bronchial asthma leads to the emergence of emotional and psychological problems in patients. Conducting classes in an asthma school in combination with individual and group psychotherapy can improve the psychological state of patients, harmonize pathological types of attitude to their disease, including also a transition from one type to another, more favorable in its course, taking into account the premorbid personality traits. This type of treatment can act as a step-by-step stage of psychotherapeutic assistance to patients.
Научно-медицинский вестник Центрального Черноземья. 2002;(9):71-81
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PATHOGENESIS OF ANEMIA IN PATIENTS WITH RHEUMATOID ARTHRITIS
Grebennikova L.G., Beloshevskiy V.A., Krivonosova N.A., Gorchenko G.L., Modzolevskaya V.I., Nazarenko V.N.
Abstract
Despite the considerable number of works devoted to the study of rheumatoid arthritis (RA), the problem of anemia in this pathology is paid much less attention than other clinical manifestations of this disease, and its pathogenesis remains largely controversial. According to some researchers, this is the most frequent extra-articular manifestation of RA, occurring in the developed stage of the disease and in most cases having a moderate nature, other authors consider it a complication of the disease, although there are works indicative of the adaptive nature of this anemia.
Научно-медицинский вестник Центрального Черноземья. 2002;(9):82-87
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PSYCHOLOGICAL STATUS CORRECTION IN PATIENTS WITH EXERTIONAL ANGINA AND ALEXITHYMIA
Provotorov V.M., Kravchenko A.Y., Burlova E.S.
Abstract
The identification of personality, psychological, behavioral and social factors associated with the onset and progression of coronary heart disease (IHD) [1] is an urgent problem, since "traditional" risk factors (smoking, overweight, hypertension, hypercholesterolemia) can not explain A significant proportion of cases of IHD in the population [2]. Alexitimia (A), as a psychological characteristic of the patient's personality, is increasingly used by clinicians in differential diagnosis of psychosomatic states of cardiac patients [3]. The effectiveness of psychopharmacological correction in patients with stable angina pectoris and alexithymia means the possibility of secondary prevention of IHD in such patients.
Научно-медицинский вестник Центрального Черноземья. 2002;(9):88-95
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DOUBLE-STRAIN PROBIOTIK BIFILAKTRIN IN THE TREATMENT OF ACUTE INFECTIOUS DISEASES IN CHILDREN
Kuprina N.P., Feklisova L.V., Seredina Y.Y., Konoplina L.M., Kokoreva S.P.
Abstract
Most often, intestinal infections are registered in children, posing a threat to the life of a young child. Therefore, the development of therapeutic approaches acquires special significance in pediatric infectious pathology. A promising area of research on the treatment of acute diarrhea is the development of methods that are gentle for the child's body. The advantage of using a new probiotic bifilactrin, simultaneously containing representatives of two types of obligate intestinal microflora, is established. The appointment of bifilactrin did not adversely affect the patient's body, significantly improved the results of treatment of OCI, reducing the frequency of relapses of the intestinal syndrome.
Научно-медицинский вестник Центрального Черноземья. 2002;(9):96-102
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TOPOGRAPHICAL AND ANATOMIC JUSTIFICATION OF EXTRAFASCIAL HEMITHYROIDECTOMY IN PATENTS WITH CANCER AND BENIGN THYROID TUMORS
Savenok V.U., Ognerubov N.A., Savenok E.V.
Abstract
Many authors point to the connection of nodular formations with the possibility of cancer in them up to 30%, then early surgical intervention is the only correct method of treatment. Until now, there is still no unified procedure for the operation and an elaborate setting for the scope of surgical intervention. Most surgeons perform operations in the volume of intracapsular resections with a ligation of the thyroid vessels intracapsularly to prevent traumas of the parathyroid glands and the recurrent nerve. Despite significant successes in the surgical treatment of highly differentiated forms of cancer and nodular thyroid formations, patients often suffer from postoperative complications, one of which is postoperative hypoparathyroidism. In this scientific work, we have attempted to evaluate the existing method of extrafascial hemithyroidectomy from a new perspective.
Научно-медицинский вестник Центрального Черноземья. 2002;(9):103-109
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EFFICIENCY OF APPLICATION OF MACROLIDE “ZITROLLIDE”, PRODUCED IN RUSSIA IN PNEUMONIC PATIENTS
Velikaya O.V., Bahmetieva N.E., Ofitserov I.Y., Pankova U.N., Pavlidina E.D., Bolotskikh V.I.
Abstract
In industrialized countries, Mon rank fifth among causes of death, and among infectious diseases - the first. Mortality from community-acquired pneumonia is 5%, but among patients requiring hospitalization, up to 21.9%, among the elderly - 46% [2]. At the same time, deaths from monogastric etiology are 14.7%, chlamydial - 9.5%, and mycoplasma - 1.4% [3]. Worldwide there is an increase in the lethality from pneumonia.
Научно-медицинский вестник Центрального Черноземья. 2002;(9):110-113
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SURGERY OF INGROWN NAIL
Ushakov L.N., Nozhkina E.A., Cheshihin I.M.
Abstract
The disease, known as the "ingrown nail", which affects, as a rule, the first finger on one or both feet, is widespread. The nail, growing in its circumference with the lateral margin in the okolonogtevoj roller, promotes the manifestation of pressure sores, sores, infection and the development of inflammation. The causes of the disease are not fully revealed.
Научно-медицинский вестник Центрального Черноземья. 2002;(9):114-118
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ASSESSMENT OF LIFE QUALITY IN PATIENTS WITH DISSEMINATED SCLEROSIS
Bezhmelnitsina I.A., Braghina O.V., Bikovtsev M.B.
Abstract
A joint examination of the results of the assessment of QOL, conducted by a patient and a doctor, allows a more complete picture of the disease. The study of QOL in neurological patients allows us to solve various problems: determining the effect of the disease on the patient's physical, psychological, social functioning, evaluating the effectiveness of the treatment method, predicting the course of the disease, developing rehabilitation programs, pharmacoeconomic justification for therapy standards, new treatments, etc.
Научно-медицинский вестник Центрального Черноземья. 2002;(9):119-124
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HEPATOBILIARY SYSTEM DISEASES: EARLY DIAGNOSIS IN PEOPLE WORKING WITH TOXIC AGENTS
Faustov A.S., Popov S.V.
Abstract
The risk of diseases of the liver, gall bladder, bile ducts is significantly increased in workers of enterprises, in the production cycle of which there are toxic chemical agents [4]. Among the diagnostic measures to identify these diseases, one of the main places is ultrasound [3]. For this survey technique, high information content, painlessness, and non-invasiveness are characteristic.
Научно-медицинский вестник Центрального Черноземья. 2002;(9):125-128
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MEDICO-SOCIAL PORTRAIT OF PATIENTS WITH PULMONARY TUBERCULOSIS, SERVING THEIR SENTENCES CUSTODIES
Chumak P.L., Klimanko G.Y.
Abstract
There is a large contingent of patients with pulmonary tuberculosis in places of deprivation of liberty. Such patients make up 20-25.0% of the total number of newly diagnosed patients registered in anti-tuberculosis facilities, and among the contingents with active pulmonary tuberculosis their number reaches 50.0%.
Научно-медицинский вестник Центрального Черноземья. 2002;(9):129-132
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