No 14 (2003)

Articles
THE BASIC ASPECTS OF THE PROBLEM OF THE INSULT IN RUSSIA
Lutsky M.A.
Abstract
Creation of the modern help by the patient with an insult will allow to lower death rate within the first month of disease to a level of 20 % and to provide independence in a daily life in 3 months after the beginning of disease not less than 70 % to the patients who have transferred an insult
Научно-медицинский вестник Центрального Черноземья. 2003;(14):1-6
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THE COORDINATED CHANGES OF THE METABOLISM IN THE ESTIMATION OF MECHANISMS OF DAMAGE, INDEMNIFICATION AND ADAPTATION
Bykov E.G., Evteeva M.S.
Abstract
Materials of a similar kind till now are priority in connection with absence of similar development with reference to the analysis of clinical practice.
Научно-медицинский вестник Центрального Черноземья. 2003;(14):7-12
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ECOLOGICALLY INDUCED DISEASES IN POPULATION OF VORONEZH AND VORONEZH REGION
Немых В.Н., Пашков А.Н., Васильева Л.В.
Abstract
The comparative analysis was applied to the information on adult population health as regards to the ecological situation in the Voronezh districts and in Voronezh region. Chronic pharyngitis, chronic glandular diseases, bronchial asthma, thyrotoxicosis and tumors are registered considerably more often in the districts characteristic for highly polluted air. In the regions using intensely pesticides or being contaminated with radioactive substances women more often have tumors of genital organs, endometriosis, menstrual cycle disorders, pregnancy pathology and congenital anomaly of fetus development.
Научно-медицинский вестник Центрального Черноземья. 2003;(14):13-21
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COMPLEX REGIONAL PAIN SYNDROME IN TRAUMATOLOGICAL PRACTICE
Pankov A.V.
Abstract
It has been noted that multi-disciplinary complex approach is required for further examination of complex regional pain syndrome
Научно-медицинский вестник Центрального Черноземья. 2003;(14):22-25
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RELATIONSHIP BETWEEN MENTAL FEATURES AND LIFE QUALITY IN PATIENTS WITH CARDIAC INFARCTION
Provotorov V.M., Kravchenko A.Y., Prasolova V.E.
Abstract
Significant relations have been identified between excessive body weight and alexithymia, which is explained by hyperphage response to stress in these patients. The group of patients with alexithymia is characterized by increased anxiety and depression level and low life-quality index, which requires the addition of psycho-pharmacological correction and rational psychotherapy methods to the treatment scheme.
Научно-медицинский вестник Центрального Черноземья. 2003;(14):26-29
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SYSTEM OF MEDICAL AID DELIVERY AT PRE-HOSPITAL STAGE AT INJURIES AND EMERGENCY CONDITIONS. WAYS OF PROBLEM SOLUTION
Radushkevich V.L., Neudahin G.V., Dezhurny L.I., Chursin A.A.
Abstract
The authors have been dealing with the issues of medical care enhancement at injuries and emergency conditions at pre-admission state.
Научно-медицинский вестник Центрального Черноземья. 2003;(14):30-36
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PREVENTIVE MEASURES OF CICATRICAL STENOSIS DEVELOPMENT AT CHEMICAL ESOPHAGEAL BURNS
Parhisenko Y.A., Bulinin V.V., Trofimov D.P., Sertakov A.V., Lezhenina N.F., Drozhina N.P., Evteev V.V.
Abstract
The results of hospital treatment of 897 patients with chemical esophageal burns of different severity degree have been analyzed. The comparative assessment was applied to methods of esophageal cicatrical stenosis prevention. It was proved that early local application of ozonized vegetable oils in combination with mechanical dilatation of an organ with elastic gastric tube had high clinical and economic efficiency at sever esophageal burns.
Научно-медицинский вестник Центрального Черноземья. 2003;(14):37-41
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NEW EXAMINATION APPROACHES TO CERVICAL ANTHROPOMETRIC FEATURES
Chernih A.V., Maleev Y.V., Levteev E.V., Aristov I.V., Kotyuh V.A.
Abstract
The optimal methods of anthropometric cervical measurements, developed and scientifically proved by the authors of the article, have been applied. Examination of 755 healthy people, including 300 men and 475 women, served the basis for the unified mathematical model, which described the variation of 18 absolute anthropometric measurements of a human neck by three joint anthropometric features: width and thickness, height and characteristics.
Научно-медицинский вестник Центрального Черноземья. 2003;(14):42-51
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COMPARATIVE CHARACTERISTICS OF MODERN METHODS OF HYPERBILIRUBINEMIA TREATMENT IN NEWBORNS
Chernomazova E.A., Logvinova I.I.
Abstract
156 mature newborns with hyperbilirubinemia in early neonatal period and bilirubin level in blood serum from 207.8 to 370 micromole/liter were examined. All the patients were divided into three groups: I - 55 babies, administered traditional therapeutic complex, II - 53 babies, having additional GBO courses included into the treatment complex, III - 48 babies, treated with the application of such medications as “Toxfighter” and “Loxein”, manufactured by the Russian Company “Artlife”. The inclusion of GBO into the treatment complex for conjugated hyperbilirubinemia of newborns resulted in the greatest reduction of billirubin level. Application of “Toxfighter” and “Loxein” in the treatment of newborns with hyperbilirubinemia seems purposeful causing more intensive reduction of billirubin level compared to traditional treatment complex. Management of GBO courses, inclusion of “Toxfighter” and “Loxein” into the treatment complex for hyperbilirubinemia in newborns enabled to reduce the number of babies sent from Maternity Hospital to Specialized Units of Regional Pediatric Hospital for further treatment.
Научно-медицинский вестник Центрального Черноземья. 2003;(14):52-57
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COMPLEX TREATMENT OF MUCOVISCIDOSIS IN CHILDREN USING LOW INTENSITY LASER IRRADIATION
Orlova Y.E., Ulianova L.V., Chernitsina O.A., Shtokalov A.A., Ovechkina L.V.
Abstract
Научно-медицинский вестник Центрального Черноземья. 2003;(14):58-61
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ABDOMINAL PAIN IN CHILDREN
Sichyova E.K., Neretina A.F., Ulianova L.V., Sokol E.B., Bulatova T.I., Myasoediva A.V.
Abstract
It was found that abdominal pain is most often caused by gastroenterological diseases after the exclusion of surgical pathology. Objective examination has to be maximum full; the attention should not be focused on abdominal organs only. It is required to pay attention on symptoms accompanying the pain: diarrhea, dyspnea, cyanosis, cough, catarrhal sings in lungs and meteorism). Complex treatment delivered to children with recurrent abdominal pains will enable to reduce the number of patients, admitted to surgical hospital and suspected to have appendicitis.
Научно-медицинский вестник Центрального Черноземья. 2003;(14):62-65
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FEATURES OF THE TRAUMA CAUSED BY THE SHOCK AT CHILDREN
Vecherkin V.A., Gisak S.N., Nejno N.D., Korolev P.V.
Abstract
Introduction of new technologies in diagnostics and complex treatment of children with a trauma caused by a shock, has allowed to lower death rate at the scorched patients up to 0, and the general death rate last years prior to 1 - 1,5 %.
Научно-медицинский вестник Центрального Черноземья. 2003;(14):66-70
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EXPERIENCE OF HEMOLASER THERAPY APPLICATION IN TREATMENT OF BRONCHIAL ASTHMA WITH CONCOMITANT RHINOSINUSITIS
Treschalina Y.B.
Abstract
88 patients having mean severity of bronchial asthma with concomitant rhinosinusitis were kept under medical observation; they were divided into three groups. The first one included 36 patients, whose tympanic membranes and projections of paranasal sinus were treated with laser. The second group, consisting of 28 patients, was administered blood laser irradiation, and at last, the third group under examination, comprising 24 people, received medical treatment. The greatest clinical efficiency of treatment was observed in the first group of patients, which was seen in the evident positive dynamics of clinical, instrumental and spirometric parameters as regards to bronchial asthma as well as in full regression of symptoms of concomitant rhinosinusitis, which was proved by radiographic data. The treatment turned less efficient in the group of patients administered medical therapy.
Научно-медицинский вестник Центрального Черноземья. 2003;(14):71-74
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FEATURES OF POSTOPERATIVE THERAPY OF PATIENTS WITH CHRONIC PURULENT MEDIUM OTITIS WITH Р.AERUGINOSA
Polyakova S.D., Popova E.A.
Abstract
At chronic purulent medium otitis P. Aeruginosa contamination leads to long disease course with insufficiency of reparative processes in postoperative period. Taking into account that patients with P. Aeruginosa have immune insufficiency in T- and B- components of immune system, this contingent of patients is required the combined immunocorrective therapy, which includes combined immunocorrection and local application of fluoroquinolones.
Научно-медицинский вестник Центрального Черноземья. 2003;(14):75-79
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CARDIO-VASCULAR DISEASES AND MENOPAUSE
Minakov E.V., Kozlov Y.S., Yudenkova I.V., Zelenina I.N.
Abstract
Oesterogen deficiency - menopause, the state occurring after hysterectomy and ovariectomy, is a serious risk factor for the development of hypertension, obesity, insulin resistance, dyslipemia, and, finally, atherosclerosis and CHD, which is apparently conditioned by the loss of specific protective mechanisms of oesterogen action on cardio-vascular system. Hormone replacement therapy, in its turn, decreases the intensity degree of climacteric complex of symptoms, improves considerably the life quality of female patients at the very first stages of its application, enables to avoid critical hypertension course, and, in most cases, to normalize the values of systolic and diastolic arterial pressure, and does not worsen the indices of lipid and carbohydrate metabolism.
Научно-медицинский вестник Центрального Черноземья. 2003;(14):80-84
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IMMUNE STATUS CHANGE IN POTENTIAL RECIPIENTS OF DONOR KIDNEY
Parhisenko Y.A., Tarasov E.O., Kochurov D.E., Andreev A.A.
Abstract
The examination results have proved that immunocorrective therapy should be targeted at stimulation of humoral and celluar components of immune system in patients with chronic pyelonephritis, terminal stage of chronic renal failure and cellular component in patients with chronic glomerulonephritis having similar outcome.
Научно-медицинский вестник Центрального Черноземья. 2003;(14):85-89
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MORPHOLOGY OF BRONCHOALVEOLAR LAVAGES IN BRONCHIAL ASTHMA PATHOGENESIS
Suleimanova L.S., Smolianinov E.A., Provotorov V.M.
Abstract
Biopsy materials of bronchoalveolar lavages were examined with the use of electron-miscroscopic analysis of bronchial asthma dynamics. The essence of structural changes in bronchoalveolar lavage cells was identified, characteristic for the processes occurring in bronchial wall at acute condition of bronchial asthma; this enables to find the optimal treatment scheme taking into account pathogenesis, stage, extension and pathology reversibility.
Научно-медицинский вестник Центрального Черноземья. 2003;(14):90-92
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DEBVELOPMENT AND ENHANCEMENT OF LASER MEDICAL TECHNOLOGIES FOR INTERNAL SICKNESS DIAGNOSIS, TREATMENT AND PREVENTION
Nikitin A.V., Vasilieva L.V.
Abstract
The effects of exposure to low intensity laser irradiation using different methods for wide range of pathological processes have been shown. Laser therapy was defined as a pathogenetically proved method; taking into account this fact and individual approach it is possible to obtain evident clinical treatment efficiency.
Научно-медицинский вестник Центрального Черноземья. 2003;(14):93-98
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MEDIUM FREQUENCY ELECTRICAL THERAPY IN COMPLEX TREATMENT OF CHRONIC OBSTRUCTIVE BRONCHITIS
Polianskaya Y.M., Nikitin A.V., Golovina Y.A.
Abstract
It has bee shown that reflexogenous exposure of patients with chronic obstructive bronchitis to medium frequency electric currents relieves the symptoms, increases the tolerance to physical loads, arrests the disease progression and improves patients’ life quality.
Научно-медицинский вестник Центрального Черноземья. 2003;(14):99-101
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MECHANISMS OF PREVENTIVE ACTION OF PHYSICAL FACTORS AT NONSPECIFIC DISEASES EASY
Ushakov I.B., Priests V.I., The Bulavin B.B.
Abstract
Factors, in the greatest measure possessing protective influence at a chronic inflammation, to the greatest degree activate growth and division of a connecting fabric in easy. Stimulation of restoration does not render the expressed protective influence at an inflammation. These data prove the communication{connection} marked earlier between activation of process of restoration of a connecting fabric and preventive action of physical factors at a sharp inflammation.
Научно-медицинский вестник Центрального Черноземья. 2003;(14):102-105
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PULMONARY EMBOLISM IN PRACTICE OF MULTI FIELD HOSPITAL
Safonov M.Y., Shevchenko I.I., Diakonov V.P.
Abstract
The practice of multi field hospital has shown that pulmonary embolism is obviously predominant in the Emergency Cardiology Unit. Traditional diagnostic methods, particularly, ECG with supplementary leads (chest right leads), still remain of great diagnostic value in pulmonary embolism life-time diagnosis. Dynamic electrocardiographic monitoring is still considered of extreme diagnostic importance. The accuracy improvement of pulmonary embolism diagnosis is obtained with the use of non-invasive monitoring of central homodynamic parameters. Application of low-molecular heparins allows the reduction of pulmonary embolism rate in patients with high risk-factors.
Научно-медицинский вестник Центрального Черноземья. 2003;(14):106-113
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ROLE OF CORRECTION OF PSYCHOLOGICAL DISORDERS IN THE COURSE OF ANGINA PECTORIS IN AGED PATIENTS
Burlova E.S.
Abstract
Prevention of coronary heart disease (CHD) and influence on the risk factors causing this disease have been found the most challenging in cardiology, where preventive approach has been developed dramatically in the last decade. Still traditional risk factors do not allow the explanation of all the cases of CHD onset and development in population. In this connection some Russian and foreign authors have concluded that psychological, psycho-social and behavioral CHD risk factors should be specified. 147 patients over 55 years old with stable angina pectoris (ФК II-III) were involved into investigation. Index above 74 scores according to Toronto alexithymia scale served the criterion for alexithymia identification and for grouping the patients. The patients were divided into three groups. The first group included the patients with alexithymia, who along with the basic treatment of stable angina pectoris were administered a two-week course of melatonin, in a daily dose of 3 mg taken before night sleep; the second group - alexithymia patients, who did not receive melatonin; the third group - patients without alexithymia, prescribed melatonin in addition to the basic therapy. After two weeks of combined treatment with melatonin statistically significant improvement have been marked of all the assessed criteria of psychological state and most criteria of objective status.
Научно-медицинский вестник Центрального Черноземья. 2003;(14):114-117
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MEDICAL REHABILITATION OF PATIENTS WITH TRANSMURAL MYOCARDIAL INFARCTION HAVING THE THREAT OF CARDIAC MUSCLE RUPTURE
Uskov V.M.
Abstract
The examination results were analyzed of 154 patients with transmural myocardial infarction, who, when admitted to the hospital, had the menace of cardiac muscle fracture, the ECG sign of which was S+ scar in M-complex. They were kept under medical examination during one-year period after discharge from the hospital. Among these patients 86 people (the first group) were treated with angiotensin-converting enzyme inhibitors and beta-blockers against the background of the main therapy, and 68 people (the second group) were administered the main therapy. The first group was found to have more smooth post infarction course, which was proved by the fast improvement of clinical parameters, reduction of complication number and mortality rate decrease.
Научно-медицинский вестник Центрального Черноземья. 2003;(14):118-122
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DAILY HEART RATE VARIABILITY IN HEALTHY PEOPLE AND IN CHD PATIENTS WITH CORONARY ARTERY DISEASE
Sviridova A.V., Minakov E.V., Sobolev A.V.
Abstract
The objective of the investigation was to identify what features of daily heart rate variability (HRV) reflected more precisely the functional state of an individual patient. Daily HRV was assessed in healthy people, in patients with coronary pathology and patients with coronary artery disease, having surgery of coronary artery bypass grafting. Daily rhythmograms, obtained during Holter monitoring with the use of DMS-system, were examined. Traditional parameters of daily HRV were analyzed, such as SDNN, SDANN and NN50. Apart from this during HRV analysis the new approach was applied, basing on the evaluation of variations of short rhythmogram areas.
Научно-медицинский вестник Центрального Черноземья. 2003;(14):123-127
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EFFICIENCY ASSESSMENT OF SURGICAL TREATMENT OF PATIENTS WITH RHEUMATIC HEART DISEASES TAKING INTO ACCOUNT LIFE QUALITY DYNAMICS
Fursova E.A., Golovchenko N.V.
Abstract
Life quality dynamics has been studied in patients with rheumatic heart diseases, initially having different life quality level. 47 patients with rheumatic heart diseases underwent examination. Circulation failure I-II, ФК I - Ш. Life quality was evaluated with the use of three questionnaires (Nottingham’s health profile, Minnesota’s questionnaire and questionnaire of heart disease symptom intensity): initially, then after 1, 3 and 6 months after complex medical therapy and surgical correction of a defect. It was identified that patients initially having deeply marked symptoms and heart disease manifestations showed higher life quality level after successful surgery than patients with less severe heart disease manifestations.
Научно-медицинский вестник Центрального Черноземья. 2003;(14):128-132
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MEDIKO-SOTsIAL'NYY PORTRET VOENNOSLUZhAShchIKh, PROKhODYaShchIKh SLUZhBU V USLOVIYaKh VOENNO-MORSKOGO BAZIROVANIYa, PO DANNYM VYBOROChNOGO ISSLEDOVANIYa
Vinokurov V.L., Klimenko G.Y., Mazurov I.N., Choporov O.N.
Abstract
The major medico-social features of military personnel, having their service in naval base conditions, are good health, average physical fitness level, prevalence of middle aged people with higher education, considerable naval service experience, married status, moderate alcohol drinking and favorable moral and psychological conditions among the staff.
Научно-медицинский вестник Центрального Черноземья. 2003;(14):133-137
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DIAGNOSTIC IMPROVEMENT OF VEGETATIVE DYSTONIA SYNDROME OCCURING IN YOUNG AGE
Protasov I.S., Lutsky M.A., Burlutsky A.P., Kochukova I.V., Bezhmelnitsina I.A., Popob N.I., Savinih V.P., Razuvaeva V.V.
Abstract
It has been suggested that the improved approach to vegetative dystonia diagnosis and analysis of its clinical manifestations was used, basing on the quantitative assessment of its features at the early stage, including preclinical diagnosis. Our investigations allowed the unification and the objective assessment of vegetative dystonia syndrome in young people with permanent disease course
Научно-медицинский вестник Центрального Черноземья. 2003;(14):138-142
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MANAGEMENT OF STATE SANITARY AND EPIDEMIOLOGICAL INSPECTION OF PESTICIDE CYCLE IN VORONEZH REGION
Chubirko M.I., Ischenko L.M., Ignatova T.V.
Abstract
The issues have been discussed of State Sanitary and Epidemiological inspection management of pesticide cycle in Voronezh Region.
Научно-медицинский вестник Центрального Черноземья. 2003;(14):143-147
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SOCIAL - HYGIENIC WORKING CONDITIONS AND THE LIFE OF WORKERS OF OPEN SOCIETY " НЛМК ", AS ONE OF MAKING METHODS OF PREVENTIVE MAINTENANCE OF DESEASE OF THE STOMACH ULCER OF THE STOMACH AND GUTS
Kopanitsa I.V., Klimenko G.J.
Abstract
The data on the declared problem which are necessary for taking into account at planning individual and group measures of preventive maintenance for workers of metallurgical manufacture and decrease in losses working hours are submitted, in connection with desease with time disability.
Научно-медицинский вестник Центрального Черноземья. 2003;(14):148-153
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PRACTICE OF RIGHT PROTECTION OF PEOPLE INSURED ON THE TERRITORY OF VORONEZH REGION
Chesnokov P.E., Danilov A.V., Katashina T.B.
Abstract
The issues have been considered on the development of universal mechanism to insure and defend the right of people during medical care management.
Научно-медицинский вестник Центрального Черноземья. 2003;(14):154-159
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