No 14 (2003)

Materials of a similar kind till now are priority in connection with absence of similar development with reference to the analysis of clinical practice.

It has been noted that multi-disciplinary complex approach is required for further examination of complex regional pain syndrome

The authors have been dealing with the issues of medical care enhancement at injuries and emergency conditions at pre-admission state.

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.

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 %.

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.

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.

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.

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.

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.

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.

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.

The issues have been discussed of State Sanitary and Epidemiological inspection management of pesticide cycle in Voronezh Region.

The issues have been considered on the development of universal mechanism to insure and defend the right of people during medical care management.