Vol 19, No 2 (2016)

Articles

HISTOCHEMICAL AND GISTOTOPOGRAPHICAL FEATURES OF EXTRACELLULAR MATRIX COLLAGEN FIBERS OF CONNECTIVE TISSUE OF MICE C57 BLACK STOMACH AFTER SPACE FLIGHT

Atiakshin D.A.

Abstract

Presents the results of the study tinctorial characteristics, content and histotopography collagen fibers in the wall of the stomach of mice C57 black after a 30-day orbital flight on Biological satellite "Bion-M» №1 and 7-day post-flight re-adaptation in the land conditions. After the space flight was detected reduction of reticular fibers in smooth muscle structures of the stomach wall. At the same time, in the lamina propria of the gastric mucosa occurred increase in the number of reticular fibers. After 7 days post-flight re-adaptation in the land conditions were increased fibrillogenesis reticular fibers in the muscle coat of the stomach and muscle lamina of mucous coat. After some ground simulation of orbital flight conditions in the model of equipment "BIOS-MLZH" state of the fibrous component of the extracellular matrix was similar to the indicators of animals of the vivarium. Thus, the space flight factors, primarily weightlessness, lead to adaptive remodeling of the connective tissue of the stomach, which is manifested decrease in the number of collagen fiber structures in various coats of the stomach, change their histotopography and tinctorial characteristics. Discussed gravitationally-dependent changes in the connective tissue of the stomach to microgravity conditions, including, fibrillogenesis, regeneration of the extracellular matrix and fibrous structures lysis in connective tissue.
Applied Information Aspects of Medicine (Prikladnye informacionnye aspekty mediciny). 2016;19(2):4-14
pages 4-14 views

ECONOMIC PERFORMANCE OF ANTI-AGING PROGRAM

Gorelik S.G., Beletskaya O.A., Shevchenko A.U.

Abstract

The article deals with modern methods of pharmacoeconomic evaluation of the effectiveness of using anti-aging programs. It is shown that despite the fact that the direct costs associated with the implementation of preventive geriatrics, exceed the cost of treatment of patients, our findings suggest that the use of anti-aging programs would increase not only the total life expectancy but also life expectancy while maintaining the quality of life to increase the number of persons employed in the economy and their productivity and growth of the population's welfare.
Applied Information Aspects of Medicine (Prikladnye informacionnye aspekty mediciny). 2016;19(2):15-21
pages 15-21 views

ELECTRONIC RESOURCES OF SCIENTIFIC RESEARCH IN "HYGIENE" IN WORLD INFORMATION SPACE

Rut A.N., Popov V.I.

Abstract

The analysis of the lists of publications of national dissertations on hygiene showed the absence of references to foreign dissertation research. The goal is to show informational electronic resource ProQuest Dissertations and Theses (PQDT), with about 3 million foreign dissertations, including health - more than 500 thousand dissertations Submitted from more than 80 countries (more than 1700 universities), published in 40 languages. From 1985 to 2015 in electronic resource PQDT indexed 2 667,7 million thousand theses. Each year, the PQDT database is replenished on (86,0  3,1) thousand of dissertations, including doctoral - at (70,8  2,5) thousand, master - at (15,2  1,0) thousand Master's thesis was 17.7 %. There is an increasing number of master's theses. In the found array is full, the text had a 61.7 percent of the dissertations. Among the doctoral dissertations are full text was at 57.2 %, master - at 82.8 %. Electronic resource PQDT offers great informational opportunities for domestic researchers.
Applied Information Aspects of Medicine (Prikladnye informacionnye aspekty mediciny). 2016;19(2):22-25
pages 22-25 views

DYNAMICS OF HEART RATE VARIABILITY WHEN HOLDING THE STENTING OF CORONARY ARTERIES IN PATIENTS WITH MYOCARDIAL INFARCTION AND DIABETES MELLITUS

Sviridova A.V., Androsova O.A.

Abstract

The problem of predicting the flow of myocardial infarction takes place in many aspects of clinical and laboratory examination of the patient. Particular relevance predicting gains in treating patients with concomitant somatic pathology. One method is rythmograph and dispersion mapping of the myocardium. Examined the dynamics of heart rate variability depending on treatment options. The data obtained allow us to predict with high accuracy for myocardial infarction.
Applied Information Aspects of Medicine (Prikladnye informacionnye aspekty mediciny). 2016;19(2):26-30
pages 26-30 views

DESIGNING A TRAINING MODULE ON THE MEDICAL INFORMATICS DISCIPLINE AT DISTANCE LEARNING SYSTEM MOODLE

Bolotskykh V.I., Alexeev N.Y., Sudakov O.V.

Abstract

Internet access allows you to implement a program of distance education. We addressed the issues of e-learning used at our Department. As the basic tool chosen distance learning system Moodle. Shown layered formation of tasks and their execution.
Applied Information Aspects of Medicine (Prikladnye informacionnye aspekty mediciny). 2016;19(2):31-34
pages 31-34 views

A COMPARATIVE ANALYSIS OF THE PERSONALITY DEVELOPMENT OF JUNIOR HIGH SCHOOL STUDENTS OF TECHNICAL HIGH SCHOOL

Voronin A.I.

Abstract

The problem of harmonious development of the personality in modern society is particularly acute especially. The role of the teacher consists in need of an individual approach to everyone trained, in developments of traits of character necessary for professional activity. Correction of those lines which at the moment training are developed poorly is also necessary. In the conditions of shortage of psychologists at the higher school and impossibility of individual occupations between the psychologist and the student, the teacher has to carry out an assessment of psychological development of the student. In our opinion in this context the questionnaire of personal lines of Cattell is most informative.
Applied Information Aspects of Medicine (Prikladnye informacionnye aspekty mediciny). 2016;19(2):35-39
pages 35-39 views

ANALYSIS OF THE LINKAGES AND RELEVANCE OF INDICATORS OF HEART RATE VARIABILITY IN PATIENTS WITH DIABETES MELLITUS ARE IN COMA

Gribova N.G., Firsova L.I., Polyakova G.A.

Abstract

Decompensation diabetes is characterized by the breakdown of the body's Adaptive capabilities. The most pronounced changes in the cardiovascular system. To assess the severity of the defeat of the cardiovascular system using the heart rate variability assessment. An evaluation of the relationship and the allocation of the most informative indicators rhythmogram statistic for patients in a coma are based on Multivariate correlation analysis
Applied Information Aspects of Medicine (Prikladnye informacionnye aspekty mediciny). 2016;19(2):40-46
pages 40-46 views

PRINCIPLES MODELING AND MANAGEMENT OF THE HEALTH SYSTEM

Gladskih N.A., Sudakov O.V., Alekseyev N.Y., Bogacheva E.V.

Abstract

The article deals with the questions of practical health management systems. The main purpose of personnel policy for the near future is to develop human resources management system industry, based on the rational planning of the training and employment of personnel. Adoption of tactical and strategic decisions in personnel management health management authority are carried out in the region in accordance with the current personnel policies based on information management, including information about medical and demographic situation in the region and information about the State of human resources subsystems. Direct staffing subsystem implemented system of higher medical education, advanced training and post-graduate training of specialists on the basis of State and territorial orders.
Applied Information Aspects of Medicine (Prikladnye informacionnye aspekty mediciny). 2016;19(2):47-52
pages 47-52 views

DESIGNING THE INFORMATION SYSTEM SUPPORTING THE ADOPTION OF MEDICAL DECISIONS IN THE TREATMENT OF CARDIAC INSUFFICIENCY IN PATIENTS WITH ACQUIRED HEART DEFECTS

Sudakov O.V.

Abstract

Development and strangers of information complexes of systems of diagnostics and treatment allows to increase efficiency of rendering specialized medical care. Decrease in time for diagnostics and a choice of the most rational scheme of treatment it is especially actual in the conditions of shortage of shots and limitation of time. The special place is taken by the program of rehabilitation after expeditious treatment of the acquired heart diseases. The developed program complex is intended for rheumatologists, cardiologists, the therapist.
Applied Information Aspects of Medicine (Prikladnye informacionnye aspekty mediciny). 2016;19(2):53-59
pages 53-59 views

ASSESSMENT OF THE STATUS OF THE AUTONOMIC NERVOUS SYSTEM OF JUNIOR HIGH SCHOOL STUDENTS, TAKING INTO ACCOUNT ENVIRONMENTAL FACTORS

Chernych T.M., Elizarova I.O., Fursova E.A.

Abstract

The article presents the method of estimation and forecasting possible functional State of the organism in the age group 18-20 years, with the use of adaptive capacity, which allows you to identify the strain of the organism and adaptive capacity to undertake prevention failures adaptation. These activities will improve the process of learning of junior high school students
Applied Information Aspects of Medicine (Prikladnye informacionnye aspekty mediciny). 2016;19(2):60-65
pages 60-65 views

TREATMENT OF CHRONIC OBSTRUCTIVE PULMONARY DISEASE IN GENERAL PRACTICE

Budnevsky A.V., Kozhevnikova S.A., Labzhaniya N.B., Zhusina Y.G.

Abstract

In a randomized, comparative, crossover clinical trial to evaluate the efficacy and safety of salbutamol (SALAMOL ECO EASI BREATHE) and fenoterol included 60 patients with chronic obstructive pulmonary disease (COPD). It was shown that short-ß2-agonists fenoterol and salbutamol effectively control the respiratory symptoms of the and FEV1 in patients with early stages of COPD. Use of salbutamol in COPD is characterized by a significantly lower number of adverse effects on the cardiovascular system associated with taking bronchodilator. Patients with COPD admit fewer errors when using SALAMOL ECO EASI BREATHE compared with conventional aerosol inhaler, which allows it to be recommended as an effective and safe means of bronchodilator therapy
Applied Information Aspects of Medicine (Prikladnye informacionnye aspekty mediciny). 2016;19(2):66-73
pages 66-73 views

MODEL OF THE CHRONIC OBSTRUCTIVE PULMONARY DISEASE

Tsvetikova L.N., Budnevskiy A.V., Zhusina Y.G., Labzhaniya N.B.

Abstract

The article presents the results of the study in patients with systemic inflammation of COPD. Dependence of the clinical course of the disease on the level of markers of systemic inflammation that must be considered in both the design of screening programs and to develop a multifactorial predictive model of the clinical course of disease, leading to more effective therapeutic and preventive measures and quality of life for patients.
Applied Information Aspects of Medicine (Prikladnye informacionnye aspekty mediciny). 2016;19(2):74-81
pages 74-81 views

FEATURES OF THERAPY OF BRONCHIAL ASTHMA IN COMBINATION WITH ALLERGIC RHINITIS IN OUT-PATIENT CONDITIONS

Budnevsky A.V., Zhusina Y.G., Labzhaniya N.B.

Abstract

Results of a research of clinical effectiveness of use of beclomethasone of Dipropionas (BJP) and a flutikazon in comparison with BJP in the form of the dosed aerosol inhaler and BJP spray the nasal dosed Nasobek at patients with the uncontrollable bronchial asthma (BA) in combination with the allergic rhinitis (AR) are presented. High performance and safety of the offered options of therapy uncontrollable OH in combination with the ARE is shown.
Applied Information Aspects of Medicine (Prikladnye informacionnye aspekty mediciny). 2016;19(2):82-90
pages 82-90 views

THE EFFECTIVENESS OF THE DRUG “ZAKOFALK” IN RADIATION LESIONS OF THE COLON

Mordasova V.I., Sviridova T.N., Fursova E.A.

Abstract

Radiation lesions of the bowel differ in the level of injury, severity of morphological changes and clinical picture of the disease. The selection of an appropriate therapy program for the present category of patients is determined by different topical levels of the radiation lesions of the bowel. However, despite the usage of various traditional combinations of local and systemic drugs, which have anti-inflammatory, wound-healing and immunomodulatory effects, the results of treatment with this pathology remain unsatisfactory. Positive results, which were obtained by the use of the drug of butyric acid and inulin (“Zakofalk”) among patients with radiation lesions of the colon, allow us to recommend its usage as a part of the complex therapy of the radiation colitis.
Applied Information Aspects of Medicine (Prikladnye informacionnye aspekty mediciny). 2016;19(2):91-95
pages 91-95 views

ANALYSIS OF PHARMACOLOGICAL TREATMENT OF HYPERTENSION IN THE POLYCLINIC

Sirazhudinova M.M., Sudakov O.V., Sviridova A.V., Androsova O.A.

Abstract

Assessment of the impact of pharmacological treatment for hypertension is associated with a number of subjective and objective factors. By the patient is taking medication and regularity, and economic opportunities of the patient, and his social status, attitude towards their illness and subjective control of their condition and attitude to the doctor, the credibility of the professional qualities of a doctor, etc. By a doctor is, of course, first of all his professional knowledge and experience in the treatment of a particular disease, the ability to convince a patient in need of adequate treatment and correct evaluation of the prognosis of the disease.
Applied Information Aspects of Medicine (Prikladnye informacionnye aspekty mediciny). 2016;19(2):96-99
pages 96-99 views

CONSTRUCTION OF THE INFORMATION SYSTEM OF EVALUATION OF DIAGNOSIS AND TREATMENT OF SPINE DISEASES BASED ON THE NEURAL NETWORK MODELING

Baranov R.L., Rodionov O.V., Sudakov O.V., Alexeev N.Y., Fursova E.A.

Abstract

Pathology of the musculoskeletal system is steadily growing. A special place is occupied by the spinal pathology. In our work, we examined the implementation of neural network models, providing informational support of physician decisions when diagnosing pathologies of the spine with the holding of the quantification of the impact of different diagnostic indicators at the output signal network. Held health check information complex built.
Applied Information Aspects of Medicine (Prikladnye informacionnye aspekty mediciny). 2016;19(2):100-106
pages 100-106 views

AUTOTRANSPLANTATION BY THE SURAL NERVE IN MICROSURGERY OF THE TOP EXTREMITIES AT PATIENTS WITH DIABETES 2 TYPES

Chernych A.V., Sudakov D.V., Yakusheva N.V.

Abstract

One of actual problems of modern surgery is treatment of patients with diabetes. Diabetes exerts the aggravating impact on the course of wound process, regeneration of fabrics, restoration processes. A specific place is held by process of forecasting of all stages of treatment and restoration of function of the main nervous trunks at patients with violation of a carbohydrate exchange.
Applied Information Aspects of Medicine (Prikladnye informacionnye aspekty mediciny). 2016;19(2):107-112
pages 107-112 views

OXIDATIVE STRESS, APOPTOSIS AND THE SAME COMPONENTS OF IMMUNE SYSTEM DURING HYPOXIA

Tsvetikova L.N., Lobeeva N.V., Zhusina Y.G., Labzhanija N.B.

Abstract

Emissions of road transport are the leading source of air pollution in Voronezh city during 2012-2013. Nitrogen dioxide, carbon monoxide, sulfur dioxide are the main course of atmospheric pollution. This leads to development of oxidative stress, and as a consequence, to appearence of a pathologу such systems as cardiovascular, nervous, immune and respiratory system. The level of superoxide dismutase reduced by 60%. The level of malondialdehyde, oxidative modification of proteins and IL-6 increased by 1.25, 1.44 and 1.54 times, respectively, during hypoxia in patients with chronic obstructive pulmonary disease and hypertonic disease. This indicates an intensification of free radical oxidation and probably apoptosis. To evaluate the apoptotic processes we need conduct further investigation with using fluorescence microscopy, and determination of other markers of apoptosis, such as IL-lß, IL-2, IL-4, IL-8, IL-10, TNF-a, interferon-γ, activity of caspase.
Applied Information Aspects of Medicine (Prikladnye informacionnye aspekty mediciny). 2016;19(2):113-118
pages 113-118 views

ANTIMICROBIAL AND ANTIOXIDANT ACTIVITY of HYPERICUM PERFORATUM L., SALVIA OFFICINALIS L., ACHILLEA MILLEFOLIUM L. and GREEN TEA AQUEOUS EXTRACTS

Ryabinina E.I., Shikhalieva K.D., Zotova E.E., Ponomareva N.I., Zotova A.I., Selivanova Y.A.

Abstract

Voronezh State Medical University, Dep. Chemistry The paper presents the findings of antimicrobial (in relation to Escherichia coli) and antioxidant activity of herbs and green tea aqueous extracts. It is found that catechines present possess only mild antimicrobial activity. The presence of (-)-epicatechine and particularly (-)-epicatechine-3- gallate contributes the increase of catechines antimicrobial activity in relation to gram-negative microorganisms. The comparative analyses of anti-oxidant properties of the aqueous extracts studied and their antimicrobial activity showed that antimicrobial activity of extracts is primarily influenced by the nature of biologically active substances in their composition rather than general antioxidant activity.
Applied Information Aspects of Medicine (Prikladnye informacionnye aspekty mediciny). 2016;19(2):119-123
pages 119-123 views

ADAPTATION OF FUNCTIONAL SYSTEMS WITH ACTS ON THE BODY OF EXOGENOUS PHYSICAL AND CHEMICAL FACTORS: NEYROIMMUNOENDOKRINOLOGCHESKIE ASPECTS

Lobeeva N.V., Tsvetikova L.N., Atyakshin D.A.

Abstract

In the present article the comparative analysis of the adaptation mechanism (adaptation) under the influence of harmful factors on the body. In physiology and medicine, the term refers to the adaptation process of accustoming himself. Getting used to the industrial factor (chemical, physical), especially low-intensity, it is the chronic phase of its action. Adapting to these factors - an early sign that the impact was not indifferent to the body. From this position should be considered as an early symptom of addictive intoxication. Moreover, it was found that due to the development of addiction occurs very profound functional alteration of an organism. This condition may develop resistance to non-specifically increased not only during training to the effects of physical environmental factors of great intensity, but also in adapting to the effects of harmful factors of low intensity. The idea of the importance of integrating the various research methods and scientific approaches to determine the effective adaptation mechanisms of functional systems in the body that need to be considered in the early diagnosis of diseases associated with intoxication.
Applied Information Aspects of Medicine (Prikladnye informacionnye aspekty mediciny). 2016;19(2):124-133
pages 124-133 views

MODULE IMPLEMENTATION OF URINARY INCONTINENCE IN WOMEN IN THE VORONEZH REGIONIN THE THREE-TIER HEALTH CARE SYSTEM

Madykin Y.Y., Zolotuhin O.V., Kochetov M.V., Anosova Y.A., Avdeev A.I.

Abstract

A significant reduction in the quality of life of patients of all age groups, including the active working age, making urination disorders problem in women, including incontinence, urgent social issue and the subject of doctors in different fields. The availability of assistance to these patients in the Voronezh region, was due to the introduction and implementation of long-term regional target program "Development of the health of the Voronezh region for 2011-2015", the subroutine "Urology", funded by the budget of the Voronezh region. This program was carried out active case detection, through a survey, using specially designed questionnaires, questionnaires, women suffering from urinary incontinence. The article assesses the results of the implementation of the module "Incontinence" in the framework of long-term regional target program "Development of the Voronezh Region Health for 2011-2015".
Applied Information Aspects of Medicine (Prikladnye informacionnye aspekty mediciny). 2016;19(2):134-138
pages 134-138 views

LEGAL ASPECTS OF PRESCRIBING OFF-LABEL

Somova M.N., Batishcheva G.A.

Abstract

Voronezh State Medical University, Department of Clinical Pharmacology Modern pharmacotherapy is not safe. In clinical practice, drugs are often appointed in violation of the («off-label») instructions for use. Unregulated use of drugs in most cases is a necessary measure, but it is associated with a high risk of adverse reactions. Improving legal literacy of doctors will help prevent potential negative health and legal consequences of such practices.
Applied Information Aspects of Medicine (Prikladnye informacionnye aspekty mediciny). 2016;19(2):139-143
pages 139-143 views

Markers of cell proliferation ki-67 and anti-apoptosis bcl-2 in gunshot injuries Voronezh State Medical University, Department of forensic medicine and jurisprudence

Bavykin D.V., Bachmetyev V.I.

Abstract

Investigated the expression of immunohistochemical markers of proliferative activity Ki-67 and anti-apoptosis Bcl-2 with gunshot injuries duration less than 1 hour. Shown significant differences in the level of expression of antigens of different types for the same years post injury. Proposed to use the level of expression of markers of proliferation-tion and anti-apoptosis as an additional criteria in determining the limitations of gunshot injuries. The expression of immunohistochemical markers of proliferative activity of Ki-67 and anti-apoptosis Bcl-2 in gunshot injuries, which are less than 1 hour. Shows significant differences in the level of expression of antigens for different types at the same old injury. Proposed to use the expression level of anti-apoptosis and proliferation markers as additional criteria in determining the remoteness of gunshot injuries.
Applied Information Aspects of Medicine (Prikladnye informacionnye aspekty mediciny). 2016;19(2):144-150
pages 144-150 views

ETIOPATOGENETIChESKIE FAKTORY VOZNIKNOVENIYa TsISTITA U ZhENShchIN

Martynenko G.M., Sokolov D.A.

Abstract

Бактериальные инфекции нижних отделов мочевых путей являются актуальной проблемой современной урологии. Наиболее часто заболевания встречаются у женщин и вызывается E.Coli. Предрасполагающими факторами в развитии циститов считают: особенности анатомического строения уретры у женщин, простудные заболевания, физическое напряжение, ослабление общего состояния организма в результате переутомления, перегревание или переохлаждение, истощение, перенесенные заболевания, нарушение питания и авитаминозы. В статье рассмотрены основные вопросы этиологии и патогенеза циститов у женщин, приведена клиническая классификация.
Applied Information Aspects of Medicine (Prikladnye informacionnye aspekty mediciny). 2016;19(2):151-155
pages 151-155 views

APPLICATION OF MINERAL COMPLEXES IN ENDOGENOUS AND EXOGENOUSE METHODS TO IMPROVE PREVENTION REMINERALING FUNCTIONS OF ORAL LIQUID

Plotnikova Y.A.

Abstract

Prevention of dental caries is the most important scientific direction. Causes of caries process are manifold. Conducted exogenous methods of research on the effectiveness of prevention - cleaning and application of gels showed the effectiveness of this direction and the nature of the action. However, exogenous methods do not guarantee restoration of balance between natural processes of demineralization and remineralization. If oral fluid will reduce the concentration of necessary mineral and organic sources - demineralized factors will prevail. Therefore, the development of endogenous methods of caries prevention - ie normalization of ion-molecule oral fluid balance and enzymatic level exchanges should contribute to the establishment of enamel remineralization process. Objective: comparison of endogenous and exogenous saturation methods oral liquid mineral complexes in the prevention of primary demineralisation of hard tooth tissue. Material and Methods: 28 patients analyzed the chemical composition of oral fluid by IR spectroscopy. To record the measurement of IR spectra used Verteh-70 spectrometer (a Bruker, Germany) and the prefix of frustrated total internal reflection PLATINUM ATR diamond prism, conducted a clinical definition of enamel remineralization rate (KOSRE test). Results and Discussion: found correlations between the use of endo and exogenous saturation methods oral liquid mineral complexes, as well as changes in the mineral-organic and phosphate-carbon ratio in the dry residues of oral fluid.
Applied Information Aspects of Medicine (Prikladnye informacionnye aspekty mediciny). 2016;19(2):156-166
pages 156-166 views

CONDITION OF MAST CELLS OF LIVER MONGOLIAN GERBILS AFTER ORBITAL FLIGHT

Burtseva A.S., Ilyin E.A.

Abstract

In this work with the help of metachromatic staining with toluidine blue investigated adaptive adjustment of the population of mast cells of the liver Mongolian gerbils after space flight. Factors orbital flight led to a reduction in the number of the total population of mast cells in the interstitium of liver, combined with an increase in the intensity of degranulation of biosynthetic products in the extracellular matrix of portal triads, and increase the intensity of sulfation of heparin. Conditions of synchronous experiment did not lead to volume reduction of the population of mast cells in the first place causing degranulation quality and intensity reorganization polyanions esterification.
Applied Information Aspects of Medicine (Prikladnye informacionnye aspekty mediciny). 2016;19(2):167-173
pages 167-173 views

CHANGING THE LEVEL OF ANXIETY IN COPD DURING TREATMENT WITH MELATONIN

Kudashova E.A., Tsvetikova L.N., Vasilenko D.V., Budnevsky A.V., Ovsyannikov E.S.

Abstract

Inflammatory mediators and products of free radical oxidation lead to the emergence of dysfunctional changes, limitation of physical activity, decreased quality of life, sleep quality, mental and emotional state. It was found that II rate COPD patients have a higher level of anxiety than III rate COPD group. Proposed scheme taking melatonin: 3 mg, 4 course to 14 days within 12 months, 30-40 minutes before going to bed. This scheme promotes correction reactive anxiety in patients with moderate COPD, however, does not lead to the positive dynamics in severe conditions the degree of manifestation of COPD.
Applied Information Aspects of Medicine (Prikladnye informacionnye aspekty mediciny). 2016;19(2):174-178
pages 174-178 views

RESULTS of TREATMENT of the SPONTANEOUS RUPTURE of the GULLET

Temirbulatov V.I., Yakovenko O.V., Sergachyov D.A., Evdokimov S.V., Kletkin M.E.

Abstract

Spontaneous ruptures of a gullet make 2-3% of all cases of damage of this body, difficult are diagnosed, followed by a high lethality. During the period from 2004 to 2015 inclusive in office of thoracic surgery of KOKB on treatment concerning a spontaneous rupture of a gullet there were 6 patients. Typical localization of a rupture of a gullet in its lower third is diagnosed for 5 patients (83,3%), only in one case the gap against the background of a postburn cicatricial stricture of a gullet was localized in an average third (16,7%). Average extent of a gap made 5,5 cm (from 2,5 to 9 cm). A period of revolution for the help from 1 to 24 clocks, the operative measure realization period - from 1 hour to 3 weeks. Depending on prescription, extents of a gap and character of the developed complications carried out an ushivaniye of ruptures of a gullet from laparotomno-diafragmotomichesky access in combination with fundoplication and a gastrostomy; esophagostomy, a gastrostomy in combination with bandaging of a gullet at a laparodiafragmotomiya. At serious condition for the 5th days after a spontaneous rupture of a gullet, at first a drainage of pleural cavities in combination with esophagostomy and a gastrostomy is executed, and in 2 days the right-hand thoracotomy with an ushivaniye of a rupture of a gullet on the T-shaped tube is made. Spontaneous rupture of a gullet - the infrequent, badly diagnosed in primary link of health care disease, the bound to development of heavy complications and followed by a high lethality even on condition of realization of a well-timed and adequate operative measure.
Applied Information Aspects of Medicine (Prikladnye informacionnye aspekty mediciny). 2016;19(2):179-183
pages 179-183 views

USE HYPOBARIC HYPEROXYGENATION IN TREATMENT OF ACUTE PURULENT PYELONEPHRITIS IN EXPERIMENTS WITH ESTIMATIONOF MORPHOLOGICAL INDICATORS

Goncharova Y.M., Kuzmenko A.V., Kuzmenko V.V., Gyaurgiev T.A., Stroeva D.E.

Abstract

Results of treatment of 60 mongrel dogs using hypobaric superoxygenation modes 500, 1500 and 3,000 meters above sea level and the simultaneous flow of humidified oxygen 70-80%. The efficiency of hypobaric superoxygenation mode of 1500 meters above sea level, consisting in the regression of the inflammatory process.
Applied Information Aspects of Medicine (Prikladnye informacionnye aspekty mediciny). 2016;19(2):184-191
pages 184-191 views

PHOTOTHERAPY AND CHRONOTHERAPY IN TREATMENT OF PATIENTS WITH CHRONIC RECURRENT BACTERIAL CYSTITIS IN THE ACUTE STAGE

Kuzmenko A.V., Kuzmenko V.V., Goncharova J.M., Gyaurgiev T.A., Stroeva D.E., Himicheva M.N.

Abstract

This article presents the results of a study of patients with chronic recurrent bacterial cystitis in the acute stage. Patients were divided into two groups. The control group of patients receiving standard therapy. The second group of patients received standard therapy in combination with phototherapy using apparatus "Svetozar" in the top of the psycho-emotional and physiological activity that are installed using a computer complex "Dynamica". The third group of patients received standard treatment in combination with phototherapy in the top of psycho-emotional and physiological activity. There was evaluated the changes of clinical symptoms and psycho-emotional state of these groups of patients.
Applied Information Aspects of Medicine (Prikladnye informacionnye aspekty mediciny). 2016;19(2):192-199
pages 192-199 views

FLUORESCENCE CYSTOSCOPY IN THE DIAGNOSIS AND TREATMENT OF RECURRENCES OF SUPERFICIAL BLADDER CANCER

Kuzmenko V.V., Kuzmenko A.V., Goncharova J.M., Gyaurgiev T.A., Stroeva D.E.

Abstract

This article analyzes the results of examination and treatment of 200 patients with suspected bladder cancer. All patients were divided into 2 groups. 1 group consisted of 113 patients, endoscopic examination (cystoscopy) and treatment (transurethral resection of the prostate) which was carried out without fluorescent control. In group 2 included 87 patients who in the complex of examination and treatment used in photodynamic diagnostics. For morphological evaluation removed (fluorescent) areas of the mucous biopsy was performed using biopsy forceps and TUR biopsy. The results of studies conducted in normal lighting, was recognized as positive in identifying papillary tumors and sites of the mucosa with non-specific inflammation. When performing the PCS results was recognized as positive when the damaged area was fluorescinated, if the papilloma was in the midst of the inflamed mucosa and were present when effluorescence papilloma.
Applied Information Aspects of Medicine (Prikladnye informacionnye aspekty mediciny). 2016;19(2):200-205
pages 200-205 views

EVALUATION PHOTOTHERAPY AND CHRONTHERAPY IN PATIENTS WITH ACUTE SEROUS OBSTRUCTIVE PIELONEFRITOTOM ACCORDING TO VESSELS UZDG KIDNEY

Stroeva D.E., Kuzmenko A.V., Kuzmenko V.V., Goncharova J.M., Gyaurgiev T.A.

Abstract

A study of 90 patients with acute non-obstructive pyelonephritis. Patients were divided into 3 groups of 30 persons each. The control group was the standard therapy of pyelonephritis. In Group 2, the standard therapy combined with phototherapy, using the apparatus "Cvetozar." The third group received standard therapy of pyelonephritis with phototherapy highest peaks improve psycho-emotional and physiological activity of the body, determined using computer complex "Dynamics". It was prizvedena assessment of mental and emotional status, as well as the evaluation of the dynamics dopplerometric indicators. The use of phototherapy in the maximum peaks of the psycho-emotional and physiological activity of the organism in the complex treatment of patients with acute pyelonephritis nebstruktivnym compared to the standard treatment regimen can achieve a more effective correction of mental status associated with a reduction in the acute inflammatory response reduction of ischemia on renal parenchyma and improving microcirculation of an organ reflects an earlier normalization dopplerometric indicators
Applied Information Aspects of Medicine (Prikladnye informacionnye aspekty mediciny). 2016;19(2):206-210
pages 206-210 views

VOZMOZhNOSTI GEMODIAFIL'TRATsII-ONLINE V LEChENII PATsIENTOV S TERMINAL'NOY POChEChNOY NEDOSTATOChNOST'Yu

Avdeev A.I., Zolotukhin O.V., Madykin Y.Y., Kochetov M.B., Anosova Y.A., Ivanov V.M., Krivoshein A.N.

Abstract

The problem of a chronic renal failure is caused by a high lethality of rather young contingent of patients, their early invalidism, and also complexity of a hardware of the modern methods of treatment of this pathology [5,6,7]. A significant role in dynamics of indexes of survival at patients is played by violations proteinaceous and calcium - phosphorus exchanges, heavy displays of anemia, a secondary hyperparathyreosis, dialysis amyloidosis [2]. Most of the patients receiving a hemodialysis usually has a positive balance of phosphorus in an organism. With increase in life expectancy on a hemodialysis at patients frustration lipide, proteinaceous, calcium - phosphorus and other types of exchange progress [8]. Thus, the method of a hemodialysis does not solve problems of correction of metabolic disorders. The newest modification of hemodiafiltration - GDF online allowing to prepare the replacing solution immediately in the course of holding a procedure from so-called "back osmotic water" and the dialysate supercleared by means of the padding filter. A research objective - to estimate effectiveness of GDF online at patients with a terminal renal failure. This method of treatment in complex therapy positively influences indicators lipide, proteinaceous, calcium - phosphorus exchanges, correction of anemia that allows to apply it at the patients with a terminal renal failure receiving the regular sessions of a hemodialysis. Besides, application of the GDF online method exerts the common positive impact on hemodynamic indicators, allowing to improve adaptation of patients to dialysis.
Applied Information Aspects of Medicine (Prikladnye informacionnye aspekty mediciny). 2016;19(2):211-215
pages 211-215 views

CHRONOBIOLOGICAL APPROACH TO THE TREATMENT OF HYPERTENSION LASEPA PLUS

Agarkov N.M., Gontarev S.N., Lutsenko V.D.

Abstract

Studied the results of therapy of hypertensive drug lozap plus. Improving the quality of life in patients with hypertension on the background of preventive chronotherapy is confirmed by the value of the index of quality of life, under the age of 3.09 ± 0.11 points against the source (-4,59 ± 0,12). The value of the coefficient "cost - effectiveness" were 31.6, which also demonstrates the benefits of preventive chronotherapy lasepa plus.
Applied Information Aspects of Medicine (Prikladnye informacionnye aspekty mediciny). 2016;19(2):216-219
pages 216-219 views

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