Vol 16, No 3 (2010)

Zieve's syndrome is a rare form of alcoholic hepatic diseases, which includes an original combination of hemolytic anemia, jaundice, and hyperlipidemia. This syndrome may cause diagnostic difficulties as a diagnostic search comprises mainly obstructive jaundice and anemia is regarded as posthemorrhagic. The occurrence of such clinical manifestations in patients with chronic alcoholic intoxication worsens the course and prognosis of chronic liver disease, which determines it expedient to include Zieve's syndrome into the diagnostic search in alcoholic hepatic disease.

Pain behavior is of considerable importance in the formation of disability associated with pain, chronic one in particular. Pain behavior is a communication form that serves to report existing pain to other people. The actions that constitute pain behavior are generally unperceived and involve vocalization, mimic, gesticulatory, and postural manifestations, use of analgesics, seeking medical advice, ceasing work, etc. At the same time, undue fear of movement (kinesiophobia) is frequently noted. In patients with chronic back pain, the status of paravertebral muscles in the lumbar region depends on the degree of kinesiophobia. Examination of 65 patients with chronic musculoskeletal pain in the back by electroneuromyography using the superficial electrodes has indicated that the psychological characteristics of such patients (with the high level of kinesiophobia in particular) lead to the deconditioning of muscles and their diminished activation during adequate exercise on the one hand, and to their impaired relaxation on the other. Thus, if pain behavior is long retained, there is a vicious circle when increased motor activity on deconditioned muscles result in muscle pain and progression of limited (pain behavior). The treatment program for chronic musculoskeletal pain should also comprise cognitive-behavioral psychotherapy methods to correct the patient's ideas on pain and the magnitude of pain behavior.

The study was undertaken to investigate impaired renal blood flow in acute infravesical obstruction. Renal vascular ultrasonography was used to evaluate renal hemodynamics. The quantitative parameters of blood flow in the interlobar renal arteries were studied by spectral Doppler study. Peak systolic blood flow velocity, end-diastolic flow velocity, and resistivity index were determined. The qualitative characteristics of renal hemodynamics were assessed. The factors predisposing to impaired renal blood flow are identified in acute infravesical obstruction. Acute urostasis in the lower urinary tract was ascertained to affect renal blood flow.

The aim of the study was to investigate the capabilities of ultrasonography (USG) in the diagnosis of benign soft tissue tumors and tumoroids of the hand and forearm. The study was based on the analysis of diagnosis and treatment in 124 patients with space-occupying lesions originating from synovial structures and connective, adipose, vascular, and nervous tissues. USG made it possible to reveal that there were common symptoms, as well as pathognomonic ones for some space-occupying lesions (synovial cysts, vascular tumors), to make a topic diagnosis, to examine their surrounding anatomic structures, and to reveal their pathological changes. Comparison of the results of USG with those of other radiodiagnostic techniques (conventional X-ray study, magnetic resonance imaging, computed tomography) indicated that the above techniques complemented USG with virtually value information in 33 (22.6%) cases. According to the data of intraoperative diagnosis and histological study, the sensitivity of USG was 97.4%; its specificity and diagnostic efficiency were 99.1 and 0.96%, respectively.

Whether serum infrared spectrometry versus conventional techniques might be used in the diagnosis of benign uterine pathology is described. The study identified diagnostically significant regions of serum infrared spectrum to make a differential diagnosis between the isolated form of adenomyosis and its concurrence with uterine myoma.