Vol 16, No 4 (2010)

Articles
Rol' uchastkovogo pediatra v formirovanii zdorov'ya detey rannego vozrasta
Polunina N.V., Kudryashova L.V.
Abstract
The paper presents the results of studying the sociomedical characteristics of children of the first three years of life, analyzes their parents' medical activity, and identifies risk factors for the development of poor health indicators in the children. Particular emphasis is laid on the results of teaching the parents by pediatricians in the methods of interactive improvement of their infants' health. The impact of medical literacy of the parents who bring up their infants on positive changes in their health is shown. The findings suggest that only the active participation of family members, which includes timely complete compliance, can improve health indicators in children.
Medical Journal of the Russian Federation. 2010;16(4):3-7
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Osobennosti deyatel'nosti i normativnaya baza dnevnogo statsionara
Kalininskaya A.A., Dzugaev A.K., Stukalov A.F., Guseva S.L.
Abstract
The paper describes an organizational model of a day hospital (DH) that operates as a structural subdivision on the basis of a therapeutic-and-prophylactic institution. The authors present the structure of DH and its provision with medical staff. The paper analyzes these issues by age, gender, and reasons for patients' hospitalization to DH, provides a comparative analysis of medium-term stay at DH and round-the-clock hospital, and gives the results of treatment. Particular emphasis is placed on a physician's work quota setting and a load on a DH physician has been calculated.
Medical Journal of the Russian Federation. 2010;16(4):7-11
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Kompleksnyy podkhod v prognozirovanii retsidivirovaniya fibrillyatsii predserdiy u bol'nykh arterial'noy gipertenziey
Arakelyan M.S., Poteshkina N.G., Vertkina N.V., Mogutova P.A.
Abstract
The influence of a number of factors and their combination on the development of recurrent atrial fibrillation (AF) was studied in patients with arterial hypertension (AH). A combination of female sex, over 60 years of age, grade 3 AH, prior AF, current coronary heart disease (CHD) and type 1 diabetes mellitus promotes recurrent AF. A combination of AH and left ventricular diastolic dysfunction with CHD or that of AH with prior AF is prognostically less favorable in recurrent AF than the influence of each of these factors singly.
Medical Journal of the Russian Federation. 2010;16(4):12-15
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Znachenie komp'yuternoy tomografii vysokogo razresheniya legkikh v diagnostike i otsenke rezul'tatov lecheniya vnebol'nichnoy pnevmonii
Strutynskiy A.V., Yudin A.L., Semenov D.V., Afanas'eva N.I., Semenov V.A.
Abstract
To diagnose community-acquired pneumonia, in parallel with routine diagnostic criteria the investigation used high-resolution computed tomography (HRCT) of the lungs, which allows fine pulmonary structures to be analyzed approximately to the data of a postmortem study. It has been shown that HRCT can reveal more extensive and long preserved lung tissue changes than can standard X-ray study.
Medical Journal of the Russian Federation. 2010;16(4):15-17
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Gnoyno-septicheskie oslozhneniya u lits, stradayushchikh parenteral'noy narkomaniey
Stupin V.A., Bogdanov A.E., Lisitsyn A.V., Dmitrenko O.A., Mikhal'skiy V.V., Goryunov S.V., Zhilina S.V., Chernyakov A.V.
Abstract
The paper analyzes the results of treatment in 297 patients with pyoseptic diseases of soft tissues and drug abuse. There has been recently an increase in the number of admissions for postinjection complications from 0.8 to 9.3% of the treated patients. Thirty-nine (13.1%) patients were observed to have severe anaerobic clostridial and non-clostridial infection with extensive soft tissue involvement as necrotic fasciocellulitis and myositis. Eighty-one (27.3%) patients developed sepsis caused mainly by aurococci and anaerobes. In addition to purulent changes, there were postinjection complications associated with vein or arterial vascular bed lesion in 61 (20.5%) patients. The paper also shows the specific features of ultrasound and microbiological diagnosis in this category of patients.
Medical Journal of the Russian Federation. 2010;16(4):17-20
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Osobennosti techeniya gestoza v Rossii i Yemene
Linde V.A., Bagash S.K.
Abstract
Much severer gestosis in Yemen versus Russian women engaged attention. In Russian and Yemen women, severe gestosis is notified in 4% and 46.7% of cases, respectively. Risk factors for gestosis, accepted in our literature, such as primilabor, incomplete family, study at a higher educational establishment, intellectual labor, and bad habits, are likely to be urgent only when the population has a relatively highly medium level of living conditions.
Medical Journal of the Russian Federation. 2010;16(4):21-22
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Endoskopicheskaya i morfologicheskaya kharakteristika sostoyaniya zheludka pri sklerodermii u detey
Sosyura V.K., Shershevskaya A.Y., Ryabova T.V.
Abstract
A gastric endoscopic study performed in 260 children with scleroderma revealed chronic gastritis in 245 (94.2%) cases. A histological examination of gastric mucosal biopsy specimens verified the endoscopic diagnosis of antral gastritis associated with Helicobacter pylori in 81.3% of cases. Vivid hyperemia and diffuse mucosal edema are characteristic signs in 88 (35.9%) patients with scleroderma. Of them 33 (37.5%) patients were found to have gastric mucosal erosions and 10 children had erosions and submucosal hemorrhage. In 147 (60%) patients with scleroderma, the stomach displayed abundant congestion contents as thick dark bile and turbid mucus, in individual cases with debris of the food taken before. Delay in emptying the stomach contents was substantially more frequently observed in patients with scleroderma than in those with gastroduodenitis from a control group. Delayed evacuation of stomach contents and multiple antral mucosal hemorrhagic erosions are likely to be a nonrandom phenomenon associated with systemic sclerosis.
Medical Journal of the Russian Federation. 2010;16(4):23-25
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Vliyanie povtornykh respiratornykh zabolevaniy na biokhimicheskie pokazateli krovi u detey
Kokoreva S.P., Kuprina N.P., Aralova E.V., Ivannikov A.I.
Abstract
The impact of frequent respiratory diseases on the peripheral blood levels of lipids and protein fractions was studied in fifty 4-to-7-year-old children going to organized pediatric collective bodies. Frequently ill preschool children were ascertained to have significantly elevated levels of α2-globulin and γ-globulin fractions and accordingly a decreased albumin/globulin ratio, which suggests the possible subacute course of the chronic inflammatory process in these children in the absence of clinical manifestations or may be associated with a slower recovery of biochemical parameters during late convalescence after prior infection. There was a significant increase in the level of total cholesterol at the expense of all existing fractions, but predominantly at the expense of low and very low lipoproteins that are endogenous immunomodulators.
Medical Journal of the Russian Federation. 2010;16(4):26-28
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Issledovanie toksichnosti i allergiziruyushchikh svoystv sbora dlya lecheniya pielonefrita
Krendal' F.P., Pronchenko G.E., Rendyuk T.D.
Abstract
The paper gives data of a study of the toxicity of herbal species for the treatment of pyelonephritis.
Medical Journal of the Russian Federation. 2010;16(4):28-31
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Diagnostika i lechenie gipertenzivnykh sostoyaniy vo vremya beremennosti (opyt amerikanskogo spetsialista)
Nosov V.B.
Abstract
The paper deals with the topical obstetric problem hypertensive states during pregnancy. The diagnosis, management, and treatment of this pathology are described.
Medical Journal of the Russian Federation. 2010;16(4):31-35
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Lokal'naya gipotermiya v kompleksnom lechenii ostrogo destruktivnogo pankreatita
Korol'kov A.Y., Klimov A.E., Morozova A.B.
Abstract
The authors have developed a fundamentally new design of a pancreatic hypothermia device. In 2007-2008, a drain was inserted for local hypothermia in 32 patients with pancreonecrosis. The results of blood biochemical tests and pancreatic ultrasound studies are analyzed in these patients. These results are compared with data on patients undergoing laparoscopy or laparotomy without setting a drain for local hypothermia. It is concluded that local hypothermia is a rather effective technique and may be used in multimodality treatment for acute destructive pancreatitis.
Medical Journal of the Russian Federation. 2010;16(4):35-37
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Aktual'nost' novykh i vozvrashchayushchikhsya infektsionnykh zabolevaniy
Sokolova L.V., Litvinova O.S., Luchshev V.I.
Medical Journal of the Russian Federation. 2010;16(4):38-40
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Boli v spine: diagnosticheskie aspekty
Damulin I.V., Orazmuradov G.O.
Medical Journal of the Russian Federation. 2010;16(4):40-45
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Migren' i oral'nye kontratseptivy
Fedorishcheva N.P., Levin O.S.
Medical Journal of the Russian Federation. 2010;16(4):45-49
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Anesteziologicheskoe obespechenie operatsiy kesareva secheniya u beremennykh s arterial'noy gipertenziey
Pivovarova G.Y., Gur'yanov V.A.
Medical Journal of the Russian Federation. 2010;16(4):50-53
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Vera Mikhaylovna Sidel'nikova
- -.
Medical Journal of the Russian Federation. 2010;16(4):54-54
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