Vol 9, No 2 (2012)

This article is devoted to theoretical analysis of emotional burnout among doctors. In this work basic approaches to studying this phenomenon are presented and characteristics of main burnout symptoms are given. Factors of burnout are analyzed.

In this paper we consider new opportunities of the methods' efficiency for the lateral heterosuggestion impact as a means of minimizing stress, which women can experience during a beauty procedure.

This article represents results of evaluation of dynamic indices of blood biochemistry, which define the development of hepatic cytolytic syndrome during TBC therapy Changes in status of CD lymphocytes during TBC treatment in comparison with healthy donors are shown with consideration to age and gender.

We study the position of primary teeth in the dental arch. We show the value of the angles of inclination and angulation (Torque) of antagonist teeth in children with physiological occlusion and congenital unilateral cleft lip and palate in a comparative perspective. The survey data can be used to create the recipe for primary teeth braces.

The article presents the results of a study of quality of life of students before and after the experiment aiming to evaluate the efficiency of the program designed by the authors for young male and female students with autonomic dysfunction syndrome trained at a specialized educational department.

We determined CPK-MB activity, the index of cardiac rhythm variability in 30 children with congenital heart disease - open arterial canal after cardiosurgical correction together with clinical examination. 3 months after cardiosurgical operation we registered an increased CPK-MB activity in blood serum and a decrease in coefficient K of heart rate variability 30/15 in the period of cardiac activity adaptation. A change of these indexes correlates with high reliability, which indicates impaired cardiac activity. The studied tests can serve as additional indications of cardiac activity evaluation of cardiac activity adaptation of children after surgery for cardiac failure.

Nuchal translucency thickness and nasal bones length were prospectively evaluated in 148 fetuses with Down syndrome at 11—14 weeks of gestation. The effectiveness of prenatal ultrasound screening for Down syndrome with a combination of fetal nuchal translucency thickness and nasal bone length at 11—14 weeks of gestation was 86,5%.

In this article we considered the features of clinical and immunological course of herpes zoster in HIV-infected patients (a comparative analysis of monoinfection and superinfection). It is established that herpes zoster in patients with HIV infection occurs primarily in young adults and tends to recur. We revealed a high propensity of these patients for a chronic inflammatory disease, which is determined by a nearly 5-fold decline in stimulated HCT-test.

The objective of our study was to determine relevant criteria for prognosis of an outcome of coma. The obtained criteria of coma development and a method of prognosis of possible outcome can optimize intensive care complex. It significantly improves the outcome of therapy and decreases mortality in comatose patients.

We performed an anatomic research of 57 femurs in which anterior cruciate ligament, lateral intercondylar ridge and lateral bifurcate ridge. Research has shown that lateral intercondylar ridge was present in 52 preparations (91 %), and its average length was (15,4 ± 0,46) mm; lateral bifurcate ridge was determined in 28 (49 %), whose average length was (3,95 ± 0,26) mm.

We developed methodological base for medical and sanitary support of safety assurance for personnel, the public and the environment during decommissioning and relieving the after-effects of highly dangerous chemical facilities.

We revealed involution of morphometric data of human renal pelvis and greater calyces. Most renal pelvis parameters decrease in adulthood together with the size of kidneys. At the age of involution and in old age the parameters of calyces increase apparently Male subjects showed a greater degree of involution than females. These changes cannot but affect urodynamics causing disturbance of urine outflow and aggravating the disturbance of renal excretion.

Studies of bendazole on rats established the scope of LD 50 upon intragastric administration (2500 mg/kg in males and 2630,8 mg/kg in females), defined the therapeutic range (up to 2048 units) and the range of safe (from 1 to 128 units) and toxic (from 256 to 2048 units) action.

Programmed endoscopic injection hemostasis in 170 patients with ulcerative gastroduodenal bleeding was successful in 107 (91 %) of 118 cases in patients with duodenal ulcer and in 43 (83 %) of 52 cases of gastric ulcer. Due to a decrease of operative activity from 33 to 4 %, the total mortality was reduced from 10 to 3 %.

The article presents the results of hystologic investigation of endometrium evacuated under hysteroscopic control from 4158 women aged 41-53 (over the period 2001 — 2010) examined and treated in Volgograd gynecological departments. Endometrial hyperplasia was revealed in 22% patients aged 41 — 44, in 41% patients aged 45 — 48, in 37% patients aged 49 — 53. Our studies demonstrate that the frequency of simple and complicated forms of endometrial hyperplasia in perimenopausal women is on the decrease over the last 10 years, while the frequency of partial endometrial hyperplasia and endometrial polyps is growing. The data indicates a lack of pathogenetic methods of treatment of endometrial hyperplasia in women in perimenopause.

The present research is devoted to issues of identification and clinical course of tubercular meningitis and meningoencephalitis in the Volgograd region in modern conditions. An algorithm of identification and diagnostics of central nervous system tuberculosis for general medical clinical department is developed.

Fifty three transpleural partial gastrectomies and total gastrectomies and 112 distal partial gastrectomies were performed. Postsurgical complications were in 13 cases [(24,5±5,9) и (11,6 ± 3,0) %, р > 0,05] on either groups. One patient on either groups is dead after operation [(0,9 ± 0,9) и (1,9 ± 1,9) %, р > 0,05]). The average life span was (15,6 ± 1,7) months in the first group and (10,3 ± 1,5) months in the second group.