Vol 4, No 2 (2007)


Social and psychological aspects of patients' compliancein dental practice

Firsova I.V., Mikhal'chenko V.F., Firsova I.V., Mikhaltchenko V.F.


The paper discusses the notion of compliance in dentistry, the influence of social and psychological factors on compliance. Traditional views of patients' attitudes to treatment as well as new views meeting the modern requirements of medical ethics and medical law are reviewed. Issues of dentists' professional competence in their interactions with patients are discussed.
Journal of Volgograd State Medical University. 2007;4(2):3-9
pages 3-9 views

Acute and recurrent herpetic stomatitis in children

Kazantseva I.A., Kazantseva I.A.


The lecture presents evidence of etiopathogeny, clinical manifestations, diagnostics and treatment of acute and recurrent herpetic stomatitis in children. Special attention is paid to issues of diagnostics and modern treatment protocols.
Journal of Volgograd State Medical University. 2007;4(2):10-17
pages 10-17 views

Modern features of etiology, patogeny and clinical presentationsof inflammatory maxillofacial diseases

Fomichev E.V., Kirpichnikov M.V., Akhmed Salekh -., Fomichev D.E., Efimova E.V., Fomichev E.V., Kirpichnikov M.V., Ahmed Saleh -., Fomichev D.E., Yefimova E.V.


A new clinical situation in purulent surgery connected to the increased occurrence of atypical pyoinflammatory diseases is taking shape now. In the survey the causes of atypical and chronic inflammatory diseases of maxillofacial region are analyzed.
Journal of Volgograd State Medical University. 2007;4(2):17-20
pages 17-20 views

Correction of disorders of temporomandibular joint in distaldisplacement of mandible

Konnov V.V., Nikolenko V.N., Lepilin A.V., Muzurova L.V., Nikolenko L.V., Konnov V.V., Nikolenko V.N., Lepilin A.V., Muzurova L.V., Nikolenko L.V.


A study of temporomandibular joints in patients with defects of dentition, complicated with distal displacement of mandible, was carried out. Changes of temporomandibular joint were revealed and a possibility of correction of these changes was defined.
Journal of Volgograd State Medical University. 2007;4(2):21-23
pages 21-23 views

Invasive and non-invasive methods of diagnostics livercondition in chronic hepatitis in Volgograd and Volgogradregion

Petrov V.I., Abramova M.V., Grigor'eva N.V., Petrov V.I., Abramova M.V., Grogoryeva N.V.


In this study we analyzed the correlation between biochemical parameters of blood, HCV RNA level, ultrasonic image of liver tissues and morphological changes of liver structure. No dependence between histological changes (inflammation and fibrosis in liver tissue) in both viral and non-viral chronic hepatitis and biochemical parameters of blood, fibrosis ultrasonic characteristics of a liver and an HCV RNA level was noted. A necessity of liver biopsy by ultrasonic control as the most informative and safe method for today is justified.
Journal of Volgograd State Medical University. 2007;4(2):23-25
pages 23-25 views

Quality and physiological structure of sleep in healthyyoung subjects

Il'ina O.V., Maslova E.A., Bolotova S.L., Ilyina O.V., Maslova E.A., Bolotova S.L.


In the paper we compare findings of subjective (interrogation, questionnaire) and objective (polysomnography investigation) assessment of sleep quality in healthy young subjects. In this group we revealed changes in the structure of sleep. This makes it possible to determine a risk group for development of insomnia.
Journal of Volgograd State Medical University. 2007;4(2):25-27
pages 25-27 views

Effect of laser, microwave and EHF-radiation on trychomonasvaginalis in conditions of continuous culture growth

Glybochko P.V., Plyachenko D.A., Sof'in V.S., Lobanova A.V., Glybochko P.V., Plyanchenko D.A., Sofyin V.S., Lobanova A.V.


The effect of laser, microwave and EHF-radiation on the viability and morphology of Tr. vaginalis in conditions of growing it continually in liquid media is investigated. It is shown that all kinds of radiations in therapeutic dozes promote an increase in the quantity of cells. The irradiation of culture results in a change of the form and in a loss of mobility of Trichomonas. However, this does not indicate a decrease in their viability as cells preserved their ability for intensive reproduction. Various dozes of radiations have no mutagen action on DNA, which calls for revision of these physiotherapeutic methods of treatment of trichomoniasis.
Journal of Volgograd State Medical University. 2007;4(2):27-31
pages 27-31 views

Effect of amlodipine on endothelial dysfunction, heart ratevariability and cerebral blood flow in patients with arterialhypertension

Golovanova E.D., Milyagina I.V., Kovalev D.Y., Silaeva N.N., Golovanova E.D., Milyagina I.V., Kovalev D.Y., Silaeva N.N.


Objective. Studying endothelium-dependent flow-mediated vasodilatation (FMD), heart rate variability (HRV) and cerebral blood flow in elderly patients with arterial hypertension (AH) and coronary heart disease (CHD) receiving calcium antagonists. Total of 35 patients aged over 60 years with moderate or severe AH and CHD were examined. All patients underwent rheography on the arm, HRV and ultrasound dopplerography of the head and neck vessels. All patients received monotherapy with amlodipine ("Kardiolopin") 2,5 or 5 mg for 2 months. In patients who received amlodipine 2,5 mg, endothelial reaction to reactive hyperemia was weaker than that in patients who received amlodipine 5 mg. HRV was significantly improved in both groups. However, if sympathetic tone is elevated, then combination therapy with beta-blockers is necessary. Cerebral blood flow improved, too, indices of peripheral resistance in certain blood streams were reduced, especially in patients who received amlodipine 5 mg. The data obtained may be used as additional criteria of effectiveness of the therapy in elderly patients.
Journal of Volgograd State Medical University. 2007;4(2):32-35
pages 32-35 views

Changes of total vein lumen in the system of coronarysinus in the first period of mature age

Korobkeev A.A., Galeysya E.N., Korobkeev A.A., Galeysia E.N.


The study revealed that the dynamics of changes of the total lumen of subepicardial portions of the main heart veins in the system of coronary sinus in people of early mature age correlates with their topography as well as with various variants of their distribution
Journal of Volgograd State Medical University. 2007;4(2):36-38
pages 36-38 views

Indications for and choice of endoscopy for varicose diseaseof esophagus in patients with portal hypertension

Mikhin S.V., Beburishvili A.G., Mandrikov V.V., Mikhin S.V., Beburischvili A.G., Mandrikov V.V.


The paper analyses the use of endoscopic correction of esophageal varicose veins and of hemorrhage from varicose veins in patients with the syndrome of portal hypertension.
Journal of Volgograd State Medical University. 2007;4(2):39-42
pages 39-42 views

Classification of hepato-renal syndrome in patientswith acute abdominal surgical pathology

Zhidovinov G.I., Klimovich I.N., Matyukhin V.V., Milovanov A.B., Zhidovinov G.I., Klimovich I.N., Matyukhin V.V., Milovanov A.B.


There is no universal classification of hepato-renal failure in surgical patients nowadays which makes it difficult to make clinical diagnosis and choose adequate methods of treatment. For the purpose of developing an up-todate classification applicable to clinical practice, 1057 patients with AASP were studied. In 398 (37,6 %) cases hepatorenal syndrome (HRS) developed. Development of classification of HRS was based on the main etiopathological factors, nosological form and presence of additional etiopathological factors (i.e. acute intestinal failure, peritonitis and biliary hypertension). In classification of HRS the time of development of HRS was considered, 3 degrees of severity were distinguished, patients with primary failure of liver or kidney were noted. Development of classification of HRS in patients with abdominal surgical pathology (AASP), taking into consideration modern criteria of hepato-renal failure, is applicable to scientific analysis. This classification can be used in working with patients with different acute abdominal surgical diseases and increases the effect of treatment.
Journal of Volgograd State Medical University. 2007;4(2):43-47
pages 43-47 views

Ways of blood loss reduction in labour and optimizationof intensive care of massive blood loss

Zhdanov G.G., Dubrovskaya V.V., Zhdanov G.G., Dubrovskaya V.V.


The article is summing up a research of 258 cases and is devoted to comparative analysis of anesthesiology methods used in labor and caesarean section and their effect on the blood loss. Authors show the advantage of combined spinal-epidural anesthesia compared with endotracheal anesthesia in managing blood loss during Caesarean section. Special attention has been paid to intensive care (including infusion and transfusion) in massive blood loss cases in obstetrics.
Journal of Volgograd State Medical University. 2007;4(2):47-50
pages 47-50 views

Experience of administering proteolytic enzymesin treatment of degenerative dystrophic disordersof the locomotor system

Beydik O.V., Stepukhovich S.V., Nemalyaev S.A., Antonova T.N., Sakkala K.M., Borodulin V.B., Beidik O.V., Stepukhovich C.V., Nemalaev S.A., Antonova T.N., Sakkala X.M., Borodulin V.B.


Degenerative-dystrophic disorders of the locomotor system play a leading role among all orthopedic diseases. The authors of this paper put forward a method of treatment with an enzymatic drug, caripazym, administered to with electrophoresis and phonophoresis. This approach helps to reduce the time of arresting pain syndrome and of rehabilitation, decreases the risk of complications and recurrence of the disease.
Journal of Volgograd State Medical University. 2007;4(2):50-53
pages 50-53 views

On the question of pre-pregnancy therapy of womenwith iron deficiency anemia

Pashaeva A.D., Pashaeva A.D.


Screening of women of reproductive age with iron deficiency anemia was carried out. Efficiency of using combined oral estrogen-gestagen drugs or hormone containing intrauterine contraceptives in pre-pregnancy therapy of women with iron deficiency anemia was proved.
Journal of Volgograd State Medical University. 2007;4(2):53-56
pages 53-56 views

Prospects of employing hi-tone therapy in treating infantilecerebral paralysis

Sergeenko E.Y., Sergeenko E.Y.


A method of hi-tone therapy for treating children with spastic forms of infantile cerebral paralysis based on determining dosimetric parameters by means of alternating cellular microelectrophoresis (ACM) was elaborated and put into clinical practice. Electrokinetic parameters of erythrocytes in peripheral blood, as well as dosimetric parameters of hitone therapy were determined and worked out. This contributed to optimization of treatment outcomes in children with spastic forms of infantile cerebral paralysis of different age groups.
Journal of Volgograd State Medical University. 2007;4(2):56-59
pages 56-59 views

Indices of general morbidity rate and reproductive healthof male metallurgists

Bessarabov A.V., Latyshevskaya N.I., Bessarabov A.V., Latyshevskaya N.I.


Comparative research concerning professional morbidity rate and indices of reproductive health of the male-metallurgists from Red October plant, who had or had not been exposed to a harmful influence of industrial factors, is carried out. The research shows that male-metallurgists have higher indices of morbidity rate. Estimation of spermogram and hormone status of male-metallurgists shows that their reproductive health deteriorates.
Journal of Volgograd State Medical University. 2007;4(2):59-62
pages 59-62 views

Heart remodelling and intensity of hypotensive therapyin patients with arterial hypertension associated with typeII diabetes mellitus

Rykalina N.A., Ruzov V.I., Brygina N.A., Rykalina N.A., Ruzov V.I., Brygina N.A.


Our objective was to study hypotensive therapy efficiency at early periods of observation of patients with arterial hypertension associated with type II diabetes mellitus depending on the type of left ventricular remodelling. There has been detected a direct correlation between the hypotensive effect and the myocardium mass of the left ventricle and a negative correlation between the relative ventricle wall thickness and the index of the area of diastolic blood pressure. No dependence between hypotensive effect and the geometry type of the left ventricle in patients with arterial hypertension associated with type II diabetes mellitus was detected.
Journal of Volgograd State Medical University. 2007;4(2):63-66
pages 63-66 views

Investigation of anti-pyretic activity of new derivativesof salicylic acid

Lisina S.V., Brel' A.K., Mazanova L.S., Spasov A.A., Lisina S.V., Brel A.K., Mazanova L.S., Spasov A.A.


New derivatives of salicylic acid were synthesized by esterification and nucleophilic substitution reactions. These derivatives were tested for anti-pyretic activity and toxicity. Some of them demonstrated a high anti-fever activity and low toxicity.
Journal of Volgograd State Medical University. 2007;4(2):67-70
pages 67-70 views

Comparative analysis of methods of evaluation of anatomicalpredisposition for primary closed-angle glaucoma

Remesnikov I.A., Remesnikov I.A.


We carried out an analysis of anatomobiological parameters of eyes in primary closed-angle glaucoma with relative pupillary block and normal eyes. We estimated the degree of reliability of prognosis of primary closed-angle glaucoma with RLP test and with the author's original prognostic method based on ophthalmobiometric factors.
Journal of Volgograd State Medical University. 2007;4(2):71-74
pages 71-74 views

Selection of anticoagulation therapy regimen after operationson major arteries of lower extremities

Polyantsev A.A., Mozgovoy P.V., Frolov M.V., Polikarpov I.A., Polyantsev A.A., Mozgovoy P.V., Frolov M.B., Polykarpov I.A.


The results of 295 reconstructive operations on the major veins of lower limbs are analyzed. The patients were divided into 4 groups depending on the regimen of anticoagulant therapy in the postoperative period. We studied the state of hemostasis and hemorheology. The frequency of thrombohemorrhagic complication was assessed. It was found that the regimen based on administration of low molecular weight heparins during the first 5 postoperative days was the most rational regimen of anticoagulation therapy after reconstructive operation on the major arteries of lower limbs.
Journal of Volgograd State Medical University. 2007;4(2):75-79
pages 75-79 views

Clinical and laboratory stages of manufacturing orthodonticpositioners of varying rigidity from thermoplastic materialson the basis of ethylenevinylacetate

Tregubov I.D., Yagupova V.T., Dmitrienko D.S., Fishchev S.B., Kharke V.V., Tregubov I.D., Yagupova V.T., Dmitrienko D.S., Fishev S.B., Kharke V.V.


The paper presents features of clinical-laboratory stages of manufacturing orthodontic devices (positioners, trainers) from thermoplastic materials on the basis of ethylene vinyl acetate. We show casting parameters of thermoplastic material "Flexidi" (Italy) for manual and automatic casting machines. Indications for application of thermoplastic materials of varying rigidity in prosthetic clinical practice are discussed.
Journal of Volgograd State Medical University. 2007;4(2):79-81
pages 79-81 views

Effect of transcranial electrical stimulation on the bloodinsulin level in patients suffering from diabetes mellitus

Rogova N.V., Lukasik O.V., Rogova N.V., Lukasik O.V.


Diabetes mellitus is a heterogenic disease occurring as a result of hereditary and acquired factors, hereditary factors and obesity. Obesity can cause insulin resistance and hyperinsulinemia. The employed method of TEStherapy in complex treatment of diabetes mellitus increased secretion of insulin and sensitivity of tissues to insulin.
Journal of Volgograd State Medical University. 2007;4(2):81-85
pages 81-85 views

Effect of ultralow temperatures on tumour-like lesionsof bones

Dianov S.V., Dianov S.V.


The effect of ultralow temperatures on the structure of fibrous dysplasia, metaphyseal fibrous defect, bone cysts is investigated. Fragments of this newgrowth, obtained from 29 patients, were exposed to instillation and contact cryotherapy. The temperature of tissue processed varied from -42 to -134 ºС. The achieved destruction and devitalisation of pathological tissue was estimated by morphometrical calculation of the amount of killed elements. There was impairment of cell membranes and stroma of connective tissue. The count of destroyed cellular elements of the cyst membranes varied from 20 up to 60 % upon contact cryotherapy and instillation processing with nitrogen. Necrosis of cells of fibroblastic leneage was up to 40 % upon contact cryotherapy and up to 30-35 % upon instillation cryotherapy. The obtained data make it possible to increase the destruction of tumor cells upon resection of tumour-like lesions of bones. Cryodestruction and resection of bone excludes excessive radical surgery.
Journal of Volgograd State Medical University. 2007;4(2):86-88
pages 86-88 views

Several features of pulp cavity and canals anatomy

Trigolos N.N., Trigolos N.N.


The unexpected should be always anticipated, and the dentist must be prepared to expand the access to dental cavity for a more convenient preparation of difficult root canals, to increase visual examination of the pulp chamber floor searching for such anatomic variants.
Journal of Volgograd State Medical University. 2007;4(2):86-90
pages 86-90 views

Functional features of occlusal relationships of permanentteeth and methods of their correction in orthodontic treatment

Khalil' Mekhdi Mokhamad -., Filimonova E.V., Gatsenko S.M., Zhuk A.O., Vologina M.V., Fomina O.L., Marikuttsa O.S., Khalil Mehdi Mohamad -., Filimonova E.V., Gatsenko S.M., Juk A.O., Vologina M.V., Fomina O.L., Marikutsa O.S.


A way of defining occlusal relationship on plaster models of the jaws in dynamics of orthodontic treatment was developed. On the basis of the obtained data a technique of functional grinding of antagonists is proposed.
Journal of Volgograd State Medical University. 2007;4(2):90-95
pages 90-95 views

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