Vol 11, No 5-6 (2011)

Articles
The course of pregnancy in women dealing with industrial lubricant oils
Golovacheva S.V.
Abstract
In the article results of the research of a current gestation in 248 women working at the Samara bearing plant (SBP), constantly exposed to industrial lubricant oils (the basic group) in comparison with 220 working women who were not exposed to influence of ecotoxication (the comparison group) are shown. The obtained data reveal that professional activity of the women dealing with ILO lasted more than a year authentically raises risk of complications of a pregnancy and a premature birth.
Aspirantskiy Vestnik Povolzhiya. 2011;11(5-6):8-11
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Features of enterovirus meningitis caused by ЕСНО and Coxsackie viruses in children
Komarova T.V.
Abstract
In the article features of serous meningitis enterovirus etiology course in children of the Samara region in 2008-2010 are shown, when the epidemic rise of a case rate by serous meningitis was marked. The spectrum of activators is submitted: a virus of type ЕСНО have been isolated at the majority of the children, viruses of Coxsackie type have been identified in smaller percent. In the article the features of the clinical course of serous meningitis enterovirus etiology depending on type virus are shown. According to the results of the examination of the patients with serous meningitis enterovirus etiology caused by ЕСНО and Coxsackie viruses, the authors come to the conclusion that the clinical picture of the disease depends on the causative agents.
Aspirantskiy Vestnik Povolzhiya. 2011;11(5-6):12-15
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Clinical and epidemical aspects of infectious mononucleosis in children at the present stage
Ovchinnikova T.A.
Abstract
The results of the observation of the children with infectious mononucleosis treated at the city hospital №5 in Samara for the period from 2000 till 2010. The spread of the disease in children of different age groups, the structure of the pathogen, the timing of admission, severity of the illness are analyzed. Both the characteristic of the clinical picture of infectious mononucleosis and accompanying pathology are given. The approaches to the treatment of infectious mononucleosis in children are shown.
Aspirantskiy Vestnik Povolzhiya. 2011;11(5-6):16-18
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Clinical features of uterine memes against influence of the factors of production environment of a machine building plant
Pugacheva T.A.
Abstract
This article discusses the features of the clinical symptoms of uterine memes (MM) and related pathology in workers of machine building plants. The appropriate complex of factors of production environment is reported to lead to more marked clinical manifestations of MM, as well as the increase of the frequency and severity of accompanying diseases.
Aspirantskiy Vestnik Povolzhiya. 2011;11(5-6):19-24
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Diagnostic and prospective value of serum and intracellular cytokines in children and teenagers suffered from different types of juvenile idiopathic arthritis
Pyrkova S.A., Goryunov S.A.
Abstract
For the diagnosis specification of juvenile idiopathic arthritis and the determination of the importance of pathogenetic changes the research of parameters humor immunity, which are the most informative, is shown in the given pathology, namely: a spectrum cytokines: TNF α, IL6, IL1β, IL4, a level of spontaneous both stimulation lymphocytes and monocytes IL1β. Cytokines value is a main factor in an inductive phase of the immune answer when they cause the development of base reactions of makrophages and antigenspecificaition cells: interaction of these cells with lymphocytes, activation and proliferation the latter, in the certain degree the formation of cells effectors. At late stages of the immune answer, during the realization of effector immunity functions the role cytokines becomes less significant. The level both stimulations lymphocytes and monocytes IL1β reflects the activity of the pathological process and can be used in forecasting outcomes of juvenile idiopathic arthritis.
Aspirantskiy Vestnik Povolzhiya. 2011;11(5-6):25-30
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Features of microelement constituent of blood serum in children suffered from chronic gastroduodenitis in the industrial centre of the Southern Urals Chelyabinsk
Talybova A.R.
Abstract
The aim of the research is to determine the microelement structure of blood serum in children with chronic gastroduodenitis (CGD) who live in industrial centre of the Southern Urals Mountains of Chelyabinsk. The 54 children at the age from 7 to 17 years with CGD confirmed clinically are surveyed. The diagnosis is formulated with the account of clinical classification of chronic gastroduodenitis in children (L.I.Aruin. 1998). Depending on presence or absence Нр the patients have been divided into two groups. Zinc value, iron in blood serum while increasing copper and lead is found to decrease in spite of etiology. And in children with CGD associated with Нр changes of indicators are authentically more marked than in the group of the children with CGD without Нр (р <0,05).
Aspirantskiy Vestnik Povolzhiya. 2011;11(5-6):31-35
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The investigation of Interleukin17 value in the development of autoimmune diseases (according to scientific literature data)
Tepikina E.N.
Abstract
Interleukin17 is a new class of cytokines produced by Th17 Tcell lymphocyte population. Representatives of this family have a high proinflammatory activity. Th17 cells were revealed 5 years ago and have since been subjected to intense scrutiny. There are studies that show Th17 and produced cytokines involve in the pathogenesis of inflammatory, allergic and autoimmune diseases, as well as protect against extracellular microbes and parasites. The article concerns the questions of phenotype, the origin, mechanisms of initiation, the regulation of development and differentiation, the biological activity of interleukin17.
Aspirantskiy Vestnik Povolzhiya. 2011;11(5-6):36-40
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Comparative characteristic of clinical features of replicative and integrative phases of chronic virus hepatites B in children and teenagers
Churbakova O.V.
Abstract
In the article features of the course of chronic virus hepatites B in children and teenagers in various phases of disease, features of clinical symptoms and syndromes of the course of the disease are considered. The estimation of clinico-laboratory and ultrasonic parameters is carried out. Clinical and biochemical parameters are observed to improve in the patients with chronic virus hepatites B in integration phase in comparison with a replicative phase, but full clinicolaboratory remission does not occur.
Aspirantskiy Vestnik Povolzhiya. 2011;11(5-6):41-45
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Features of physical and puberty development of children with chronic nonspecific pulmonary diseases
Sharipova T.A., Bobomuratov T.A.
Abstract
Features of physical and puberty development of children with chronic nonspecific pulmonary diseases are analyzed. Due to the obtained data the authors come to the conclusion that chronic nonspecific pulmonary diseases negatively influence on the physical and puberty development of children. This statement requires the further practice development.
Aspirantskiy Vestnik Povolzhiya. 2011;11(5-6):46-50
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Features of reproduction health of a young family in the Samara region
Yusupov D.M.
Abstract
By having achieved the result of the systemic estimation of men and women health who leave in the Samara region ranging in age from 18 to 25 the main factors in the structure of men and women reproduction health at the contemporary stage are revealed. These factors are genital infections, somatical health and social status. Reproduction health of a young family at the contemporary stage depends on the occasional choice of its partners, which brings reproduction potential of married couple down. The research results will be useful for improvement and supplement of women and men pregestational training report.
Aspirantskiy Vestnik Povolzhiya. 2011;11(5-6):51-54
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Regional features of demographic pressure by retirees in the cities of the Samara region
Balueva E.S.
Abstract
In this article the calculation and analysis of dynamics of demographic pressure coefficient by retirees (DPCR) by age for the cities of the Samara region in comparison with similar coefficients of the Russian Federation, the Volga district, the Samara region in general and the urban population of Samara region were made. We came to the conclusion that the proportion of people over working age and DPCR in the Samara region is increasing.
Aspirantskiy Vestnik Povolzhiya. 2011;11(5-6):55-58
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Psychological desadaptation, alexithymia and the type status of the disease with vibration pathology
Vorobyova E.V.
Abstract
Some indicators of the psychological status in patient suffered from vibration disease are investigated. Essential distinctions in a psychological condition in patients depending on a kind of influencing vibration and from a disease stage are revealed.
Aspirantskiy Vestnik Povolzhiya. 2011;11(5-6):59-62
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Essential arterial hypertension and the Secondary cerebrovascular arterial hypertension
Germanova O.A.
Abstract
Traditionally the terms of Essential arterial hypertension and the Secondary arterial hypertension are the excluded terms. The aim of investigation is to reveal the relationship between the essential arterial hypertension and the secondary arterial hypertension with the hemodynamically important stenosis of carotid bifurcation. We marked out the special type of the secondary arterial hypertension – cerebrovascular, described main types of it. We insist in necessity of formulating the diagnosis of arterial hypertension of mixed genesis, when there’re some reasons of the high blood pressure.
Aspirantskiy Vestnik Povolzhiya. 2011;11(5-6):63-68
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The connection of the genetic factor with clinical, metabolic and immunological characteristics of the patients with psoriasis
Kapuler O.M.
Abstract
The article presents the results of the examination of 104 patients ranging in age from 18 to 65, who were given in-patient and out-patient treatment for psoriasis within 2005/2008 in the Republican Dermatovenerologic Dispensary, Municipal Dermatovenerologic Dispensary and “Cosmetological clinic” Ltd. situated in Ufa. The patients were males 76 (73.1%) and females 28 (26,9 %) respectively. The average age of the patients equaled 41.2 ± 2.3. The dependence of clinical, metabolic and immunological characteristics on the genetic factor has been analyzed. It has been found out that statistically genetic predisposition to psoriasis significantly depends on patients’ younger age of disease onset, relative level of concentration of lymphocytes and CD8+ lymphocytes in patients’ peripheral blood, increase in index of psoriasis spreading and severity (PASI), relevant concentration of CD4+CD25+ bright and CD4+CD95+ lymphocytes. The genetic factor has no or little connection with the frequency of psoriasis relapse, development of such complicated forms of psoriasis as arthropathy and erythrodermatitis, biochemical markers of coagulative and anticoagulative systems, concentration of nitriteion (NO), the level of accumulation of lipid peroxidation products and antioxidant ferments activity, endogenous intoxication evidence and intensity.
Aspirantskiy Vestnik Povolzhiya. 2011;11(5-6):69-73
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The system analysis of psychic and behavior disorders in patients tested for alcohol intoxication
Kiseleva Z.V.
Abstract
In the article the system analysis of the correlation of clinico-psychopatological and ethological variants of alcoholic intoxication (the mild form), individually-psychological features of the person and their comprehension (anosognosia) in persons, tested for alcohol intoxication is considered.
Aspirantskiy Vestnik Povolzhiya. 2011;11(5-6):74-78
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Clinico-laboratory characteristic of the patients with chronic recurrent herpetic infection in the Samara region
Mokeeva M.V.
Abstract
The study of the formation of antiviral and immune response mechanisms of the regulation system is topical for cytokines overcome existing difficulties in treating herpes virus infections. The reduction of laboratory indicators values of the patients with chronic recurrent herpetic infection levels of white blood cells, CD4 +, CD16+, CD22+ lymphocytes, IgА, IL2, IL4, IL5, γ - IFN, γ - IFN free., α - IFN, α - TNF, albumen was revealed.
Aspirantskiy Vestnik Povolzhiya. 2011;11(5-6):79-85
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LINICO-MICROBIOLOGICAL FEATURES OF MICROBIAL ECZEMA AND THE IMPROVEMENT OF THE METHOD OF TREATMENT
Nikonova I.V.
Abstract
The research results of 114 patients diseased with microbial eczema are represented. While analyzing the results given it was registered that in case of microbial eczema the significant growth of gram-positive coccal flora, generally represented by Staphylococcus, in lower number – by Streptococcus, is marked in lesion focuses when microorganisms have high semination. The density of gram-negative bacteria in the lesion area also significantly rose. The number of other gram-positive bacteria slightly reduced but without authentic differences. The number of opportunistic causative agents and gram-negative rods greatly rose. The patients were divided into 2 groups: the 1st group was treated by the basic therapy and apparatus for physical therapy of combined exposure Combis1, the 2nd group was treated by the basic therapy. The research showed high effectiveness of combined therapy rather than the basic treatment.
Aspirantskiy Vestnik Povolzhiya. 2011;11(5-6):86-91
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The role of rapid virological response in effective outcome prediction of antivirus treatment in patients with chronic hepatitis C
Ryumin A.M.
Abstract
We have studied the role of rapid virological response in treatment outcome in patients with chronic hepatitis C: dependence between sustained virological response and rapid virological response was revealed. Prognostic meaning of other factors (early virological response, viral load and genotype, age of patients and type of therapy) were analyzed too. It was established, that young age, low viral load, genotype 3a and treating with pegylated interferons and ribavirin are associated with higher rate of sustained virological response. The most important predictors of sustained virological response were rapid and early virological responses.
Aspirantskiy Vestnik Povolzhiya. 2011;11(5-6):92-96
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Efficiency of the electro stimulation and color impulse therapy at patients with the chronic obstructive lung disease in sanatorium conditions
Salikova N.M.
Abstract
The goal of the research is to study the influence of the combined electro stimulation and color impulse therapy (patent of the Russian Federation №044250) on the indices of the pulmonary function and autonomic nervous system of the patients with Chronic Obstructive Lung Disease. As the result it was determined that the new developed complex promotes the pulmonary function with the help of the forced vital capacity growth, the forced expiration in the first second and the maximum expiration speed index increment on the different levels of the forced vital capacity. It boosts figures of the autonomic regulation and by using the main therapy enables to achieve the more significant clinical performance during the rehabilitation treatment of the patients with Chronic Obstructive Lung Disease.
Aspirantskiy Vestnik Povolzhiya. 2011;11(5-6):97-102
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The analysis of disability establishment in the patients with Parkinson disease
Shindryaeva N.N.
Abstract
Parkinson disease (PD) belongs to chronic neurodegeneration disorders and causes of disability of persons of middle and old age. The patients are referred to the medical and social commission to determine the group of disability. Postural instability, falls, restriction of every day activity are main factors of disability, which restrict professional activity. The aim of the research is to analysis of establishment of disability status among the patients with PD. Results: PD is the main cause of disability in the 141 patients (26,7%). The 1st disability group consists of the 32 patients (22,7%), the 2nd group consists of the 74 persons (52,5%), the 3d group includes the 35 patients (24,8%). Among the 276 patients the 137 persons (49,6%) need to correct the disability degree. There are 100 men (36,2%) which need to increase the degree of disability among them. There are also the 37 patients (13,4%) which need to decrease one. Conclusion. Clinic analysis of the determination of the disability stage and everyday activity turn out to be underestimated.
Aspirantskiy Vestnik Povolzhiya. 2011;11(5-6):103-106
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A new classification of endobronchitis
Shteiner M.L.
Abstract
The main disadvantages of existing endobronchitis classification were analyzed according to the analysis of the visual endoscopic picture in 4000 patients with severe airflow obstruction syndrome of different etiologies. The new classification with 6 variants of endobronchitis was proposed. Determinative criterion for each option was indicated. Different types of endobronchitis were divided into the following: extensive, partly extensive, unilateral and local.
Aspirantskiy Vestnik Povolzhiya. 2011;11(5-6):107-111
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Alexithymia in patients with an associative course of asthma and essential hypertension
Uryacjev O.M., Pakhomya N.S., Garmash V.Y.
Abstract
The aim of our research is to study the features of alexithymia of the patients with asthma in combination with essential hypertension. The 110 patients were examined and they were divided into 2 control groups according to basic nosologies and a group with combined pathology. There were more patients with alexithymia in the group with combined pathology then in the control groups. Alexithymia complicated the process of diagnostics and the treatment of the patients. It made worse the quality of life and prognosis. We need to pay attention to features of alexithymia to make treatment more effective.
Aspirantskiy Vestnik Povolzhiya. 2011;11(5-6):112-116
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The perfection of two-stage method of surgical tactics of patients with the complicated form of varicose illness of low extremities
Alexeev A.V., Dmitrieva I.A.
Abstract
N the article the questions of perfection of two-stage method of surgical tactics of patients with the complicated form of varicose illness of low extremities are considered. The benefits of surgical treatment of the patients with the complicated form of varicose illness of the low extremities in one day hospital conditions with the subsequent treatment in out-patient vascular department including tactics treatment by applications of Hartmann atraumatic bandages and laser therapies on the area of a trophic lesion are considered. The healing process of the lesion occurred in 15-27 days.
Aspirantskiy Vestnik Povolzhiya. 2011;11(5-6):117-121
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Computer fotoplantografiya as a reliable method of congenital clubfoot diagnostics
Baranov F.A.
Abstract
Congenital clubfoot is a common deformity of the foot inclined to relapse after surgery. In a dynamic growth monitoring of the child there are difficulties in tracing the eliminated components of clubfoot. The analysis of the treatment of 78 children (119 feet) with a typical form of congenital clubfoot ranging in age from 1 to 3 has been carried out. After surgery computer fotoplantografiya data was obtained in all patients to monitor anatomical and functional state of the foot. This method of diagnosis is reliable, noninvasive and absolutely harmless to the patient.
Aspirantskiy Vestnik Povolzhiya. 2011;11(5-6):122-125
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Early surgical treatment of craniofacial trauma
Bukher M.M.
Abstract
One of the progressively developing branches of neurotraumatology is the surgery of craniofacial injuries. For the previous two decades in the world medicine it has become preferable to define the time for the surgical treatment of face bones fractures as early as possible. The analysis of the patients who underwent surgical treatment for craniofacial traumas in our clinic between 2007 and 2010 was carried out. The reconstructive surgeries caused no deterioration of the brain traumas course in any patient. During the postoperative period every patient showed good aesthetic and functional results. Reconstructive surgical treatment of bone fractures of the upper and midface areas can be performed in the maximally early periods of time.
Aspirantskiy Vestnik Povolzhiya. 2011;11(5-6):126-128
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The results of the application tumor markers in complex diagnostics investigations at a stage of surgical treatment of colorectal metastases of the liver
Kaganov O.I.
Abstract
The results of the application tumor markers (CEA, CA199, CA242) in complex tool researches at a stage of surgical treatment of colorectal livers’ metastases are considered in this article. The program consists of 60 patients diagnosed with colorectal cancer. Oncomarkers levels were defined by immunohemoluminescentic method before radiofrequency ablation of livers’ metastases and in 1, 3, 6 and 12 months after operation. Before surgical treatment individual oncomarkers levels were higher then discriminant concentration and depended of the sizes, volume and degree of a differentiation of a metastatic tumor. The researches have proved the efficiency of this oncomarkers in early diagnostics of relapses and a progression process at a stage dispensary observation after surgical treatment of livers metastases.
Aspirantskiy Vestnik Povolzhiya. 2011;11(5-6):129-132
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The authors’ view on the cause and the mechanisms of subcutaneous rupture of Achilles tendon
Kim Y.D.
Abstract
The exact cause of rupture of Achilles tendon is on the one hand one cause factor; on the other hand it is multifactor one. Several theories are known not to be mutually exclusive. By having considered the mechanisms of the injury we found that the triceps surae reacted in response to sudden lengthening by reflex maximal eccentric contraction, the force of which was sufficient for rupture the Achilles tendon.
Aspirantskiy Vestnik Povolzhiya. 2011;11(5-6):133-137
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The selection method of operation in patients with ingrown nail
Kondulukov A.N.
Abstract
The article discusses the surgical treatment of ingrown nail by applying a new method of operation, as well as the selection method of operation, depending on the course of the pathological process. The advantages and features of the new method of operation are considered. The step by step employment of the operation method is described in detail. The application of the new method of the operation and a differentiated approach in comparison with of traditional reducing time of wound healing and decreasing the number of ingrown nail relapses were confirmed by the investigations.
Aspirantskiy Vestnik Povolzhiya. 2011;11(5-6):138-141
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LANNED SIMULTANEOUS OPERATIONS – A NEW UROLOGICAL GERIATRIC BRUNCH
Lazarev I.Y.
Abstract
Between 1995 and 2009 in the urological department of the Samara regional clinical hospital for veterans of wars planned simultaneous operations were performed in 256 patients of elderly and senile age. The analysis of the received data has enabled to establish that in the specialized geriatric urological departments more than 12 % of the patients need the performance planned simultaneous operations. Our new technologies developed and introduced in clinical practice enable to get positive clinical effect 2,3 times at the same time to lower economic expenses in comparison with stage by stage surgical treatment and considerably to improve the quality of life of this category of patients.
Aspirantskiy Vestnik Povolzhiya. 2011;11(5-6):142-146
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The problems of treatment of the patients with recurrent inguinal hernia and the ways of their solution
Nasibyan A.B.
Abstract
The analysis of the treatment of 1057 patients with inguinal hernias was carried out. Recurrent inguinal hernia was revealed in the 103 patients. There were 34 patients undergone previous operations using the methods of plastic stretch among them. The existing classification of recurrent inguinal hernias does not reflect the essence of the problem that requires further additional development. The results of the treatment of recurrent inguinal hernia applying plastics tension ways are considered to be unsatisfactory. The complications were caused after it in 45,6% of the patients and the relapses were in 12,7% of the patients. The solution of the problem of recurrent inguinal hernia requires further study.
Aspirantskiy Vestnik Povolzhiya. 2011;11(5-6):147-150
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Features of the spread of skin melanoma in the Samara region
Neretin E.Y.
Abstract
One of the important problems in oncology is early diagnostics of a skin melanoma. Making structurally no more than 10 % from all forms of malignant neoplasms of a skin, it is responsible for 80 % of the lethal outcomes concerning this group of tumors. In spite of the fact that it has external localization very often a melanoma is already diagnosed at late stages of the development. The estimation of quality of medical aid rendering to the patient with a skin melanoma in the Samara region has been carried out. Dynamics of indicators of a case rate, active and early diagnostics, an one year lethality were analyzed. The interrelation of separate ecological factors of environment, the basic social and economic indexes such as the condition of household and industrial wastes, the change of ozone layer concentration, the peculiarity of solar activity, food peculiarities, a standard of living of the population with growth of a case rate of a skin melanoma in the population of the Samara region have been studied.
Aspirantskiy Vestnik Povolzhiya. 2011;11(5-6):151-157
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Computed tomography (CT) images of the temporal bone: the dimensions of anatomical structures of the inner ear in normal health and with Meniere’s disease
Popov P.A.
Abstract
The aim of this study was to determine the dimensions of anatomical structures of the inner ear on computed tomography (CT) images in normal subjects and to define the type of its changes in patients with Meniere’s disease (MD). CT images of the temporal bone of 29 patients without ear pathology and 30 patients with MD have been evaluated. The dimensions of the different structures of the inner ear were measured, using multiplanar reformations and three-dimensional reconstructions. In patients with MD, the length and the width of the vestibular aqueduct and the width of its external aperture were smaller, the size of the bony island of the lateral semicircular canal was smaller, and the diameter of lateral semicircular canal was bigger, compared with the values from the control group. We also found out that in patients with MD the distances between the bony labyrinth and the posterior petrous surface and between the posterior semicircular canal and the jugular fossa were smaller, than in normal subjects. In patients with MD, we found no significant differences in the majority of the values between affected and nonaffected ears. Our study confirms the hypothesis that congenital and developmental factors, such as hypoplastic vestibular aqueduct, dysplastic lateral semicircular canal and hypoplastic posterior part of the petrous bone, might play a role in pathogenesis of MD.
Aspirantskiy Vestnik Povolzhiya. 2011;11(5-6):158-165
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Features of enzymatic link of antioxidative system of tumor cells in cervix uteri cancer dynamics
Sidorenko E.G.
Abstract
The results of the research of the activity of enzymatic link of antioxidative system indicators in tumor tissue are represented on different clinical stages of cervix uteri cancer. Potency elevation of glutathione reductase, superoxide dismutase, glutathione transferase is shown in tumor progression course.
Aspirantskiy Vestnik Povolzhiya. 2011;11(5-6):166-168
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To the question of thyroidectomy expediency in patients with toxic goiter
Starostina A.A.
Abstract
The comparative analysis of the treatment of 167 patients with various forms of toxic goiter was carried out. Calculations of sizes of retained tissue of thyroid gland 3 grams weight were carried out. Separate results of extremely subtotal resection of thyroid gland and thyroidectomy were studied. The retrospective analysis of 45 preparations of the tissue removed during operation of thyroid gland was carried out. It is established that it is morphologically justified to consider expansion of operative treatment on thyroid with toxic goiter in favor of thyroidectomy in relation with great percentage of lymphoid infiltration that shows high risk of the relapse development of this pathology. After thyroidectomy it is much easier to find hormone replacement therapy for a patient that facilitates its postoperative rehabilitation.
Aspirantskiy Vestnik Povolzhiya. 2011;11(5-6):169-171
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Video-thoracoscopic resection in diffuse diseases: which method of pulmonary suture sealing is better?
Tepikin A.A.
Abstract
The aim of the work was to improve the results of pulmonary resection by developing and implementing ways of sealing the wounds of biological adhesives, and drugs. The results of applying additional methods sealing line of manual and mechanical suture after atypical resection of the lung were analyzed. The methods of aerial and hemostasis are particularly necessary in pulmonary tissue. The application of differential approach to the choice of sealing the seam line enables to reduce the number of complications in the post-operative period.
Aspirantskiy Vestnik Povolzhiya. 2011;11(5-6):172-175
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The choice of approaches to the treatment of patients with open arterial canal
Khokhlunov M.S.
Abstract
The aim of the study is to assess immediate results of surgical and transcatheter treatment of patients with patent ductus arteriosus and to detect risk factors of development residual shunt after PDA occlusion. 253 consecutive patients were included. Surgery group contained 108 patients and transcatheter group contained 145 patients. There were no death cases in both groups. Residual shunts developed in 19 patients (15.83%) in surgery group and in 2 patients (1.37%) in transcatheter group (р<0,0001). Patients with residual shunts in comparison with those with no residual shunts have significantly larger diameter of pulmonary end of the PDA (р<0,0001). Transcatheter occlusion of patent ductus arteriosus can be safely and effectively achieved in patients with ductus diameters up to 3.7 mm.
Aspirantskiy Vestnik Povolzhiya. 2011;11(5-6):176-179
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Grounds of ways and the treatment period of the complications in post-operative patients with traumas and arctation of hepaticocholedochus
Khunkuy I.
Abstract
The results of hepaticoenterostomy operations on a replaceable transhepatic Getts drainage set in 51 patients with traumas and arctation of hepaticocholedochus have been studied. The results of treatment of the patients with traumas and arctations of hepaticocholedochus have shown that the lethality just after the operation is possible in 3,9 %, in the long term 4,1 %. 13,3 % of the patients have complications which are the indication for operations referred to their correction. The patients after Getts operation should be operated for elimination of a hernia and closing functioning of enteral fistulas, and these operations should be carried out after the period of hepaticoenterostomos drainage (2 years) and expositions (not less than 6 months) after drainage removal, excluded the relapse of arctation.
Aspirantskiy Vestnik Povolzhiya. 2011;11(5-6):180-185
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Surgical treatment of lateral ventricles hemorrhage in patients with craniocerebral trauma and hypertension syndrome
Tzymbaluk V.V., Krasilnikov A.Y.
Abstract
In the article the questions of the surgical treatment of hemorrhage in lateral ventricles in patients with a craniocerebral trauma and hypertension syndrome are considered. The treatment is conducted by the direct supplying medicines with the help of autoerythrocytes. The advantages of the given method over others in 45 patients are considered. The methods of the treatment and the medical supervision of the patients with hemorrhage in lateral ventricles and hypertensive syndrome by the directed supplying of medicines are reported on in detail.
Aspirantskiy Vestnik Povolzhiya. 2011;11(5-6):186-188
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Economical medical and sociable priorities of planned simultaneous operations in elderly patients with prostate adenoma
Shatokhina I.V.
Abstract
In the urology department of the Samara clinical hospital for war veterans (1995 - 2009) the planned simultaneous operations were performed in 1986 elderly patients with BPH. The investigation revealed the necessity of performing of planned simultaneous operations in more than 10% of the patients with BPH in the specialized geriatric urological departments. In addition to the positive clinical effect it gives the possibility to decrease economic costs 2,3 times less comparatively with the staged surgery and significantly improve the quality of life of those patients.
Aspirantskiy Vestnik Povolzhiya. 2011;11(5-6):189-191
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HE TREATMENT RESULTS OF PATIENTS OF ELDERLY AND SENILE AGE WITH HOSPITAL SURGICAL DISEASES TREATED UNDER THE REGIONAL SURGICAL SERVICE CONDITION
Yusupov A.A.
Abstract
The results of the treatment of 1219 patients of elderly and senile age which were on hospitalization in surgical branches of Turkestan the South Kazakhstan area, from 2001 till 2008 are analyzed. Demographic portraits, structure of a surgical pathology, quantity and frequency of accompanying diseases are defined. The operative activity is defined, real indicators of hospital death rate and the reason of lethal outcomes are established, the analysis of the complications which have arisen in the course of the treatment is carried out, and the average duration of the treatment of the surveyed patients is established. The methods treatment characteristic of surgical diseases in the conditions of regional surgical service is given.
Aspirantskiy Vestnik Povolzhiya. 2011;11(5-6):192-195
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Economical analysis of in-hospital geriatric help in the system of CMI in Samara
Pirsky D.A.
Abstract
In this article the data according to the hospitalization causes of the old age people and their cost in the system of CMI are presented in Samara in 2008.
Aspirantskiy Vestnik Povolzhiya. 2011;11(5-6):196-198
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The system approach to the introduction of new medical technologies in hematology
Tyumina O.V.
Abstract
The system analysis of the stages of the introduction of new medical technologies into practical public health based on the example of the introduction of the technology of the cord blood bank in the Samara region is carried out. The determination of the economic benefit of this technology is carried out. The necessary stages for the successful introduction of any new medical technology are proposed.
Aspirantskiy Vestnik Povolzhiya. 2011;11(5-6):199-206
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The possibility of application of resonance frequency analysis (RFA) of dental implant stability for osteointegration estimation
Varda N.S., Shcherchkov S.V.
Abstract
The method of resonance frequency analysis (RFA) provides the ability to measure clinically the implant stability and evaluate the success of dental implantation in bone tissue deficit. On the basis of dental treatment, 26 patients clinically identified rates of resonance frequency analysis of intraosseous dental implants in the following groups: the installation of implants with bone grafting to increase the alveolar ridge, using the method of horizontal splitting of the alveolar ridge and sinus lift.
Aspirantskiy Vestnik Povolzhiya. 2011;11(5-6):207-210
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Diagnostics of occlusion disorders after the application of restoration technologies in clinic
Iskhakov I.R., Mannova F.F.
Abstract
The study of occlusive dental contacts in statics and dynamics following reconstruction of crowns susceptible to dental caries by heliocompounds directly in the oral cavity using occlusive paper and contemporary CT scanning with T-Scan apparatus has been conducted. Occlusion disorders that can lead to complications of the temporomandibular joint with the mandibular deviation has been identified.
Aspirantskiy Vestnik Povolzhiya. 2011;11(5-6):211-214
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Implant stability as an objective estimation of dental rehabilitation outcome in horizontal atrophy of bone tissue
Panteleeva A.I., Shcherchkov S.V.
Abstract
Post the question the effectiveness of dental implants in bone tissue deficit. Based on the clinical analysis of 20 patients revealed a parallel-resonant frequency indicators for analyzing the stability of intraosseous dental implants in the following groups: installation of implants with bone grafting to increase the alveolar crest and horizontal when using the method of splitting the alveolar ridge.
Aspirantskiy Vestnik Povolzhiya. 2011;11(5-6):215-217
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Quantity estimation of risk factors of the development of associative oral and urogenital candidiasis in pregnant women
Pinkina A.S.
Abstract
180 pregnant women with vaginal candidiasis were researched. 90 of these women had both oral and vaginal candidiasis and the other 90 women had only vaginal candidiasis. Clinical, sociological, microbiological and biochemical studies were investigated. Risk factors of multisystem candidiasis were ranged by significance.
Aspirantskiy Vestnik Povolzhiya. 2011;11(5-6):218-222
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Gravitational therapy in the treatment of cochleavestibular disorders
Vladimirova T.Y., Strunina E.Y.
Abstract
In the article results of research of efficiency treatment cochlea-vestibular disorders in patients with vertebral-basilar insufficiency determine by cervical osteochondrosis. For its estimation comparative research of two groups of patients is executed. It is shown, that gravitational therapy reduces expressiveness of a tinnitus in ears and normalize vestibular reaction.
Aspirantskiy Vestnik Povolzhiya. 2011;11(5-6):223-225
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The new scheme for surgical treatment of exotropia: histological basis and clinical effect
Zhukova O.V.
Abstract
The new scheme for surgical treatment of exotropia: histological basis and clinical effect Tissue fragments of medial rectus muscle’s tendons excised during strabismus surgery were processed for histological investigation with van Gieson’s staining. Maximal resection length was 7mm. The muscle fibers appeared at the distance 7mm from sclera. As there are functionally important palisade nerve endings around the tips of the muscle fibers it is mandatory not to exceed the above mentioned resection value. According to histological data the new scheme for surgical treatment of exotropia was suggested. This scheme allowed to decrease the quantity of postoperative undercorrection and don’t due to overcorrection.
Aspirantskiy Vestnik Povolzhiya. 2011;11(5-6):226-229
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The investigation of eye ball rigidity in the experiment
Sineok A.E.
Abstract
Biomechanics bechaviour of human enucleated 35 eyes was studied the anterior-posterior axis of eyes was at the rang 23,7+0,17 mm. The eyes was studied in perfusion apparatus. Pressure-volume curves and calculated rigidity coefficient KR=dP/dV were analyzed. Results: The ocular rigidity varied at the range of 0,0072-0,0354 mm Hg/mm3, the mean was 0,017+0,001 mm Hg/mm3. The rigidity coefficient depended on age (r=0,5, p=0,002), anterior-posterior axis (r=-0,39, p=0,02) and hydrostatic pressure. Ocular rigidity coefficient is common parameter biomechanics bechaviour eye ball.
Aspirantskiy Vestnik Povolzhiya. 2011;11(5-6):230-234
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Clinico-immunological and microbiological features of bronchial asthma in adults (the literature review)
Blinchikova M.S.
Abstract
This review represents contemporary scientific knowledge about prevalence of bronchial asthma, key points of pathogenesis and some immunological aspects of this disease. Main attention is given to role of microorganisms in development of bronchial asthma. Moreover, prospects for the therapy of bronchial asthma with due regard for the composition of microflora of upper respiratory airways.
Aspirantskiy Vestnik Povolzhiya. 2011;11(5-6):235-238
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The data of the blood neutrophilic granulocyte condition and lipid peroxidation – antioxidant system of students going in for sports on different stages of circannian cycle periods
Velichko T.I.
Abstract
Under the influence of stress factors including physical activity (exercise stress) the intensity of peroxide processes is increasing. Neutrophilic granulocytes are important components of the nonspecific defensive blood system. The blood neutrophilic granulocyte condition and lipid peroxidation – antioxidant system of students on different stages of circannian cycle were evaluated. It was stated that the condition of neutrophils, the malonic dialdehyde level (in plasma and peripheral blood erythrocytes) and catalasa activity (in plasma and peripheral blood erythrocytes) of students – swimmers of the second and the first categories, masters of sport, candidates in master of sport are considerably different from those of students of the same age and sex who do not go in for sports.
Aspirantskiy Vestnik Povolzhiya. 2011;11(5-6):239-243
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The investigation of the anatomical and morphological features of bilberry fruit ordinary (Vaccinium myrtillus L.)
Egorova A.V.
Abstract
The were studied the anatomical and morphological features of bilberry fruit ordinary (Vaccinium myrtillus L.). The were established specific diagnostic features of raw material: flattened tip of the fruit, with the remnants of the cup in the form of an annular rim; mesocarp bilberry fruit is not structured and has a cluster of seeds; conductive elements located in the mesocarp very thin and have a ring-helical organization, in the epidermis of the seed are special U-shaped cells with clearly visible pore canals, the place of localization of the embryo in the seed close to the base of the seed. The results of anatomical and morphological studies recommended for inclusion in the section “microscopy” project pharmacopoeial article for raw materials “Blueberry fruit.”
Aspirantskiy Vestnik Povolzhiya. 2011;11(5-6):244-246
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Polymorphism of DNA reparation genes in patients with alcoholic liver disease
Lukmanova L.I.
Abstract
The results of research of polymorphic loci of DNA repair system genes - XRCC1 (rs25487), XPD (rs13181), XRCC3 (rs861539) of patients with alcoholic liver disease are presented. The object of study - DNA samples (N = 82), isolated from blood leukocytes from populations of Bashkortostan Republic suffering from chronic alcoholism with manifestations of alcoholic liver disease. Polymorphic variants G28152A (Arg399Gln) of the XRCC1 gene, A35931C (Lys751Gln) of the XPD gene, C18067T (Thr241Met) of the XRCC3 gene were studied by analysis of restriction fragment length polymorphism products of polymerase chain reaction. We observed the significant increase frequencies both alcoholic liver disease genotype AC (Lys/Gln) gene XPD (OR=1,71; р=0,03) polymorphic locus, and genotype TT (Met/Met) XRCC3 gene (OR=2,46; p=0,03) polymorphic locus in hepatitis as compare to the healthy. We supposed that these genotypes may be used as genetic markers of predisposition to alcoholic hepatitis. Less susceptible to the liver disease persons with genotype AA (Lys/Lys) gene XPD (OR=0,60; р=0,04) and CT (Thr/Met) gene XRCC3 (OR=0,50; p=0,02).
Aspirantskiy Vestnik Povolzhiya. 2011;11(5-6):247-250
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Mechanism of humic acids action on renal excretion function in normal and while nephropathy
Menshikh L.E.
Abstract
In work it is studied the influences of humic acids allocated from humic substances of a sulphidic dirt, on the excretion of the water, sodium, creatinin, nephroprotecting effect and the mechanism of their action. Preparations can be perspective for the further working out as diuretics with the delay of potassium in a organism.
Aspirantskiy Vestnik Povolzhiya. 2011;11(5-6):251-255
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Clinico-morphological characteristic of chronic kidney disease
Napsheva A.M.
Abstract
Based on the analysis of the biopsy material of 144 patients with urolithiasis the evaluation of expression degree of the changes of structural kidneys elements in patients with urolithiasis with symptoms of chronic kidney disease with various expression degrees has been fulfilled. It has been found, that in different stages of chronic kidney disease the multidirectional morphological changes develop, which are characterized by the formation of compensatory-adaptive, and later - atrophic processes.
Aspirantskiy Vestnik Povolzhiya. 2011;11(5-6):256-260
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Population research of the students’ life quality
Pospelova Y.K.
Abstract
The research investigates the factors of life quality of 178 junior students who are studying in Tobolsk technical institutions. The research was taken with the help of Russian version of SF-36 scale. The comparative analysis of the same factors was made among the students from other regions of the Russian Federation and neighboring countries. It is defined according to the separate scales that regardless the sex and population research the life quality factors are increasing with age.
Aspirantskiy Vestnik Povolzhiya. 2011;11(5-6):261-264
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The influence of associative vaccination against pneumococcus and hemophilic type B infections and flu on the data of functional tests in the patients with chronic obstructive pulmonary disease
Protasov A.D.
Abstract
The article presents analysis of respiratory function and test with a six-minute walking in patients with a chronic obstructive pulmonary disease (COPD) in 12 months after complete vaccination against pneumococcus, H. influenzae type b and influenza compared with unvaccinated patients with COPD. 1 group - 48 patients with COPD, vaccinated simultaneously «Pneumo-23», «Hiberiх», «Grippol plus» (mean age - 61,46±1,17 years). Group 2 - 80 non-vaccinated patients with COPD (mean age 54,65±0,6 years). In 12 months after complete vaccination in patients with COPD noted positive dynamics in the monitored parameters compared with a non-vaccinated patients with COPD.
Aspirantskiy Vestnik Povolzhiya. 2011;11(5-6):265-271
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Morphological changes of the stomach and the intestine in the condition of an experimental increase of intra-abdominal pressure
Fedorin A.I., Kostina Y.D.
Abstract
Morphological study of gastric and intestinal wall has been performed in white laboratory rates in case of experimental abdominal cavity high pressure (17 animals). It was carried out that intestine and colon wall injures prominently. During the first month after beginning of the experiment, acute blood circulation abnormalities and intestinal wall oedema are being spread, after three months alterative mucosa destructions appears, cancelled with atrophy and sclerosis of intestinal and colon wall. Revealed data can become the base of issue for curative intestinal stoma closure time limits.
Aspirantskiy Vestnik Povolzhiya. 2011;11(5-6):272-275
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The experimental grounds of approaches to qualitative and quantitative analysis of a new complex phytopreparation medicine for maxillofacial surgery and dentistry
Shagalieva N.R.
Abstract
There were carried out the phytochemical, analytical, technological, pharmacological studies on the development of combined phytopreparation on the basis of the medicinal plants, which are caused to show complex action on different pathogenetic components of the infectious- inflammatory process: antimicrobial, anti-inflammotory, regenerating, hemostatic, local immunocorrecting and anesthetizing actions. There were substantiated the approaches to the standardization of new phytopreparation. The methodics of qualitative and quantitative analysis of the basic groups of the biologically active compounds are developed.
Aspirantskiy Vestnik Povolzhiya. 2011;11(5-6):276-279
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