Vol 19, No 1 (2011)

Articles
MORPHOLOGICAL FEATURES OF THE PARENCHYMAL COMPARTMENT OF BASIC HISTOLOGICAL FORMS OF GASTRIC CARCINOMA
Danilova I.A., Danilova I.A.
Abstract
Complex comparative clinico-morphological (histological, histochemical, immunohistochemical) research of 1041 hospital surgical cases of a progressive gastric carcinoma (GC) (1995-2004) with group allocation of three basic (intestinal, diffuse, mixed) histological forms of a tumor are established diagnostically significant general and particular (within histological form) morphological (tissue, cellular) and morpho-functional features of organo-specifically variable parenchymal compartment that testifies the rationality of mixed histological form of growth addition for classification system WHO-P.Lauren (2000).
I.P. Pavlov Russian Medical Biological Herald. 2011;19(1):8-13
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Lifetime anatomy and topography of the retroperitoneal spaces fascias
Lyashchenko S.N., Lyashchenko S.N.
Abstract
The purpose of work is studying lifetime computer-tomographic anatomy of the retroperitoneal spaces fascias. As object of research the computer tomograms received from 140 patients without a pathology of organs of a retroperitoneal spaces have served. As a result of carried out research are received morphometrical parameters of all retroperitoneal spaces fascias of the person. Opportunities of their visualization are found out from persons of three age groups, sexual distinctions are studied. The alternative anatomy and topography of everyone fascias of the retroperitoneal spaces is described. Results of work can be useful to surgeons, urologists, morphologists.
I.P. Pavlov Russian Medical Biological Herald. 2011;19(1):14-19
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Age-related changing of the skull and human brain structures on MRI evidence
Pavlov A.V., Pavlov A.V.
Abstract
The results of makromorfometric research, whose goal was to obtain reliable informationon the association between linear dimensions of the mamillary bodies, the skull and some brain structures of people in different sex and age
I.P. Pavlov Russian Medical Biological Herald. 2011;19(1):20-25
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INDIVIDUAL DIFFERENCES OF TARGET ORGANS REACTION OF WISTAR RATS TO ACUTE BACTERIAL ENDOTOXICOSIS
Kosyreva A.M., Soldatov D.I., Vasil'eva S.G., Kosyreva A.M., Soldatov D.I., Vasil'eva S.G.
Abstract
Individual morphofunctional differences of target organs of Wistar rats to acute endotoxicosis, induced by lypopolisaccharide (LPS) administration in high dose were investigated. By cluster analysis of target organs and cytokines characteristics Wister rats were divided into two groups - with high and low production level of Th1 cytokines. In 24 hours after LPS administration hepatic dystrophic changes and lung inflammation in rats with low level of Th1 cytokines (IL-2, IF-γ) were more expressed than in rats with high level of Th1 cytokines. In 7 days individual morphofunctional differences were less expressed and mainly were found out on functional level
I.P. Pavlov Russian Medical Biological Herald. 2011;19(1):26-32
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EFFECTS OF STATINES ON ACTIVITY OF LYSOSOMAL HYDROLASES IN ALLOXAN DIABETES
Polupanov A.S., Polupanov A.S.
Abstract
Paper shows that alloxan diabetes in rats increases nonsedimenteted activity of lysosomal hydrolases in liver, myocardium and skeletal muscle, but decreases nonsedimenteted activity of them. Lovastatin and simvastatin cause decreases of expressiveness of these processes in rats with alloxan diabetes
I.P. Pavlov Russian Medical Biological Herald. 2011;19(1):33-38
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MOTIVATION OF STAFF - FUNDAMENTAL FACTOR IN THE CONTINUOUS MEDICAL EDUCATION AND QUALITY IMPROVEMENT OF MEDICAL CARE
Breusov A.V., Bershadskaya M.B., Breusov A.V., Bershadsкay M.B.
Abstract
Health protection is one of priority problems of social policy of the state. The present stage the special urgency is got with questions of quality of medical aid which cannot be considered separately from questions of preparation of experts and a supply with information during training and professional work, creation of system of motivation to increase of an educational level and rendering of qualitative medical services to the population, continuous education of medical workers of all levels. System of public health services one of complex branches of the national economy, demanding capital investments and change of personnel selection concerning the medical personnel.
I.P. Pavlov Russian Medical Biological Herald. 2011;19(1):39-44
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MEDICAL AND SOCIAL RISK FACTORS OF FAILURE born in families enter into a legally MARRIAGE
Medvedeva O.V., Medvedevа O.V.
Abstract
In this paper, using multivariate analysis techniques to identify the causes of infertility in the families living in a legal marriage, a classification that includes risk factors for infertility, which allowed us to determine the hierarchy of power and their effects.Identify the reasons why families remain childless, will determine a reserve of births, to develop measures to enhance the effectiveness of conservation management of reproductive health and family policy measures on different hierarchical levels
I.P. Pavlov Russian Medical Biological Herald. 2011;19(1):45-48
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MAIN TRENDS OF PERSONNEL-potential in conditions of modernization of the Regional HEALTH (FOR EXAMPLE RYAZAN domains-TI)
Bol'shova T.V., Bolshova T.V.
Abstract
The article characterized the main directions of development of human resources capacity of the health sector in its modernization. Presents a strategy of personnel policy in the health of the major issues in the management of human resources areas and suggest ways to create a single mobile system management training, retraining and advanced training of medical personnel to work in inter-regional malls.
I.P. Pavlov Russian Medical Biological Herald. 2011;19(1):49-53
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Volume and character of laboratory researches at hospitalization concerning reumatical arthritis
Zhukova N.V., Zhukova N.V.
Abstract
In article results of the analysis of volume of actually executed laboratory researches among hospitalized concerning different forms reumatical arthritis are resulted. The expert estimation of the laboratory researches, the patients executed to a given contingent is given
I.P. Pavlov Russian Medical Biological Herald. 2011;19(1):54-58
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To a question on health of children living in the poorcountryside families
Lebedev D.Y., Lebedev D.U.
Abstract
In article the data characterizing separate parameters of health of children, living in poor and financially safe families of countryside is presented. The research volume has made 300 families, including 150 basic and 150 control groups. The data has been included in working out, concerning chest feeding, a mode and character of a food and an estimation of health of children parents.
I.P. Pavlov Russian Medical Biological Herald. 2011;19(1):59-62
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Medical and demographic situation and SMERNOST diseases of the digestive system in the Tver region
Kamruzzaman S., Kamruzzaman S.
Abstract
This article discusses one of the basic health and demographic problems of the Tver region - the high mortality rate, including those of working age. Analysis the prevalence and structure of the main causes of death; details analysis the dynamics of mortality from diseases of the digestive system, formulated the basic strategic approaches to creating targeted programs to reduce premature mortality. Set out in article approaches will facilitate the search for optimal management and organizational decisions by managers at various levels
I.P. Pavlov Russian Medical Biological Herald. 2011;19(1):63-67
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Case management with severe out-patient form of pneumonia audit at the in-patient
Almazova E.V., Almazova E.V.
Abstract
The aim of this paper is to evaluate the validity of case management of severe out-patient form of pneumonia using the indicators of quality at the in-patient departments in Ryazan. This audit was carried out on the basis of 102 patients data hospitalized to the in-patient departments in Ryazan in 2005-2009 years period. The mean age of patients was 51,85±1,68 years, 61 patients were males and they predominated over females (59,8%). The indicators of quality were taken by us because they have already proved their reliability in Russia and abroad. Initial antibacterial therapy (70,6%) didn't meet modern clinical recommendations. In less than half cases IV antimicrobial injections were used. Only in 24% of cases we gave step-down antimicrobial therapy. The method of clinical scaling to estimate the severity of patients condition was not applied, only in 24,5% of cases we used pulseoxymetry to find out the stage of hypoxemic abnormality
I.P. Pavlov Russian Medical Biological Herald. 2011;19(1):68-72
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Sudden Coronary death frequency, detectability and statistical recording
Nikulina N.N., Nikulina N.N.
Abstract
Specification of Sudden Coronary Death (SCD) prevalence, diagnostics quality and statistical recording in outpatients' clinics. Materials and methods. Comparative analysis of SCD prevalence, recorded in outpatients' clinics and qualified per study algorithm, was performed in 285 736 population (76.4% of them ≥18 лет, 46.0% - males). Results. Qualified SCD frequency accounted 156 per 100 000 male population and 72 per 100 000 female population, that in 2,3 и 2,8 times more then recorded in outpatients' clinics level (р<0,001). 55.6% SCD cases in males and 66.5% - in females were not diagnosed and/or recorded in outpatients' clinics. The reasons of SCD statistical loss are diagnostics defects (45.4%) and medical documents recording mistakes (55.6%). Conclusion. ½ SCD cases in males and 2/3 - in females are not revealed in outpatients' clinics, that causes underestimate of SCD in population.
I.P. Pavlov Russian Medical Biological Herald. 2011;19(1):73-82
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Сomparative characteristics of induced sputum cellular composition in patients with mild and moderate stable COPD, patients with chronic bronchitis and smokers
Medvedev I.D., Ishina T.I., Makarova O.V., Makhnach G.K., Nikonova E.V., Sidorova E.I., Podzolkov V.I., Medvedev I.D., Ishina T.I., Makarova O.V., Nikonova E.V., Mahnach G.K., Sidorova E.I., Podzolkov V.I.
Abstract
Comparative characteristics of induced sputum cellular composition in 11mild and 12 moderate stable COPD patients, 30 patients with chronic bronchitis and 13 smokers have been studied. Patients with mild stable COPD were found to have increased absolute number of all cells, including neutrophils and macrophages in the induced sputum in comparison with patients with chronic bronchitis. The inflammatory process in the lungs increases along with airflow limitation degree
I.P. Pavlov Russian Medical Biological Herald. 2011;19(1):83-90
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SPIROMETRY SCREENING IN EVALUATION OF CHRONIC OBSTRUCTIVE PULMONARY DISEASE AT PRIMARY CARE
Kotlyarov S.N., Kotlarov S.N.
Abstract
Chronic obstructive pulmonary disease is an acute medical and social problem. Spirometry is a "gold standard" of diagnostics of the disease. In our investigation we studied respiratory function in rural population. A high prevalence of obstruction: FEV1 less than 80% of normal, recorded in 23.5% of the cases and FEV1/FVC <0,7 in 15,1% of the surveyed adult rural population was revealed. Among the males the corresponding figures were respectively 33.6% and 29.9%.
I.P. Pavlov Russian Medical Biological Herald. 2011;19(1):91-95
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SOME ASPECTS OF THE PSYCHOLOGY OF PATERNITY
Pastukhova M.V., Pastuhova M.V.
Abstract
The article is devoted to an actual problem- psychological peculiarities of one new formation of adulthood-paternity. The author considers some aspects of the relationships between children and fathers, studies peculiarities of the fathers' educational influences into children, investigates typology of fatherhood. In this article the author also presents a model of development of fatherhood. The given information of this report may be useful in the system of children upbringing in a family and in the consultative work of a psychologist.
I.P. Pavlov Russian Medical Biological Herald. 2011;19(1):96-102
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SHORT-TERM AND LONG-TERM RESULTS OF RADICAL R0 MULTIORGAN RESECTIONS FOR ADVANCED STOMACH CANCER
Karachun A.M., Samsonov D.V., Karachun A.M., Samsonov D.V.
Abstract
The results of surgical treatment of 169 patients with R0 combined resections performed in the period from 2000 to 2005 due to advanced stomach cancer were analyzed. The postoperative morbidity rate was 31,4 ± 3,3%, postoperative mortality rate was- 7,1 ± 1,0%. The overall 5-year survival rate was 24,1 ± 3,1%, median of survival was 16 months. The categories of patients with R0 resections which have not improved the treatment long-term results were identified. This requires a differentiated surgical treatment for patients with advanced stomach cancer
I.P. Pavlov Russian Medical Biological Herald. 2011;19(1):103-108
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KEY ASPECTS OF UROLOGICAL SKILLED MEDICAL CARE TO PATIENTS WITH BENIGN PROSTATIC HYPERPLASIA
Sevryukov F.A., Kamaev I.A., Grib M.N., Perevezentsev E.A., Sevryukov F.A., Kamaev I.A., Grib M.N., Perevezentsev Y.A.
Abstract
The article deals with the issues of providing patients with benign prostatic hyperplasia, high quality urological care, touched upon some aspects of improving health care to such patients
I.P. Pavlov Russian Medical Biological Herald. 2011;19(1):109-113
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The system aspects of the safety of the operating treatment patients of the high anesthetical risk group using laparoscopic access
Ivanov V.V., Puchkov K.V., Markov A.I., Ershov N.G., Ivanov V.V., Puchkov K.V., Markov A.I., Ershov N.G.
Abstract
In the given research from the point of the system analyses is studied the haemodynamicy as an integral and one of the most leading factors affecting the safety of operating period by invasions under the circumstances of carboxyperitoneum by patients with heart problems. It is shown that similar nosological forms combine heterogenic patients' groups with different system reactions for carboxyperitoneum and surgical stress. Obese patients have a more impressive move of vegetative homeosthasis to the side of symphaticothony the centralization of the heart rhythmus ruling, the sharp decrease of the adaptational reserves. It should be noted that the differences at the level of stress-indicative hormones are also present and kept further at the early postoperative period
I.P. Pavlov Russian Medical Biological Herald. 2011;19(1):114-121
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EXPERIENCE OF A VARIABLE MAGNETIC FIELD FOR REHABILITATION OF PATIENTS WITH HIGH-condylar fractures PROCESS OF LOWER JAW
Medvedev Y.A., Ter-Asaturov G.P., Bedirkhanly N.S., Medvedev Y.A., Ter-Asaturov G.P., Bedirhanly N.S.
Abstract
In the clinic of maxilla-facial surgery of 1st Moscow State Medical University IM Sechenov, a surveillance consisting of 34 patients, who were hospitalized with the diagnosis of high fracture of condylar process of the mandible, was conducted. Application of physical therapy by an alternating magnetic field with a frequency corresponding to the natural frequency of the pulsating microvascular bed, patients with high fractures of the condylar ridge of the mandible showed high efficiency to this technique. The usage of alternating magnetic field is to optimize of the microcirculation in the zone of fracture, which generally contributes to the local healing processes, a favourable postoperative course, the absence of inflammatory complications.
I.P. Pavlov Russian Medical Biological Herald. 2011;19(1):122-127
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RELATIONSHIP BETWEEN THE MAIN DIRECTIONS OF GROWTH OF SKULLFACE at physiological occlusion, and congenital DISTOOKKLYUZII TYPES OFFACIAL PROFILE
Khoroshilkina F.Y., P Nabatchikova L., Chobanyan A.G., Manucharyan A.A., Horoshilkina F.Y., Nabatchikova L.P., Chobanyan A.G., Manucharyan A.A.
Abstract
Based on a comparison of data obtained in the study of 54 lateral telerentgenogramm head during physiological occlusion and meziookklyuzii, combined with congenital unilateral cleft lip, alveolar process and palate, found in pathological occlusion of a anterialnoe and low location of the temporo-mandibular joints. By comparing the size of the facial skull in the period gave way and the constant bites found a significant decrease in the size 15 of the 23 studied, reflecting a dramatic underdevelopment of the upper jaw and a violation of face shapes
I.P. Pavlov Russian Medical Biological Herald. 2011;19(1):128-137
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DEFINITION ADHESIVE OF PROPERTIES TRANSDERMAL OF THE PLASTER WITH MEXIDOL
Losenkova S.O., Kirillov S.K., Stepanova E.F., Novikov V.E., Losenkova S.O., Kirillov S.K., Stepanova E.F., Novikov V.E.
Abstract
The structure transdermal a plaster with mexidol is designed. For the purpose of studying adhesive properties measured force of a separation on different speeds by explosive car RMP-5, under the formula counted resistance of separation
I.P. Pavlov Russian Medical Biological Herald. 2011;19(1):138-141
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CURRENT DEMOGRAPHIC TRENDS AND CHALLENGES OF MODERNIZATION OF HEALTH
Artem'eva G.B., Gekht I.A., Gaylis A.V., Artemyevа G.B., Hecht I.A., Gailis A.V.
Abstract
Study of current demographic trends can more accurately determine the needs of the population in different types of medical care and, therefore, take them into account in medical training, upgrading of health, determining the number of hospital beds and the calculation of optimal resource supply industry.
I.P. Pavlov Russian Medical Biological Herald. 2011;19(1):142-145
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ROLE OF MECHANISMS OF VIOLATIONS proliferation and apoptosis in morphogenesis fibrocystic disease of breast
Mnikhovich M.V., Mnikhovich M.V.
Abstract
In this paper, an analysis of published data shows the significant role of apoptosis during ontogenesis of the breast, the neoplastic transformation of tissues and the likely importance of these processes in the mechanism of hyperplastic processes and fibrocystic disease of breast cancer. However, it remains unresolved the question of what biological markers may serve as quantitative indicators of proliferative activity of breast tissue, as well as objectively reflect the severity of apoptosis and the activity of genes - tumor suppressor. Studying the expression of molecules of products of genes-regulators of cell proliferation and apoptosis is of great scientific interest because it can probably afford to hold detalizovannye risk assessment for breast cancer, followed by the prediction of the disease
I.P. Pavlov Russian Medical Biological Herald. 2011;19(1):146-153
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EXPERIENCE OF REALIZATION OF PRINCIPLES OF SOCIOLOGICAL MONITORING IN PUBLIC HEALTH SERVICES
Grishina N.K., Kicha D.I., Grishina N.K., Kicha D.I.
Abstract
In article materials of approbation of principles of sociological monitoring of availability and quality of medical aid to the population, and also its knowledge on various questions of the organization of functioning of system of public health services and obligatory medical insurance are resulted. Results of three consecutive поросов, spent in various territories of the Russian Federation, allowed to receive the information on dynamics of the relation of the population to problems of rendering of medical aid are presented. The importance of monitoring researches in management of public health services is underlined
I.P. Pavlov Russian Medical Biological Herald. 2011;19(1):154-156
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OPERATIONS AS procatarxis RECURRENCE THYROIDITIS Subacute de Quervain
Aristarkhov R.V., Aristarkhov R.V.
Abstract
This article provides an interesting case from practice of surgery on the thyroid was the cause of subacute thyroiditis de Quervain. The author proposes a new method for treating this disease with the help of low-intensity laser radiation
I.P. Pavlov Russian Medical Biological Herald. 2011;19(1):157-159
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