REGIME OF ANTIBIOTIC PROFILAXIS OF BACTERIAL ENDOCARDITIS FOR MEDICALRISK IN DENTIST PRACTICE
Mishutina O.L.
UDC: 616.31+ 616.126 -002
Abstract: The antibiotics therapy is suggested to be used as prevention of bacterial endocarditis for medical risk patients. Regime of applicable to antibiotic drug of dentist in different clinical cases is described.
Key words: антибиотики, бактериальный эндокардит, стоматология, antibiotic profilaxis, bacterial endocarditis, dentist practice
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ANALYZING THE QUALITY OF KEEPING MEDICAL RECORDS OF STOMATOLOGICAL PATIENTS
Tsepov L.M., Nesterova M.M., Shcherbakova T.E.
UDC: 616.31-071.1
Abstract: An assesement of the quality of keeping medical records during providing stomatological care for the population was conducted. Major errors in maiking stomatological patient records in therapeutic dental units were studied and analyzed.
Key words: медицинская карта, медико-правовые аспекты, качество описания зубной формулы, medical records, medico-legal aspects, the quality of providing dental care
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HYPOTHETICAL MECHANISMS TO ADAPT TO DENTURES IN PATIENTS WITH COMPLETE ABSENCE OF TEETH
Shashmurina V.R., Latichev A.V., Savachinskaya N.S.
UDC: 616.314-089.28
Abstract: The results of the study of adaptive processes in the body of patients for prostheses on implants.
Key words: адаптация, микроциркуляция, зубные протезы, аdapt, hemophoresis, d ntures
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CHRONIC OBSTRUCTIVE PULMONARY DISEASE AND COMORBIDITIES
Denisova T.P., Morozova T.G., Litvinova I.A.
UDC: 616.24-036.12:616
Abstract: Chronic Obstructive Pulmonary Disease (COPD) is a disease with some significant extrapulmonary effects. Retrospective analysis is carried out at 62 histories of patients with COPD. According to results of research COPD is associated with arterial hypertension, arrhythmias, hypercholesterolemia, ulcers of stomach or duodenum, chronic pyelonephritis.
Key words: ХОБЛ, сопутствующая патология, системные проявления, COPD, comorbidities, extrapulmonary effects
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THE EVENT OF CONGENITAL TUBERCULOSIS IN INFANCY
Trun E.V., Myakisheva T.V.
UDC: 616-002.5-056.7
Abstract: The event of congenital tuberculosis in infancy was considered. The course of disease and causes of its development were analyzed. There were social and medical hazards. Congenital tuberculosis is disease with multiform clinical presentation, wavy course, which demand of long-term complex continuous treatment.
Key words: врождённый туберкулёз, ребёнок, беременность, роды, наследственность, вакцинация, лечение, congenital tuberculosis, child, pregnancy, childbirth, heredity, vaccination, treatment
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USE EFFICINCY OF THE OFLOXACINY IN TREATMENT PULMONARY NEW TUBERCULOSIS CASES
Frolova Yu. V., Myakisheva T. V., Naypak E.A.
UDC: 616.24-002.5+615.33
Abstract: The efficiency of the treatment using the I regime (II group) and IIB regime included lomefloxaciny (I group) was evaluated in 54 new patients within the first 3-4 months chemotherapy. The IIB regimen used in new tuberculosis cases with bacterial excretion to be stopped half of the patients by months 2 of therapy. Resolution of the infiltration was founded 80% cases by months 4 of therapy I group. Decay cavities could be also resolved by months 4 of therapy I group 50 %.
Key words: туберкулез легких, впервые выявленные больные, лечение, резервные препараты, ломефлоксацин, pulmonary tuberculosis, new tuberculosis cases, treatment, reserve prepаrаt, lomefloxaciny
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MORPHOLOGICAL CHARACTERISTIC OF RESPIRATORY TRACT IN SEVERE FORM INFLUENZA А/H1N1(SW2009)
Ignatova N.B., Khramtsov M.M., Grafova N.A., Mikhaylova I.S.
UDC: 616.921.5:616.211/.232-078.4
Abstract: The postmortem morphological characteristics of 17 patients who had died from influenza А/H1N1(SW2009) were analyzed. The specific morphological features in influenza А/H1N1(SW2009) were not registered.
Key words: вирус гриппа А/H1N1(SW2009), пандемия, поражение легких, морфологическое исследование, influenza А/H1N1(SW2009), pandemic, lung damages, morphological investigations
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CASE OF TUBERCULOSIS MENINGOENCEPHALITIS
Simakina E.N., Tyutlikova L.A., Peregontseva O.S., Anpilogov A.I., Kiryushenkova V.V.
UDC: 616.831.9-002-002.5
Abstract: Meningoencephalitis of tuberculosis etiology is the disease, which has considerable difficulties in diagnosis and treatment, especially in patients with unknown internal organs tuberculosis localization.
Key words: туберкулез, менингоэнцефалит, tuberculosis, meningoencephalitis
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MYELOMA: DEPENDENCE OF TERMS OF APPROACH OF REMISSION FROM IMMUNOCHEMICAL VARIANT OF THE DISEASE
Morozova T.G., Litvinova I.A., Denisova T.P.
UDC: 616.7
Abstract: This article is dedicated to study of diagnostic and treatment of myeloma. Dependence of terms of approach of remission from immunochemical variant of disease is also described in the article.
Key words: миеломная болезнь, иммунохимический вариант, ремиссия, myeloma, immunochemical variant, remission
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USING THE METHODS LAPAROSCOPIC TIE-DIAGNOSTICSES FOR EARLY DIAGNOSTICS AND TREATMENTS RELAPSE CANCER GONAD
Zakharova I. E., Solovyov V. I.
UDC: 616-006.04-08-039.75
Abstract: The modern methods of the multifunction treatment of the cancer gonad, at condition of the identical undertaking, allow to obtain the remissions of the disease beside 75 % sick approximately, including 40 % full regression, however beside 50 % sick at different periods (at the average through 16-18 months) appear the relapses. Using the TIE-sound laparoscopic of the sensor will allow to realize the early diagnostics and verification of the relapse of the cancer gonad with purpose of the optimum treatment.
Key words: рецидив рака яичников, ультразвукой лапароскопический датчик, relapse of the cancer gonad, TIE laparoscopic sensor
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THE PLASTIC OPERATIONS OF THE MAMMARY GLANDS IN SMOLENSK REGIONAL ONCOLOGY CLINICAL DISPENSARY
Zuy V.S.
UDC: 616-006.04-08-039.75
Abstract: He Long period to lifes patient after radical treatment, their young age and psychological postmastectomy of the problems has caused need of the ubiquitous introduction plastics mammary gland. Often oncologist under mastectomy do not take into account the certain requirements for improvement in the following result plastics mammary gland. In article are brought 5-year given plastics of the mammary glands after mastectomy on Madden, executed in oncology dispensary.
Key words: рак молочной железы, пластика молочных желез, мастэктомия по Маддену, breast cancer, plastic operations of the mammary glands, mastectomy on Madden
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ALCOHOL AND CANCER
Pokusaev A.I., Solovyev V.I.
UDC: 616-006.04-08-039.75
Abstract: The existence of a causal link between increased alcohol consumption and cancer was first reported in mid -1950's. Epidemiological studies of cancer have demonstrated the carcinogenic effect of alcohol and showed a linear relationship between the probability of developing cancer, duration and volume of alcohol.
Key words: онкологические заболевания, рак, алкоголь, malignant disease, cancer, alcohol
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NUTRITION AND CANCER
Pokusaev A.I., Solovyev V.I.
UDC: 616-006.04-08-039.75
Abstract: Oncology patients can lose weight even if adequate nutrition provided. The reason for this phenomenon is the increased energy needs of the organism as a malignant tumor in itself promotes energy and apoptosis induction of immune cells, forming immunodepression.
Key words: онкологические заболевания, питание, cancer, nutrition
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LAPAROSCOPY IN THE DIAGNOSIS OF LYMPHOPROLIFERATIVE DISEASES OF THE ABDOMINAL CAVITY
Solovyev V.I., Makurov A.A., Semkina E.N., Shlahovaya L.A.
UDC: 616-006.04-08-039.75
Abstract: The article presents the results of the ultrasound study in the laparoscopy about lymphoproliferative diseases of the abdominal cavity organs
Key words: лапароскопия, ультразвуковое исследование, лимфопролиферативные заболевания, laparoscopy, ultrasound examination, lymphoproliferative diseases
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COMPARATIVE ASSESSMENT OF THE AMOUNT OF INTERNAL OPERATIONAL SPACE DURING DIAGNOSTIC LAPAROSCOPY: TENSION PNEUMOPERITONEUM VS. ORIGINAL LIFTING DEVICE
Solovyev V.I., Makurov A.A., Abramenkova I.V.
UDC: 616-006.04-08-039.75
Abstract: N row of the events by problem, limiting broad using laparoskopy method, is a creation tense pneumoperitoneum, renderring negative influence upon function of the breathing and haemodynamics. Using laparolift allows to exclude pneumoperitoneum from operation with accompanying him negative effect. New principle traction front abdominal wall is described In article with minimum visual truncation intraperitoneal space for count of the constructive particularities designed laparolift.
Key words: лапароскопия, лапаролифт, пневмоперитонеум, laparoskopy, laparolift, pneumoperitoneum
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STUDY OF QUALITY OF LIFE FOR CANCER PATIENTS BREAST I-II STAGE IN THE PROCESS ORGAN SURGICAL TREATMENT
Solovyev V.I., Semkina E.N., Anokhin A.S., Narezkin D.V.
UDC: 616-006.04-08-039.75
Abstract: Assessment of quality of life (QOL) in medicine has been used increasingly and is becoming an integral part of a comprehensive analysis of the effectiveness of new methods of diagnosis, treatment and prevention. This paper presents the results of a voluntary survey of patients with breast cancer stages I-II before and after conservative surgery with intraoperative techniques lymphorrhea prevention.
Key words: breast cancer, radical resection, the quality of life
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COMBINED INTRAOPERATIVE METHOD PREVENTION OF BREAST LYMPHORRHEA PRACTICE
Solovyev V.I., Semkina E.N., Anokhin A.S.
UDC: 616-006.04-08-039.75
Abstract: In Smolensk Regional Clinical Oncology Dispensary (SRCOD) for the period 2009 to 2010, 25 patients with breast cancer I -II stages performed a modified radical resection. Age of patients ranged from 37 to 70 years old and weighs from 62 to 102 kg. In all patients the tumor was located in the upper -outer quadrant of breast cancer. Distribution by stages was as follows: T1N0M0 (I st.) -6 patients; T2N0M0 (IIa st.) -10 patients, T2N1M0 (IIb st.) -9 patients. Typically, a radical resection produced from a single incision with removal of tumor and axillarysubclavian chuck-fiber single block. To prevent limforei used surgical and chemical methods. Postoperatively, there was a decrease of limforei, there was no significant fluctuations in the temperature of reaction, pain, postoperative edema of the upper limbs, in consequence of that decreased post-operative patient day, and the quality of life of patients significantly improved. This composite method of preventing intraoperative lymphorrhea during conservative surgery for breast cancer patients, stage I -II significantly reduces the hospital stay, significantly improves quality of life, shortens the time interval between the surgical method and the start of chemoradiotherapy.
Key words: рак молочной железы, радикальные резекции, лимфорея, качество жизни, breast cancer, radical resection, chylorrhea, quality of life
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THE MODERN MEDICINAL TREATMENT COLORECTAL CANCER
Solovyev V.I., Semkina E.N.
UDC: 616-006.04-08-039.75
Abstract: The colorectal cancer in Russia falls ill more 600.000 person and 300.000 die from this diseases. Every year the appearance on pharmaceutical market big amount new anticancer chemicals medications, possibilities different combination chemotherapeutical and surgical methods of the treatment wide-spread colorectal cancer, that allows not only to enlarge life, but also perfect quality to lives patients.
Key words: таргетная терапия, колоректальный рак, target therapy, colorectal cancer
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POLYCYSTIC KIDNEY: MODERN ASPECTS OF THE PROBLEM
Volynets L.I., Narezkin D.V., Tolkachev A.N., Anikanova E.V.
UDC: 616.61-006.31
Abstract: Polycystic kidney disease is developmental kidney disorder which can be inherited as either an autosomal dominant trait, with an incident of 1:50 to 1:1000, or as an autosomal recessive trait, with an incident of 1: 6000 to 1:40000. Polycystic kidney disease progresses to renal insufficiency and characterizes the end stage by 10-14% of all kidney diseases. This article describes modern classification, diagnostic, clinical symptoms and variants of polycystic kidney disease treatment.
Key words: поликистоз почек, почечная недостаточность, polycystic kidney, renal insufficiency
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STATISTICAL ANALYSIS OF THE EFFECTIVENESS OF IMPROVED METHODS FOR INTEGRATED DENSITOMETRI IN PATIENTS WITH A TERMINAL CHRONIC RENAL FAILURE UNDERGOING TREATMENT BEING EITHER UNDER HAEMODIALYSIS
Reshetnikov O.A., Reshetnikova I.S.
UDC: 616.71-007.234; 616.61
Abstract: This paper aims to test effectiveness combination of x-ray absorbciometrii and densimetry and monitoring osteoporosis and osteopenia in patients undergoing dialysis program.
Key words: рентгеновская абсорбциометрия, ультразвуковая денситометрия, x-ray densitometry, ultrasound absorbciometria
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COLOR DOPPLER SONOGRAPHY AND THREE-DIMENSIONAL RECONSTRUCTION OF BLOOD VESSELS IN PATIENTS WITH DIFFUSE LIVER DISEASE AND A MANIFESTATION OF HEPATIC ENCEPHALOPATHY
Moiseeva E.O.
UDC: 616.831-073.48:616.36
Abstract: Hepatic encephalopathy (HE) -a set of potentially reversible neuropsychiatric disorders. HE is diagnosed in 94,3% of patients with diffuse liver diseases. The article represents survey data from 76 patients with diffuse liver disease (40% patient of virus aetiology, 31% alcoholic and 29% combined) and a manifestation of HE stage I-III. For the diagnosis of HE were performed: clinical examination, psychometric tests, this scoring algorithm HE (HESA). Along with the assessment of portal hemodynamics, elastografii needle biopsy apply of technology triplex study cerebral arteries and portal venous mode 3D. We obtain dopplerographic markers to differentiate the stages of HE.
Key words: диффузные заболевания печени, печеночная энцефалопатия, церебральная гемодинамика, портальная гипертензия, ультразвуковая сонография, 3D режим, diffuse liver diseases, hepatic encephalopathy, cerebral haemodynamics, portal hypertension, ultrasound sonography, 3D mode
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RATE AND SPECIFIC FEATURE OF GASTRODUODENAL DISORDERS IN CHILDREN WITH ASTMA
Voytenkova O.V.
UDC: 616.248-053.5+616.3
Abstract: Children with bronchial asthma have been found to show a high incidence of gastroduodenal diseases associated with Helicobacter pylori in 62,2% of cases. Their clinical picture is characterized by latency. Noteworthy is combined lesions of different parts of the gastrointestinal tract: high incidence of refluxes (31%). Timely diagnosis of GIT diseases in children with bronchial asthma requires thorough collection of history data and complete examination of digestive organs. The necessary condition for successful therapy of bronchial asthma concurrent with GIT diseases is to eradicate Helicobacter infection and to normalize GIT motility.
Key words: бронхиальная астма, патология ЖКТ, дети, bronchial asthma, gastrointestinal tract diseases, children
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THE INFLUENCE OF ENVIRONMENTAL FACTORS ON THE DEVELOPMENT OF ASTMA IN CHILDREN
Panasenkova E.V.
UDC: 16.214-053.2
Abstract: Bronchial asthma is presently a common childhood disease; there is a steady increase in its prevalence. The study was undertaken to evaluate the influence of environmental factors on the development of the disease. A 877 asthmatic children aged 6 month to 18 years were examined. The detection of the factors influencing the trend in an allergic process, with a family history being kept in mind, are of great importance for the prognosis of bronchial asthma.
Key words: бронхиальная астма, дети, аэрополлютанты, bronchial asthma, children, air pollution
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IMPACT OF DYSBIOSIS ABNORMALITIES ON THE DEVELOPMENT OF PURULENT INFLAMMATORY DISEASES OF UROGENITAL SYSTEM IN CHILDREN
Fedosov E.A., Avdeeva T.G., Frolova N.A., Egorova M.V., Grinevich E.V.
UDC: 616-053.2
Abstract: This work is about features of gut microorganisms in babies large intestine. Quantitative and qualitative composition was investigated. Correlation of these changes and infection was found.
Key words: микрофлоры кишечника, дети, взаимосвязь, мочеполовая система, gut microorganisms, children, correlation, urogenital system
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ANALYSIS OF PHARMACISTS OPINION ABOUT NON-STEROIDAL ANTI-INFLAMMATORY DRUGS PROPERTIES AND CLINICAL USE
Haykin A.M., Reshedko G.K., Haykina E.V., Krikova A.V., Melekhina E. V., Paramonova N.A.
UDC: 615.276:615.07
Abstract: The objective of the study was to examine the pharmacists opinion about non-steroidal anti-inflammatory drugs (NSAIDs) properties and clinical use. Questionnaire of 120 pharmacists in Smolensk was performed. Paracetamol, metamisol and acetylsalicylic acid are the most popular NSAIDs in the Smolensk pharmacies. As the main analgesic, metamisol was referred in 35, 4 % cases, ketoprofen - 27.2%, ibuprofen - 24.5% and paracetamol - 19,3%. In pharmacist’s opinion, paracetamol and ibuprofen are most safety and effective antipyretics for children, but 37.5% respondents recommended nimesulide and acetylsalicylic acid as antipyretics for children. Tablets and injection are preferable drug forms for myalgia treatment in opinion 49.1% respondents. Mass-media advertising of NSAIDs exerted influence on recommendations of 28% respondents. So, inadequate education about NSAIDs properties and clinical use was revealed, and additional educational programs among pharmacist are required.
Key words: нестероидные противовоспалительные средства, респонденты, фармацевты и провизоры, non-steroidal anti-inflammatory drugs, respondents, pharmacists
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EFFECTIVENESS OF COMPLEX VITAMINS IN PATIENTS WITH CHRONIC DORSOPATHIES
Maslova N.N., Khamtsova E.I., Malakhov I.S., Tryasunova M.A., Mayorova N.G.
UDC: 616.8-009.7+615.356
Abstract: The results of clinical trials confirming the effectiveness of combination therapy with non-steroidal anti-inflammatory drugs and Milgammy that allows to speak about the advisability of prescribing.
Key words: хронический болевой синдром, боль, обострение, Мильгамма, витамины группы В, chronic pain syndrome, pain, exacerbation, Milgamma, B group vitamins
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THE ANALYSIS OF SOME ASPECTS OF ACTIVITY OF SANATORIUM-PROPHYLACTORIUM FOR THE 10 LAST YEARS
Batrova Yu.V., Efimova L.M., Danalova G.V., Kostyukova E.A., Kozyrev O.A.
UDC: 61: 362.13
Abstract: The most important direction of a health - building activity(work) of the high school is to strengthen and to keep health by the students and all members of the staff of Academy. To increase a quality of a making healthier of students and all members of the staff of the Smolensk State medical Academy had made the analysis of the sanatorium - prophylactorium work for the 10 last years. In the years 2008-2009 had decreased a number of ill people with «chronic tonsillitis», with diseases of «bronchiales tree» and «neurocirculatorydistonia», but had increased a number of ill people with viral diseases and a number of students, needing an adaptations period (in the first Semester of the first-year-course). The structure of nosology forms what had registered in the (stomatology) dental - room of SSMAs sanatorium - prophylactorium for the 10 last years does not practically change: Caries is the wide - spread disease now (occupies frequently - over 60%).
Key words: укрепление здоровья, оздоровление студентов, анализ деятельности, санаторий-профилакторий, структура нозологических форм, (to) strengthen health, a making healthier of students, an analysis of activity/work, a sanatorium - prophylactorium, a structure of nosology forms
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PSYCHIATRIC DISORDERS IN THE PRACTICE OF NONSPECIALIZED BUREAU OF MEDICO-SOCIAL EXPERTISE
Bespalenok M.D., Mikhaylova E.V.
UDC: 616-052
Abstract: Had been revealed the structure and frequency of psychiatric disorders among the patients in the bureau of medico-social expertise of general profile in 2008-2010 years.
Key words: психические расстройства, медико-социальная экспертиза, psychiatric disorders, medico-social expertise
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FIRST EXPERIENCE OF HARDWARE AND SOFTWARE SYSTEM INTENS" TO ASSESS THE STRESS TOLERANCE OF STUDENTS IN EXAM STRESS
Borsukov A.V., Unakafov A.M., Gelt T.D.
UDC: 615.851: 615.478
Abstract: Evaluation of the possibility of nonspecific stress resistance training techniques "INTENS"correction exam stress. Check the connection between the mental state of the student and the level of his knowledge to identify risk groups among students. The study involved 30 students of the 5-year medical faculty at the age of 20 25 years.The study participants were receiving INTENS workouts. During the training procedures performed continuous recording of the electrical resistance (in ohms) by means of sensors installed on the outer phalanxes of the second and fourth fingers of the hand. Have been observed following options: 1) Uniformly low levels of response (vibration response from 2 to 16%), 2) uniformly high level: (51 -104%), 3) mistrimmed response rate: (2 to 240%), which is sign before-examining factor. Conclusions 1) There are clinical prospects forusing biofeedback techniques to RAG, in the correction of exam stress. 2) The amplitude of the response is not clinically important (there is no correlation with the level of response). What is important is the uniformity (stability) response to various stimuli.
Key words: стресс, экзамены, стрессоустойчивость, биологически обратная связь, stress, exams, biofeedback
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MORTALITY ANALYSIS OF EMERGENCY HOSPITAL’S GENERAL THERAPEUTICS DEPARTMENT
Denisova T.P., Morozova T.G., Litvinova I.A., Bruk K.P.
UDC: 615:312.2
Abstract: Mortality is important criterion of any hospital function. The research is discovered high mortality level of patients with pneumonia. This situation depends on irrational management of patients in admitting office, presence of risk factors of unfavorable outcome such as unemployment, alcoholism, late admission.
Key words: смертность, пневмония, факторы риска, mortality, pneumonia, risk factors
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ANXIETY AND DEPRESSION DISODERS IN MEDICAL WORKERS
Semionenkova N.V., Argunova I.A., Titova N.E., Khlopyeva N.V.
UDC: 616.89:614.2.7
Abstract: With the help of the Hospital Anxiety and Depression Scale HADS and the depression scale of the USA epidemiological research Center CES-D psychological testing of 110 medical workers has been led. The frequency of clinically significant anxiety signs by HADS comprised 19,1%, the combined anxiety and depression disorders - 36,4%. Authentically more frequent anxiety and disorders were revealed in women; unmarried persons, medical workers with chronic somatic diseases. Clinically significant depressions were found by CES-D in 34,5%, which is 1,5 times more than commonly met in patients. Depressions prevail in persons older then 50. That is the clinically significant anxiety in medical workers is met 3 times more then in common population and the frequency of combined anxiety and depression disorders equals to those one of the people with chronic pain syndromes. The research points to the importance of the definition of anxiety and depression states in medical workers with the goal of medical, social and economic support to them.
Key words: депрессия, тревога, тревожно-депрессивные расстройства, психологическое тестирование, медицинские работники, depression, anxiety, anxiety/depression disorders, psychological testing, medical workers
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THE RESULTS OF BIOTESTING OF THE WATERS WITH VARIOUS STRUCTURE ON ANIMALS
Farashchuk N.F., Telenkova O.G.
UDC: 543.3:591.4.001.6
Abstract: In the experimental researches on rats and frogs it is shown, that the greatest biological activity exhibited the samples of water with the content of the structured fraction from 5,06% up to 6,9%.
Key words: структура воды, биотестирование, the structure of water, biotesting
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RESEARCH OF BIOLOGICAL AGE STUDENTS 6 RATES OF MEDICAL FACULTY
Yankovaya T.N., Titova N.E., Maryina E.N.
UDC: 577.73:378.180.6
Abstract: In the given work their biological age and due biological age was estimated at students 6 rates of medical faculty. It has been established, that at 88 % of students 6 rates of medical faculty SGMA the biological age does not correspond to due biological age and exceeds it for 3-15 years.
Key words: биологический возраст, должный биологический возраст, преждевременное старение, biological age, due biological age, presenilation
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SOCIAL PORTRAIN AND ADHERENCE TO TREATMENT OF THE PATIENT WITH TUBERCULOSIS
Frolova J., Kornishova N., Astratenko J.
UDC: 616-002.5
Abstract: We analyzed 47 questionnaires of patients with tuberculosis of the lungs. We have drowned social portraits of patients with pulmonary tuberculosis. It established their relationship to disease and adherence to treatment.
Key words: портрет больного, приверженность к лечению, portrait of the patient, adherence to treatment
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