CENTRAL PULSE PRESSURE IS A BASIC TARGET IN THE TREATMENT OF ARTERIAL HYPERTENSION IN SENIOR PATIENTS
Milyagin V.A.
UDC: 616.12-008.331.1-053.9
Abstract: Central pulse pressure (pressure in an aorta) is a primary predictor of cardiovascular events. The increase of central pressure takes place not only as a result of increase in the cardiac output but also as a result of disorders of damping function of arteries, augmentations of the central pulse pressure by reflected waves. Basic medicines decreasing central pulse pressure are calcium antagonists, diuretics, especially Arifon-retard and ACE inhibitors.
Key words: артериальная гипертония, центральное пульсовое давление, аугментация, arterial hypertension, central pulse pressure, augmentation
TOPICAL ASPECTS OF DIAGNOSTICS IN VERTIGO
Illarionova E.M., Gribova N.P.
UDC: 616.28-008.55:615.47
Abstract: The article presents modern diagnostic approaches in central and peripheral vertigo. The method of computerized stabilometry was used with the set of tests valid to study vestibular analyzer. The study involved Romberg’s position of a patient with open and closed eyes, test with turns and inclinations of the head and a tandem test. Statistically valid differences in stabilometry indicators in groups of patients with central and peripheral vertigo have been identified. Computerized stabilometry methods have been demonstrated to be reliable methods to examine patients with central and peripheral vertigo.
Key words: системное головокружение, диагностика, компьютерная стабилометрия, vertigo, diagnostic approaches, computer stabilometry methods
PSYCHO-EMOTIONAL SPHERE IN PATIENTS WITH VARIOUS TYPES OF VERTIGO
Illarionova E.M., Gribova N.P.
UDC: 616.28-008.55:615.47
Abstract: The purpose of the study was to investigate the psycho-emotional sphere in patients with central and peripheral vestibular vertigo. The study conducted involved a Beck’s questionnaire, a test to assess personal and situational anxiety designed by C.D. Spielberger and J.L Hanin, a vestibular questionnaire - Vestibular Rehabilitation Benefit Questionnaire. Statistically valid difference in the manifestations of anxiety-depressive disorders in groups of patients with central and peripheral vertigo has been identified. Results of the study clearly demonstrate that the use of non-specialized psychometric scales, as well as specialized vestibular questionnaire allows assessing the severity of psychoemotional disorders promptly and reliably.
Key words: головокружение, тревожные расстройства, депрессивные расстройства, vertigo, anxiety disorders, depression disorders
QUANTITATIVE EVALUATION OF THE CONTENT OF LACTOBACILLI AND CANDIDA ALBICANS FINGI IN THE ORAL LIQUID AND TOOTH PLAQUE IN ORTHODONTIC TREATMENT IN CHILDREN
Shashmurina V.R., Volchenkova G.V., Mishutina O.L., Kiryushenkova S.V., Derevtsova S.N.
UDC: 616.314-089.23-053.2
Abstract: Quantitative evaluation concerning the content of lactobacilli and Candida albicans fungi in the oral liquid and tooth plaque of the children aged from 7 till 10 undergone orthodontic treatments has been carried out. The amounts of the microorganisms have been determined to be far beyond the norm.
Key words: ортодонтическое лечение, микробиологическое исследование, назубный налет, ротовая жидкость, лактобактерии, Candida albicans, orthodontic treatment, microbiological research, tooth plaque, oral liquid, lactobacilli, Candida albicans
COMPARATIVE ANALYSIS OF ANATOMICAL PARAMETERS OF EYES IN INDIVIDUALS WITH EMMETROPIC AND VARYING DEGREES OF MYOPIC REFRACTION
Deev L.A., Nivenitsyn E.L., Tretyakov A.N., Lopashinov P.M., Volosenkova M.V.
UDC: 617.753.2
Abstract: This article summarizes the results of the study of anatomical parameters of the eyeball in emmetropic refraction and varying degrees of myopia, held in the Smolensk State Medical Academy. The study involved 233 patients (408 eyes). The study of the size of the eye was performed at five points. To estimate the parameters a mathematical model of an emmetropic eye was designed. The obtained results allow assessing the size of a normal eyeball, and various change due to the development of myopia.
Key words: размеры глаза, эмметропия, миопия, меридианы, the size of the eye, emmetropia, myopia, meridians
INDICATORS OF MOLECULAR ADAPTATION IN PATIENTS WITH CHRONIC EROSIVE GASTRITIS AND GASTROESOPHAGIAL REFLUX DISEASE
Ilushchenkov P.A., Nikitin G.A., Afanasenkova T.E.
UDC: 616.33-002.44
Abstract: Dynamics of molecular adaptation in the blood of patients with peptic ulcer and gastroesophageal reflux disease depending on the phase of their course and the severity of its clinical manifestations has been studied. It has been found out that that in remission molecular adaptation for all the studied pathologies becomes similar to that in the control group, but demonstrates certain differences. Marked negative correlation between the level of bound water in the formed elements of the blood and the degree of severity of the clinical manifestations of peptic ulcer and gastroesophageal reflux disease has been identified.
Key words: свободная вода, связанная вода, язвенная болезнь, гастро-эзофагеальная рефлюксная болезнь, free water, associated water, peptic ulcer, gastroesophageal reflux disease
ROLE OF THE IMMUNE SYSTEM IN THE COURSE AND DEVELOPMENT OF URINARY TRACT INFECTIONS IN CHILDREN
Pleshkova E.M.
UDC: 616.61/.62-053.2+615.37
Abstract: Summarized data on the characteristics of the immune mechanisms of macro- and micro-organisms and their role in the pathogenesis of the urinary tract infection in children are presented in tha article. Modern approaches to the immunotherapy in the group of patients are presented in detail. .Further development of objective approaches to integrated etiopathogenic treatment of the urinary system infection with a differentiated use of immune modulators to reduce the development of cell-damaging mechanisms contributing to the development of nephrosclerosis is sure to be beneficial in clinical practice.
Key words: инфекция мочевой системы, иммунная система, иммунокоррекция, дети, infection of the urinary system, immune system, immunotherapy, children
PROBLEMS OF HEALTH, MORBIDITY AND DRUG THERAPY IN PEDIATRIC PRACTICE
Yayilenko A.A.
UDC: 616-053.2+615.05
Abstract: The last decade of the XXI century was marked by an increase in the birth rate, reducing child mortality, improving the accessibility and quality of medical care in the country, however, reduce mortality, increase in life expectancy is inappropriately expended efforts. Preventive activities in pediatric practice are of prime significance because proper development of an adult closely depends on his\her optimal growth and development at early stages of ontogenesis.
Key words: дети, здоровье, болезнь, лекарство, профилактика, children, health, disease, cure, prevention
FOURNIER’S GANGRENE (REVIEW)
Privolnev V.V., Zabrosaev V.S., Danilenkov N.V.
UDC: 616.353-002.4
Abstract: Comprehensive review presents information on history, etiology, pathophysiology, epidemiology, clinical picture, diagnostic procedures and management of necrotizing soft tissue infection identified as Fournier’s gangrene. The article includes experimental and clinical data and the authors’ experience from the Department of Surgical Infections of the Smolensk Regional Hospital.
Key words: гангрена Фурнье, некротизирующий фасциит, Fournier’s gangrene, necrotizing fasciitis
RECOMMENDATIONS ON DIAGNOSTICS AND MANAGEMENT OF OSTEOMYELITIS IN DIABETIC FOOT (REVIEW)
Privolnev V.V., Zabrosaev V.S., Danilenkov N.V.
UDC: 617.586:616.379-008.64
Abstract: Osteomyelitis in diabetic foot in patients with diabetes mellitus is the main cause of amputations of lower extremities. Early diagnostics and the differentiated approach to therapy are considered to be of benefit to reduce the risk of amputation. The article contains recommendations concerning osteomyelitis diagnostics in controversy cases, antibiotic therapy in various clinical situations, course of antibacterial therapy and surgical treatment.
Key words: остеомиелит стопы, диагностика остеомиелита, лечение остеомиелита, синдром диабетической стопы, osteomyelitis, treatment of osteomyelitis, diabetic foot
MENTAL DISORDERS IN PATIENTS WITH PARKINSON’S DISEASE
Strachunskaya E.Ya., Strachunskaya E.L.
UDC: 616.858
Abstract: The paper discusses the non-motor symptoms of Parkinson's disease presented with depression, autonomic disorders, anxiety and psychotic disorders, as factors that aggravate the course of the disease.
Key words: Болезнь Паркинсона, депрессивный синдром, тревога, вегетативные нарушения, психотические расстройства, Parkinson’s disease, depressive syndrome, anxiety, autonomic disorders, psychotic disorders
OCCURRENCE AND CLINICAL ASPECTS OF CELIAC DISEASE MANIFESTATIONS IN CHILDREN AND ADOLESCENTS OF A RISK GROUP (ON THE MATERIAL OF THE SMOLENSK REGION)
Parmenova L.P.
UDC: 616.341-053.2 (470.332)
Abstract: 172 children of the age 11 months to 18 years were assessed, including 93 (54%) boys and 79 (46%) girls. The group of the assessed children with certain growth retardation (Group 1) contained 74 children (43%), including 45 boys and 29 girls. The group of children with the weight deficiency of I-II grade (Group 2) had 74 children (43%): 32 boys and 42 girls. The group with chronic diarrhea (Group 3) comprised of 20 children (11%), including 14 boys and 6 girls. 4 children had alopecia. Screening diagnostics of celiac disease was performed with immune-enzyme analysis with definition of anti-gliadin antibodies (AGA), as well as antibodies to tissue transglutaminase of IgA and IgG types (kit from the company "ORGENTEC", Germany). Morphometric analysis of biopsies of the duodenal mucosa was performed at the Smolensk Institute of Pathologies.
Key words: целиакия, дети, группы риска, celiac disease, children, groups at risk
EVALUATION OF BIOPHYSICAL PARAMETERS IN OUT-PATIENTS WITH CHRONIC LIVER DISEASE
Yankovaya T.N., Afanasenkova T.E.
UDC: 616.36-002.2:616.36-004+577.153
Abstract: Antioxidant defense in the blood serum of patients with chronic hepatitis and liver cirrhosis has been investigated. Decrease in the total antioxidant activity and antioxidant ceruloplasmin-transferrin in serum of patients with particularly marked in patients with liver cirrhosis has been identified. Thus, inhibition of antioxidant status in patients with chronic liver disease may be an indication for the administration of synthetic antioxidants in a complex and symptomatic treatment of these patients.
Key words: антиоксидантная система, свободно-радикальное окисление липидов, трансферрин, церулоплазмин, цирроз печени, хронический гепатит, antioxidant system, free-radical oxidation of lipids, transferrin, ceruloplasmin, liver cirrhosis, chronic hepatitis
WHETHER IT IS NECESSARY TO CARRY OUT ERADICATION OF HELICOBACTER PYLORI IN THE MOUTH CAVITY IN CHRONIC EROSION GASTRITIS?
Afanasenkova T. E., Dukova V.S., Yankovaya T.N.
UDC: 616.33-002.2:616.31
Abstract: One of the most frequent causes of chronic erosion gastritis is considered to be Helicobacter pylori infections which can persist in the mucous membrane of the stomach with the development of its penetration into own plate cages of an inflammation. Different biotopes of the oral cavity? Posterior part of the tongue, dental plaque, saliva, oral cavity mucosa can act as natural reservoir for the microorganisms. Helicobacter pylori in the oral cavity can be a source of re-infection in gastric ulcer patients and in patients with helicobacter-associated gastritis. The purpose of the given research - to compare frequency of revealing Helicobacter pylori in mucous membrane of stomach and mouth, for the decision of question on, whether it is necessary to carry spend sanitation of mouth at chronic erosion gastritis.
Key words: хронический эрозивный гастрит, Helicobacter pylori, микрофлора ротовой полости человека, chronic erosion gastritis, Helicobacter pylori, micro flora of mouth of the person
COMPLICATIONS OF ANTIHELICOBACTER THERAPY IN PATIENTS WITH GASTRIC DISEASES, ASSOCIATED WITH HELICOBACTER PYLORI
Russiyanov V.V.
UDC: 616.33-002.44:616.9
Abstract: Complex application of various medical products in schemes eradication therapies considerably raises them hepatitis toxic effects. The clinical example of development sharp drag hepatitis is resulted at application of the threefold scheme of treatment.
Key words: Нelicobacter pylori, эрадикация, побочные эффекты, Нelicobacter pylori, eradication, by-effects
DIAGNOSTIC POTENTIAL OF VAGNER’S TEST “HANDS“ IN RESIDENTIAL CARE UNITS
Ulasen T.V.
UDC: 616.89-07-053.2
Abstract: Diagnostic potential of E. Vagner’s test “hands“ applied at the initial period of children and adolescent’s stay in a rehabilitation center has been studied. The obtained results can be beneficially useful for psychological, educational and social support in residential health care units and for the development of individual programs of rehabilitation.
Key words: дети-сироты, учреждения интернатного типа, поведенческие установки, нарушения психологической и социальной адаптации, orphans, residential care units, behavioral determination, psychological and social adaptation disorders
A CASE OF FIRST TYPE BIPOLAR DISODER IN MENOPAUSE
Vaulin S.V., Alexeeva M.V., Kolchugina T.I.
UDC: 616.895.1
Abstract: This article describes a case of bipolar disorder of the first type diagnosed in menopause. The complexity of the diagnostics of bipolar disorder type in menopause women is associated with the onset of the disease in the form of depression frequently leading to inadequate tactics of medical care and inefficient pharmacotherapy.
Key words: биполярное аффективное расстройство, менопауза, депрессия, маниакальный синдром, bipolar disorder, menopause, depression, mania
ASPECTS OF PSYCHOTERAPEUTIC CARE IN CHILDREN WITH A SEVERE PSYCHOLOGICAL TRAUMA
Yakunin K.A., Novikova M.V.
UDC: 616.89-053.2
Abstract: The article is a review on the problem of psycho-traumatic experience in children. Characteristics of children’s response to the trauma as well as recommendations on psychotherapeutic care are provided in the paper.
Key words: травматическая ситуация, детская травма, механизмы психологической защиты, посттравматическое стрессовое расстройство у детей, traumatic situation, childhood trauma, psychological defense mechanisms, post-traumatic stress disorder among children
A CLINICAL CASE OF PARANOID SHIZOPHRENIA AT AN EARLY STAGE OF DELUSIONAL VARIANT OF KANDINSKY-CLERAMBAULT’S SYNDROME
Vaulin S.V., Alexeeva M.V., Zaharova I.A.
UDC: 616.895.8
Abstract: The article discusses a clinical case of paranoid schizophrenia at the beginning of the formation of delusional variant of Kandinsky Clérambault’s syndrome manifested with primary and secondary affective hallucinatory and delusion symptoms. Evident family history of mental illness, mental health problems in childhood has been identified. Certain role of a psycho-traumatic factor for psychosis is suspected.
Key words: шизофрения, параноидный синдром, синдром Кандинского-Клерамбо, schizophrenia, paranoid syndrome, Kandinsky Clérambault syndrome
EXPERIENCE OF QUETIAPINE ADMINISTRATION AT THE SPECIALIZED PSYCHIATRIC DEPARTMENT
Alexeeva M.V., Chislova L.I., Troshina S.A.
UDC: 616.89+615.015
Abstract: Characteristics of a modern antipsychotic medicine Quetiapine used in the treatment of schizophrenia and bipolar affective disorders are presented in the paper. Results of clinical application of the drug in specialized psychiatric departments are provided in the paper.
Key words: кветиапин, препараты, атипичные антипсихотики, психозы, quetiapine, atypical antipsychotics, psychoses
ACUTE POLYMORPHIC PSYCHOTIC DISORDER ACCOMPANIED BY SYMPTOMS OF SCHIZOPHRENIA
Vaulin S.V., Alexeeva M.V., Zhilina S.E.
UDC: 616.895.8
Abstract: The article describes a case of acute psychotic disorder accompanied by the symptoms of schizophrenia, including the symptoms of the first rank. This case shows specific features of productive and affective disorders in the course of acute psychosis accompanied by the symptoms of schizophrenia. Opportunities of differential diagnostics are presented as well.
Key words: шизофрения, продуктивные симптомы, дифференциальная диагностика, schizophrenia, positive symptoms, differential diagnosis
DIAGNOSTICS AND TREATMENT OF COMPLICATED ERUPTION OF THE LOWER THIRD MOLARS, ACCOMPANIED WITH PERICORONITIS
Pojarkova T.A., Voykovsky O.V., Kovaleva N.S., Stefantsov N.M.
UDC: 616.314 - 089
Abstract: To improve medical care in patients with complicated eruption of the lower third molars, complicated by pericoronitis, results of examination and treatment of patients at the Oral Surgery Department of the Dental clinics have been analyzed. On the basis of the received data an optimal algorithm for diagnostic and therapeutic procedures, taking into account individual peculiarities of the disease has been developed.
Key words: затрудненное прорезывание нижнего третьего моляра, перикоронит, диагностика, лечение больных, shortness of the lower third molar eruption, pericoronitis, diagnostics, treatment
EXPERIENCE OF DEVELOPMENT AND IMPLEMENTATION OF CLINICAL RECOMMENDATIONS “REABILITATION OF PATIENTS WITH A TOTAL LACK OF TEETH”
Shashmurina V.R.
UDC: 616.314-089.28-08
Abstract: Certain elements of clinical recommendation “Rehabilitation of patients with a total lack of teeth” have been published for the first time. The basis of the paper is a nine-year old experience of clinical application of removable dental prosthesis fixed on implants in the treatment of patients with total lack of teeth on the maxillary bone. Monitoring of implementation the recommendations in practice of Dental Clinics demonstrates the validity of information and its potential for effectiveness of rehabilitation in dental patients.
Key words: имплантаты, верхняя челюсть, съёмный зубной протез, клинические рекомендации, implants, maxillary bone, removable dental prosthesis, clinical recommendations
APPLICATION OF THE "CLOUD" HEALTH IT SYSTEMS IN TEACHING OF IT FOR PUBLIC HEALTH CARE
Klykov A.I., Frolova N.A.
UDC: 002:061.2
Abstract: Key issues of IT for Public Health Care are presented in the paper. For the successful solution of the problem proper software is of prime importance. The software involves medical (health) information systems (MIS). However, we do not always have the opportunity to deploy full client-server architecture to demonstrate MIS. A number of manufacturers demonstrate their products with the technique of Remote Desktop and "Cloud Architecture".
Key words: информационные технологии, медицина, информационные системы, преподавание, nformation technology, medicine, information systems, teaching
PROSPECTS OF POSTGRADUATE EDUCATION FROM THE POINT OF VIEW OF FUTURE DOCTORS
Peregontceva N.V.
UDC: 614.23
Abstract: He study dicsusses significance of new forms of teaching to train health care workers at the Department of Postgraduate Training. On the basis of the data obtained at a survey of medical students, duration, forms and opprtunity to obtain additional professional education in modern conditions, and their prospects for employment are discussed.
Key words: непрерывное последипломное образование, формы последипломного образования, Болонский процесс, life-long training, post-graduate education, forms of postgraduate education, the Bologna process
POSTGRADUATE MEDICAL EDUCATION IN NEUROLOGY - HISTORY, PRESENT AND FUTURE
Gribova N.P., Rachin A.P., Strachunskaya E.Ya., Illarionova E.M.
UDC: 616.8
Abstract: The article gives a brief history concerning teaching of Neurology in Russia. The paper is a review on problem of life-long and postgraduate training in some European countries.
Key words: неврология, постдипломное медицинское образование, neurology, postgraduate medical education
SYMPTHOMATIC GASTRODUODENAL ULCERS (LECTURE FOR GENERAL PRACTITIONERS)
Argunova I.A.
UDC: 616.33-002.44
Abstract: The lecture deals with the problems of etiology, pathogenesis, classification, diagnostics, treatment and prevention of sympthomatic gastroduodenal ulcers. It is focused on the difficulties of differential diagnostics of peptic ulcer, clearing up the clinical diagnosis and it’s coding in ICD-10 for symptomatic gastroduodenal ulcers and NSAID-relaited gastropathy. It also highlights the relevance of identification of symptomatic gastroduodenal ulcers due to their high incidence.
Key words: язвенная болезнь, симптоматические гастродуоденальные язвы, НПВП-гастропатии, патогенез, классификация, дифференциальный диагноз, лечение, peptic ulcer, sympthomatic gastroduodenal ulcers, NSAID-related gastropathies, pathogenesis, classification, differential diagnosis, treatment
STEPS IN THE DEVELOPMENT OF THE DEPARTMENT OF STOMATOLOGY OF THE FACULTY OF DENTISTRY FPK AND PPS
Shashmurina V.R., Zagorodnova V.P., Ginali V.N.
UDC: 616.31.(09)
Abstract: The article presents the history of the department of Stomatology of the faculty of dentistry FPK and PPS formation.
Key words: кафедра стоматологии, Смоленская государственная медицинская академия, department of stomatology of the faculty of dentistry, Smolensk State Medical Academy