Saratov JOURNAL of Medical and Scientific Research

2007, volume 3

PROFESSOR A.F. UKHIN (to the 110-th anniversary)

Year: 2007, volume 3 Issue: №4 Pages: 138-139
Heading: History of Medicine. Anniversary Dates Article type: Review
Authors: V.F. Orkin, A.I. Zavjalov, I.A. Yakupov
Organization: Saratov State Medical University
Summary:

In this article the biographical information about professor A.F. Ukhin is represented, which reflects his scientific and practical contribution to the development of native dermatology and venerology in the period of his work on the chair of skin venereal diseases of the Saratov State Medical University.

Keywords: history

PROPHYLAXIS OF INFECTIOUS COMPLICATIONS IN PATIENTS WITH BURNS

Year: 2007, volume 3 Issue: №4 Pages: 133-137
Heading: Surgery Article type: Original article
Authors: A.M. Gurianov
Organization: Orenburg State Medical Academy
Summary:

Prophylaxis of infection in the case of burns includes a number of surgical and antiepidemic precautions, including the use of antibiotics. Unfortunately, antibiotics are often causing allergic reactions, dysbacteriosis and contribute to appearance of antibiotic resistant strains of microorganisms. In this article the results of treating of 190 patients with thermal burns are described. In order to prevent pyoinflammatory complications, 100 patients from the total of 190 ones were given the medicine “Sporobacterin fluidum” and 90 patints of the same 190 ones were given antibiotics. The medical effect of “Sporobacterin fluidum” is based on translocation of Bacillus subtilis from the bowels into the wound when they produce antibiotics, enzymes, immunomodulator.
It is found out that derangements, which appear after burns lead to dysfunction of all organs and systems, buildup of intoxication and change of the composition of biocenose of intestines. The research results prove that “Sporobacterin fluidum” is an effective medicine for prophylaxis of infectious complications and contributed to correction of biocenose of intestines, reduction intoxication and cutting down the period of wound healing and period of in-patient treatment of burnt.

CLINICOL-ELECTROPHYSIOLOGICAL FEATURES OF PARKINSON’S SYNDROME IN CASE OF BREIN TUMORS

Year: 2007, volume 3 Issue: №4 Pages: 130-132
Heading: Neurology Article type: Original article
Authors: S.V. Balakleets, A.S. Balakleets, I.E. Poverennova
Organization: Samara State Medical University
Summary:

Results of the complex clinical-electrophysiological research. Including EEG, trunkal acoustic (ATEP) and visual evoked potentials (VEP). Of 120 patients with tumors of the brain of various localization and histologic structure are presented. In all patients extrapyramidal symptoms were noted. The Parkinson’s syndrome has been revealed in 57 (47.5%) patients. Features of theclinic and pathogenesis of Parkinson;s syndrome in case of intrabrain tumors of basal ganglia and thalamus.
According to EEG-data and the evohed potentials of a different modality alectrophysiological criteria of injury of subcortical structures in case of tumors of the brain are produccd. It is emphasized, that in patogenesis of Parkinson’s syndrome in case of tumor of the brain the deformation and displacement of subcortical-trund structures has essential value, especially mesencephalic sections of the brain stem.

DIAGNOSTICS AND CORRECTION OF DISORDERS OF CEREBRAL VENOUS OUTFLOW IN CHILDREN

Year: 2007, volume 3 Issue: №4 Pages: 125-129
Heading: Neurology Article type: Original article
Authors: A.B. Yelizarov, A.V. Kolsanov
Organization: Saratov State Medical University
Summary:

The question of surgical correction of a cerebral venous dystonia in children is discussed in the absence of complex conservative therapy response. Results of treatment of 79 children in the age of 5 to 15 years are analysed. In 40 from which only drug therapy was used, and in 39 children alongside with drug therapy the surgical treatment including operation of the back cranial-vertebral recompressin in combination with osteoplastic trepanation above a sinus-confluence zone with special treatment of a bone fragment was made. It is shown, that the given intervention is an effective method of treatment of drug-resistant forms of cerebral venous dystonias in children.

Keywords: pediatrics, vein

THE LIFE QUALITY OF PATIENTS OF DIFFERENT SURGERY TREATMENT ON ACCOUNT OF CHOLELITYAS DISAE

Year: 2007, volume 3 Issue: №4 Pages: 123-124
Heading: Surgery Article type: Original article
Authors: S.V. Orlov
Organization: Saratov State Medical University
Summary:

This report presents an analysis of investigation of health related quality of life of 307 patients with cholelytias disae after the traditional laparotomic and laparoscopic cholecistectomy. During the in patient treatment in region Balakovo, Saratov. The research result allow to determine for sure the increasing life quality patients after surgery treatment on account of cholelityas disae.

SOCIAL AND PSYCHOLOGICAL REHABILITATION TECHNOLOGIES OF PATIENTS WITH SYNCHRONOUS MALIGNANT NEOPLASMS

Year: 2007, volume 3 Issue: №4 Pages: 107-111
Heading: Oncology Article type: Original article
Authors: G.A. Bluvstein, E.N. Kurochkina, O.N. Kurochkina
Organization: Saratov State Medical University
Summary:

Social and psychological problems of complex rehabilitation of patients with synchronous malignant tumors are not solved yet and require the futher scientific work. The purpose of our investigation was the study of life quality of the ginen patients category, using the adapted questionnaire FAGT-G (The Functional Assessment of Cancer Therapy - General). The analysis of the data has shown that 30% of patients with synchronous polyneoplasia have problems in psychoemotional sphere. These data are confirmed by the scale of depression results and by peculiarities of the psychological reaction to diseases. That’s why the correction of psychoemotional condition is an important component in modern social technologies. The practical realization of social technologies of rehabilitation is the program of complex rehabilitation of patients. The construction of such program of complex rehabilitation of patients with synchronous malignant tumors will consider all possible ways of improvement of patint’s quality and adapt to the new conditions of vital activity.

Keywords: rehabilitation

SPECIFIC FEATURES IN DIAGNOSING MULTIPLE PRIMARY SYNCHRONOUS MALIGNANT MAMMARY NEOPLASMS

Year: 2007, volume 3 Issue: №4 Pages: 102-107
Heading: Oncology Article type: Original article
Authors: T.N. Popova, T.D. Selezneva
Organization: Saratov State Medical University
Summary:

Research objective: to clear up the specific features in diagnostics and the reasons for introduced errors in diagnosing multiple primary synchronous malignant neoplasms with one of their localization in a mammary gland.
Sources and methods: The present research is based on medical histories and questionnaires of 92 patients (1 group and control group) suffering from synchronous multiple neoplasms.
Results: It was found out that at multiple primary processes the primary neoplasms (tumors) are usually located in a mammary gland (89.1 ± 3.2%); their presentation is asymptomatic on the one third of patients (31.9 ± 4.1%); those tumors are usually detected by the patients (68.5 ± 4.8%).
The second and the following tumors are localized in a mammary gland (56.4 ± 5.2%) and a thyroid gland (26.1 ± 4.6%) in most cases. The presentation of a tumor is not usually clinically significant on the half of the patients (50.0 ± 5.2%); that is why a tumor is not usually detected on 23.9 ± 4.4% of the patients at medical examination.
The reasons for overlooked tumors: 1) incomplete medical examination of patients (54.5 ± 5.2%); 2) low skill level of doctors responsible for medical examination (27.3 ± 4.7%); 3) difficulties at conducting clinicopathologic diagnostics (18.2 ± 2.8%).

Keywords: cancer

КЛИНИКО-БОХИМИЧЕСКИЕ АСПЕКТЫ ЭНДОГЕННОГО ТОКСИКОЗА ПРИ ПСОРИАЗЕ И КАЧЕСТВО ЖИЗНИ БОЛЬНЫХ

Year: 2007, volume 3 Issue: №4 Pages: 99-101
Heading: Physiology and Pathophysiology Article type: Original article
Authors: A.A. Svistunov, A.L. Bakulev, A.B. Shmerkevich
Organization: Saratov State Medical University
Summary:

In 102 patients with psoriasis in a progressive phase indexes BSA, PASI, DLQI were defined, as well as the content of molecules of average weight and immune cpmplexes in blood. It was determined, that in patients with psoriasis endotoxocosis is developing, shown during the laboratory examination as increase of biochemical not only with the form and prevalence of dermatosis, but also exerted adverse influence on the quality of life of the patients as a whole.

Keywords: psoriasis

THE EXPERIMENTAL AND CLINICAL RESEARCH ABOUT NEW METHOD OF PROBIOTIC “SPOROBACTERIN LIQUID” APPLICATION FOR SURGICAL INFECTION PREVENTING TREATMENT USING THE METHOD OF TRANSOSSEOUS OSTEOSYNTESIS

Year: 2007, volume 3 Issue: №4 Pages: 93-98
Heading: Traumatology and Orthopedics Article type: Original article
Authors: D.V. Alimov, A.A. Safronov, M.B. Litvak, S.A. Nemolyaev, H.M.F. Sakalla
Organization: Orenburg State Medical Academy
Summary:

The scientific research deals with the application of probiotic “Sporpbacterin liquid” as method for preventive treatment of the infectious complications using the method of transosseous osteosyntesis.

TO THE QUESTION ABOUT THE MULTIPLANAR DEFORMITIES OF THE PROXIMAL PART OF FEMUR

Year: 2007, volume 3 Issue: №4 Pages: 89-93
Heading: Traumatology and Orthopedics Article type: Original article
Authors: V.A. Vinikurov, N.Kh. Bakhteeva, A.V. Grigorieva, L.I. Biryukova
Organization: Saratov Scientific Research Institute of Traumatology and Orthopedics
Summary:

The analysis of the long-term results of 47 patients (54 hip joints) with the hip joint dysplasia is presented in this article. The course of disease was complicated by the multiplanar deformity of the proximal part of femur and early development of deforming coxarthrosis. The analysis allows to define the clinical and X-ray signs of the possible multiplanar deformity of the proximal part of femur in children with dysplasia of the hip joints. It also allows to diagnose the pathological shanges during the treatment ad at the age until 12 months. The worked out tactics of treatment for such patients allows to prevent the development of the early coxarthrosis.