Saratov JOURNAL of Medical and Scientific Research

2007, volume 3

TREATMENT OF LONG TUBULAR BONE FRACTURES BY APPARATUS OF EXTERNAL FIXATION AND INTRAMEDULLARY INFLUENCE OF PHYSICAL AGENTS

Year: 2007, volume 3 Issue: №3 Pages: 76-79
Heading: Traumatology and Orthopedics Article type: Original article
Authors: O.V. Beydik, D.A. Markov, D.V. Afanasev
Organization: Saratov State Medical University
Summary:

Advantages of an osteosynthesis of a femur diaphysis fractures by apparatus of external fixation rod type and intramedullar spokes are discussed. Computer modelling on the basis of methods of mechanics of a deformable firm body for spoke and rod apparatus of external bracing is lead.

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COMPUTER-TOMOGRAPHICAL FEATURES OF CRANIOCEREBRAL TRAUMA WITH DIFFERENT GENESIS

Year: 2007, volume 3 Issue: №3 Pages: 73-75
Heading: Neurology Article type: Original article
Authors: M.V. Sagel, I.I. Sholomov, V.V. Mashin, R.K.
Organization: Ulyanovsk State University, Saratov State Medical University
Summary:

Analysis of the results of computer tomography (CT) of 247 patients with craniocerebral and mine-explosive trauma with different degree of damage in acute and distant period was provided. Authors revealed, that in acute period of craniocerebral trauma CT may detect different kinds of zones of concussion damage including bilateral damage. Atrophic process, mostly diffusive, may develop in distant period. Both ventricular system as well as subarachnoid space may be involved. Mostly severe atrophic cerebral changes are revealed due to third and fourth types of focal concussion damage of the brain. Mine-explosive damage of the brain is not visualized by CT-scanning in acute period. Generalized type of posttraumatic cerebral atrophy is revealed in patients with disease in distant period.

Keywords: traumatology
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INFLUENCE OF SEASON PATTERN ON PREVALENCE AND SEVERITY OF ACUTE MYOCARDIAL INFARCTION, FUNCTION OF HEMOSTASIS IN PATIENTS WITH ISCHEMIC HEART DESEASE OF CLIMATE AREA OF MIDDLE VOLGA REGION

Year: 2007, volume 3 Issue: №3 Pages: 68-72
Heading: Internal Diseases Article type: Original article
Authors: O.K. Rybak, A.N. Burlaka, N.P. Ivannikova, A.P. Burlaka
Organization: Saratov Institute of Cardiology, Russia, Saratov State Medical University
Summary:

The aim of this study is to evaluate season pattern, severity and outcome of acute myocardial infarction in dependence of yearly patterns of function of hemostasis in middle Volga Region. Season pattern of prevalence myocardial infarction with winter peak was discovered, be accompanied of increase platelet aggregation, deterioration of blood viscosity, fibrinolysis depression. Most serious clinical course of summer myocardial infarction was observed with prosperity of hemostasis.

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EXPERIENCE OF RESPIRATORY FLUOROHINOLONUM LAEVOFLOXACINE APPLICATION («FLORACID®») IN PATIENTS WITH NON-SEVERE COMMUNITY-ACQUIRED PNEUMONIA

Year: 2007, volume 3 Issue: №3 Pages: 65-67
Heading: Internal Diseases Article type: Original article
Authors: A.P. Rebrov, E.Yu. Ponomarеva, I.A. Amirova
Organization: Saratov State Medical University
Summary:

The dynamics of clinical and laboratory parameters in patients with community-acquired pneumonia were studied during the treatment with respiratory fluorohinolonum laevofloxacin «Floracid®». The high efficiency and safety of «Floracid®» were revealed during the research.

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PECULIARITIES OF GESTASION IN PREGNANT WOMEN WITH METABOLIC SYNDROME

Year: 2007, volume 3 Issue: №3 Pages: 62-64
Heading: Obstetrics and Gynecology Article type: Original article
Authors: R.R. Berihanova, G.I. Khripunova
Organization: Saratov State Medical University
Summary:

The article presents the peculiarities of gestasion in pregnant women with metabolic syndrome. The obtained findings testify that metabolic syndrome is a factor of high risk in the development of gestosis, fetoplacental insufficiency and another obstetrical complication.

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ABOUT THE ROLE OF ENDOTHELIAL DYSFUNCTION IN GESTOSIS DEVELOPMENT

Year: 2007, volume 3 Issue: №3 Pages: 60-62
Heading: Obstetrics and Gynecology Article type: Original article
Authors: G.I. Khripunova, E.V. Ponukalina, G.S. Salakhieva
Organization: Saratov State Medical University
Summary:

The complex clinical and laboratory researches conducted in groups of the pregnant women with mild case of gestosis, middle serious preeclampsia and with heavys everity of gestosis. Anticoagulation and fibrinolytic activity of a wall of vessels on a background of creation of a short-lived ischemia were examined. Disturbance of a coagulative potential of a blood are actuated development endothelial dysfunction in groups of the pregnant women with middle serious preeclampsia and with heavy severity of gestosis.

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THE ISSUE OF PREGNANCY AND DELIVERY WITH PRENATAL INFECTION OF THE FETUS, HEALTH STATUS OF BABIES ON THE FIRST YEARS OF LIFE

Year: 2007, volume 3 Issue: №3 Pages: 57-60
Heading: Obstetrics and Gynecology Article type: Original article
Authors: L.V. Vasilenko, I.A. Uts, S.A. Stepanov, T.L. Vasilenko
Organization: Saratov State Medical University
Summary:

Pregnancy and delivery of 27 women with prenatal infection of the fetus, neonatal period of the babies with prenatal pneumonia, health status of up to 2 children were researched in retrospect. Women with inflammation of the genitals (78,6%) and extragenital pathology of the inflammatory genesis (36,3%) had prenatal infection of the fetus. In the early neonatal period every baby had cerebral ischemia, every third child had haemorrhages in different cerebral structures. All babies have been transferred to children's hospital for treatment where the rehabilitation was carried out during 1-2,5 months. Infantile cerebral paralysis, hydrocephaly, epilepsy, epileptoid attacks were detected in 8 babies on the first year of life (29,6%). 5 babies (18,5%) had atrophy of discs of optic nerves, retinal angiopathy. All babies with local pathology of the central nervous system were premature born on the 26-32 week. Majority has herniae of different localization (55,5%), congenital dysplasia of the hip joint (74%), 26 babies (96,2%) were on the books because of anaemiae, pneumoniae, bronchites, pyelonephrites, septicaemiae. Using the received data we can draw a conclusion: in order to reduce perinatal complications in the maternal organism, in the organism of newborn baby and baby on the first year of life it is necessary to sanify the birth canal, to do preclinical diagnostics and preventive therapy of the prematurely born, gestosis, fetoplacental insufficiency.

Keywords: pregnancy
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MODERN COMPLEX ISSUES DURING THE PROFESSIONAL EDUCATION OF ADOLESCENTS ON THE RAILWAY TRANSPORT

Year: 2007, volume 3 Issue: №3 Pages: 53-56
Heading: Hygiene Article type: Original article
Authors: D.Yu. Eliseev
Organization: Saratov State Medical University
Summary:

In the paper the physiological and hygienic estimation of conditions of teenage boys' working and industrial training for the engine-driver assistant of the rolling-stock in an educational institution of a railway profile is given. It is determined, that the students functional state of health is connected with the character and the year of industrial training; the most obvious changes are marked during practice on a regular job place.

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PATHO-PHYSIOLOGICAL MECHANISMS OF TOBACCO SMOKING EFFECT ON THE CARDIOVASCULAR SYSTEM

Year: 2007, volume 3 Issue: №3 Pages: 49-52
Heading: Physiology and Pathophysiology Article type: Review
Authors: N.V. Novikova, A.I. Kodochigova, V.F. Kirichuk, D.S. Novikov, V.G. Halturina
Organization: Saratov State Medical University
Summary:

Modern patho-physiological mechanisms with the help of which tobacco smoking contributes to the development of cardiovascular pathology are represented in the review. The most significant of them are endothelial dysfunction, progressing of atherosclerotic processes, alteration of rheologic properties of blood, increase of carboxyhemoglobin levels, activation of sympathetic nervous system of the heart.

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MODERN ASPECTS OF INTERCELLULAR INTERACTIONS AND THEIR ROLE IN GENESIS OF TUBULOINTERSTICIAL NEPHROPATHIES

Year: 2007, volume 3 Issue: №3 Pages: 44-49
Heading: Physiology and Pathophysiology Article type: Review
Authors: I.A. Utts, N.B. Zaharova, M.L. Kostinа
Organization: Saratov State Medical University
Summary:

Nowadays the researchers become more interested in the mechanisms of the intercellular interactions and imbalance of the chemical reactions as the bases of development of any disease. According to the laws of the general pathology, after insulting (mechanically or infectiously) cells produce a complex of vasoactive, inflammatory and anti-inflammatory, prosclerous, apoptosis mediators - cytokines. Numerous researches are devoted to studying of the pathogenetic role of these messengers in the mechanisms of the damage of tubules and interstices, in development and progressing of proliferative processes in the tubulointersticial tissues. The results of these works allow to understand the pathogenesis of tubulointersticial nephropathies from the modern point of view, to determine the basic mechanisms of realization of pathological influence and progressing of changes in the tubulointersticial tissues. This knowledge enables to use cytokines and factors of growth as the early markers of inflammatory as well as fibrotical processes in the damaged tubulointersticial tissues which are especially important with children's nephropathies.

Keywords: pathogenesis
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