2008, volume 4

The reforming of the system of studying the students and training the doctor of modern level determines the necessity or including of new pedagogical informational and integrated, projecting and research studying technologies in the educational process. It is suggested that an achievement of positive effect is connected with creating and improvement of the work of functional educational system and educational training process with including of rigidly determined system-forming elements.

In 2008 130 years have passed since birthday of the well-known Russian surgeon and academician Sergey Romanovich Mirotvortsev, who had made an important contribution to organization of public health and formation of surgical service in Saratov region. This article is devoted to Saratov period of professor S.R. Mirotvortsev’s life and his work at faculty of surgical pathology with desmurgy and the doctrine about dislocations and crises as well.

In the course of daily duty in clinic, the indeces of functional status, functional reserve of organism and mnestic (operator’s) performance ability of intern doctors with different success level activity in extreme conditions were determined twice (in the beginning and at the end of the duty). It is shown that the higher success level activity in extreme conditions of interns, the more tolerance and strength of their body functional system formed in work process and it means the higher professional activity performance. Intern graduates activity preparation in extreme conditions is one of activities of Medical Institutions of Higher Education quality improvement

The purpose of the present work was to study questions connected with peculiarities of endothelial dysfunction in patients with gout Anticoagulant and fibrinolytic activities and activityofVillebrand factor were investigated. We have revealled endothelial dysfunction, which expressiveness decreased after 3-months treatmentin patients with gout

Patients with III f.c. exertional angina display the signs of chronic DIC. I stage incipient characters are revealed in 42,6% of patients, II stage characters - in 57,4% of patients. Soluble fibrin monomer complexes are initial markers of the chronic DIC. In identical angina pectoris clinical presentation the degree of activity and the DIC syndrome stage can be diverse. The DIC syndrome stage depends on the coronary heart disease duration, angina pectoris and the duration of the accompanied cardiac insufficiency.

The article presents analysis of ratio of biorhythm in patients with gastroesophageal reflux disease and time of clinical symptoms appearance. Itwas determined thatcircadian rhythm, estimated according to Kerdo index, is correlated with appearance of disease symptoms in 24 hours. Taking into consideration its characteristics while managing drug therapy allows to raise therapy’s efficacy.

The comparative analysis of influence of unfractionated heparin and sulodexidon a condition of hemostasis system in patients with cancer of a gastroenteric path was done. It is shown, that both medications give anticoagulant effect and can be equally used as means ofantithrombotic preventive prophylaxis at oncological patients.

Prophylactic management of small doses of fresh-frozen plasma to women in the case when the hemorrhage is less than 20 % of circulating blood volume and the adaptable physiologic changes of hemostasis have been already formed, does not change its coagulative potential. The optimization of an individual program of transfusion therapy should be based on the results of screening and monitoring of hemostasis state.

The analysis of surgical treatment results of 42 patients with hysteromyoma without prolapsed genitals, operated by means of laparoscopic transvaginal supracervical hysterectomy, was conducted. Advantages of this operative treatment in comparison with classical laparotomic and endoscopic operations were noted. Curative effect of embolization of uterine arteries on hysteromyoma was analyzed on example of 30 patients-women. The advantage of roentgenoendovascular hemostasis was proved in 22 patients with neglected forms of cervical carcinoma.

Complex research of rheological properties of blood at patients with lacunar tonsillitis lead depending on the period of disease. It is shown, that inflammatory process at patients to a great extent defines disturbances of rheological properties of blood. During normalization of a clinical presentation of disease there is no full recovery of rheological properties of blood due to preservation of blood raised viscosity and low deformability of erythrocytes membranes.