Saratov JOURNAL of Medical and Scientific Research

№3, 2011, volume 7

Hormonal status disturbances in papillary cancer of thyroid gland at different stages of neoplastic process

Year: 2011, volume 7 Issue: №3 Pages: 658-660
Heading: Oncology Article type: Original article
Authors: Zyablov Е. V., Chesnokova N.P., Barsukov V. Yu.
Organization: Saratov State Medical University
Summary:

The research goal is a comparative evaluation of indicators of hormonal status disorders in patients with papillary thyroid cancer during the course of neoplastic process. The comparative evaluation of indicators of thyroid-stimulating hormone, thyroxine, triiodothyronine and titers of autoantibodies to thyroid peroxidase level in blood in 35 patients with papillary thyroid cancer at l-ll stages and in 33 patients — at III-IV stages of disease has been carried out. The study has found that hormonal changes in papillary thyroid cancer include the reduction of thyroxine in blood. In case of papillary thyroid cancer the level of thyroid stimulating hormone is increased at various stages of the spread of neoplasia

Keywords: thyroid cancer, hormonal status

Epidemiology of neurosyphilis in the Saratov region

Year: 2011, volume 7 Issue: №3 Pages: 653-657
Heading: Neurology Article type: Original article
Authors: Kravchenya S.S., Kolokolov O.V., Bakulev A. L, Sherstobitova LA., Sholomov I.I., Branova M.A., Zhukovskaya A.U.
Organization: Saratov State Medical University
Summary:

The research goal is to evaluate the epidemiology of syphilis and neurosyphilis in the Saratov region science 1994 till 2010. Materials and methods: The forms of statistical inquiry in the Saratov region have been studied. The results of syphilis blood tests were examined in neurological departments of Saratov hospitals. Results: The tendency to reduction of syphilis morbidity was revealed in the Saratov region while the incidence of neurosyphilis increased. Severe forms of symptomatic neurosyphilis were predominant. In spite of increasing number of positive syphilis serological tests in neurological hospitals of Saratov the detection of neurosyphilis among neurological patients remained low. Conclusion: Neurosyphilis has become a common disease in the Saratov region. The issues of diagnostics and treatment of neurosyphilis should be considered by close cooperation between dermatologists and neurologists

Keywords: syphilis, neurosyphilis, epidemiology

Possibilities of magnetic resonance tomography in identification and diagnostics of neurosyphilis forms

Year: 2011, volume 7 Issue: №3 Pages: 647-652
Heading: Neurology Article type: Original article
Authors: Kolokolov O.V., Bakulev A.L., Zuev V.V., Sholomov I.I., Chekhonatskaya M.L, Kolesnikov A.I., Tikhonova LA., Starodubova A. V.
Organization: Saratov State Medical University
Summary:

Aim: To evaluate the possibilities of the magnetic resonance tomography (MRT) in diagnostics and identification of neurosyphilis. Materials and methods: A total of 1387 patients with different forms of documented neurosyphilis were examined to study the deficiency of neurological function. The diagnosis of neurosyphilis was confirmed by CSF-study. MRT was performed in 57 cases. Results: Magnetic resonance tomography (MRT) in 6 patients showed no pathology, 16 patients had arachnoid cystic changes and in 16 cases hydrocephaly occurred. Cerebral cortical atrophy was presented in 13 patients, in 12 cases — multifocal changes were visualized, 12 patients had white matter structural changes. Two cases required diagnostics. A 59-year-old man was hospitalized with epileptic seizure, progressive dementia and multifocal neurologic symptoms. A 40-year-old man was examined with recurring episodes of acute cere-brospinal accident and progressing cognitive disorders. Conclusion: MRT could be used in differential diagnostics of neurosyphilis imitating space-occupying lesions of cerebrum and spinal cord, tumors of central nervous system and could help to define the form of neurosyphilis

Keywords: ultrasonography, neurosyphilis, magnetic resonance tomography

General methods of identification of narcotic substances in cadaveric urine and biochemical indices in blood at positive identification of drug substances

Year: 2011, volume 7 Issue: №3 Pages: 642-646
Heading: Narcology Article type: Original article
Authors: Bychkov E.N., Serkova S.A., Arsentieva L.A., Frantsuzova T.S., Bluvshtein G.A., Borodulin V.B.
Organization: Saratov State Medical University, Saratov Bureau of Forensic Medical Examination
Summary:

The goal of the present paper was to find effective biochemical markers of chronic narcotization. Materials and methods. The results of biochemical research of biological liquids in human organism and chromatographic methods of drug substances identification in cadaveric urine were analyzed. Research of 197 samples of different biologic liquids of 10 persons was carried out. Control was fulfilled on the basis of 135 samples of biological liquids took of 12 persons. Methods of identification of drug substances are presented, chromatographic and spectral characteristics of drug substances are described. Interrelations of biochemical indices at positive study of drug substances identification were conducted. The increased urea metabolic concentration in cadaveric blood of drug addicts was revealed in comparison with control specimens. Results. (Numeral results are given in Table 3). Correct correlation of biochemical markers was not established. Conclusion. The present results suppose continued study of informative reliable biochemical markers of chronic drug intoxication

Keywords: urea, spectroscopy, narcotic substances, creatinine, chromatography

Clinical and epidemiological signs of scabies and modern methods of diagnostics and treatment (review)

Year: 2011, volume 7 Issue: №3 Pages: 636-641
Heading: Skin Diseases Article type: Review
Authors: Utz S.R., Zavialov A. I., Marchenko V.M.
Organization: Saratov State Medical University
Summary:

The research work provides summary on diagnostics and treatment of scabies. Russian and foreign medical literature has been analyzed. Modern situation of epidemiology, different clinical forms of scabies and some cases of non-effective treatment have been considered

Keywords: treatment, scabies, epidemiology, clinic

The peculiarities of the metabolism processes in patients with the exacerbation of extensive psoriasis

Year: 2011, volume 7 Issue: №3 Pages: 633-636
Heading: Skin Diseases Article type: Original article
Authors: Baityakov V. V.
Organization: Mordovian State University
Summary:

Purpose. The study of some indices of the metabolism in patients with the exacerbation of extensive psoriasis, the investigation of the revealed disorder dependence on the clinical peculiarities of the disease and anamnesis data. Methods. 253 patients with extensive psoriasis from the age of 18 to 72 have been investigated.Some indices of lipid and protein metabolism, medium molecular peptide content, lipid peroxidation and antioxidant protection processes in blood plasma have been studied. Results. Dysproteinemia, the increase of С — reactive protein level, seromucoid, medium molecular peptides, common lipids, triglycerides, the reduction of the level of lipid proteins of high density, the intensification of lipid peroxidation processes and the reduction of antioxidant activity have been marked in blood plasma in patients with the exacerbation of extensive psoriasis. The dependence of some indices of metabolism on the clinical picture and the severity of skin process, age, family history has been revealed. Conclusion. Metabolism disorders in patients with psoriasis are of systemic character. It seems appropriate to carry out a deep study of metabolism indices in patients with psoriasis with the following correction of the revealed disorders

Keywords: psoriasis, protein metabolism, lipid peroxidation processes, lipid metabolism, antioxidant activity

Diagnostic value of markers of vascular endothe-lial injury in thermal traumas

Year: 2011, volume 7 Issue: №3 Pages: 629-632
Heading: Clinical Laboratory Diagnostics Article type: Original article
Authors: Morrison V. V., Bozhedomov A. Yu., Zakharova N. В., Podgornova A. V.
Organization: Saratov City Clinical Hospital №7, Saratov State Medical University
Summary:

The research goal is to study the composition of biological vascular endothelial injury markers in dynamic development of burn disease. Materials and methods: the investigation included 32 patients with thermal burns. The markers of vascular endothelial growth factor (VEGF), monocyte chemotactic protein-1 (MCP-1) and the number of circulating endothelial cells (CECs) were observed. Results: it was revealed that levels of VEGF, MCP-1 and CECs were significantly increased in patients with thermal traumas. Conclusion: VEGF and MCP-1 were proved to be early and prominent vascular endothelial injury markers in burn disease

Keywords: burns, markers of vascular endothelial injury, syndrome of systemic inflammatory response

Research results of application of reflexo-therapy in correction of myopia

Year: 2011, volume 7 Issue: №3 Pages: 624-628
Heading: Ophtalmology Article type: Original article
Authors: Agasarov L.G., Yurova O.V., Frantsuzov A.S., Tikhonova L.A.
Organization: Saratov Road Clinical Hospital, Russian Scientific Center of Restorative Medicine and Health Resort, First Moscow State Medical University n.a. I.M. Sechenov
Summary:

Objective: To develop the optimum scheme of acupuncture, aimed at improving the functional status of the visual analyzer in patients with myopia. Materials. Treatment was conducted in the main group by reflexology courses in 10 procedures and basic therapy in the control group, only basic therapy. The examination included the classic ophthal-mologic research methods, ultrasound and Doppler echoofthalmografy with color mapping of blood vessels — the ophthalmic artery (OA), central retinal artery (CRA) and posterior long ciliary arteries (ZDTSA), the study of visual efficiency and visual assessment of the subjective expression of asthenopia. The results of these studies were subjected to statistical analysis using the method of variation statistics with the computation of the arithmetic mean (M), the average error of the arithmetic mean (m) and the level of significance (p). Differences between mean values were considered significant if the probability of errors on the distribution of Student»s less than 0,05. The result showed a pronounced effect method of acupuncture on the clinical features, hemodynamic and ergonomic eye, the severity of visual fatigue and general condition of patients. Conclusion. The use of corporal-auricular acupuncture technique in patients with myopia allowed to increase the visual acuity without correction in 1,6 times, visual acuity with correction in 1,2 times, lower rates of subjective and objective refraction in an average of 29.8 and 32.4%, increase rates of accommodation of more than 1,5 times, to increase blood flow velocity characteristics in the GA by an average of 9.7, the CAC at 33.4 and ZDTSA by 27,5%. All this is possible to reduce the severity of subjective indicators of asthenopia in 58% of cases and to increase visual efficiency by 11,3%

Keywords: reflexotherapy, myopia, corporeal technique, auricular technique reflexotherapy

Homocysteine as a risk factor of ischemic heart disease development (review)

Year: 2011, volume 7 Issue: №3 Pages: 619-624
Heading: Internal Diseases Article type: Review
Authors: Skvortsov Yu.l., Korolkova A.S.
Organization: Saratov State Medical University
Summary:

Homocysteine is a product of methionine metabolism. Increased levels of homocysteine strengthen oxidizing stress, disturb endothelial function, raise arterial blood pressure and lead to thrombus formation. Homocysteine increases the risk of development of atherosclerosis, coronary heart disease, cerebral and peripheral vessels diseases. By severity it can be compared with smoking and hypercholesterolemia. High levels of homocysteine cause the development of cardiovascular diseases that occur in people who have never suffered from heart attacks. Vitamin B-12 and folate decrease the homocysteine level and convert it into cysteine and methionine

Keywords: vitamin B12, thrombogenesis, methionine, homocysteine, endothelium, atherosclerosis

Cardiovascular pathology in veterans of Great Patriotic War and aged patients: spectrum and clinical pattern

Year: 2011, volume 7 Issue: №3 Pages: 614-619
Heading: Internal Diseases Article type: Author's opinion
Authors: Denisova Т.Р., Malinova L.I., Shuldyakov V.A., Alipova L.N., Shuvalov S.S., Silina T.S.
Organization: Saratov State Medical University, Saratov Regional Hospital for Veterans of Wars, Saratov Institute of Cardiology, Russia
Summary:

Cardiovascular pathology spectrum and dynamics in veterans of Great Patriotic War and aged patients of Volga agricultural and industrial region were studied. Clinical signs and course of cardiovascular pathology in aged patients were determined. A «dissolution» phenomenon of chronic cardiovascular pathology was revealed in patients aged over 100 years

Keywords: veterans of Great Patriotic War, longevity, cardiovascular pathology