2014, volume 10

The aim of the present study was to determine the effectiveness of extracorporeal shock wave therapy in treating shoulder-scapular periarthritis. Material and methods. Survey and treatment of 30 patients of 45-67 years old with the diagnosis: shoulder periarthritis (7 women and 23 men). Age of the disease ranged from 1 month to 5 years. All patients were conducted x-ray examination of the cervical spine and the shoulder joint (radiography and/or MRI). To determine the pain activity the Visual analogue scale was used, Dowborn's test, test WAM. Results. The characteristic feature of the shoulder periarthritis is positive Dowborn's symptom: when rotating the shoulder inside (internal rotation) and the side of her moves up to 450-900 there was a pain in the shoulder joint (100% of patients). Conclusion. The appointment of a medical course of ESWT enhances functionality and adaptive responses in patients with shoulder-dorsal periartritom, and may be the method of choice of tactics therapy treatment of patients of this profile. The shock wave therapy is delayed effect. All patients received the ESWT, observed devolution of pain, to a minimum of 6 months to recommend re courses of therapy with a frequency of no more than 2 times a year.

Tftea/m of the present study was to determine the effectiveness of laser irradiation of cervical spine in the treatment of cervicogenic headaches. Material and methods. Survey and treatment of 28 patients of 40-60 years with diagnosed cervicogenic cranialgia (15 men and 13 women). Age of the disease ranged from 3 months to 3 years. All patients had cervical spine x-ray examination. To determine the pain activity the Visual analogue scale (VAS) was used, Credo's vegetation index was calculated, Index of functional changes (IFC), test САН [san] (WAM —wellbeing, activity, mood). All patients on standard drug therapy receive course treatment using laser irradiation of cervical paravertebral zones from the HILT (made in Italy), a wavelength of 1064 nm. Results. After a course of therapy there was decrease of pain syndrome in 100% of cases, but it was totally blocked at 82% of the patients. As a result of treatment by the end of the course found unreliable the average ad in 46.5% of people. Conclusion. Studies have shown that laser irradiation therapy of the cervical spine in craniocervicalgia requires a more careful approach to this kind of physical impact, qualitative survey of patients, including the determination of the conditions of vegetative nervous system and the adaptive capacity of the patient's organism. Also during the procedures needed to be monitored in the dynamics of blood pressure in a patient to determine the duration of the course of laser therapy.

Purpose: assessment the heavy psychosomatic and all-somatic cardiovascular and cerebrovascular pathology of patient, transferred an acute I degree radiation sickness, from the general evenly gamma-beta radiation. Conclusions. The subdepressive and disturbing-depressive syndrome of patient, transferred an acute radiation sickness (ARS) of I degree, from the general evenly gamma-beta radiation, was independent risk factor of development of multifocal atherosclerosis; Features of development of all-somatic and psychosomatic pathology of patient are based on a combination of genetic prerequisites, environment influences (the stress caused by accident on the ChNPP) and social factors, influencing on him during a course of life, especially during early socialization. Thus at development of psychosomatic frustration the combination of feature of the mental reaction connected with the personal characteristic and special relationship between mental (stress) and physiological (somatic) by aspects of reaction which led to metabolism violation, to aging, decrease in adaptation opportunities of an organism and development age — dependent pathology took place.

Aim: to show the clinical features of subacute course of subacute course of radiation disease and how they differ from the typical manifestations of acute and chronic radiation syndrome. Material and methods. Materials of the Burnasyan Federal Medical and Biophysical Center Register of acute radiation disease (ARS) in the Former USSR and Russia and Materials of a Burnasyan Federal Medical and Biophysical Center database of workers "Mayak" with chronic radiation syndrome (CRS) were analyzed. There were selected 22 patients with radiation syndrome due to fractionated or prolonged accidental exposure (the main group of patients). There were formed two subgroups for comparison: patients with a typical marrowy syndrome of acute radiation disease and with chronic radiation syndrome. Statistical analysis of results was made by means of statistical software package Statistica v. 6.1 for Windows (StatSoft Inc., USA) and Microsoft Excel 2010. Results. It was found that subacute course of radiation syndrome is possible under radiation exposure with medium dose rate in the range of 0.1-0.3 Gy/day Early symptoms of the disease as a primary reaction symptoms are completely absent. First complaints appeared in the earliest one month after the start of work in adverse conditions, on the average 6 months. In the period of formation there is a pancytopenia in the peripheral blood. Duration of the formation period was also determined. In this case radiation cataracts in patients are not observed. After the termination of radiation exposure hematopoietic recovery is slow, possibly incomplete with a high probability of hemoblastosis development. Conclusions. There has been described the subacute course of radiation disease by analyzing the clinical material of patients with radiation syndrome, there has been analyzed the clinical criteria that distinguish subacute radiation syndrome from acute and chronic.

The review focuses on the key applications of stable and radioactive isotopes of rare earth elements in the technology of nuclear medicine, radionuclide diagnostics and therapy, as well as magnetic resonance imaging and binary radiotherapy technologies.

This article the necessary research and work that preceded the introduction of radiation sterilization practice for medical products (MP) on an industrial scale, and in which the organization was participating. The research and work
was carried out in order to determine the sterilizing doses; to determine the maximum permissible doses of treatment; to develop irradiation technology; to develop normative and methodological base. The given study presents the results of practical work from 2000 to 2009 on radiation sterilization of MP and works to improve the methodological support of the production of such products. The scope of work was performed on the irradiation of products and conduct its microbiological control. The results of for analysis of the practice are overviewed. There were shown the basic documents for methodological support of production and the organization's role as a scientific and methodological expertise and nationwide center for radiation sterilization of MP, developed by the organization. There was presented the current status of logistical support and other features of the organization for participation in the works on radiation sterilization of MP, radiation processing of food and other materials that require microbiological decontamination.

Aim: to investigate the dynamics of ulcer surface healing depending on type of radiation ulcer and cell product in murine experimental model of severe local radiation injuries after exposure to X-rays. Material and Methods. Mature Wistar rats were used for experiments (males, weight 180-200 grams). Standard model of severe local radiation injuries was used: X-ray irradiation of animals on a modified RAP100-10 device. Isolation of the stromal-vascular fraction carried out by enzymatic treatment of adipose tissue. Autologous cells transplantation performed on day 20 after irradiation in the case of acute radiation injury model (early radiation ulcers) and day 120 in the case of long-term effects of radiation injury model (chronic radiation ulcers). As a positive control allogeneic MMSC derived from rat bone marrow were used. Results. Application of autologous cell products derived from adipose tissue in animal model of severe local radiation injuries was investigated for the first time. It was shown that usage of stromal vascular fraction of adipose tissue for the treatment of early radiation injuries not only leads to better improvement (as compared with the use of MMSCs), but also pronounced therapeutic effect could be observed at an earlier time. On the model of long-term effects of radiation injuries therapeutic effect was observed for all cell products. Conclusion. Cell-based products derived from adipose tissue are promising material for future research and clinical application for treatment of local radiation injuriesK) Described method allows choosing treatment strategy basing on patient's individual characteristics and the type of local radiation injuries.

This article presents currently used blood transfusion media — components and blood products, therapeutic effects, reactions and complications of blood transfusion, use of radiation treatment for blood transfusion fluids. There had been discussed in detail the practice of radiation processing of blood components and for the prevention of reaction "graft versus host" and studies of plasma radiation treatment for its infectious safety. There was presented the current state of techniques and technical solutions of radiation treatment of transfusion-transmissible environments. There were also considered an alternative to radiation treatment of blood.

Aim: to examine the therapeutic efficiency of melanin administered to mice after irradiation at lethal and sublethal doses. Material and methods: Survival and hematological states were studied on CD-1 mice receiving on acute or fractionated whole-body doses on X-rays or gamma-irradiation. Melanin soluble was given with water ad libitum from the first to the 30th-day after irradiation. Results. It was shown that melanin produced a significant therapeutic and protective-therapeutic action against acute radiation injury in the dose range 6,5-7,5 Gy (LD80-LD under our conditions). Cumulative survival melanin treated mice was increased to 14,4%, in control group — 1,9%. After fractionated injury (1 Gy daily, total dose 10 Gy) all mice which consumed melanin remained alive, versus 43,7% in control. Melanin decreased radiation-induced damage and stimulated the hematopoiesis recovery after sublethal exposure (5Gy). Conclusion. The results permit to regard melanin as a therapeutic agent for treatment of radiation injuries.

Aim. The study of virtual reality technology in the rehabilitation of patients with cerebral stroke and influence on post stroke affective disorder. Materials and methods. The study included 88 patients with ischemic stroke: 59 men (67%) and 29 women (33%). The average age of the patients was 62,05 ± 11,74 years. In the study group included 46 patients, 44 patients in the control group. The groups were matched by age, time from the begin of disease, severity of disease, the severity of motor, affective and cognitive impairments. In addition, in the study group to the program of early rehabilitation to use individual training with virtual reality technology (BTS NIRVANA). The duration of the training was 21 days, 3 times a week for 40 minutes. Results. On the background of rehabilitation in the study group patients had a significant reduced of neurological deficit (p