Saratov JOURNAL of Medical and Scientific Research

2019, volume 15

Vegetative dystonia syndrome as a somatoform disorder

Summary:

Despite the fact that there is still no consensus on concept and use of vegetative vascular dystonia as a diagnostic term in Russian literature, this diagnosis has become firmly established in clinical practice. In this article we have tried to reconcile two competing concepts — psychovegetative syndrome and vascular dystonia — primarily on the basis that both concepts reflect functional disorders of suprasegmental apparatus of the autonomic nervous system (limbic-reticular complex, reticular formation of the brain stem) and have more similarities than differences, which allows us to include them in a general group of somatoform disorders.

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Migraine and epilepsy: comorbidity and problems in diagnostics

Year: 2019, volume 15 Issue: №1 Pages: 154-158
Heading: Neurology Article type: Review
Authors: Kalinin V.A., Poverennova I.E., Yakunina A.V., Myakinina A.E.
Organization: Samara State Medical University
Summary:

The purpose of this review is to carry out the analysis of published data on comorbidity of migraine and epilepsy. The review is based on results of epidemiological and genetic studies. Clinical manifestations of two diseases are in many respects similar, which sometimes leads to considerable difficulties in diagnostics. Differential diagnosis is based on careful analysis of clinical manifestations, electroencephalography and neuroimaging data. Genetic forms of epilepsy are often accompanied by migrainous headaches. The unity of some pathophysiological mechanisms of epilepsy and migraine predefines comorbidity and directions of diagnostics and treatment for both diseases. Nevertheless, there is a number of questions which demand more precise answers to improve diagnostics and treatment.

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Distinguishing features of the range of serum antibodies to nervous tissue antigens in Parkinson's disease

Year: 2019, volume 15 Issue: №1 Pages: 151-154
Heading: Neurology Article type: Original article
Authors: Goncharova Z.A., Kolmakova T.S., Oksenjuk O.S., Morgul E.V., Gelpey M.A., Vlasova N.D., Kalmykova Yu.A.
Organization:
Summary:

The goal of this study was to perform a multivariable analysis of immunobiochemical parameters which reflect the state of nervous system microstructure in Parkinson's disease (PD). Materials and Methods. The study included 54 patients of the main group with a diagnosis of PD and 6 patients of the control group. The immunoreactivity profiles of natural regulatory auto-AB in serum were determined by ELISA using the ELI-P-Complex assay. The following parameters were assessed: ABto NF-200, GFAP, S100 proteins, MBP, beta-endorphin, voltage dependent Ca2+channel, H-cholinergic receptors, glutamate, dopamine, serotonin, opiate, GABA receptors. Results. The study revealed significant abnormalities in auto-AB profiles of the examined patients. Conclusion. The findings on the difference in range of auto- AB dependent on the duration of the disease and the revealed associations with the main characteristics of the disease can be used both for early diagnosis and for predicting the course of PD in the future.

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Contribution of Saratov school of dermatology to the study of rare and chronic dermatoses in the 20-30s of the XX century

Year: 2019, volume 15 Issue: №1 Pages: 136-140
Heading: Scientific schools and memorable dates Article type: Short message
Authors: Yakupov IA, Zavyalov Al, Utz SR, Morrison AV, Mizinov DS, Kryukov YuYu.
Organization: Moscow Scientific and Practical Center of Dermatology, Venereology and Cosmetology of Moscow City Health Department, Saratov State Medical University
Summary:

The article is devoted to the scientific and practical contribution of the staff of the clinic of skin and venereal diseases of the Saratov Medical Institute in the study of etiology, pathogenesisand development of modern methods of diagnosis and treatment of rare and chronic skin diseases in the first half of the twentieth century.

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The activity of phthisiology service of the Saratov region during the Great Patriotic War and the first post-war years

Year: 2019, volume 15 Issue: №1 Pages: 132-136
Heading: Scientific schools and memorable dates Article type: Short message
Authors: Chulochnikov А.А.
Organization: Saratov State Medical University
Summary:

The article presents a brief overview of the tuberculosis service's activities, of epidemiological situation in the Saratov region during the Great Patriotic war, and of contribution of advanced tuberculosis evacuation hospitals in reducing the number of tuberculosis cases among military personnel and civilian population in the Saratov region.

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Department of Microbiology of Saratov State Medical University name after V. I. Razumovsky: the origins and the history of development (1918-2018)

Year: 2019, volume 15 Issue: №1 Pages: 127-131
Heading: Scientific schools and memorable dates Article type: Short message
Authors: Mikerov A..N, Raykova S.V., Shvidenko I.G., Khodakova N.G., Soboleva E.F., Shapoval O.G., Allyanova M.S., Kutyrev V.V.
Organization: Saratov State Medical University
Summary:

Department of Microbiology, Virology and Immunology is one of the oldest departments of Saratov State Medical University n.a. V. I. Razumovsky. It has the rich historical experience in the organizing of studies and professional activities of students, which is an integral part in training and education of a modern doctor.

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Professor VitaliyViktorovich Morrison (to the birth anniversary)

Year: 2019, volume 15 Issue: №1 Pages: 124-126
Heading: anniversary Article type: Short message
Authors: Chesnokova N.P., Zavyalov A.l., Afanasyeva G.A.
Organization: Saratov State Medical University
Summary:

The article is devoted to the 75th birth anniversary of Vitaliy Viktorovich Morrison, Professor and Merited Worker of Higher Education of the Russian Federation. Keywords: V.V. Morrison, anniversary.

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Active learning strategy in teaching Nursing discipline at the faculty of General Medicine

Year: 2019, volume 15 Issue: №1 Pages: 119-123
Heading: Pedagogics and Education Article type: Short message
Authors: Tainkin А.А.
Organization: Saratov State Medical University
Summary:

The article presents the author's methods of applying business games and working in small groups in the class on the discipline Nursing. The use of active forms of education will help increase the effectiveness of the educational process.

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The impact of the competence-based approach to training on the results of intermediate certification of students at the Department of General Hygiene of Voronezh State Medical University

Year: 2019, volume 15 Issue: №1 Pages: 114-119
Heading: Pedagogics and Education Article type: Original article
Authors: Popov V.I., Fertikova Т.Е.
Organization: Voronezh State Medical University n.a. N.N. Burdenko
Summary:

Purpose: analysis of the level of competence formation on the basis of the results of intermediate certification of students at the Department of General Hygiene of Voronezh Medical University. Material and Methods. The article describes the dynamics of the results of intermediate certification of students enrolled in the Department of General Hygiene of Voronezh Medical University, in connection with the implementation of the competence approach. Results. A conclusion about stable results of examinations of students of all faculties for the last years is made. The highest proportion of excellent and good grades was noted among students of the medical faculty. The share of excellent marks received by students of the medical faculty was 17.4-20.7%, by students of the pediatric and medical preventive faculties — 9.6-17.8 and 1.9-17.1%, respectively. The proportion of satisfactory marks among students of the medical faculty — 31.2-37.2%. Most of all the proportion of satisfactory assessments among students of the medical preventive faculty — 51.2-69.7%. The directions of activity of the teaching staff of the department have been proposed, they will allow to increase the level of development of competencies, especially professional ones. These include the widespread use of innovative educational technologies, such as problem- oriented and design-organized learning technologies. Examples of new approaches to teaching in a

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Current state and prospects of antibiotic prophylaxis in patients after burn injury

Year: 2019, volume 15 Issue: №1 Pages: 108-113
Heading: Parmacology Article type: Review
Authors: Barsuk A.L., Lovtsova L.V., Nekaeva E.S., Sorokina Yu.A.
Organization: Privolzhskiy Research Medical University
Summary:

The review is devoted to antibiotic prophylaxis of infectious complications in burns. Severe burn injury often results in death. Infectious complications are the most common cause of mortality in these patients. Systemic antibiotic prophylaxis is actively used in practical medicine, but is not recommended by national and international clinical guidelines for the treatment of patients affected by burns. The principles of such prevention have not been developed yet. The data of studies of systemic antibiotic prophylaxis are inconsistent. A number of studies confirm the rationality of use of systemic antibiotic prophylaxis in persons on artificial ventilation with severe burns. This approach has been reported to reduce mortality and incidences of pneumonia significantly. There are evidences of perioperative antibiotic prophylaxis effectiveness in some surgical procedures associated with burn injury. Studies also demonstrate antibiotic prophylaxis and intestine decontamination combination effectiveness in preventing from complications in burn patients. Besides antibiotic prophylaxis, other pharmacological approaches currently are being developed in order to reduce the incidence of infectious complications in burns. Preclinical studies have shown the effectiveness of statins and topical probiotics in the prevention of burn sepsis in the experiment. The development and implication of early diagnostic methods for infectious complications is one another possible way to prevent severe infections in patients with burn injury.

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