Saratov JOURNAL of Medical and Scientific Research

Original article

THE METHICILLIN-RESISTANCE MEASURE OF STAPHYLOCOCCI CLINICAL STRAINS

Year: 2008, volume 4 Issue: №2 Pages: 56-60
Heading: Microbiology Article type: Original article
Authors: N.G. Khodakova, G.M.Shub, I.G.Shvidenko
Organization: Saratov State Medical University
Summary:

Staphylococci playa great role in the emergence of various human illnesses. The most actual are infections caused by methicillin-resistant staphylococci.
The study of methicillin susceptibility as a polyresistance marker includes the definition of the minimum inhibitory concentration (MIC) of antibiotic which in vitro fully suppresses the visible growth of microorganisms in the standard experiment conditions and is expressed in absolute figures (mg/l or mkg/ml).
The aim of the research is the measure of MIC methicillin (oxacillin) for the clinical strains of staphylococci isolated from different clinical specimens and comparative analysis antibiotic’s MIC for Staphylococcus aureus and coagulase-negative staphylococci (CNS).
The resultofthe research is the determination of the oxacillin concentration preventing growth of the methicillin-resistant clinical strains ofS.aureus and CNSwhich were detected from different profile hospitals of Saratov- general hospital №2, maternity hospital №6, children’s regional hospital and centre ofcombustiology.
The methicillin-resistant of the staphylococci clinical strains in the Saratov region has not been investigated before.

AttachmentSize
2008_02_056_060.pdf224.33 KB

LOW-INVASIVE SURGICAL TREATMENT OF ACUTE CHOLECYSTOPANCREATITIS IN PATIENTS OVER 60

Year: 2008, volume 4 Issue: №3 Pages: 118-120
Heading: Surgery Article type: Original article
Authors: A.L. Charyshkin, O.V. Midlenko, I.I. Midlenko, E.G. Evtushenko, V.Yu. Schyogolev, A.V. Smolkina
Organization: Ulianovsk City Clinical Emergency Hospital, Ulianovsk Ministry of Health, Ulianovsk Regional Hospital № 2, Ulyanovsk State University
Summary:

Since 1998 to 2007 in the clinic of hospital surgery (based on surgical wards) of Ulianovsk State University the following types of surgical treatmentofpatients with cholelithic disease were carried out: more than 2000 laparoscopic cholecystectomies, 154 mini-laparotomies and 173 traditional laparatomies. Low-invasive surgical treatment of acute cholecystopancreatitis of patients over 60 years due to miniacess is advisable for persons with high degree of operationally anesthetic risk.

AttachmentSize
2008_03_118_120.pdf218.85 KB

FEATURES OF SURGICAL TACTICS AND TREATMENT OF ACUTE APPENDICITIS AT PRESENT STAGE

Year: 2008, volume 4 Issue: №3 Pages: 111-118
Heading: Surgery Article type: Original article
Authors: S.S. Slesarenko, A.Yu. Lisunov
Organization: Saratov State Medical University
Summary:

This research is dedicated to the problem of choosing treatment tactics in catarrhal form of acute appendicitis. The results of investigation and treatment of 1468 patients with acute appendicitis of our region were analyzed. Large specific gravity (26%) of patients who had been operated with regard to acute appendicitis was exposed. With the purpose of improvement of surgical treatment results of patients with acute appendicitis we have worked out and instilled a diagnostic system, which is a totality of invasive and uninvasive methods of investigation that allows to divide clinical material into two categories: one of them is with existence of inflamed process and the other is without it.

AttachmentSize
2008_03_111_118.pdf227.1 KB

THE SPIRIT-PROCAINE PERIARTERIAL BLOCKADES APPLICATION UPON THE THIRD SEGMENT OF VERTEBRAL ARTERY IN VERTEBRAL-BASILAR INSUFFICIENCY

Year: 2008, volume 4 Issue: №3 Pages: 107-111
Heading: Surgery Article type: Original article
Authors: R.Z. Losev, A.M. Khachatryan, I.I. Sholomov, N.A. Kaybekova
Organization: Saratov State Medical University
Summary:

The spirit-procaine blockades are pathogenicallyjustified methods oftreatmentofthe vertebral-basilarartery insufficiency caused by vertebral pathology. Chemical desympathisation of the third portion of the vertebral artery (VA) can be applied as alternative to stellate ganglionectomy and blockades of stellate ganglion or periarterial plexus of the VA at the level of the sixth cervical vertebra. In case of positive effect after procaine blockade, the next stage of the treatment is the periarterial alcoholisation of vertebral arteries by low-concentrated (30°) ethyl alcohol. This effect is analogous to procaine blockade, but more steadfast Clinical and ultrasound investigations proved, thatspirit-procaine blockades improve the blood flow in vertebrobasilar arterial system, reduce the peripherical resistance of the vessels and interhemispherical asymmetry, and decrease the spasm of intracranial arteries, that leads to improvementof neurological condition.

AttachmentSize
2008_03_107_111.pdf227.39 KB

INFECTIONS OF URIC SYSTEM OF NEWBORNS: PECULIARITIES OF URINE DYNAMICS IN LOWER URINARY TRACTS DURING PRE-NATAL DEVELOPMENT

Year: 2008, volume 4 Issue: №3 Pages: 101-106
Heading: Urology Article type: Original article
Authors: M.L. Chekhonatskaya, P.V. Glybochko, L.K. Vasilevich, M.M. Grigorieva
Organization: Saratov City Hospital № 11, Saratov State Medical University
Summary:

For the purpose of revealing pre-natal urine dynamics preconditions ofdevelopment ofan infection ofurinary system atnewborns, feature urine dynamics functions of 101 fetus have been studied. Studying urine dynamics indicators of upper and lower urinary tracts of a fetus was carried out with the help of pre-natal ultrasonic cystometry process of filling and clearing the urinary bladder. It is established, that preconditions to development of urinary system infection in newborns are changes of urinary bladder capacity, frequency and speed of urination pre-natal developments.

AttachmentSize
2008_03_101_106.pdf390.54 KB

QUALITY OF LIFE AND LONG-TERM RESULTS OF RADICAL CYSTECTOMY IN PATIENTS WITH INVASIVE URINARY BLADDER CANCER

Year: 2008, volume 4 Issue: №3 Pages: 97-101
Heading: Urology Article type: Original article
Authors: P.V. Glybochko, A.N. Ponukalin, Yu.l. Mitryaev, N.G. Galkina
Organization: Saratov State Medical University
Summary:

The type of urinary derivation after radical cystectomy due to urinary bladder carcinoma may greatly influence quality of life of patients. The purpose of this study was to estimate influence of different types of urinary derivation after cystectomy upon lifetime and health-related quality of life of patients with invasive urinary bladder cancer.

AttachmentSize
2008_03_097_101.pdf222.31 KB

THE DIAGNOSTIC IMPORTANCE OFCYTOLOGIC SIGNS OF EPITHELIAL OVARIES TUMORS

Year: 2008, volume 4 Issue: №2 Pages: 51-55
Heading: Macro- and Micromorphology Article type: Original article
Authors: E.A. Piterskaya, G.P. Gladilin
Organization: Saratov State Medical University, Saratov Regional Clinical Hospital
Summary:

The informative value ofcytologic signs of various epithelial ovaries tumours, which has the diagnostic importance in the process ofcytologic diagnostics, is determined. Groups of basic, the most are established and the least informative signs for differential diagnostics of boundary cystadenoma and cystadenocarcinoma were determined.

AttachmentSize
2008_02_051_055.pdf243.8 KB

METHODS OF OSTEOSYNTHESIS OF ARTICULAR FRACTURES INFLUENCE OVER DEVELOPMENT OF DYSTROPHIC DEGENERATIVE JOINT CHANGES

Year: 2008, volume 4 Issue: №3 Pages: 90-94
Heading: Traumatology and Orthopedics Article type: Original article
Authors: O.V. Beidik, T.N. Lukpanova, D.V. Mandrov, M.B. Litvak, S.A. Nemalyaev, V.В. Borodulin, A.A. Steklov, M.A. Shcherbakov
Organization: Saratov State Medical University
Summary:

The authors of article suggest the way of treatment limbs fracture of the using to spoke-shank device for external fixation. Such approach allows to reduce risk ofdevelopmentofcomplications anddystrophic degenerative jointchanges.

AttachmentSize
2008_03_090_094.pdf308.88 KB

FORECASTING OF CHARACTER OF COURSE OF DUODENAL ULCER AND CHRONIC GASTRODUODENITIS AT CHILDREN

Year: 2008, volume 4 Issue: №3 Pages: 84-87
Heading: Pediatrics Article type: Original article
Authors: A.V.Kotovsky, E.A.Sirotkin
Organization: Saratov State Medical University, Penza Institute for Advanced Training of Physicians
Summary:

229 children and teenagers in the age of 10-17 years have been examined: suffering a peptic ulcer of a duodenum - 23persons; chronic erosive gastroduodenitis - 31 persons; chronic superficialgastroduodenal - 175persons; and practically healthy - 30 children from the control group. The features of clinical course of chronic gastroduodenal diseases with negative types of the parent attitude and formation of individual psychosocial features ofthe person have been studied. Carried out research allowed to allocate the number of factors to forcastthe developmentof gastroduodenal pathology with probability of 81%.

AttachmentSize
2008_03_084_087.pdf204.65 KB

FEATURES OF LIPID PEROXIDATION AND NEUROTROPHIC REGULATION IN PATIENTS SUFFERING FROM PARANOID SCHIZOPHRENIA

Year: 2008, volume 4 Issue: №3 Pages: 81-83
Heading: Psychiatry Article type: Original article
Authors: E.V. Kolesnichenko, V.B. Vilyanov
Organization: Saratov State Medical University
Summary:

The article deals with the features of lipid peroxidation, activity of the antioxidative systems and level of brain-derived neurotrophic factor in patients with paranoid schizophrenia. Present study indicates associations between the studied parameters and type of progression, duration of disease and gender of patients.

AttachmentSize
2008_03_081_083.pdf200.08 KB