№3, 2008, volume 4

The article represents the main milestones ofN.M. Kakushkin’s biography- outstanding obstetrician-gynecologist, the first head of department of obstetrics and gynecology in Saratov State Medical University; italso reflects his life conditions and scientific activity, that had formed his world view as a talented scientist and clinician.

The magnetic resonance tomography (MRT) was carried out for 53 patients with clinical presentations of cholecystitis.
Advantages of MRT in diagnostics of cholecystitis and its complications were studied: non-contrasting cholandiopancreatografy, with receiving of images in any projection, opportunity of carrying outof multiplanar reconstruction, intensive staining of soft tissues with receiving of three-dimensional images of bile tracts and absence of radiation sickness.

Comparative assessmentof bloodprocalcitonin and C-reactive protein determination methods in community-acquired pneumonia has been performed. Practical advantage of C-reactive protein determination over procalcitonin one has been demonstrated. The trans-resonant functional topography in comparison with low exposure digital fluorography technique has been carried out.

A survey of data found in scientific articles including the main points, structure, spreading and social importance of metabolic syndrome X as a real predictor of mortality level are presented. The genetic mechanism of insulin resistance and arterial hypertension are revealed. The role of obesity in metabolic syndrome’s forming is discussed.

The article reflects modern literary data about approaches to diagnostics, forecasting of current and treatment of a climacteric syndrome at women.

Trichomoniasis is a widespread infection characterized by polymorphism of the causative agent, polyorganic impairment of the urogenital tract, obliterated symptomatics. Frequent recurrences of trichomoniasis- induced cervicovaginitis are based on associa five relationship of Trichomonas with pathogenic and opportunistic microorganisms, medicamentous resistance and antigenic mimicry of the causative agent The lack of distinct evaluation criteria of the diagnostic testing results, application of the bacterioscopic method as the basic screening lead to trichomoniasis hypodiagnostics. Treatment of the disease should be obligatory carried out with systemic and local medical preparations regardless of symptomatic markedness.

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.

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.

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.

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.