Saratov JOURNAL of Medical and Scientific Research

2011, volume 7

Surgery of vertebral bodies compressive fractures according to results of algorithm of osteoporosis radial diagnostics

Year: 2011, volume 7 Issue: №4 Pages: 930-933
Heading: Traumatology and Orthopedics Article type: Original article
Authors: Tomilov А.В., Eidlina Е.М., Kuznetsova N.L.
Organization: Uralsk Scientific Research Institute of Traumatology and Orthopedics n. a. V.D. Chaklin

The research goal is to optimize the algorithm of radial methods of investigation of early vertebral osteoporosis and vertebral compressive fractures in case of osteoporosis, as well as surgical tactics in vertebral compressive fractures, aggravated by osteoporosis. 220 postmenopausal women have been examined. 100 patients with compressive vertebral fractures and 120 patients without risk factors of compressive fractures were under study. 220 patients have received lateral spinal radiography and dual-energy X-ray absorptiometry. 60 patients with compressive vertebral fractures have been examined by quantitative computed tomography. Compressive fractures have been diagnosed in 20 men who suffered from osteoporosis. Statistical processing of received data has been performed. It has been concluded that the use of quantitative computed tomography has made possible to identify the reduction in bone mineralization with an increase in age of patients. When the difficulties in interpretation of clinical data and X-ray densitometry findings have been determined, quantitative computed tomography has occurred to be the method of choice. Quantitative computed tomography helps determine the degree of resorption of trabecular bone in vertebral bodies and prognose high risk of fractures. Surgeries have been performed in presence of osteoporosis which does not affect the stability of the structure.

Keywords: osteoporosis, radiologic diagnostics, surgical tactics, vertebral fractures

Postoperative recurrent nontoxic nodular (multinodular) goiter

Year: 2011, volume 7 Issue: №4 Pages: 975-980
Heading: Endocrinology Article type: Original article
Authors: Kovalenko Yu.V., Tolstokorov A.S.
Organization: Saratov State Medical University

The extensive use of modern methods of examination (ultrasound investigation with Doppler mapping, aspiration (needle) biopsy, radiodiagnostics) cannot resolve the problem of verification of nodular mass in case of multinodular goiter before operation. Operative intervention is the method of choice in this case, which gives rise to the problem of surgery extent. The present study is useful in improvement of remote results of surgical treatment of multinodular goiter through statistical estimation of recurrent goiter development. The study was retrospective and included 102 consecutively admitted and operated patients with recurrent goiter and 102 patients of control group with first diagnosed and operated goiter. Patients of both groups were in euthyroid state. Patients were admitted to the Clinic of Surgery and Oncology of Raising Skills Faculty of Saratov State Medical University n.a. V. I. Razumovsky from 2000 till 2004. Statistical analyses included calculation of average mean, standard deviation and mean error. Student's ratio was used as the test of validity of average mean. Chi-square test was used for assessment of qualitative characteristics.

Keywords: thyroid status

General surgery in higher medical schools: innovative teaching methods

Year: 2011, volume 7 Issue: №4 Pages: 992-993
Heading: Pedagogics and Education Article type: Author's opinion
Authors: Shapkin Y.G., Kapralov S.V., Khilgiyaev R.H., Belikov A.M., Horoshkevich A.V.
Organization: Saratov State Medical University

Educational programmes and computer tests are important in teaching of general surgery. Application of modern computer and Internet technologies in the educational process improves quality of training

Keywords: tests, innovative technologies, educational programmes

Constructive pedagogics as a basis for improvement of education quality in the institutions of higher education

Year: 2011, volume 7 Issue: №4 Pages: 988-991
Heading: Pedagogics and Education Article type:
Authors: Romantsov M.G., Shuldyakov A.A., Ramazanova К.Kh., Sretenkaya D.A.
Organization: St. Petersburg State Medical Academy named after I.I. Mechnikov, Saratov State Medical University

Education quality improvement of the future specialists assumes the intensification of training, usage of optimization techniques as well as constructive approach in accordance with the Bologna Declaration. Introduction of constructive approach and inductive and deductive strategies in the teaching process will enable to enhance cognitive activity of students

Keywords: the Bologna Declaration, optimization and intensification techniques, constructive approach

Profile Physical Education modules at medical universities

Year: 2011, volume 7 Issue: №4 Pages: 984-988
Heading: Pedagogics and Education Article type: Original article
Authors: Pavlov V.I.
Organization: Saratov State Medical University

The article states the results of investigation in development and introduction into the medical educational practice of experimental educational modules of profile Physical Education. The research goal is the development and realization of the pedagogical process of medical specialists by means of profiled training modules. More than 1,000 people were involved in the research. The results of the survey assisted in preparing three educational methodical manuals, recommended for the use in the educational process of medical specialists

Keywords: profile educational modules, Physical Education

Scientific and practical contribution of professor S.A. Georgieva to development of Russian physiology (dedicated to the 100-th Anniversary)

Year: 2011, volume 7 Issue: №4 Pages: 981-983
Heading: History of Medicine. Anniversary Dates Article type:
Authors: Kirichuk V.F., Zavyalov A.I., Tokaeva L.K., Babichenko N.E., Slezkina S.B.
Organization: Saratov State Medical University

The article presents the most significant facts from biography of professor S.A. Georgieva. S.A. Georgieva made a great contribution by her scientific, pedagogical and public work to the development of Saratov medical institute. Her research work was directed to the study of hemostasis

Keywords: professor S.A. Georgieva, physiology, hemostasis, biography

High density lipoproteins as indicators of endothelial dysfunction in children with diadetes type I

Year: 2011, volume 7 Issue: №4 Pages: 972-975
Heading: Endocrinology Article type: Original article
Authors: Panfilova V.N., Taranushkina Т.Е., Salmina А.В., Lobanova S.M., Skuchaeva L.V.
Organization: Saratov State Medical University, Krasnoyarsk State Medical University named after professor V.F. Voyno-Yasenetsky of the Ministry on Health care and Social development, Krasnoyarsk Regional Children Clinical Hospital

The aim of the investigation was to study the level of blood high density lipoproteins (HDL) in the groups of children with different course of diadetes type I in order to find out the dependence of course and complications of diabetes on that level. Materials and methods: Blood high density lipoprotein (HDL) levels were investigated in children and adolescents with diadetes type I, depending on the duration of diadetes type I, age, stage of sexual development, the stage of diabetic nephropathy and levels of plasma endothelin-1 (E-1). Results: Decrease in HDL level with increasing duration of diadetes type I in prepubertate patients, higher indices of HDL cholesterol were determined in girls, especially with impaired puberty. HDL cholesterol was higher in diabetic nephropathy at the stage of proteinuria and high level of blood endothelin-1. Conclusion: The revealed changes were considered to cause deregulation of vascular endothelium as a manifestation of the initial stages of endothelial dysfunction

Keywords: lipids, high density lipoproteins HDL, endothelium, diabetes mellitus type 1, children

Virtual CT-colonoscopy resources in large intestine neoplasia

Year: 2011, volume 7 Issue: №4 Pages: 968-971
Heading: Surgery Article type: Original article
Authors: Uryadov S.E., Chalyk Yu.V.
Organization: Saratov State Medical University, Saratov Clinical Hospital N 8

The research goal is to state possibility of virtual colonoscopy and to determine the localization and nature of neoplasms in the large intestine. Materials and methods: 38 patients have been examined by the method of virtual colonoscopy. The preceding stage of diagnosis by total fibrocolonoscopy has not been a success. Results: Virtual colonoscopy has been performed in 94.7% of patients. The same tumors have been identified in the proximal colon, direct examination of which has not been possible. Conclusion: Virtual colonoscopy is the method of choice for topical diagnosis of tumors of the colon

Keywords: virtual colonoscopy, CT-colonoscopy, colon cancer

New method of surgical treatment of patients with recurrent ingrown nail

Year: 2011, volume 7 Issue: №4 Pages: 965-968
Heading: Surgery Article type: Short message
Authors: Kolsanov A.M., Kondulukov A.N.
Organization: Samara State Medical University, Samara Diagnostic Center

The article discusses the surgical treatment of ingrown nail in patients with recurrent disease. The advantages of a new method of operation have been explained in the article. It gives a detailed description of the operation. The clinical and additional methods of research have confirmed the fact that a new operation reduces the wound healing period and the number of ingrown nail recurrences

Keywords: new method of operation, ingrown nail, disease recurrence

Experimental and clinical application of laser doppler flowmetry in gastric and duodenal ulcerative bleedings

Year: 2011, volume 7 Issue: №4 Pages: 962-965
Heading: Surgery Article type: Original article
Authors: Kapralov S.V., Shapkin Y.G., Frolov I.A., Afanasieva G.A.
Organization: Saratov State Medical University

The research goal is to develop a new objective diagnostic method of prerecurrence syndrome that will prognose bleeding recurrence from gastroduodenal ulcers. Materials and methods. Method of laser Doppler flowmetry (LDF) of the regional perfusion of tissue has been used. The experimental part has been done on 30 white laboratory rats. Characteristics of regional tissue perfusion in the simulation and laser hemostasis of bleeding have been studied. Gastroduodenal endoscopy has been performed with laser Doppler flowmetry (ELDF) in clinical conditions to predict the recurrence of ulcerative bleeding. The prognostic method of gastroduodenal ulcerative bleeding was used in 58 patients hospitalized with such pathology and activity of bleeding Forrest II. Results. The study of microcirculation parameters and experimental hemostasis has showed the possibility of using LDF to measure its performance. Effective hemostasis has been accompanied by a significant decrease in perfusion. On the basis of microcirculation parameters in ulcerative bleeding, medical adrenaline test has been proposed for an objective verification pre-recurrence syndrome. To evaluate the effectiveness of endoscopic hemostasis perfusion has been measured before and after its implementation. Conclusion. ELDF has objectified the prognosis of ulcerative bleeding recurrence, verified pre-recurrence syndrome and evaluated the efficacy of endoscopic hemostasis

Keywords: gastroduodenal ulcerative bleeding, endoscopic laser flowmetry