Saratov JOURNAL of Medical and Scientific Research

2012, volume 8

State purchases of medical production: from a new public management to management of public values

Year: 2012, volume 8 Issue: №3 Pages: 697-703
Heading: Health Service Organization Article type: Review
Authors: Ostrovsky A.N., Novokreshenov I.V., Novokreshenova I.G., Aranovich L.M., Morozov V.P.
Organization: Saratov State Medical University, Federal Scientific Clinical Center of Otorhinolaryngology FMBA of Russia
Summary:

The article presents the literature review analysis focusing on the problems concerned with hospitals state resources supply. The characteristics of purchase management in the modern socio-economic conditions are highlighted.

Keywords: public value management, new public management, management of the state purchases

Comparative characteristics of mammary glands cancer in humans and animals

Year: 2012, volume 8 Issue: №3 Pages: 706-711
Heading: Physiology and Pathophysiology Article type: Review
Authors: Vorobyova О.V., Terentyuk G.S., Bucharskaya A.B.
Organization: Saratov State Medical University, Chuvash State University n.a. I.N. Ulyanov
Summary:

This review is devoted to a comparative analysis of receptor status, immunity, angiogenesis, metastatic mammal glands cancer expression profiling in humans and animals. Angiogenesis has been assessed by quantitative and immunohistochemical characteristics by means of evaluation of microvascular density (MVD) using Claudin-5 (CLDN-5) as a marker of vascular endothelium in tumors of mammary glands in dogs.

Keywords: mammary gland cancer, hormone receptor status, angiogenesis

Municipal service in public health as a social management unit

Year: 2012, volume 8 Issue: №3 Pages: 703-705
Heading: Health Service Organization Article type: Author's opinion
Authors: Plyusnina Е.А.
Organization:
Summary:

The article dwells on the research of units of interactive social management in healthcare service. It stresses the following: the necessity of making healthcare service more informative, strengthening of government position and creating of information community in the sphere of healthcare service. The article also observes the use of innovative management technologies and the way they influence personnel efficiency.

Keywords: interactive social management, innovative management technologies, electronic medical service

Morphometric analysis of shin bones in different types of human constitution

Year: 2012, volume 8 Issue: №3 Pages: 691-696
Heading: Macro- and Micromorphology Article type: Original article
Authors: Popryga D.V., Anisimova Е.А., Popov A.N., Anisimov D.I., Chupakhin N.V.
Organization: Saratov State Medical University
Summary:

Purpose: to detect variability of absolute and relative sizes of shin bones. Materials and methods. Parameters of large and small tibial bones (n=208) of adults aged from 22 to 89 years (118 men and 90 women) have been studied. Osteo- and anthropometry methods have been applied. Results. Sexual dimorphism, age variability and bilateral dissymmetry of morphometric parameters of shin bones compared with anthropometrical parameters have been studied. Conclusion. Absolute and relative parameters of shin bones have been determined by the type of constitution.

Keywords: shin bones, constitutional type

Issues on anatomy of Peyer's plaques of small intestine

Year: 2012, volume 8 Issue: №3 Pages: 687-691
Heading: Macro- and Micromorphology Article type: Author's opinion
Authors: Guseinov Т.S., Guseinova S.Т.
Organization: Dagestan State Medical Academy
Summary:

The research work presents modern questions of Peyer's plaques on macro- and microscopical levels. Structures responsible for local immunity of digestive system have been described.

Keywords: small intestine, Peyer's plaques

Adequacy of the area of transverse section foramen of cross outgrowth of cervical vertebrae and vertebral arteries in adults

Year: 2012, volume 8 Issue: №3 Pages: 683-687
Heading: Macro- and Micromorphology Article type: Original article
Authors: Anisimov D.I., Anisimova Е.А., Ostrovsky V. V., Maslyakova G.N.
Organization: Saratov State Medical University
Summary:

The purpose: to reveal laws of parameters variability of cross-section changeability and cross-section-outgrowth part of a vertebral artery in aspects of age variability, sexual dimorphism and a bilateral dissymmetry. Material and methods. Investigated cross-section cuts of vertebral segments with contents ofvertebral channel and channel of a vertebral artery (n=90); Kt- and MRT-grams (n=146), cervical vertebrae (n=742) complete sets with a known sex and age. The area of cross-section section was defined. Results. Age-sexual features and a bilateral dissymmetry of the area of cross-section section of a vertebral artery and cross-section apertures of cervical vertebras are revealed. Conclusion. The transverse section foramen ofvertebral arteries gradually increases with the years, apparently, at the expense of a thickening of a wall of an artery as a result of atherosclerotic damage whereas the area of section of cross-section apertures at first increases to definitive sizes, and then decreases, probably, owing to the hyperostosis phenomena. The given parameters possess sexual dimorphism and bilateral dissymmetry.

Keywords: vertebral arteries, the area of transverse section foramen, cross-section apertures

Assessment of the prevalence and severity of the pathological process in patients with acnes with the use of in vivo fuorescence diagnostics

Year: 2012, volume 8 Issue: №2 Pages: 668-671
Heading: Skin Diseases Article type: Original article
Authors: Utz S.R., Dolotov LE., Sinichkin U.P., Galkina E.M., Katkova I.O.
Organization: Saratov State Medical University, Saratov state university
Summary:

Aims. The present research aimed the study of the fuorescence of endogenous porphyrins of the skin in patients with acne. Material and methods. 20 patients with acne of 1 – 2 degrees of severity were selected. The main research methodology was a selective colorimetry of tissues with using an electronic photographic devices. The research was led with the use of multiple flters. Image areas were synthesized with high fuorescence, and then a combination of these areas with the source image was produced. The images were processed in ImageJ. Results. The examined patients has revealed intensive red glow in the feld of acne-elements before treatment. After the work with an orange flter pictures were more informative. The study suggests that the chosen method for identifcation of quantitative composition of P. acne appears to be noninvasive and highly effcient.

Keywords: acne, electronic photographic device, endogenousporphyrins, fuorescence

Assessment and study of changes psychosomatic state of the vegetative nervous system of patients with rosacea

Year: 2012, volume 8 Issue: №2 Pages: 664-667
Heading: Skin Diseases Article type: Original article
Authors: Utz S.R., Morrison A.V., Davydova A.V.
Organization: Saratov State Medical University
Summary:

Aims. The study aimed an identifying of signs of the vegetative nervous system and detailed study of the psychological characteristics of patients with rosacea. Materials and methods. The study included 60 patients with different clinical forms of rosacea at the age from 26 to 56 years and a control group of 60 relatively healthy persons. The assessment of emotional status is carried out with the survey, Test of accentuations of temperament, Diagnostic Questionnaire Quality of Life Index (DILQ), The Zung Self-Rating Depression Scale, reduced multifactorial questionnaire for the study of personality. Vegetative nervous system was investigated using vegetative Kerdo index, Wayne and Solovyova tables and a special questionnaire for signs of vegetative disorders. Conclusions. Syndrome revealed the presence of vegetative-vascular dysfunction in patients with rosacea with a predominance of parasympathetic tone of the autonomic nervous system. Severity of psychoemotional disorders had no direct relationship to the severity of rosacea. But patients with advanced disease had a tighter self-control on the background of increased excitability and stronger internal emotional stress. Those patients were compared with a group of patients with earlier stage disease, which may provoke functional impairments and in case of long existence-the formation of psychosomatic disorders. This comprehensive assessment of vegetative and emotional status is included in the algorithm for evaluation of patients with rosacea and will successfully complement traditional therapy.

Keywords: psychodermatology, psychoemotional state, rosacea, vegetative-vascular dystonia

Pathomorphism in early forms of syphilis today

Year: 2012, volume 8 Issue: №2 Pages: 660-663
Heading: Skin Diseases Article type: Review
Authors: Utz S.R., Zavyalov A.I., Slesarenko N.A., Bakulev A.L.
Organization: Saratov State Medical University
Summary:

The article presents the analysis of literature data and own supervision concerning some changes in clinic of patients with early forms of syphilis.

Keywords: syphilis, pathomorphosis, clinic

Epidemiological features of scabies and STI in the Saratov area from 1991 till 2010

Year: 2012, volume 8 Issue: №2 Pages: 657-659
Heading: Skin Diseases Article type: Original article
Authors: Utz S.R., Zavyalov A.I., Marchenko V.M., Reshetnikova E.M., Yepifanova A.U.
Organization: Saratov State Medical University
Summary:

The study presents the comparative analysis of scabies and STI incidence in different groups of population in Saratov region from 1991 till 2010. Principal causes and factors supporting epidemic process of infectious diseases in this region on an extent of 2 decades are revealed. It is established that if the basic group patients with scabies were children, teenagers and people at the age from 20 to 29 years, so, in the group with STI there were patients aged from 18 to 29 years. Besides, it was proved that over the last years early and late latent forms of syphilis and neurosyphilis prevail among patients in age group from 40 to 60 years. It leads to disability, and sometimes invalidism quite often.

Keywords: gonorrhea, chlamidiosis, trichomoniasis urogenitalis, herpes simplex progenitalis, condyloma acumi-natum