№1, 2014, volume 10

Objective: to evaluate the level of knowledge of surveyed women about breastfeeding before and after the maternity school. Material and methods. The anonymous survey of 300 women on breastfeeding has been conducted. The questionnaire consisted of two parts: theoretical and practical. The questionnaire has been filled in on the 3d day after the childbirth (before the maternity course). On the 4th day after the childbirth mothers have been provided with the main issues on breastfeeding and practical recommendations. Results. The questionnaire survey has showed the low level of knowledge of mothers about breastfeeding before the maternity school. The level of knowledge after the school has increased in 2.5 times. The knowledge in practical aspects has increased in 5.2 times. Conclusion. The courses on breastfeeding contribute to the educational status of mothers concerning the questions of correct lactation dominant.

The literature review presents opportunities of the contemporary ultrasound technologies in diagnostics of liver cancer; diagnostic criteria have been determined; the accuracy degree of the ultrasound method in grey-scale and Doppler imaging have been also revealed.

In discussional article argue unfounded of infectious hypothesis of the pathogenesis of ulceral disease of gastric and duodenum.

The aim: to study pregnancy associated plasma protein A as a potential marker of myocardial necrosis with acute coronary syndrome. Material and methods. The rates of PPPP-A and insulin-like growth factor 1 were determined in 24 patients with acute myocardial infarction, in 18 patients with unstable angina and in the control group as well. Results. The rates of PPPP-A and ILGF-1 are accurately higher in the groups with acute coronary pathology in comparison to the patients with no ischemia. Conclusions. PPPP-A proves to be a marker of ischemia and/ or injury and could be used as a diagnostic predictor of an unstable atherosclerotic plaque in acute coronary development.

Objective: to evaluate the influence of low-intensity electromagnetic fields on endogenous bioresonance therapy on the level of asymmetric dimethylarginine in blood, as well as on the parameters of microcirculation in the assessment of endothelial function in patients with chronic heart failure. Material and Methods. The basic group included 40 patients with chronic heart failure (NYHA II): 17 female and 23 male patients. The average age of the patients was 56,4±10 years. The control group consisted of healthy volunteers (20 patients, including 10 women, 10 men aged 31 ±5 years). Assessment of vasomotor state of the endothelium microcirculation was carried out with the help of laser Dopplerflow-metry on the apparatus LAKK-TEST (T) («Lazma», Russia). After the procedure endogenous bioresonance therapy was held. The intervention by low-intensity electromagnetic fields was carried out with the help of a hardware-software complex IMEDIS-EXPERT mode of endogenous bioresonance therapy for 15 minutes. Vasomotor endothelial function of microcirculation was evaluated. The concentration of an inhibitor of nitric oxide synthases, asymmetric dimethylar-ginine in blood before and after the exposure to the intervention by low-intensity electromagnetic fields was studied. Results. After the endogenous bioresonance therapy the microcirculation M parameter in the main group, on the background of iontophoresis with acetylcholine counted in average6,13±4,7 PF units. After iontophoresis with nitroprusside it was 5,9±3,8 PF units. In the control group the rate of myogenic oscillation amplitude (Am) amounted in average 0,75±0,13 Hz, in the main group it was 0,68±0,26 Hz. Reduction of myogenic tone in the control group was statistically significant (p

Objective: to study the psychological characteristics of patients with irritable bowel syndrome (IBS), ulcerative colitis (UC), Crohn's disease (CD). Material and methods. The study group included 98 patients with IBD (inflammatory bowel disease) and IBS, the control group included 30 healthy individuals. Set of psychological tests included questionnaire (multifactorial systemic examination of the person), the Luscher color test, Beck Depression Inventory, a test on health, activity, mood. Results. Premorbid personality traits, communication disorders with stress have been revieled. According to the nosology different types of emotional response to the disease, changes in health and activity have been marked. There is a high level of frustration needs, increased frequency of anxiety and depression in all patients. Conclusion. Psychological mechanisms of pathology are similar in functional and organic bowel diseases with the greatest influence on the course of functional disorders.

The purpose of the article is to analyze the data of native and foreign literature and to consider the modern aspects of ultrasound diagnostics of premature birth, and new additional criteria for early diagnostics and prediction of preterm delivery. Hemodynamic characteristics in the second and third trimesters of the pregnancy have been covered.

The aim of the article: the peculiarities of the modern methods of treatment efficiency objective assessment in considerable contingent of patients with intraperitoneal bleeding of a genital origin are investigated. Material et metods: The original data of intra- and postoperative medical interventions efficiency are given and analyzed in 78 patients who were operated laparoscopically owing to intraperitoneal bleedings up to 500 ml of blood. Results. Circulating blood volume in these patients was restituted by blood Autohaemoreinfusion together with donors' blood and blood-substituting compounds injection. Red blood cells and hemoglobin content together with heart rate variability indexes were taken as the markers of the patients' organism functional condition and rehabilitation efficacy estimation. One month after miniinvazive treatment in women with acute intraperitoneal blood loss above 500 ml one could see certain sympathetic activation with reciprocal parasympathetic activity suppression together with pertinent activation degree value normalization. Conclusions. The conclusion was made that HRV data analysis allows to make an objective estimation of women with acute genital intraperitoneal bleeding (above 500 ml) treatment efficacy. The last is very important in the prognostic aspect because there are few objective methods of afteroperational state analysis in patients with bleeding of different origin.

The purpose of the article is to present data on diagnostics of postpartum infectious diseases in women in childbirth. The aim of the conducted survey is to study modern ultrasound diagnostic methods of the given pathology.

Purpose: to determine the diagnostic value of procalcitonin in blood serum with probable development of multiple-organ-failure syndrome in thermal injury. Material and Methods. Procalcitonin test has been performed on the 1st, 3d, 7th, 15th and 30th days after the thermal injury. The expression of systemic inflammatory response syndrome (SIRS), leukocytic intoxication index (Lll) calculated according to Ya.Ya. Kalf-Kalif, levels of C-reactive protein, MCP-1, IL-6, VEGF, endothelin, and a number of circulating endothelial cells have been determined. Results. The increased level of procalcitonin (>0,5 ng/ml) in thermal injury has been observed in 42,7% of recovered patients and in 71,3% of dead patients. Conclusion. It has been found out that procalcitonin test in thermal injury may be used as an early marker for patients liable to develop polyorgan insufficiency syndrome.