№4, 2014, volume 10

Research goal: optimization of peripheral regional anaesthesia under ultrasound. Material and Methods. Study has been performed by SonoSite Edge (SonoSite, Bothell, США) on a lineal transducer machine for fixed terms 38-mm (13-6 MHz) of overall gain and depth. The study included 2 sonographic needles and 2 non-sonographic needles. Ultrasound images were obtained and analyzed by an experienced anaesthesiologist. Results. In this study improved ultrasound imaging needle for peripheral regional anaesthesia using technology SonoMBe compared with a conventional scanning mode has been demonstrated. Conclusions. SonoMBe technology increases the echogenicity of needles for peripheral regional anaesthesia that allows the use of this technology gain in the performance of nerve block and plexus block anesthesia

Based on the data analysis of foreign and native literature information about the anatomy of the anterior cerebral artery in adults has been summarized. The data on options for arteries discharge, the area of blood supply, major anomalies and the magnitude of its size characteristics (outer diameter, wall thickness, lumen diameter) have been considered in the work under the study.

Objective. The analysis of cases of medical care for pregnant and postpartum women in "Perinatal Center" Saratov from 2007 till 2012 has been performed to identify morphological features of the structure of myometrium in various types of obstetric hemorrhage. Material and Methods. The study included patients whose postpartum period was complicated by early or late postpartum hemorrhage. Results. A certain incidence of this disease in women of different risk groups has been revealed. Conclusion. Morphological features of myometrium in postpartum women of different risk groups have been studied and the relationship of these complications to the underlying disease has been determined.

Purpose: to identify the various forms of lower extremities variability of linear and angular parameters of feet in girls aged 17-19 years. Material and Methods. The object of the study included 242 students from Saratov State Medical University, 17—19 years. Foot digital plantography photometric device-software complex «Plantvizor» and measuring distances between sibling points of lower extremities to highlight their forms have been used as a method of research. Results. 8 forms of lower extremities, among which half per cent occurs in isolated form, valgus-direct from the mil-lennim clearance opening and a trapezoidal shape of lower extremities varus. In all forms of lower extremities morphometric parameters of feet and ratio of statistically significant differences in various forms of lower extremities have been studied. Conclusion. Anatomical basis for operational adjustment of axial disorders of tibiae and its influence on morphofunctional state of foot can be resulted from the study.

The purpose: to establish influence of a full ischemia of different duration and the subsequent reperfusionon pathology development in pancreas of rats by means of laser speckle-visualization and lifetime digital microscopy. Materials and Methods. The work has been performed on 42 white rats of line Wistar in weight of 200-250 Research of properties of a blood-groove was made by means of methods laser Doppler flowmetry, digital biomicroscopy and a method of laser speckle-contrast visualization. Results. After the termination of a 5-minute full ischemia the speed of bloodflow has been increased in 2-3 times, clinic pancreatic necrosis is marked does not develop. After the termination of 20-minute full ischemia the increase in speed of a bloodflow did not occur, there were morphological and clinical signs of pancreatic necrosis. Conclusion, the efficiency of monitoring of microhemodynamics of pancreas in rats by the method of speckle-capillary of full field has been shown. Multidirectional phase of perfusion changes in pancreas have been revealed after reversible infringement of blood supply of different duration.

Objectives: to determine the rate of modern thematic module "Organizational Behavior" (Fundamentals of Management) from "Healthcare Management" course) for students of Department of Raising Skills and Professional Development for Saratov State Medical University specialists. Material and methods. 61 students — medical administrators and specialists — were anonymously surveyed after their vocational training with the help of a specially designed questionnaire. The received data were processed mathematically and statistically with "Statistica-10" program. Results. The modern issues of the studied course is evaluated differently by groups of medical administrators and specialists. Medical administrators' rate has been higher than specialists'. Both groups' rate is "higher than average". Conclusion. Doctors clearly realize the necessity of professional development in management and have a clear idea of the areas where they lack professional skills. The conducted monitoring of students' opinion implies forehanded reaction to doctors' demands, increasing effectiveness of their training and level of their satisfaction as well as marketability of the higher educational institution providing the demanded educational services.