2014, volume 10

A method is proposed for quantitative assessment of the phase synchronization of 0.1 Hz oscillations in autonomic cardiovascular control by photoplethysmogram analysis in real time. The efficiency of the method is shown in the comparison with the results obtained by the previously developed method.

anesthesia. Material and Methods. Decahydroquinolinyl derivative under laboratory code PAS-68 synthesized in the A. B. Bekturov Institute of Chemical Sciences under the guidance of K. D. Praliev has been studied. Benzocaine, lido-caine and tetracaine were used as the comparison drugs. Male rabbits of 2,0-3,5 kg weight were used as experimental animals. A threshold of corneal sensitivity to tactile effects (Rainier index) was determined by the standard method. Computer prognosis of PAS-68 acute toxicity also was made. Results. The local anesthetic activity of 1 %, 0,5% and 0,25% solutions of PAS-68 were identified as higher than that for lidocaine and benzocaine in similar concentrations (p

Objective: analysis of autopsy material of the patients who died with clinical diagnosis of stroke. Material and Methods. The protocols of postmortem investigations of 172 patients have been studied. The interested information were added to the questionnaire. Material was processed statistically. Results. It has been determined that 51,74% of dead patients were men and 48,26% were women. 96,9% of dead patients were from age group of 41-50 and 81-90 years respectively. The causes of death of the patients were edema of brain and pneumonia, which developed within 24 hours to 7 days. In 16,28% and 11.05% the death was fixed from 7 to 14 and from 14 to 28 days, respectively. The conclusive clinical diagnosis more commonly consisted of two basic diseases. Conclusion. There is a positive trend for improvement of the quality of diagnosis of stroke, to reduce the number of mistakes in conclusive clinical diagnosis.

The review of literature concerns the questions of development, structure, function, blood supply and innervation of structures of hip joint. The characteristics of changes of these structures in dysplastic coxarthrosis of various degree of expressiveness has been presented. Radiological and biomechanical features of hip joint have been described in various types of dysplastic coxarthrosis.

Aim: To define the most informative indicators of the water resources quality, which reflect the increased risk for the infectious diseases occurrence due to water. Material and Method: The water collection was performed from the rivers of the Saratov region. The retrospective analysis of indicators of the water quality and the morbidity level associated with water among the population has been performed. The statistical analysis has been performed by means of dispersion, regression and discrimination methods. Results: The rivers in this study belong to the water sources of the 2nd grade. We have identified the most polluted rivers with chemicals: Maly Usen, Medveditsa, Atkara; with microorganisms: Choper, Big Ysen, Big Irgis. The two statistic correlations have been found for the right bank of the Volga region; the three statistic correlations have been found for the left bank of the Volga region. Conclusions: The indicators of the chemical consumption of oxygen and of general coliform bacteria have been determined to be the most significant for the risk assessment of morbidity of acute intestinal infections.

Purpose: identification of the structure providing outflow of liquid from stomodeum in the process of formation. Material and Methods. 150 stomodea have been investigated for the ways of removal of liquid by the following methods: stage-by-stage freezing, contrasting and macerations. Result. One of the ways of removal of liquid from enamel of a being formed tooth is the crypt canal. Conclusion. Function of the channel of a crypt of developing teeth consists of removal of biological specific dental fluid from a surface of enamel of stomodeum in a mouth in the following options: on an oral surface of alveolar processes, near a periodontal fissure, or directly in a periodontium of a milk tooth — predecessor.

Aim: to study the outcomes of labour after the application of «KIWI» vacuum-system. Materials and Methods. Retrospective analysis of labour records with vacuum-extraction of fetus (main group: n=35) and with emergency cesarean section (comparison group: n=18)on indications similar to those in the main group, has been undertaken. Results. High rate of extragenital pathology in groups (70,7% and 72,3%) as well as aggravated obstetric-gynecologic anamnesis (36,9% and 55,6%) has been revealed. Pregnancies of 50,7% women of the main group have been complicated by placentofetal insufficiency and chronic fetal hypoxia; in the comparison group 27,7% threatened miscarriage has been observed accordingly in 20% and 33,3%. Conditions for vacuum extraction have been the following: fetus asphyxia (52,3%), labour pains weakness (47,7%). Having evaluated the state of health of the new-born children of the main groupstraight complications (cephalohematomas, cervical injury, subaponeurotic hemorrhage, Duchen-Erb paresis, intraventricularhemorrage) have been observed in 53,8% of children. In the comparison group direct complications have been marked in 22,3% of cases. Conclusions. Comparatively high rate of labour traumatism in the main group may be explained by violations in conditions and techniques of vacuum-extractions as well as by non-observance of indications and contra-indications for the application of this operational method during the labour of pregnant women of high risk groups.

Objective: to improve surgical intervention outcomes in patients with cholelithiasis. Material and method. Sixty four patients were investigated before the elective cholecystectomy. The level of bile acids in the blood serum was determined before and after laparoscopic cholecystectomy. In case of the elevated level of bile acids gastric and duodenal radiography was performed to determine the degree of duodenal dyskinesia. Dyskinesia assessment was carried out according to the classification of Ya. D. Vitebsky. Dyskinesia was verified by laboratory and X-ray studies in 9 patients who underwent laparoscopic cholecystectomy supplemented with mobilization of duodenojejunal junction without dissection of Treitz ligament (Clermont operation). Life quality evaluation was performed in 30 days after the surgical intervention using the unified GSRS questionnaire followed by statistical treatment. Results. Laparoscopic cholecystectomy performed simultaneously with Clermont procedure improved the life quality of patients with cholelithiasis and duodenal dyskinesia. This method is considered to be minimally invasive and rather effective in prevention of post-cholecystec-tomy complications. Conclusion. The suggested method proved to be effective, but insufficient number of the observed cases and the lack of long-term data demand the continuation of the study.

Purpose: to reveal the structure of the disease between homeless people and leading factors, influencing its formation. Material and Methods. Information on diseases was received from the data of homeless entering the Saratov Clinical hospital №2 and Clinical hospital №6 in 2013. The questionnaire of students ofthe 5th course of Medical University on the subject of problem of medical help rendering to homeless. Results. The majority of hospitalized homeless suffered acute respiratory diseases (17,5%). It has been determined that 53% of students are ready to renderthe medical help to homeless, but 39% of students do not consider rendering medical assistance. Conclusion. The research has showed the health state of homeless is conditioned by the weather and psychological and social status. The problems of medical service for homeless are of great importance for future doctors. But specific medical attitude don't formed enough in young doctors.

The purpose of the study is to develop a comprehensive treatment aimed at improving uveoscleral outflow in the application of dynamic laser magnetic stimulation of the drainage system of the eye and evaluation of its effectiveness in treating patients with primary open-angle glaucoma (POAG). Material. 106 patients diagnosed POAG I, II, III stages were examined. Group 1 consisted of 62 patients treated with medical therapy and dynamic laser magnetic stimulation of the drainage system of the eye using the "AMO-ATOS-ICL", produced by JSC "TRIMA", Saratov. Group 2 consisted of 64 patients who received only medical therapy. Comprehensive survey including standard eye examination, static perimetry, visual evoked potentials study, the study of intraocular blood flow was conducted to all patients. Analysis of the results of the complex therapeutic effects showed that as the result of treatment 73% of patients had a decrease of intraocular pressure and the ease factor outflow increase. 52% of patients had a decrease in the number and area of relative. 63% of patients had activation of intraocular blood flow. These indices remained stable for three months. Conclusion. The treatment with the technique of dynamic laser magnetic stimulation of the drainage system of the eye of patients with primary open-angle glaucoma leads to lower intraocular pressure, and to the improvement of dopple-rographic and perimetric indications.