Vol 9, No 3-4 (2009)


Experimental applicationof chemiluminescence methodin neonatology

Panova L.D.


Application experience of chemiluminescent method in neonatology for an estimation of processes FRO blood cells and urine, as means of screening of antioxidizing activity of drags and as FRO change monitoring at various medicamental influences upon an organism, and also diagnostics perinatal pathology of kidney on preclinical stages.
Aspirantskiy Vestnik Povolzhiya. 2009;9(3-4):7-14
pages 7-14 views

Differentiated approachto the estimation of prognosticsignificance in ultrasounddiagnostics criteria forvarious clinical manifestationof placentalinsufficiency

Tezikov Y.V.


To elevate the results of the ultrasonic scanning of the placentery insufficiency have been made clinical diagnostic investigations of the 500 pregnant women with following account of the prognostic meaning of the ultrasonic scanning criterions by methods of the conclusive medicine and discrimination analysis. The elevation of the accuracy of the diagnostic placentery insufficiency, intrauterus impediment of the grouth of the amnion can be achieve by the difference manner of the estimation of the ultrasonic scanning criterions.
Aspirantskiy Vestnik Povolzhiya. 2009;9(3-4):15-18
pages 15-18 views

Peculiarities of course andtreatment of acute purulent destructivepneumonia occurs in children

Terekhina M.I.


The experience of treatment 256 children with acute purulent destructive pneumonia was analysed. All patients received complex treatment including sanation of purulent focus and rational antibacterial therapy. In addition physiotherapeutic treatment with collagenoses was carried out to the patients with fibrinothorax.
Aspirantskiy Vestnik Povolzhiya. 2009;9(3-4):19-22
pages 19-22 views

Application of polarizeduncogerentive light inomplex treatmentof neonatal jaundice

Ustinova G.N.


Traditional medicamentous methods of neonatal jaundice treatment in most cases lack proof foundation. Application of phototherapy by using monochromatic light is effective, but this method is sufficiently laborious and possesses side effects. Authors methodology, protected by patent of RF, provides the usage of polarized non-coherent light in the mode, void of mentioned shortcomings. Comparative randomized research exposed reliably much more expressed bilirubin decrease in the group of newborns, who received polarized noncoherent phototherapy, as well as traditional medicamentous treatment, in comparison with infants, receiving only remedy treatment.
Aspirantskiy Vestnik Povolzhiya. 2009;9(3-4):23-26
pages 23-26 views

Peculiarities ofpathogenesis and treatmentof dyspepsia occurs in childrenwith atopic dermatitis

Chapligina S.I.


In the article there is presented data, which demonstrates the peculiarities of pathogenesis of the dyspepsia syndrome among children with atopic dermatitis. In particular, the higher acidity level was revealed in this group in comparison with children without atopia. According to the data of pH-measuring the acidic profile of children with atopic dermatitis is approaching to the same of the ulcer disease, in particular, in both cases most of the 24-hour period pH level does not exceed 1,9 (respectively 56% and 60%). The obtained results allow to recommend more wide usage of antisecretory remedies in therapy of dyspepsia syndrome among children with atopic dermatitis.
Aspirantskiy Vestnik Povolzhiya. 2009;9(3-4):27-30
pages 27-30 views

Clinical peculiaritiesof replicative and integrative phasesof chronic viral hepatitis B, C, B+C.occurs in children

Churbakova O.V.


In clause clinical features of a chronic virus hepatites B, C, В+С at children in replicative and integration phases are considered. Clinical symptoms and syndromes of current of illness. The estimation of clinicolaboratory and ultrasonic attributes was spent. It is noted, that patients with a chronic virus hepatites at children in a phase of integration have a reduction of expressiveness and frequency of occurrence of the basic clinical-biochemical syndromes. In integration a phase at all types chronic virus hepatites clinicobiochemical parameters in comparison with replicative a little improve, but full clinicolaboratory remission does not occur.
Aspirantskiy Vestnik Povolzhiya. 2009;9(3-4):31-35
pages 31-35 views

Bilipancreogastroduodenalpathology with chronic cholecystitisoccurs in children

Shelyakhin V.E.


Influence of a chronic cholecystitis on bodies is considered biliopancreatogastroduodenum systems. Are shown clinical-morphological changes in a stomach and a duodenal gut, a functional condition of a liver and a pancreas before operative intervention at children with a chronic cholecystitis are shown. In due time executed operative treatment - cholecystectomy and, alongside with it, correction combining and an accompanying pathology allows to achieve restoration of functional properties of bodies biliopancreatogastroduodenum zones, regenerations mucous a stomach and a duodenal gut.
Aspirantskiy Vestnik Povolzhiya. 2009;9(3-4):36-39
pages 36-39 views

Life qualityand adherenceto therapy of old patients withchronic cardiacinsufficiency

Garkina S.V.


To assess the quality of life and compliance, 48 elderly patients (23 males and 25 females) with chronic heart failure were examined. All patients received a standard treatment, including ACE-inhibitors, ?-blockers, diuretics, selective aldosteron receptor antagonists and digoxin. In addition, 24 patients were individually educated and received psychological advising. We estimated the dynamic of functional class of CHF during the treatment and compliance in all patients. Initially 65% of patients had increased level of anxiety and reduced quality of life. After complex treatment psychological status and quality of life were certainly better in all patients, especially in main group, which received educational programs. At the beginning of treatment compliance was low, but effective medical consulting helped patients to follow medical advice.
Aspirantskiy Vestnik Povolzhiya. 2009;9(3-4):40-43
pages 40-43 views

Arterial hypertensionand carotic arteriaatherosclerosis: diagnosticpeculiarities, course andprinciples of surgical correction

Germanova O.A.


Arterial hypertension with the stenosis of carotid bifurcation is hardly corrected by medicines and traditional anti-hypertensive therapy is ineffective. The aim of our investigation is to reveal the relationship between arterial hypertension and hemodynamically important stenosis of carotid bifurcation, to study the course of arterial hypertension before and after the operation of carotid endarterectomia. The investigation is performed on bases of chair of inner diseases and facultate surgery of Samara state medical university. It includes 176 patients at the age of 39-69 years old. All the patients are divided into 3 main groups: 1st - the control group (52 patients); 2nd(124)- patients with the hemodynamically important stenosis of carotid bifurcation before the operation of carotid endarterectomia; 3rd (124)- the same patients after the operation of carotid endarterectomia. All the patients are performed 24-hours monitoring of blood pressure and the additional instrumental investigations to reveal the possible reasons of the secondary arterial hypertension. After our investigation we revealed that the level of blood pressure after the operation of carotid endarterectomia became lower than before the operation. We study this phenomenon and we insist in calling this type of arterial hypertension - the secondary cerebrovascular arterial hypertension. We describe three types of the secondary cerebrovascular arterial hypertension. After our investigation also we recommend to perform the operation of carotid endarterectomia by the classical method without resection of carotid glomus nerve in cases of the second-side operation of the same patient.
Aspirantskiy Vestnik Povolzhiya. 2009;9(3-4):44-48
pages 44-48 views

Cerebral natriureticpeptide and structural andfunctional conditionof myocardium in patientswith arterial hypertensionand chronic cardiac insufficiency

Gubareva I.V.


In article results of definition of plasma level brain natriuretic peptide at sick of an arterial hypertension with chronic warm insufficiency are considered. Data of the correlation analysis of indicators of an echocardiography and plasma level brain natriuretic peptide at sick of an arterial hypertension are presented.
Aspirantskiy Vestnik Povolzhiya. 2009;9(3-4):49-53
pages 49-53 views

Characterof complications in hemophiliaand Willebrand disease

Kosyakova J.A.


In work the data describing age structure of patients by a hemophilia and Willebrand Disease, weight of current are submitted. Connection of frequency of hospitalization concerning bleedings with the seasons of year distinguished by the big difference of temperatures is shown. Among patients persons with 0(I) group of blood prevail, middle age is higher at B (III) group of blood, hemarthrosis - at A (II) group of blood.
Aspirantskiy Vestnik Povolzhiya. 2009;9(3-4):54-58
pages 54-58 views

Industrial physicalfactors influence on clinical courseof metabolic syndromein patients with occupational diseases

Kuzmina O.Y.


The results of clinical research under the metabolic syndrome in patients with occupational diseases produced by vibration and dust are presented in this article. First the main clinical forms of metabolic syndrome in patients with occupational diseases was singled out, made a study of clinical forms of metabolic syndromes prevalence in different groups depending on labour experience.
Aspirantskiy Vestnik Povolzhiya. 2009;9(3-4):59-64
pages 59-64 views

Correctionof dislipidimias in patients withischemic heart disease of high andvery high riskcategories

Rubanenko O.A.


Purpose. To study the influence of the statins on the lipid exchange, hemostasis and endothelial function in patients with ischemic heart desesase. Methods. For the treatment all the patients were divided into the categories of high and very high risk. In this patients the lipid exchange and hemostasis are studied. Results. Statin therapy reliably reduces the total cholesterol, LDLCH and triglyceride levels. Statin therapy also reliably reduces the level of von Willebrand factor and the trombocyte aggregation activity.
Aspirantskiy Vestnik Povolzhiya. 2009;9(3-4):65-68
pages 65-68 views

Life quality andpsychosomatic portrait of countrypeople living in Samara region sufferfrom arterial hypertension

Sadreeva D.S.


In our investigation we studied the life quality of 773 patients with arterial hypertension of Samara region using questionnaire SF-36, including 390 countrymen (52,5 ± 11,9 years old) and patients of control group before and after the educational program of arterial hypertension. Using LOBI test, scale by Spielberg, MMSE, we defined psychosomatic portrait of patients with arterial hypertension of countrymen and Railway hospital on Samara station. In our work it was revealed that life quality of countrymen is low (p<0,05), because of the psychological part - decrease of cognitive function, anxious and neurasthenic relationship to disease, high personal and situational alarm at the base of low compliance. Therapeutic prevention schools of arterial hypertension raises life quality of examined groups.
Aspirantskiy Vestnik Povolzhiya. 2009;9(3-4):69-74
pages 69-74 views

Estimation ofefficiency of pharmacotherapystandards introduction for bronchialasthma, hypertonic disease and ulcerdiseases at Autovaz

Yrina J.O.


The objective of the research is an assessment of the efficiency of the optimization of pharmacotherapy by means of pharmaco - epidemiological and pharmaco - economical analysis at the JSC «AVTOVAZ». The work was carried out since 2006. The total amount of patients, morbidity rates and work incapacities that were studied made 16 thousand people in 2006 and 17 thousand people in 2007. The issues of interference were the follows: the number of aggravations per year, the quantity of calls of first aid and average duration of temporal work incapacity. The implementation of pharmacotherapy standards of bronchial asthma and hypertensive disease in the first year did not led to the statistically significant decrease of the quantity of aggravations, but the number of first aid calls had decreased, and also the average duration of temporal work incapacity with the cause of hypertensive crisis had decreased. The implementation of pharmacotherapy standards of ulcer had led to statistically significant number of aggravations and to the decrease of average duration of temporary work incapacity.
Aspirantskiy Vestnik Povolzhiya. 2009;9(3-4):75-78
pages 75-78 views

Urinary bladder cancerin Saransk

Blinnikov A.A.


The morbidity of a urinary bladder cancer in Saransk in 1.7 times above, than on the average across the Russian Federation. Thus, from 1996 to 2008 the quantity of urinary bladder cancer has increased in 2.8 times. Men fall ill urinary bladder cancer on the average in 4 times more often. The peak of morbidity at men is necessary on age 65 - 69 years, at women - 70 - 74 years. The share of patients with I - II a stage of urinary bladder cancer has increased by 19.2 %, at decrease on 10.9 % of number of patients with IV stage of tumor process. Death rate from urinary bladder cancer has decreased with 5.0 to 3.1 on 100 thousands the population at decrease one-year lethality for 26.1 %.
Aspirantskiy Vestnik Povolzhiya. 2009;9(3-4):79-82
pages 79-82 views

The study ofprognostic significance of cellularproliferation markersand apoptosisin Ewings sarcomas

Bulanov D.V.


At the last years on the grounds of given classical morphology and result, got by means of new methods of the study (the culture of the hutches, molecular genetics), is chosen group of high grade malignant small round cell tumors neural natures developing in soft tissue and bone beside child and adult persons of the young age, for indication which is offered term primitive neuroectodermal tumors (PNET). The problem has more essential practical importance for undertaking the differential diagnostics abreast formally similar malignancies (lymfoma, embryonic rhabdomyosarcoma, synovial sarcoma, small cell osteosarcoma), in connection with than, primitive neuroectodermal tumor, Ewing sarcoma, cause in histogenetic and clinic-diagnostic attitude special scientifically-practical interest. On base of the analysis literary data, the example of the own clinical observations to present morphological, immunogistochemistry feature, criteria of the differential diagnostics and prognosis of primitive neuroectodermal tumors.
Aspirantskiy Vestnik Povolzhiya. 2009;9(3-4):83-87
pages 83-87 views

Results of surgicaltreatment of colorectalmetastasis inlungs with application of radiofrequent ablation methodand atypical resection

Kaganov O.I.


We led out the comparative analysis of treatments results in two groups of patients with diagnosis colorectal cancer after surgical treatment with progressive process: single Mts in lungs. There were made lungs atypical resections in the 1 group (42 patients), in the 2 group (27 patients) - RFA of lungs Mts. The greatest percent of postoperative complications was in the 1 group (9,5%), but this number was only 3,7% (р=0,64) after RFA. Two-years survival of patients with colorectal Mts in lungs after lungs atypical resections was 64%, but after RFA - 71% (р=0,17). The research of lifes quality in both groups of patients by Karnovskys scale and ECOG-WHO scale reveal the next: through 1 year after operation these indexes were 73% and 2,2 points accordingly in the 1 group, but in the 2 group - 79% and 1,6 points (р<0,05). The next estimation of lifes quality was led through 2 years: lifes quality was estimated in 65% and 2,7 points accordingly, but in the 2 group - 74% and 1,7 points (р<0,05). Conclusions. RFA of lungs Mts from colorectal cancer is a lowdamage, organs presses method with less number of post operative complications. The indexes of two-years survival and lifes quality of patients trough 1 and 2 years is better after RFA than the same indexes in the group of patients after lungs atypical resections.
Aspirantskiy Vestnik Povolzhiya. 2009;9(3-4):88-91
pages 88-91 views

New surgical treatmentmethod of old raptureof anteriorcrucial ligament

Kesyan E.M.


Work is devoted a plasty of forward crosswise ligament of a knee joint after the inveterate ruptures, the new way developed by us with use small accesses with arthroscopys the control.
Aspirantskiy Vestnik Povolzhiya. 2009;9(3-4):92-94
pages 92-94 views

Restorative treatmentof longitudinal platypodia occurin sportsmen

Popov P.A.


The investigation and treatment results of 130 sportsmen are presented in the article. All patients were divided into two groups: in the control only traditional treatment was carried out, in main one were treated by our, method of treatment (included different treatment combination). The investigation was carried out showed that use gravitational therapy, magnetotherapy, electrotherapy, the mechanical factor in a medical complex allows to carry out the more effective correction of clinical, plantagraphycal, podogram, electromyography, X-ray and ultrasonic indications of sportsmens flat footedneess.
Aspirantskiy Vestnik Povolzhiya. 2009;9(3-4):95-98
pages 95-98 views

Conservativetreatment followups of patientswith distal epiphysis fractureof radial bones

Satubaldeeva N.U.


The analysis of the treatment results of unstable fractures of distal radius, erated between The results of the treatment were estimated with the objective and subjective tests. The comparison of the treatment results of distal radius fractures and malunions showed were demonstrated.
Aspirantskiy Vestnik Povolzhiya. 2009;9(3-4):99-103
pages 99-103 views

Mexidol influenceon antimetastic activityof anticancer drugs

Skopin P.I.


The present study aimed to investigate the influence of combination of the synthetic antioxidant mexidolum (3-oxy-6-metyl-2-etyl-piridin succinate) and antitumor drugs - cyclophosphamide, 5-fluorouracil and rubomycine on cancer metastatic process. Studies were performed on C57Bl mice which B16 melanoma had been implanted s.c. The volume of primary tumor, quantity of lung surface metastases, ability to inhibit metastases were determined. Mexidolum at a dose of 10 or 50 mg/kg body weight was injected i.m. daily followed by tumor transplant for 25 days. Results showed that mexidolum significantly increased antimetastatitic efficacy studied antitumor drugs.
Aspirantskiy Vestnik Povolzhiya. 2009;9(3-4):104-106
pages 104-106 views

Lung cancer occursin citizens of Azerbaidzhan

Soltanov A.O.


Investigation of risk factors of lung cancer is still actual world wide. Definition of connection of all possible risk factors within etiogenesis of lung cancer is still not possible. Thus case histories of 876 patients with lung cancer were analyzed. The geographical dissimilar distribution of the patients within regions of Republic was revealed. The cases of citizens were analyzed. It was determine that lung cancer affects more often men, people over 50 and right lung within citizens. Majority of the patients besides smoking have taken alcoholics. In most of the patients, who live in the city, the late stages of lung cancer and central form of anatomical growth of the tumor are diagnosticating.
Aspirantskiy Vestnik Povolzhiya. 2009;9(3-4):107-111
pages 107-111 views

Diagnostic possibilities of osteocyntigraphia applicationwith combination of chronic posttraumatic osteomyelitis with bony nonunion

Sonis A.G.


The article discusses the questions of chronic posttraumatic osteomyelitis combined with bone nonunion. The treatment results of such patients depend on the correctly chosen therapeutic management. When choosing the therapeutic approach surgeons are also guided by the revealed tendency of reparative osteogenesis in the nonunion zone. Diagnostic opportunities of osteoscintigraphy for such cases are not adequately explored. The monitoring results of bone tissue reparative regeneration in the nonunion zone of 72 patients are compared in this research, with or without using osteoscintigraphy. Scintigram data handling and interpreting are carried out by author's strategy. The results obtained show great diagnostic value of osteoscintigraphy. Carried out investigations demonstrate that using scintigraphy promotes making a sound tactical decision at an earlier stage.
Aspirantskiy Vestnik Povolzhiya. 2009;9(3-4):112-117
pages 112-117 views

Complextreatment of long non-healingwounds withapplicationof combined bandages

Tuisin S.R., Bogdanov I.V.


The article touches upon a topical subject of combination therapy of persistent wound by using compound dressing materials. It was proffered an estimation method of purulent diseases dynamics by way of determination the proteins of acute phase inflammation. The research shows that C-reactive protein, fibrinogen, albumin level investigations are acceptable monitor method of treatments propriety.
Aspirantskiy Vestnik Povolzhiya. 2009;9(3-4):118-124
pages 118-124 views

Analysis of surgicaltreatment results of acuteappendicitis from mini-approach

Fomin S.A.


It is developed and introduced slanting pararectal miniaccess to a dome of a blind gut at an acute appendicitis (a priority № 2007136713/14 (040142) from 03.10.2007., the positive decision from 19.08.2008.). Indications for miniaccess use are defined. For an estimation of an operational trauma the comparative analysis of changes leukocytes an index of an intoxication, dynamics leukocytosis, temperature reaction of an organism, level of S-jet fiber and circulating immune complexes is carried out. Advantages and lacks of the offered access are revealed. Duration of operation appendectomy from miniaccess averaged 39,5 minutes, at traditional access - 46 minutes. Time of a finding of patients in a hospital with 8,75 till 6,1 days has decreased.
Aspirantskiy Vestnik Povolzhiya. 2009;9(3-4):123-127
pages 123-127 views

Intraocular pressureoccurs in healthy people with varioustypes of clinical refraction

Bratko O.V.


156 patients are examined with an еmmetropia and different degree of hypermetropia and myopia. Install a correlation between different type of ametropy and level of intraocular pressures. At myopia of IOP more than at еmmetropia and hypermetropia.
Aspirantskiy Vestnik Povolzhiya. 2009;9(3-4):128-130
pages 128-130 views

To the question aboutaccommodation influence on results ofvacuum and compressive tests

Stebneva I.G.


Vacuum-compression test in a combination with accomodation was performed on 25 patients(27 eyes). The carried out researches have revealed interaction between accommodation and eye hy-drodynamics. There is the tendency to more expressed decrease of intraocular pressure in a com-bination with accommodation than without it.
Aspirantskiy Vestnik Povolzhiya. 2009;9(3-4):131-134
pages 131-134 views

Effectiveness ofprimary endavitral surgery in treatmentof uncomplicated formsof regmatoicretinal detachment

Stebnev V.S.


Features and results of the treatment of noncomplicated regmatogenic retina detachment with application of primary pars plana vitrectomy are studied. «Primary pars plana vitrectomy» allows to achieve high anatomic and functional results in the treatment of regmatogenic retina detachment in the early and remote period of supervision. Intraoperative and postoperative complications, functional results are analysed.
Aspirantskiy Vestnik Povolzhiya. 2009;9(3-4):135-138
pages 135-138 views

Central thickness ofcornea as a risk factor of primaryopen-angle glaucoma

Fattah O.


Central corneal thickness (CCT) were examined on 300 eyes of 156 patients with primary open-angle glaucoma and different clinical refraction: (emetropia, myopia and hyperopia) and on 189 normal eyes of 97 patients. A correlation between thinner corneas and glaucoma progression were found. CCT could be associated with the risk of development and progression of glaucoma
Aspirantskiy Vestnik Povolzhiya. 2009;9(3-4):139-141
pages 139-141 views

Substantiationof oxygen laser electrophoresisin complex treatment of dentalperiimplantit with takinginto account metabolic processes in oralcavity tissues

Krivoshey E.A.


Inflammation surrounding implant is one of the main problems of the implantology. Oxygen-laser-electrophoresis method has displayed highly efficiency in periimplantitis treatment. That is confirmed by clinical data and biochemical researches of the oral liquid. A special electrode was invented to serve this method. (Invention patent of RF № 2008943).
Aspirantskiy Vestnik Povolzhiya. 2009;9(3-4):142-144
pages 142-144 views

Restorative surgery of auricle:history and perspectives

Chkadua T.Z.


Auricles are the one of the most important anatomic formations of maxillofacial region. Therefore, their defect or full absence promote the development of an inferiority complex in the patient, and influences his or her social life negatively. Till now the most known multisteps method of ear reconstruction with use autogenous rib cartilage wich was known in 60-70 years. For patients with total and subtotal defects of auricles, as a framework, we use individually simulated silicone implant which allows us to reproduce as much as possible precisely parameters of an auricle, its relief and the corner of assignment which is the necessary condition for creation post auricle fold. As a covering for implant we use temporoparietal fascial flap which is a high-grade plastic and biological covering and also a favorable basis for engraftment of splintered autograft skin transplantat. The using of an auricle silicone implant as a framework, is necessary because of its elasticity, durability, inertness and biocompatibility. Thats why we keep received result, and allows the patient to sleep on the generated auricle, not affecting its blood supply.
Aspirantskiy Vestnik Povolzhiya. 2009;9(3-4):145-148
pages 145-148 views

Cognitive and affectivedisorders in old patientswith magistralneck vessel pathology

Maximova P.A.


In article examine psychic impairment cognitive and affective, discover elderly patients with pathology great vessels neck before-operation period.
Aspirantskiy Vestnik Povolzhiya. 2009;9(3-4):149-153
pages 149-153 views

Peculiaritiesof organization of surface tonguestructure in patientswith neurotic depressions

Smirnova D.A.


The speech production study in mild depressed patients is an actual trend of clinical psycho-pathology development in the aspects of diagnostic significance. This article presents the study of the superficial speech structure organization among patients suffered from neurotic depressions. The features of the superficial speech structure organization in lexical level, grammar and syntax and their correlations with the clinical picture specifics and psychological features are revealed. The research concluded that psycholinguistic study demonstrated its important role in the improvement of neurotic depressions diagnostics and the disease dynamics estimation.
Aspirantskiy Vestnik Povolzhiya. 2009;9(3-4):154-157
pages 154-157 views

Analysis of lipid profile disordersin patients with gastrointestinal disease

Borodenko E.V.


The article deals with actual analysis of bile-excreting system and gallbladder, examination of dysfunction of dyslipidemia with cholelitiasis patients. The aim of the research is revelation of correlation changes in data of lipid volume which show the dylipidemia with cholelitiasis patients. It was also taken under consideration gallbladder cholelitiasis morphologically displayed on micro and macroscopic levels.
Aspirantskiy Vestnik Povolzhiya. 2009;9(3-4):158-161
pages 158-161 views

Detection of excessive growth bacteria syndromein small intestine with psoriasis disease

Gamayunova N.G.


Determined: the clinical severity of psoriatic disease. Performed: the research of small intestine microflora of patients who suffer from psoriatic disease. Found out: Small Intestinal Bacterial Overgrowth Syndrome of the surveyed patients. Established: the correlation between the severity of psoriatic disease flow and expression of the Bacterial Overgrowth Syndrome.
Aspirantskiy Vestnik Povolzhiya. 2009;9(3-4):162-164
pages 162-164 views

Dimephasphaninfluence on index of acid-basiccondition inbrain contusion

Shamsutdinov A.S.


Use of Dimephosphonum (per os, 50-100 mg/kg, day dose) in complex therapy of brain contusion (BC) leads to dose-dependent correction of metabolic and respiratory acidosis and metabolic alkalosis, developing on different dates of posttraumatic period. Normalized activity of Dimephosphonum on acid-base balance (ABB) in BC associated with increasing compensatory opportunities of buffer blood system against a background of various direct intensification of kidney and lung mechanisms of ABB constancy support.
Aspirantskiy Vestnik Povolzhiya. 2009;9(3-4):165-169
pages 165-169 views

To the questionabout mechanism of non-medicalbronchodilatation in young andold patients

Shirolapov I.V.


29 young volunteers and 20 apparently healthy women participated in the present research. Its been first time determined that whole body vibration exercises stimulating proprioreceptors of skeletal muscles cause significant airway smooth muscles relaxation resulting in increased maximal expiratory flow in men of various ages. Moreover, the increase in MEF50 and MEF75 parameters was twofold higher in elderly as compared to young. These findings suggest that acute WBV exercises may be beneficial and valid treating and preventive technique for smart decrease of airway smooth muscle tone in patients suffering from bronchial obstruction.
Aspirantskiy Vestnik Povolzhiya. 2009;9(3-4):170-173
pages 170-173 views

Optimization ofmanagement in medico-prophylacticservice at a largeindustrial enterprise

Zhukova N.V.


The experience of management optimization in contemporary medical organization is described in the article above taking an example of medical-prophylaxis service of one of the biggest industrial facilities called AVTOVAZ JSC on the basis of the process management. Process management is based on structural and functional modeling of both medical services (including clinical-diagnostic processes, prevention, rehabilitation) as well as management technologies (planning, control, finance flows management, information management, HR management). The complex of management technologies is based on decision making improvement to be able to achieve the Major Objective - improvement of the health status of facility manpower.
Aspirantskiy Vestnik Povolzhiya. 2009;9(3-4):174-177
pages 174-177 views

Social efficiency of One day surgerydepartmentin multi-profilemedical institution

Lazareva L.A.


One of the basic criteria of the estimation activity of TPI is social efficiency. On the example of One day surgery department, created in 1998 on the basis of MSU №5, the author carried out complex research of social efficiency of the given department. The socially-demographic medical services portrait of the consumer is established. Satisfaction of patients is defined by quality of medical aid while staying in the department. The patients opinion on state of health in the postoperative period is studied. On the basis of the received data the author comes to the conclusion that 84,5 % of respondents prefer surgical treatment in One day surgery department
Aspirantskiy Vestnik Povolzhiya. 2009;9(3-4):178-183
pages 178-183 views

Modern educationalprocess and physicaldevelopment ofschoolchildren in Samara

Manyukhin A.I.


In the article is represented the analysis of the physical development and health condition of 1097 pupils from 1st to 11th grade, who study in three educational establishments: general school, lyceum and gymnasium. It was found out, that closer to finishing the school the amount of children with faults in posture increases more than up to 7 times, with flatfootedness up to 3-4 times, and with eyesight malfunction is twice as much. Maximum performance of the malfunctions is marked in the educational establishments of the new type. The majority of the students are related to the second health group, during the study process the quantity of children with first health group decreases and with the third group increases, what tells about the decreasing health level of pupils.
Aspirantskiy Vestnik Povolzhiya. 2009;9(3-4):184-188
pages 184-188 views

Information about the authors

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Aspirantskiy Vestnik Povolzhiya. 2009;9(3-4):189-192
pages 189-192 views

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