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ORIGINAL ARTICLES

Parameters of endogenous intoxication and hemostasis system in pregnant women with appendicitis. N.F. Khvorostukhina, U.V. Stolyarova P.5

Laboratory diagnostics of torch-infection with appli-cation of ifa tests-systems of «ekolab ltd company» and the analyser «ekspert-lab». S.G. Mardanly, V.V. Zoyko, A.E. Tugolukov, T.A. Starovoytova P.11

The retrospective analysis of the parameters chronic, respiratory diseases in working-age population of Omsk region. V.P. Kazakovtsev, V.A. Lyapin P.17

Asthma in the industrial region: integrated indica-tors of disease control. N.V. Ovsyannikov, N.S. Antonov, V.A. Lyapin P.22

Effect of gender on health related quality of life in sarcoidosis patients. D.V. Petrov, N.V. Ovsyannikov, A.Ju. Kononenko, N.G. Pyannikova, O.V. Kapustyan, E.F. Kapralov, S.S. Bunova, L.N. Gasanenko P.28

The quality of life and the psychological status of pa-tients with rheumatoid arthritis in association with ar-terial hypertension. E.B. Klester, V.G. Lychev, E.V. Loktionova, M.E. Ignatyev P.33

Substantiation of use resource save forms of treat-ment of students with erosion-ulcer defects gastric-duodenal areas. N.I. Beylina, R.M. Gazizov P.36

Satisfaction studies pharmacists of pharmacy training in the field of information technologies. L.N. Minapov P.38

Result of the introduction of «Order of medical care of sarcoidosis patients» in Omsk city. D.V. Petrov, N.V. Ovsyannikov, A.Yu. Kononenko, N.G. Pyan-nikova, O.V. Kapustyan, E.A. Kapralov, S.S. Bunova, L.N. Gasanenko P.42

The efficiency of treatment patients with the risk of high drug resistens m.tuberculosis. T.I. Morozova, L.E. Parolina, N.P. Doktorova, O.N. Barinboym P.47

Ventricular extrasystoles in patients with post infarction cardiosclerosis – angiography and electrotopographical comparison. A.Yu. Teregulov, Yu.E. Teregulov, I.I. Kamalov P.52

Ultrasonography of bruises of living persons for the purpose of forensic medical practice: the actuality of problem and ways for its solution. R.M. Gazizyanova, I.V. Klushkin, E.M. Nigmetzynova P.55

REVIEWS

Pneumococcal vaccination in patients with chronic broncho-pulmonary disease (literature review). A.D. Protasov P.60

Prevalence аrтеrial hipertension among the employees of law-enforcement bodies. R.A. Davhale, М.V. Potapova, N.B.Аmirov P.66

Modern clinical and epidemiological profile of con-genital adentia. M.V. Yakovleva, R.R. Mustafayev, A.V. Anokhina P.73

CLINICAL LECTURE

Morfofuktsionalnye features urinary tract in children born premature and underweight. M.A. Daminova, A.I. Safina, M.A. Satrutdinov, G.A. Khamzina P.79

HELP FOR PRACTITIONER

Current understanding of chronic heart failure. E.B. Frolova, M.F.Yushev P.87

CASE REPORT

Systemic sclerosis (the clinical case in rheumato-logal practice). Yu.V. Kulakov, A.A. Sinenko, E.B. Abramochkina, N.M. Lupach, O.I. Susina, E.M. Faizenger, N.S. Komendantova, N.N. Glazkova, L.M. Moldovanova, E.Yu. Evdokimova P.94

ORGANIZATION OF HEALTHCARE

Assessment of competence of doctors of the re-public of tatarstan in approaches to diagnostics and treatment of chronic heart failure. E.A. Atsel P.97

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ORIGINAL ARTICLES

Parameters of endogenous intoxication and hemostasis system in pregnant women with appendicitis

N.F. Khvorostukhina, U.V. Stolyarova P.5

Abstract. The examination of 78 pregnant women with acute appendicitis and 37 women with physiological course of gestation (control group). Parameters of hemostasis, leukocyte index of intoxication, the content of the average molecular weight, circulating immune complexes, endotoxin serum. The combination of pregnancy and the development of appendicitis stated endogenous intoxication, hypercoagulation, with simultaneous inhibition of fibrinolysis and increased product paracoagulation. Progression of violations after the surgery has an adverse effect on the course of gestation, increasing the risk of loss of pregnancy up to 45,2% (control group, n = 42). Additional use of discrete plasmapheresis for 3 and 5 days after surgery (study group, n = 36) to be reducing endogenous intoxication, normalization of hemostasis, thus improving the percentage of successful pregnancy outcomes after appendectomy.

Key words: appendicitis, pregnancy, hemostasis, parameters of endogenous intoxication

 

Referenсes

1. Ailamazyan, E.K. Akusherstvo: nacional’noe rukovodstvo / E.K. Ailamazyan; pod red. E.K. Ailamazyana, V.I. Kulakova, V.E. Radzinskogo, G.M. Sidel’nikovoi. — M.: GEOTAR-Media, 2007. — S.943—952.
2. Belugina, O.S. Diagnostika narushenii sistemy gemostaza u beremennyh s fetoplacentarnoi nedostatochnost’yu i novorozhdennyh detei / O.S. Belugina, E.V. Mihalev, N.A. Gabitova [i dr.] // Sibirskii medicinskii zhurnal. — 2010. — T. 25, № 4. — S.57—59.
3. Dobrokvashin, S.V. Osobennosti diagnostiki ostrogo appendicita u beremennyh / S.V. Dobrokvashin, A.G. Izmailov, D.E. Volkov [i dr.] // Prakticheskaya medicina. — 2010. — № 47. — S.79—80.
4. Makacariya, A.D. Sistemnye sindromy v akushersko-ginekologicheskoi klinike / A.D. Makacariya; pod red. A.D. Makacariya. — M.: MIA, 2010. — 888 s.
5. Putilova, N.V. Rol’ sindroma endogennoi intoksikacii v patogeneze trombofilii / N.V. Putilova, N.V. Bashmakova, L.A. Pestryaeva // Ural’skii medicinskii zhurnal. — 2008. — № 12. — S.59—62.
6. Radzinskii, V.E. Akusherskaya agressiya / V.E. Radzinskii. — M.: Izd-vo zhurnala StatusPraesens, 2011. — 688 s.
7. Rogozhina, I.E. Vliyanie embolizacii matochnyh arterii na sistemu gemostaza u bol’nyh miomoi matki / I.E. Rogozhina, N.F. Hvorostuhina // Izvestiya vysshih uchebnyh zavedenii. Povolzhskii region. Medicinskie nauki. — 2011. — T. 3, № 19. — S.96—105.
8. Salov, I.A. Sovremennyi podhod k vedeniyu beremennyh s mertvym plodom / I.A. Salov, N.F. Hvorostuhina, I.E. Rogozhina [i dr.] // Rossiiskii vestnik akushera-ginekologa. — 2007. — T. 7, № 4. — S.17—21.
9. Sidel’nikova, V.M. Privychnaya poterya beremennosti / V.M. Sidel’nikova. — M.: Triada-H, 2005. — 304 s.
10. Strizhakov, A.N. Beremennost’ i ostryi appendicit / A.N. Strizhakov, A.F. Chernousov, M.V. Rybin [i dr.] // Vestnik hirurgicheskoi gastroenterologii. — 2010. — № 3. — S.4—16.
11. Filippov, O.S. Placentarnaya nedostatochnost’ / O.S. Filippov. — M.: MEDpressinform, 2009. — 160 s.
12. Shaimardanov, R.Sh. Instrumental’nye metody issledovaniya v diagnostike ostrogo appendicita u beremennyh / R.Sh. Shaimardanov, R.F. Gumarov // Kazanskii medicinskii zhurnal. — 2010. — T. 91, № 5. — S.622—625.
13. Shubina, O.S. Vliyanie endogennoi intoksikacii na stroenie placenty / O.S. Shubina // Fundamental’nye issledovaniya. — 2004. — № 4. — S.21—23.
14. Choi, J.J. Appendectomy During Pregnancy: Follow-Up of Progeny Original Research Article / J.J. Choi, R. Mustafa, E.T. Lynn, C.M. Divino // Journal of the American College of Surgeons. — 2011. — Vol. 213, № 5. — P.627—632.
15. Еryilma Z.R. Laparoscopic Appendectomy s an acceptable alternantive for the treatment of perforated appendicitis / R. Еryilmaz, M. Sahin, G. Bas [et al.] // Dig. Surg. — 2002. — Vol. 19, № 1. — P.40—44.
16. McGory, M.L. Negative appendectomy in pregnant women is associated with a substantial risk of fetal loss / M.L. McGory, D.S. Zingmond, A. Tillou [et al.] // J. Am. Coll. Surg. — 2007. — Vol. 205, № 4. — P.534—540.
17. Mishra, R.K. Laparoscopic versus Open Appendectomy for the Treatment of Acute Appendicitis / R.K. Mishra, G.B. Hanna, A. Cuschieri // World J. of Laparoscopic Surg. — 2008. — Vol. 1, № 1. — P.19—28.
18. Pedrosa, I. MR imaging Evaluation of acute appendicitis in pregnancy / I. Pedrosa, D. Levine, A.D. Eyvazzadeh [et al.] // Radiology. — 2006. — Vol. 238, № 3. — P.891—899.
19. Sadot, E. Laparoscopy: a safe approach to appendicitis during pregnancy / E. Sadot, D.A. Telem, M. Arora [et al.] // Surg. Endosc. — 2010. — Vol. 24, № 2. — P.383—389.

 

Laboratory diagnostics of torch-infection with application of IFA tests-systems of «Ekolab Ltd company» and the analyser «Ekspert-lab»

S.G. Mardanly, V.V. Zoyko, A.E. Tugolukov, T.A. Starovoytova

Abstract. Adaptation of the software of the hardware and program complex «Ekspert-Lab» to ELISA test-systems for diagnostics of infections of the TORCH group, made by «Ekolab Ltd Company», with development of the software product «EkspertLab-ELISA-TORCH» is carried out. Efficiency of adaptation is confirmed with research of 91 clinical samples. The conducted researches allow to recommend ARK «Ekspert-Lab» and PO «EkspertLab-ELISA -TORCH» as a universal remedy of registration, the calculation and interpretation of results of laboratory diagnostics of infections of TORCH group by the ELISA method.

Key words: video digital registration of results, TORCH group infections, ELISA -analysis.

 

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The retrospective analysis of the parameters chronic, respiratory diseases in working-age population of Omsk region

V.P. Kazakovtsev, V.A. Lyapin

Abstract. We performed the retrospective statistical analysis of the incidence of chronic diseases of the upper respiratory tract of the adult population of the Russian Federation and its administrative areas. Omsk region is a part of the unfavorable territories for chronic diseases of the upper respiratory tract. We have made the comparative analysis of the structure of mean total and primary disease and found that the share of a group such diseases as: allergic rhinitis (hay fever), bronchitis, chronic and unspecified, emphysema and asthma were increased. In predicting the incidence of this disease is expected to be an increase in all groups in the class of chronic diseases of the upper respiratory tract in the adult population between 2012 and 2016.

Key words: disease, working-age population, chronic respiratory diseases, the level of disease, diseases of the upper respiratory tract.

 

Referenses

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Asthma in the industrial region: integrated indica-tors of disease control

N.V. Ovsyannikov, N.S. Antonov, V.A. Lyapin

Abstract. In article integral indicators of asthma control in a population of patients with asthma industrial region, formulated the concept of «an integrated control of asthma».

Key words: asthma, level of control over the disease, the population of patients.

 

Referenсes

1. Arhipov, V.V. Kontrol’ nad bronhial’noi astmoi v Rossii: rezul’taty mnogocentrovogo nablyudatel’nogo issledovaniya NIKA / V.V. Arhipov, E.V. Grigor’eva, E.V. Gavrishina // Pul’monologiya. — 2011. — № 6. — S.87—93.
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Effect of gender on health related quality of life in sarcoidosis patients

D.V. Petrov, N.V. Ovsyannikov, A.Ju. Kononenko, N.G. Pyannikova, O.V. Kapustyan, E.F. Kapralov, S.S. Bunova, L.N. Gasanenko

Abstract. A simple analytical observational cross-sectional study of the quality of life among adult patients with respiratory sarcoidosis was conducted. The results were obtained by means of survey by SHQ carried out among 127 sarcoidosis patients and their spirography data as well. The associations between gender characteristics of the respondents, quality of life indicators and respiratory functions were identified. Thus, despite the higher indexes of FEV1 and FVC in women, their quality of life was lower compared to men, whose indexes of FEV1 and FVC were lower.

Key words: sarcoidosis, health related quality of life, gender, spirometry.

 

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16. Petrov, D.V. Paradigma kliniko-instrumental’nyh osobennostei sarkoidoza organov dyhaniya / D.V. Petrov, N.V. Ovsyannikov [i dr.] // Prakticheskaya medicina. — 2011. — № 3. — S.83—84.

 

The quality of life and the psychological status of pa-tients with rheumatoid arthritis in association with ar-terial hypertension

E.B. Klester, V.G. Lychev, E.V. Loktionova, M.E. Ignatyev

Abstract. The article is devoted to research of the QOL of patients with RA and correlative interconnections of its manifestations with the intensity anxiety-depressive disorders in association with arterial hypertension. 104 patients with authentic diagnosis of RA are investigated, of which 54 with combined RA and arterial hypertension QOL was studied by a scales of SF-36. Psychological — emotional status of patients was evaluated with assistance of the enquirer of depression Beck (BDI), the Hospital of the scale of anxiety and depression (HADS), the Scale of reactive and personal anxiety Spielberger — Huning. All initial indexes of QOL in patients with RA were statistically significantly lower than in the group of population control (p<0,05). To the greatest extent were reduced rates of physical health of the patients of the association of the RA and AH. The majority of patients with RA were identified anxiety-depressive disorders, the intensity of which is correlated with the main clinical manifestations of RA.

Key words: quality of life, rheumatoid arthritis, arterial hypertension.

 

References

1. Balabanova, R.M. Dinamika rasprostranennosti revmato- logicheskih zabolevanii, vhodyaschih v XIII klass MKB-10, v populyacii vzroslogo naseleniya Rossiiskoi Federacii za 2000—2010 gg. / R.M. Balabanova, SH.F. Erdes // Nauchno-prakticheskaya revmatologiya. — 2012. — № 52(3). — S.10—12.
2. Revmatologiya: nacional'noe rukovodstvo / pod red. E.L. Nasonova, V.A. Nasonovoi. — M.: GEOTAR-Media, 2010. — 720 s.
3. Covic, T. Depression and anxiety in patients with rheumatoid arthritis: prevalence rates based on a comparison of the Depression, Anxiety and Stress Scale (DASS) and the hospital, Anxiety and Depression Scale (HADS) / T. Covic, S.R. Cumming, J.F. Pallant [et al.] // BMC Psychiatry. — 2012. — Vol. 24, № 2. — Р.6.
4. Conen, D. Inflammation, blood pressure and cardiovascular disease: heading east / D. Conen // J. Hum. Hypertens. — 2013. — Vol. 27, № 2. — Р.71.
5. Nemeroff, C. B. Heartache and heartbreak — the link between depression and cardiovascular disease / C.B. Nemeroff, P.J. Goldschmidt-Clermont // Nat. Rev. Cardiol. — 2012. — Vol. 9, № 9. — Р.526—539.
6. Rossiiskie rekomendacii po diagnostike i lecheniyu arterial’noi gipertenzii (4-i peresmotr, 2010). — M., 2010.
7. Razreshenie na ispol’zovanie i vosproizvedenie oprosnika SF-36® // Medical Outcomes Trust. — URL: http: www.sf-36.com./tools/sf36.shtml
8. Ionova, T.I. Kachestvo zhizni zdorovogo naseleniya Sankt-Peterburga / T.I. Ionova, A.A. Novik, B. Gandek [i dr.] // Issledovanie kachestva zhizni v medicine: tez. dokl. Vseros. konf. s mezhdunarodnym uchastiem. — SPb., 2000. — S.54—57.
9. Novik, A.A. Rukovodstvo po issledovaniyu kachestva zhizni v medicine / A.A. Novik, T.I. Ionova. — M.: OLMA-PRESS, 2002. — 314 s.

 

Substantiation of use resource save forms of treat-ment of students with erosion-ulcer defects gastric-duodenal areas

N.I. Beylina, R.M. Gazizov

Abstract. This article describes results of studying of features epidemiologic and clinics of erosion-ulcer defects of gastric-duodenal zones at students for a substantiation of treatment patients in conditions of an ambulance station.

Key words: erosion-ulcer defects of gastric-duodenal zones, students, an ambulance station.

 

References

1. Anikin, V.V. Kliniko-morfologicheskie osobennosti erozivnyh porazhenii gastroduodenal'noi zony u raznyh vozrastnyh grupp / B.B. Anikin // Gastroenterologiya Sankt-Peterburga — 2003. — № 2/3. — S.7.
2. Gorina, E.M. Ocenka kachestva zhizni pri provedenii reabilitacii detei s patologiei organov pischevareniya / E.M. Gorina // Gastroenterologiya Sankt-Peterburga. — 2003. — № 2/3. — C.44.
3. Denisov, I.N. Spravochnik-putevoditel’ praktikuyuschego vracha. 2000 boleznei ot A do YA / I.N. Denisov, Yu.L. SHevchenko. — M.: Geotar-Media, 2008. — 1328 s.
4. Zabolotnyh, I.I. Kriterii reabilitacionnogo prognoza pri yazvennoi bolezni / I.I. Zabolotnyh // Gastroenterologiya Sankt-Peterburga. — 2003. — № 2/3. — S.60.
5. Ivashkin, V.T. Racional’naya farmakoterapiya zabolevanii organov pischevareniya: rukovodstvo dlya praktikuyuschih vrachei / V.T. Ivashkin; pod red. V.T. Ivashkina. — M.: Littera, 2003. — 1056 s.
6. Postanovlenie Pravitel’stva Rossiiskoi Federacii ot 21 oktyabrya 2011 № 856 «O Programme gosudarstvennyh garantii okazaniya grazhdanam Rossiiskoi Federacii besplatnoi medicinskoi pomoschi na 2012 god».
7. Rychkova, S.V. Vliyanie hronicheskoi gastroduodenal’noi patologii na pokazateli kachestva zhizni / S.V. Rychkova // Gastroenterologiya Sankt-Peterburga. — 2003. — № 2/3. — C.144.
8. Maslennikova, L.V. Osobennosti klinicheskogo techeniya yazvennoi bolezni u detei i podrostkov / L.V. Maslennikova, S.M. Kushnir // Gastroenterologiya Sankt-Peterburga. — 2003. — № 2/3. — S.103.
9. Muravceva, O.V. Ispol’zovanie resursosberegayuschei formy lecheniya pri yazvennoi bolezni / O.V. Muravceva, Ya.M. Vahrushev // Gastroenterologiya Sankt-Peterburga. — 2006. — № 1/2. — S.103.
10. Chernobrovkin, A.V. Dinamika izmenenii pokazatelei zabolevaemosti v gruppe alimentarno-zavisimoi patologii sredi detskogo naseleniya RT / A.V. Chernobrovkin, E.I. Mingazov // Nauch.-prakt. konf. molodyh uchenyh Privolzhskogo federal’nogo okruga s mezhdunarodnym uchastiem. — Kazan’, 2010.

 

Satisfaction studies pharmacists of pharmacy training in the field of information technologies

Linar N. Minapov

Abstract. The article is devoted to evaluation of the conformity of knowledge in the field of information technologies, necessary for work in a pharmacy institution and received in higher educational institutions. A questionnaire containing 29 questions; respondents were 112 pharmacists of pharmacy of the Republic of Tatarstan. The need of pharmacists in the teaching of computer literacy and the study of information technologies, used in pharmacy, which can be implemented at the stage of post-graduate and supplementary professional pharmaceutical education.

Key words: information technology, consumer preferences, questionnaire, pharmacy, pharmacist.

 

References

1. Shakirova, D.H. Kachestvo upravleniya lekarstvennoi pomosch'yu i informacionno-komp'yuternye tehnologii / D.H. Shakirova, R.S. Safiullin // Farmaciya. — 2011. — № 5. — S.29—30.
2. Sattarova, O.E. Informacionnye tehnologii kak sredstvo sovershenstvovaniya kachestva podgotovki i povysheniya kvalifikacii provizorov / O.E. Sattarova // Farmaciya. — 2009. — № 7. — S.44—47.

 

Result of the introduction of «Order of medical care of sarcoidosis patients» in Omsk city

D.V. Petrov, N.V. Ovsyannikov, A.Yu. Kononenko, N.G. Pyan-nikova, O.V. Kapustyan, E.A. Kapralov, S.S. Bunova, L.N. Gasanenko

Abstract. The introduction of the «Order of care of patients of broncho-pulmonary disease» in patients with sarcoidosis in the Omsk city allowed to provide histomorphological verification of diagnosis in 100% of the combined therapy and to organize medical check-up, to reduce the number of relapses, to ensure the rehabilitation of patients.

Key words: sarcoidosis, order of care of patients, health related quality of life, relapse.

 

References

1. Vizel’, A.A. Sarkoidoz: monografiya / A.A. Vizel’. — M.: Izdatel’skii holding «Atmosfera», 2010. — 416 s.: il.
2. Il’kovich, M.M. Sarkoidoz organov dyhaniya / M.M. Il’kovich // Intersticial’nye zabolevaniya legkih: rukovodstvo dlya vrachei / pod red. M.M. Il’kovicha, A.N. Kokosova. — SPb., 2005. — S.288—328.
3. Mordyk, A.V. Chastota i patogenez neblagopriyatnyh pobochnyh reakcii na protivotuberkuleznye preparaty / A.V. Mordyk // Vestnik sovremennoi klinicheskoi mediciny. — 2010. — T. 3, vyp. 1. — S.16—21.
4. Shmelev, E.I. Sarkoidoz / E.I. Shmelev // Atmosfera: Pul’monologiya i allergologiya, 2004. — № 2 (13). — S.3—10.
5. Shmelev, E.I. Kachestvo zhizni pri sarkoidoze — validaciya novogo instrumenta / E.I. Shmelev [i dr.] // Terapevticheskii arhiv. — 2008. — № 3. — S.32—37.
6. Gruttersand, J.C. Corticosteroid treatment in sarcoidosis / J.C. Gruttersand // European Respiratory Journal. — 2006. — Vol. 28. — P.627—636.
7. Hunninghake, G.W. ATS/ERS/WASOG statement on sarcoidosis / G.W. Hunninghake, U. Costabel, R. Baughman // Sarcoidosis Vascular Diffuse Lung Dis. — 1999, September. — № 16(2). — Р.149—73.
8. Lynch, J.P. Interstitial pulmonary and bronchiolar / J.P. Lynch // Lung biology in health and disease; Informa Healthcare USA, Inc. — 2008. — Р.227.
9. Nunes, H. Sarcoidosis / H. Nunes [et al.] // Orphanet Journal of Rare Diseases. — 2007. — № 2. — Р.46.

 

The efficiency of treatment patients with the risk of high drug resistens m.tuberculosis

T.I. Morozova, L.E. Parolina, N.P. Doktorova, O.N. Barinboym

Abstract. The authors compaired the results of treatment patients with the risk of high drug resistens M.Tuberculosis by combined medicines the fixed dosages (Kombitub-neo, Protiokomb) in compaire with the complex of antituberculosis drugs. The authors estimated kliniko-laboratory, radiological and microbiological efficiency and safety of treatment 73 patients. The equivalent clinical efficiency of various forms of medicines in the intensive phase of IIB mode of chemotherapy was proved. On structure and frequency of collateral reactions to reception of different forms of preparations of statistically significant distinctions it wasn’t received. The majority of undesirable effects in all groups was observed in the first months from the chemotherapy beginning. At 85,7% of reaction had removable character. By authors it is proved that, irrespective of a form of medicinal substances, for achievement of significant results of treatment at purpose of starting IIB of a mode of chemotherapy expedient not less than 120 doses of an intensive phase of a stationary stage of maintaining patients.

Key words: tuberculosis, treatment, drug resistans.

 

References

1. Ivanova, D.A. CHastota i risk razvitiya tyazhelyh nezhelatel’nyh reakcii pri lechenii vpervye vyyavlennyh bol’nyh tuberkulezom / D.A. Ivanova, S.E. Borisov, A.M. Ryzhov, T.N. Ivanushkina // Tuberkulez i bolezni legkih. — 2012. — № 12. — S.15—22.
2. Lebedev, Yu.I. Social’naya aktivnost’ bol’nyh lekarstvenno-ustoichivym tuberkulezom legkih / Yu.I. Lebedev, Yu.A. Blinkov, S.N. Novikova, A.V. Pastuhova // Tuberkulez i bolezni legkih. — 2011. — № 5. — S.21.
3. Mishin, V.Yu. Tuberkulez legkih s lekarstvennoi ustoichivost’yu vozbuditelya: ucheb. posobie / V.Yu. Mishin. — M.: GEOTAR-Media, 2009. — 208 s.
4. Mishin, V.Yu. Pobochnoe deistvie protivotuberkuleznyh preparatov pri standartnyh i individualizirovannyh rezhimah himioterapii / V.Yu. Mishin, V.I. CHukanov, Yu.G. Grigor’ev. — M., 2004. — 208 s.
5. Moiseeva, N.V. Epidemiologicheskaya harakteristika bol’nyh s lekarstvenno-ustoichivym tuberkulezom po Stavropol’skomu krayu / N.V. Moiseeva, T.I. Novikova, V.S. Novikov, S.A. Horoshaya // Tuberkulez i bolezni legkih. — 2011. — № 5. — S.52.
6. Prikaz ot 21 marta 2003 № 109 «Organizaciya protivotuberkuleznoi pomoschi bol’nym tuberkulezom v Rossii». — URL: http://law7.ru/legal2/se5/pravo510/index.htm
7. Smerdin, S.V. Effektivnost’ standartnyh rezhimov himioterapii pri tuberkuleze legkih s bakteriovydeleniem / S.V. Smerdin, E.M. Bogorodskaya, S.A. Sterlikov [i dr.] // Tuberkulez i bolezni legkih. — 2012. — № 2. — S.24—32.
8. Filippov, A.V. Novyi kombinirovannyi protivotuberkuleznyi preparat levofloripin v lechenii vpervye vyyavlennogo tuberkuleza s raspadom legochnoi tkani i bakteriovydeleniem / A.V. Filippov, L.V. Mohireva, T.N. Ivanushkina [i dr.] // Tuberkulez i bolezni legkih. — 2012. — № 9. — S.38—45.
9. Cybikova, E.B. Epidemiologiya tuberkuleza legkih s destrukciei legochnoi tkani v Rossii v pervom 10-letii XXI v. / E.B. Cybikova // Sovershenstvovanie medicinskoi pomoschi bol’nym tuberkulezom: materialy Vseros. nauch.-prakt. konf. s mezhdunarodnym uchastiem. — SPb., 2010. — S.81—82.
10. Shilova, M.V. Epidemicheskaya obstanovka po tuberkulezu v Rossiiskoi Federacii k nachalu 2009 goda / M.V. Shilova // Tuberkulez i bolezni legkih. — 2010. — № 5. — S.14—21.

 

Ventricular extrasystoles in patients with post infarction cardiosclerosis – angiography and electrotopographical comparison

A.Yu. Teregulov, Yu.E. Teregulov, I.I. Kamalov

Abstract. The purpose of тне work was the comparison of the localization of occlusional defeat of coronary arteries to an electrotopographical arrangement of the focus of the ventricular extrasystoles at patients with coronary heart disease and a post infarction cardiosclerosis. 56 patients with the diagnoses of coronary heart disease, a post infarction cardiosclerosis, ventricular extrasystoles were surveyed. All patient carried out coronarography, the electrotopographical arrangement of the focus of the ventricular extrasystoles was determined by an electrocardiogram in 12 standard assignments. It was revealed that in patients with an ischemic disease with post infarction cardiosclerosis the ventricular extrasystoles had been observed as well as from the zone of blood supply of the affected coronary artery, and as well as from the other sites of the ventricle myocardium, but in overwhelming number of cases the focus of VE coincided with a zone. supplied by struck coronary artery (94,7%). The polytopy ventricular extrasystoles had a coronary arteries origin, associated with many vascular defeat of coronary arteries and existence of post infarction aneurism of a myocardium.

Key words: coronary heart disease, post infarction cardiosclerosis, coronaroangiography, ventricular extrasystoles

 

Referenсes

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2. Goluhova, E.Z. Zheludochkovye aritmii. Sovremennye aspekty diagnostiki i lecheniya / E.Z. Goluhova. — M.: NC SSH im. A.N. Bakuleva, 1996. — 110 s.
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4. Revishvili, A.Sh. Algoritm topicheskoi diagnostiki pravozheludochkovyh aritmii / A.Sh. Revishvili, F.G. Rzaev, R.Yu. Snegur // Vestnik aritmologii. — 2007. — № 46. — S.5—11.
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Ultrasonography of bruises of living persons for the purpose of forensic medical practice: the actuality of problem and ways for its solution

R.M. Gazizyanova, I.V. Klushkin, E.M. Nigmetzynova

Abstract. Bruises of living persons is one of the most common types of injuries. Forensic medical evaluation of bruising is usually done on the basis of visual perception of the external features of the signs in consideration with the circumstances of a personal injury. The signs allowing to recommend additional algorithm of diagnosis of bruises of living persons, are identified according to the results of ultrasonography of bruises in B-mode with getting grayscale image , histography, elastography.

Key words: harm to the health, living persons, bruise, soft tissue, post-traumatic hemorrhage, ultrasonography.

 

References

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7. Dvoryakovskii, I.V., Roshal’ L.M. Dombrovskaya I.A., Bryancev A.V. // Ul’trazvukovaya diagnostika v akusherstve, ginekologii i pediatrii. — 1995. — № 2.
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REVIEWS

Pneumococcal vaccination in patients with chronic broncho-pulmonary disease (literature review)

Andrey D. Protasov

Abstract. The article provides an overview of domestic and foreign literature on pneumococcal vaccination in patients with chronic broncho-pulmonary diseases (chronic obstructive pulmonary disease, asthma). Microbiological features of chronic broncho-pulmonary disease, the literature on the complex vaccination of patients with chronic obstructive pulmonary disease against pneumococcal, Haemophilus influenzae type b infections and flu are given. We also present the available data from clinical trials of pneumococcal polysaccharide and conjugate vaccines. The paper concludes on the unexplored aspects of the problem. The questions to be studied by the author of this review of literature that is supposed to find its use in the management of patients with chronic broncho-pulmonary pathology, specifies the preparation of patients with end-stage disease to lung transplantation through the use of evidence-based polysaccharide and conjugate pneumococcal vaccines.

Key words: vaccination, pneumococcal infection, chronic obstructive pulmonary disease, asthma, «Pneumo-23», «Prevenar-13».

 

References

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2. Velichkovskii, B.T. O putyah «sberezheniya naroda» i roli boleznei organov dyhaniya v reshenii etoi problemy / B.T. Velichkovskii // Pul’monologiya. — 2007. — № 3. — S.5—9.
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7. Shmelev, E.I. Hronicheskaya obstruktivnaya bolezn’ legkih i soputstvuyuschie zabolevaniya / E.I. Shmelev // Pul’monologiya. — 2007. — № 2. — S.5—10.
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Prevalence аrтеrial hipertension among the employees of law-enforcement bodies

R.A. Davhale, М.V. Potapova, N.B.Аmirov

Abstract. The review presents data on the prevalence of hypertension and risk factors for cardiovascular disease among law enforcement officials various countries.

Key words: arterial hypertension, cardiovascular disease, law enforcement personnel.

 

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Modern clinical and epidemiological profile of congenital adentia

M.V. Yakovleva, R.R. Mustafayev, A.V. Anokhina

Abstract. Dentofacial anomalies take a considerable place in the structure of dental diseases. In the article the information from literature about prevalence of congenital adentia is given. The peculiarities of risk factors and disease pattern are analyzed.

Key words: congenital adentia, risk factors.

 

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CLINICAL LECTURE

Morphological and functional features of urinary tract in children born premature and underweight

M.A. Daminova, A.I. Safina, M.A. Satrutdinov, G.A. Khamzina

Abstract. Preterm birth is a major cause of neonatal and child morbidity and mortality. Over the past decade, the incidence of preterm birth and survival of preterm infants has increased. Due to the immaturity of birth, preterm infants are at risk of developing a number of postnatal complications, including kidney disease and in severe cases, kidney failure. There is also evidence that preterm birth have a negative impact on the formation of nephrons in the developing kidney, which not only affects the function of the kidneys in the early postnatal period, but also increases the risk of development and progression of renal disease and cardiovascular system in follow-up. The article discusses the anatomical and physiological features of the kidney in low birth weight infants, further processes of formation of kidney function, and the impact of these processes on the long — term periods of life.

Key words: premature newborns, renal function, dizembriogeneza, organs of the urinary system.

 

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HELP FOR PRACTITIONER

Current understanding of chronic heart failure

E.B. Frolova, M.F.Yushev

Abstract. Chronic heart failure is usual cardiologic disease. Many scientific investigations made in recent time permeated to understand its causes. Investigations in Russian Federation showed 12,3% of population have heart failure and 2,3% have NYHA class III—IV. Most patients older 60 years and women. Heart failure was result of hypertension, ischemic disease and diabetes. In Framingham study lethality of heart failure decrease on 12% in decade, but lethality in chronic heart failure population NYHA class I—IV is high 59% for men and 45% for women and increase. Diagnosis of heart failure involves clinical investigation and current diagnostic methods. Treatment of chronic heart failure use many groups of medicines and their number is increasing. In Russian Federation chronic heart failure diagnosed like a syndrome, but in European countries and USA like disease.

Key words: chronic heart failure, diagnostic, treatment.

 

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CASE REPORT

Systemic sclerosis (the clinical case in rheumatological practice)

Yu.V. Kulakov, A.A. Sinenko, E.B. Abramochkina, N.M. Lupach, O.I. Susina, E.M. Faizenger, N.S. Komendantova, N.N. Glazkova, L.M. Moldovanova, E.Yu. Evdokimova

Abstract. The author reports the case of systemic sclerosis at the woman is described 45 years, are presented difficulties of diagnostics, selection of basic treatment.

Key words:  case report, systemic sclerosis.

 

References

1. Revmatologiya: nacional'noe rukovodstvo / pod red. E.L. Nasonova, V.A. Nasonovoi. — M.: GEOTAR-Media, 2008. — 720 s.
2. Starovoitova, M.N. Nauchno-prakticheskaya revmatologiya / M.N. Starovoitova. — 2010. — № 2. — S.83—86.
3. Giacomelli, R. Cyclophosphamide pulse regimen in the treatment of alveolitis in systemic sclerosis / R. Giacomelli, G. Vaentini, F. Salsano [et al.] // J. Rheumatol. — 2002. — Vol. 29. — P.731—736.
4. Antonias, L. Glucocorticoid effects on myocardial performance in patients with systemic sclerosis / L. Antonias, P.P. Sfikakis, M. Mavrikakis // Clin. Exp. Rheumatol. — 2001. — Vol. 19. — P.431—437.
5. Steen, V.D. Pregnancy in Scleroderma / V.D. Steen // Rheum. Dis. Clin. N. Am. — 2007. — Vol. 33. — P.345—358.
6. Revmatologiya: klinicheskie rekomendacii / pod red. akad. RAMN E.L. Nasonova. — 2-e izd., ispr. i dop. — M.: GEOTAR-Media, 2010. — 752 s.

 

ORGANIZATION OF HEALTHCARE

Assessment of competence of doctors of the re-public of tatarstan in approaches to diagnostics and treatment of chronic heart failure

E.A. Atsel

Abstract. In article competence of doctors of the Republic of Tatarstan rendering medical care to patients with chronic heart failure, of approaches to diagnostics and treatment of this category of patients, compliance to their modern Russian recommendations about diagnostics and treatment of chronic heart failure is analyzed, the complex of the educational programs directed on increase of educational level of experts is offered and efficiency of the complex of educational programs realized in practical health care on level of competence of experts is estimated.

Key words: medical care, educational programs, chronic heart failure.

 

References

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