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Учебные материалы / Вестник НовГУ / 2011 / №62
Название документа Описание Размер
Afanasiev A.N., Kirillin A.V., Selivanova O.E., Shalygin A.B. Differentiated treatment and diagnostic tactics in acute destructive pancreatitis УДК 616-089 A f a n a s i e v A. N., K i r i l l i n A. V., S e l i v a n o v a O. E., S h a l y g i n A. B. Differentiated treatment and diagnostic tactics in acute destructive pancreatitis // Вестн. Новг. гос. ун-та. Сер.: Медицинские науки. 2011. №62. С.36-39. Acute pancreatitis for several years consistently ranks second, and in some regions - first place in the structure of the urgent surgical pathology, ahead of acute appendicitis and acute cholecystitis. The most common cause of disease is alcohol abuse and gallstone disease in 10-30% of patients the etiology of acute pancreatitis remains unclear. Basis of the study were the results of examination and treatment of 136 patients with destructive forms of acute pancreatitis, enrolling for treatment at the Clinical Hospital № 23 them. «Medsantrud» in the period from 2008 to 2010 for acute pancreatitis. In the studied group did not include the postoperative biliary and infected pancreatic necrosis because of features of pathogenesis. Differentiated approach to surgical treatment in patients with destructive pancreatitis depending on the scale of the initial lesion of the pancreas has allowed an average reduction in the number of purulent complications per patient in 4 times (from 9,8% to 2,2%), lower letalnost of purulent complications 3 times (from 15,3% to 5,5%). Библиогр. 13 назв. 311 КБ
Antropova G.A., Okonenko T.I. Eye Diseases: Incidence and Pharmaceutical Market of Ophthalmological Drugs УДК 615.1+617.7 A n t r o p o v a G. A., O k o n e n k o T. I. Eye Diseases: Inci-dence and Pharmaceutical Market of Ophthalmological Drugs // Вестн. Новг. гос. ун-та. Сер.: Медицинские науки. 2011. №62. С.6-8. Incidence evaluation of eye and its appendicular appara-tus diseases (EAAD) among urban population of Novgorod region has been performed. The tendencies of high incidence of ocular organs particularly in children and teenagers have been investigated. Growth of incidence leads to an increase of oph-thalmological medicines (OMs) use. The analysis of OMs sale at the pharmaceutical market retail segment of Novgorod region has been carried out. Библиогр. 7 назв. Ил. 3. 772 КБ
Arkhipov G.S., Azovtseva O.V., Arkhipova E.I. Analysis of death cases of HIV-infected basing on the materials of specialized department УДК 616.9 A r k h i p o v G. S., A z o v t s e v a O. V., A r k h i p o v a E. I. Analysis of death cases of HIV-infected basing on the materials of specialized department // Вестн. Новг. гос. ун-та. Сер.: Медицинские науки. 2011. №62. С.98-100. We analyzed the deaths of HIV-infected basing on materials of SHI (state health care institution) Novgorod Regional Infectious Diseases Hospital during 2004-2010. The main cause of death was generalized tuberculosis, chronic viral hepatitis in cirrhotic stage, late admission. Social disadapted individuals (patients with chronic alcoholism and drug users) who were not registered in dispensary have prevailed among the dead. Библиогр. 6 назв. Табл. 5. 245 КБ
Burdyukovа E.V., Orlov V.A., Pustovalov D.A., Dmitrieva E.A., GurevIch K.G. Features health and physical development of schoolchildren 14-17 years old in Moscow УДК 616-053.7 B u r d y u k o v а E. V., O r l o v V. A., P u s t o v a l o v D. A., D m i t r i e v a E. A., G u r e v I c h K. G. Features health and physical development of schoolchildren 14-17 years old in Moscow // Вестн. Новг. гос. ун-та. Сер.: Медицинские науки. 2011. №62. С.8-10. We studied the relation of physical health of students in the post pubertal period with the peculiarities of their development. It is shown that the maturation of schoolchildren accom-panied by an increase of the index of physical health (IPH). It is proved that the health of school children is dependent on gender, age and body mass index (BMI). Physical development of boys ahead of such girls. Those with normal BMI is characterized by the best state of health. Библиогр. 3 назв. Табл. 3. 277 КБ
Buzunova S.A. Clinical and pathogenetic approaches in therapy of neuroinfections УДК 616.9 B u z u n o v a S. A. Clinical and pathogenetic approaches in therapy of neuroinfections // Вестн. Новг. гос. ун-та. Сер.: Медицинские науки. 2011. №62. С.101-104. New domestic product cytoflavin (CFN, STFF «Polisan») is a integrated drug with a pronounced neuroprotective effect. It contains amber acid, riboxin, nicotinamide, riboflavin mononucleotide sodium. CFL has antioxidant and antihypoxic action, positive effect on energy production in cells, reduces the production of free radicals and stops the activity of antioxidant enzymes. Cytoflavin has antiischemic effect, improves cerebral blood flow, restores consciousness, including neuroinfections. Библиогр. 5 назв. Табл. 2. 245 КБ
Chentsov V.I., Shkurin V.F., Shkurin F.V. False aneurysm of the distal anastomosis as a cause of re-current reconstructions of the aorto-femoral segment УДК 616.13-007.649 C h e n t s o v V. I., S h k u r i n V. F., S h k u r i n F. V. False aneurysm of the distal anastomosis as a cause of re-current reconstructions of the aorto-femoral segment // Вестн. Новг. гос. ун-та. Сер.: Медицинские науки. 2011. №62. С.91-92. We observed 78 patients with false aneurysms of the distal anastomosis after previous reconstructive surgery in aorto-femoral segment. Of the 78 operated patients good immediate result was noted in 65 patients (83.3%), amputation was carried out in 9 (11.5%) cases. Postoperative lethality was 5.1% (4 patients). Библиогр. 6 назв. 317 КБ
Cherenkov V.G., Petrov A.B., Ivanchenko V.V., Tverezovsky S.A., Chistyakov T.V., Aleksandrov A.S., Frumkin B.B. Problems and prospects of diagnostics and treatment of primary multiple breast cancer УДК 618/19-006 C h e r e n k o v V. G., P e t r o v A. B., I v a n c h e n k o V. V., T v e r e z o v s k y S. A., C h i s t y a k o v T. V., A l e k s a n d r o v A. S., F r u m k i n B. B. Problems and prospects of diagnostics and treatment of primary multiple breast cancer // Вестн. Новг. гос. ун-та. Сер.: Медицинские науки. 2011. №62. С.121-126. The experience of modern radiation techniques of diagnosis was assessed in 668 patients with primary multiple tumors and proliferative processes of the breast. 97 patients had bilateral breast cancer, 77 — multiple and 49 — metastatic cancer of second breast. The rest women have been diagnosed different kinds of proliferative diseases and cancer at different stages, even carcinoma in situ by the complex radial and morphological research. The implementation of radiological methods at dispensary check-up allowed improving the quality of the clinical examination of patients with breast cancer and increase of bilateral forms in the Novgorod region over the past 5 years on 2.15%. In 4.3 ± 2.1% of women clinical radiodiagnosis was uninformative or misleading. Necessity of morphological verification of primary multiple tumors of unknown origin has appeared. We developed less invasive way to remove the focal formation by special device with cryoapplicator under ultra-sound control, which is promising approach to clarifying diagnosis and at the same time it is the method of medical prevention of invasive forms of breast cancer. Библиогр. 14 назв. Табл. 2. Ил. 2. 380 КБ
Chuvakov G.I., Chuvakova O.A., Tsvetkov D.A. Peculiarities of self-control, self-concept and self-regulation of the emotional state in nurses working in clinics УДК 613.6+614.253.5 C h u v a k o v G. I., C h u v a k o v a O. A., T s v e t k o v D. A. Peculiarities of self-control, self-concept and self-regulation of the emotional state in nurses working in clinics // Вестн. Новг. гос. ун-та. Сер.: Медицинские науки. 2011. №62. С.26-28. A study of self-control of emotional states and emotional burnout syndrome formation occurrence in nurses with higher medical education and in nurses with secondary medical education working in clinics was carried out. The role of higher nursing education in the prevention of emotional burnout syndrome formation was confirmed. Библиогр. 10 назв. Табл. 1. Ил. 1. 299 КБ
Egorova I.A., Buchnov A.D., Matvienko V.V., Nazarov K.A. Ten-year analysis of ostheopatic diagnosing and treatment efficiency in early infants with somatic dysfunctions УДК 615.828:005.334 E g o r o v a I. A., B u c h n o v A. D., M a t v i e n k o V. V., N a z a r o v K. A. Ten-year analysis of ostheopatic diagnosing and treatment efficiency in early infants with somatic dysfunctions // Вестн. Новг. гос. ун-та. Сер.: Медицинские науки. 2011. №62. С.11-13. Basing on many complex experimental researches, we evaluated the prospects and the efficiency of osteopathic methods for diagnosing the condition, providing rehabilitation and forecasting reeducation treatment efficiency in various somatic dysfunctions of early infants. Библиогр. 6 назв. 0
Egorova E.S., Okonenko L.B., Bondarenko O.S. Pharmacoeconomic analysis of outpatient combined therapy of arterial hypertension and hypercholesterolemia УДК 615.1:616.12008 E g o r o v a E. S., O k o n e n k o L. B., B o n d a r e n k o O. S. Pharmacoeconomic analysis of outpatient combined therapy of arterial hypertension and hypercholesterolemia // Вестн. Новг. гос. ун-та. Сер.: Медицинские науки. 2011. №62. С.54-57. Pharmacoeconomic analysis of outpatient therapy for patients with diagnosis of arterial hypertension (AH) and hypercholesterolemia has been carried out. Result of treatment is estimated by reducing risk of cardiovascular death. Библиогр. 2 назв. Табл. 3. Ил. 1. 309 КБ
Fishman B.B., Fomenko L.A., Shengeliya G.D., Choroshevskaia A.I. Kuprin P.E., Michailova G.V., Pavlova O.V., Kondratiev V.V., Rodionova U.M., Nikiforov A.T., Zinnshtain B.S., Razdobreev A.S., Prihodko A.Y. Possibility of the combination of anxiety-depressive syndrome AТВ arterial hypertension in the population of the northwest of Russia УДК 616.12-008+616.89-008 F i s h m a n B. B., F o m e n k o L. A., S h e n g e l i y a G. D., C h o r o s h e v s k a i a A. I., K u p r i n P. E., M i c h a i l o v a G. V., P a v l o v a O. V., K o n d r a t i e v V. V., R o d i o n o v a U. M., N i k i f o r o v A. T., Z i n n s h t a i n B. S., R a z d o b r e e v A. S., Pr i h o d k o A. Y. Possibility of the combination of anxiety-depressive syndrome AТВ arterial hypertension in the population of the northwest of Russia // Вестн. Новг. гос. ун-та. Сер.: Медицинские науки. 2011. №62. С.88-91. Prevalence of arterial hypertension, anxiety and depression was investigated in course of the selective study performed in the population of 2 areas of the Northwest of Russia. Calculation of the relation of chances of possibility of combination of clinical forms of anxiety and depression in patients with arterial hypertension of different degree was done. High risk and strong correlation between subclinical and clinical forms of anxiety and depression in patients with arterial hypertension was shown. Библиогр. 15 назв. Табл. 3. 317 КБ
Gadzhiev S.A., Uhanov A.P. Comparative analysis of endovideosurgery and open surgery for damaged dia-phragm УДК 616-089 G a d z h i e v S. A., U h a n o v A. P. Comparative analysis of endovideosurgery and open surgery for damaged diaphragm // Вестн. Новг. гос. ун-та. Сер.: Медицинские науки. 2011. №62. С.48-50. We have carried out comparative analysis of endovideo-surgery and traditional interventions for damaged diaphragm. We indicated that thoracoscopic and laparoscopic procedures are less traumatic resulting in easier course of postoperative period, the number of postoperative complications decreased in 5 times. Библиогр. 9 назв. Табл. 1. 300 КБ
Gorshenin T.L., Mogila A.I., Smigelsky I.S., Romanenkov N.S., Rusakevich K.I., Koloskov V.V. Characteristics of duodenal ulcer in elderly people (literature review) УДК 616.342-002 G o r s h e n i n T. L., M o g i l a A. I., S m i g e l s k y I. S., R o m a n e n k o v N. S., R u s a k e v i c h K. I., K o l o s k o v V. V. Characteristics of duodenal ulcer in elderly people (literature review) // Вестн. Новг. гос. ун-та. Сер.: Медицинские науки. 2011. №62. С.51-54. There were analyzed the data given by different authors about the frequency of occurrence, specific pathogenesis, clinical progression of duodenal ulcer in patients of elderly and senile age. In the pathogenesis of peptic ulcer in elderly age alongside infectious link attenuation of the protective mechanisms of the mucous membrane of the stomach and duodenum plays a major role. The clinical picture of active duodenal ulcer is different from the manifestations which are characteristic for younger patients. Библиогр. 47 назв. 307 КБ
Grigorieva E.G. Organizational aspects of syphilis prevention УДК 616.971-084 G r i g o r i e v a E. G. Organizational aspects of syphilis prevention // Вестн. Новг. гос. ун-та. Сер.: Медицинские науки. 2011. №62. С.104-106. The analysis of current status, major trends and dynamics of the spread of syphilis in the Russian Federation has been carried out. Considerable analysis of causes of epidemiological situation, main principles affecting spread of infection in Pskov region has been conducted. Analysis of strategies and main tends in work of medical personnel for prevention of congenital syphilis is presented. Библиогр. 9 назв. 235 КБ
Karibaev K.R. Some interconnections of pathogenetic mechanisms of early post-infarction angina УДК 616.12-009.72 K a r i b a e v K. R. Some interconnections of pathogenetic mechanisms of early post-infarction angina // Вестн. Новг. гос. ун-та. Сер.: Медицинские науки. 2011. №62. С.57-60. The complex survey of 80 AIM patients was conducted. The first group included EPIA III C class 60 patients with high and intermediate risk, according to E.Braunwald (1994) classification. For comparison it was made the group of 20 patients with uncomplicated macro focal IM. Survey of autonomic nervous system condition and nitric oxide concentration was conducted. Results testify that at early postinfarctial stenocardia patients detected expressed contraventions of all links of autonomic nervous system, appeared by rather low sympathetic tone with excessive reactance. At acute myocardial infarction complicated with early postinfarctial angina patients the histic adrenergic receptors’ density is increased and simultaneously paradoxical increase of nitric oxide’s metabolites concentration. Библиогр. 18 назв. Табл. 2. 306 КБ
Kashaeva M.D. Disorder of homeostasis and blood aggregation in patients with obstructive jaundice of non-neoplastic ethiology УДК 616.36-008.64 K a s h a e v a M. D. Disorder of homeostasis and blood aggregation in patients with obstructive jaundice of non-neoplastic ethiology // Вестн. Новг. гос. ун-та. Сер.: Медицинские науки. 2011. №62. С.60-63. Indicators of homeostasis have been studied in 457 patients with obstructive jaundice. 232 of them had cholestasis for 10 days and 225 — for 3-6 week. Indicators have been studied before and after the membrane, antioxidant and anti-platelet therapy in 140 patients. Increase in viscosity, erythrocyte aggregation, decrease of their deformability, blood coagulation potential and increase of fibrinolytic activity of blood have been observed in patients with obstructive jaundice on the background of disorder of lipid metabolism and endogenous intoxication. All these changes are more manifested in patients from the second group with prolonged obstructive jaundice when cytolytic processes progress along with cholestatic ones. All this requires prompt diagnosis and active preoperative correction. Библиогр. 4 назв. Табл. 2. 306 КБ
K a s p a r o v а A. E., Belotserkovtseva L.D., Kovalenko L.V., Mordovina I.I., Sus L.A., Starodumova V.A. Morhofunctional changes in the placenta of patients with high risk pregnancy pathology. The role of integrated prevention in improving outcomes УДК 618.36-002 K a s p a r o v а A. E., B e l o t s e r k o v t s e v a L. D., K o v a l e n k o L. V., M o r d o v i n a I. I., S u s L. A., S t a r o d u m o v a V. A. Morhofunctional changes in the placenta of patients with high risk pregnancy pathology. The role of integrated prevention in improving outcomes // Вестн. Новг. гос. ун-та. Сер.: Медицинские науки. 2011. №62. С.133-137. In the framework of evidence-based medicine an attempt was made to assess the effectiveness of comprehensive prevention of early pregnancy to restore the normative parameters of the uteroplacental hemodynamics and cytokine level, morphological and functional characteristics of the placenta and afterbirth. The results of a comprehensive preventive medicine using magnesium lactate and chloride, pyridoxine, folic acid, essential phospholipids (substance EPL), glitsirrizirovannoy acids and probiotics to functional and morphological changes in the placenta, and clinical outcomes were estimated. 53 pregnant women at high risk were examined. The results showed that, despite high levels of placental pathology, an integrated drug treatment improved outcomes of pregnancy and the state of the fetus at birth. Библиогр. 13 назв. Табл. 3. 304 КБ
Kerimkulova A.S. Research of wall thickness of left and right ventricles in patients with arterial hypertension basing on postmortem examination УДК 616.12 K e r i m k u l o v a A. S. Research of wall thickness of left and right ventricles in patients with arterial hypertension basing on postmortem examination // Вестн. Новг. гос. ун-та. Сер.: Медицинские науки. 2011. №62. С.64-66. The features of remodeling of the left and right ventricles of the heart in patients who died suffering from arterial hypertension has been studied basing on data from postmortem autopsy of 11 years in Semey. 372 autopsy protocols have been selected. Analysis of protocols showed that left ventricular hypertrophy was observed in almost all cases, while right ventricular hypertrophy in 78.2% of the cases. In arterial hypertension hypertrophy concerns not only left but also the right ventricle. Библиогр. 15 назв. Ил. 1. 297 КБ
Khizha V.V., Artiushin B.S., Chernov K.E., Alekseev P.S., Golubeva E.V., Tarasov A.D. On the complexities of interpretation of rare neuroendocrine tumors in children УДК 616-006-053 K h i z h a V. V., A r t i u s h i n B. S., C h e r n o v K. E., A l e k s e e v P. S., G o l u b e v a E. V., T a r a s o v A. D. On the complexities of interpretation of rare neuroendocrine tumors in children // Вестн. Новг. гос. ун-та. Сер.: Медицинские науки. 2011. №62. С.117-121. Amongst 305 patients with EC-cellular morbid growth of gastrointestinal tract, 21(6,8%) have been diagnosed with pancreas carcinoids.There are certain difficulties, associated with diagnostics and treatment of neuroendocrinal oncomas in this focalization. One of the clinical observations exemplifies difficulties of verification pancreas carcinoids and deficiencies of medical assistance arrangements, even when conducted by specialised medical services. It is demonstrated that laboratory equipmentaided examination methods in the pancreas carcinoids diagnostics are applied in a format of general examination concepts, same as used for abdominal cavity illnesses. Pancreas carcinoid post-operational therapy selection is made without taking into account specificity of clinical presentations of illness, relevant morphological research data or EC-cellular morbid growth dynamics prognosis. By use of data, obtained from domestic and international publications sources, possible ways of improvement of medical assistance quality in cases of pancreas carcinoids are being given consideration in regards with both the organisational and technical aspects (of this problem). Библиогр. 10 назв. Ил. 5. 1239 КБ
Kondrateva A.A. Dynamics of wound healing after surgical interference on periodontal tissues by using transcranial stimulation in postoperative period УДК 616.314-089 K o n d r a t e v a A. A. Dynamics of wound healing after surgical interference on periodontal tissues by using transcranial stimulation in postoperative period // Вестн. Новг. гос. ун-та. Сер.: Медицинские науки. 2011. №62. С.130-132. Results of morphological research of marginal gingival tissues before surgical treatment and in process of wound healing in patients with traditional postoperative period and application of transcranial stimulation are presented. It is shown that transcranial stimulation accelerates wound healing and is an effective method of non-drug treatment of periodontal patients after surgery. Библиогр. 8 назв. Ил. 2. 252 КБ
Koroleva S.A. Pathologic affection of children with different degrees of risk of intrauterine infection УДК 616.9-022.1-056.716-053.3 K o r o l e v a S. A. Pathologic affection of children with different degrees of risk of intrauterine infection // Вестн. Новг. гос. ун-та. Сер.: Медицинские науки. 2011. №62. С.107-108. The paper reflects the structure of the pathology of children who have different degrees of risk of intrauterine infection at birth. Analysis of pathology occurring in children of different age depending on degree of risk has been carried out. Библиогр. 5 назв. 230 КБ
Kotov A.V., Novikova A.P. Specific Features while Implementing Achievement Motivation with an Internal Component of ‘Fear of Failure' and Its Cardio Respiratory Correlates among the Students in the Course of a Long Educational Process УДК 612.821 K o t o v A. V., N o v i k o v a A. P. Specific Features while Implementing Achievement Motivation with an Internal Component of ‘Fear of Failure' and Its Cardio Respiratory Correlates among the Students in the Course of a Long Educational Process // Вестн. Новг. гос. ун-та. Сер.: Медицинские науки. 2011. №62. С.29-32. For the undergraduate students in the course of a long observation period (one academic year) the test study has investigated the temporal dynamics of the personal-level determinants of purposeful behavior — achievement motivation, and cardio-respiratory support of its implementation in the emotionally intense periods of learning activities in terms of using a rating system of knowledge assessment system and pass/fail. It is shown that a stable low level of AM (achievement motivation) provided different versions of intersystem relations of cardiovascular and respiratory functions under-rated and un-rated system of education. Библиогр. 12 назв. Табл. 1. Ил. 1. 370 КБ
Kovaleva M.S., Britova A.A. Morphological changes in the state of dental tissues in the treatment of deep caries with dentin-sealing liquid and low-intensity laser radiation (clinical and experimental research) УДК 616.9 K o v a l e v a M. S., B r i t o v a A. A. Morphological changes in the state of dental tissues in the treatment of deep caries with dentin-sealing liquid and low-intensity laser radiation (clinical and experimental research) // Вестн. Новг. гос. ун-та. Сер.: Медицинские науки. 2011. №62. С.127-130. The article shows the results of morphological studies of dental hard tissues after the application of methods of treatment of deep caries with dentin-sealing liquid and low-intensity laser therapy. This new method is preventive measure against repeated and recurrent caries. Библиогр. 14 назв. Ил. 8. 1326 КБ
Lapshinov E.B., Shcherbakov A.A., Zharovskih O.S., Khachatryan E.S. HIP ar-throplasty results in senior age groups of patients УДК 617.3+612.67 L a p s h i n o v E. B., S h c h e r b a k o v A. A., Z h a r o v s k i h O. S., K h a c h a t r y a n E. S. HIP arthroplasty results in senior age groups of patients // Вестн. Новг. гос. ун-та. Сер.: Медицинские науки. 2011. №62. С.66-69. The paper presents data on 371 patients who had undergone hip arthroplasty. The adopted in the hospital algorithm of aged patients management, for whom hip arthroplasty is necessary, meets the requirements of Federal Standard and allows for such intervention after a comprehensive survey with minimal risk to patients. Complications in the postoperative period are noted in 6.8% of cases, postoperative mortality was 3.1%. Библиогр. 21 назв. Табл. 4. 311 КБ
Larina N.G. Vegetative and hemodynamic responses to stress in adolescents with constitutional-exogenous obesity and vascular dystonia of hypertensive type УДК 616.4:616.1 L a r i n a N. G. Vegetative and hemodynamic responses to stress in adolescents with constitutional-exogenous obesity and vascular dystonia of hypertensive type // Вестн. Новг. гос. ун-та. Сер.: Медицинские науки. 2011. №62. С.108-111. We studied the characteristics of central hemodynamics and autonomic responses to cold and psycho-emotional test in adolescents with obesity and vascular dystonia of hypertensive type. Various options for the autonomic responses accompanied by changes in central hemodynamics as a function of body weight have been identified. Библиогр. 7 назв. 241 КБ
Lisitsin V.I. Dynamics of the main mortality causes for the adult population in the Novgorod region (beginning of XXI century) УДК 614.1:314.144 L i s i t s i n V. I. Dynamics of the main mortality causes for the adult population in the Novgorod region (beginning of XXI century) // Вестн. Новг. гос. ун-та. Сер.: Медицинские науки. 2011. №62. С.21-23. The analysis of mortality from major causes — cardio-vascular diseases, malignant neoplasms, external causes, which occupy in the structure of the total mortality over 85% in the Novgorod region in the first decade of the XXI century, is presented. The differences in levels of mortality compared with the Russian Federation and the Northwestern Federal District are found out. Since 2004 stable trend of reducing mortality and increasing life expectancy has developed. Despite this, mortality remains high. It is emphasized that significant reduction in levels of both total mortality and the mortality from main reasons may be achieved primarily due to changes in individual human behavior. Библиогр. 13 назв. Табл. 3. 301 КБ
Miroshnichenko O.M. Function of endothelium at adolescents with constitutional exogenous obesity before and after rehabilitation УДК 616.4:611.018.74 M i r o s h n i c h e n k o O. M. Function of endothelium at adolescents with constitutional exogenous obesity before and after rehabilitation // Вестн. Новг. гос. ун-та. Сер.: Медицинские науки. 2011. №62. С.112-113. Function of endothelium at 43 adolescents with constitutional exogenous obesity before rehabilitation and at 33 healthy adolescents has been studied. Disorder of endothelial function has been established in 32 (74.4%) adolescents with constitutional exogenous obesity and in 7 (21.2%) healthy adolescents. We showed the efficiency of the rehabilitation program on restoration of endothelial function at adolescents with constitutional exogenous obesity. Библиогр. 5 назв. Табл. 1. Ил. 2. 231 КБ
Nanchikeeva M.L., Kozlovskaya L.V., Fomin V.V., Bulanov N.M., Bulanov M.N. Early stage of renal pathology in patients with essential arterial hypertension: diagnostic and monitoring УДК 616.12-008.331.1:616.61 N a n c h i k e e v a M. L., K o z l o v s k a y a L. V., F o m i n V. V., B u l a n o v N. M., B u l a n o v M. N. Early stage of renal pathology in patients with essential arterial hypertension: diag-nostic and monitoring // Вестн. Новг. гос. ун-та. Сер.: Меди-цинские науки. 2011. №62. С.69-73. Basing on the survey of 259 patients with essential arte-rial hypertension (EAH) early clinical diagnostic markers of involvement in the pathological process of the kidneys have been defined. The survey, which included assessment of micro-albuminuria, glomerular filtration rate, investigation of indicators of renal hemodynamics by Doppler method and study of urinary excretion of molecular mediators that reflect patho-physiological processes in the kidney in patients with EAH, helps to set the dynamic characteristics of early hypertensive nephropathy and to define complex of clinical diagnostic markers of the stages of evolution of hypertensive vascular nephropathy. The earliest signs of involvement in the pathological process of the kidneys in patients with EAH are increasing of urinary biomarkers of endothelial dysfunction closely associated with its remodeling of the extracellular matrix of the kidney and microalbuminuria. We can assess the progression of hypertensive kidney disease with the formation of maladaptive remodeling of intrarenal vascular and growth of ischemia of renal kidney by increase of resistance index of interlobar renal arteries, the downward trend in GFR (less than 90 ml/min/1.73 m2), along with increase of urinary excretion of markers of fibrogenesis in the kidney, particularly of collagen of IV type in EAH patients with persistent microalbuminuria. It was noted that the decrease of GFR less than 60 ml/min/1.73m2 is recognized marker of subclinical dysfunction of the kidney in patients with EAH, it is first evidence of the development of chronic kidney disease in these patients that allows to relate this category of patients to group of high risk of progression of hypertensive kidney disease and requires active nephroprotective strategy. Библиогр. 16 назв. Табл. 4. Ил. 1. 321 КБ
Novak K.E., Karev V.E., Dunaeva N.V., Esaulenko E.V. Comparative morphological characterization of viral and viral-alcoholic liver cirrhosis (based on autopsy data) УДК 616.36-004:578.891(B,C,B+C)]:615.9 N o v a k K. E., K a r e v V. E., D u n a e v a N. V., E s a u l e n k o E. V. Comparative morphological characterization of viral and viral-alcoholic liver cirrhosis (based on autopsy data) // Вестн. Новг. гос. ун-та. Сер.: Медицинские науки. 2011. №62. С.137-140. Pathomorphological comparison of viral liver cirrhosis (induced by hepatitis B virus, hepatitis C virus or both) and viral-alcoholic liver cirrhosis is presented. It was shown that patients with viral-alcoholic cirrhosis decease in younger age (p = 0,004). Occurrence of steatosis (93% vs 74%, p = 0,011) and cholestasis (67% vs 45%, p = 0,048) is significantly increased in these patients. Библиогр. 21 назв. Табл. 1. 271 КБ
Paskar S.V. Ways to improve results of treatment in destructive pancreatitis УДК 616.37-002-036.11-036.88 P a s k a r S. V. Ways to improve results of treatment in destructive pancreatitis // Вестн. Новг. гос. ун-та. Сер.: Ме-дицинские науки. 2011. №62. С.73-78. The article is based on study and systematization of causes for death of 71 patients among 304 patients having acute destructive pancreatitis. Active surgical tactics was applied for the control group of patients (138), in the basic group of patients (166) the tactics of treatment was optimized by means of use of new technologies. The main principle for the basic group was refusal of early traditional operative interventions that led to reduction of fatal outcome more than a half as much (2.1). Early hospitalization and timely beginning of treatment, age and presence of associated diseases, volume of pancreatonecrosis, involvement of distant areas of spatium cellulosum, amount of systematic complications and optimized algorithm of treatment influenced fatal outcomes. Библиогр. 14 назв. Табл. 4. 317 КБ
Proshin A.V. Particularities of wound process dynamics in patients with pyonecrotic forms of diabetic foot syndrome, using complex approach in surgical treatment УДК 616.379-008.64-06-089.844:616.13 P r o s h i n A. V. Particularities of wound process dynamics in patients with pyonecrotic forms of diabetic foot syndrome, using complex approach in surgical treatment // Вестн. Новг. гос. ун-та. Сер.: Медицинские науки. 2011. №62. С.78-82. Comparative evaluation of drug treatment of diabetic foot syndrome was conducted in patients, who were treated with mechanical methods and ultrasound cavitation for treating the wound, as well as sorbents, in particular Beta-Beta, hygienic certificate №77.72.10.916 P. 05042 dated 25.12.97, prepared with the method of sublimation drying. It was noted that implementation of complex pathogenetical approach in surgical treatment of patients while using proposed medicines influences positively the dynamics of wound process. Библиогр. 10 назв. Ил. 10. 825 КБ
Proshina L.G., Fedorova N.P., Bykova O.S., Antonova L.M., Zamyshlyaev A.V. Assessment of parenchimatosal and stromal interactions in myocardium with development of experimental heart failure and stress УДК 611.018.63 P r o s h i n a L. G., F e d o r o v a N. P., B y k o v a O. S., A n t o n o v a L. M., Z a m y s h l y a e v A. V. Assessment of parenchimatosal and stromal interactions in myocardium with development of experimental heart failure and stress // Вестн. Новг. гос. ун-та. Сер.: Медицинские науки. 2011. №62. С.140-142. Parenchymatosal and stromal interactions in the myocardium have been studied as well as histochemical and immunocytochemical features of cardiomyocytes in experimental models of chronic heart failure and emotional stress. We revealed that the experimental chronic heart failure and emotional stress cause functional and structural reorganization of tissue and the susceptibility of cardiomyocytes to apoptosis. Библиогр. 10 назв. Табл. 1. Ил. 3. 320 КБ
Revina N.E., Pevtsova E.I. Empathy, «burnout» syndrome and heart rate variability УДК 159. 94:612.172.2 R e v i n a N. E., P e v t s o v a E. I. Empathy, «burnout» syndrome and heart rate variability // Вестн. Новг. гос. ун-та. Сер.: Медицинские науки. 2011. №62. С.33-35. The work deals with the comparative analysis of searching correlations between psychological and physiological indices of emotional «burnout» syndrome stepwise development, as well as the role of empathy in the syndrome origin. The analytical method of heart rate variability for objectification of developmental processes of emotional «burnout» symdrome has been proposed. Библиогр. 25 назв. 262 КБ
Roytman E.I., Ershevskaya A.B., Pogrebnyak L.N. Ways of improving of medical and psychological rehabilitation of children with constitutional-exogenous obesity in hospital and sanatorium УДК 616-05.2 R o y t m a n E. I., E r s h e v s k a y a A. B., P o g r e b n y a k L .N. Ways of improving of medical and psychological rehabilitation of children with constitutional-exogenous obesity in hospital and sanatorium // Вестн. Новг. гос. ун-та. Сер.: Медицин-ские науки. 2011. №62. С.114-116. We studied immediate and longterm effectiveness of integrated medical and psychological rehabilitation of children with constitutional-exogenous obesity (CEO) during the program «School of overweight child» in hospital and sanatorium according to the following parameters: body mass, percentage of fat mass (PFM), psychological changes, eating behavior and physical activity. Библиогр. 12 назв. 240 КБ
Rubanova M.P., Zhmaylova S.V., Antonov E.K. Change of extracellular spaces of myocardium change of myocardium in simulation of various options of acute stress in the experiment УДК 611.018.63:611.127 R u b a n o v a M. P., Z h m a y l o v a S. V., A n t o n o v E. K. Change of extracellular spaces of myocardium change of myocardium in simulation of various options of acute stress in the experiment // Вестн. Новг. гос. ун-та. Сер.: Медицинские науки. 2011. №62. С.83-85. When simulating the experiment of acute stress with a predominance of adrenergic effects, cholinergic effects and simultaneous activation of adrenergic and cholinergic effects revealed that after 2 hours of drug administration the most significant changes in extracellular spaces were observed in the myocardium of the right ventricle, especially in the modeling of stress with the predominance of cholinergic influences. Библиогр. 4 назв. Ил. 3. 303 КБ
S h e r b u k A. Y., Bashkov L.L., Donskov V.V., Sidorenko V.A., Bondar I.I. The possibilities of application of innovative neurorehabilitation methods in St Petersburg State treatment and prophylaxis departments УДК 615.8+616.8-089 S h e r b u k A. Y., B a s h k o v L. L., D o n s k o v V. V., S i d o r e n k o V. A., B o n d a r I. I. The possibilities of application of innovative neurorehabilitation methods in St Petersburg State treatment and prophylaxis departments // Вестн. Новг. гос. ун-та. Сер.: Медицинские науки. 2011. №62. С.92-94. The results of medical rehabilitation treatment of pa-tients with neurosurgery and neurology profiles have been analyzed in St Petersburg. The necessity of innovation tech-nologies implementation in applied medicine institutions is indicated, the results of retooling of city hospitals with mod-ern equipment is estimated, the examples of elaboration of effective correlation methods which improve rehabilitation treatment quality are presented. Innovation technologies usage made it possible to decrease the terms of temporary incapacity of patients and reduce frequency of their disabil-ity. Библиогр. 6 назв. 296 КБ
Turgunov E.M., Azizov I.S., Ihsanullah, Djumanov G.I. Effect of impulse electrical discharge on biofilm formating activity of the microorganisms УДК 617.11: 579.84 T u r g u n o v E. M., A z i z o v I. S., I h s a n u l l a h, D j u m a n o v G. I. Effect of impulse electrical discharge on biofilm formating activity of the microorganisms // Вестн. Новг. гос. ун-та. Сер.: Медицинские науки. 2011. №62. С.86-88. Impulse electrical discharges (IED) induced by generator of device for contact lithotripsy «URAT-1M». The components of electrical discharges are directly acting and destroying the bacteria cell inside the liquid and we extensively used this factor in contaminated surgery. The experiment in vitro shown the inhibition of biofilm formating ability of bacteria under the impaction of a subinhibiting dose of IED. This effect is more pronounced for gram negative bacteria. The result of this research is the additional argument to use the methods based on IED for the treatment and prophylaxis of the surgical infection. Библиогр. 10 назв. Ил. 2. 297 КБ
Veber V.R., Gubskaya P.M., Bondarenko V.S. Structural changes of heart in experimental animals in modelling of different versions of acute stress and opportunities for medical correction УДК 611.018.63:611.127 V e b e r V. R., G u b s k a y a P. M., B o n d a r e n k o V. S. Structural changes of heart in experimental animals in modelling of different versions of acute stress and opportunities for medical correction // Вестн. Новг. гос. ун-та. Сер.: Медицинские науки. 2011. №62. С.39-43. We studied the characteristics of cardiac remodeling in Wistar rats in the simulation of different variants of acute stress. The results showed an independent contribution of the parasympathetic nervous system in the development of structural changes in the myocardium. Changes of the extracellular matrix are more characteristic for the cholinergic stress , particularly an increase of extracellular spaces and to a greater extent in the right ventricle of the heart. Библиогр. 8 назв. Табл. 1. Ил. 3. 320 КБ
Vinogradov A.I., Suhenko I.A., Dyakov A.S. Features of circadian blood pressure monitoring (before treatment and on the background of effective antihyperten-sive amlodipine treatment) and the reaction to physical stress in hypertensive women with normal emotional back-ground and with subclinical depression УДК 616.12-07:616-08-07 V i n o g r a d o v A. I., S u h e n k o I. A., D y a k o v A. S. Features of circadian blood pressure monitoring (before treatment and on the background of effective antihypertensive amlodipine treatment) and the reaction to physical stress in hypertensive women with normal emotional back-ground and with subclinical depression // Вестн. Новг. гос. ун-та. Сер.: Медицинские науки. 2011. №62. С.44-48. Effective therapy with amlodipine reduces the load on the target organs by elevated systolic blood pressure, which also increases the load by lowered blood pressure, especially diastolic BP at night, and to a greater extent in hypertensive patients with subclinical depression. BP variability is higher in hypertensive women with subclinical depression during the day. We revealed inadequate hemodynamic support of physical stress in hypertensive women with subclinical depression. Библиогр. 6 назв. Ил. 6. 490 КБ
Y a k o v e n k o T. V., Azizov E.M., Obolenskaya T.I., Yakovenko O.I. Possibilities of nutritional management for correction of disorders of liver functional condition in patients with acute pancreatitis УДК 616.37-002-083.13 Y a k o v e n k o T. V., A z i z o v E. M., O b o l e n s k a y a T. I., Y a k o v e n k o O. I. Possibilities of nutritional management for correction of disorders of liver functional condition in patients with acute pancreatitis // Вестн. Новг. гос. ун-та. Сер.: Медицинские науки. 2011. №62. С.95-97. The results of the medical treatment of patients with destructive pancreatitis have been analyzed in Leningrad Region from 2003 to 2007. Results of study of liver biopsy materials have shown satellite reaction of liver. Treatment of patients with pancreatonecrosis made it main to assess not only main pathological process, but also changes in liver. The necessity of nutritional support to improve result of treatment of patients with destructive pancreatitis has been illustrated. Библиогр. 9 назв. Табл. 2. Ил. 1. 578 КБ
Zalilov R.Yu. The tendencies of development, models and standards of learning in the russian university medical high education (19 — 21 centuries) УДК 378 Z a l i l o v R. Yu. The tendencies of development, models and standards of learning in the russian university medical high education (19 — 21 centuries) // Вестн. Новг. гос. ун-та. Сер.: Медицинские науки. 2011. №62. С.18-21. The authors of article highlights stages of establishing the university system for training of the medical personnel in Russia in 19 — 21 centuries, the tendencies of its development, the forms of the organization, standards and models of learning. Библиогр. 5 назв. Табл. 1. 285 КБ
Zhdanovskiy V.V., Darvin V.V., Slepov M.N. An outpatient surgery clinic centre: the problem of organization УДК 617-089 Z h d a n o v s k i y V. V., D a r v i n V. V., S l e p o v M. N. An outpatient surgery clinic centre: the problem of organization // Вестн. Новг. гос. ун-та. Сер.: Медицинские науки. 2011. №62. С.13-18. Provision surgery hospitals with modern equipment leads to the rapid rise in cost of the stationary bed. The only way to solve the problem of its rational use is expansion of out-patient care. One of these directions is day-surgery (outpatient surgery). The most difficulty in organizing outpatient care arises when creating a surgical outpatient centre in the clinic. By way of an example of such a successfully run centre, the optimal variant of its organization and rational activity in the most diffi-cult stages are shown. Experience, which authors are guided on, based on the establishment of the centre, where more than seven thousand patients have received treatment. More than 60% of them have had stationary surgery intervention. Табл. 1. Ил. 1. 302 КБ