DIAGNOSTICS OF DURABILITY OF A BONE FABRIC IN CHILDREN'S PRACTICE
Krutikova N. Yu.
UDC: 616.71-07-08 -053.3
Abstract: During the first months and years of life, bone tissue not only grows intensively, but also undergoes a continuous structural remodeling, therefore, this lifetime period is considered critical. This paper provides the results of bone examination performed during the neonatal period and early childhood. A total of 2316 term children were included in the study. Bone strength assessment was performed using the non-invasive method, i.e. quantitative ultrasound (QUS) examination of cortical bones (specifically, shin bones). Results of this study showed that the bone strength is decreased by the 4th month on the first year in infants. Further, bone strength increases by 3 years of age. In addition, our region-specific percentile tables for ultrasonic wave rate in leg bones in infants and toddlers are presented in this paper.
Key words: костная прочность, дети раннего возраста, количественная ультрасонометрия, bone strength, early childhood, quantitative ultrasonometriya
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THE ACTIVITY OF OXIDATIVE AND ANTIOXIDATIVE PROCESSES IN ERYTHROCYTES IN PATIENTS WITH PSORIASIS
Grashin R.A., Polyakova A.V., Telichko I.N.
UDC: 616.517: 616.155.1
Abstract: The content and activity of different system components of free-radical oxidation and antioxidant protection in erythrocyte of patients with limited and common forms of psoriasis were researсhed in our work. It is established that these indicators may be considered as a criteria for estimating the nature and severity of the disease.
Key words: псориаз, свободнорадикальное окисление, глутатион, малоновый диальдегид, глутатинпероксидаза, каталаза, psoriasis, free radicals oxidation, glutathione, malonic dialdehyde, glutathione peroxidase, catalase
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CLINICO-MORPHOLOGICAL ASPECTS OF SUBMUCOUS MYOMA OF REPRODUCTIVE AGE
Sherbakova L.A., Gustovarova T.A., Behtereva I.A., Roshchina L.M.
UDC: 618.14 - 006.36-089
Abstract: In a prospective study included 87 patients of reproductive age who underwent myomectomy performed on submucous uterine fibroids. Expression of estrogen receptor, progesterone, proliferative activity by Ki-67 and the area of vascular tissue in various ruslabyli normal endo- and myometrium and in the submucous myoma, combined with endometrial hyperplasia. Conducting immunohistochemical study of remote fibroids and endometrial can significantly affect the further treatment strategy and help to preserve women's reproductive health.
Key words: миома, репродуктивная функция, myoma, reproductive function
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THE MODERN VIEW OF LABOR MANAGEMENT VAGINALLY WITH ANESTHESIA BY PROLONGED EPIDURAL ANALGESIA IN PATIENTS WITH UTERINE SCAR
Bozhenkov K.A., Gustovarova T.A., Vinogradov V.L., Ivanyan A.N.
UDC: 618.4-089.5:618.514
Abstract: Growth rate of abdominal delivery, increase the number of patients with uterine scar. On the basis of Hospital №1Smolensk held more than 200 births vaginally, of whom 22 women with prolonged analgesia by epidural analgesia (PEA). We prove the benefits of independent genera in the absence of absolute contraindications, and there is a full scar. It is shown that birth in women with uterine scar can be anesthetized by the PEA.
Key words: роды, рубец на матке, состоятельность рубца, эпидуральная аналгезия, birth, the scar on the uterus, the consistency of the scar, epidural analgesia
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THE QUALITY OF THERAPEUTIC DENTAL CARE PROVIDED TO THE PATIENTS WITH SOLID TEETH TISSUES DISEASES
Цепов Л.М., Николаев А.И., Щербакова Т.Е.
UDC: 616.31:614
Abstract: Qualification of staff in city dental out-patient’s clinic and organization of dental care for adult patients suffered from solid teeth tissues diseases were evaluated. Specially designed questionnaire was used for dentists’ survey. Dental care quality for patients with diseases of solid teeth tissues has been evaluated. Dentists’ attitude toward the work has been studied. Their opinion on professional and personal abilities of stuff has been assessed as well as moral and psychological climate in the group.
Key words: качество, стоматологическая помощь, обязательное медицинское страхование, quality, dental health care, compulsory health insurance
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METABOLIC CORRECTION OF ACUTE HYPOXIC CONDITIONS BY METAL-COMPLEX SUBSTANCES
Sosin D.V., Evseyev A.V., Pravdivtsev V.A., Evseyeva M.A.
UDC: 616.831: 616.12-001.8
Abstract: In experiments on rats the direct protective effect of the new metal-complex substance πQ1104 was confirmed in relation of brain mitochondrions under the threat of an acute brain hypoxia development. Presumably the mechanism of πQ1104 protective action is based on the mitochondria compartment and it is provided via the reversible decrease of oxidative reactions in the respiratory chain that optimizes using of oxygen and oxidative biologic substrates during an acute hypoxia.
Key words: крыса, митохондрия, окислительное фосфорилирование, гипоксия, антигипоксанты, rat, mitochondrion, oxidative phosphorylation, hypoxia, antihypoxants
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EFFECT OF LOW-INTENSITY LASER RADIATION AND PHARMACOPUNCTURE ON THE MOBILITY OF ARTICULATORY APPARATUS OF 4-5 YEARS OLD CHILDREN WITH DYSARTHRIA
Bruk T.M., Dobrynina Y.A., Kislaykova E.A.
UDC: 616.089-008.434-053
Abstract: Articulation disorder, caused by central or peripheral paralysis of the muscles of speech apparatus leads to such disruption of speech as dysarthria. The important role in the speech development is put to kinesthetic sensations. To conduct the study it was formed three groups of children of 20 people each. The rehabilitation of the testee was carried out according to the conventional methods (group 1); the second group additionally it was used the low-intensity laser influence; and the third group in addition pharmacopuncture was used. As a result of the research it was found out that the use of unconventional methods of rehabilitation leads to better results and can be used as a new way of influence in the system of speech correction of children with dysarthria.
Key words: дизартрия, низкоинтенсивное лазерное излучение, фармакопунктура, речевые кинестезии, dysarthria, low-intensity laser radiation, pharmacopuncture, speech kinesthesia
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ASYMPTOMATIC BACTERIURIA IN PREGNANT WOMEN
Kozyrev Y.V., Gustovarova T.A.
UDC: 618.3:616.6
Abstract: Asymptomatic bacteriuria (ASB) is found in 2,5-15% of pregnant women and if untreated, often complicated by the development of obstetric, urologic and perinatal pathology. Effective diagnosis and treatment of the ASB leads to a significant reduction in the frequency of these complications. "Gold standard" diagnostic ASB is two-fold urine culture with the definition of susceptibility of microorganisms to antibiotics. For screening ASB can be used urine dipstick for bacteriuria, leukocyturia, combinations and dipslide culture. ASB for the treatment of pregnant women is most advisable to use fosfomycin, amoxicillin/clavulanate, cefixime, or nitrofurantoin.
Key words: бессимптомная бактериурия, беременность, скрининг, asymptomatic bacteriuria, pregnancy, screening
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ANTIHYPOXANTS: POSSIBLE MECHANISMS OF ACTION AND THEIR CLINICAL USES
Levchenkova O.S., Novikov V.E.
UDC: 615. 015: 616- 001.8
Abstract: The aim of the present review was to analyse and generalize the modern conception of pharmacodynamics of a new group of drugs - antihypoxants. The possibilities of pharmacological protection of metabolic and functional changes in an organism induced by hypoxia are considered on the basis of own experimental results and literature data. New promising targets for drug action (HIF-1α, mitochondrial megapora, etc.) associated with the adaptation to hypoxia are discussed.
Key words: антигипоксанты, гипоксия, фармакологическая протекция, HIF-1α, antihypoxants, hypoxia, pharmacological protection, HIF-1α
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FEATURES OF MEDICAL AID TO CHILDREN OF COUNTRYSIDE
Ryabuhin Yu.V., Krutikova N.Yu.
UDC: 616-053.2-084
Abstract: Now the researches directed on working out, optimization and introduction in practical public health services of effective organizational forms and methods of rendering of the treatment-and-prophylactic help, improvement and rehabilitation of children, including in treatment-and-prophylactic establishments of countryside have a special urgency. To features of the organization of rendering of medical aid to children has sat down the present review is devoted, which urgency of a theme is caused by disease increase, including chronic, and also growth of physical inability of children and to the problems existing in rural public health services.
Key words: дети, сельская местность, оказание медицинской помощи, children, countryside, medical aid rendering
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EXPERIENCE OF COOPERATIVE MEDIOPROPHYLACTIC WORK AT THE PEDIATRIC DENTISTRY DEPARTMENT IN SMOLENSK MEDICAL ACADEMY AND OGBU “SMOLENSK SOCIAL-REHABILITATION CENTRE FOR UNDER-AGED “PHOENIX”
Ginali N.V., Sulimova N.V., Kuzminskaya O.Y., Rutkovskaya L.V., Vasilevskyi S.A., Malysheva E.A.
UDC: 616. 31 - 053. 2 (07. 07)
Abstract: The article presents the experience of cooperative medioprophylactic work at the pediatric dentistry department in Smolensk Medical Academy and OGBU “Smolensk social-rehabilitation centre for under-aged “Phoenix”. The main skills acquired by the students are enumerated there. The methodology of “Health lessons” conduction with the children of different age is described, the health improvement results of the children from the social-rehabilitation centre are given.
Key words: кариес зубов, профилактика стоматологических заболеваний, дети, санитарно-просветительская работа, сaries, dental diseases prevention, children, sanitary-information work
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THE PRACTICAL APPROACH TO A CHOICE OF PREPARATIONS OF SOME ORIGINAL AND GENERIC ANTIBIOTICS FOR PARENTERAL APPLICATION AT TREATMENT OF PNEUMONIAS
Tsuman Yu. P.
UDC: 615.03
Abstract: The antibacterial chemotherapy makes a basis of effective treatment of pneumonias. The pharmacoeconomic research of the most demanded in our country system antibiotics for the parenteral application at treatment of pneumonias is lead. The cost of course therapy of pneumonias by brands and generics, corresponding requirements of pharmacopoeias, is estimated.
Key words: фармакоэкономический анализ, антибиотики, бренд, генерик, the pharmacoeconomic analysis, antibiotics, brand, generic
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MODERN TRENDS OF INFECTIVE ENDOCARDITIS
Bazina I.B., Pavlova M.V., Shablinskaya O.A.
UDC: 616.126-002-036
Abstract: Patients with infections endocarditis (24 history cases, 10% mortality ) of Smolensk city emergency clinic) were distributed as follows: 60% men vs 40% women; as a surgical cause congenital heart discloses 20% vs surgical trauma 25%; positive vegetations 75% (for mitral valve 30%, aortic - 30%; tricuspid - 5%, combined 5%); clinic markers as atrial fibrillation 30%, heart failure 90%; pulmonary embolism 5%. Prognosis factors are also discussed.
Key words: инфекционный эндокардит, пороки сердца, гемокультура, клапанный аппарат сердца, infectious endocarditis, heart, blood culture, valvular, blood cultures for sterility
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INITIALLY-PLURAL CANCER IN CLINICAL PRACTICE OF AN ONCOLOGIST
Solovyev V.I., Semkina E.N., Safronova M.A.
UDC: 616-006.04-08-039.75
Abstract: The share of patients with initially-plural cancer among patients with for the first time in life the established diagnosis of a cancer in the Russian Federation has made in last year 2,5 %. Across the Smolensk region - in 2009 from 457 for the first time the revealed cases, 10 % have made initially-plural cancer, including synchronous 1,5 %.
Key words: первично-множественные злокачественные новообразования, initially-plural cancer
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IS IT NECESSARY THE TEACHING OF ANDROLOGY IN HIGH MEDICAL SCHOOL?
Griniov A.V., Safonov D.V., Nikolaev S.I.
UDC: 616.64 /. 69
Abstract: Adverse demographic situation in our country is depending of reproductive health of men. Teaching of andrology in high medical school expands outlook of young doctors and allows to improve quality of men`s treatment.
Key words: андрология, репродуктивное здоровье, демография, высшая медицинская школа, andrology, fertility, demography, high medical school
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SCORE OF LEARNING OUTCOMES BY METHODOLOGICAL METHOD
Platonov I. A.
UDC: 378.14:61
Abstract: Objective assessment of students' knowledge have been analyzed by accounting of following hallmarks as scales of results of the average level of complicacy of information assimilation; learning coefficient; level of troubles. Characteristic curve of learning material on separate discipline at stomatological department have been submitted.
Key words: анализ объективной оценкизнаний, шкалы усвоения дидактического материала, analysis of objective assessment of students' knowledge, scales of mastering of learning material
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EXPERIENCE OF CHILDREN'S DENTISTRY DEPARTMENT IN SSMA ON STUDENT’S ORTHODONTIC SKILLS FORMATION
Ginali N.V., Evnevich E.P.
UDC: 616. 314 - 089. 23 (07. 07)
Abstract: The article describes the experience of the children's dentistry department in SSMA in building the students skills in orthodontics in the state of dramatic reduction of the patients on student admission. Professional competence of students is formed gradually. In the 8th - 9th semesters the phantom subjects of intervention taken as control and diagnostic models of dentition made of plaster, plastic, superplaster are used. Repeated execution of various manipulations on the simulators leads to the formation of stable motor responses, that is practical skills, which allows to avoid errors and complications during reception of patients in the 10th semester at most.
Key words: ортодонтия, преподавание, практические навыки, фантом, orthodontics, teaching, practical skills, the phantom
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ORGANIZATION OF SCIENTIFIC-RESEARCH WORK OF STUDENTS IN CHILDREN’S DENTISTRY AS A WAY OF FORMATION OF PROFESSIONAL COMPETENCE
Ginali N.V., Kaluzhskay S.M.
UDC: 616.31 - 053.2 (001.8)
Abstract: The role of research work for the formation of professional competence among the students as the dentistry faculty is shown on a example of the organization of the student scientific study group at the children’s dentistry department
Key words: научно-исследовательская работа, профессиональная компетенция, scientific-research work, professional competence
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THE АKMEOLOGICAL APPROACH TO RESEARCH OF MOTIVATION IN THE COURSE OF PROFESSIONAL FORMATION OF MEDICAL STUDENTS
Osipova N.N., Moiseenkova L.N.
UDC: 152.3:61
Abstract: In this article is presented a motivation research as akmeology as the factor of professional formation of students of older years of medical academy
Key words: медицинская акмеология, профессиональная деятельность, мотивация, внутренние и внешние факторы, личность, medical akmeology, professional work, motivation, internal and external factors, the person
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NEW WAYS OF STUDDING OF THE COURSE OF “HISTORY OF RUSSIA’” IN MEDICAL ACADEMY
Mitsuk N.A., Pinskaya L.A., Sharovarina E.A.
UDC: 947+376]: 61
Abstract: History keeps it fundamental status, it forms world outlook and educates critical applies of history educates social ideas and patriotism. The main aim of modern education in medical institution is to help students to adopt themselves in changeable world. Problems of historical studies connected with a new stats reformation of the high educational system in Russia. In this article we pay special attention of the concerts experience of the historical studies and different extra forms of studies on history.
Key words: государственные стандарты, историческое образование, формы учебной и внеаудиторной работы, states standards, historical education, extra forms of studies on history
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EXPERIENCE, PROBLEMS AND PROSPECTS OF SOCIAL WORKERS TRAINING: ON THE OCCASION OF THE 20 TH ANNIVERSARY SINCE INTRODUCTION OF “SOCIAL WORK” SPECIALTY IN RUSSIA
Avchinnikova S.O.
UDC: 361.08+378]:61
Abstract: The article examines basic positive and negative trends of social workers training system in the context of its making and modernization. There is analyzed the experience of authoring educational model realization in the course of social workers training for health-saving activity and its integration into the mass practice taking into account the third generation standards.
Key words: подготовка социальных работников, тенденции, здоровьесберегающая деятельность, образовательный стандарт, содержание образования, social workers training, trends, health-saving activity, educational standard, education content
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THE SUFFERING SOUL OF THE HUMAN BEING
Sinitsin S.N.
UDC: 17:614.253
Abstract: There are periods in development of civilization, when the discussion about the human values is very sharp. This periods usually calls “the beginning of the New Age”. In thise very time “the conservatively minded people” and “the liberavy minded “people” discuse the questions ”. Good and “Evil”, “love” and “Hate”? “Happiness” and “Grief”; “Freedom” and “Non-Freedom” and so on. The problem is, that non-traditional “ansvers” on thise questions, provocate non-traditional actions in life. In modern Russia with it’s political and social problems this discussion has actual character.
Key words: ценности, противоречия, мораль, духовная культура, современный человек, миропонимание, душа, нравственная активность, values, contradictions, morality, spiritual culture, modern personality, world understanding, soul, moral activity
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EDUCATIONAL WORK OF MEDICAL FACULTIES IN HIGHER SCHOOL REFORMATION PERIOD IN 1920-1930 YEARS
Nagornaya S.V., Ostapenko V.M.
UDC: 617 (09)
Abstract: One of the most important aspects of the transformations in the Soviet school was the reorganization of the system of teaching. At the beginning of the 20-ies of the twentieth century, there were no uniform for all medical schools of curricula and teaching plans individual disciplines. In each of them developed their own. Our analysis of normative acts and published in those years materials of various meetings on issues of higher education to argue that medical schools model curricula appeared much later than others. They were developed only in 1928-1930, during the actual elimination of higher medical education in our country.
Key words: высшее медицинское образование, учебные программы, планы преподавания, нормативные акты, Medical education, curricula, teaching plans, normative acts
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