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2006, No. 2 |
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E.Y. Zhuk, O.G. Yakovlev, A.V. Yashkov, A.V. Chebikin, A.A. Devyatkin, O.I. Lopireva In this study the condition of guanilatcyclic messengers and lactatdehydrogenase systems of whey of blood serum of patients with a pathology of basic-impellent system and patients of the control group is discussed. Effect of these systems of an organism on physiology and pathology of basic-impellent system is shown. On this basis the pathogenetic method of treatment of diseases of basic-impellent system is proposed. B.N. Zhukov, A.I. Borisov, O.I. Stakhanova INSTRUMENTAL BILIARY DECOMPRESSION FOR PATIENTS ELDER THAN 60 YEARS WITH OBTURATED JAUNDICE SYNDROME The research is based on the examination and treatment analysis of 145 patients who are 60 years old or older with obturated jaundice syndrome. The patients were treated in different surgical departments of State Hospital ¹ 8 during the years 1997–2003. Pre-operation decompression of biliary tracts was adjusted (used) for the treatment of patients with obturated jaundice, which was made using ultra sound scanning control or using endoscopy control. By analyzing the results of small invasion surgical manipulations of patients 60 years and older, we came to the conclusion that these types of surgical manipulations was successful for this category of patients. Small invasion biliary decompression was effective for 78% patients, who had small invasion operation as the first step of treatment or as a basic method of treatment. The results of the small invasion manipulations depended on: time when it was made (after or before developing irreversible changes of organs and hepatorenal insufficiency in particular), technical performance of operations, indications and contra-indications to perform this kind of operations. V.N. Dovbish, M.Y. Maslov, O.Y. Sarokvasha ECOLOGICAL MONITORING OF STRUCTURE OF GROUND IN THE ZONE OF ACCOMMODATION OF HIGH-VOLTAGE POWER LINE In the paper the problems related to analysis of effect of an electromagnetic field of high-voltage power line on the structure of microflora of soil in a zone of its accommodation are considered. Results for area of 110 kV power line near Bezenchuk town of the Samara region are given. A.V. Dzyubailo AN ANALYSIS OF THE SMOKER WOMEN’S HEALTH OF THE FERTILE AGE BEFORE AND DURING PREGNANCY The correlation of the extragenital pathology of fertile women and smoking before and during pregnancy are discussed. L.A. Karasyova JOB QUALITY OF NURSES AT MEDICAL CENTERS In the paper an important factor based on sociological investigation of such question as effectiveness of nurse stuff activity is discussed. Job quality of nurses is one of the significant features of work in medical and follow-up centers. Managers of Health Service Departments should pay attention to the fact characterizing work quality of nurses and compare it with real conditions of nurse activity. L.A. Karasyova DEVELOPMENT FEATURES OF NURSE PERSONAL AT MEDICAL CENTERS In this paper an analysis of such important field of human resources as postgraduate education of nurses of follow-up medical centers is given. Using system approach we give an in-depth estimation of the organization of nurse postgraduate education. Special attention is paid to the competence of nursing, and knowledge basis which they can use in their professional practice. A.V. Moskalev, S.D. Kolpackova, G.A. Kolpackova THE PHOTOMETRIC METHOD FOR ANTIBACTERIAL THERAPY EFFICIENCY CONTROL In the present paper the method of photometric control of antibacterial therapy efficiency in the real mode, which allow us at the earliest possible stage (4–6 hours) to determine rational treatment scheme for patient suffering from pyoinflammatory diseases is discussed. T.V. Malykhina ASPIRATION NEEDLE BIOPSY OF MAMMARY GLAND IN DIAGNOSING Aspiration needle biopsy is one of the most informative and safe invasive methods in mammary gland formations differential diagnostics. In the paper abilities, testimonies, complications and perspective tendencies of this diagnostic method are considered. T.V. Malykhina Comparative results of “Bromcriptin”, “Agnukaston”, “Dostineks” application to hyperprolactinemia and mastalgia therapy with preserved menstrual and ovarian function are presented. In the paper advantages and disadvantages of the drugs therapy are discussed. The possibility of the drugs to act effectively not only upon mastalgia and the level of prolactin abatement but also on the mammary gland structure is described. I.S. Lipatov, Y.V. Tezikov, A.V. Bykov, R.N. Nasikhullina, G.A. Ergunova, I.A. Potapova, P.P. Purygin, Y.P. Zarubin APOPTOSIS AND ITS ROLE TO FORMATION OF PLACENTIC INSUFFICIENCY The research of markers programmed destruction is carried out at physiological and complicated gestation. The obtained results have shown close patogenetic connection between processes of fabric growth, apoptosis and level of a power exchange in a fabric placenta. Enchancement or the abatement of apoptosis in placenta leads to formation of placentic insufficiency both various clinical variants and degree of weight of complications gestation. V.I. Pismenney This paper gives a comparative analysis of results of pharynx and esophagus plastic after larynx extirpation. The technique of pharynx and esophagus reconstruction in case of surgical treatment of larynx tumors is developed and put into practice. This technique helps to avoid the change of neopharynx form and volume during its formation; this prevents complications of esophago and pharyngo fistula, stomatological diverticula, disfagia. Favorable conditions for making alaryngeal voice after larynxectomy are made. Stable results of treatment of patients with diffuse tumor of larynx are achieved. Using of this technique of pharynx and esophagus plastic in patients with larynxectomy helps to reduce the time and frequency of hospitalization. |
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