Saratov JOURNAL of Medical and Scientific Research

2010, volume 6

Cytological evaluation and prediction of progression of acute erosive ulcered lesions of upper parts of gastrointestinal tract in acute and early periods of cerebrospinal trauma

Year: 2010, volume 6 Issue: №3 Pages: 701-703
Heading: Traumatology and Orthopedics Article type: Original article
Authors: Norkin I.A., Ulyanov V.Yu., Konyuchenko E.A.
Organization: Saratov Scientific Research Institute of Traumatology and Orthopedics
Summary:

80 cytological preparations derived by fibrogastroduodenoscopy from 20 patients with cerebrospinal trauma at cervical part level served as the research subject. Dynamics of the progression of acute erosive ulcered lesions of mucous membrane of the upper parts of the gastrointestinal tract was studied on the basis of the cytological analyses of mucous membrane biopsy materials. In the course of our work we used endoscopic (fibrogastroduodenoscopy) and cytological research methods. Cytological analyses of mucous membrane biopsy materials were carried out on the 7th, 14th, 21st and 28th day. Biopsy material cellular composition was evaluated on the grounds of the calculation of neutrophilic leukocytes and epithelial cells with the use of an immersion objective. In so doing we registered neutrophilic leukocyte number for 100 cells and determined neutrophilic and epithelial index. Monitoring of neutrophilic leukocyte number enables to determine presence or absence of inflammatory changes in stomach mucous membrane and duodenum in different periods of cerebrospinal trauma

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Influence of gravitational therapy on reparative osteogenesis in patients with osteomyelitis of lower extremities

Year: 2010, volume 6 Issue: №3 Pages: 695-700
Heading: Traumatology and Orthopedics Article type: Original article
Authors: Kotelnikov G.P., Sonis A.G.
Organization: Samara State Medical University
Summary:

The article provides a comparative analysis of reparative osteogenesis in 105 patients with diffuse osteomyelitis of lower extremities, covering bone in diameter totally or subtotally. In complex treatment 51 patients have experienced gravitational therapy (study group), 54 patients have been treated by standard methods (control group). The study was conducted in clinics of Samara State Medical University. Gravitational therapy is a new noninvasive method of physiotherapy, first used in the treatment of patients with osteomyelitis. It is noted that the inclusion of gravitational therapy in complex treatment contributes to the consolidation of bone fragments, accelerates о ste о reparative processes in the regenerate bone formed in the zone of the defect in osteosynthesis in apparatus for external fixation. Past radionuclide study of the skeleton showed that the gravitational therapy positively affects the blood supply to the area osteomyelitic defeat, activates and improves bone metabolism. Osteodensimetric studies have shown that under the influence of gravitational therapy there was an increase in bone mineral density of the lower extremities, especially with the affected side, which was not observed in patients of control group. Gravitational therapy is an effective method of influence on reparative osteogenesis in patients with osteomyelitis of lower extremities

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Staged Surgical Correction of Coarse Rigid Scoliotic Deformations

Year: 2010, volume 6 Issue: №3 Pages: 692-694
Heading: Traumatology and Orthopedics Article type: Short message
Authors: Zaretskov V.V., Arsenievich V.B., Zueva D.P.
Organization: Saratov Scientific Research Institute of Traumatology and Orthopedics
Summary:

The article concerns with surgical treatment of patients with coarse rigid scoliotic deformations. Application of modern surgical techniques in case of given pathology allows to achieve durable positive clinical results

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Modern Treatment Methods of Habitual Shoulder Dislocation (Literature Review)

Year: 2010, volume 6 Issue: №3 Pages: 687-692
Heading: Traumatology and Orthopedics Article type: Review
Authors: Dlyasin N.G., Norton A.I., Gramma S.A., Gorshkov V.Ju., Derevjanov A.V.
Organization: Saratov Scientific Research Institute of Traumatology and Orthopedics
Summary:

In the literature review the groups of the most applicable surgical interventions in treatment of patients with habitual shoulder dislocation are cited. The tendency to increase an application of arthroscopic operations seek to eliminate some realizing factors of dislocation of the humeral head is observed

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Biomechanical evaluation of fixation degree of fragments by periosteal osteosynthesis

Year: 2010, volume 6 Issue: №3 Pages: 683-687
Heading: Traumatology and Orthopedics Article type: Original article
Authors: Barabash Yu.A., Skripkin S.P., Grazhdanov K.A.
Organization: Saratov Scientific Research Institute of Traumatology and Orthopedics
Summary:

Expansion of indications for surgery and plate osteosynthesis of long bones points to increased number of complications caused by instability of fragments, that can be associated in their turn with constructive features or iatrogenic factors. Insufficient rigidity of fragment fixation is due to incorrect technical treatment and wrong choice of fixator. Biomechanical parameters of periosteal fixation rigidity have been experimentally proved, depending on fixator lever

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Morphometric substantiation of a fixation method choice at surgical correction of spondylolisthesis

Summary:

The purpose was to reveal patterns of morphometric characteristics variability of lumbar vertebrae and sacrum for a choice of more adequate selection of standard sizes and introduction orientation of corrigent metalware at surgical treatment of spondylolisthesis. Preparations of lumbar vertebrae and sacrum of 60 skeletons, 110 Kt-grams of men and women of the first and second periods of mature age without visible pathology of a backbone and 300 Kt-grams of patients with spondylolisthesis. The data on age variability and sexual dimorphism of lumbar vertebrae and sacrum were obtained. The analysis of results of surgical treatment of 288 patients with spondylolisthesis during 1995-2008 was carried out. 160 patients were managed with preoperative planning, taking into account morphometric characteristics of vertebrae and sacrum since 2003. It is necessary to install and arrange metalware at reduction taking into account features of back structures and forward basic complex of lumbar vertebrae and sacrum; that allows to receive adequate decompression of neurovascu-lar structures in 85-90% cases, reliable correction and stabilization of damaged lumbosacral segments

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Evaluation of quality of life relevant to health in depressive patients

Year: 2010, volume 6 Issue: №3 Pages: 674-678
Heading: Sociology of Medicine Article type: Original article
Authors: Karelina D.D., Krom I.L., Barylnik Yu.B.
Organization: Saratov State Medical University, Saratov Institute of Social Education, Head of Centre of Medical and Social Research
Summary:

This article deals with the factors influencing mental health in modern society and describes approaches for evaluation of quality of life in depressive patients in psychiatric practice. The results of the study of quality of life in depressive patients relevant to health are presented

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Changes of functional status of masticatory muscles in the process of treatment based on the results of electromyographic analysis of patients with distal occlusions

Year: 2010, volume 6 Issue: №3 Pages: 671-674
Heading: Stomatology Article type: Original article
Authors: Lepilin A.V., Konnov V.V., Listopadov М.А., Arushanyan A.R.
Organization: Saratov State Medical University
Summary:

The research work is dedicated to study of bioelectric activity of masticatory muscles of adult patients with distal occlusions. The research is based on the results of electromyographic analysis of bioelectric activity of masticatory muscles of 47 patients with distal occlusions. The results of electromyographic analysis have allowed establishing the criteria of masticatory muscles adaptation to new functional conditions of masticatory system formed in the process of treatment of patients with distal occlusions. The established criteria can be used to define objectively the duration of masticatory muscles adaptation period during the stages of complex treatment of patients with distal occlusions

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SEM evaluation of the morphological changes in hard dental tissues prepared by Er: YAG laser and rotary instruments

Year: 2010, volume 6 Issue: №3 Pages: 667-671
Heading: Stomatology Article type: Original article
Authors: Tomov Georgi
Organization: Bulgaria, Plovdiv, Medical University
Summary:

Effective ablation of dental hard tissues by means of the erbium:yttrium-aluminum garnet (Er: YAG) laser has been reported recently, and its application to caries removal and cavity preparation has been expected. However, few studies have investigated the morphological changes in hard dental tissues after Er: YAG laser caries treatment. In the present study the morphological changes in hard dental tissues after Er: YAG laser caries ablation in vitro was compared with that of conventional mechanical treatment. Thirty extracted human teeth with caries were used. Ten tooth was treated with the Er: YAG laser, and the other was treated with a conventional steel and diamond burs. Laser treatment was performed by means of a non-contact irradiation modes with cooling water spray, with a new Er: YAG laser (LiteTouch). Conventional bur treatment was conducted by means of a low-speed micromotor and air turbine with water cooling. Scanning electron microscope (SEM) observations were performed for each treatment. The Er: YAG laser ablated carious dentin effectively with minimal thermal damage to the surrounding intact dentin, and removed infected and softened carious dentin to the same degree as the burtreatment. In addition, a lower degree of vibration was noted with the Er: YAG laser treatment. The SEM examination revealed characteristic micro-irregularities of the lased dentin and enamel surfaces with potential benefits for adhesive restorations. Our results show that the Er: YAG laser is promising as a new technical modality for caries treatment

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Comparative study of influence of system and local treatment by Ronkoleykin on indicators of immune status of children with atopic bronchial asthma

Year: 2010, volume 6 Issue: №3 Pages: 663-666
Heading: Pediatrics Article type: Original article
Authors: Sultanova N.G.
Organization: Azerbaijan Medical University, Baku city
Summary:

In the article the results of study of comparative influence of system and local treatment by Ronkoleykin on indicators of immune status at 33 children with medium severe bronchial asthma are listed. As a result of fulfilled research it was established that therapy by Ronkoleykin both in the form of injections, and in the form of an aerosol, introduced on a background of basic inflammatory treatment of atopic bronchial asthma, provided positive dynamics of immune and cytokine status. The received results specify the necessity of Ronkoleykin use for complex therapy of children with atopic bronchial asthma

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