Saratov JOURNAL of Medical and Scientific Research

Subbotina V.G.

Saratov State Medical University, Department of Propaedeutics of Internal Diseases, Assistant, Candidate of Medical Science.

Health of future and present time doctors from the standpoint of psychosomatic medicine: patterns and paradoxes

Year: 2019, volume 15 Issue: №3 Pages: 749-753
Heading: Cardiology Article type: Original article
Authors: Kodochigova A.l., Olenko E.S., Parshina S.S., Yuranova Yu.V., Puzakov K.K., Zhuk A.A., Subbotina V.G., Pavlishcheva I.D.
Organization: Saratov City Clinical Hospital No. 9, Saratov State Medical University
Summary:

The purpose of the study is to conduct comparative analysis of personal psychological characteristics of medical university students and doctors of a therapeutic profile to determine possible risks of developing psychosomatic diseases with subsequent recommendations for conducting personalized psychological correction of the revealed changes. Material and Methods. To achieve this goal 44 medical students (group I) and 36 doctors working in hospitals of the city (group II) were examined using the self-assessment С Spielberger — Y Khanin' anxiety scale, E. Heim's method of stress-coping behavior, and S. Dellinger's psychogeometric test. Results. It was revealed that the members of both groups had high levels of personal anxiety and were adaptive in the emotional coping sphere. Representatives of group I were distinguished by the presence of predominantly non-adaptive reactions in the cognitive sphere, however, they were constructive in designing stress-overcoming behavior proper, in contrast to representatives of group II. Medical university students were characterized by inconsistency of intrapersonal traits. Conclusion. Thus, it is advisable to recommend psychological correction of the revealed changes, i. e. to reduce high level of anxiety in both students and doctors; to increase adaptability among students in the cognitive sphere and among doctors in the behavioral sphere; to resolve intrapsychic conflicts in students to improve psychosomatic pathology prevention.

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Case report in the modern therapeutic clinic

Year: 2011, volume 7 Issue: №2 Pages: 429-433
Heading: Internal Diseases Article type: Author's opinion
Authors: Sulkovskaya L.S., Papshitskaya N.Yu., Skvortsov Yu.l., Subbotina V.G., Yekimova N.V.
Organization: Saratov State Medical University
Summary:

The article deals with the basic document for evaluation of the patient»s condition and doctor»s qualification — case history. It is well-known that careful and detailed history and physical examination are the cornerstones of an accurate diagnosis. Analyzing a large amount of case histories differences in registration and factual data were found out. Issues on physical examination and its evaluation have been discussed

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On the optimization of clinicosonographic and biochemical diagnostics of gall-bladder disease

Year: 2010, volume 6 Issue: №3 Pages: 607-611
Heading: Internal Diseases Article type: Original article
Authors: N.V. Yekimova, Yu.l. Skvortsov, V.B. Lifshits, V.G. Subbotina, N.Yu. Papshitskaya, M.L. Tiunova, L.M. Chibrikova, I.D. Pavlischeva, D.S. Timofeev
Organization: Saratov State Medical University, Saratov City Hospital №9, Engels City Hospital of Emergency
Summary:

Determination of serum lipidic spectrum (increase of total cholesterol, atherogenic rate) for dynamic control of possible transformation in cholelithiasis is necessary to be included in examination of patients with cholecystitis. Changes in serum lipidic level (increase of total cholesterol, rate of total cholesterol to cholesterol of lipoproteins of high density and decrease of lipoproteins of high density) in healthy people promote forming risk group of gall-bladder cholestherosis

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Important issues of alcoholic liver disease prognosis

Year: 2010, volume 6 Issue: №1 Pages: 094-100
Heading: Internal Diseases Article type: Review
Authors: S.P. Sernov, V.B. Lifshitz, Yu.I. Skvortsov, V.G. Subbotina, A.G. Martynova, L.S. Sulkovskaya, V.I. Shulgin, L.A. Suchilina
Organization: Saratov State Medical University, Saratov Psychiatric Hospital
Summary:

Alcoholic liver disease prognosis has not been thoroughly developed yet. The possibility of morphologic prognosis has been limited due to disadvantages of liver biopsy. Insignificant amount of studies is devoted to laboratory methods. prognosis value of serum markers of liver fibrosis at the last cirrhotic stages is widely considered in the medical literature. at the same time the results of treatment are determined by making a diagnosis

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Epidemiology Of Alcoholic Liver Disease

Year: 2009, volume 5 Issue: №4 Pages: 564-568
Heading: Reviews Article type: Review
Authors: С.П. Сернов, В.Б. Лифшиц, В.Т. Субботина, Н.Ю. Папшицкая, А.Г. Мартынова, К.Г. Аредаков В.И. Шульгин
Organization: Saratov State Medical University, Saratov Psychiatric Hospital
Summary:

One of the main factors of chronic liver disease is alcohol. The level of alcoholic liver disease incidence and cirrhosis mortality has increased considerably in the recent years in many countries. The risk of development and disease progression are determined by the effect of endogenous and exogenous factors: "drinking mode", female gender, heredity and genetic predisposition, obesity, concomitant viral hepatitis

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Etiopathogenesis of Cholelithiasis and gallbladder cholesterosis

Year: 2009, volume 5 Issue: №3 Pages: 337-341
Heading: Internal Diseases Article type: Review
Authors: N.V. Yekimova, V.B. Lifshits, V.G. Sub-botina, N.Yu. Papshitskaya, L.S. Sulkovskaya
Organization: Saratov State Medical University
Summary:

The article deals with the contemporary data on etiology and pathogenesis of cholelithiasis, the stages of biliary pathology (motorotonic disturbances of gallbladder and sphincteric apparatus of anhepatic biliary tracts — chronic acalculous cholecystitis — cholelithiasis). The factors, affecting the gallbladder stones formation are described.
The problems of pathogenesis of gallbladder cholesterosis are reviewed. The authors come out with an assumption, that disturbances in cholesterol metabolism in the human body play the leading role in the development of this disease.

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Endothelial Regulation of Vascular Tone at Both Clinically Healthy Men and Patients with Arterial Hypertension Depending on Personal Psychophysiological Types

Year: 2009, volume 5 Issue: №2 Pages: 167-169
Heading: Physiology and Pathophysiology Article type: Original article
Authors: V.F. Kirichuk, E.S. Olenko, A.N. Kodochigova, S.V. Sachkov, V.G. Subbotina, T.M. Dyomina, T.A. Kolopkova, M.G. Kucherov
Organization: Saint-Petersburg State Psychoneurological University, Saratov City Clinical Hospital № 10, Saratov State Medical University
Summary:

The research purpose is to analyze endothelial regulation of vascular tone at both clinically healthy persons and patients, suffering from the firstly revealed arterial hypertension at youth men depending on personal psychophysiological types. It is shown, that at 23,3% of clinically healthy men and at 89,3% patients, suffering from arterial hypertension without clinical manifestations of atherosclerosis the dependence of vascular tone endothelial regulation on personal psychophysiological type is revealed.

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METABOLIC SYNDROME X - PANDEMIC OF THE XXI CENTURY

Year: 2008, volume 4 Issue: №3 Pages: 130-134
Heading: Internal Diseases Article type: Review
Authors: Т.D. Kolopkova, V.V. Blinova, Yu.l. Skvortsov, V.G. Subbotina
Organization: Saratov State Medical University
Summary:

A survey of data found in scientific articles including the main points, structure, spreading and social importance of metabolic syndrome X as a real predictor of mortality level are presented. The genetic mechanism of insulin resistance and arterial hypertension are revealed. The role of obesity in metabolic syndrome’s forming is discussed.

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