Saratov JOURNAL of Medical and Scientific Research

Volgograd State Medical University

Gender and age peculiarities of aortic pressure in healthy adolescents

Year: 2018, volume 14 Issue: №2 Pages: 197-200
Heading: Physiology and Pathophysiology Article type: Original article
Authors: Sheveleva A.M.
Organization: Volgograd State Medical University
Summary:

Aim: to reveal gender and age peculiarities of daily dynamics of systolic aortic pressure (SBPao), diastolic aortic pressure (DBPao), mean hemodynamic aortic pressure (MBPao) and pulse aortic pressure (PPao) in healthy adolescents. Material and Methods. Ambulatory blood pressure monitoring was performed in 354 healthy adolescents (184 girls, 170 boys) aged 12-17 years. Results. Daytime, nighttime and diurnal levels of SBPao and PPao were significantly lower in girls, than that of boys. Boys had significantly lower daytime and diurnal levels of DBPao than girls. Nighttime level of MBPao was significantly higher in boys than in girls. Growth positively correlated with daytime, nighttime and diurnal levels of SBPao (r=0.3, r=0.4and r=0.4 respectively) in boys 12-17 years old. Correlation analysis in girls 12-17 years showed a weak positive relationship between growth and nighttime, daytime and diurnal levels of SBPao (r=0.14, r=0.2 and r=0.14 respectively). Conclusion. The observed differences between age subgroups could be associated with the different velocity of pubertal development in the examined adolescents, as well as with the different role of hormonal and neuronal regulation mechanisms in the formation of aortic pressure level and its diurnal dynamics.

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Mechanisms of social investment of the dental service of higher and secondary educational institutions

Year: 2018, volume 14 Issue: №1 Pages: 20-24
Heading: Health Service Organization Article type: Author's opinion
Authors: Eldarkhanov D.Kh., Yusupov R.D., Ignatiadi O.N., Zakharchenko I.S., Yusupov Kh.R.
Organization: Pyatigorsk Medical and Pharmaceutical Institute of Volgograd State Medical University, Stavropol Territory's City Dental Polyclinic in Pyatigorsk, Volgograd State Medical University
Summary:

The aim: development of conceptual provisions aimed at updating and ubiquitous introduction of a preventive system of dental care for students in higher and secondary vocational schools. Material and Methods. The authors rely on data from comprehensive surveys conducted in Moscow, in the Stavropol Territory, in Volgograd, in the city of Pyatigorsk. Results. It is established that the main diseases of students are dental caries and periodontal diseases (most often in the initial form). There is a trend of loss of dental health of students from 1 to 4 courses. Loss of health (even for objective reasons) is destructive for the economy and society. Solution of this problem will ensure the provision of systemic prevention and enhance the dental activity of the contingent of students. An estimation of the required investments related to the opening and operation of dental offices at higher and secondary professional educational institutions was made. Conclusion. The possibilities of social investment of the dental service of educational institutions with the use of mechanisms of fundraising are shown. Strengthening the dental services of educational institutions will help to improve the dental health of the student population. Social investment of educational institutions has many attractive features for the population and business entities.

Keywords: density
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Functional and role status of obstetricians and gynecologists in the process of obstetric care.

Year: 2017, volume 13 Issue: №3 Pages: 475-480
Heading: Obstetrics and Gynecology Article type: Original article
Authors: Tkachenko L.V., Sedova А.А., Shestakov А.А., Gritsenko I.A.
Organization: Rostov-on-Don State Medical University, Volgograd Medical Scientific Center, Volgograd State Medical University
Summary:

Objective: to determine the ratio of obstetricians and gynecologists roles during childbirth. Material and Methods. The questioning of obstetricians and gynecologists in the Volgograd and Rostov region has been conducted. The population was 1181. Sample random N=300. Results. Respondents acknowledge their own responsibility in 98%. Midwives agree that a woman is the main actor in the process of childbirth, but just 52,7% consider that it is necessary to inform a woman of principle for her birthing situations and do not trust its ability to make adequate decisions (52%). Conclusion. Obstetricians and gynecologists consider themselves the main actors of the process of childbirth, although not rule out the usefulness of the participation of other health professionals, respected the autonomy of women in decision-making, but prefer a higher level of confidence on the doctor. The application of advances personalized medicine is considered necessary for 69.7% of respondents, while recognizing their lack of awareness on this issue.

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The value of assessment of quality of life in realisation of medico-social rehabilitation of children-orphans in conditions of illness

Year: 2017, volume 13 Issue: №2 Pages: 288-291
Heading: Sociology of Medicine Article type:
Authors: Dubrovina M.S., Krom I.L., Chizhova V.M.
Organization: Saratov State Medical University, Volgograd State Medical University
Summary:

Purpose: interdisciplinary analysis of quality of life and objectifying strategies of medico-social rehabilitation of children-orphans in conditions of illness. Material and Methods. Included in the study on a random sample of 354 respondents aged 14-18 years of age (160 males and 194 female). The study of quality of life was conducted using the international questionnaire of WHOQOL-100. Statistical significance of differences of average indices of life quality of groups of respondents was determined by non-parametric Mann —Whitney test. Results. Analysis of the averages of quality of life in the group of clinically healthy respondents were allowed to define the indices on average significantly (p<0.01 — p<0.05) different in the group of children-orphans and children living in families. During the research it was found that the average quality of life of orphans in a situation of a disease in most points of questionnaire were significantly lower than in the control group. Statistically significant differences of average values of indicators of quality of life in the analysis of the quality of life of the respondents (orphans and children living in families) in the case of illness related to the effects of disease and child abandonment, somatically and socially determined. Conclusion. Established in the course of the study the statistical relationship between indicators of quality of life from disease and the effectiveness of re-socialization proves the possibility of the objectification of recovery strategies and the formation of personally identifiable medical and social assistance to children-orphans in conditions of illness.

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Early diagnosis of masked hypertension in adolescents

Year: 2016, volume 12 Issue: №4 Pages: 574-578
Heading: Pediatrics Article type:
Authors: Ledyaev M.Ya., Mozoleva S.S., Gavrikov L.K.
Organization: Volgograd State Medical University
Summary:

Objective: to improve diagnosis of latent arterial hypertension by studying the characteristics of hemodynamics and the rigidity of the vascular walls of the arteries in adolescents with this phenomenon. Material and Methods. The study involved 147 children aged 11 to 18 years who did not have heart rhythm disorders, congenital heart defects, endocrine diseases and diseases of the kidneys. They were divided into three groups on the basis of blood pressure values (BP) obtained during three measurements of blood pressure according to the method of N. S. Korotkov and when conducting 24-hours ambulatory blood pressure monitoring (ABPM). Group 1 included children with blood pressure values in the range from 5 to 95 percentile. Group 2 was composed children with masked hypertension (values of office blood pressure in the range from 5 to 95 percentile but indicators of ABPM of blood pressure is greater than 95 percentile). Group 3 included children with stable arterial hypertension (blood pressure values exceeded the 95 percentile). The study was a comparative analysis of the hemodynamic and rigidity (stiffness) of the arteries. Results: Most hemodynamic parameters in children with masked hypertension were higher than in children of group 1. However, these figures were lower than in children with stable arterial hypertension. Among the indicators of the rigidity of the arteries, the most sensitive indicator (dP/dt) max was maximum rate of pressure rise. Children with masked hypertension had increased arterial stiffness, however it was lower than in children with stable arterial hypertension. Conclusion: The use of BPLab monitor with technology Vasotens allows physicians to evaluate the daily profile of arterial pressure, the hemodynamics and stiffness of blood vessels, which is an important step for early diagnostics of latent arterial hypertension in children

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The assessment of bronchial asthma pharmacotherapy effectiveness on the background correction of magnesium deficiency in children

Year: 2014, volume 10 Issue: №1 Pages: 211-214
Heading: Parmacology Article type: Original article
Authors: Shishimorov I.N., Perminov А.А., Nefedov I.V.
Organization: Volgograd State Medical University
Summary:

Aim: to evaluate the efficacy of pharmacotherapy of bronchial asthma in children with concomitant correction of magnesium deficiency. Material and Methods. A 12-week, prospective, randomized, open, comparative, parallel-group, which was included in the 50 children with uncontrolled and partially controlled atopic asthma and laboratory-confirmed magnesium deficiency. For the groups 1 and 2 it was assigned basic therapy of asthma in accordance with the recommendations of GINA (2011). In the group 1 it had been additionally performed concomitant correction of magnesium deficiency of Magnesium B6 Forte. There had been evaluated the effectiveness of a drug therapy for 12 weeks on the achieved level of asthma control, the frequency of exacerbations, the number of asymptomatic days. Dynamics of the severity of allergic inflammation was assessed by monthly monitoring of levels of nitric oxide in exhaled air (FeNO). Results. After 12 weeks of treatment, the magnesium content in erythrocytes in group 1 (1.79 (1,68-1,89) mmol / L) increased by 15.7% and was statistically significant (p

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Pharmacoeconomic efficiency of the exhaled nitric oxide monitoring for the purpose of personalized basic therapy for children with atopic asthma

Year: 2014, volume 10 Issue: №1 Pages: 196-199
Heading: Parmacology Article type: Original article
Authors: Petrov V.I., Shishimorov I.N., Magnitskaya O.V., Ponomareva Ju.V.
Organization: Volgograd State Medical University
Summary:

effectiveness of basic therapy for atopic asthma in children. Material and Methods. A 24-week, prospective, comparative, randomized, open-label study in parallel groups was performed. There were included 70 children with uncontrolled atopic asthma with high FeNO (FeNO>50ppb). There were evaluated the comparative efficacy of selection of basic therapy by using monthly monitoring of FeNO and criteria of asthma control in accordance with the recommendations of GINA (2011). Results. The cost / effective ratio (CER) for achievement of one permanent 12 week-control after 24 weeks of therapy in group of monitoring FeNO was 11433,26 rubles, which was 40% lower, than the CER in the comparison group (18382,99 rubles). Conclusion. The using of FeNO monitoring for a personalized correction of basic therapy in children with uncontrolled atopic asthma can reduce the cost of treatment and is also economically viable.

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The treatment of H.pylori infected adults and children in Volgograd: pharmaco-epidemilological investigation

Year: 2014, volume 10 Issue: №1 Pages: 185-188
Heading: Parmacology Article type: Original article
Authors: Magnitskaya O.V., Ponomareva Ju.V., Ryazanova A.Ju., Yefimova A.A., Chechetkina Je.M., Idelbaeva E.S., Bukina N.Ju., Volodina L.A., Kartashova T.R., Gorjushkina A.A..
Organization: Volgograd State Medical University
Summary:

This article represents results of pharmacoepidemiological research of H.pylori eradication treatment of adults and children in Volgograd. The aim was to determine H. pylori pharmacotherapy stereotypes and compare with international experts' recommendations. Material and Methods. There were analyzed CRFs of 94 adults and 132 children with H.pylori associated diseases in Volgograd region. Results. There were identified mistakes of treatment regimes and eradication control principles. Conclusion. The treatment of H.pylori infected adults and children in Volgograd does not match to international experts' recommendations.

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Difficulties of treatment of patients with tuberculosis and medical recommendations performed by them

Year: 2013, volume 9 Issue: №4 Pages: 741-743
Heading: Phthisiology Article type: Original article
Authors: Yudin S.A., Borzenko A.S., Delaryu V.V., Kaluzhenina А.А.
Organization: Volgograd State Medical University
Summary:

Purpose: To study the reasons influencing the treatment of patients. Material and methods: Anonymous questioning of patients with tuberculosis in number of 584 people being on treatment in antituberculosis hospitals, 92 phthisiopul-monologists and 144 therapists of Volgograd was performed. Results: The conducted research testifies that patients with tuberculosis consider that they observe medical recommendations completely in 76,5% of cases, and the opinion of medical workers was completely opposite, only 4,3% of phthisiopulmonologists and 2,8% of therapists. Most doctors were sure that medical recommendations were carried out by only a half of tuberculosis patients, that was told by 54,4% of phthisiopulmonologists and 31,3% of therapists. Conclusion: Commitment formation to treatment at patients with tuberculosis should be carried out taking into account those difficulties and problems which are specified by patients, and also critical evaluation of performance by patients of the medical recommendations influencing the result of treatment. At the solution of medical problems phthisiopulmonologists did not pay enough attention to influence of psychological factors, taking into account available gender, age and educational level of the patient that compels to look for new ways of interaction of phthisiopulmonologists and psychotherapists in development of the individual plan of treatment and rehabilitation of every patient with tuberculosis.

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Frequency of occurrence of chronic diseases among former athletes depending on gender

Year: 2013, volume 9 Issue: №4 Pages: 691-694
Heading: Therapeutic exercise, sports medicine Article type: Original article
Authors: Fedotova I.V., Statsenko М.Е., Bakulin V.S., Sentyabrev N.N.
Organization: Volgograd State Academy of Physical Education, Volgograd State Medical University
Summary:

The aim of the article is to study the analysis of the frequency of occurrence of chronic diseases among former athletes depending on gender — specific. Material and Methods. 80 former athletes who finished sports activity no more than 5 years ago (this period is adopted for the early post-sports period) at the age of 20-35 were examined. The analysis of medical records, inspection and consulting expertise required to verify the diagnosis. Results. Statistically significantly higher level of disease is defined among former male athletes in comparison with the women who have stopped regular training and competitions. Conclusions. The determined incidence of chronic disease in former athletes might be substantiated by the absence of proper medical care to former athletes immediately after the cessation of active training and competitions.

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