Saratov JOURNAL of Medical and Scientific Research

Tver State Medical University of the Ministry of Russia

Comparative study of acute lateral skin damage during radio wave and laser exposure

Year: 2017, volume 13 Issue: №3 Pages: 628-632
Heading: Dermatovenerology Article type: Original article
Authors: Dubensky V.V.
Organization: Tver State Medical University of the Ministry of Russia
Summary:

The purpose was to study the depth and nature of the zones of thermal damage to the skin under radio wave and laser skin dissection during experiment. Material and Methods. The model of acute thermal damage was full-liner skin wounds of 20 nonlinear rats that were divided into 2 groups and operated by different methods. In the 1st group, the incisions were made by the apparatus of radio wave surgery (Surgitron DF S5), in the 2nd group the animals were operated with a laser surgical apparatus. The magnitude and structure of the lateral thermal damage was evaluated when analyzing the biopsy material. Results. During the study of experimental wounds, the extent of carbonation in the first group (operated with Surgitron DF S5) was 11.56±3.056 urn, coagulation necrosis 116.5±26.78 urn, and the hyper-thermiazone 148.42±60.171 urn. In the group of animals operated with a laser apparatus, the carbonization zone was 22.58±6.62 urn, the coagulation necrosis zone was 331.1±79.08 urn, and the hyperthermia extent was 376.2±53.27 urn. Conclusion. A comparative study of lateral skin damage in radio wave and laser skin dissection revealed a deeper thermal change in the skin and an increase in the extent of thermally altered structures under laser action: the carbonization zone was larger than for radio waves by 11.02 urn, coagulation necrosis by 214.6 urn, and the hyperthermia zone by 227.78 urn.

AttachmentSize
2017_03-1_628-632.pdf742.86 KB

Modern approaches to surgical treatment of juvenile hemangiomas

Year: 2015, volume 11 Issue: №3 Pages: 471-476
Heading: Dermatovenerology Article type: Short message
Authors: Dubensky V.V.
Organization: Tver State Medical University of the Ministry of Russia
Summary:

Aim: studying of clinical and functional features of juvenile hemangioma to identify indications to their removal. Analysis of the nature of side effects at the different methods of treatment and determination of efficiency of the ra-diowave moving away of juvenile hemangioma. Materials and methods. The study involved 216 children with juvenile hemangioma and 14 adult patients with persistent hemangioma. Radiowave treatment was conducted to 32 children with superficial juvenile hemangioma. Results. Superficial juvenile hemangioma are diagnosed in 76.1%, thus the highest prevalence of superficial juvenile hemangioma of small diameter and thickness. At the inspection of children with complications of different methods of treatment of hemangioma found the prevalence of formation of pathological scars, during removing of hemangioma by carbon-dioxide laser and at a scelerotherapy — 58,3%. Swelling and soreness at the radio wave moving away at most patients (84,3%) passed through 3 days, recovery after a 1 session came at 65,6% of patients, after 2 sessions — at 28,2%, after 3 sessions — at 6,2%. At watching the patients of this group during one to three years their proof recovery is set. Conclusion. High postoperative cosmetic effect under strict indications for surgical removal, the absence of relapses and the low percentage of continued growth (6.2% after the second session deletion) allow to recommend high-frequency radio wave removing for the treatment of superficial juvenile hemangioma of the skin.

AttachmentSize
2015_03-01_471-476.pdf716.41 KB

Quality of life and clinical features of chronic exertion headache in men and women

Year: 2012, volume 8 Issue: №4 Pages: 957-961
Heading: Neurology Article type: Original article
Authors: Selyankina Yu.N., Slyusar T.A.
Organization: Tver State Medical University of the Ministry of Russia
Summary:

The research goal was to study quality of life and clinical features of chronic headache in men and women. Materials and Methods. The comprehensive survey was conducted. 162 people (75 men and 87 women aged 35-54 years, average age 45,6±2,6 years) with tension headache (TH), corresponding to the criteria of tension-type headache under international classification of headaches (2003) were examined. The results of studies of quality of life among the patients with chronic tension headache allowed to estimate the impact of disease on various components of QOL in men and women. Conclusions. Monitoring of physical, psychological and social functioning of patients to obtain differential and integral quantitative indicators enabled a doctor to correct treatment at various stages and to develop a set of practical recommendations for treatment of patients with poor quality of life.

AttachmentSize
201204-957-961.pdf229.67 KB

Affective and cognitive disorders at men and women with discirculatory encephalopathy

Year: 2012, volume 8 Issue: №2 Pages: 570-574
Heading: Neurology Article type:
Authors: Yakovlev N.A., Abramenko Y.V.
Organization: Tver State Medical University of the Ministry of Russia
Summary:

The goal of the research was the comparative analysis of affective and cognitive disorders headache at women and men with dyscirculatory encephalopathy (DE), identify the connection of these disorders with the cerebral hemodynam-ics, neuroimaging of cinerea changes and BDNF in patients’ blood serum. 72 women (middle age 64,3±1,0) and 48 comparable in age and education men (middle age 65,0±1,2) with initiatory stages of dyscirculatory encephalopathy (DE) have been studied using comparative analysis of neuropsychological, sonographic and neuroimaging characteristics. The research revealed the predomination of cognitive impairment among men with (DE), especially attention, verbal coding and praxis disorders. Affective and insomnia disorders prevailed with women-patients. The results have shown possible links between low levels of brain-derived neurotrophic factor (BDNF) in blood plasma and the severity of depression and cognitive impairment at patients with (DE), especially at men. The received results may be important for individualization of therapeutic intervention.

AttachmentSize
201202_570-574.pdf292.65 KB

Indicators of quality of life and adaptation to chronic tense headaches

Year: 2012, volume 8 Issue: №2 Pages: 533-535
Heading: Neurology Article type:
Authors: Slyusar T.A., Serebrova T.V., Zueva G.A., Selyankina Y.N., Abramenko Y.V.
Organization: Tver State Medical University of the Ministry of Russia
Summary:

The goal of the research is the comparative analysis of a quality of life and quantitative characteristics of a chronic tense headache as well as the studying of adaptive reactions. 123 women (middle age 42,6±2,3) with initiatory stages of chronic tense headaches have been examined using diagnostic criteria of the International classifcation of headache disorders (ICDH — II, 2003), headache diary and the McGill Pain Questionnaire. Headache intensity was estimated by the Visual Analog Scale. Monitoring quality of life (QOL) was organized in a form of a questionnaire SF-36. An adaptive reactions type was analizing by L. Kh. Garkavi. Clinical implications and quantitative characteristics of a chronic tense headache, condition of vegetative and emotional sphere, and also quality of life and adaptive reactions are studied. Infuence of chronic headache on various components quality of life was investigated. Monitoring of physical, psychological and social functioning of patients with reception of differential and integrated quantity indicators of QOL, and also the analysis of adaptic reactions will give the chance to the doctor to develop a complex of practical references on treatment chronic tense headache at patients with poor quality of life and adverse adaptive reactions.

AttachmentSize
201202_533-535.pdf336.79 KB

Clinical and dopplerographic characteristics of headache at men and women with discirculatory encephalopathy

Year: 2012, volume 8 Issue: №2 Pages: 368-371
Heading: Neurology Article type: Original article
Authors: Abramenko U.V., Yakovlev N.A., Slyusar T.A.
Organization: Tver State Medical University of the Ministry of Russia
Summary:

The goal of the research was the comparative analysis of headache clinical implications and ultrasonographic characteristics at women and men with dyscirculatory encephalopathy (DE). 72 women (middle age 64.3) and 48 men with dyscirculatory encephalopathy (DE) of l-ll stage comparable to their age (middle age 65.0) have been examined. The examinations were organized using diagnostic criteria of the International classification of headache disorders (ICDH — II, 2003), headache diary and the McGill Pain Questionnaire. Headache intensity was estimated bythe Visual Analog Scale. Cerebral hemodynamics changes were examined by means of duplex ultrasound of cerebral great vessels and transcranial duplex scanning. The comparative analysis revealed the predomination of tension-type headache among women with DE. They also surpassed men-patients in the indicators of headache intensity, attack duration and frequency. With the help of transcranial duplex scanning (TCDS)was revealed that women with headache were characterized by more severe abnormal venous outflow from the brain. The received data may be important for individualiza-tion of therapeutic approaches at men and women with headache and DE.

AttachmentSize
201202_368-371.pdf282.3 KB

CLINICOPATHOGENETIC FEATURES OF THE ATTENTION DEFICIT SYNDROME WITH HYPERACTIVITY IN CHILDREN AT THE DIFFERENT AGE PERIODS

Year: 2007, volume 3 Issue: №4 Pages: 20-22
Heading: Clinical Psychology Article type: Original article
Authors: N.P. Karpunina, T.A. Slyusar, T.G. Sotnikova
Organization: Tver State Medical University of the Ministry of Russia
Summary:

Some clinicopathogenetic features of the attention deficit syndrome with hyperactivity in children at the different age periods were studied in this article.