Сибирское медицинское обозрение. 2019. № 4 View full textКоличество просмотров : 7722
Barbarash O.L., Pomeshkina S.A., Artamonova G.V.
ACTUAL AND PROMISING DEVELOPMENT ASPECTS IN rehabilitation of patients after coronary bypass GRAFTING in RUSSIA
Barbarash OL, Pomeshkina SA, Artamonova GV. Actual and promising development aspects in rehabilitation of patients after coronary bypass grafting in Russia. Siberian Medical Review. 2019;(4):5-15.. DOI 10.20333/2500136-2019-4-5-15
Barbarash O. L. Dr. Med. Sci., Professor; Kemerovo State Medical University; Scientific Research Institute of Complex Problems of Cardiovascular Diseases; firstname.lastname@example.org
Pomeshkina S. A. ; Research Institute for Complex Issues of Cardiovascular Diseases; email@example.com
Artamonova Galina V Dr.Med.Sci., Professor; Research Institute for Complex Issues of Cardiovascular Diseases; firstname.lastname@example.org
The article highlights the actual aspects of the need for rehabilitation as a way to improve the quality of life in patients with coronary heart disease and to return able-bodied citizens to the society after coronary artery bypass grafting (CABG). Information about the stages of patients’ rehabilitation, possible difficulties of their implementation are being analyzed. It is noted that in Russia rehabilitation of cardiac patients lag behind the progress of cardiac surgery, it is reduced, there is loss of some stages, and / or their time periods. Moreover, rehabilitation programs are not available for a large part of operated patients; the article describes imperfection of legal and financial support for cardio-rehabilitation of patients in Russia that greatly reduces the potential effectiveness of conducted operations.
Keywords: ischemic heart disease, coronary artery bypass grafting, rehabilitation, promising development aspects, legislation, legal basis
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Grokhotova V.V., Marinin V.A., Petrova V.B.
care OF OutpatientS with tachyarrhythmias. SELECTION OF PATIENTS FOR catheter abl
Grokhotova VV, Marinin VA, Petrova VB. Care of outpatients with tachyarrhythmias. Selection of patients for catheter ablation. Siberian Medical Review. 2019;(4):16-24.. DOI 10.20333/2500136-2019-4-16-24
Grokhotova Vera V Cand.Med.Sci., cardiologist; North-Western State Medical University named after I.I. Mechnikov; email@example.com
Marinin Valery A Dr.Med.Sci., cardiosurgeon; North-Western State Medical University named after I.I. Mechnikov; firstname.lastname@example.org
Petrova Viktoria Borisovna 41, Kirochnaya Str., St.‑Petersburg, Russian Federation 191015; Phone: +7(911)7179118; e-mail: email@example.com; North-Western State Medical University named after I. I. Mechnikov;
Presents the main aspects of counseling outpatients with cardiac arrhythmias, tachyarrhythmias in particular; practical approach to the choice of treatment strategy is presented; the place of catheter procedures and drug therapy is defined in arrhythmias treatment
Keywords: tachycardia, catheter ablation, supraventricular tachycardia, atrium fibrillation.
Tskhay V.B., Grigoryan E.S., Kostareva O.V., Badmaeva S.Z.
Uterine fibroids and infertility: etiology, pathogenesis AND modern treatment principles (LITERATURE REVIEW)
Tskhay VB, Grigoryan ES, Kostareva OV, Badmaeva SZ. Uterine fibroids and infertility: etiology, pathogenesis and modern treatment principles (literature review). Siberian Medical Review. 2019;(4):25-33. DOI 10.20333/2500136-2019-4-25-33
Tskhay Vitaly Borisovich Dr. Med. Sc, Professor, Head of the Department of Perinatology, Obstetrics and Gynecology; Professor V.F. Voyno-Yasenetsky Krasnoyarsk State Medical University; firstname.lastname@example.org
Grigoryan Evelina S Graduate student, Assistant; Professor V. F. Voino-Yasenetsky Krasnoyarsk State Medical University; email@example.com
Kostareva Ol’ga V Cand.Med.Sci., Аssociate professor; Professor V. F. Voino-Yasenetsky Krasnoyarsk State Medical University; firstname.lastname@example.org
Badmaeva Sayana Z. Graduate student, Assistant; Professor V. F. Voino-Yasenetsky Krasnoyarsk State Medical University; email@example.com
The article presents scientific review of literature devoted to one of the most common problems in reproductive gynecology – problem of etiological role of uterine fibroids in women’s infertility. The review includes 36 foreign and 17 domestic sources on the subject. The main causes of infertility, depending on fibroids size and location, are presented in the review according to the analysis of current research. The data on the effectiveness of surgical and pharmacological therapies for uterine fibroids are given. Despite the variety of studies on infertility, associated with uterine myoma, the problem is still unsolved. It has been stated that there is no consensus both in relation to the pathogenesis of the disease and in choice of better treatment methods for reproductive function recovery in women with uterine fibrosis.
Keywords: uterine fibroids, infertility, drug therapy, myomectomy, hysteroresectoscopy, angiogenesis, selective progesterone receptor modulators
Lizarev A.V., Yakimova N.L., Rusanova D.V., Pankov V.A., Kuleshova M.V.
CHANGES OF neurophysiological indices IN white rats DURING post-CONTACT period of NOISE INFLUENCE
Lizarev AV, Yakimova NL, Rusanova DV, Pankov VA, Kuleshova MV. Changes of neurophysiological indices in white rats during post-contact period of noise influence. Siberian Medical Review. 2019;(4):34-40.. DOI 10.20333/2500136-2019-4-34-40
Lizarev Aleksander V Cand.Med.Sci., Junior researcher; Eastern-Siberian Institute of Medical and Ecological Research; firstname.lastname@example.org
Yakimova Natalya L Cand.Biol.Sci., Senior researcher; Eastern-Siberian Institute of Medical and Ecological Research; email@example.com
Rusanova Dina V Cand.Biol.Sci., Senior researcher; Eastern-Siberian Institute of Medical and Ecological Research; firstname.lastname@example.org
Pankov Vladimir A Dr.Med.Sci., Leading researcher; Eastern-Siberian Institute of Medical and Ecological Research; email@example.com
Kuleshova Marina V Cand.Biol.Sci., senior researcher; Eastern-Siberian Institute of Medical and Ecological Research; firstname.lastname@example.org
The aim of the research is to study neurophysiological changes in white rats in prost-contact period of noise influence. Material and Methods. Investigations were carried out on outbred male rats. White noise influence with the intensity of 100 dBA was performed for 4 hours 5 times a week during 1 month. The research of the effects of noise influence was carried out in 30, 60 and 120 days after noise influence termination. The condition of central nervous system and peripheral nerves was evaluated according to electroencephalography (EEG), auditory and somatosensory evoked potentials (SEP, SSEP), indices of stimulation electroneuromyography (ENMG). Results. Disorders in rats body, caused by noise influence, are characterized according to ENMG by increasing in duration and latency response of sensorineural cortex, by extension of latent period of cortical response SSEP (30, 60 days), by amplitude decrease and by the increase of SEP latency as well as by rhythms redistribution with change from slow-wave activity to quick-wave range dominance. Violations in motor and emotional activity (30, 60, 120 days) are revealed. Conclusion. The revealed disorders indicate long proceeding persistent destabilizing processes in central and peripheral nervous system structures with violation of behavior integrity
Keywords: noise influence, neurophysiological changes, electroencephalography, electroneuromyography, auditory evoked potentials, somatosensory evoked potentials
Popelnitskaya I.M., Mikhaylova V.S., Shilina N.G., Semenova A.R., Popielniczki E.V., Bukharova E.B.
ANALYSIS OF INDIVIDUAL non-carcinogenic health RISKS associated with air pollution IN Krasnoyarsk city
Рopelnitskaya IM,Mikhailova VS, ShilinaNG, Semenova AR, Popelnitskii EV, Bukharova EB. Analysis of individual non-carcinogenic health risks associated with air pollution in Krasnoyarsk city. Siberian Medical Review. 2019;(4):41-46. DOI 10.20333/2500136-2019-4-41-46
Popelnitskaya Irina M Cand.Biol.Sci., Associate Professor; Institute of Ecology and Geography, Siberian Federal University; email@example.com
Mikhaylova Valentina S master’s degree student; Siberian Federal University; firstname.lastname@example.org
Shilina Natalya G Cand.Med.Sci, Associate Professor; Professor V.F. Voyno-Yasenetsky Krasnoyarsk State Medical University; email@example.com
Semenova Anna R Cand.Phys-Math.Sci; Siberian Federal University; firstname.lastname@example.org
Popielniczki Evgeny V lecturer; Siberian Law Institute at the Ministry of Internal Affairs of the Russian Federation; email@example.com
Bukharova Evgenia B Siberian Federal University; Cand.Econom.Sci, Professor; firstname.lastname@example.org
The aim of the research is to analyze individual non-carcinogenic health risks associated with air pollution in different parts of the city. Material and Methods. The data of territory observation network located in such districts as: Solnechniy, Severniy, Cheryomushki, Berezovka and Vetluzhanka were used for calculation of individual non-carcinogenic risks. Calculations were done by means of standard methods. One way of contaminants intake was taken into consideration. Results. Space-time dependence of non-carcinogenic effects development while inhalation of contaminants is detected. The level of air pollution in the area of monitoring stations increases in winter time and decrease in summer time. The highest values of hazard ratios in all areas was detected for nitrogen dioxide. The highest danger level of mono pollutant HQNO> 1 was noted in “Krasnoyarsk-Vetluzhanka” post. For two posts – “Krasnoyarsk-Vetluzhanka” and “Krasnoyarsk-Cheryomushki” hazard index value while intake of several substances HI> 1 indicates the existence of developing non-carcinogenic effects risk. Conclusion. The conducted study allowed to reveal space-time dynamics of risk change for human health due to the pollution of atmosphere surface layers
Keywords: air pollution, air quality, hazard index, non-carcinogenic risk, reference dose.
Podoluzhny V.I., Shabalina O.V., Miheev A.A., Egorova O.N., Shternis T.А.
EXPERIMENTAL EVALUATION OF ESfil argentiferous endoprosthesis USE
Podoluzhny VI, Shabalina OV, Miheev AG, Egorova ON, Shternis TA. Experimental evaluation of Esfil argentiferous endoprosthesis use. Siberian Medical Review. 2019;(4):47-53.. DOI 10.20333/2500136-2019-4-47-53
Podoluzhny Valery Ivanovich ; Kemerovo State Medical University; г. Кемерово, ул. Ворошилова, д. 22а; тел.: +7(3842)465158; e-mail: email@example.com
Shabalina Olga Victorovna ; Kemerovo State Medical University; г. Кемерово, ул. Ворошилова, д. 22а; тел.: +7(3842) 465158; e-mail: firstname.lastname@example.org
Miheev Anatoly A Dr.Med.Sci., professor; Kemerovo State Medical University; email@example.com
Egorova Oksana N Cand.Med.Sci; M. A. Podgorbunsky Regional Clinical Hospital of Emergency Medical Care; firstname.lastname@example.org
Shternis Tatyana А Cand.Med.Sci.; Kemerovo State Medical University; email@example.com
The aim of the research is to study rats’ anterior abdominal wall tissue reaction to implanted argentiferous endoprosthesis, and to evaluate antimicrobial properties of argentiferous endoprosthesis in vitro and in vivo. Material and methods. Investigation of biocidal properties of Esfil Ag argentiferous prosthesis in vitro. The study of morphology of anterior abdominal wall preparations in 21 rats with implanted argentiferous prosthesis (experience) and polypropylene net prosthesis without argentiferous deposition (check) without any threat of infection for 7, 14, 21 postoperative day. Macroscopic evaluation of anterior abdominal wall area with Esfil Ag under conditions of infection (10 rats). Nonparametric Mann-Whitney criteria were used to determine statistically significant differences in indicators. Results. Esfil Ag antimicrobial properties against S. aureus ATCC 6538R, E. coli ATCC 25922, P. vulgaris ATCC No. 14, P. aeruginosa ATCC 453 were identified in vitro. A more pronounced inflammatory reaction in the area of prosthesis localization was detected in comparison with polypropylene net prosthesis without argentiferous composition in vivo. While macroscopic assessing areas of anterior abdominal wall with Esfil Ag and polypropylene prosthesis without adding silver in case of infection (S. aureus ATCC 6538R, E. coli ATCC 25922, P. vulgaris ATCC No. 14, P. aeruginosa ATCC 453), minor advantages of argentiferous prosthesis due to antimicrobial properties are revealed, however, suppuration of postoperative wound was noted in both cases. Conclusion. Esfil Ag argentiferous prosthesis has no sufficient advantages over polypropylene net prosthesis due to antimicrobial properties in vivo, it leads to more pronounced inflammatory, fibroblastic reaction in anterior abdominal wall prosthetics and it does not prevent suppuration when infected
Keywords: hernia, argentiferous Esfil Ag endoprosthesis, polypropylene net prosthesis, anterior abdominal wall prosthetics, hernioplasty.
Potupchik T.V., Evert L.S., Grishkevich N.Y.
FEATURES OF SOCIO-psychological ADAPTATION and NEUROpsychic health of students OF various forms of EDUCATION
Potupchik TV, Evert LS, Grishkevich NYu. Features of socio- psychological adaptation and neuropsychic health of students of various forms of education. Siberian Medical Review. 2019;(4):54-61. DOI 10.20333/2500136-2019-4-54-61
Potupchik Tatyana V Cand.Med.Sci., Associate Professor; Professor V. F. Voino-Yasenetsky Krasnoyarsk State Medical University;; firstname.lastname@example.org
Evert L. S. ; 2Scientific Research Institute for Medical Problems of the North of Siberian Division of Russian Academy of Medical Sciences; email@example.com
Grishkevich N. Yu. ; Professor V.F. Voyno-Yasenetsky Krasnoyarsk State Medical University; firstname.lastname@example.org
The aim of the research is to study the features of socio-psychological adaptation (SPA) and indicators of neuropsychic health in occupational training students, getting education on free and fee-based conditions. Material and methods. The author computer program allowed to study manifestations of maladjustment in various fields (academic, behavioral, communicative), emotional distress, stress level and indicators of neuropsychic health in 47 first-year students of various forms of education – free (n = 23) and fee-based (n = 24). The data is processed using software “Statistika 5.5 for Windows”, the results are presented in percentage. Difference indicators estimated by two-way Fisher’s exact criteria (Fisher exact, two-tailed), and were considered statistically significant at p. Results. It was found that the structure of SPA violations in students studying for free includes emotional distress, maladjustment in learning, communicative and behavioral sphere, tendency to autonomic disorder development, minimally apparent depressive and personality disorders. Stress tension of different levels reflects socio-psychological maladjustment in public sphere. Severity of obsessive-phobic, asthenic and cerebrum disorders was minimal according to frequency criteria in both groups. Conclusion. The obtained results showed that it is worth studying students who get education on various conditions (free and fee-based) in order to identify people with SPA and psychological health disorders by means of computer program, and to correct the disorders with the regard to their structure in a particular individual.
Keywords: students, education form, free education, fee-based education, socio-psychological adaptation, maladjustment, neuropsychic health.
Sokolovskaya M.V., Buyankina R.G., Zamiralova E.V.
INTERNAL AUDIT: STAFF TRAINING, REALIZATION, EFFICIENCY ANALYSIS
Sokolovskaya MV, Buyankina RG, Zamiralova EV. Internal audit: staff training, realization, efficiency analysis. Siberian Medical Review. 2019;(4): 62-66. DOI 10.20333/2500136-2019-4-62-66
Sokolovskaya Marina Vladimirovna the Teacher of the highest gualification category, the Specialist in QMS of Quality Management Department; Professor V.F. Voyno-Yasenetsky Krasnoyarsk State Medical University; email@example.com
Buyankina Rimma Gennadievna Cand.Med.Sc, Associate Professor of Department of Dentistry Clinics, Institute of Post-diploma Education and Advanced Training, the Head of Quality Management Department; Professor V.F. Voyno-Yasenetsky Krasnoyarsk State Medical University; firstname.lastname@example.org
Zamiralova Elena Vladimirovna Cand.Ec.Sc., Associate Professor of the Department of Management Quality and Economy of Mathematical Methods, the Head Deputy of Quality Quarantee Department; Siberian State Technological University; email@example.com
The aim of the research is analysis of the results of implementation, operation, and improvement of internal audit (IA) process in KrasSMU to demonstrate possibility of its use and its benefits. Material and methods. GOST R ISO 9001-2015 and GOST R ISO 19011-2012 were used for analyzing the results of implementation, operation and improvement of internal audit process in the University. Analysis of the results of operation implementation and improvement process of IA in Krasnoyarsk State Medical University (KrasSMU) was carried out using the following methods: summarizing and comparing information, expert assessment method, analysis and synthesis. Results. Analysis allowed to reveal that there is efficient system for internal audits in the university. As a result, the role of the system, its main advantages are defined. Functional approach for the use of quality management tools in processing and analyzing the audits results and the model of organizing and conducting internal audits for institutions of various fields. Conclusion. There is an efficient system of internal audits in KrasSMU that corresponds to GOST P ISO 9001-2015, GOST P ISO 19011-2012. The use of all system components in general allowed to improve most indicators of primary and secondary processes of University QMS. This system supports University QMS in operation and development in accordance with the principle of continuous improvement.
Keywords: internal audit, quality management tools, educational organization, quality management system, process, system
Maksimycheva T.Y., Kondratyeva E.I., Sorvacheavа T.N., Odinaeva N.D.
EXPERIENCE OF CORRECTING nutritional STATUS in children with cystic fibrosis using computer systems and network communications
Maksimycheva TY, Kondratyeva EI, Sorvacheva TN, Odinaeva ND. Experience of correcting nutritional status in children with cystic fibrosis using computer systems and network communications. Siberian Medical Review. 2019;(4):67-73.. DOI 10.20333/2500136-2019-4-67-73
Maksimycheva Tatyana Y Senior Assistant; Russian Medical Academy of Post-Graduate Education; firstname.lastname@example.org
Kondratyeva Elena I Dr.Med.Sci., professor; Research Center for Medical Genetic; email@example.com
Sorvacheavа Tatyana N Dr.Med.Sci.; Russian Medical Academy of PostGraduate Education; firstname.lastname@example.org
Odinaeva Nuriniso D Dr.Med.Sci, Professor; Moscow Regional Consultative Diagnostic Center for Children; email@example.com
The aim of the research is improving the efficiency of correcting nutritional status by individual approach to diet prescription and to enzyme replacement therapy. Material and methods. The study included 100 children aged 1 to 18 years. All the children were divided into age groups: № 1 – 1-2 years (n = 20); group № 2 – 3-5 years (n = 24); group № 3 – 6-9 years (n = 34); group № 4 – 10-18 years old (n = 22). Each group was subdivided into the main sub-group and a comparison one. According to the study protocol, and in the framework of multidisciplinary approach to the disease treatment the children were examined during the first visit, before diet correction and enzyme therapy and during the 2nd visit (in 3 months). “Noncompliant” children, the ones who did not follow the recommendations or followed them only partially, made comparison subgroup. Results. Algorithm of individual correction of nutritional status was designed as a part of the study and it proved the effectiveness of this approach. Conclusion. Involvement of personalized nutritional support, including diet and enzyme therapy optimization, with calculation of pancreatic enzyme doses in fat food content and dynamic control, can improve the efficiency of correcting nutritional deficiency in children with cystic fibrosis.
Keywords: cystic fibrosis, nutritional status, enzymes, computer program.
Kurupanova A.S., Lareva N.V.
MDR1, CYP2C19 * 2, *17 GENES POLYMORPHISM IN MALES AND FEMALES WITH ACUTE CORONARY SYNDROME WITH ST-SEGMENT EVALUATION
Kurupanova AS, Lareva NV. MDR1, CYP2C19 * 2, * 17 genes polymorphism in males and females with acute coronary syndrome with ST segment evaluation. Siberian Medical Review. 2019;(4):74-80. DOI 10.20333/2500136-2019-4-74-80
Kurupanova Anastasia S postgraduate student; Chita State Medical Academy; firstname.lastname@example.org
Lareva Natalia V Dr.Med.Sci., Professor; Chita State Medical Academy; email@example.com
The aim of the research is to determine frequencies of MDR1, CYP2C19 * 2, CYP2C19 * 17 genes genotype in males and female with ACS with STE and its correlation with risk factors, anamnestic data, clinical events, and outcomes. Material and methods. 150 patients (75 males and 75 females) with ACS with STE are included. A molecular genetic study was carried out to determine SNPs in CYP2C19 * 2 (G681A), CYP2C19 * 17 genes (C4195T). In a year, the combined endpoints (CEP) evaluation was conducted. Primary CEP included cases of fatal cardiovascular events. Secondary combined endpoint covered patients’ revascularization due to medical indications and resumption of angina pectoris symptoms. While comparing genotypes, a chi-square test was used; while comparing two and three independent samples, Mann-Whitney test and Kruskal-Wallis analysis were used. Results. Frequencies of MDR1, CYP2C19 * 2, CYP2C19 * 17 genes genotypes in males and females with ACS with STE in Zabaikalsk Territory were determined. There were no differences in genotype frequencies between male and female groups. In females, there were differences in BMI between SS and CT genotypes in MDR1 gene (p = 0.014). Patients with SS genotypes are prone to ACO. Also, correlation between SS genotype and myocardial infarction (p = 0.001) was determined. In patients with GA and AA genotypes of CYP2C19 * 2 gene, PCI was more likely to precede (p = 0.028). CB was infarctdependent in patients with AA genotype (p = 0.003). Certain difference was found in BMI with CC and CT genotypes in CYP2C19 * 17 gene (p 0.0007) in females. BMI was 26.9 [24.0–30.4] with CC genotype, 31.1 [28.0–33.7] with CT genotype. The studied genes showed no correlation with clinical events in both male and female groups. Conclusion Thus, there were no statistical differences in prevalence of genotypes between male and female groups, however, different effects of genotypes of the studied genes in these groups are noted. In males, the effects of the studied polymorphisms to risk factors, anamnestic data, and outcomes, unlike in females, were not detected
Keywords: cardiology, acute coronary syndrome with ST-segment elevation, MDR1, CYP2C19 * 2, CYP2C19 * 17, gender differences
Pozdnyakova O.N., Reshetnikova T.B., Bychkov S.G.
structure of dermatoses INCIDENCE IN NEWBORNS AND INFANTS with COMPROMISED somatic HISTORY
Pozdnyakova ON, Reshetnikova TB, Bychkov SG. Structure of dermatoses incidence in newborns and infants with compromised somatic history. Siberian Medical Review. 2019;(4):81-86.. DOI 10.20333/2500136-2019-4-81-86
Pozdnyakova Olga N Dr.Med.Sci., Professor; Novosibirsk State Medical University; Bogomoltatyana@yandex.ru
Reshetnikova Tatyana B Dr.Med.Sci., Professor; Novosibirsk State Medical University; Tatyanaresh@mail.ru
Bychkov Stanislav G student; Novosibirsk State Medical University; Stasbychkov9409@mail.ru
The aim of the research is to analyze the structure of skin diseases in infants hospitalized to pediatric department of early age pathology with somatic diseases, to optimize their treatment tactics and diagnose dermatoses at early stages. Material and Methods. The study involved 46 patients; medical histories (form № 003/y) were studied retrospectively. The following methods were used for information processing: sequencing and grouping of measurements, data distribution, graphing, structural analysis. Results. Analysis of nosologic structure of dermatoses allows to conclude that leading place is occupied by atopic dermatitis, the second place is taken by candidiasis, the third position is represented by seborrheic dermatitis, further one can mark hemangiomas, simple contact dermatitis, neonatal acne, toxicodermia, allergic contact dermatitis, milium, urticaria, omphalitis and rare pathology - desquamative erythroderma Liner-Moussa. The structure of major patients’ clinical diagnoses included 12 nosologies, among which are: acute obstructive bronchitis, acute simple bronchitis, atopic dermatitis, hypoxic-ischemic encephalopathy of newborn, pneumonia without specifying pathogen, acute respiratory infections of upper airways, inborn heart disease, neonatal jaundice due to unspecified reasons, urticaria, infection of urinary tract without established localization, bronchopulmonary dysplasia that arose in perinatal period and acute tonsillopharyngitis. Conclusion. The study showed that structure of dermatoses incidence, as well as the main clinical diseases that caused hospitalization, are remarkable for variability of nosologic forms and include rare, severe pathologies such as desquamative erythroderma Liner-Mousse, as well as easily going transient Medicine dermatoses: neonatal acne, milium
Keywords: dermatology, incidence, pathological structure, newborns, infants, children dermatology, atopic dermatitis
Romanenko A.A., Derevtsova S.N., Petrova M.M., Nikolaev V.G., Medvedeva N.N.
SKIN finger PATTERNS AS markerS of sexual dimorphism in adolescenTS
Romanenko AA, Derevtsova SN, Petrova MM, Nikolaev VG, Medvedeva NN. Skin finger patterns as markers of sexual dimorphism in adolescents. Siberian Medical Review. 2019;(4):87-93.. DOI 10.20333/2500136-2019-4-87-93
Romanenko Alexandr Alexandrovich Post-Graduate Student of the Department of Human Anatomy and Histology; Professor V.F. Voyno-Yasenetsky Krasnoyarsk State Medical University; firstname.lastname@example.org
Derevtsova Svetlana Nikolaevna MD, Docent; Professor V.F. Voyno-Yasenetsky Krasnoyarsk State Medical University; email@example.com
Petrova Marina Mikhailovna MD, PhD, Prof., Head of the Department of Outpatient Therapy, Family Medicine and HL with a course of Postgraduate Education; Professor V.F. Voyno-Yasenetsky Krasnoyarsk State Medical University; 660022, Красноярск, ул. Партизана Железняка, 1;тел.:8 (391)2200628; e-mail: firstname.lastname@example.org
Nikolaev Valerian Georgievich Dr.Med.Sc., Professor of the Department of Human Anatomy and Histology; Professor V.F. Voyno-Yasenetsky Krasnoyarsk State Medical University; email@example.com
Medvedeva Nadezhda Nikolaevna Dr.Med.Sc., Professor, the Head of the Department of Anatomy and Histology; Professor V.F. Voyno-Yasenetsky Krasnoyarsk State Medical University; firstname.lastname@example.org
The aim of the research is determination of sex differences between qualitative and quantitative indicators of skin patterns of hands’ distal phalanges in the surveyed male and female adolescents. Material and methods. Skin patterns of hands’ distal phalanges of 409 boys and 511 girls were studied. Images of papillary patterns are obtained and processed by continuity block (CB) “Malahit”. Type of skin patterns (arch, radial loop, ulnar loop, curl), prevalence of patterns on each finger of the right and the left hand, their total amount was defined. Prevalence of dermatoglyphic phenotypes: 10L, LW, WL, ALW, AL was evaluated. To determine symmetry of papillary patterns the difference of delta accounts on symmetrical fingers of both hands was used. Local ridge on each separate finger, total ridge count for the right and the left hand, total ridge count was calculated. Results. Gender differences in distribution of various indicators of papillary patterns of the surveyed boys and girls were identified. The young men were characterized by higher frequency of helix pattern occurrence, great local ridge count. The number of girls patterned after ulnar loop and curve, dermatoglyphic phenotype 10L reached maximum value. The fewest symmetric papillary patterns are registered on the first fingers of both hands in boys compared with girls. Conclusion. Qualitative and quantitative indicators of papillary patterns of hands’ distal phalanges reflect sexual features of human body in adolescence, that can be used as sexual dimorphism markers among representatives of adolescence.
Keywords: sexual dimorphism, skin pattern, dermatoglyphic study, adolescence, ridge count, dermatoglyphic phenotype.
Morgun A.V., Antsiferova E.V., Karpova L.N., Leshchenko I.A., Taranushenko T.E.
Cases of secondary thrombocytopenia in A neWBORN
Morgun AV, Antsiferova EV, Karpova LN, Leshchenko IA, Taranushenko TE. Cases of secondary thrombocytopenia in a newborn. Siberian Medical Review. 2019;(4):94-98. DOI 10.20333/2500136-2019-4-94-98
Morgun Andrei Vasil’evich Cand. Med. Sc., Assistant of Pediatric Department; Professor V.F. Voyno-Yasenetsky Krasnoyarsk State Medical University; email@example.com
Antsiferova E. V. ; Professor V.F. Voyno-Yasenetsky Krasnoyarsk State Medical University; aRcifeiova_ekate@mail.ru
Karpova Lyudmila N Cand.Med.Sci., assistant; Krasnoyarsk Regional Clinical Center for Maternity and Childhood Protection; firstname.lastname@example.org
Leshchenko Inna A neonatologist; Krasnoyarsk Regional Clinical Center for Maternity and Childhood Protection; email@example.com
Taranushenko Tatyana Evgenyevna Dr.Med.Sc, Professor, Head of the Department of Pediatrics; Professor V.F. Voyno-Yasenetsky Krasnoyarsk State Medical University; firstname.lastname@example.org
Up to 90 % of newborns with cytomegalovirus infection have no clinical manifestations. In 10 % of cases, thrombocytopenia is one of clinical manifestations. Here is clinical case of a newborn baby with a secondary thrombocytopenia, developed on the background of congenital cytomegalovirus infection. The leading clinical symptoms and major changes in laboratory parameters are presented. Diagnosis and treatment of thrombocytopenia and congenital cytomegalovirus infection in accordance with the draft recommendations, developed by the specialists of the Russian Association of Perinatal Medicine, are given
Keywords: neonatal thrombocytopenia, intrauterine infection, cytomegalovirus, neonatology, hemorrhagic syndrome, newborns.
Dolginina S.I., Osadchiy I.A., Faerman K.M., Aleksankin A.V.
CASE OF ACUTE SHOCK FOR ADMINISTRATION OF ceftriaxone PREPARATION, complicatED BY acute coronary syndrome, WITH ST segment e
Dolginina SI, Osadchiy IA, Faerman KM, Aleksankin AV. Case of acute shock for administration of ceftriaxone preparation, complicated by acute coronary syndrome, with ST segment elevation. Siberian Medical Review. 2019;(4):99-102. DOI 10.20333/2500136-2019-4-99-102
Dolginina Svetlana I cardiologist; Samara Regional Cardiology Dispensary; email@example.com
Osadchiy Igor A Cand.Med.Sci.; Samara Regional Cardiology Dispensary;
Faerman Konstantin M anesthesiologist resuscitator; Samara Regional Cardiology Dispensary;
Aleksankin Artem V anesthesiologist, resuscitator; Samara Regional Cardiology Dispensary;
Clinical case is devoted to an exclusive situation - cardiogenic shock in atypical situation with acute coronary syndrome with ST segment elevation registered by ECG. The aim of the work is representation of ACS situation with ST segment elevation which arose after administration of ceftriaxone preparation. Clinical case presented anaphylactic reaction to antibiotics introduction, accompanied by cardiogenic shock, but the lack of typical allergic reaction allowed to suspect development of clinical situation to antibiotic solvent administration. Breadth of views and resuscitation team experience gave innovative solutions and schemes for patient treatment due to which lethal outcome was avoided.
Keywords: acute coronary syndrome with ST segment elevation, cardiogenic shock, anaphylaxis for ceftriaxone
Starodubov V.I., Soboleva N.P., Savchenko E.D., Salagay O.O., Kutumuva O.Y.
TO THE PROBLEM OF STRENGTHENING AND PRESERVING HEALTH OF ENTERPRISE WORKERS (SIBERIAN FEDERAL DISTRICT)
Starodubov VI, Soboleva NP, Savchenko ED, Salagay OO, Kutumova OYu. To the problem of strengthening and preserving health of enterprise workers (Siberian federal district). Siberian Medical Review. 2019;(4):103-112.. DOI 10.20333/2500136-2019-4-103-112
Starodubov Vladimir I Dr.Med.Sci., academician of the RAMS; Federal research institute for health organization and informatics; firstname.lastname@example.org
Soboleva Nadezhda P Cand.Med.Sci.; Federal research institute for health organization and informatics of Ministry of Health of the Russian Federation; email@example.com
Savchenko Ekaterina D Cand.Med.Sci.; Federal research institute for health organization and informatics of Ministry of Health of the Russian Federation; firstname.lastname@example.org
Salagay Oleg O Cand.Med.Sci.; Ministry of health of the Russian Federation; email@example.com
Kutumuva O. Yu. ; Krasnoyarsk Regional Centre for Medical Prevention; firstname.lastname@example.org
The aim of the research is to study the role of enterprise managers and trade union organization managers in strengthening and preserving workers’ health. Material and methods. Questionnaires containing points related to the activities of enterprise managers and trade union organization managers in strengthening and maintaining health of workers were analysed, that included their influence on behavioural risk factors as well. Results. The information was received from 243 district enterprises, 52 % of which are industrial ones, 4% are engaged in agricultural activities and livestock, 20% are medical and educational institutions, 5% are research institutes and science and production associations, 19 % are non-production enterprises. Trade union organization is available in 73% of enterprises that provided the information. It was noted that at large enterprises the development and implementation of corporate program of health promotion and preservation is carried out both by enterprise management and by its trade union organization. Medical service is an integral part of preventive program implementation at the enterprise. Analysis of the provided material showed that the availability and type of medical service depends on enterprise size. All activities carried out in the field of strengthening and preserving workers’ health are aimed at reducing risk factors: organizing healthy diet, giving up smoking and drinking alcohol and maximizing physical activity. A number of preventive measures are being implemented at municipal level for health strengthening, promoting healthy lifestyles and doing sports. Conclusion. Employers’ potential in forming workers’ lifestyle is underestimated. While managers of large enterprises have financial resources for organizing effective recovery programs, small enterprises are very often deprived of this opportunity. Most employers and trade unionists do not have sufficient knowledge and information about principles and approaches for the implementation of health promotion programs for people working at enterprises. In this regard, organizing public health schools for managers is necessary.
Keywords: employers, trade union organizations, preventive measures at enterprises, strengthening and preserving workers health.
Tarbaeva D.A., Belokrinitskaya T.E., Serkin D.M.
A binary logistic regression IN PREDICTING severe influenza in pregnant women
Tarbaeva DA, Belokrynitskaya TE, Serkin DM. A binary logistic regression in predicting severe influenza in pregnant women. Siberian Medical Review. 2019;(4):112-116.. DOI 10.20333/2500136-2019-4-113-116
Tarbaeva Dolgorma A Dr.Med.Sci., Assistant of Professor; Chita State Medical Academy; email@example.com
Belokrinitskaya Tatyana E. Dr.Med.Sci., Professor; Chita State Medical Academy; Address: 39 “a”, Gor’kiy Str., Chita, Russian Federation 670000, Phone: +7(914)4693225; firstname.lastname@example.org
Serkin Dmitry M Cand.Med.Sci., Assistant of Professor; Chita State Medical Academy; email@example.com
The aim of the research is creating model of predicting severe course of influenza in pregnant women in preclinical period using binary logistic regression techniques. Material and Methods. 495 women were examined: 76 patients suffered from mild influenza, 178 – average influenza, 140 - severe influenza; 101 women were registered in a dispensary during pandemic influenza in 2009 in Chita city, at the same time, those who were healthy made a check group. Logistic regression analysis was performed in Biostatistics Center. Factors that showed the importance of a preliminary analysis were included in final model. Mathematical model for the predicting severe influenza in pregnant women was made by means of binary logistic regression method. Results. Development of severe forms of influenza was associated with late gestational age at the time of falling ill with influenza, with increasing of body mass index (BMI), with presence of cardiovascular system diseases, with lack of preventive measures. The contribution of factors included in the model was 91%, positive predictive value was 82%. Conclusion. The received formula (equation) of binary logistic regression can be used to predict the future course of pre-clinical influenza, that will be the basis for timely organizational and treatment measures.
Keywords: pregnancy, severe influenza, prediction model, binary logistic regression, gestation age, body mass index, cardiovascular disease, prevention of influenza