

ARCHIVE
№1' 2005
CONTENTS |
Discrepancies in the existing classifications and definitions of cardiac failure are discussed. Modification of a generally accepted 6−minute walking test, which allows quantitative and objective measurement of performance and output of the myocardium in patients with coronary artery disease, is suggested.
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Physical development of children with transposition of the large vessels who underwent arterial switching was studied. Centile method was used to show that the physical development of the majority of children corresponded to the norm in long terms after the surgery.
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Some regularities of gender aspects of forming anxiety phobic disorders were revealed. The principles and sytem for treatment of this pathology aimed at improvement of personality adaptive abilities, overcoming conditional−reflex fixation of anxiety phobic signs, forming sanogenic behavioral stereotypes were worked out. A high efficacy of the suggested system was shown.
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The role of pubertal period and significance of social and microsocial factors in forming organic personality disorders were established.
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The data about affective disorders in the mental structure of attacks in shift−like schizophrenia in teen−agers and adults are presented. Significance of age factor in forming the clinical manifestations of schizophrenia and the necessity to consider them in diagnosis of affective states, with which the attacks of progredient forms of schizophrenia begin, are shown.
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Different concepts and opinions about the problem of anxiety and its various manifestations are discussed. The importance of search for new and modernization of the known diagnostic methods and approaches to anxiety disorders treatment are shown.
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The causes of psychogenic erectile dysfunction in young men without a partner are characterized; the clinical formes were distinguished. The system for psychotherapeutic correction of this pathology with the use of progressive methods of therapy is suggested. Its high therapeutic effect is shown.
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34 - 41
Contradictory data about the incidence of diabetic neuropathy and possible causes of the contradiction are presented. Classification of diabetic neuropathy and various versions of the pathogenesis are featured. Extreme importance and complexity of the problem due to numerous clinical manifestations of diabetic autonomous neuropathy are discussed.
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The authors report the results of estimation of electroencephalograms and evoked brain potentials of various modalities in patients with hypothyroidism. The characteristic changes were determined; significance of complex electrophysiological examination of these patients is shown.
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The principles, on which the system of psychoprevention is based, are presented. Its stages are described. The subjects of classes with the youth and the methods of psychotherapy used are described. The ways of prevention of extramarital sex of the spouses are shown.
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Causative relations of chronic prostatitis and development of sexual dysfunction in men as well as spouses deadaptation, the mechanisms of forming, course and clinical manifestations are shown. Basing on the revealed regularities, the system for correction allowing to achieve recovery in the patients and to restore spouses adaptation was worked out.
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The causes, development mechanisms and clinical manifestations of insufficiently studied communicative forms of spouse deadaptation in various types of organic personality disorders in men are shown. The necessity of systemic approach to the diagnosis and psychotherapeutic correction is emphasized.
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The influence of various types of surgery on sexual function of women as well as the causes of development and clinical forms of spouse deadaptation were established. The author concludes about the necessity to consider mental and social−psychological factors contributing formation of spouse deadaptation and its cause in a number of cases in addition to the volume of the surgery at psychotherapeutic correction of deadaptation.
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60 - 62
Significant differences in the parameters of general and regional hemodynamics in patients with thrombosis of central vein of retina and retina angiopathy against a background of decreased arterial pressure were revealed. The role of rheological disorders and perfusion pressure in development of angiopathy and retina thrombosis in patients with arterial hypotension is shown.
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The author describes in detail the achievements aimed at improvement of efficacy of surgical treatment for cataract using an optimum variant of the model of the intraocular lens (IOL) in cases of possible complications at phacoemulsification and secondary implantation of IOL to the acapsulous aphakic eyes.
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The findings of investigation of cellular and humoral immunity in patients with chronic laryngitis accompanied by thyroiditis are presented. The necessity of endocrinologist and immunologist consultation in addition to the traditional ENT treatment is substantiated.
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The problems arising at reconstructive surgery on the external structures of the nose and its inner cavities as well as characteristics of the implants and the conditions promoting complication development are featured. Basing on the original research the authors conclude about practical expediency of application of homo− and heterotransplants with the account of definite medical−social parameters.
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The authors analyze the course of post−operative period and efficacy of uterine artery embolization in patients with uterus myoma with various locations of the nodes. The efficacy of the method is shown. The authors conclude about the necessity of a one−year gynecological follow−up after the treatment.
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The authors report the results of assessment of the capabilities and informativity of transvaginal hydrolaparoscopy as a screening method of female sterility diagnosis. Sufficient informativity and safety of the method are shown.
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The intensity of peroxidation processes and activity of a number of antioxidant enzymes was studied in the follicular fluid of human ovaries after 6 months of cryopreservation followed by storage in the conditions of a domestic refrigerator. The possibility to store it in these conditions for at least 12 hours without considerable changes in the state of free−radical oxidation of lipids and proteins as well as antioxidant system enzyme activity is shown.
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An original terminology of polyorgan trauma is suggested, complete medial sternotomy, medial sternolaparotomic and laparosternotomic approaches on rendering reanimation and surgical aid to this group of patients were worked out. The advantages of these interventions are shown.
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96 - 98
The author analyzes the principles of treatment of patients with purulent destructive lesions of the intestine. It is concluded that the obligatory element of this treatment in any type of the disease is complete and stable restoration of the intestine passage. The terms of restoration should forestall the increasing homeostasis disorders and degenerative changes in the excluded portions of the intestinal tract.
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99 - 102
The achievements in the study of the etiology, pathogenesis and clinical manifestations of HCV infection are discussed. Contemporary capabilities of laboratory and instrumental diagnosis of the disease as well as main principles of treatment depending on the severity of the course and activity of the pathological process in the liver are described.
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The authors analyze the intensity of the epidemic process in HBV and HCV infection. The role of perianal infection in the disease occurrence is shown. Pathomorphological mechanisms of transplacental infection with the virus are discussed.
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Differentiated character of the antibodies to the structural and non−structural proteins of hepatitis C virus was revealed in the blood serum and erythrocytes of the patients in association with the peculiarities of pathogenesis of HCV infection depending on the period of the disease. Simultaneous study of antibody spectra to the proteins of hepatitis C virus in the blood serum and erythrocytes with the purpose of improvement of differential diagnosis of the form and phase of the disease as well as objectivation of its prognosis and determining therapeutic tactics was suggested.
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The capabilities of ultrasonography and Doppler study in visualization of the spinal artery with the purpose of determining blood flow disorders in various development anomalies, functional load and pathology of the cervical spine are shown.
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Ultrasound and Doppler signs of different histological types of soft−tissue sarcomas are described. The authors conclude that in suspected tumors the examination algorithm should include complex US study, which allows studying the features of intratumoral blood circulation.
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The tactics and criteria for diagnosis of cardiac failure were determined for different periods of left ventricle remodeling. Complex radiodiagnosis is shown to be most effective and can be the criterion for choice of therapy method.
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124 - 128
Modern ideas about the significance of connective tissue in development of pathological processes of various origin and localization are discussed. The possibility to use the markers of connective−tissue metabolism for creation of integral criterion for population health evaluation is substantiated.
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Up−to−date data about classification and occurrence of prion infections are presented. Modern situation associated with prions is shown to allow considering it dangerous. Most prospective directions in prevention of prion disease are discussed.
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133 - 135
Modern ideas about the etiology, factors of transmission, the peculiarities of the clinical course and the nervous system involvement in toxocariasis are featured. The role of dogs as disseminators of toxocara ova and the source of human infection is shown.
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