Vol 21, No 1 (2017)

Articles
Influences of training on karate on dynamics psycho-emotional stability and training of schoolboys
Martyshov A.V., Goryunova S.V., Glebov V.V., Shastun S.A.
Abstract
Own empirical data on influence of training classes in karate on dynamics of psycho-emotional stability and training of school students are presented in article. Researches it was carried out to 2 stages (the 1st stage - from 2007 to 2011; the 2nd stage from 2014 to 2015) - 48 pupils, and since 2013-2015 - 25 pupils of 8-9 classes of the Moscow school took part in research of level of emotional stability. The received these researches allowed revealing essential distinctions on indicators of the psycho-emotional status between teenagers who were trained by rules of “training occupations” by teenagers who were engaged according to the standard program of physical training at school. Researches showed that in comparison with pupils with usual physical activity, school students who in addition were engaged in karate, had smaller percent of infectious diseases, diseases of bronchial tube - pulmonary system and injuries.
RUDN Journal of Medicine. 2017;21(1):7-13
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Current treatment options for patients with fractures of femoral neck
Solod E.I., Lazarev A.F., Zagorodnyi N.V., Abdulchabirov M.A., Ulyachin A.S.
Abstract
The article presents the tactics of treatment of elderly patients with fractures of the femoral neck. Depending on the nature of the fracture, the period from the date of injury presented by the selection of a method of surgical treatment of fractures of the proximal femur.with biomechanically favorable fractures of the femoral neck Pauwels type I-II with displacement of fragments of type Garden II-III up to 3 days after the injury we have produced a minimally invasive percutaneous osteosynthesis beam V-shaped spokes or AO cannulated screws.If after an injury took place over 3 days in patients older than 60 years at subcapital fractures type III of Pauwels, Garden IV of, patients produce primary hip arthroplasty. The article also describes the experience of doing pereoperatsionnogo elderly patients with femoral neck fractures in the preoperative and postoperative phases.
RUDN Journal of Medicine. 2017;21(1):14-23
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Diastolic function of a left ventricle at psycho-emotional stress in young women with idiopathic hypotension
Agafonova T.Y., Baev V.M., Samsonova O.A., Dusakova R.S.
Abstract
A comparative analysis of the structural and functional parameters of echocardiography between the two groups of women aged 18-22 years. Test group - 16 women with idiopathic arterial hypotension (systolic 94-98 mm Hg). The control - 10 women with normal blood pressure (SBP 120-123 mm Hg). Echocardiography was performed at rest and after emotional load by the method of E. Kraepelin. If hypotension an infringement diastolic function at rest and during exercise (increased ratio Ve/Va alone, lack of speed dynamics of transmitral blood flow under load). Diastolic dysfunction recorded on a background of heart malnutrition, which indicates a decrease in cardiac hemodynamic reserve adaptation physiological effects.
RUDN Journal of Medicine. 2017;21(1):24-28
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Distribution of total cholesterol, LDL-C and LDL-HDL PFUR students from different climatic and geographical regions
Amaeva A.M., Koshechkin V.A., Kuznetsov V.I.
Abstract
The concentration of total cholesterol (TC), low density lipoprotein cholesterol (LDL-C) and high density lipoprotein cholesterol (HDL-C) were determined among students of PFUR aged 17-25, from different climatic and geographical regions. In all the concentrations (> 6.2 mmol/L) of total plasma cholesterol were detected at 6 (2.4%) students, indicating a high or very high risk of coronary heart disease (CHD). Elevated levels of plasma LDL-C (> 3.31 mmol/l) were found at 4 (1.6%) students, indicating a high or very high risk of coronary heart disease. Lower concentrations of HDL-C plasma (< 1.31 > 1.1 mmol/L) were detected at 30 (12.4%) indicating a moderate risk of CHD and at 11 (4.6%) students concentration of HDL-C were lower (1,1 mmol/L), indicating a high risk of coronary heart disease. The results can be used as a justification for the screening survey to identify dyslipidemia among adolescents and young adults, with the subsequent conducting of the individual preventive and therapeutic measures.
RUDN Journal of Medicine. 2017;21(1):29-34
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Periotestometriya at patients of 13-18 years
Bogaevskaya O.Y., Peshkin V.I.
Abstract
The study of periodontium endurance to horizontal loading at the patients 13-18 years with transversal incisor occlusion is carried out and 6 groups of the patients are allocated depending on a kind of jaws interincisor line displacement with a the median line of the face. On the basis of the received data the features of parameters of periodontium endurance of permanent teeth to horizontal loading are determined depending on a kind of interincisor line displacement.
RUDN Journal of Medicine. 2017;21(1):35-41
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Association between polymorphism gene ABCB1, encodes glycoprotein P, and efficacy and safety profile of haloperidol in patients with alcohol addiction
Zastrozhin M.S., Rizhikova K.A., Mirzaev K.B., Sozaeva J.A., Grishina E.A., Sychev D.A., Savchenko L.M., Gushina Y.S., Pahomov S.R.
Abstract
Haloperidol is used in the practice of drug for relief of updating drives in patients suffering from a pathological attraction to alcohol, but the empirical selection of its dosage often leads to the development of patient adverse drug reactions. Synthesis of glycoprotein P, involved in the excretion of various xenobiotics including haloperidol encoded ABCB1 gene having a high level of polymorphism. Various ABCB1 allelic variations are associated with varying degrees of activity of glycoprotein P. Polymorphism 3435C>T is the functional polymorphism, which makes the activity of glycoprotein P slowly, that’s why its increase the level of concentration of xenobiotics (substrates of glycoprotein P) in blood-plasma and increase the risk of adverse drug reactions. Efficacy and safety of treatment with haloperidol was determined by international psychometric scales and scales for measure of extra pyramidal adverse drug reactions. ABCB1 genotyping was performed by polymerase chain reaction in real time (Real-time PCR) using allele-specific hybridization. According to the survey were identified statistically significant patterns between ABCB1 polymorphism and the efficacy and safety profile of haloperidol.
RUDN Journal of Medicine. 2017;21(1):42-50
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Clinical, laboratory and instrumental characteristics of children with sydenham’s chorea
Kantemirova M.G., Novikova Y.Y., Korovina O.A., Drozdova I.M., Degtyareva E.A., Ovsyannikov D.Y., Koltunov I.E.
Abstract
Sydenham's chorea (SC) is a major clinical criterion in acute rheumatic fever (RF). SC is a late neurological manifestation of acute rheumatic fever which occurs 1 to 6 months after pharyngeal infection with group A betahemolytic streptococci. SC is characterized by clinical symptoms: involuntary hyperkinetic movements, muscular hypotonia, hyperreflexia, gait disturbance, emotional lability. Objective: The aim of the study was to identify frequency, clinical manifestations and the treatment of SC. The study included 56 children 4-17 years old, who were hospitalized in the Morozovskaya children’s clinical city hospital in 2001-2015 with RF. Clinical history, laboratory and instrumental methods (electrocardiography, transthoracic echocardiogram, cranial computed tomography scan and/or magnetic resonance imaging, electroencephalography, electroneuromyography). The study revealed frequent errors (66%) in RF diagnosis before hospitalization. Besides chorea, the clinical manifestations of RF were: carditis (89,3%), arthritis (46,4%), erythema marginatum (10,7%), subcutaneous nodule (1,8%). The peculiarity of our study washighfrequency of chorea (42,9%). Isolated chorea wasseen in 12,5%, mixed chorea - in 30,4% of SC. The clinical manifestations of chorea were typical. The nervous system lesion most often occured in children with a neurological history (p < 0,05). The clinical or laboratory evidence of streptococcal infection were seldom found (p = 0,02) in patients withchorea (45,8%) compared with patients without chorea symptoms (69%). RF issue requires attention from the medical community. SC, especially isolated chorea (29%), is the most challenging manifestation of RF for the differential diagnosis.Chronic rheumatic heart disease can be developed even in patients with isolated chorea (12,5%). In the treatment of SC in addition antibiotics and drugs which affect domamine and GABA metabolism, glucocorticoids (Prednisolone) are needed.
RUDN Journal of Medicine. 2017;21(1):51-60
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The experience of arthroscopic treatment of chronic anterolateral instability of the ankle jont
Menschicov V.V., Lazko F.L., Zalyan A.A.
Abstract
The article states the concept of chronic lateral instability. There are presented epidemiology, anatomy, ankle, lateral ligaments of the ankle, including the functional significance and anatomical features of each bundle, in details described diagnostics, research methods, including ultrasound, MRI, X-rays, clinical research methods of chronic anterior lateral instability: “front drawer” test, “supination test”, “titltest”, “pronation test”. The artile shows classification of AOFAS scale. Historical background of operational techniques and their various modifications in chronic anterior lateral instability of the ankle are highlighted, showing the results before and after presentated operating procedures. Tactic of conservative treatment is marked. There are presented results of open and closed types of anatomical and nonatomical stabilization damaged front-fibular ligament the talus. The results of operations of the tendon tenodesis short and long tibial muscles and Brostroma operations and their modifications, as well as modern operating arthroscopic surgery of this pathology, are described. Marked are the advantages and disadvantages of the anatomical and nonanatomicalstabilization of damaged front-fibular ligament of the talus. During instability of the ankle joint young patients with high physical activity, involved in sports, with concomitant rupture of the anterior talo-fibular and calcaneal-fibular ligaments - the treatment method is tenodesis of outer ligament complex form the semitendinosus tendon with tunneling in the fibula, calcaneus and talus. For patients with low physical activity, not involved in sports, whose professional activity is not associated with heavy physical work, it is possible to perform the Brostroma-Gould operation - to create duplikatury local fabrics. Non anatomical ankle stabilization operations, including tenodesis tendons, often lead to disruption of gait and foot inversion restriction and are not recommended for widespread use.
RUDN Journal of Medicine. 2017;21(1):61-69
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Dynamics of psychologycal state of patients with somatoform disorders
Navasardyan E.V., Artemieva M.S., Lazukova A.G.
Abstract
This article reflects the dynamics of psychological state of the patients, suffering from somatoform disorders. When a patient is admitted to a hospital, the level of anxiety is tested with Spielberger questionnaire, and depression with Beck questionnaire, also to detect main individual traits of the patient - MMPI. During discharge - Spielberger and Beck’s questionnaires, also testing the levels of subjective control. Noted, that according to MMPI tests, most of the examined patients had a pronounced fixation on their condition (that is what the high indicators on the hypochondriasis and rigidity scales show), also a high level of depression and anxiety. It was noted that patients had low levels of total internality, which complies to the low levels of subjective control. According to Spielberger and Beck’s questionnaire, when admitted, the scale of depression and anxiety showed modest results. As the result of treatment, the lower levels of depression and anxiety were noted, also decreasing of hypochondriasis fixation on their condition, which clinically developed to decrease the expression of somatoform disorders. Patients began to understand that their symptoms are psychologically caused, as a result they declined further doctor examinations from different specialties and agreed to take psychotropic drugs after discharge.
RUDN Journal of Medicine. 2017;21(1):70-75
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Perinatal risk for delayed abdominal delivery
Radzinsky V.E., Arabadzhjan S.I., Ordiyants I.M.
Abstract
The most promising way to reduce maternal and perinatal morbidity and mortality and also obstetric aggression is a preliminary forecasting of adverse perinatal outcomes, i.e., an assessment of a perspective perinatal risk. Object: to estimate the role of perinatal risk factors in the forecasting of delayed abdominal delivery. We found that increase of perinatal risk factor in delayed abdominal delivery occurs during the whole pregnancy, but 3d trimester's complications make the greatest contribution.
RUDN Journal of Medicine. 2017;21(1):76-82
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Clinical case: Accessory breast
Saribekyan E.K., Kharchenko N.V., Kunda M.A., Zapirov G.M., Shirokikh I.M.
Abstract
The presence of additional fully formed accessory breast (polymastia), accessory nipples (polythelia) or other options ectopically positioned breast tissue is fairly rare developmental anomalies. Its occurrence frequency is approximately 1% of the general population. This article describes a rare case of localization of additional mammary glands and their surgical correction.
RUDN Journal of Medicine. 2017;21(1):83-89
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Social portrait of a final year student of a medical college
Shlyafer S.I., Mironova N.N.
Abstract
According to the results of a poll conducted among 157 final year students of the Stavropol basic medical college is composed of the social portrait - this is 23-25 years old young woman, who plans to work in her specialty, mainly in the hospital. The choice of the profession due to such factors as the possibility of providing assistance and constant communication with people. She is going to look for work mostly through acquaintances. She believes that after graduating from the medical college she will be practically ready to perform professional duties, but she hopes to the mentor’s help in the workplace.
RUDN Journal of Medicine. 2017;21(1):90-94
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Physical activity off the comorbidity children as integrating index functioning and hygiene activity
Gudkov R.A., Konovalov O.E.
Abstract
The presence of chronic diseases contributes to the limitation of physical activity in a child patient. The simultaneous presence of several disease causes more complex relationship between diseases and physical activity. The aim of this study was to investigate the effect of comorbidity on the physical activity of children. The study involved 652 child 7-15 years, of which divided into 3 groups: 1 - 235 children with two or more chronic diseases; 2 - 119 children with isolated chronic disease and 3 - 298 randomly selected students. The main characteristics of the physical activity of children were studied by interviewing children and parents. Results: The average score of physical activity in group 1 was lower than in children 2 and 3 groups (15.2 compared with 19.0 and 22.2 points; p < 0,05). Children with chronic illnesses have two limitations in physical education by 1.4 times, and had three or more diseases - 1.8 times more likely compared with children with isolated pathology. 28.5% of parents of children 2 group and 74.1% - group 1 did not receive a doctor's specific recommendations for physical activity. 65.5% of the parents group 1 and 42.8% - 2 group supported restrictions physical education of their children. Among children groups 1 and 2, obesity was observed in 28.2% of cases and 32.1 (Group 3 - 22.6%), and recommendations on physical activity obtained only 33.3% of children and 52.9% We had exemption or limitation of physical education. Children 1 group, as compared with children 2 and 3 groups experienced physical inactivity in 1.7-1.9 times more likely to attend sports clubs in 1.5-2.4 times less, while their parents engaged in physical culture and sports in the 1, 4-2,0 times less.
RUDN Journal of Medicine. 2017;21(1):95-103
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Social monitoring primary disability in persons of working age
Draenkova F.R., Medvedeva O.V., Afonina N.A.
Abstract
Social monitoring of disability occupies a special place among health, social and economic problems of vital national importance. The relevance of the study lies in the fact that it continues to grow, the primary disability of the working population, which significantly affects the economy of our country. Monitoring disability to allow us to trace the main trends in the indicators and to conduct appropriate activities in public policy. The aim of this work is to monitor the structure of primary disability among persons of working age in the Ryazan region. Objectives of the study: monitoring of process primary disability for a certain period of time; identifying emerging trends and dynamics of primary disability in individuals of working age; forecasting emerging trends and their development; finding ways to prevent negative trends and maintaining positive trends in the development process. In the analytical review of official data from Rosstat, shows the dynamics and trends of disability in the Ryazan region. In the course of the study studied the regularities of formation of disability to reflect the classes of disease, determined the prevalence of disability among the adult population.
RUDN Journal of Medicine. 2017;21(1):104-108
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The satisfaction of the population of the region the quality of the ambulance service
Kolesnikov A.V., Breusov A.V., Shichanin V.V., Breusov R.A.
Abstract
The state of health of the population substantially depends on quality and availability of a medical care. At the same time one of key aspects of the concept “quality of a medical care” is satisfaction of the patient from contact to personnel of the medical organization, especially with experts of emergency medical service. Authors set the object - to analyse the level of satisfaction of the population with the provided emergency medical service. During the research on specially developed questionnaire containing 6 blocks of questions, the continuous method interviewed 835 people. It is established that vast majority of respondents - 61,4% caused crew of emergency medical service not less than 1 time a year, 16,3% - at least 1 time in 2 months and in 22,3% of cases addressed for the first time. On time of arrival of crew for a call in 69,2% of cases questioned declared that the crew of emergency medical service comes to them within 20 minutes, in 17,1% of cases - in an interval from 20 to 40 minutes, in 8,3% - from 40 to 60 minutes, longer time of expectation was noted by 5,4% of respondents. The positive effect from assistance within the first 30 minutes occurred at 65,2% of patients, in later terms - at 31,3%, in 3,5% of cases patients didn't note at themselves effect of the medical events held by crew of SMP. In general, patients estimated quality of rendering emergency medical service in the region at 4,12 points. The received results will allow to develop a complex of the actions referred on optimization of rendering emergency medical service in the conditions of the large industrial region.
RUDN Journal of Medicine. 2017;21(1):109-116
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Features of the organization of the oncological help to population of the Republic of Bashkortostan and russian federation and way of its perfecting
Mukhanova I.F.
Abstract
One of the important tasks of the state - is to reduce morbidity, mortality and disability due to malignant neoplasms. It can be solved through the protection of public health, including timely medical examination and rehabilitation, as well as promoting a healthy lifestyle. However, unfavorable ecological situation, the effects of widespread use of a variety of special equipment, deterioration of social well-being of the population and the abuse of tobacco and alcohol adversely affect the steady increase in the incidence of malignant tumors, and experts predict it is expected to further increase. Negative epidemiological situation on the malignancy has developed both in Russia and around the world. Oncopathology causing considerable economic damage to the country. All of the above leads to the relevance of a complex problem and requires further examination. In order to determine priorities in the organization of cancer care was necessary to study the state of oncology service data in the Republic of Bashkortostan in comparison with the all-Russian figures in dynamics for the last five years (2011-2015 gg.). The study found that the quantitative and qualitative indicators of cancer care in the Republic of Bashkortostan (active detection, timely diagnosis, morphological verification of the diagnosis, the five-year survival rate, index of accumulation of contingents, the incidence of malignant tumors) do not exceed the all-Russian figures. The dynamics for five years there has been a positive dynamics of the studied parameters, but about a quarter of patients who for the first time identified a cancer die within the first year after diagnosis. A study of performance indicators oncology service is of considerable practical interest because it can serve as a basis for planning the organization of oncological aid to the population, the development of national and regional anti-cancer program, to determine the required volume of curative and palliative care, the organization of medical and social rehabilitation of the sick and disabled. Improving cancer institutions in the country and the region will allow to provide specialized assistance to the population, corresponding to modern scientific and technical development of medical science, regardless of the place of residence of a particular patient.
RUDN Journal of Medicine. 2017;21(1):117-126
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The characteristics of accomodated in dormitories students sleep hygiene
Piven E.A., Breusov D.A.
Abstract
The paper presents the results of a study of sleep hygiene of 200 students getting higher education and living in dormitories of the city of Moscow on the basis of a questionnaire survey. The average age of the girls was 21.2, boys - 21.4. Such factors as duration of night sleep, presence of daytime sleep, duration of work with desktop computer and mental work load before bedtime, time of falling asleep and awakening, time of leaving the dormitory and possibility of having breakfast, influence of morning exercises and sleep on students health etc. have been estimated. Similarities and distinctions in hygiene of sleep of young men and girls have been established. Duration of 6-8 hours of night sleep, favorable for students health, has been revealed. The duration of girls night sleep was 6 hours 24 minutes on average when for young men it was 6 hours.51 minutes, 33% of girls and 47% of young men normally air their rooms before going to bed, 27% of young men and 20% of girls do morning exercises, insomnia is more common for girls (47%), than for young men (27%). The students living in dormitories have more problems with sleep because of insufficient respect for sleep hygiene.
RUDN Journal of Medicine. 2017;21(1):127-136
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System of measures to optimize medical care to mother and child in the region
Shmelev I.A., Konovalov O.E., Kharchenko V.V.
Abstract
There are many measures for the effective functioning of the system of health protection of women and children in the Samara region: organizational, improving the system of legal norms, aimed at the optimization of medical aid to mother and child, strengthening the material-technical base of medical institutions, mastering modern methods of diagnosis and treatment, training of medical personnel at a high level. Plan of measures of structural transformation health care delivery system on women and children included the adoption of the regional target program “Health of the Samara region children” for 2013-2015. Within the framework of its implementing are used new prevention technologies affecting on indicators morbidity and mortality of the child population.
RUDN Journal of Medicine. 2017;21(1):137-143
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Abstract
RUDN Journal of Medicine. 2017;21(1):144-149
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