Herald of the Mechnikov Saint-Petersburg State Medical Academy (profilactical and clinical medicine)




НазваниеHerald of the Mechnikov Saint-Petersburg State Medical Academy (profilactical and clinical medicine)
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1279

© L.A. Soboleva, A.O. Oseeva, А.А. Shuldyakov, N.V. Bulkina, S.A. Satarova, 2009


UDC 616.314.17-07:616.98:578.828

Soboleva L.A., Oseeva A.O., Shuldyakov A.A., Bulkina N.V., Satarova S.A. Clinical-pathogenetic aspects of parodontitis on the background of HIV-infection // Herald of the Mechnikov Saint-Petersburg State Medical Academy. – 2009. - № 4 (33). – P.207-210.

Saratov State Medical University n.a. V.I. Razumovsky, Russia, 410012 Saratov, str. Bolshaya Kazachia, 112, telephone.: (8452) 27-33-70, 51-15-32 fax: (8452) 51-15-34, 51-16-17. Е-mail: meduniv@sgmu.ru http://www.sgmu.ru

Summary: With the purpose to study the mechanisms of formation and peculiarities of periodontitis course in patients against the background of subclinical stage of HIV-infection, the examination of 45 patients divided into three basic groups (patients with periodontitis and HIV-infection; patients with periodontitis; and HIV-infected without periodontitis) has been carried out.

It was determined, that the patients with periodontitis and subclinical HIV-infection had the development of local inflammatory reaction with infectious assignment, activation of anti-inflammatory cytokines in parodontal pockets’ fluid. It was also proved, that the cause factor of frequent and long relapses in parodontal pathology in clinical HIV-infection was the development of pathologic process against the background of endotoxicosis syndrome, disbalance of lipid peroxidation and antioxidant system.

Key words: periodontitis, HIV-infection.

References:

1. Данилевский, Н.Ф. Заболевания пародонта / Н.Ф. Данилевский, А.В. Борисенко. - Киев: Здоровье, 2000. - 464 с.

2. Курякина, Н.В. Заболевания пародонта / Н.В. Курякина, Т.Ф. Кутепова. - Н.Новгород, 2000. – 158 с.

3. Bartlett John G. The Johns Hopkins Hospital 2005-06 Guide to Medical Care of Patients With HIV Infection. - Lippincott Williams & Wilkins – 2005, P. 300.

Information about the authors:

Soboleva Ludmila Anatolyevna assistant of department of therapeutic stomatology, Saratov State Medical University, mobile phone. (8-8452) 77-72-66, e-mail: milas73@mail.ru

Oseeva Aleksandra Olegovna, postgraduate of department of therapeutic stomatology, Saratov State Medical University, mobile phone 8-902-717-41-30, e-mail: fashion2003@yandex.ru

Shuldyakov Andrey Anatolyevich doctor of medicine, professor, head of department of infectious disease, Saratov State Medical University, mobile phone (8-8452) 58-06-49, e-mail: Shuldaykov@mail.ru

Bulkina Natalya Vyacheslavovna doctor of medicine, professor, head of department of therapeutic stomatology, Saratov State Medical University telephone (8-8452) 5175 39, 41-77-97, e-mail: milas73@mail.ru

Satarova Svetlana Avgustovna assistant professor of department of infectious disease, Saratov State Medical University, mobile phone (8-8452) 20-18-09, e-mail: Shuldaykov@mail.ru

Accepted 24.12.2009 г.

MEDICAL PSYCHOLOGY




1201

© D.G. Rutenburg, A.V. Konychev, A.B. Ivanenko, O.V. Kokorev, P.V. Panfilov, 2009


UDC 617.57:616.94:616.8

Rutenburg D.G1., Konychev A.V.1, Ivanenko A.B.1, Kokorev O.V.1, Panfilov P.V.2. Psihosomatic view on the problem of complicated pyoinflammatory diseases of the upper extremity // Herald of the Mechnikov Saint-Petersburg State Medical Academy. – 2009. - № 4 (33). – P.210-214.

1Saint-Petersburg State Institution of municipal clinic № 14 Saint-Petersburg center of treat surgical infection. Russia, Saint-Petersburg, Kosinova str., 19, tel/fax.: (812)786-43-97, е-mail: Rutenburg.spb@rambler.ru

2State Educational Establishment of Higher Professional Training «Mechnikov Saint-Petersburg State Medical Academy of the Federal Agency for Public Health and Social Development of the Russian Federation», Russia, 195067, St.-Petersburg, К-67, Piskarevsky prospect, 47. Тel.: 8 (812) 543-96-09, fax: 8 (812) 740-15-24. Е-mail: mechnik@gmail.com

Summary: We studied psychosomatic peculiarity of patient with pyonflammatory disorders of upper-limbs. 42 patient has been examineted. We used firmware complex for evaluation of patients current psychological status. 35 biocemical and clinical parameters were tested in venous blood of every patient. By regression of acute inflammation we registered increase of adaptive capabilities of organism and diminution of psychological disorders. Were esteplished a number of significant correlation between psychological and biochemical indices. We conclude, that these factors can be used as predictors of surgical infection.

Key words: psychosomatic, inflammation, microorganism

References:

1. Гриневич В.В., Акмаев И.Г., Волкова О.В. Основы взаимодействия нервной, эндокринной и иммунной систем. – СПб.: Симпозиум, 2004. – 158 с.

2. Cohen F., Kemeny M.E. Immune Function Declines With Unemployment and Recovers After Stressor Termination // Psychosomatic Medicine. – 2007. – Vol. 69. – P. 225 – 234.

3. Glaser R., Kutz L.A., MacCallium R.C. et al. Hormonal modulation of Epstein-Barr virus replication // Journal of neuroendocrinology. – 1995. – Vol.62 (4). – Р. 356 – 359.

4. Granger A.D., Booth A., Johnson D.R. Human Aggression and Enumerative Measures of Immunity // Psychosomatic Medicine. – 2000. – Vol. 62. – P. 583 – 590.

5. Matthews K.A., Laura L. Associations Between Depressive Symptoms and Inflammatory/Hemostatic Markers in Women During the Menopausal Transition // Psychosomatic Medicine. – 2007. – Vol. 69. – P. 124 – 130.

Information about the authors:

Rutenburg D.G., assistant of the department of operative and clinical surgery with topographic anatomy, Medical Academy of Postgraduate Education, tel.: 8921-34-38-359, е mail- Rutenburg.spb@rambler.ru

Konychev A.V., professor of the department of operative and clinical surgery with topographic anatomy, Medical Academy of Postgraduate Education, tel.: (812) 596-93-13.

Ivanenko A.B., surgeon of the Municipal Hospital № 14, tel.: (812)293-04-71.

Kokorev O.V., house physician of the Municipal Hospital № 14, tel.: 8-921-59-05-380.

Panfilov P.V assistant of the department of clinical surgery, Medical Academy of I.I. Mechnikov, home tel.: (812) 341-96-46, mob. tel.: (812)543-16-16. E-mail: Panfilov1971@mail.com.

Accepted 15.09.2009 г.

1202

© S.N. Gaidukov, V.A. Reznik, V.S. Antonenko, 2009


UDC 616.89:618.1:615.478

Gaidukov S.N., Reznik V.A., Antonenko V.S. Psychological aspects of reaction of patients of gynecologic hospitals to the stress associated with hospitalisation // Herald of the Mechnikov Saint-Petersburg State Medical Academy. – 2009. - № 4 (33). – P.214-218.

State educational institution for high professional education “Saint-Petersburg State Pediatric Medical Academy by Federal agency for health services and social development”; 194100, Saint-Petersburg, Litovskaya str. 2; phone 8(812)295-06-46; fax 8(812)295-40=85; e-mail: spb@gpma.ru, http://www.gpma.ru.

Summary: Psychological testing of 60 women hospitalized in a gynecologic ward urgently (uterine bleeding) and in routine order (uncomplicated endometrium hyperplasia) was carried out using following tests: Spilberger-Khanin test, 8 colors Lüscher test, Covy and Zung anxiety scales. High level of reactive anxiety and connected with it somatic disorders were found.

Key words: gynecologic hospital, hospitalization stress, psychological testing.

References:

1. Аксём С.М. Научное обоснование организации работы гинекологического отделения стационара экстренной помощи в условиях медицинского страхования / С.М. Аксём // Дисс. … канд. мед. наук. - СПб., 2005. - 174 с.

2. Александровский Ю.А. Пограничные психические расстройства / Ю.А. Александровский. - М., 2000. - 146 с.

3. Григорьева В.Н. Психологическая характеристика больных с неврологическими проявлениями поясничного остеохондроза / В.Н. Григорьева, А.В. Густов // Журнал неврологии и психиатрии им. С.С. Корсакова. - 1997. - Т.97. - №3.- С.12 - 15.

4. Киршбаум Э.И. Психологическая защита / Э.И. Киршбаум, А.И. Еремеева. - Владивосток, 1993. - 203 с.

5. Лучшие психологические тесты. - Петрозаводск, 1992. - 64 с.

6. Собчик Л.Н. Методы психологической диагностики. - М.,1990. - 124 с.

Information about the authors:

Gidukov Sergey Nikolaevich, professor, doctor of medical sciences, managing the department of obstetrics and gynaecology of GOU VPO SPbGPMA, tel. 89218915787.

Reznik Vitaliy Anatolievich, associate professor, candidate of medical sciences, department of obstetrics and gynaecology of GOU VPO SPbGPMA, tel. 9507030, vitaliy-reznik@mail.ru

Antonenko Valery Sergeevna, graduate student, department of obstetrics and gynaecology of GOU VPO SPbGPMA, tel. 89052360265, lera2709@mail.ru

Accepted 22.09.2009 г.

EXPERIENCE EXCHANGE




1203

© K.S. Suprun, A.M. Savintsev, A.S. Kharyutin, N.N. Nesterov, H.N. Nazarov, 2009


UDC 617.584

Suprun K.S., Savintsev A.M., Kharyutin A.S., Nesterov N.N., Nazarov H.N. Feature of surgical treatment of patients with diaphyseal fractures of crus bones // Herald of the Mechnikov Saint-Petersburg State Medical Academy. – 2009. - № 4 (33). – P.218-222.

State Educational Establishment of Higher Professional Training «Mechnikov Saint-Petersburg State Medical Academy of the Federal Agency for Public Health and Social Development of the Russian Federation», Russia, 195067, St.-Petersburg, К-67, Piskarevsky prospect, 47. Тel.: 8 (812) 543-96-09, fax: 8 (812) 740-15-24. Е-mail: mechnik@gmail.com

Summary: Investigation and surgical treatment of 226 patients with tibial diaphysis fractures are carried out. New methods of the surgical treatment of patients with tibial diaphysis fractures were invented and improved, the principles of approach of surgical treatment were formulated depending on the type of fracture that leads to the improvement of results of treatment.

Key words: Fracture, shin, tibia, osteosynthesis.

References:

1. Мубарак Х.Т. Оптимизация медицинской реабилитации больных с закрытыми диафизарными переломами костей голени: Автореф. дисс. … канд. мед. наук. - СПб, 2006. - 40 с.

2. Фокин В.А. Концепция оперативного лечения переломов / В.А. Фокин // Margo anterior. - 2006. - №. 3.- С. 1-5.

3. Хромов А.А. Раннее функциональное лечение при диафизарных переломах костей голени: Автореф. дис ... канд. мед. наук. - СПб, 1998. - 23 с.

4. Шаварин Б.В. Некоторые аспекты экспертной оценки и реабилитации больных с диафизарными переломами костей голени / Б.В. Шаварин, Г.А. Шленский, Д.К. Карибаев // Ортопедия, травматология. - 1978.- № 7.- С. 14-17.

5. Ярошенко Д.Я. Первичная инвалидность от травм опорно-двигательного аппарата / Д.Я. Ярошенко, Е.Г. Шевченко // Ортопедия, травматология. - 1994. - № 3. - С. 36-89.

6. Cauchoix J. Traitement des fractures ouvertes de jambe / J. Cauchoix, J. Duparc, P. Boulez // Mem. Acad. Chir. – 1957. - № 83. - P. 811-822.

7. Sakaki M.H. Comparative study of the locked intramedullary nail and Ender pins in the treatment of tibial diaphyseal fractures / M.H. Sakaki, A.T. Crocci, A.V. Zumiotti // Clinics (Sao Paulo). - 2007. - Vol. 62. - №4. - P. 455-464.

Information about authors:

Suprun Konstantin Stanislavovich – post-graduate student of the Department of Orthopedy of Mechnikov Saint-Petersburg State Medical Academy, work tel.: 8-812-322-02-43, home tel.: 8-812-580-05-80, mobile phone: +7911-240-4814; e-mail: ckc@mail.ru

Savintsev Alexander Mikhailovich – doctor of medicine, head of Department of orthopedy of Pokrovskaya City Hospital, professor of the Department of Orthopedy of Mechnikov Saint-Petersburg State Medical Academy, work tel.: 8-812-322-02-43.

Haryutin Alexey Savelievich – assistant-professor of the Department of Orthopedy of Mechnikov Saint-Petersburg State Medical Academy, mobile phone: +7-904-770-26-40.

Nesterov Nikolay Nikolaevich – assistant of the Department of Orthopedy of Mechnikov Saint-Petersburg State Medical Academy, work tel.: +7-812-543-18-74.

Nazarov Hayrutdin Nizamutdinovich – post-graduate student of the Department of Orthopedy of Mechnikov Saint-Petersburg State Medical Academy, work tel.: +7-812-543-18-74.

Accepted 22.09.2009 г.




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