ARCHIVE
№3' 2005
CONTENTS |
New literature data about proteolysis, in particular serine proteinase, i.e. human chymase, playing an important role in the heart function, are presented. The reported data can be applied to development of the treatment strategies in heart failure in patients with coronary artery disease.
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10 - 13
The author presents a review of literature reflecting modern ideas about ultrasound diagnosis of abnormally located chords. Their clinico−morphological characteristics are described in detail.
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14 - 16
Literature data about the studied problem are presented. In patients with CAD accompanied by psoriasis, activation of cytokine system of inflammatory type was established to be present. The shifts appearing in the cytokine system in this pathology, which reflect similarity of pathogenetic mechanisms of the heart wall involvement in CAD as well as skin and metabolism in psoriasis, are shown.
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The authors try to apply the basic ideas of self−organization theory to addiction study. The concepts of synergetic paradigm are suggested to use as a logical and cognitive instrument in the study of phenomenology and mechanisms of addiction formation. The necessity to reconstruct the out−look positions of the general practitioners and researches in the field of interdisciplinary science, addiction study, for their constructive interaction on the way to prevention of chemical and non−chemical types of addiction as well as their severe medico−social consequences are emphasized.
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Disorders of sex−role behavior and their association with the revealed character accentuation were established in teen−agers.
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Premorbid character features as well as conditions promoting early addiction to the drug and formation of hashish addiction were revealed.
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Sex−dependent peculiarities of psychopathological manifestations of somatoform vegetative dysfunction were revealed. The obtained findings can be used in diagnosis and treatment of this disease.
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36 - 38
The findings of psychopathological investigation of patients with common and paranoid schizophrenia with the use of pictogram technique are reported. The peculiarities of changes in the mental state in various forms of psychosis are shown. The obtained data can be used to differentiate schizophrenia with other forms of mental pathology.
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Neurotic affective and personality disorders in arterial hypertension patients are shown to develop when character accentuation is present, clinical form of mental pathology depending on the type of the accentuation.
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Mental and sexual problems in divorced men without a partner are discussed. The recommended correction methods aimed at creation of a new family are described.
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47 - 51
The causes and regularities of two variants (primary and secondary) of sexual deadaptation development in the married couple with wives suffering from a somatized disorder were revealed. Clinical forms of these deadaptation variants manifestation, knowledge of which is necessary for effective psychotherapy of sexual health disorders, are shown.
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The causes, development mechanisms and clinical manifestations of various forms of social−psychological and sexual deadaptation of the spouses in case of uterine myoma in the wife were studied. The author concludes that the obtained findings open up the possibilities of development of pathogenetically directed system for the deadaptation psychocorrection.
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The findings of comparative investigation of ACE inhibitor Renipril (enalapril) and amlodipine influence on the vegetative state, AD variability, endothelium function, QT interval parameters in patients with arterial hypertension against a background of diabetic autonomic neuropathy are presented. In the majority of the investigated parameters Renipril was shown to excel amlodipine.
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The up−to−date, mainly international, sources devoted to the study of bioelectrical brain activity in conditions of emotional stress are analyzed in detail.
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It is shown that influence of occupational noise in agricultural workers activates sympatho−adrenal system and produces the changes in the functional state of central and cerebral hemodynamics. This is regarded an adaptation disorder decompensating the influence of this factor on the cardiovascular system and allows to consider it pathogenetically significant in forming dyscirculatory encephalopathy.
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73 - 76
Modern approaches to diagnosis of endometriosis with the use of magnetic resonance imaging with contrast enhancement are discussed.
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Based on somatogenic study and syndrome analysis of the patients with excessive body mass and polycystic ovary, five variants of endocrinopathy were distinguished as well as characteristic anthropometric indices were determined. A positive correlation of abdominal obesity and increased testosterone blood content as well as hypercortisolemia was revealed.
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A comparative analysis of clinical data and findings of biochemical research of the blood from patients with abdominal abscesses was performed. The changes in the amount of proteins of C−reactive protein acute phase, i.e. orosomucoid and haptoglobin, were revealed. The authors conclude that evaluation of acute−phase protein changes signals the development or presence of acute inflammation with possible prognosis of the outcome.
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The efficacy of staged surgical procedures "damage control" aimed at prevention of coagulopathy, polyorgan insufficiency as well as the changes in the number of post−operative purulent septic complications and death is shown.
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Patients with malignant skin melanoma are shown to have changes of chaotic events at the tissue, cellular, macromolecular, and quantum levels. The main characteristic feature of non−linear processes in malignant skin melanoma is weakening of determined chaos and increase of stochastic (incidental) behavior at some hierarchic levels.
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The factors determining the possibility of rectal cancer relapses after radical treatment were studied. The revealed regularities may be used in a new therapeutic tactics, aimed at elimination of risk factors of the tumor relapses.
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New capabilities of x−ray diagnosis and radiosurgery with contrast enhancement in pediatric practice
97 - 105
Modern methods of endovascular surgery in pediatric practice with the use of non−ionic x−ray contrast medium Ultravist 370 are discussed.
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Diagnostic capabilities of radiography, computed tomography, magnetic resonance imaging, and ultrasound study in lumbar spine pathology are discussed. Based on a comparative analysis of the obtained findings, the most characteristic structural functional disorders, peculiarities and degree of degenerative changes in the spine segments in patients with stenosis of the spinal canal and intervertebral hernia were determined.
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Ultrasound and Doppler characteristics of metastases to the lymph nodes in soft tissue sarcoma are described. The author concludes about a high efficacy of a complex ultrasound study in diagnosis of metastases to the regional lymph nodes in soft tissue sarcoma.
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The problem of interaction of electromagnetic fields with the human organism with the account of their influence on the homeostasis as well as mechanisms of bioeffective electromagnetic influence are discussed from the perspective of its use in medicine.
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Critical analysis of the literature with the purpose to analyze and determine the degree of evidence of the studies, which allow to conclude about patients' adherence to treatment, was done. Low representativeness of the data in the discussed publications, absence of strict requirements, lack of randomized studies of interventions, increasing patient compliance was noted.
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