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Kuban Scientific Medical Bulletin

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No 7 (2014)
View or download the full issue PDF (Russian)
https://doi.org/10.25207/1608-6228-2014-7

7-11 301
Abstract

This article is dedicated to the 45th pediatric department's anniversary of the Kuban state medical university. It reflects the history and prospects for further development of the faculty. Each department of pediatric faculty cherishes its traditions and history.

11-20 224
Abstract

The article tells about the old legendary tutors of pediatric department of the Kuban state medical university. It covers the history of the development departments, which worked as a teacher, showed a huge contribution to the development of domestic and foreign medical science.

22-24 278
Abstract

Summary: suppurative lung and pleura are one of the urgent problems of pediatric surgery. Implementation in practice of VATS treatment proved an advantage of this method over traditional. However, issues of local influence on inflammatory processes in all these methods of surgical treatment to date remain unsolved.

24-28 244
Abstract

The high efficiency of the combined drug and psychological treatment of obesity in children compared with standard medical and diet therapy. Study of psychosomatic relations and personality characteristics to the relationship with the disease and quality of life of obese children. Knowing the type of response of the patient helps to choose an appropriate strategy of interaction with him and his family, use appropriate modes of communication, motivation for treatment.

28-32 261
Abstract

The authors have analyzed the structure of digestive apparatus sickness rate of children from Krasnodarskiy kray and its dynamics within 4 years. The place of digestive apparatus sickness rate of children in the whole structure of medical aid appealability has been identified. The segment of functional illness and chronic digestive apparatus illness in the structure of the illness class regarding children of different ages has been defined.

32-35 384
Abstract
In 2013 in territory Regional clinical hospital № 1 by him. prof. S. V. Ochapovskiy, Kuban interregional medico-genetic advice on program was examined 68 501 newborns. The method of research is to define 17aoksigidroprogesteron levei by immunofiuorescent analyses and CYP-21. The frequency of disease is 1:8069 of newborns. The eariy diagnoses of disease prevent the childrens death from solwasting crisis and encourage the correct choice of sexual characteristics in verilization of girls external genitalis.
35-38 304
Abstract

The aim of this scientific work is detecting of neurological pathology among first grade students. We examined 2507 students (1414 male and 1093 female) in the age from 16 to 18 in the process of deep medical examination. We collected neurological complains, neurostatus, analyses of medical documentation. This data was statistically handled. Therefore 80% of students had neurological pathology. The most frequent cases were vegetative-vascular dystonia, vertebrogenic pathology and essential headache. The gained data means the very high level of neurological disease among students, which shows not only importance of rehabilitation activities, but modernization of preventive activities among adolescences.

38-46 220
Abstract

Students surveyed in 1927 Krasnodar territory aged 7–17 years. It is shown that a body mass index of the Krasnodar territory students mostly average – 43,6%. Percentile ranks are designed to assess the physical development of children 7–17 years for growth, weight and BMI adjusted for age and sex. A comparison of the studied parameters with physical development, WHO 2007. In general, children with high rates prevail over children with low height and weight. Body weight above 95 centile was noted in 11,2%, less than 5 centile – 2,8% of the school, which is 4 times less. Tall (over 95 centile) – 7,1% versus 2,7% growth – less than 5 centile.

46-50 218
Abstract

The retrospective analysis of effectiveness of surgical tech medical aid (HTMC) for rehabilitation of children with congenital cataracts (CC). HTMC was carried out in the complex of conservative treatment of deprivation of amblyopia. HTMC was a regional division of the Federal specialized ophthalmologic institutions – «The academician S. N. Fyodorov IRTC «Eye microsurgery» Krasnodar branch.

Conclusions: мinimally invasive removal CC with IOL implantation in the capsular bag, flexible IOL makes it possible to remove CC with six months, improves the conditions of treatment of amblyopia and increases the percentage of getting a good view, post-operative response is minimal. The frequency of occurrence of fibrosis back capsules allows to consider capsulectomy as the second stage of surgical treatment of CC.

51-54 284
Abstract

Gastroenterological pathology is currently characterized by the steady growth of the majority of diseases of the digestive system, including diseases of the pancreas. We examined 89 children and adolescents aged 10 to 17 years with pancreatic diseases. In 48% of those diagnosed periodontitis, 52% – caries, 71% – stomatitis. Designed rehabilitation center in sanatorium conditions Anapa, comprising diet therapy, mineral water drinking inside, fermentoterapii, oral hygiene, gum hydro iodine-bromine water, mud applique.

54-57 428
Abstract

The paper presents the analysis of treatment of 147 children with different degrees of chemical burn of the esophagus. It is based on a complex scheme of treatment depending on the nature and original extent of manifestations of chemical injury of the esophagus, the clinical features of its course in the dynamics and effectiveness of remedial measures. A comprehensive approach to treatment with observance of principles of waste treatment policy has allowed to considerably reduce the number of early and delayed complications of chemical burns of the esophagus in children, to prevent mortality, effective prevention and treatment of post-burn cicatricial stenosis of the esophagus.

57-60 274
Abstract

This research looks into influence of dysfunction of biliarny expenditure on formation of neonatal jaundices. Close connection between course of the perinatal period, its features and the subsequent progression of neonatal jaundice in this patients’ population is shown. Due to the usage of modern methods of laboratory and instrumental diagnostics, the etiologic dependence of long neonatal jaundices from anatomo-physiological features of a gall bladder is established.

61-64 235
Abstract

Studied materials of non-fatal road traffic injuries in children by the nature of damage, time, location and circumstances of their occurrence; analyzed forensic evaluation caused by gravity harm to health.

64-70 268
Abstract

Article examines the prevalence of smoking among medical students through a questionnaire. Anonymous survey was conducted with 976 students in the first and fifth years. The university has developed a relatively unfavorable situation with the spread of smoking: smoking in the first year 15,5% of students in the fifth – one-third (27,2%). The number of smoking students by the end of training in medical school compared to the beginning of study increased by 1,5-2 times. Students are not convincing enough information about the dangers of smoking and they are not convinced of the necessity of quitting. Monitoring results require strengthening universal measures of prevention and early diagnosis in educational institutions in order to avoid involvement in smoking in the initial training courses.

71-73 329
Abstract

The paper presents the experience in the treatment of 128 children with the syndrome of portal hypertension (SPH) from 1997 to 2013. Hypersplenism (HS) was diagnosed in 48 children (37,5%). Applied methods of medical and surgical treatment of HS. The authors of the HS divides into three forms clinical course: 1) compensated, 2) subcompensated and 3) decompensated. Compensated form of HS diagnosed in 19-and children (14,8%) and given medical treatment. Subcompensated form detected in 19 patients (14,8%) and requires both medical and surgical treatment. Decompensated form HS exhibited 10 patients (7,8%) was cured surgical method.

73-77 278
Abstract

Rehabilitation of children undergoing surgery for colon and rectum is an important issue of pediatric surgery. Its relevance is due to the widespread development of these anomalies requiring surgical correction –  1:4000–5000 newborns. In all patients with this disease is marked by inflammatory changes in the intestinal mucosa. Use of      73  antibacterial drugs in the pre-and postoperative periods in 100% of cases, causes the development of  intestinal dysbiosis.

Dysbiosis uniqueness is manifested in the fact that this disease is in the interests of doctors of different specialties. Traditional methods for correcting violations mikrobiotsinoz gut is not always sufficiently effective in surgical patients. The purpose of this study to optimize the treatment and prevention circuit dysbacteriosis in surgical patients.

77-83 323
Abstract
Creation of the Russian register of patients with cystic fibrosis and participation in the program European register is essential for patients in the region and in the country. Result of creating and analyzing annual data register should be the understanding of the following fundamental epidemiological indicators: number of patients, including deaths, number, patient age, their sex distribution. Analysis of the register of patients showed that the proportion of children and adolescents dominates adults (58 children and 14 adults), the average age of the patients below the other regions of the country and the world. Clinical-laboratory features of cystic fibrosis in the Krasnodar region showed an increase in complications of the disease and Pseudomonas aeruginosa infection with age. Total number of mutations have been identified 7, which was 75%. Results register landmark adoption of adequate institutional, medical and social measures when working with patients suffering from cystic fibrosis.
84-88 328
Abstract

The article presents the frequency of endocrine sistems in view of the results of the preventive medical check-up of 14-year-old teenagers of Krasnodar (according to the findings of physical examination, ultrasound investigation of thyroid gland and research on thyroid and sexual hormones). Obesity is the most popular pathology. In actual fact the palpable thyroid gland is registered in one in ten cases and the above mentioned pathology is revealed among girls on a more frequent basis. According to ultrasonic thyroid gland research structural infringements are registered in one in four.

88-91 293
Abstract
The comparative analysis of clinical and paraclinical features of mucoviscidosis flow in children of an early age in the Krasnodar region is presented in the article. The most frequent mutations found in mucoviscidosis’ patients are enumerated. The analysis of clinical forms, the severity of the disease flow and the state of physical development of children under review are compared. The data of research of gastrointestinal tract’s lesions and microbiocenosis of bronchi and large intestine are cited.
91-95 252
Abstract
In this paper we studied the prevalence of chronic diseases among adolescent children for the period 2006–2012 yy in the Krasnodar region. Discussion of trends in growth or reduce the prevalence of different nosology allows conclusions about the possible causes of these phenomena, to assess the relevance and timeliness of preventive measures.
95-100 397
Abstract

The article presents advantages of usе the diffusion-weighted magnetic resonance imaging (DW MRI) for revealing of hypoxic-ischemic brain lesions in neonates. The trial included 105 neonates with perinatal brain lesions who had been undergoing treatment at a resuscitation department or neonatel pathology department in the first month of life. The article shows high information value of diffusion-weighted imagings (DWI) for diagnostics of hypoxic-ischemic lesions. In the event of no structural brain lesions of neonates, pronounced increase in signal characteristics revealed by DWI indicated considerable pathophysiological alterations. Subsequently, children developed structural alterations in the form of cystic encephalomalacia with the expansion of cerebrospinal fluid spaces manifested with pronounced neurological deficit.

101-106 249
Abstract
The study included 30 patients with glaucomatous optic neuropathy (GON) with intraocular pressure stabilized by the instillation of b-blockers with a preservative and complaints of discomfort in the eye (1 group), 20 patients with newly diagnosed GON (2-group). Performed: a standard research; a modified morphological examination with the calculation of the mucin production factors (MPF) and tissue entropy (CHP), a multi-cytokin study of the tear liquid. 1st group patients showed signs of the syndrome of «dry eye» (SDE), including a combined lipid-, water-, mucin-deficit; epitheliopathy of conjunctiva (76,7%), conjunctiva and cornea(23,3%), marked reduction of the MPF at a moderate decrease in the number of goblet cells, and the CHP increase,  a higher level of pro-inflammatory  Th1 as well as of Th2 cytokins. The obtained data is necessary for the development of sound therapy options of the SDE of this type.
107-109 331
Abstract

The study included 132 patients with cholelithiasis (108 women and 24 men) aged 29 to 77 years. Mean age of patients 53,9 ± 12,8 years. In 63 (47,7%) patients with cholelithiasis clinical signs undifferentiated connective tissue dysplasia of varying severity. Of these, 34% of patients detected abnormality of the gastrointestinal tract. In 26,9% of patients with cholelithiasis diagnosed NDCTD anomalies identified various shapes and positions of the gallbladder.

109-112 212
Abstract

Introduced in the article the way of correction of metabolic distresses can be utilised in an intensive care surgical ill with a syndrome of diabetic foot. Nature of a way is the recovery normal of frame of serum of a blood for ill with diabetic foot, improvement of processes of microcirculation in tissues and normalization of parameters of exchange processes in an organism during indirect electrochemical oxidation of a blood.

112-116 365
Abstract

Hormone-dependent diseases of the female reproductive system is often accompanied by the clinical course of chronic inflammatory diseases of female pelvic organs that are often difficult to use natural and preformed physical therapeutic factors during the period of this group of patients with gynecological spa treatment . Rehabilitation technologies and  treatment of this group of gynecological patients at a sanatorium stage may include methods such as iodine and bromine and radon balneotherapy, ozone therapy, EHF-therapy and transcranial electrical stimulation, therapeutic and prophylactic efficacy and safety results of which are demonstrated in this study.

117-122 237
Abstract

Spended radiographic analysis vertebral, posterior inferior cerebellar, occipital arteries and evaluate the use of reconstructive techniques for complex vascular pathology. The study performed at the department of neurosurgery № 2 and endovascular diagnosis and treatment № 1, Regional clinical hospital № 1. Analyzed the results of the angiographic study of 150 patients. According radiographic results conducted over perhaps right PICA – OA anastomosis in 55 (37%) patients, left 45 (30%) patients. Knowledge of radiographic anatomy allows preoperative planning of reconstructive surgery for the treatment of complex vascular lesions and scull base tumors.

122-124 287
Abstract

The results of self-study of 52 patients with borderline forms of mental disorders before and after psychotherapeutic influence. Revealed Specific of variability of self-esteem, patterns of its interaction with the personal characteristics of persons with depressive and anxiety disorders. The level of self-esteem in individuals with anxiety and depressive disorders depends not only on the functional state (self-evaluation of the mechanisms of protection and a certain level of self-esteem) but also on the specific pathological manifestations and stages of the disease process.

125-128 366
Abstract

Mortality from alcoholic cirrhosis in cases of transplantation in patients with cirrhotic cardiomyopathy (CCM) is high enough. However, the prevalence of the MSC in individuals with alcoholic liver cirrhosis, as well as alcoholic сardiomyopathy (AKMP) for various forms of alcoholic liver disease (ALD) is not fully understood. The paper presents data on changes in the heart muscle in patients with ALD.

129-132 401
Abstract
Polymorphism studies major histocompatibility complex human (HLA-system) in the world, held from mid-60s, when serotyping methods revealed that in different populations are determined by different sets of options HLA-antigens. Genes of class II HLA-system determines a significant portion of the genetic predisposition to the development of the majority of diseases associated with the immune system. In the analysis of allelic polymorphism of the genes HLA-DQA1, HLA-DRB1, HLA-DRB1 found that among healthy donors Krasnodar in absolute terms more common alleles DQA1*0501, DQA1* 0201, DQB1* 0301, DQB1* 0601/8, DRB1 *01 DRB1* 15. Compare the population do not have significant differences and can be used as control groups in studies aimed at understanding the contribution of genes HLA II class for the development of diseases in the russian group. The results indicate the presence in the population of the Krasnodar territory is not only the «classical» alleles, but found only in Russia and in the region.
132-137 277
Abstract
Morphological pattern of alcohol poisoning and its evaluation remains controversial issue to date. In this paper we analyzed and evaluated pathologic features ethanol intoxication in patients with various forms of alcoholic liver disease (ALD).


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ISSN 1608-6228 (Print)
ISSN 2541-9544 (Online)