Bulletin of RSMU

ISSN Print 2500–1094 ISSN Online 2542–1204

Bulletin of RSMU

BIOMEDICAL JOURNAL OF PIROGOV UNIVERSITY (MOSCOW, RUSSIA)

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Timerbaev VKh, Afonasyev MG, Kislukhina EV, Makarevich AV, Bondarenko AN, Mikhaylov IP

The aim of the research was to examine the influence of isoflurane inhalation on the circulatory dynamics, encephalic bloodstream and oxygen balance of the patients' brain during the carotid endarterectomy. 26 patients were examined. There were detected the parameters of central and systemic circulatory dynamics, the speed of the bloodstream in the middle encephalic artery in M1, sector, the results of transcranial cerebral oxymetry. The first stages of the operation, the stage of temporary breakoff of the blood circulation in damaged artery territory were accompanied with moderate lowering of indicators of circulatory dynamics. In the process of reinitiation of the bloodstream the reperfusion of brain declared itself moderately. Isoflurane anesthesia to 1 MAK (minimum alveolar concentration) in combination with phentanyl allows to maintain appropriate pain management, stable circulatory dynamics and well-timed awakening of patients during carotid endarterectomy.

Received: 2014-02-04

Published online: 2017-01-05

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VIEWS 4031

Izmalkov SN, Semenkin OM, Nefedov SA

he purpose of the research is to create the effective system of diagnosis and treatment of patients with distal radius metaepiphysis fractures to achieve as quick and complete recovery of functions of a damaged upper limb as possible. The research is of clinical and radiological character and is based on the study of the influence of 7 known and 2 newly suggested instability criteria of the fracture on clinical and X-ray parameters of the wrist with improperly fused distal radius meta-epiphysis fractures of 129 patients. There has been developed a diagnostic algorithm that takes into account the instability criteria (with varying degrees of influence on clinical and X-ray parameters of the wrist joint) and allows to determine the optimal treatment of patients of this profile.

Received: 2013-11-20

Published online: 2017-01-05

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VIEWS 4095

Khoninov BV, Sergunin ON, Skoroglyadov PA

It was performed the analysis of published data on the use of products made of biodegradable materials in traumatology and orthopedics. Currently more and more implants made from polylactic and polyglycolic acids are widely used, in particular, in trauma — pins and screws. Low frequency of the osteolysis and foreign body reactions to the use of these devices was demonstrated, the duration of the controlled period of their decay was up to 18 months. The advantage of these implants is the ability to complete resorption, which eliminates the need for surgery to remove the device and tissue damage accordingly. There were presented the data of clinical studies which contributed to the implementation in practice of biodegradable orthopedic products. It was concluded that further research on the use of products made of biodegradable materials in traumatology and orthopedics is needed.

Received: 2013-09-05

Published online: 2017-01-05

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VIEWS 4131

Storozhenko AE, Erofeev YuV, Migunova OV

Reproductive losses in the Omsk region were significantly higher than in the whole of Russia, and in 2010 amounted to 7.1 per 100 live births (in the Russian Federation — 5.0). In the sociological study conducted to examine the effectiveness of the provision of social support was attended by 640 women with children under three years of age. There were statistically significant differences in the physical development of the newborn (weight and body length), and the level of material well-being in the experimental and control groups. It was made a conclusion that not only medical but also social indications should be taken into account when providing targeted social assistance to pregnant women.

Received: 2013-11-11

Published online: 2017-01-05

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VIEWS 3906

Rakhmanov RS, Potekhina NN

In the report the authors present data provided evidence that a qualitative inadequacy of pregnant women nutrition contribute to the development of iron-deficiency anemia, pregnancy and delivery complications. Anemia leads to a fetoplacental failure, development of anemia in newborns, metabolic processes disturbances which result in various pathological conditions. Higher prevalence of anemia in rural pregnant women and platypodia in children living in families with a low level of living wage proves the role of social factors in ensuring a healthy generation. The authors demonstrate the need to examine protein-vitamin-mineral status of population in the Family Planning Center, health centers and antenatal clinics. It is proved the effectiveness of nutrient deficiency correction in pregnant women with the use of natural concentrated products made of vegetable and protein-vegetable raw materials.

Received: 2013-11-11

Published online: 2017-01-05

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VIEWS 4045

Civochalova OV, Fesenko MA, Golovaneva GV, Denisov EI

Protection and improvement of reproductive health of the population of Russia depends on the complex approach to these issues. An interdisciplinary approach to the problem of health care in reproductive health can improve diagnosis, the development of preventive and therapeutic measures, blurring the lines between basic and applied research. The problems of the scientific substantiation of a system of risk management of high risk professions workers' reproductive health as a basis for the health of the posterity and proposed preventive measures for the purpose of improving the demographic climate in the country are considered in the article.

Received: 2013-11-11

Published online: 2017-01-05

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VIEWS 3859

Shubochkina EI, Kuchma VR, Ibragimova EM

The formation of professional self-determination of Moscow college students (800 people) was studied. Reasons for choosing the profession, satisfaction with the organization of training, academic performance were estimated. The lifestyle and quality of life (MOS-SF-36), health, social adaptation were studied. It was shown that students with unshaped professional self-determination and random choice of profession had significantly more negative assessment of the learning process and training, had reduced learning motivation, lower performance in theoretical and industrial training. They had more frequent manifestations of stress: worsening of mood and well-being, the higher incidence of acute respiratory infections, the increased risk of casual narcotization, the reduced quality of life. The inadequate professional choice negatively affects confidence in employment. Conclusions about the need for optimization of existing system of vocational guidance at the stage of school training are drawn.

Received: 2013-11-11

Published online: 2017-01-05

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VIEWS 3818

The purpose of the research is to study the nature of employment, and its impact on the lives and health of adolescents, to develop preventive recommendations. Surveys were conducted with 817 senior pupils at the age from 14 to 18. The results showed that about 36 % of senior pupils earn additionally. In recent years the tendency to improve the conditions of employment of teenagers is observed. However, violations of the hygienic requirements to working conditions and the labor legislation still take place. There is a high prevalence of negative evaluation by teenagers of their first work experience. In the group of working adolescents the higher prevalence of the behavioral risk factors was observed. The teenagers with work experience did not differ in terms of health.

Received: 2013-11-11

Published online: 2017-01-05

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VIEWS 3808