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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Potapov AI, Rakitskiy VN, Tulakin AV, Lutsenko LA, Ilnitskaya AV, Egorova AM, Gvozdeva LL

The article analyzes the Russian and foreign experience, international standards, reports and recommendations, concerning the assessment of superfine aerosols and aerosol nanoparticles in the working area.

Received: 2013-11-11

Published online: 2017-01-05

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VIEWS 3932

Valeeva ET, Bakirov AB, Karimova LK

The present paper summarizes long term studies on the assessment of working conditions and chemical workers' health. The enormous factual material allowed to estimate occupational risks for workers' health and to rank hazardous chemical manufactures by their degree of risk, to develop preventive measures.

Received: 2013-11-11

Published online: 2017-01-05

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Comments 0

VIEWS 3772

Roslaya NA, Plotko EG, Lebedeva AV

The aim of the study was to evaluate the influence of occupational risk factors on the health status of healthcare workers in the Sverdlovsk region. Complex hygienic assessment of the working conditions of healthcare personnel revealed a number of professional risk factors: physical, chemical, biological, as well as hardness and intensity of the work, which may have an unfavorable effect on the health. To the high risk group of occupational diseases relate surgeons as well as the nursing staff of surgical and therapeutic profile.

Received: 2013-11-11

Published online: 2017-01-05

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VIEWS 3768

Karamova LM, Nafikov RG

There were evaluated the features of occupational burnout syndrome formation in healthcare workers. Questionnaire materials according to V. V. Boyko method of emergency healthcare workers were used in the research. It was shown that the occupational burnout syndrome in physicians was predominantly determined by emotional-moral disorientation, while the symptoms characterizing reduction of emotional interpersonal relationships prevailed among doctor's assistants.

Received: 2013-11-11

Published online: 2017-01-05

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VIEWS 3754

Miroshnichenko IV, Levashova TV, Stolpnikova VN, Sorokina EA

The purpose of the study is to determine the markers of immunosenescence in the diabetes 2 type. It was investigated the blood of 184 patients (age 50–90 years) by the method of polychrome flowing cytometry and enzyme immunoassay. By the method of cluster analysis the subpopulation of CD4+, CD8+ and the activated CD CD3+HLA–DR+ T-cells (Tact) as the most informative indicators were selected. The groups of patients with uniform changes of this complex were formed. The groups included patients with the different stages of activation or deficit of CD4+ and/or CD8+. Tact values, which exceeded the norm, were identified with varying frequency in all age groups, including those with normal absolute number of CD4+ and CD8+. In this case detection rate was 100% (activation) and decreased to 33 % in immunodeficiency of CD4+ and CD8+. The proportion of individuals with activated immunity decreased with aging from 41 % (50–59 years) to 22% (80–90 years) and with immunodeficiency — increased from 43 to 75%, respectively. The chosen complex of indicators reflected the age-associated reaction of the T-cells in individuals to the chronic inflammation in diabetes type 2 and can be used as a diagnostic marker of the immunosenescence stage.

Received: 2014-01-27

Published online: 2017-01-05

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Comments 0

VIEWS 4194

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 4163

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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Comments 0

VIEWS 4221

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

DOI:

Comments 0

VIEWS 4275