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No 4 (2005)
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CLINICAL MEDICINE

7-10 275
Abstract
Great advances recently achieved in field of therapeutic angiogenesis attract attention of researchers. Basic phenotypical characteristics and angiogenic effects of endothelial precursors are described in the article.
10-17 315
Abstract
The article reviews the recent concepts about endocrine changes occuring in the women’s body during the premature birth. There are illustrated the role of cortifan, reproductive hormones, oxytocine, prostaglandines and different uterus’ receptions in defelopement of birth activity.
17-25 550
Abstract
The majority of modern preparations of calcium antagonists (CA) concern to derivatives dihydropiridine which prototype is nifedipine. For today CA is more than ten preparations with various clinical application, mainly in cardiology. The purpose of the given work the review pharmacokinetics and pharmacodynamics properties of III generation of dihydropiridines, used for treatment of an arterial hypertension. The most known representative of III generation is amlodipine. Last years in the world popularity lacidipine and lercanidipine grows as well.
25-29 276
Abstract
Stating results of treatment of mediastinin dyslipidemia in patients of arterial hypertension with accompanying diabetes mellitus 2 type. Efficiansy and safety of medostatin in case of prolonged use are hoted.
29-33 275
Abstract
Breast cancer is the most often malignant tumour at women in Byelorussia (18,3%). The analysis of the medical documentation of the women died of the breast cancer in the Gomel regional oncological dispensary is carried out. It is established, that the most often reasons of death is pulmonary thromboembolism and its progressing. The combination of breast cancer to an endocrine system pathology is revealed at 72% of patients and the combination of breast cancer to other malignant tumours is revealed in 9,3%.
33-36 249
Abstract
The result of 34 video assisted operated patients within two last years was assessed. Video assisted thoracic bullectomy and pleurodesis is associated with better outcomes and short the hospital stay of patients with chest trauma. Video assisted minor resections is the operation of choice to radical treatment of benign subpleural neoplasms. The operation is also useful as first stage in surgical treatment of malignant tumors those localizations.
36-43 292
Abstract
In the present time the stable tendency to the increasing number of patients with primary multiple malignant has been noted. Based on the investigations of the long-term results of surgical treatment of patients with gastric carcinoma the authors tried to detect the peculiarities of combined lesion of stomach with involved organs and to reveal the predominant tumor localization of some separate organs. This article lets physicians diagnose the secondary malignant tumors in the early stage of disease.
44-49 344
Abstract
The article dwells indetails about mechanogenesis, morphogenesis of the affection of all great nerves of the pelvis and their larger branches whose injury results in unexplicable or inknown violation of the motor and sensitive function of the extremities, and also to dysfunction of genitals and internal organs in pelvis region. Iatrogenic affections of nerves during operations are shown, devices how to avoid this are given. Detailed recommendations on diagnosis and medical manipulations at pelvic nerves injuries are given.
49-54 419
Abstract
This article reviews the current literature in order to evaluate clinical and experimental data on the portal hypertensive gastropathy. In the last two decades, portal hypertensive gastropathy (PHG) has emerged as a new nosological entity that can be included among the complications of liver cirrhosis. Pathogenesis of PHG is not clearly defined, but there is very close relationship between portal hypertension and development of PHG. PHG is a potential source of gastrointestinal bleeding in patients with cirrhosis and portal hypertension. In this reason PHG attract attention of investigators.
54-60 291
Abstract

Results of the detection of autoantibodies in patients with chronic HCV-infection are presented. The comparison of importance of autoantibodies both organ specific (to liver specific protein) and organ non-specific (antinuclear and antimitochondrial) is done. The clinical significance of organ specific autoantibodies (to liver specific protein) is high.

60-63 271
Abstract

The results of intestinal enzymes activity research among 75 complicated duodenal ulcer patients and (perforation, bleeding) and among 75 noncomplicated duodenal ulcer patients are presented. It is marked that complications and operations damage the intestinal digestion. Negative changes resulting to the intestinal dyspepsia correlate with length of the disease and development of complications.

63-65 335
Abstract

The effectiveness of ozonotherapy in 96 patients with coronary heart disease has been studied both as the monotherapy and within the traditional. It was revealed that ozonotherapy is a highly effective economically beneficial and perspective means of treatment of the patients with the coronary heart disease.

65-70 310
Abstract

The main goal of this research is evaluation of the influence of hyperbaric oxygenation therapy on the blood cholesterol at the patients with the acute miocardial infarction. In case of inclusion of hyperbaric oxygenation into the standart treatment plan of acute miocardial infarction more rapid normalization of clinical parameters blood cholesterol during 12 month research.

70-75 320
Abstract

The main goal of this research is evaluation of the influence of hyperbaric oxygenation therapy on the rate of recurrent miocardial infarction and death-rate. In case of inclusion of hyperbaric oxygenation into the standart treatment plan of acute miocardial infarction more rapid normalization of clinical parameters as well as reliable decrease the rate of recurrent miocardial infarction and mortality level has been revealed.

75-82 284
Abstract

The analysis of quantitative and qualitative structure of microflora of a abdominal cavity of patients with a acute and chronic cholecystitis (n = 40) is executed. It is revealed, that the following macroscopical attributes, revealed at the beginning of the operation, statistically significantly (р < 0,001) testify about plenty of pathogenic microorganisms in a abdominal cavity: the expressed destructive changes of a gall-bladder; presence of fibrin in any departments of a abdominal cavity; hyperemia of parietal peritoneum, extending on some anatomic areas or area simultaneous interventions; a plenty of transparent effusion or its muddy character.

82-85 339
Abstract

There was studied the function of adrenal glands cortex at 89 patients with pancreas head cancer complicated by obstructive jaundice through cortisol level definition in blood before and after operation. There was performed cholecystojejunoanastomosis with interintestinal fistula from standard laparotomy approaches for control group patients (46 persons). In basic group (43 persons) there was provided choledochoduodenal anastomosis from minilaparotomy approach. It was marked the significant decrease of glucocorticoids level in blood in pre-surgical period. It was revealed that the operations from the minilaparotomy approach performed at such patients provide less negative impact on adrenal glands activity than operations provided from traditional approaches. It decreases the risk of heavy post operative complications.

86-89 284
Abstract

The article analyses the dependence of serum lipoproteins spectrum on age and sex of residents of the Vitebsk region. The examined serum values are similar on the whole to average European values in corresponding age and sex groups. In older age groups of the both sexes the concentration of lipoproteins atherogenic fractions in blood serum increases but their dynamics possesses sexual features.

89-94 288
Abstract

The data about quality of the life of the alcohol depended patients in remission time (F10.202) are presented in this articles. The correlation analysis of different parameters of quality of life of the depended persons carried out. It is revealed, that arising on a background of long abstention from the use of alcohol clinical situations (depressions and others) worsen quality of life of the patients with alcoholic dependence: the parameters of subjective satisfaction by life are authentically reduced (p < 0,05), there is not a harmonious structure of a parameter of quality of life. Recommendation directed on improvement of quality of the life of alcohol depended persons during treatment and rehabilitation are formulated on the basis of received data.

94-99 424
Abstract

The conditions of development of impetuous oxidative stress in red blood cells (oxidative outburst) caused by red blood cell interaction with reagents of system «NaNO2+H2O2» with hemoglobin participation were studied. The avalanche accumulation of reactive species such as ferryhemoglobin, nitrogen dioxide, and peroxynitrite in the reaction of hemoglobin with reagent of the system «NaNO2+H2O2» was revealed at reagent concentration higher than 500 mМ. The intracellular acidosis down to pH 6,5 which accompanies the cellular oxidation stress activates the reactive species production in the hemoglobin reactions. Hypothesis of positive feedback presence in the mechanism of oxidative stress development with hemeprotein participation in cells was advanced.

99-101 285
Abstract

Problems of higher medical education in modern condition are discussed in our article. We give thoughts about its improvement.

МЕДИЦИНСКИЕ АСПЕКТЫ ЧЕРНОБЫЛЬСКОЙ КАТАСТРОФЫ

101-107 398
Abstract

The changes of the sizes and absorb activity of mice alveolar macrophages at 1, 7, 15 and 30 days after separate and combined effects of gamma-irradiation and sulphure oxide were investigated by computer morphometric and immunologic methodes. Irradiation was shown to change the response of alveolar macrophages to the sulphure oxide action.

107-110 273
Abstract
Mechanisms of formation of the hypotensive reaction that was caused by carbacholinum, after acute (1 and 6 Gy at power 0,064 Gy/minute) and chronic (1 Gy at power 0,011 mGy/ minute) irradiating was observed. The two-centric model of reaction is revealed. The total level of hypotensive reaction at control and experienced animals did not differ. After irradiating authentic sensitivity enhancement of muscarinic cholinoreceptors of heart to carbacholine was observed, is especial at absorbed dose 6 Gy.

ПРОБЛЕМЫ ОБЩЕСТВЕННОГО ЗДОРОВЬЯ И ЗДРАВООХРАНЕНИЯ

111-117 312
Abstract

The paper presents the results of the hygienic assessment of actual nutrition of students of the Belarusian State Medical University. It is determined that the energy value of daily dietary intake is below the physiological line. 24 hours' ration is characterized by low content of proteins, carbohydrates, vitamins and mineral substances. The dietetic anamneses data evidence the disturbance in nutrition regime.

NEW TECHNOLOGIES

118-123 297
Abstract

В статье представлены основные медико-технические характеристики медицинского ортопедического тренажера. 

123-131 388
Abstract

The article reviews material used for production of movable joints endoprostheses. Statistical data on deterioration of endoprosthetic materials in vivo are presented. The paper emphasizes on the deterioration of superhigh-polymeric polyethylene as of the basic polymer friction material in joints endoprostheses. It has been concluded that mechanisms of implants deterioration greatly differ from the mechanisms of functioning of natural joints. Endoprostheses deterioration in vivo happens in more severe conditions than those at stand tests.

131-136 300
Abstract

Biotechnology methods allow getting homogenous biologically active preparations in virtually unlimited quantities. Recombinant protein purification technology is being constantly improved to increase expression level and minimization of number of protein purification stages. This paper introduces the new method of one-stage recombinant His-Tag fusion adrenodoxin cloning. It keeps all vector advantages for its periplasmatic expression. In this issue, optimized detergents system for effective lysis of bacteria cells has been described.



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ISSN 2220-0967 (Print)
ISSN 2708-6011 (Online)