Vol 21, No 3 (2014)
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REVIEWS AND LECTURES
8-12 857
Abstract
Colorectal cancer (CRC) is still one of the leading causes of cancer-related death all over the world. An early diagnosis is fundamental thing for reducing the CRC-related morbidity and mortality. Nowadays researchers are studying more reliable and effective non-invasive screening tests, using easily available biological samples, such as feces. Such methods have high potential to collect and deliver samples. The comparison of some new variants genomic fecal DNA analysis and traditional fecal occult blood tests are discussed in this review. Sensitivity, specificity of the methods, processability, efficacy and ability of early CRC screening are the criteria for the preference of the using of one of these methods. These factors give the opportunity to carry out the large-scale CRC screening. This technological advance promises to increase the efficiency of the fecal DNA analysis and put the using of new clinical applications.
13-17 905
Abstract
The article represents the in-depth review of Russian and foreign publications on the topical issue in perinatology, focusing on the modern technologies of small-for-date newborn nursing care and monitoring. The authors analyze the current situation in the Russian Federation and propose ways of solution of this problem with regard to up-to-date requirements.
18-20 1396
Abstract
Diffuse toxic goiter (DTG) is an autoimmune disease, which is based on a congenital defect in the immune system. As a result of stimulating the synthesis of antibodies directed to the TSH receptor. Goiter forms gradually and then hyperthyroidism develops. For the last decades it has been pointed out a steady increase in the number of new cases of diffuse toxic goiter and drastic reduction of likelihood of remission. To some extent the spectrum of thyroid disease and the nature of the disease depend on the level of iodine provision in the particular region. Active iodine preventive measures were implemented among the population in Saint-Petersburg for the last decades. So the median urinary iodine increased from 105 (1999) to 148 mg/l (2010). Probably the growth of the iodine intake in Saint- Petersburg reduces the incidence of DTG remission and thus optimization of the treatment in these patients seems to be relevant and requires further study.
ORIGINAL PAPERS
21-24 940
Abstract
The research objectives are lipid spectrum and endothelial function (EF) in women with metabolic syndrome (MS) associated with autoimmune thyroiditis (AIT) against the background of non-compensated with L-thyroxin subclinical hypothyroidism (SH). Groups of women with MS associated with AIT and euthyroidism, women with MS associated with SH and women with MS without any thyroid disorders were observed. Complex «intima media» and endothelial function of brachial artery were evaluated by ultrasound method. It was indicated that dyslipidemia was more significant in women with MS associated with AIT and SH. But there were no abnormalities in complex «intima media» and EF. The cause of it is that the diabetes mellitus occurred two times rarely in this group in comparison with the other groups as well as the high sensitivity to the L-thyroxin. The results of the study demonstrate the necessary prescription of adequate dose of L-thyroxin to compensate SH completely.
N. S. Shcherbak,
M. M. Galagoudza,
D. A. Ovchinnikov,
E. O. Shcherbakova,
G. U. Yukina,
E. R. Barantsevich,
V. V. Thomson,
E. V. Shlyakhto
25-28 1064
Abstract
The aim of the study was to investigate changes in activity of succinate dehydrogenase (SDH) in cytoplasm of neurons of different cortical layers in early and late reperfusion period after global cerebral ischemia in rats. Reversible global cerebral ischemia was modeled by occlusion of the brachiocephalic trunk, left subclavian artery and left common carotid artery for 10 minutes and following reperfusion during 2 or 7 days. The SDH activity in cytoplasm of neurons of II, III and V cortical layers was determined histoenzymatically. It is shown that the SDH activity in neurons of the studied cortical layers was characterized by the increased reperfusion period to the 2 days with a subsequent increased activity of the reperfusion period to the 7 days. The change in the SDH activity in cytoplasm of cortical neurons depends on the particular cerebral layer and duration of postischemic reperfusion.
O. A. Zhuk,
V. E. Perley,
A. Y. Gichkin,
A. L. Alexandrov,
O. N. Titova,
N. A. Kuzubova,
N. V. Egorova
29-34 870
Abstract
The article presents the study of early sings of dysfunction of right and left chambers of heart in patients with COPD 2 - 3 severity, correlation between structural and electrical remodeling of heart according to the stages of pulmonary hypertension. Standard tissue Doppler echocardiographic parameters and modes were used for the diagnosing. We examined 35 patients with COPD 2 - 3 severity; the control group consisted of 15 patients. The ECG Holter monitoring was made for all patients to identify cardiac rhythm disturbance and correlation with the COPD severity. Standard method of the ECG with modes of tissue Doppler (pulsed wave Tissue Doppler Imaging - PW TDI, color tissue Doppler imaging -TDI, tissue myocardial Doppler - TMD, tissue Tracking - TT, Doppler for evaluation of myocardial strain and myocardial strain rate) were made to identify the stage of dysfunction. The results of the study concluded that according to the TDI the dysfunction of right ventricle was more apparent in patients with COPD 3 severity. Pathological arrhythmias were significantly detected in group of patients with COPD 3 severity. In compliance with our observations, the reduce of rapid myocardial strain rates and its inverse proportion with the severity in accordance to the evaluation of longitudinal strain and rate of movement of fibrous ring in tricuspid valve were observed in patients with COPD. Thus the application of the TDI modes for evaluating of early signs of cardiac remodeling in patients with COPD and potential adequate jugulation for preventing chronic cor pulmonale is expedient.
34-40 1223
Abstract
Forty-four patients with allergic (ABA) and non-allergic (NABA) variants of bronchial asthma (BA) were examined to evaluate levels of key adipokines (leptin, resistin, adiponectin) in sputum in different variants of BA. Adipokines in sputum and blood plasma were measured by Enzyme-Linked Immunosorbent Assay (ELISA). The indices that reflect the percentage of adipokines in sputum regarding adipokines in plasma of the same patients were worked out to evaluate the ratio of levels of corresponding adipokines in plasma and sputum in patients with BA. Two regularities are clearly seen in the study: the first - levels of proinflammatory adipokines (leptin, resistin) in sputum in ABA correlate directly with indicators of respiratory function but levels of anti-inflammatory adipokines (adiponectin) in sputum correlate inversely with indicators of respiratory function; the second -correlation of levels of the studied adipokines with indicators of respiratory function are almost not revealed in NABA. The first regularity reflects the important fact that the content of adipokines in bronchial secretion is to a certain extent one of regulating local mechanisms in target organ controlled system levels of corresponding adipokines in exacerbation of BA.
40-43 1027
Abstract
Non-adaptive remodeling of cardiovascular system and progressive kidney damage at chronic kidney disease (CKD) is associated with the development of endothelial dysfunction (ED) and apoptosis. The aim of this research was to study the changes of indicators of apoptosis and ED in patients with CKD 1 stage throughout 12 months. Complex biochemical, immunoferment and tool methods were applied at patient examinations. Arterial pressure of all observed patients was resolved on target values in 12 months. However, the indicators of endothelium-dependent vasodilation (EDV) increased in 55 patients (1st group), and the peak of circulating blood volume in skin microvessels in 22 patients (2nd group) wasn't changed: 134±4 % и 136±4 %, p>0.1. The level of the annexin A5 reduced from 3.5±0.47 to 1.27±0.31 ng/ml (p<0.05) in 1st group, the level did not change from 3.11±0.29 to 2.87± ±0.31 ng/ml, p>0.1 in 2nd group. Diurnal excretion of sodium chloride decreased from 6.8±0.57 g/d to 2.8±0.39 g/d (p<0.05) in patients of 1st group. Dynamics of these indicators was not marked in patients of 2nd group: accordingly from 7.39±0.63 g/d to 7.01±0.65 g/d. Diurnal excretion of sodium chloride reflected the salt intake in patients with CKD 1 stage is associated with disturbance of endothelial-dependent vasodilation and apoptosis.
43-47 791
Abstract
Diurnal dynamics of necessity of socialized emotional experiences (SEE) was researched with the help of the B.I. Dodonov diagnostic checklist. The data for 514 women and 252 men were collecting from 1994 to 2013 years. The mean age of responders was 29,4 years. Significant and reliable changes in SEE markers were found in relation to diurnal variations and it was different for men and women. Analysis of findings for the periods of 1994-2006 and 2009-2013 confirmed the diurnal variations of SEE. Furthermore, SEE markers and their dynamics can undergo significant changes due to long-term variations. The adaptive function of motivation displays in it as a result of variability natural and social environment.
47-50 853
Abstract
The investigation was carried out on the white outbred female rats (n = 80) which were being under the influence of15 % solution of ethanol during pregnancy, from the first to the sixth months before its approach and on their viable posterity (n = 440). Anatomic, macro-microscopic and statistical methods of research were used. Two periods of increasing mortality in rats were revealed: the first fell on 1st month of the experiment (mortality reached 25 %) and the second - on 5th and 6th months of the experiment when this indicator rose up to 10 %. The rats' pregnancy duration was increased: the most considerable prolongation of pregnancy (for 5 days) was determined in the female rats which were under the ethanol influence within six months before its approach. The pre-implantation mortality was prevailed in structure of the general antenatal mortality. The highest rates of these indicators were noted in the rats under the ethanol only during pregnancy, and also within two and six months before its approach. The maximum post-implantation mortality was registered in the animals which were affected by alcohol throughout five months before pregnancy. The indicator of mortality of posterity in the early post-natal period reached 100 % in posterity of female rats under the ethanol within three months before pregnancy and for its duration.
51-52 776
Abstract
The paper contains the quantitative analysis of contextual lexical literacy of 9 magazines and 3 illustrated newspapers (218 articles) on stomatology, 9 textbooks, 28 manuals for higher education institutions, 148 theses from the collections of scientific works. Besides, 126 headings of articles and 57 reports, lectures, seminars are analyzed. Calculations of relative and absolute measures were carried out by the formulas offered by authors of the work. Thus the rather high percent of the errors in written and oral speech of dentists was revealed in all tested editions. On the basis of the received results the authors drew the conclusion of the necessary inclusion of lexical and terminological courses in educational process and creation of active forms of standard highly specialized dictionaries which need to be used as manuals in training process.
53-55 966
Abstract
The purpose of the study is the assessment of iodine status and effectiveness of iodine prophylaxis among the population of reproductive age. In this regard, we examined 200 individuals from 18 up to 44 years old living in Saint Petersburg for more than 3 years permanently. Most of the examined individuals had mild iodine deficiency, less than half of people of reproductive age (46 %) used iodized salt at home. Goiter was found by palpation in 8 % of participants. More than half of the surveyed individuals are women of reproductive age who are at risk for the development of iodine deficiency disorders. Our data reflect an unfavorable situation in fight against iodine deficiency disorders in Saint Petersburg. Probably, the voluntary model of using iodized salt as the prevention of iodine deficiency in the Russian Federation is not effective enough.
55-59 2741
Abstract
Abnormal changes were detected in EEG in patients with high risk of ischemic stroke (higher level than in the population). These changes show the disturbances in forming mechanisms of functional condition of cerebrum during the calm wakeful period. Changes were represented by: the registration of EEG IV- type (the E.A. Zhirmunsky type) which was characterized by disorganization of alpha activity and of slow waves; the instability of pattern during the record of background activity; the paroxysmal activity in form of flashes of the bilateral synchronized waves; the strengthening of low-frequency and high-amplitude β-activity. Revealed changes in EEG show the presence of initial disturbed cerebral circulation and can be recommended as predictors of these disturbances.
ИСТОРИЧЕСКИЙ МАТЕРИАЛ
5-7 819
Abstract
This article is devoted to the 110th anniversary of the honored scientist of the RSFSR, MD, professor Mikhail Grigorievich Prives. It represents the steps of his life and work, reflects his research areas: space anatomy, anatomy of people of different professions, x-Ray anatomy and experimental surgery.
ISSN 1607-4181 (Print)
ISSN 2541-8807 (Online)
ISSN 2541-8807 (Online)