ASTRAKHAN MEDICAL JOURNAL最新文献

{"title":"Effects of influenza vaccination on the morbidity and severity of COVID-19 in children","authors":"Yu. V. Ponomareva, I. N. Shisimorov, O. Magnitskaya, T. V. Plakhotnyuk, K. S. Krasnova","doi":"10.17021/1992-6499-2023-3-88-94","DOIUrl":"https://doi.org/10.17021/1992-6499-2023-3-88-94","url":null,"abstract":"The pandemic of a new coronavirus infection COVID-19 initiated research to find methods of non-specific influence on the immune system that can change the course of infectious diseases. Adult study results have been demonstrated the positive effect of seasonal influenza vaccination on morbidity, hospitalization rates, and reducing the severe forms of SARS-CoV-2 infection. That suggests a similar action in children.   The aim of the study: to establish the possible impact of influenza vaccination on the morbidity and severity of COVID-19 in children in Volgograd.   Materials and methods. The 303 children 3-17 years old without a history of chronic diseases were included in comparative prospective cohort study on the impact of influenza vaccination (235/303) on morbidity and severity of a new coronavirus infection COVID-19 vs non-vaccinated group (68/303).   Results. All children with new coronavirus infection COVID-19 (diagnosis confirmed by laboratory testing - U07.1) had mild symptoms of the disease. In all age groups, the morbidity and the severity of the new coronavirus infection COVID-19 among children vaccinated against influenza did not have significant differences with non-vaccinated group.   Conclusion. The results of our study did not support the hypothesis of a protective role of seasonal influenza vaccination on the morbidity and severity of COVID-19 in healthy children. Further research is needed to establish the effect of influenza vaccination on the severity of COVID-19 in children with chronic diseases.","PeriodicalId":269283,"journal":{"name":"ASTRAKHAN MEDICAL JOURNAL","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139314558","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pseudosarcoptic mange in a child. Case from practice","authors":"G. R. Sagitova, A. A. Antonova, E. V. Smirnova, V. M. Sereda","doi":"10.17021/1992-6499-2023-3-120-124","DOIUrl":"https://doi.org/10.17021/1992-6499-2023-3-120-124","url":null,"abstract":"The article describes a clinical case of pseudoscabies. The parents of the child G., 10 yearsт old, turned to the pediatrician at the place of residence with complaints about sluggish and long-lasting rashes in the neck area on the left. The boy has been ill for two months. He was observed by a dermatovenereologist with suspected allergic dermatitis, received treatment with desensitizing drugs and corticosteroids. It was noteworthy that on the skin of the neck on the left, multiple papules of a rounded shape, pink in color were visualized, some of them were covered with hemorrhagic crusts. Due to the lack of effect from therapy and due to the fact that pseudo-scabies was suspected, a 10 % sodium benzyl benzoate ointment was prescribed. On the 4th day from the start of therapy, there was a positive trend. Thus, this clinical case is of practical interest for attracting the attention of doctors to a thorough history taking, searching for the causes leading to a protracted course of the disease and timely change of treatment regimen.","PeriodicalId":269283,"journal":{"name":"ASTRAKHAN MEDICAL JOURNAL","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139314689","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Human diphyllobothriasis: clinical and epidemiological characteristics of morbidity in the population of the Astrakhan region","authors":"A. R. Kurbangalieva, R. S. Arakelyan, V. Vasil’kova, L. A. Sivtsova, K. Y. Zakaev, A. K. Akhmineeva","doi":"10.17021/1992-6499-2023-3-75-80","DOIUrl":"https://doi.org/10.17021/1992-6499-2023-3-75-80","url":null,"abstract":"The clinical and epidemiological characteristics of the incidence of the population of the Astrakhan region with broad lentets are described. The clinical picture of the disease, the epidemiological process of diphyllobothriosis, methods of diagnosis and treatment of helminthiasis, as well as the probable causes of infection of the population are described.","PeriodicalId":269283,"journal":{"name":"ASTRAKHAN MEDICAL JOURNAL","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139314447","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Modern principles of treatment of Peyronie's disease","authors":"V. A. Zurnadzh'yants, D. V. Kurashov, E. Kchibekov, A. A. Proskurin","doi":"10.17021/1992-6499-2023-3-43-49","DOIUrl":"https://doi.org/10.17021/1992-6499-2023-3-43-49","url":null,"abstract":"Fibroplastic induration of the penis, known as Peyronie's disease, remains one of the most difficult problems in medicine today. The prevalence of the disease among men ranges from 2.5 % to 9 % between the ages of 40 and 70 (statistics according to studies conducted by scientists in different countries). It is a benign, slowly progressive disease. It is characterized by the formation of idiopathic fibrous plaques in the albuginea of the penis. Peyronie's disease affects not only the organic part of a man's health, but also affects the psychological aspects of his activity, negatively affects the patient's professional activity and family life, which determines not only the medical, but also the social significance of the problem. The hypothesis of the occurrence of Peyronie's disease has received wide publicity as a result of a trauma to the penis, in which bleeding and delamination of the albuginea occur, and a neglected inflammatory process with disorganization of elastic fibers with collagen deposition heals with coarse scarring. Despite the fact that progress has been made in understanding the mechanisms of development of Peyronie's disease, the therapy of this disease remains one of the most complex and controversial. Analysis of literary sources shows that unsatisfactory results of surgical treatment are still at a high level. In modern medicine, there is practically no single focus that allows you to determine the tactics of treatment.","PeriodicalId":269283,"journal":{"name":"ASTRAKHAN MEDICAL JOURNAL","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139314482","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Intravital age-related anatomical dynamics of brain stem volume","authors":"A. A. Balandin, G. S. Yurushbaeva, I. A. Balandina","doi":"10.17021/1992-6499-2023-3-50-55","DOIUrl":"https://doi.org/10.17021/1992-6499-2023-3-50-55","url":null,"abstract":"The brain stem is phylogenetically the most ancient and multifunctional, anatomically complex brain structure. In spite of considerable attention to the study of age variability and sexual dimorphism of the brain stem, no works devoted to determining its volume using in vivo imaging techniques in individuals of both sexes within such a huge age range – from adolescence to old age - have been found.   The aim is to carry out a comparative analysis of brain stem volume in men and women in adolescence, first and second periods of adulthood, elderly age and old age according to magnetic resonance imaging data.   Materials and methods. The work is based on the analysis of the results of magnetic resonance imaging studies of 240 patients (124 men and 116 women) who were examined in the Department of Radiation Diagnostics in 2020-2022. The age of the subjects ranged from 16 to 88 years inclusive. The study sample consisted of persons without central/peripheral nervous system pathology, without alcohol/drug addiction, and mesocranes. All investigated material was divided into five groups according to age anatomical periodization.   Results. We revealed statistically significant decrease of the brain stem volume from the first period of mature age to senile age in both sexes (p < 0,01). In all age groups there was a tendency for predominance of brain stem volume parameters in men compared to women (p > 0,05). The results obtained in the course of the study can form the basis for the age-related anatomy of the human central nervous system in the future. It will help to provide more individualized approach to patients in medical practice, using  these results in the further clinical and basic researches for detailed understanding of age variability of the brain.","PeriodicalId":269283,"journal":{"name":"ASTRAKHAN MEDICAL JOURNAL","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139314692","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Аррlication of lаsеr dоррler flоwmetry in gynecological practice","authors":"L. Dikareva, P. K. Gadzhieva, A. A. Suverneva, Yu. Yu. Ukhanova, N. A. Vlasova","doi":"10.17021/1992-6499-2023-3-22-32","DOIUrl":"https://doi.org/10.17021/1992-6499-2023-3-22-32","url":null,"abstract":"The аrtiсlе summarizes the dаtа оf scientific litеrаturе on miсrocirculаtiоn disоrders in patients with variоus gynecоlogical disеаses. The technique оf lаser dоррler flowmetry fоr assеssing lосаl chаnges in the micrоcirculatiоn оf thе pelvic оrgans is presented, аs well аs the results of clinicаl use оf this method аre presented.","PeriodicalId":269283,"journal":{"name":"ASTRAKHAN MEDICAL JOURNAL","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139315259","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Modern methods of surgical treatment of pelvic organ prolapse","authors":"Y. A. Boldyreva, V. B. Tskhay, A. Polstyanoy, O. Polstyanaya, M. S. Tabakaeva","doi":"10.17021/1992-6499-2023-3-8-21","DOIUrl":"https://doi.org/10.17021/1992-6499-2023-3-8-21","url":null,"abstract":"Genital prolapse is a relevant healthcare issue due to the increase in life expectancy and the need to improve the quality of life for patients. This article provides a review of literature on surgical treatment of genital prolapse, including the history of the evolution of correction methods. The use of mesh implants for correcting genital prolapse is separately described, as well as the complications associated with these surgeries.","PeriodicalId":269283,"journal":{"name":"ASTRAKHAN MEDICAL JOURNAL","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139315095","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"ON THE ISSUE OF PREPARING STANDARDS OF OPERATING PROCEDURES IN THE ASPECTS OF ENSURING THE SAFETY OF MEDICAL CARE","authors":"A. Perminov, I. A. Kudryasheva, V. Kolomin, Natalya Fomenko","doi":"10.29039/1992-6499-2023-39-46","DOIUrl":"https://doi.org/10.29039/1992-6499-2023-39-46","url":null,"abstract":"Among the key performance indicators of the health care system, the priority is to ensure the \u0000quality and safety of medical care. State regulation of these aspects of medical activity is certainly necessary, \u0000however, the regulations adopted at this level define the principles and foundations, which, in order to ensure \u0000their rigorous implementation, in most cases are subject to substantive detailing and development in local acts. \u0000In practice, the creation of comprehensive standards for each specific treatment and diagnostic process \u0000and operation is the prerogative and duty of the management of medical institutions. With the adoption in 2021 \u0000of sanitary and epidemiological requirements for the prevention of infectious diseases, the obligation to stand ardize operational processes is enshrined in law. At the same time, due to the lack of an approved development \u0000procedure and the form of standard operating procedures, the search for an optimal approach to the implementation of this quality management tool continues. \u0000The authors believe that the implementation of the development of standards of operating procedures \u0000should be carried out on the basis of the regulations for interaction within the framework of diagnostic and \u0000treatment processes, in turn, formed in accordance with the current state regulations in the direction of medical \u0000care. According to the authors, the effectiveness of standards of operating procedures in terms of ensuring the \u0000quality and safety of medical care and the introduction of the principle of lean operation into the work of a \u0000medical organization, among other things, largely depends on the regulation of the training processes for performers, control and evaluation system for the performance of standards of operating procedures. \u0000The paper presents a possible approach to the process of developing a standard of operating procedures \u0000as the basis of a quality management system for medical care","PeriodicalId":269283,"journal":{"name":"ASTRAKHAN MEDICAL JOURNAL","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129405059","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"RESEARCH OF THE POSSIBILITY OF THE SYSTEM COBALT – PHTHALEXON SA APPLICATION AS REAGENT ON SODIUM CAFFEINE-BENZOAT","authors":"M. Mazhitova, Suzanna G Azatyan, YU.V. Ocheredko, Milita Karibyants","doi":"10.29039/1992-6499-2023-26-31","DOIUrl":"https://doi.org/10.29039/1992-6499-2023-26-31","url":null,"abstract":"The development of new and increasing the sensitivity of already known techniques of high quality and quantitative definition of medicinal substances is one of pharmaceutical chemistry problems. This \u0000paper presents the results of a study of the interaction of sodium caffeine benzoate with phthalexone SA in the \u0000presence of cobalt ions. It has been shown that the identification of this drug substance, as well as its quanti tative determination by reaction with the Co2 + \u0000- phthalexone SA system, is possible in highly acidic media. \u0000The use of the Co2 + \u0000- phthalexone SA complex was confirmed in an experiment using aqueous analytical \u0000systems.","PeriodicalId":269283,"journal":{"name":"ASTRAKHAN MEDICAL JOURNAL","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-07-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114224991","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"HYGIENIC EDUCATION OF SCHOOLCHILDREN AS A MEANS OF PREVENTING THE ADVERSE EFFECTS OF OUT-OF-SCHOOL FACTORS","authors":"R. Devrishov, N. Skoblina, I. Khorosheva, I. A. Kudryasheva, E. Selina, E.V. Metelkina, Victoria Kuzmina, Natalia Barskova","doi":"10.29039/2712-8164-2023-1-27-34","DOIUrl":"https://doi.org/10.29039/2712-8164-2023-1-27-34","url":null,"abstract":"Preservation and strengthening of children and adolescents' health is one of the most important direc-tions of the state policy of the Russian Federation. Purpose of the study: to assess the effectiveness of hygiene education techniques to prevent adverse effects of out-of-school factors on the health of schoolchildren. Materials and methods: In the dynamics from 2017 to 2019 in three educational or-ganizations of Astrakhan the hygienic education of schoolchildren and their parents was carried out. The influence of extracurricular factors on schoolchildren's health was assessed on the basis of a risk-based model. A total of 1940 Astrakhan schoolchildren aged 7–17 (878 boys and 1062 girls) partici-pated in the questionnaire-based survey. The data was statistically processed using Microsoft Office Excel 2007. Results: A cause-effect relationship was found to be 95,0 %, RR = 6,40, CI = 4,92–8.33, the etiological component was 67,5 %, sensitivity was 0,889, specificity was 0,778. There was a caus-al relationship between occurrence of myopia and failure to perform eye exercises by school children at home, 95,0 %, RR = 1,80, CI = 1,52–2,15, etiological component 26,7 %, sensitivity 0,750, speci-ficity 0,500. A causal relationship was found between the occurrence of musculoskeletal disorders and the use of shoes that did not meet hygienic recommendations, including those outside educational institutions – 95,0 %, RR = 1,75, CI = 1,50–2,00, etiological component 25,0 %, sensitivity – 0,700, specificity – 0,500. Within the framework of the conducted activities short recommendations – check-lists on the rational organization of the day and nutrition, motor activity, night sleep and leisure time organization were formulated. The information was also presented to the parents of the schoolchil-dren. Conclusion. Identification of intra-school and extra-school factors, establishment of cause-effect relationships and evaluation of possible adverse effects, will make it possible to develop relevant techniques of hygiene education, which will contribute to preservation","PeriodicalId":269283,"journal":{"name":"ASTRAKHAN MEDICAL JOURNAL","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134195725","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}