Byulleten Sibirskoy Meditsiny最新文献

{"title":"Семиотика, диагностика и тактика ведения терапии депрессивного расстройства в клинической медицине","authors":"Н. А. Корнетов","doi":"10.20538/1682-0363-2014-3-5-24","DOIUrl":"https://doi.org/10.20538/1682-0363-2014-3-5-24","url":null,"abstract":"Study objectives are dedicated to brief synthesized establishment of diagnostics general standard, management and therapy of major depressive disorders (MDD) in clinical medicine to provide education in medical practice. Study methods are based on short-term, medium-term and long-term educational programs in 24 Russian and Ukraine cities, which were based on original educational programs under the direction of World Psychiatric Association (WPA) and International Committee For Prevention and Treatment of Depression (PTD). There, about 1450 doctors of different occupations were acquainted with the detection, management and treatment of MDD. The Russian version of WPA/PTD programs was created. The program of education included 4 modules. The Core module included an overview of the epidemiology, impact, concepts and classification, and etiology of depressive disorders as well as their recognition, diagnosis, and management in the primary care setting. The second module focused on depressive disorders in physical illness and covered those major illnesses for which is reasonable evidence for an association with depressive disorders. The third module included the development of the depressive disorders in older persons. The forth module included training physicians in mental health skills. 39 theme improvements for 858 primary care setting physicians within the framework of faculty training program of physicians’ development were the part of other programs of physicians’ occupations. Results. A number of highlights were included in the general algorithm of the educational programs. The creation of optimum «physician-depressive patient» contact demands a number of new skills to establish effective communication. These skills involve training of meeting of depressive patient and physician, the ability to follow a certain communication style; identify emotional, cognitive, psychomotor and nonverbal patterns of behavior. Besides that, the education included adherence to therapy and therapeutic alliance during the period of informed agreement. There was an education of fluent grasp of medicaments, which are the first choice in therapy. Integration of this knowledge is done during the periods of repeated interactive discussions of antidepressants’ effectiveness in depression therapy which is based on three-phased MDD therapy model. The process of working out the depressive patients’ management was based on systematization and diagnostic of depression disorders (Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, or International Classification of Diseases, Revision 10); detailed discussions of manifestation and thorough depression symptomatology; management approaches in depression disorders, different in manifestation. Conclusion. The basis of physicians' education was the idea that depressive disorder in holistic approach can't be considered as an independent psychiatric disease in its mild and moderate forms of manifestation. Depression","PeriodicalId":43691,"journal":{"name":"Byulleten Sibirskoy Meditsiny","volume":"13 1","pages":"5-24"},"PeriodicalIF":0.2,"publicationDate":"2015-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67685251","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":"Неинвазивная оценка жесткости сосудистой стенки у здоровых подростков, имеющих факторы риска развития артериальной гипертензии","authors":"G. P. Filippov, K. V. Boronenko, I. V. Plotnikova, Ye. S. Sitkova","doi":"10.20538/1682-0363-2015-4-82-86","DOIUrl":"https://doi.org/10.20538/1682-0363-2015-4-82-86","url":null,"abstract":"Objective. To evaluate the main indicators characterizing the rigidity of the vascular wall in healthy ado-lescents with such risk factors (RF) for arterial hypertension (AH) as a family history on hypertension and smoking. Identify changes in the initial elastic-elastic properties of the arteries at the preclinical stage of development of hypertension. Material and methods. It was formed two groups of comparison. Age studied from 13 to 17 years (mean age (15.00 ± 0.31) years). The first group consisted of 30 healthy adolescents whose parents suffer from hypertension from a young age. The second group consisted of 30 healthy smokers teenager from healthy parents. The control group consisted of 30 healthy adolescents from healthy parents. Determines the basic stiffness of the vascular wall: PWV, CAVI, SAI. Results. A significant in crease in the indicators characterizing the rigidity of the vascular wall in the two comparison groups relative to the control. PWV: 6,89 ± 0,56 (first group), 7.13 ± 0.55 (second group) and 5.5 ± 0.41 (control), p < 0.05.L-CAVI: 5,46 ± 0,39 (first group), 5.84 ± 0.61 (second group) and 4.32 ± 0.41 (control), p < 0.05.R-CAVI: 5,63 ± 0,39 (first group), 5.89 ± 0.56 (second group) and 4.49 ± 0.41(control), p < 0.05. R-AI: 0,89 ± 0,09 (first group), 0.95 ± 0.12 (second group) and 0.62 ± 0.1 (control), p < 0.05. Smoking teenagers and adolescents with family history of hypertension, there are changes in the initial stiffness of the vessel wall, which requires the allocation of at-riskfor the development of hypertension and prevention activities at the preclinical stage of development ofthe disease.","PeriodicalId":43691,"journal":{"name":"Byulleten Sibirskoy Meditsiny","volume":"14 1","pages":"82-86"},"PeriodicalIF":0.2,"publicationDate":"2015-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67685729","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":"Электрокинетические свойства, растворение in vitro, потенциальная биосовместимость оксидных и оксинитридных пленок титана для сердечно-сосудистых стентов","authors":"I. A. Khlusov, V. Pichugin, A. A. Pustovalova, M. E. Konischev, A. N. Dzyuman, Matthias Epple, Mathias Ulbricht, E. Cicinskas, V. S. Gulaya, V. V. Vikhareva","doi":"10.20538/1682-0363-2015-2-55-66","DOIUrl":"https://doi.org/10.20538/1682-0363-2015-2-55-66","url":null,"abstract":"A state of titanium oxide and oxynitride coatings on L316 steel has been studied before and after their contact with model biological fluids. Electrokinetic investigation in 1 mmol potassium chloride showed significant (more than 10 times) fall of magnitude of electrostatic potential of thin (200–300 nm) titanium films at pH changing in the range of 5–9 units during 2 h. Nevertheless, zeta-potential of all samples had negative charge under pH > 6.5. Long-term (5 weeks) contact of samples with simulated body fluid (SBF) promoted steel corrosion and titanium oxide and oxynitride films dissolution. On the other hand, sodium and chloride ions precipitation and sodium chloride crystals formation occurred on the samples. Of positive fact is an absence of calcification of tested artificial surfaces in conditions of long-term being in SBF solution. It is supposed decreasing hazard of fast thrombosis and loss of materials functional properties. According to in vitro experiment conducted, prospective biocompatibility of materials tested before and after their contact with SBF lines up following manner: Ti–O–N (1/3) > Ti–O–N (1/1), TiO2 > Steel. It may be explained by: 1) the corrosion-preventive properties of thin titanium oxide and oxynitride films; 2) a store of surface negative charge for Ti–O–N (1/3) film; 3) minor augmentation of mass and thickness of titanium films connected with speed of mineralization processes on the interface of solution/solid body. At the same time, initial (before SBF contact) differences of samples wettability became equal. Modifying effect of model biological fluids on physicochemical characteristics of materials tested (roughness enhancement, a reduction or reversion of surface negative potential, sharp augmentation of surface hydrofilicity) should took into account under titanium oxide and oxynitride films formation and a forecast of their optimal biological properties as the materials for cardiovascular stents.","PeriodicalId":43691,"journal":{"name":"Byulleten Sibirskoy Meditsiny","volume":"44 1","pages":"55-66"},"PeriodicalIF":0.2,"publicationDate":"2015-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67685539","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":"CLINICAL AND SOCIAL RISK FACTORS OF TARDIVE DYSKINESIA IN PATIENTS WITH SCHIZOPHRENIA DURING ANTIPSYCHOTIC TREATMENT","authors":"Ye. G. Kornetova, A. Semke, Ye. G. Dmitrieva, Y. Borodyuk, A. Boyko","doi":"10.20538/1682-0363-2015-1-32-39","DOIUrl":"https://doi.org/10.20538/1682-0363-2015-1-32-39","url":null,"abstract":"","PeriodicalId":43691,"journal":{"name":"Byulleten Sibirskoy Meditsiny","volume":"14 1","pages":"32-39"},"PeriodicalIF":0.2,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67685832","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":"THE ROLE OF PROTEIN OXIDATIVE MODIFICATION IN REDOX-REGULATION OF CASPASE-3 ACTIVITY IN BLOOD LYMPHOCYTES DURING OXIDATIVE STRESS IN VITRO","authors":"O. L. Nosareva, Y. A. Stepovaya, N. Ryazantseva, Ye. V. Shakhristova, O. Vesnina, V. V. Novitsky","doi":"10.20538/1682-0363-2015-14-6-61-67","DOIUrl":"https://doi.org/10.20538/1682-0363-2015-14-6-61-67","url":null,"abstract":"","PeriodicalId":43691,"journal":{"name":"Byulleten Sibirskoy Meditsiny","volume":"14 1","pages":"61-67"},"PeriodicalIF":0.2,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67685952","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":"INTERNATIONAL ASPECTS OF EDUCATION AND TRAINING IN TELEMEDICINE","authors":"R. Engelbrecht, A. Hasman, J. Mantas, L. Nicholson","doi":"10.20538/1682-0363-2015-3-63-67","DOIUrl":"https://doi.org/10.20538/1682-0363-2015-3-63-67","url":null,"abstract":"","PeriodicalId":43691,"journal":{"name":"Byulleten Sibirskoy Meditsiny","volume":"14 1","pages":"63-67"},"PeriodicalIF":0.2,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67685595","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":"THE METHODS OF CHOLEDOCHOLITHIASIS TREATMENT","authors":"N. V. Merzlikin, V. F. Podgornov, Ye. V. Semichev, P. Bushlanov, V. D. Talacheva","doi":"10.20538/1682-0363-2015-4-99-109","DOIUrl":"https://doi.org/10.20538/1682-0363-2015-4-99-109","url":null,"abstract":"The methods of choledocholithiasis treatment, which are currently used in clinics of the Russian Federation, has been presented. The problems of diagnosis and treatment of gallstones (GSD) in individuals of different age groups are spotlighted. In the study of treatment of cholelithiasis and choledocholithiasis, including arising complications, it can be concluded that so far the ideal method of treatment of this pa-thology has not been found. Up to now, the majority of doctor’s main treatment is surgical removal of gall stones by some method or other. This article also considers a conservative approach (drug: antispasmodics (selective and nonselective), and non-pharmacological: treatment, diet), describes the criteria and assessment of the effectiveness of therapeutic interventions that help in the question of further treatment: the continuation of drug therapy or assignment of surgical treatment. Invasive techniques that are covered in the article, namely, a tech-nique of remote and endoscopic lithotripsy, are high-tech and in demand at the moment, which, along with high efficiency removal of a stone, reduced the number and severity of postoperative complications. Additionally, in the analysis of the features of a particular method of treatment, advantages and disadvantages of different treatment methods are described, indications and contraindications (absolute and relative) together with complications, possible outcomes, and further prognosis are high-lighted .","PeriodicalId":43691,"journal":{"name":"Byulleten Sibirskoy Meditsiny","volume":"14 1","pages":"99-109"},"PeriodicalIF":0.2,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67685742","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":"THE IMPACT OF A SINGLE AND CONTINUOUS AUDIOVISUAL STIMULATION ON HEART RATE VARIABILITY AND MECHANISMS OF AUTONOMIC REGULATION IN ATHLETES-CYCLICS","authors":"R. Aizman, M. Golovin","doi":"10.20538/1682-0363-2014-6-113-120","DOIUrl":"https://doi.org/10.20538/1682-0363-2014-6-113-120","url":null,"abstract":"","PeriodicalId":43691,"journal":{"name":"Byulleten Sibirskoy Meditsiny","volume":"15 1","pages":"113-120"},"PeriodicalIF":0.2,"publicationDate":"2014-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67685168","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":"БИОМЕХАНИКА ФАЗЫ ПОЛЕТА ПРИ ВЫПОЛНЕНИИ ПРЫЖКА В ДЛИНУ С МЕСТА У СПОРТСМЕНОВ РАЗЛИЧНОЙ КВАЛИФИКАЦИИ","authors":"A. V. Razuvanova, Ye. V. Koshelskaya, V. I. Andreyev, I. V. Kapilevich","doi":"10.20538/1682-0363-2014-6-174-179","DOIUrl":"https://doi.org/10.20538/1682-0363-2014-6-174-179","url":null,"abstract":"Biomechanical features of flight phase when running long jump from place of different qualification sportsmen were investigated by method of Motion Tracking. The obtained results showed that the effective control of body position during the phase of flight can improve the effectiveness of jump actions.. This control is performed by moving parts of the body – bending legs at the knee, extension in the hip joints, the joints of the spine, shoulder joints and, as a consequence, any additional torque, contributing to increase the range of the jumping. In untrained persons the effectiveness of the management body in flight is reduced due to weak coordination and a predominance of actions aimed at safe. All the patterns can be viewed as the result of formation of a particular movement pattern, based on the interaction of vestibular and statokinetic reflexes.","PeriodicalId":43691,"journal":{"name":"Byulleten Sibirskoy Meditsiny","volume":"13 1","pages":"174-179"},"PeriodicalIF":0.2,"publicationDate":"2014-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67685220","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":"МЕДИЦИНСКАЯ КИБЕРНЕТИКА И МЕЖДИСЦИПЛИНАРНАЯ ПОДГОТОВКА СПЕЦИАЛИСТОВ ДЛЯ МЕДИЦИНЫ","authors":"Яков Семенович Пеккер, Тамара Владимировна Новикова","doi":"10.20538/1682-0363-2014-4-5-8","DOIUrl":"https://doi.org/10.20538/1682-0363-2014-4-5-8","url":null,"abstract":"","PeriodicalId":43691,"journal":{"name":"Byulleten Sibirskoy Meditsiny","volume":"8 1","pages":"5-8"},"PeriodicalIF":0.2,"publicationDate":"2014-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67685380","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}