14.00.00 Medical sciences
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MEDICAL ASPECTS OF TOXICAL DANGERS IN COMMERCIAL SHIPS (REVIEW)
DescriptionThe article presents an analysis of features of the organization of special medical and prophylactic support on commercial ships. First-aid treatment at poisoning of crews of the most widespread toxic matter (poisonous gases, oil products, methane, coolants, and fumigants) has been considered. It is noted that medical aspects of toxic dangers on the water transport have to include prevention of the pathological states of health of seamen, timely medical support of the ship, early diagnostics of pathological states, sorting of injured persons and the organization of first emergency medical aid
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VAGINAL MICROECOLOGY IN WOMEN WITH METABOLIC SYNDROME IN CLIMACTERIC PERIOD
DescriptionThe aim of the research is to study the peculiarities of vaginal microbiocenosis in female patients with metabolic syndrome during peri- and postmenopause. 320 women in the climacteric period aged of 45-70 were examined. Two groups were formed: the main group (160 female patients with metabolic syndrome), the control group (160 women without metabolic syndrome). The average age of women 54.5 ± 7.2 years. Depending on the length of menopause each of the two groups was divided into three subgroups.Microscopy of vaginal smears, the colpocytological analysis, the culture test of vaginal discharge were conducted. The statistical processing of the results was carried out with the help of programme sets Microsoft Office 2010 (MicrosoftExcel) and «STATISTICA® for Windows 6.0». A tendency of decreasing frequency of non-specific vaginitis with aging and of increasing frequency of vaginal atrophy, disorders of vaginal biocenosis (lactobacillus deficiency and the domination of conditionally pathogenic microorganisms) was discovered. The frequency of vaginal atrophy in women with a length of postmenopause of 10 years and older was 65.9% in the subgroup of in female patients with metabolic syndrome and 63.6% in the subgroup of female patients patients without it. The more observable changes in vaginal biotope were found in women with metabolic syndrome
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Description
Isolation of fetal cells from the blood of a pregnant woman is more relevant for receiving the information of the genome of a fetus and implementation in clinical practice, non-invasive screening methods for prenatal diagnosis. The work proposes efficient ways of sorting trophoblasts circulating in maternal blood for the diagnosis of fetal aneuploidy in early gestation by analyzing microsatellite marker of the chromosomes that most prone to numerical aberrations (13, 18, 21, X and Y). A set of microsatellite markers allowed to reveal aneuploidy in three pregnant women, and also to exclude mosaicism and contamination of samples with maternal cells. A retrospective analysis of data on invasive cytogenetic studies (chorionic villus sampling) confirmed the results of the study
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NEW APPROACHES TO REHABILITATION AFTER ECTOPIC PREGNANCY
DescriptionThe work includes the clinical comparative analysis of ectopic pregnancy’s mortality cases caused by he-morrhagic shock and near miss. Current results contain morphological changes in the adenohypophysis which depend on the amount of hemorrhage and determine the direction of rehabilitation measures in a group of patients who experienced hemorrhage shock
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EVALUATION LABILITY OF THE VISUAL ANALYZER IN THE TEST OF CARDIORESPIRATORY SYNCHRONISM
DescriptionThe article presents the evaluation of the lability of the visual analyzer among healthy individuals and patients with lesion after a stroke in the occipital cortex, temporal and parietal lobes
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Description
The article presents the results of the evaluation stress resistance among servicemen in the area of special risk on heart rhythm variability parameters
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THE ASSESSMENT OF THREATENED MISCARRIAGE USING REGULATIONADAPTIVE STATUS
DescriptionThe index definition of regulatory-adaptive status in women with the threat of termination of pregnancy in the first trimester is a highly predictor of pregnancy outcome and should be used in obstetric hospitals and antenatal clinics
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PATHOLOGY OF CARDIOVASCULAR SYSTEM AT PERSONNEL OF COMMERCIAL FLEET
DescriptionIt is known that there are most widespread the diseases of cardiovascular system among the examined seamen. We have carried out the analysis of distribution of concrete nosological forms of pathology of cardiovascular system and concomitant diseases (gastrointestinal tract, nervous system, ENT organs, the musculoskeletal apparatus and others). Results of preventive screening of the crew personnel performed in 2007–2010 by medical commission of Novorossiysk clinical center of Russia’s Federal Medico-Biological Agency were subject to scientific research. 3352 seamen aged from 18 to 60 years (middle age 27,2+1,3 years), among which 2627 surveyed – personnel of bluewater shipping, 725 surveyed – personnel of domestic shipping have been subjected to studying. The examined contingent is ranged taking into account professional groups. It is revealed that cardiovascular pathology is almost equally widespread in all professional groups of personnel of ships of domestic and blue-water shipping. This pathology occurs at 13,5–21% of the seamen corresponding who had medical examination. The main group of the examined seamen (79–96,7%) belongs to the category «almost healthy» and suitable for work in the sea. Among revealed pathology at seamen, the high specific weight (63– 70%) belongs to diseases of cardiovascular system. Probable intensive work and harmful factors of the ship environment in each of professional groups exert significant negative impact on psychic and somatic health of seamen. Neurocirculator dystonia (hypertensive and cardio types) dominates in structure of cardiovascular pathology registered at seamen of both professional groups. The associated diseases (71–82%) meet more often at persons with hypertension, manifesting forms of atherosclerosis and ischemic disease. In both groups, we have noted the high percent of violations of digestive tract, musculoskeletal apparatus, alimentary and constitutional obesity and eyesight. However, alimentary and constitutional obesity and diseases of musculoskeletal apparatus are most characteristic of the personnel of ships performing long maritime traffic. Obviously, this phenomenon is connected with hypodynamia
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Description
In the article we have presented the evaluation of the cardiopulmonary synchronism test possible use for the differential diagnosis of the sick sinus syndrome of functional and organic origin in children
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PROBLEM OF RENDERING OF FIRST MEDICAL AID ON COMMERCIAL SHIPS UNDER RUSSIAN FLAG
DescriptionThe problem of rendering of first medical aid to personnel of commercial ships under the Russian flag is considered. It is shown that the decision of this problem in our country is impossible without juridical aspects of activity of sailors-paramedics, questions of their training in bases of rendering an emergency aid and due medical support of the Russian ships. The emergency elementary aid has to be an integral part of activity of personnel of ships. Some directions of the decision of a problem of efficiency of providing such help to personnel of ships are proposed. Development of the bill directed to introduction in Russia of requirements for assistance by paramedics on commercial ships is necessary