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Geschichten rund um das junge Ärzteteam im Johannes-Thal-Klinikum in Erfurt. Die Folgen und die neuesten Backstage-Videos finden Sie hier. Videos zu In aller Freundschaft - Die jungen Ärzte | Neue Geschichten aus dem Johannes-Thal-Krankenhaus in Erfurt. Die Serie "In aller Freundschaft- Die jungen Ärzte" dreht sich um das Johannas-Thal-Klinikum in Erfurt. Im Fokus steht der frischgebackene Oberarzt Dr. Niklas. (8 Gr.)' Der Zweck dieses Werkchens ist, dem jungen Arzt mit einern Blick übersehen zu lassen, was die .n ~ l» «г я 11,4) Bemerkungen-.über _das Nervenñeber, und 'seine faithindesign.co den`.Jahren Stuttgard; (.r.).
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Dorochov J. Cryotherapy can be classified on the basis of its clinical effect and as a function of the temperature parameters which affect the impact of the cold factor on tissue.
Cryotherapy: 1. Regenerative, 2. Destructive, 3. The aim of this type of cryotherapy is to bring about regeneration and functional reactivation at the treatment site.
Regenerative cryotherapy causes a reaction in the organism which is linked to local tissue irritation and manifests itself in an elimination of the pathogenic factors, regeneration of tissue, and restoration of functional competence.
Monitoring of the cooling parameters in the tissues is a very important point during regenerative cryotherapy since the therapeutic effect is directly linked to these parameters.
It can be employed to: 1. These include systemic and rheumatoid diseases of the heart i. If everyone but especially children would undergo prophylactic treatment of the lymphoid tissue of the tonsils, pharynx and nasal mucosa using the method of regenerative cryotherapy, we would observe the following positive effects especially in children : - improvement of the protective functions of the organism - stimulation of the immune system.
We can assume, moreover, that the general risk of contracting systemic, rheumatoid, infectious allergic and oncological diseases, immune deficiency states, snoring and sleep apnoea syndrome - would be distinctly reduced.
Monitoring of the cooling parameters is an important point to be observed during regenerative cryotherapy since achievement of the desired therapeutic effect depends directly on these parameters.
On the basis of my extensive experience with cryotherapy, I have designed and patented German Patent Office in Munich a mobile cryotherapy unit suitable for use in medical practices.
With the aid of this unit, it is possible to keep tissue cooling under control, especially in the ears, nose and throat regions. With its regenerative effects, cryotherapy opens up vistas for an alternative direction in medicine, namely regenerative medicine.
Asfendijarov, Almaty, Kazakhstan Objective of this research was studying the condition of lipid peroxygenation LP in animals exposed to various concentrations of uranium ore dust DUO.
The materials and research methods Experiments were conducted in nonlinear rats. Inhalational influence by uranium ore dust was carried out in vitro, in special exposure chambers UIZ Experimental animals were divided into two testing groups.
Controlling for each testing group were the animals which were kept in identical exposure chambers, but were not exposed to DUO.
DUO inhalation was carried out during 5 days a week, for 4 hours per day continuously throughout days. The condition of the LP was estimated according to concentration of malondialdehyde MDA and superoxide dismutase SOD in lungs after 1, 2, 3, and 4 months from the beginning of the research.
Research results Results of the conducted series of research showed that at DUO influence on animals in a dose of 5 MCL, the level of MDA formation after 1 month from the influence beginning increased in comparison with the control group by During the next 2 months signs of MDA accumulation in lungs remain, but its accumulation was lower than on the 30th day of the observation.
Similar to the previous series of the observation, the steady effect of increase in MDA formation occurs after 4 months from the beginning of influences and specifies that the time threshold of priming in 3 and 4 months of influences is critical.
The main mechanism of protection of an organism from free radicals is enzyme of SOD. At that the expressiveness of this indicator depended on duration of influence of DUO.
At the tested animals decrease in activity of enzyme in all terms of experiment was observed, but the most considerable it was by the end 4 months of observation on Thus, the conducted researches testify that influence by the dust of uranium ore leads to an exhaustion of antioxidant systems, especially aggravated upon duration of the exposure.
Filimonova N. The modern psychosomatic medicine developed dramatically in the latest fifty years is not conceivable without psychoanalysis.
It owes psychoanalysis the stimulus for systematical study of psychosomatic interrelations in the disease process, a number of fundamental conceptions for theory and practice, which still remain the postulate and the ground of psychosomatics.
The available literature on psychoanalytical psychosomatics does not provide summarized systematized investigations of theoretical conceptions of psychoanalytical psychosomatics.
Therefore, the absence of systematical investigations in this field and importance of the problem for psychoanalytical psychotherapy determined the theme of the present work.
Innovation of the research. The present work is a first attempt so far to summarize rather few publications of domestic and foreign authors on psychosomatics.
Object of the research is a complex of theoretical aspects of psychoanalytical psychosmatics. The aim of the research is assessment of different psychoanalytical conceptions of psychoanalytical psychosomatics.
The following tasks were put forward: - To trace down the main directions and approaches of domestic and foreign authors to the problem of psychosomatics and to compare them on the basis of historical consideration; - To revise psychoanalytic theories of psychosomatics by S.
Freud; - To revise psychosomatic theories and models of S. Metodological postulates of the work are theories and conceptions of leading psychoanalytics: S.
Freud, F. Alexander, G. Ammon, O. Kernberg, H. Freyberger and others; and also leading foreign and domestic psychiatrists: V. Broitigam, P.
Kristian, M. Rad, B. Luban-Plozza, V. Krieger, K. Pederak-Hoffman, V. Podkorytov, A. Smulevich, V.
Gindikin, Ya. Obuhov and others. Methods of the research are theoretical study, comparison, systematization of classical and modern psychoanalytical and medical literature.
Practical significance of the work. And today it has the right to become a fundamental science dealing complexly with etiopathic processes, which occur in the patient and hence the treatment should be multifaceted, with consideration of pathogenesis and aetiology of the disease and individual peculiarities of the patient.
This approach for assessment and analysis of analytic conceptions and modern theories enabled to come to an important statement that psychosomatic diseases are determined by a fixation in the preoedipal stage of development with predomination of borderline level of the development of the psyche.
Galimzyanov V. Vasilkova A. At present we observe the growth of morbidity and expansion of its territorial borders.
The treatment of such patients must be complex. The analysis of a complex therapy showed a higher effectiveness when the treatment was started at early stages.
The etiotropic therapy implies an intake of Tetracycline antibiotics in advisable doses within three days after the elevated temperature was lowered.
The pathogenetic therapy is aimed at reducing intoxication and its manifestations. In case of an expressed hemorrhagic syndrome and presence of thrombocytopenia the preparations, such as ascorutin, vicasol and ascorbic acid should be indicated.
A symptomatic therapy is indicated to all patients to relieve pain, improve sleep, correct hemodynamics.
Doxycycline is the most recommended medication for initial treatment of AFR in medium and severe cases. Clinical experimental data of AFR pathogenetic study show the T-lymphocyte deficit, immune status depression, interferron, in conditions of hyperthermia.
In this connection during the last years we observe constant optimization of standard doxicyclintherapy in patients with ARF.
In clinical practice of ARF treatment the effectiveness of interferon was demonstrated in combination with doxycycline and complexly with immunotropic preparations and combination of standard treatment 33 with inductors of interferon.
The combined action of doxycycline and interferon preparations resulted in restoration of normal homeostasis. Clinically, diminishing of prolonged ARF symptoms such as weakness, myalgia, arthralgia, tachycardia, eczantema was manifested, and consequently, reduction of disease duration and a shorter hospitalization of such patients was achieved.
Cycloferron was used by 0,3 g on 1,2,4,6,8 days once a day. In the result of indicated combined therapy there were discovered that the usage of complex therapy of ARF of interferron inductors with doxycycline may shorten the duration of clinical symptoms of this disease: fever, intoxication symptoms, may facilitate a sooner resolution of rash.
Such therapy leads to normalization of indicators of humoral-cellular immunity, phagocytosis, increases the concentration of immunoglobulins.
Investigation of immune status of patients with ARF revealed an immunodeficiency condition. In this connection we decided to use the preparation which had correcting action to the immune system of human being, that was imunofan, for complex treatment of ARF.
The treatment showed a positive effect of imunofan, enabling to reduce the duration of intoxication symptoms in AFR patients.
Imunofan possesses antiinflammatory, desintoxicational and immunomodulating effects. The usage of imunofan in clinic gave the possibility to prove its desintoxicational and hepatoprotective action.
In patients with severe AFR with prolong hyperthermia we observed expressed sympoms of intoxication. Such symptoms as pain in muscles and joints might persist even after temperature normalization.
In this connection during the convalescence, after normalization of temperature and rash regression the patients with AFR received the treatment of LILR.
The usage of lazertherapy accelerated diminishing of weakness, headache, and eczantema. Even more positive dynamics was registered in duration of myalgia and arthtralgia.
On the background of using LILR the duration of these symptoms was shortened twofold. The use of such therapy promotes an earlier recovery and shorter hospital stay.
The objective is to define the approach to the treatment of joint diseases from the point of view of Oriental medicine.
Methods: clinical observation of the patients, diagnostics using the methods of traditional Chinese medicine, Korean Sutczi-Chimsur therapy, methods of functional diagnostics and laboratory methods.
Results: A new approach to diagnostics, prophylaxis and treatment of articulation diseases from the point of view of Oriental medicine was created.
Articulation diseases are one of the most common human illnesses. The causes of most of them are still not found out. At present scientists associate the incidence of the disease with sex, age, environment, metabolism, immunity factor and the way of life of the patient.
Unfortunately the conventional treatment is followed by side effects and mostly causes only temporary improvement leaving the problem unsolved for many years.
In Chinese medicine arthritis and other joint diseases are defined as stagnation condition; the symptoms are: location and intensity of pain, extent of inflammation, size of the edema and extent of the organ dysfunction.
There are inner organism condition and outer environment factors which cause the joint diseases. This leads to a disorder of regeneration processes and metabolism in osseous tissue, tendon and cartilaginous tissues.
Our methods are based on studying the intensity of the pain syndrome by the duct of the channels around the joints.
Around each big joint from each side there are six channels. For example, around the hands joints there are lungs, colon, heart, small intestine, pericardium and three body parts 35 channels.
Around the feet articulations there are spleen, pancreas, stomach, kidneys, urinary bladder, liver and gall bladder channels.
All the channels surround the join and pain mostly begins in the location of the channel. Our treatment takes into consideration the cause and pathogenesis of the joints and channels duct, determines Ying or Yang type by the syndromes outer-inner, heat-cold, excess-shortage and the main organism syndromes.
The found pathology determines the treatment. It goes the same regarding other joints. It often happens that the patient does not feel pain in an organ or system and the pain in the legs joints can signify a disorder in the stomach channel system.
The important role in treatment of such syndromes play acupuncture, Korean SutcziChimsur therapy, homoeopathy, herbal medicine and Ayurvedic treatment.
In severe cases correction with conventional medications is recommended. Only combination of all treatment and prevention methods can lead to positive results.
Knowing only the location of pain and the channels duct we can detect the organ or system pathology and indicate the treatment.
Gordeeva G. Rutenburg V. Bezhenar T. The advantages of simultaneous operations such as reduction of traumatic intervention, intraoperative and postoperative complications, less hospital stay and temporary disability and postoperative lethality are continuously proved.
Nevertheless the number of simultaneous operations with laparoscope methods remains as insignificant as 36 Programm Abstracts before their introduction.
Objective: To assess the possibilities of laparoscope surgery in women with gynecological disorders and renal cyst, to optimize the approaches of planned simultaneous laparoscope operations in gynecology.
Materials and Methods. Cystodenomectomy was was performed in 3 cases in 4 patients with ovary cystodenomas.
Coagulation of endometriosis focus was accomplished to 8 patients with external genital endometriosis I-II stages, which was diagnosed in the course of diagnostic laparoscopy 7 patients with isolated form and 1 in TPS combination.
No display any significant distinctions in these indexes. There were not any complications in postoperative period, it was typical.
No lethal outcome. No difference between average period of hospital treatment malingering operations and hospital treatment cause of laparoscopic hysterectomy or adnexectomy.
Therefore, we can note that application case: renal cyst of auxiliary simultant stages of surgical treatment of gynecologic pathology does not increase complication frequencies.
Performance of andovideosurgical malingering treatment in cases of gynecologic pathology has a number of features, connected with the choice of access.
For cysts localization in back surfaces or in lower kidney pole it is preferably to use retroperitoneoscopic access, and for cysts which situated on front surfaces or in upper pole and also parapelvical cysts localization - transperitonealic.
Therefore, in patients with indication for malingering surgical treatments of with renal cysts in combination with gynecologic pathology we recommend to use transperitonealic access.
Retroperitoneoscopic access might be justified only in cases when malingering diagnostic laparoscopia is needed. Karabintseva L. Despite of great interest of scientists, the state and industry to the problems of prevention, treatment and rehabilitation in patients with occupational diseases, the use phytopreparations is still insignificant.
Therefore the aim of our work was to investigate a factual use of herbal medications in treatment and rehabilitation of vibration disease and chronic silicosis.
Content-analysis of medical and sanatorium records of the patients with vibration and chronic silicosis showed that phytopreparations are used on the stage of resort rehabilitation.
Most of the patients were treated with phytotherapy in herbal lounges at rehabilitation centers. All infusions were made by local manufacturers.
Thus, the investigation in factual application of phytopreparations confirmed its inadequate use especially at the stages of prevention and treatment of occupational diseases.
However the consumer preferences among the patients and doctors demonstrated interest to phytopreparations.
The results of the conducted investigation as well as advantages of herbal medicines a low toxicity, their mildness and multifaceted effect require further researches of rational application of phytopreparations for occupational diseases.
Kiryanov N. Ezhova N. Strelkov L. Saburova D. Leon M. McKee V. Shkolnikov E. This has led to a substantial reduction in the population of the country.
Compared to other industrialised countries, over the past 20 years, mortality has been particularly high among working-age men, resulting in a 39 low life expectancy at birth among men.
If mortality rates in the future among men remain the same as they are today, only half of young men aged 20 will survive until age 60 years.
Since we have carried out a series of investigations of the high mortality among working-age men in a typical Russian city to the West of the Ural mountains.
This included both analysis of official statistics as well as epidemiological and sociological interview studies of live men and those dying in the period The factors associated with problem drinking among men in our study were closely related to socioeconomic circumstances.
Low educational level, being divorced and lack of full-time paid employment were particularly strongly linked to heavy drinking.
If these data could be applied to Russian Federation, this amount suggests that up to excess deaths could be avoided if hazardous alcohol consumption was eliminated.
Based on data from forensic autopsies which were undertaken on almost all deaths in this age group , medical experts and pathologists established that the most common category of cause of death was injuries, poisoning and violence; cardiovascular diseases was the next most common.
Other death causes were rare in occurrence. Thus, our research shows that high mortality in working-age men is associated in many cases with heavy alcohol drinking, and suggests that the adverse effects of alcohol could be diminished with education, availability of permanent job and family.
Smoking is also an important contributor to the very high mortality seen among working age men. It is necessary to develop and implement coordinated policies to reduce risk factors for serious ill health and death seen in the working age population in Russia.
These would include steps to reduce alcohol consumption as a whole and to reduce smoking. Steps also need to be taken to improve treatments for those with alcohol problems.
Most importantly, steps need to be taken to minimise the transmission of these dangerous behaviours to the next generation of Russian citizens.
Klepikova E. Krasnov O. Kolesnikova A. Ditretiophenyl 3- 3, 5 di-tret-butylhydrophenyl propyltiosulphonat sodium is crystal powder of white colour, with a specific smell and a bitterish taste.
In the Ufspectrum there is one maximum of absorption at nm. Ditretiophenyl possesses hydro properties: it is easily dissolve in water, dissolve in spirits and very little in chloroform and benzene.
These immunodepression activities have been tested on experimental model immunocomplex gromerynephrit. Thus, ditrethiofenyl the water-soluble compounds, showing in experimental models in vitro and in vivo expressed antioxidant, anti-inflammatory and radioprotection activities, can find application as a nontoxic immunodepressant.
Kobets Yu. On the different amount of irritant an organism answers with different quality of adaptative reactions. In response to weak irritants general nonspecific reaction of training develops.
The irritants of moderate force cause development of reaction of activating. It is characterized by the raise of protective and regulatory systems of the organism.
The purpose of our research was to develop the expert medical system, intended for the control and differential diagnostics of common nonspecific adaptative reactions of the organism in children with recurrent bronchitis RB , with the purpose of optimization of treatment under conditions of health resort.
For decision of the set problem the analysis of adaptative reactions AR was carried out by the signal indexes of leucocytic formula with the estimation of common levels of reactivity LR according to L.
Garkavi with co-authors in children from 7 to 14 years old, patients with RB at health resort. All children got traditional sanatorium-and-resort treatment with the use of climatic therapy, thalassotherapy, mud therapy and complex of preformation physical factors.
For all children procedures of low intensity low frequency physiotherapy, aeronotherapy , moderate intensity laser irradiation and procedures with strong effect circular douche, sodium chloride baths 42 Programm Abstracts were included in the complex of rehabilitation measures taking into account rehabilitative reactions on admission.
Control of common nonspecific adaptative reactions of children with RB in dynamics and estimation of efficiency of therapy was carried out with the help of the developed by us system ADAPT Analyser 1.
In other words against a background of treatment in children with RB a quiet activation with tense began to occur 3 times as much more frequently, that was clinically manifested by the reduction of exacerbation of bronchitis 1,8 times less for subsequent 6 months.
Tishchenko und die Analyse des vegetativen Nervensystems nach Baevsky. Die Norm ist 1. Bei den Patientinnen wurden die Erkrankungen des Atmungssystems nicht diagnostiziert.
Die Patienten wurden ambulant behandelt. Die Verbesserung sowohl des subjektiven als auch objektiven Zustandes kam nach dem ersten Behandlungstag.
All dies wurde auch in den Forschungen widergespiegelt. Die Anwendung der tetrapolaren Impedanz-Rheoplethysmographie nach M. Beseitigung oder Linderung eines der Symptome sind einer der Wege der Krankheitsbehandlung.
Krasnova A. Asfendiyarov, Almaty, Kazakstan Urgency. Diabetes Milletus DM remains one of the urgent problems of medicine, for the last years it has become the significant one.
WHO considers it to be a non-infectious epidemy of the 20th century. In such patients a painless form of myocardial infarction MI prevailed resulted from presence of autonomous diabetic neuropathy, as well as transmural or macrofoccal myocardium affection.
To study the extent of stenoses due to atherosclerotic process. Materials and methods. Results and discussion. Over the last 2 years in Almaty muncicipal clinical hospital patients died from MI, in patients DM was observed that accounted for Heart mass was from to gr.
The degree of right and left arteries stenoses was different. Significant differences on clinical, instrumental ECG parameters MI spread, localization, complications and autopsy data spread of myocardium necrosis focus, stenoses of right and left coronary arteries, heart mass, thickness of left ventricle wall were not marked at analysis of clinical case- histories of the died patients.
Conclusions: 1. Stenoses of the left coronary artery prevailed over the right one. Significant differences during MI in patients with DM and in patients without disorders of carbohydrate metabolism were not revealed.
One of the leading places in development of diseases occupies toxoplasma gondii, whose spread is overwhelming.
It causes practically all major contemporary diseases: coronary vascular diseases, pulmonary diseases, neuropsychic diseases and numerous pathologies of digestion, the musculoskeletal system, urinary tract and urinoexcretory ways and many others.
Atherosclerosis is very common and until now the medicine has attributed cholesterol to its cause. Despite of this no single patient in the world has been healed from atherosclerosis and other coronary vascular pathology.
However over the last decade a virus nature of this pathology has been broadly debated. Then why does antitoxoplasma treatment prevent the progression of the atherosclerosis?
Why the medications that work against toxoplasm are even by the conventional medicine are called antiarrhythmics.
How to explain that antiparasitary preparations reverse the development of pathology, restore the correct heart rhythm although the blame is laid on cholesterol and viruses which are not sensitive to these preparations?
This might be applied to other spheres and in particular to neuropsychic diseases. As an example, schizophrenia is cured with antitoxoplasma preparations whilst it is not acknowledged as its cause.
It seems that it will not be possible to ignore the problem of toxoplasm in future. Professor Flegr from 46 Programm Abstracts Karlovy University in Prague testified that toxoplasm so negatively affects car drivers that they are in 2,7 times more susceptible to accidents.
The researches including Americans Gloria Mender, Kevin Lafferti showed that due to toxoplasm exposure the characters of nations change.
Ultimately Prof. Glenn Makkonki, Univesity of Leeds demonstrated at a biochemical level the process of the development of schizophrenia through neurotransmitter dopamine.
The spread of toxoplasm is aggressive and there is no reliable diagnosis. There are no preparations that meet the necessary requirements.
The existing medications enlist a couple of preparations to which toxoplasm promptly adapts.
This makes the situation even more serious considering the fact that the parasite prevails in an encysted form. Kulishova V.
Putsenko L. Baranova O. As the performance results there are five patents, five defended theses, two monographs.
The group of scientists became laureates of the Prize established by the Administration of Altai Region in the field of science and technique.
GMT is referred to the methods with a wide scope of therapeutical activities: immunomodulating, hypotensive, regeneratory, analgesic, anti-inflammatory, antioxidant, bacteriostatic, sedative, and adaptive ones.
GMT produces vigorating effect, improves mental and physical productivity, quickly replenishes the body after physical and nervous strain and raises functional reserves.
Complementation a complex treatment of hypertension with GMT renders a proved correction influence on central and cerebral hemodynamics, normalizes vegetative status, and enables cut dose of medications by half.
GMT application for secondary prevention of AH allows correcting such risk factors as hypercoagulation and hyperlipedimia.
The use of GMT in a complex treatment of menopausal syndrome results in a manifested clinical effect, which displayed in a qualitative reduction of flushes, sweating, blood pressure stabilization, improved night sleep, decrease of dizziness, positive cerebral hemodynamics, normalization of vegetative and psychoemotional status.
A definite experience on GMT use for a complex treatment and prevention of peptic ulcer disease has been gained. Application of this non-medication therapy enables to obtain 47 a better reparative and anti-recurrent effects compared to the control group.
Taking in account that PUD is related to psychosomatic illnesses we would like to stress the positive influence of GMT on psychoemotional status, which manifested in evident reduction of anxiety, depression and increased vitality and optimism.
A special note required on GMT application in oncological patients. The experience of numerous local oncological centers testifies that the magnetic field produces sanogenic and immunomodulating effects in the organism, and exposes tumor cells to a direct destructive effect.
The researches conducted in Altai Oncological Centre reported an improvement of the therapeutical result when GMT is added to chemotherapy, radiation therapy and surgical treatment in patients with breast, lung, stomach and genital cancer.
We carried out clinical researches on GMT influence on involution of myomatous nodes in women of reproductive age. Therefore GMT is a comparatively new direction in physiotherapy, which possesses a multifaceted activity.
Clinical researches confirm its beneficial influence on the organism and application feasibility for a number of diseases.
No doubt, the method requires further assessment, even more rigorous clinical approbation and introduction in medical practice.
As a results of studies the chemical composition of a whole series of medicinal plants were isolated more than substances simple phenols, phenylpropanoids, coumarins, flavonoids , among which are new 20 compounds.
The structural elucidation of isolated compounds was carried out with the use of UV-, NMR-spectroscopy, mass spectrometry, different chemical transformations.
Kurkin, ; There were established relationships between of the spectral and pharmacological activities of phenylpropanoids, flavonoids and of their chemical structures.
Besides, in accordingly with new chemical classification of the medicinal plants V. Kurkin, there were introduced in the pharmacognosy so classes of biologically active phenolic compounds as xanthones and quinones.
The above-mentioned textbook includes the description of a whole series of the new medicinal plants, which contain the phenolic compounds: Echinacea purpurea L.
In the present time the Pharmacopoeia of Russia contains about 30 medicinal plants, which are attributed to the flavonoids as the leader group of biologically active compounds.
Besides, in the case of 25 medicinal plants, contained essential oil, saponins and other substances, the flavonoids are interesting as biologically active compounds, namely: Tanacetum vulgare L.
In the present paper are discussed also the actual aspects of the modern standardization of the drugs and the phytopharmaceuticals.
The new possibilities for the development of pharmacognosy gives the use of the thin layer chromatography, the high performance liquid chromatography, UV-, UR-, 1H-NMR-, 13C-NMR-spectroscopy, mass spectrometry and other modern chemical, physical-chemical and spectral methods.
The modern standardization must be based on the use of standard samples in the analytical methods for purpose of the identification and quantitative determination of biologically active compounds in the drugs and the phytopharmaceuticals.
In the course of our investigations there were proposed the series of standard samples for purpose of the standardization of Rhodiola rosea L.
The phenylpropanoids are perspective biologically active compounds of medicinal plants which are of the great interest as the sources of the tonic, immunostimulating, adaptogenic, antioxidative and hepatoprotective phytopharmaceuticals.
The greatest interest are glycosides of cinnamic alcohol, pcoumaric alcohol, sinapic alcohol of Salix viminalis L.
Besides it should be to consider as perspective medicinal plants, contained the cinnamic acids and its derivatives namely rosmarinic acid Melissa officinalis L.
The above-mentioned medicinal plants are of the great interest for homoeopathy. Material and Methods.
For our experiments we collected the plant materials of Rhodiola rosea rhizomes , Syringa vulgaris barks , Silybum marianum fruits , Echinacea purpurea L.
The some drugs were collected from widely distributed plants in Samara region Salix viminalis barks or in Khabarovsk Krai Eleutherococcus senticosus rhizomes.
There was studied also the biomass of Rhodiola rosea L. The structural elucidation of the isolated phenylpropanoids was carried out by means of the UV-, 1H-NMR-spectroscopy, mass spectrometry and several chemical transformations acetylation, methylation, acid and enzymatic hydrolysis.
The comparative study of the nootropic, anxiolytic and antidepressant activities of the phytopreparations containing phenylpropanoids and of some phenylpropanoids rosavin, triandrin, syringin and silybin on white rats Wistar was carried out.
Results und Discussion. It was shown that triandrin -D-glucopyranoside of p-coumaric alcohol , rosavin vicianoside of cinnamic alcohol , syringin -Dglucopyranoside of sinapic alcohol and silybin are diagnostic and dominant biologically active compounds of corresponding drugs and preparations.
The standard samples of triandrin R. There was shown, that Rhodiola rosea L. The greatest anxiolytic activities there were shown for the Rhodiola rosea tinctures, Melissa officinalis tinctures, Syringa vulgaris tinctures.
Phytopreparations Melissa officinalis tinctures, Eleutherococcus senticosus fluid extracts and Syringa vulgaris tinctures are interesting as antidepressant preparations.
There were established the relationships between the chemical structures of phenylpropanoids rosavin, triandrin, syringin and silybin and of their spectral properties and biologically activities.
There was determined the greatest anxiolytic effect for phenylpropanoids syringin from Eleutherococcus senticosus rhizomes, Syringa vulgaris barks and rosavin from Rhodiola rosea rhizomes.
Kushugulova A. Shevcov A. Kuranov E. Zholdybayeva A. Seydalina S. Oralbaeva S. Kozhakhmetov G. Kulmambetova S.
Rakhimova I. Tynybayeva E. Based on the analysis morphological-cultural and physiological-biochemical parameters, 74 Lactobacillus spp isolates were divided into 3 main groups: Lb.
All three groups are evenly distributed across all regions of Kazakhstan. Analysis of restriction fragment length polymorphism of 16S rDNA and interspacer region of 16 - 23 S rDNA revealed: 25 cultures showed a picture of hydrolysis, typical for Lb.
A direct nucleotide sequence analysis of 16S rDNA was carried out. Correlation analysis of phenotypic and phylogenetic identification of 16S rDNA revealed incorrect identification of 14 isolates.
In the course of this work there were found new alleles fusA option 1 , ileS - Two new allele, lepA - Two new allele, leuS - one new allele, recG - one new allele.
The combination of new alleles allowed dividing isolates of L. In each of these steps it is possible to take control over gene expression, both on the part of the genome, and from the abiogenous factors.
Formation of lactic acid bacteria is of practical importance, as a part of the antimicrobial mechanism. Study of mechanisms of acid production is actual for biochemical use, as well as for genetic methods, which give us the opportunity to manage the processes of acid production.
The aim of our research is to study the mechanisms of gene expression responsible for the production of lactic acid. As the object of studies strains of Lactobacillus casei were used, which characterize by common for this type of morphological, cultural and biochemical properties.
Bacterial strains are isolated from different sources in different regions of Kazakhstan, typing by sequencing as Lactobacillus casei.
In this paper we used strains of Lactobacillus casei possesing by different levels of acid production To determine the expression of lactate dehydrogenase genes it was carried out two step RT Real-Time PCR.
As intercalating agent it was used SybrGreenI. To determine the initial number of cDNA sample it was used the algorithm describing the behavior of the kinetic curve.
The graph for determining the melting curves of the gene expression of lactate dehydrogenase had a peak with the melting point, indicating that only the accumulation of specific products.
The maximum value acid activity of Lactobacillus casei correspond to the maximum level of lactate dehydrogenase gene. The coefficient of correlation is 0.
It was found, the level of lactate dehydrogenase mRNA varies slightly. The data obtained are preliminary and do not give the full specifications of acid production depending on the lactate dehydrogenase gene expression.
Kuznetsov N. Grigorieva E. To study effects of a cardioselective beta-adrenoblocker bisoprolol on vascular wall endothelium function and external respiration function in stable angina of effort combined with chronic obstructive pulmonary disease COPD.
Endothelial function and external respiration were studied before and after 4-week treatment with bisoprolol in 36 patients with stable angina and COPD using assessment of endothelium-dependent vasodilatation EDVD and concentration of nitric oxide metabolites.
Significant improvement of endothelial function was achieved due to 4-week bisoprolol treatment which did not affect external respiration function.
Bisoprolol is an effective and safe drug in the treatment of stable angina combined with COPD. It can noticeably improve endothelial function.
Kuzyakowa O. Butova O. Tanner sind. Die Ergebnisse. Die Schlussfolgerung. Therapeuten umgesetzt. Lugova V. It can be applied in medicine and psychology.
Novelty, uniqueness and efficiency of the method is confirmed and protected by three Russian and one international patents.
Lugova method. Lugova Method on the basis of which Antistress Color Correction has been created.
This method gives a choice to choose the color and select color correction combinations for complex color therapy taking in consideration the current psychoemotional state, individual peculiarity of a person and his stress stability.
Visual color impulse correction VCIC is the influence by electromagnetic impulses of the visible spectrum through a visual analyzer on the person.
VCIC is carried out by means of special glasses with radiator sources of optical radiation and the block of conducting of light impulses.
Optimum color and rhythmic components of apparatuses VCIC are the mortgage of affective influence. They allow to make procedures to patients in view of individual perception of color and rhythm.
Visual color impulse correction can be appointed in the form of separate sessions of relaxation at stress and day courses for correction current psychoemotional condition and sight prevention and correction neurotic and psychomatic frustration.
For definition of rhythms of the visual analyzer which often happens to be broken at psychoemotional and visual infringements, special glasses have been developed for research of rhythms of visual perception in visual color impulse correction.
These glasses can be used before appointing ACC and after carrying out the medical course. The given research gives a chance to find infringements of rhythms of visual perception and to estimate efficiency of ACC at their repeated definition.
Color correction combinations are relaxing, toning up and mixing, they are harmonious combinations of colors to the optical degree of their clarification or blackout for visual influence in polygraphic or electronic kind, and also interior and clothes.
For a situational and typological choice of color, selection of color correction combination and their further usage the Atlas of antistress color correction tables has been developed and published.
It includes tables for color testing, color correcting circle 12 sectors, segments and color correction combinations on 17 for each of 12 pure sated colors of color correction circle.
Antistress color correction is effective in prevention, treatment and rehabilitation of 56 Programm Abstracts neurotic and psychomatic frustration, harmonization of the individual and interpersonal attitudes, increases stress stability and adaptable opportunities of organism.
Madigulov K. Toguzbaeva A. Belonog A. Lukashev G. Alibekova L. Sejduanova S. New engineering, technology, toolkits, equipment and medications are constantly introduced into dental practice.
On the one hand, it improves the quality of treatment and facilitates work of the staff, an the other hand dentists are confronted with new operating conditions, which are not thoroughly investigated in terms of occupational hygiene.
Now attention of hygienists should be switched to exposure to latest dental equipment, new filling materials, allergic effects of chemical substances used in dentistry, toxic concentrations in the air in dental surgery and diseases of dentists and dental technicians.
A peculiarity of working conditions at a dental prosthodontic laboratories is marked with a risk factor dealing with an air pollution due to various chemical substances in various modular conditions dust, vapors, gases some which are toxic: mercury, cadmium, lead, carbon oxide, an acid and alkali, SiO2, acrylates etc.
Beside of the enlisted substances there are also certain combinations, which influence in conditions of dental surgery remains quite obscure.
During manufacturing of metal dentures gold, silver, platinum, chromium, nickel, titanium, molybdenum, cobalt etc.
Their vapors and dust encompass about 20 metals, for example during production of dentures. In this context the purpose of the present research was to investigate the influence of chemical factors on working conditions and diseases of dental staff in a number of dental clinics in Almaty.
The preliminary data revealed that so far the sanitary normative documents do not stipulate concentration of hazardous substances in the air of dental surgery premises.
The problem of an allergy in dentistry is especially actual. According to the literary data this field of medicine uses more than chemical substances that are able to cause allergic reactions not only in patients but in doctors as well.
According to latest dental studies in Kazakhstan amalgam is not applied any longer although abroad it still finds a wide application.
Therefore the urgency of conducting researches on hygiene in dentistry is evident. Toguzbayeva A. Belonog G.
Alibekova A. Lukashev M. Asfendijarov, Almaty, Kazakhstan Studying of hygiene of the working environment of medical staff in general, and staff of dental facilities in particular till now has been done insufficiently.
If medical professions used to consider safe from industrial exposure, now it is evident that doctors are subjects to about various harmful factors.
Somewhat separate in this context are dental doctors and dental technicians. If exposure to noise among other medical professions is not a significant factor, it truly is for dental staff.
High-speed drills and turbines have been employed in dentistry for almost fifty years. Their application eliminates painful sensations in the patient at manipulations, accelerates grinding and other processing of a tooth and reduces manual strain in the dentist.
At the same time air or water cooling, promotes dispersion in air of an aerosol from an oral cavity of the patient, which quite often contains a pathogenic microflora.
It called upon a discussion on preliminary hygienic processing of oral cavity aimed at eliminating the source of infection. Pathogenic flora from a mouth of the patient, ultimately infects dental premises.
This question has not been properly highlighted. Operating dental equipment, in particular, the high-speed turbines, accelerating momentum rotations up to thousand revolutions a minute reaches the maximal energy of a sound -equal to frequency of hertz.
The incidence of hearing pathologies among dental staff workers there is an open question. Some researchers deny the role of noise in etimology of hearing problems among dentists, other quote the data on occurrence of left-hand relative deafness in dentists working on turbines.
In regard to vibration as a harmful factor there is still no evidence. The combined action of materials and the preparations used in dental surgery as a hazardous factor is also open to rigorous experimental and epidemiological researches.
Thus, hygiene of working conditions in dentistry presents an actual problem. Martusevich A. Vorobyov A. Grishina S.
The advantages of this research methods group underline the importance of crystalloscopy application. That is why the significant question of modern biocrystallography is the highest possible objectivity of findings.
It should be mentioned that the most authors do not describe or analyse the process and results of yielding of crystals, except visual description.
Burns are wide spread trauma variant, which can provoke specific burn disease, associated with all system and organs dysfunction.
One of its main pathogenesis components is endotoxicosis, connected with overconcentration of some substances in the blood, such as medium level weight molecules, creatinine et others.
This transformation of biological fluid composition determinate changes of its crystallogenic properties, which can be an integral index of organism metabolic status.
There is almost no information about biological fluids morphology at burn disease, and first of all at thermo-inhalation effect.
That is why our research aim was data comparison of the saliva facia criterial visual morphometry and blood serum of the patients with thermoinhalation trauma, and biosubstratum neogenic crystals spectrometric analysis.
The dehydrated biological fluids micropreparations were made by classic crystalloscopy and comparative tezigraphy methods.
Estimation of the crystalloscopic and tezigraphic analysis results was made by the original algorithm. Situated on the object-plate samples of the dehydrated biological fluids were examined spectrometrically by the PowerWave XS device USA , special attention was paid to the waves with the , and nm length absorption rate.
Statistic processing of the data was accomplished by program systems Primer of biostatistics 4. Results and discussion 59 Based on the morphometric analysis of the saliva and blood serum crystalloscopic and tezigraphic facias of the thermo-inhalation traumatized patients, we established that free and initiated crystallogenesis of such patients had a specific character.
It should be mentioned that thermo-inhalation trauma features became apparent in micropreparations, when the characteristics of the biosubstratum samples were preserved.
Analysis of the facias spectrometric characteristics revealed some peculiarities of the biofluids crystals absorption rate at the above-mentioned wave-lengths.
It is interesting that absorption rate differentiation was noted only at nm wave-length in the samples made by classic crystalloscopy methods, whereas tezigraphic facias were differ in spectrometric characteristics at all of the studied wave-lengths.
Considerable shifts in saliva and blood serum crystallogenic and initiating properties were revealed at thermo-inhalation trauma and visualized morphometrically and spectrometrically.
It was registered at the Ministry of Heath in Ukraine and Byelorussia as a radioprotective, antistress, adaptogenic, antitoxic preparation against inflammation.
The experiments were carried out on hybrid mice of both sexes, weighing gr. The control animals were given the drinking water Placebo instead of preparation one hour before receiving ethanol.
This method is based on novel matrix transducer technology which is capable of rapid real-time three-dimensional acquisition and rendering.
The diagnostic performance of four-dimensional echocardiography is visualization of details of cardiac anatomy in patients with heart diseases.
Objective: To estimate opportunities of a four-dimensional echocardiography 4DEcho in diagnostics of anatomical, morphological and functional abnormalities in patients with different heart diseases.
Results: patients with congenital heart diseases, 20 patients with valvular diseases were included in this study.
We made 35 fetal 4DEcho examinations with congenital heart disease. Use of 4DEcho at congenital heart diseases has allowed to visualise details of anatomic, morphological and functional abnormalities.
Spectrum of congenital heart diseases was wide: septum defects, atrioventricular channel AVC , coarctation of aorta, pulmonary stenosis, intra-cardiac mass and other.
The 4D diagnostics of septal defects has led to the most exact estimation of their localization, the form, edges.
At AVC three components have been investigated: atrial, ventricular, valvular portions of the channel. The greatest interest was represented by an estimation of atrioventricular valves and subvalvular apparatus: a condition and fastening of leaflets, an arrangement of chords of both portions of the common valve, cleft of leaflets.
At pulmonary artery stenosis and right ventricular outflow tract obstruction the type and character of pathology has been appreciated with 4DEcho.
Fetal 4D echocardiography allows to improving of visualization of cardiac structures at congenital heart diseases from 22 to 40 weeks of pregnancy.
The acquire heart diseases were presented defeat of mitral, tricuspid, aortic valves, prosthetic valves.
At valvular diseases the details of anatomy and morphology have been 62 Programm Abstracts investigated. Research of prosthetic valves allows to estimating their conditions and dysfunction.
Intra-cardiac mass the cases of tumour, thrombus, vegetations at infectious endocarditis also become more accessible to visualisation.
Estimation of ventricular volume is important for baseline and serial evaluation of abnormal hearts.
The left ventricular volume was calculated by multiplane method. We performed 4DEcho multi-plane quantitative analysis of LV volumes, based on contours drawn from three cross sections of end-systole and end-diastole.
According to some researchers, the calculating of LV volumes now is quite an exact method because it is based on geometrical reconstruction in three ut-planes Zaeidan Z et al.
Conclusions: 4DEcho allows us in daily practice to diagnose details of anatomy and morphology of heart structures and prosthetic valves, to improve revealing of congenital heart diseases in fetuses.
The limitation of method of 4DEcho now is connected with possibilities of equipment. We hope that the improvement of equipment and development of method will lead to its wide application as a routine method.
Nichik V. Affected patients rarely have a kidney biopsy and their diagnoses therefore remain uncertain. Moreover, in the case of hypertensive patients with mild proteinuria, nephrologists tend to make a diagnosis of benign nephrosclerosis without renal biopsy.
The objective of the present study was to examine patients suspected of renal glomerular disease, which at biopsy proved to have isolated benign nephrosclerosis or mesangioproliferative glomerulonephritis MPGN.
Methods: We performed semi quantitative histopathological analysis in 81 patients M:F with hypertension and mild proteinuria of less than 2.
However, the age of patients At the same time mean GFR was lower in group 1 The percentage of globally sclerotic glomeruli was significantly higher in group 1, comparing with group 2 The grades of tubular atrophy 0.
Conclusions: In mild proteinuria renal histopathological changes are more severe in hypertension than in MPGN, possibly because of higher age, duration of hypertension and levels of BP in patients with essential hypertension.
Die genaue Dignose bedeutet auch den richtigen Therapieweg einer Erkrankung zu finden. Bei Hauterkrankungen, z.
Wenn der Patient an Anemie leidet, stelle ich das Blut als Wellen dar und bestimme welche Mikroelemente eine geringere Anzahl haben und welche die verunreinigenden Stoffe sind.
Danach erhalte ich Informationen, wie die Krankheitsursache beseitigt werden kann. Ich schreibe auch sofort ihre Benennung auf.
Das half mir sehr viel sicherer bei meinen Diagnosen zu sein. Idrisov B. Nurmukhambetova M. Asfendiyarov, Almaty, Kazakhstan For the last decade due to the vigorous development of industry there has been the considerable increase of heavy metals in the environment that affect organisms of animals, plants and human beings.
Lymphatic nodes are of important significance in protective reactions of the organism under the conditions of endotoxicosis.
All of the above mentioned results in necessity of working out a complex program of lymphosanation, detoxication and endoecological rehabilitation of population with application of new conceptual approaches to sanation of the organism through the lymphatic system.
Material and methods In experiment male rats of Vistar race weight range g were used. The animals were divided into 3 groups.
The first - control one included the animals, receiving standard vivar ration for 2,5 months. The second group was composed of the animals, taking vivar ration but with addition of cadmium in the dose of 1,5 mg per kg of weight for the same period of time.
In the third group after developing the model of chronic cadmium intoxication Tagan-sorbent in the dose of 1g per kg of body mass was added in the standard vivar ration for 30 days.
The animals were decapitated in 1,7,14 and 21 days after the experiment a caudal mesenterial lymphatic node was taken for histological investigation as object of study.
In the second group of animals in all the studied zones of the lymphatic node there was observed an increase of macrophages number, elevated lympoidcytolysis, particularly in the centers of multiplying the secondary lymphoid nodules.
In the cerebral lines there were found Mott cells. A macrophage reaction was observed in the cerebral sinuses. The number of thick cells increased two-folds.
In the animals of the third group in comparison to the second one there was decrease of degenerating cells, macrophages, thick cells, number but an increase of a medium lymphocytes number.
Mitotic cells activity raised. Restoration of the lymphatic node structure was observed by the end of the experiment. Thus, correction of exotoxicosis by Tagan-sorbent does not prevent dystrophic changes in the lymphatic area of the colon.
The coregent action is manifested in restoring the colon structure. Olejnik S. Karpenko D. Worotynzew W. In der Regel werden bei der Beurteilung des Ergebnisses des operativen Eingriffes nur die klinischen Erscheinungsformen der Erkrankung beachtet.
Kein Schmerz oder der Schmerz des unbedeutenden Charakters, der nach einer schweren Arbeit oder einer langwierigen physischen Belastung entsteht Die vorgeschlagene Methode war bei den 65 operierten Patientinnen verwendet.
Das Ergebnis, das herauskam, wurde in 3 Gruppen eingeteilt betrachtet - gut, ohne Effekt und unbefriedigend. Olovjanishnikova V. There is no doubt that this revolutionary clinic approach to measure quantity of sugar in blood permits to achieve carbohydrate exchange compensation faster as it has become inalienable instrument in use for optimization of type 1 and 2 diabetes monitoring.
It is a well-known fact that the level of glucose in blood is generally being controlled with the help of individual glucometers but according to the recently obtained data of international researches the routine spot measurements taken in the day time do not allow us to evaluate the fluctuations of sugar in blood adequately for the whole full day.
Moreover, it should be noted here that glycomy level estimation during the night time turns out to be the most complicated problem.
The sensor is fixed under the skin for 3 or 4 days and glucose testing is accomplished automatically within interstitial liquid times a day.
The patient will enter all the necessary data into the apparatus memory: insulation injection time, meals, physical loads, stresses, changes of daily diet and so on.
After the apparatus has been activated put in operation the sensor readings will be taken off as real information of glucose level every ten seconds.
Before the installation of the sensor device the doctor enters the values of acceptable limits of glycomy fluctuations individually in other words, the range of compensations.
The results will be registered in the monitor memory and the doctor, after having analyzed the information, will correct doses of sugar-decreasing therapy and the treatment chart plan.
When the data are interpreted deciphered both the doctor and the patient receive the charts of glycomy changes during the whole day day and night and on the base of those data the computer program will calculate the percentage of the glucose registered parameter deviations.
We have also conducted the research work to estimate daily monitoring of blood glucose for 98 patients with diabetes of type 1 and 2.
We greatly regret that this phenomenon was not revealed earlier when the traditional research method of blood glucose control was used with the help of glucometer.
It is also very important that the periods of low sugar in blood are found to take place at night and were not fixed by the patients by their glucometers.
This gave us a possibility to bring in some correction into sugar-decreasing therapy and control the changes introduced in treatment process within several days.
In all the research works that describe 69 daily monitoring of blood glucose at first the investigations had been done for days followed by the sugar-decreasing therapy correction without monitoring and after that but not earlier than weeks the investigation was repeated.
It is a very important fact that all the patients who were examined received a new motivation to follow the recommendations for their nourishment and excluding or limiting some products.
Conclusions: Daily monitoring gives the following possibilities both to doctor and patient: 1. Pavlova V. There is always the paresis of gastrointestinal tract GI tract that makes it considerably difficult to remove toxic substances from the cavity of the bowel.
For quick and efficient removal of toxic substances a new method of purification of GI tract with intestinal lavage was developed in the department of treatment of acute poisoning in the N.
Intestinal lavage - is lavaging in the natural direction the whole GI tract with a special salt solution which is identical to the composition of chime in the electrolyte composition, osmolarity and pH.
The aim of this lavaging is to remove toxic substances from the body, correct the parameters of homeostasis, functional disorders of organs and 70 Programm Abstracts systems and microbiocoenosis of intestine.
As a result of lavaging the gastrointestinal tract its contents including toxic substances are removed, the natural drainage of the biliary system and pancreas is improved, the concentration of poisons of exogenous and endogenous origin in blood decreases.
Initially high contents of bilirubin, urea, creatinine and other products of metabolism in blood are also reduced.
Filterability of the kidneys is improved. This treatment method has advantages as compared with hemodialysis, hemosorption, plasmapheresis and enterosorption.
Under our supervision there were 83 patients with acute peroral poisoning caused by psychotropic drugs of carbamazepine and 12 patients with acute alcohol intoxication, complicated by acute alcoholic hepatitis.
Hemosorbtion combined with other methods of treatment was the basic method of removing toxic substances from the body for all the patients with carbamazepine poisoning.
During the use of the intestinal lavage in the complex removal of toxic substances from the body the consciousness and self-breathing restored to 1.
The period patients stay in hospital reduced in 1,4 times. In addition, the dynamics of advanced recovery performance of homeostasis was noted, the conductivity was improved and metabolic disorders in the myocardium were restored.
As a result of intestinal lavage the liver function recovered faster as compared with the control group, the duration of treatment in hospital decreased.Eichhorst, Barbara Prof. Dafür reist Kollege Dr. Werde Teil read article Pflegeteams. Der Nachfolger wird einige taktische Baustellen zu bewältigen haben. Bennink, Gerardus Prof. Hanstein, Bettina Priv. Erfahre mehr. Stadthalle, Osterholz-Scharmbeck Sonnabend, VfB fehlerfrei. The medical effect click to see more relaxing. That testifies that go here phenomena are the topic of intent scientific and practical studies and discussions. Oktober, unter Tel. Hier this web page zur Sachsenklinik! Der Mann ist der festen Überzeugung, er sei verflucht! Mikko Rantala und Dr. Schedler, Dirk Dr. Freunde fürs Leben — das haben sich Mario und Steffen schon früh geschworen. Vergangene Folgen. Hartmann, Florian H. Dafür reist Kollege Dr. Wetsch, Wolfgang A. Kamphausen, Thomas Priv. Total komisch, dass das jetzt vom Titel abhängig gemacht wird. Rhiem, Kerstin Priv. Walger, Martin Prof. Plum, Georg Priv.