Vol. 3 No. 3(1) (2012): VESTNIK of KSMA

Кардиоренальный синдром: определение, классификация и клинические особенности

The article presents analysis of the publication activity o f m edical scientists of Kyrgyzstan for the period of 1995-2011, based on the data of the largest reference database in the world SciVerseScopus (hUp://www.scopwt.com/). These findings are compared to the scientific effectiveness of the Kyrgyz scientists working abroad. The article provides suggestions and recommendations for increasing publications and citation index of the Kyrgyzstan medical scientists.

For the first in Kyrgyzstan post traumatik stress and adaptation disorders are manifested by panic disorder and according to our prognosis it is extremely unfavorable factor.

In this article review of ecological, sociological condition (pollttte soil, air and water, form management, level municipal service, level life) organized infection disease structure in the republic is given.

The influence of calcium-channel blocker normodipine on experimental acute myocardial infarction in rabbits to 3rd day of high altitude conditions (Too-Ashoo, 3200 m above sea level) was studied. It was established that normodipine decreases calcium influx in cardiomyocytes and blood vessels smooth muscle cells by blocking slow calcium channels. It dilates coronary arteries and increases coronaiy blood supplying in ischemic areas of myocardium thereby promoting to beneficial outcome of ischemic and necrotic processes and preventing exacerbated and complicated myocardial infarction in high altitude conditions.

The purpose of this work is to increase the efficiency o f diagnosis and treatment ofjuvenile angiofibroma.

The purpose of this work is to do a clinical justification of laser fibers conductor usage under its own construction while doing laser transcanalicular dacryocystorhinostomy.

408 history cases analyses of children have with whooping cough been conducted. Criteria of severity of a whooping cough in children are defined.

The results of examination of patients with first degree postgastrectomy enteral insufficiency with complicated ulcer of stomach and duodenum are represented in this work. Cavitary and parietal digestion of stomach and jejunum and blood enzymes with modified application o f enteral feeding have been investigated.

Alternative o f amputation is reconstructive operation aimed to recover blood circulation in lower extremities. However, amputation is most frequent surgery and gets 40% o f all operations in spite o f developing o f new reconstructive operation methods o fpatients with obliterate atherosclerosis.
The purpose o f our researching was investigating the efficiency o f using technique profundafem oral angioplasty in the operation femoral-tibial bypass grafting concerning to risk o f amputations in distant period.
41 patients were operated. From them 17 patients had surgeriesfemoral-tibial bypass grafting with profundafem oral angioplasty. Others, 24 patients had operations fem oral-tibial bypass grafting without profunda fem oral angioplasty. Patients were under our observation during 6 month and 48 month after operations.
We have analyzed the results o f operations and came to conclusion that using technique profunda fem oral angioplasty in operation fem oral - tibiaI bypass grafting, decrease the risk o f amputation in distant period.

Analysis of the complications in 56 patients in a long-term postoperative period after cholecystectomy whom biliodigestive anastomoses were fulfilled are presented. Postoperative complications were in 4 patients (7.1%). There were no lethal outcomes.

Radical and conditionally-radical operations were fulfilled in 52 patients. Four patients had gastroduodenal bleeding from stress gastric ulcer in a short-term period after operation (3-5 days). Two patients died, and two patients were saved. The methods o f stress ulcer prophylaxis (quamatel intravenous, oxygenous inhalation, ozonized solution intravenous, early enteral feeding) were elaborated. After these methods of prophylaxis used in 26 patients no one had stress ulcer.

This article deals with the investigation results o fgeneral toxic effect of stomatological tooth paste «Antoxid» and its influence on internal organs of experimental animals.

In the treatment o f patients with diffuse peritonitis it is expedient to provide in the early stages of an adequate irrigation and debridement of anatomical recesses o f the abdominal cavity, endoarterial and endolymphatic administration of antibiotics, as well as total Novocain - antibiotic blockade of the solar industry.

The surgical treatment results in 42 patients with the cysts localization in the zone o f VII- VIII liver segments are presented. The operations on the whole were carried out by abdominal approach, and more seldom they were carried out by thoracal approach. For the draining o f the residual cavities the sheaf o f the drains was used. They guaranteed the exudates outflow. Complications were in 4 patients. They were treated by the moment o f dischargingfrom the hospital.

We observed 9 patients with the iatrogenic damage. The damage was noticed during the operation in 2 patients, and in the rest of the patients they were brought to light in the postoperative period. The biliodigestive anastomoses were fulfilled in all the patients. Complications were in two patients.

In given article it is a question ofapplication ofphysiotherapeutic methods oftreatment in gynecology. The diagnosis to the clinical signs given by ultrasonic and laboratory has been made to patients. Physiotherapy use in complex treatment of gynecologic patients has provedfrom the good side

This article presents thefunctional state ofthe respiratory and cardiovascular systems, autonomic status ofadolescents 10-17 years of Bishkek.

Have been resulted the cause and effect and clinical analysis 68 sick of traumatic damage testis with an appendage.

In article are resulted melon microwave radio thermometry of lymph nodes of a neck in norm and at metastatic lesion at sick of a cancer of a larynx and a comparative estimation a method with standard methods of research of nodes.

For liquidation of liquorrea via the defect of the skull base and in dura mater we used mucosal-perichondrium flap from nasal septum of the opposite site. It becomes possible if after removal of mucosa and skeleton of nasal septum on the affected site turned it on the opposite side and close the defect. In this situation a mucose should lay inferiorly. Above —mentioned method was used in 4 cases. In 3 of them wide-extended cancer of maxilla was diagnosed, in one case- osteoma with extension in anterior cranial fossa and in orbit. In all cases liquorrea was surely arrested and there were no intracranial complications.

The analyze of a diagnosis and treatment of 8 patients with meningoencephalitis with expressed intracranial hypertension with otology and rhinology genesis have shown. Above —mentioned complications developed after an operations performed in connection with extended maxillofacial tumors with intracranial extension. In all cases in theframe ofresuscitation therapy a surgical cerebral protrusion was performed. The basic opportunities ofa surgical cerebral protrusion under dangerous intracranial hypertension as an extreme measure of resuscitation therapy were described and substantiated.

105 patients with different functional classes of chronic heart falure (CHF) were investigatedfor estimation of linkage between renal function reduction of patients with chronic heart failure with conserved sinus rhythm (SR) and different atrial fibrillation (AF) forms. This study has investigated that the patients with constantform ofA F have significant larger left auricular dimensions then the patients with consen’ed SR, which was accompanied by severe renal functional reduction.

210 patients with different functional classes ofCHF were investigatedfor estimation oflinkage between renalfunction reduction of patients with chronic heart failure (CHF) with conserved sinus rhythm (SR) and different fibrillation forms. This study has investigated that the patients with constant fibrillation form have significant larger left auricular dimensions and left ventricular myocardial mass then the patients with conserved SR, which was accompanied by severe renal functional reduction.

In the article we present the results of treatment ofpatients with disorders of the olfactory analyzer. The conclusion is made on validity of using helium - neon laser in perceptive olfactory defects. The investigations were conducted with an original olfactometer.

It is analyzed the microbial structure isolated from 106 outpatients with community acquired pneumonia during 2007-2009yy.. It has been studied antibioticsusceptibility and antibioticresistance of the most frequently identified pathogens of CAP. According our data in 39% of all cases is isolated Streptococcus group A and the significance of other microorganisms is very low. The research of antibiograms isolated strains showed the highest susecptibity to cefotaxime in 100%.

Treatment of tobacco dependence is an important component in tobacco control. One of barrier for effective medical interventions is smoking among medical workers and attitude to tobacco smoking. The study presents data on prevalence of smoking among medical workers in oblast hospitals of Kyrgyz Republic and professional attitude ofphysicians towards patients with tobacco dependence.

Гуласал Токтоболотовна Осмоналиева

The authors present the data of the endoscopic low -invasive rhinosinusitis surgery used for the first ever time in   Kyrgyzstan, and also the results of the Sheiver plastics application for hypertrophic rhinitis in comparison with the control group with Chitozan gel application.