STATE MEDICAL UNIVERSITY
NOTES
St. Petersburg State
“SCIENTIFIC NOTES of St. Petersburg State Medical University named after. acad. I. P. Pavlova
Medical University named after. acad. I. P. Pavlova
N. A. YAITSKY
E.K. Ailamazyan – academician. RAMS (St. Petersburg) Editor-in-chief – S. H. Al Shukri – prof. (St. Petersburg) N. A. Yaitsky – academician. RAMS Yu. S. Astakhov – prof. (St. Petersburg) Deputy. editor-in-chief – V.L. Bykov – prof. (St. Petersburg) E. V. Sokolovsky – Doctor of Medical Sciences, Prof.
A. A. Vorobyov - academician. RAMS (Moscow) Responsible Secretary - G.I. Vorobyov - academician. RAMS (Moscow) L. A. Aleksina – Doctor of Medical Sciences, Prof.
A. M. Dygai – prof. (Tomsk) B.V. Afanasyev – doctor of medical sciences, prof. N.V. Kornilov – member. corr. RAMS (St. Petersburg) R. V. Babakhanyan – Doctor of Medical Sciences, Prof. M. T. Lutsenko – prof. (Blagoveshchensk) E. R. Barantsevich – Doctor of Medical Sciences, Prof. L. V. Potashov – member. corr. RAMS (St. Petersburg) A. P. Bobrov – Doctor of Medical Sciences, Prof. M. R. Sapin - academician. RAMS (Moscow) N. I. Vishnyakov – Doctor of Medical Sciences, Prof. V. M. Sedov – prof. (St. Petersburg) A. Ya. Grinenko – Doctor of Medical Sciences, Prof. S. B. Seredenin – academician. RAMS (Moscow) A. A. Skoromets – academician. RAMS (St. Petersburg) V. V. Gritsenko – Doctor of Medical Sciences, Prof.
M. M. Soloviev – prof. (St. Petersburg) Yu. D. Ignatov – academician. RAMS A. S. Tiganov – academician. RAMS (Moscow) M. M. Ilkovich – Doctor of Medical Sciences, Prof.
B. I. Tkachenko – academician RAMS (St. Petersburg) A. I. Krylova – Ph.D., Associate Professor G. B. Fedoseev – member. corr. RAMS (St. Petersburg) N. G. Neznanov – Doctor of Medical Sciences, Prof.
I. S. Freidlin – member. corr. RAMS (St. Petersburg) N. N. Petrishchev – Doctor of Medical Sciences, Prof.
N. A. Yaitsky – academician RAMS (St. Petersburg) Yu. S. Polushin – Doctor of Medical Sciences, Prof. E. S. Gabrielyan – academician (Yerevan) M. G. Rybakova – Doctor of Medical Sciences, Prof. V. N. Gurin – academician BAN (Minsk) S. A. Simbirtsev – doctor of medical sciences, prof. G. G. Lezhava – prof. (Tbi
–  –  –
N. A. Yaitsky – academician RAMS (St. Petersburg) Yu. S. Polushin – Doctor of Medical Sciences, Prof. E. S. Gabrielyan – academician (Yerevan) M. G. Rybakova – Doctor of Medical Sciences, Prof. V. N. Gurin – academician BAN (Minsk) S. A. Simbirtsev – doctor of medical sciences, prof. G. G. Lezhava – prof. (Tbi
Editor L. A. Aleksina Cover and art design E. V. Kornilova Computer layout and preparation of the original layout A. A. Chirkova Proofreader V. A. Chernikova
Reviews and lectures..,..,..
Health care organization..
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FACIAL PATHOLOGY (CLINICAL STATISTICAL ANALYSIS)
PERSONNEL PROBLEMS IN THE MATERNITY SERVICE
Original works..,..,..,..
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Brief messages..,..,..,..
ANALYSIS OF DERMATOGLYPHIC SIGNS OF RESIDENTS OF THE SOUTH OF RUSSIA
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N. A. Yaitsky – academician RAMS (St. Petersburg) Yu. S. Polushin – Doctor of Medical Sciences, Prof. E. S. Gabrielyan – academician (Yerevan) M. G. Rybakova – Doctor of Medical Sciences, Prof. V. N. Gurin – academician BAN (Minsk) S. A. Simbirtsev – doctor of medical sciences, prof. G. G. Lezhava – prof. (Tbi
« »,
73. Szeluga. D. J. Energy requirements of parentally fed bone // Pediatr. Hematol. Oncol. 2003. Vol. 20.4.
marrow transplant recipients / D. J. Szeluga // J. Patenter. P. 265271.
Enteral. Nutr. 1985. Vol. 9. P. 139143. 78. Uderzo, C. Total parenteral nutrition and nutritional assessment
74. Tartarone, A. Role of parenteral nutrition in cancer patients in leukemic children undergoing bone marrow transplantation / undergoing high-dose chemotherapy followed by autologous peripheral C. Uderzo // Eur. J. Cancer. 1991. Vol. 27. P. 758762.
blood progenitor cell transplantation / A. Tartarone // Tumori. 79. Weisdorf, S. Total parenteral nutrition in bone marrow transVol. 91. P. 237240. plantation: a clinical evaluation / S. Weisdorf // J. Pediatr.
75. Taskinen, M. Skeletal muscle protein reserve after bone marrow Gastroenterol. Nutr. 1984. Vol. 3. P. 95100.
transplantation in children / M. Taskinen, U. M. Saarinen // Bone 80. Weisdorf, S. A. Graft versus host disease of the intestine:
Marrow Transplantation. 1996. Vol. 18. P. 937941. a protein losing enterophathy is characterized by fecal alpha-1-antiThomas, E. D. Technique for human marrow grafting / trypsin / S. A. Weisdorf // Gastroenterology. 1983. Vol. 85.
E. D. Thomas, R. Storb // Blood. 1970. Vol. 36. P. 507515. P. 10761081.
77. Uckan, D. Serum zinc and alkaline phosphatase values in 81. Ziegler, T. R. Glutamine supplementation in bn marrow transpediatric bone marrow transplantation patients / D. Uckan plantation / T. R. Ziegler // r. J. Ntr. 2002. Vol. 87. P. 915.
N. A. Yaitsky – academician RAMS (St. Petersburg) Yu. S. Polushin – Doctor of Medical Sciences, Prof. E. S. Gabrielyan – academician (Yerevan) M. G. Rybakova – Doctor of Medical Sciences, Prof. V. N. Gurin – academician BAN (Minsk) S. A. Simbirtsev – doctor of medical sciences, prof. G. G. Lezhava – prof. (Tbi
N. A. Yaitsky – academician RAMS (St. Petersburg) Yu. S. Polushin – Doctor of Medical Sciences, Prof. E. S. Gabrielyan – academician (Yerevan) M. G. Rybakova – Doctor of Medical Sciences, Prof. V. N. Gurin – academician BAN (Minsk) S. A. Simbirtsev – doctor of medical sciences, prof. G. G. Lezhava – prof. (Tbi
2007:... : 5.,.. /, 2008. 397. ? /.. // 4.,.. - -. 2006. 6.. 49.
N. A. Yaitsky – academician RAMS (St. Petersburg) Yu. S. Polushin – Doctor of Medical Sciences, Prof. E. S. Gabrielyan – academician (Yerevan) M. G. Rybakova – Doctor of Medical Sciences, Prof. V. N. Gurin – academician BAN (Minsk) S. A. Simbirtsev – doctor of medical sciences, prof. G. G. Lezhava – prof. (Tbi
SCIENTIFIC NOTES OF SPbSMU NAMED AFTER ACAD. I. P. PAVLOVA VOLUME XVI N02 2009
N. A. Yaitsky – academician RAMS (St. Petersburg) Yu. S. Polushin – Doctor of Medical Sciences, Prof. E. S. Gabrielyan – academician (Yerevan) M. G. Rybakova – Doctor of Medical Sciences, Prof. V. N. Gurin – academician BAN (Minsk) S. A. Simbirtsev – doctor of medical sciences, prof. G. G. Lezhava – prof. (Tbi
SCIENTIFIC NOTES OF SPbSMU NAMED AFTER ACAD. I. P. PAVLOVA · VOLUME XVI · N02 · 2009, -, -.
() -, LITERATURE 1.,..
N. A. Yaitsky – academician RAMS (St. Petersburg) Yu. S. Polushin – Doctor of Medical Sciences, Prof. E. S. Gabrielyan – academician (Yerevan) M. G. Rybakova – Doctor of Medical Sciences, Prof. V. N. Gurin – academician BAN (Minsk) S. A. Simbirtsev – doctor of medical sciences, prof. G. G. Lezhava – prof. (Tbi
N. A. Yaitsky – academician RAMS (St. Petersburg) Yu. S. Polushin – Doctor of Medical Sciences, Prof. E. S. Gabrielyan – academician (Yerevan) M. G. Rybakova – Doctor of Medical Sciences, Prof. V. N. Gurin – academician BAN (Minsk) S. A. Simbirtsev – doctor of medical sciences, prof. G. G. Lezhava – prof. (Tbi
HEALTHCARE ORGANIZATION
N. A. Yaitsky – academician RAMS (St. Petersburg) Yu. S. Polushin – Doctor of Medical Sciences, Prof. E. S. Gabrielyan – academician (Yerevan) M. G. Rybakova – Doctor of Medical Sciences, Prof. V. N. Gurin – academician BAN (Minsk) S. A. Simbirtsev – doctor of medical sciences, prof. G. G. Lezhava – prof. (Tbi
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N. A. Yaitsky – academician RAMS (St. Petersburg) Yu. S. Polushin – Doctor of Medical Sciences, Prof. E. S. Gabrielyan – academician (Yerevan) M. G. Rybakova – Doctor of Medical Sciences, Prof. V. N. Gurin – academician BAN (Minsk) S. A. Simbirtsev – doctor of medical sciences, prof. G. G. Lezhava – prof. (Tbi
N. A. Yaitsky – academician RAMS (St. Petersburg) Yu. S. Polushin – Doctor of Medical Sciences, Prof. E. S. Gabrielyan – academician (Yerevan) M. G. Rybakova – Doctor of Medical Sciences, Prof. V. N. Gurin – academician BAN (Minsk) S. A. Simbirtsev – doctor of medical sciences, prof. G. G. Lezhava – prof. (Tbi
N. A. Yaitsky – academician RAMS (St. Petersburg) Yu. S. Polushin – Doctor of Medical Sciences, Prof. E. S. Gabrielyan – academician (Yerevan) M. G. Rybakova – Doctor of Medical Sciences, Prof. V. N. Gurin – academician BAN (Minsk) S. A. Simbirtsev – doctor of medical sciences, prof. G. G. Lezhava – prof. (Tbi
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N. A. Yaitsky – academician RAMS (St. Petersburg) Yu. S. Polushin – Doctor of Medical Sciences, Prof. E. S. Gabrielyan – academician (Yerevan) M. G. Rybakova – Doctor of Medical Sciences, Prof. V. N. Gurin – academician BAN (Minsk) S. A. Simbirtsev – doctor of medical sciences, prof. G. G. Lezhava – prof. (Tbi
: SCIENTIFIC NOTES OF SPbSMU I.M. ACAD. I. P. PAVLOVA VOLUME XVI N02 2009
N. A. Yaitsky – academician RAMS (St. Petersburg) Yu. S. Polushin – Doctor of Medical Sciences, Prof. E. S. Gabrielyan – academician (Yerevan) M. G. Rybakova – Doctor of Medical Sciences, Prof. V. N. Gurin – academician BAN (Minsk) S. A. Simbirtsev – doctor of medical sciences, prof. G. G. Lezhava – prof. (Tbi
SCIENTIFIC NOTES OF SPbSMU NAMED AFTER ACAD. I. P. PAVLOVA · VOLUME XVI · N02 · 2009 10 17 (35.4%), 1115 7 (14.6%), 1620 4 (8.3%), 2125: “- 1 (2.1%) , 2630 1 (2.1%), 1 (2.1%);
1 (0.3%) 45; 47 (12.2%) 45, " 24 (32.4%), 1 (2.1%), 610 7 (14.9%), 1115 10 (21.3%), 1620 " - 6 (12 .8%), 2125 5 (10.6%), 2630 2 (4.3%), "11 (14.9%), " - 11 (23.4%); 2 5 (10.6%);
3 (0.8%) 1620 1 (33.3%), » 8 (10.8%). 2 (66.7%); 1 (0.3%) 610;
6 (1.6%) 23 1 (16.7%), 45 2 (33.3%), 610 1 (16.7%), 1115 1 (16.7%), 1 (16.7%) ); 3 (0.8%) 111 1 (33.3%), - 23 1 (33.3%), 45 1 (33.3%); CONCLUSION, - - REFERENCES 1 (0.3%) 111 ; 1.,.. -ATTENTION READERS!
"". SCIENTIFIC NOTES OF SPbSMU NAMED AFTER ACAD. I. P. PAVLOVA VOLUME XVI N02 2009
N. A. Yaitsky – academician RAMS (St. Petersburg) Yu. S. Polushin – Doctor of Medical Sciences, Prof. E. S. Gabrielyan – academician (Yerevan) M. G. Rybakova – Doctor of Medical Sciences, Prof. V. N. Gurin – academician BAN (Minsk) S. A. Simbirtsev – doctor of medical sciences, prof. G. G. Lezhava – prof. (Tbi
0.3,. CONCLUSIONS.
N. A. Yaitsky – academician RAMS (St. Petersburg) Yu. S. Polushin – Doctor of Medical Sciences, Prof. E. S. Gabrielyan – academician (Yerevan) M. G. Rybakova – Doctor of Medical Sciences, Prof. V. N. Gurin – academician BAN (Minsk) S. A. Simbirtsev – doctor of medical sciences, prof. G. G. Lezhava – prof. (Tbi
SCIENTIFIC NOTES OF SPbSMU NAMED AFTER ACAD. I. P. PAVLOVA VOLUME XVI N02 2009
N. A. Yaitsky – academician RAMS (St. Petersburg) Yu. S. Polushin – Doctor of Medical Sciences, Prof. E. S. Gabrielyan – academician (Yerevan) M. G. Rybakova – Doctor of Medical Sciences, Prof. V. N. Gurin – academician BAN (Minsk) S. A. Simbirtsev – doctor of medical sciences, prof. G. G. Lezhava – prof. (Tbi
N. A. Yaitsky – academician RAMS (St. Petersburg) Yu. S. Polushin – Doctor of Medical Sciences, Prof. E. S. Gabrielyan – academician (Yerevan) M. G. Rybakova – Doctor of Medical Sciences, Prof. V. N. Gurin – academician BAN (Minsk) S. A. Simbirtsev – doctor of medical sciences, prof. G. G. Lezhava – prof. (Tbi
.... ; 499-70-81 (634).
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SCIENTIFIC NOTES OF SPbSMU NAMED AFTER ACAD. I. P. PAVLOVA VOLUME XVI N02 2009
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N. A. Yaitsky – academician RAMS (St. Petersburg) Yu. S. Polushin – Doctor of Medical Sciences, Prof. E. S. Gabrielyan – academician (Yerevan) M. G. Rybakova – Doctor of Medical Sciences, Prof. V. N. Gurin – academician BAN (Minsk) S. A. Simbirtsev – doctor of medical sciences, prof. G. G. Lezhava – prof. (Tbi
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88 p. Materials published in this issue are divided into the following sections: Biological chemistry; Forensic medicine. Part one. Biological chemistry. Dedicated to the 150th anniversary of S. S. Salazkin Historical material
L. V. Galebskaya, I. G. Shcherbak. The contribution of Professor S. S. Salazkin to the formation and development of protein biochemistry
Original works
E. V. Ageeva, Yu. V. Frolova, N. G. Nikulcheva, A. D. Denisenko. Lipolysis of plasma triglycerides in patients with familial forms of dyslipoproteinemia
E. G. Vilenskaya, A. V. Tuaeva, A. M. Efremov, E. B. Dizhe, I. A. Lapikov, D. A. Mogilenko, S. V. Orlov, A. P. Perevozchikov. Effect of bacterial lipopolysaccharide on mouse apolipoprotein A-I gene expression
E. E. Larionova, A. D. Denisenko. Effect of modified low-density lipoproteins and high-density lipoproteins on macrophage apoptosis
T. F. Subbotina, M. O. Novak, Yu. V. Kartyshkina, A. S. Shchureva, M. A. Dumpis. Effect of fullerenol C60(OH)24 on the parameters of the hemostasis system in vitro
D. A. Tanyansky, I. A. Martynikhin, A. D. Denisenko. The course of metabolic syndrome and the relationship of its manifestations with the content of adipokines in patients with schizophrenia: results of comparison with a group of mentally healthy patients with coronary artery disease
T. S. Gurevich. The role of connective tissue dysplasia in the occurrence of mitral regurgitation during mitral valve prolapse in athletes
L. V. Galebskaya, I. L. Solovtsova, V. P. Faenkova, M. A. Solovyova, D. A. Ovchinnikov. Effect of blood plasma on the spectral properties of coproporphyrin III
Brief messages
T. A. Bogomaz, L. B. Piotrovsky, M. A. Dumpis, I. G. Shcherbak, L. V. Galebskaya. Fullerenol in the “blood serum - erythrocyte” system
I. L. Solovtsova, E. A. Vorobyov, I. A. Kurpas, M. A. Solovyova. Participation of some apoptotic mechanisms in radachlorin-initiated photohemolysis
V. P. Faenkova, I. L. Solovtsova, E. A. Vorobyov, A. D. Denisenko, L. V. Galebskaya. Study of the mechanism of transport of radachlorin by human blood plasma
Part two. Forensic Medicine. Dedicated to the 110th anniversary of the Department of Forensic Medicine and Law of St. Petersburg State Medical University named after. acad. I. P. Pavlova Historical material
O. D. Yagmurov. 110 years of the Department of Forensic Medicine and Law of St. Petersburg State Medical University named after Academician I. P. Pavlov
Health Organization
E. S. Naumov. Method for quality control of the activities of doctors - forensic experts
O. E. Amelekhina, P. N. Ryazanov
Organization of interaction between the forensic medical service and medical institutions in the implementation conditions national project"Health"
Original works
V. L. Popov, V. M. Karavaev. The influence of the circumstances of injury on the nature of fatal combined injury in children
V. L. Popov, O. A. Egorova. Peculiarities of expert characteristics of mandibular fractures complicated by post-traumatic osteomyelitis
G. N. Zarafyants, V. A. Basharin. Aspects of forensic medical diagnosis of combined poisonings with neurotropic poisons
D. A. Efimov. Features of the course of shockogenic mechanical injury against the background of alcohol intoxication
I. Yu. Salova, P. V. Stepanova. Forensic characteristics of fatal carbon monoxide poisonings in the Northwestern Federal District in 2005 - 2009.
L. V. Petrov, I. Yu. Salova. Characteristics of focal changes in the brain in acute carbon monoxide poisoning
M. G. Rybakova, I. A. Kuznetsova. Pathogenetic mechanisms of sudden cardiac death
O. D. Yagmurov, A. E. Safray, N. A. Kuznetsova. Practice of post-mortem forensic medical studies of corpses of HIV-infected people
R.V. Petrov. Identification of a person by individual characteristics of the sella turcica of the skull
O. O. Bolshakova, T. Kh. Yusipova, G. M. Nutfullina, I. A. Kuznetsova. Characteristics of morpho-functional parameters cordially- vascular system rats under experimental postmenopausal conditions
V. L. Sidorov, O. D. Yagmurov. Modern capabilities of quantitative ELISA methods and the results of their use in forensic practice
Teaching Issues
G. N. Zarafyants, O. D. Yagmurov. Features of teaching forensic medicine at St. Petersburg State Medical University named after. acad. I. P. Pavlova in accordance with the new state educational standard
O. D. Yagmurov, G. N. Zarafyants, A. I. Rusanova. Teaching the discipline “Jurisprudence” at St. Petersburg State Medical University named after. acad. I. P. Pavlova
Scientific and practical peer-reviewed journal
« Scientific notes St. Petersburg State Medical University named after academician I.P. Pavlov” is the official scientific journal of St. Petersburg State Medical University, publishing articles on problems of medical science, practice and teaching.
By the decision of the Higher Attestation Commission (HAC) of the Ministry of Education and Science of the Russian Federation, the journal “Scientific notes of St. Petersburg State Medical University named after. acad. I. P. Pavlova" included in the List of leading peer-reviewed scientific journals and publications published in the Russian Federation, which recommend the publication of the main results of dissertation research for the academic degrees of Doctor and Candidate of Sciences.
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35-41 21
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Introduction. The methodology for objective express diagnostics of cardiovascular and respiratory synchrony depending on the manifestation of static spinal deformities is outlined. Approaches to simultaneous static and dynamic studies of postural balance and spiroarteriocardiorhythmography are discussed.
Goal of the work– determination of the mutual influence of parameters of cardiovascular and respiratory synchrony and indicators of static and dynamic postural balance.
Material and methods. An analysis of indicators of static and dynamic postural balance and indicators of cardiovascular and respiratory synchrony among a population without manifested signs of pathology from the studied body systems was carried out.
Results. Statistically significant correlations of static spinal deformity indicators were observed only with functional respiratory indicators. Indicators of cardiovascular and respiratory synchronization are more stable.
Conclusions. The lordotic variant, in contrast to the kyphotic and scoliotic variants of static spinal deformity, significantly affects the functional indicators of the respiratory system, as well as indicators of cardiovascular and respiratory synchrony. The balance of sagittal deformations correlates with functional indicators of the cardiovascular and respiratory systems, as well as with indicators of cardiovascular and respiratory synchrony. It is important to emphasize that in order to maintain cardiovascular and respiratory compliance in the most commonly diagnosed variants of static deformities (kyphotic and scoliotic), significant modifications in cardiovascular and respiratory regulation were observed much less frequently than in lordotic deformities.
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Introduction. Every 10th skin tumor is melanoma, the treatment plan for which is influenced by the presence of tumor cells in the sentinel lymph node.
Target research – study of metastasis of skin melanoma to clinically negative regional lymph nodes.
Material and methods. Biopsies of regional lymph nodes from 60 patients with cutaneous melanoma were studied using histological, immunohistochemical, cytological and immunocytochemical methods.
Results. 5% of patients were diagnosed with stage melanoma in situ, 15% – T1, 28.3% – T2, 23.3% – T3, 28.3% – T4. With lymph outflow through 1 lymph collector, metastases in the sentinel lymph node (SLN) were identified in 51%, and through 2 lymph collectors - in 81.8% of cases. In 35.3% of cases, tumor cells affected a single lymph node, in 64.7% - 2 or more lymph nodes. Metastases in the SLN with the formation of a secondary tumor in T1 melanoma were observed in 11.1%, T2 – in 5.9%, T3 – in 21.4%, T4 – in 47.1% of studies. Accumulations of cluster-type cells or scattered melanoma cells in the SLN were observed in 22.2% in T1, 41.2% in T2, 42.9% in T3, and 35.3% in T4. With lymph outflow through 1 collector, melanoma metastases in non-sentinel lymph nodes (NSLNs) were detected in 24%, and through 2 collectors - in 44.4% of cases. Secondary changes in the SLN were noted in 16.7% of cases of lesions of a single SLN, in 31.8% of cases – lesions of 2 or more SLNs. In 69.2% of cases of secondary tumor formation and in 4.8% of the presence of clusters in the SLN, melanoma metastases were found in the removed SLN.
Conclusions. With increasing T of skin melanoma, the number of sentinel lymph nodes with reactive changes decreased, and their number with metastases increased. Metastatic damage to sentinel lymph nodes with lymph outflow through 2 lymph collectors into 2 or more SLNs and SLNs exceeded SLN damage with lymph outflow through 1 lymph collector into single lymph nodes. The use of the immunocytochemical research method made it possible to expand the pathomorphological verification of metastatic lesions of sentinel lymph nodes by 66.7%.
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We describe a rare observation of a patient with probable transmissible encephalopathy (Creutzfeldt-Jakob disease), whose leading clinical feature was rapidly progressing speech impairment while maintaining motor and sensory functions. The diagnosis of Creutzfeldt-Jakob disease was confirmed by the clinical picture with rapid progression of the disease, neuroimaging (magnetic resonance imaging of the brain in FLAIR, DWI modes) and electroencephalography. Other possible causes of primary progressive aphasia were excluded.
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Acute cerebellitis is a common inflammatory syndrome in the pediatric population, much less common in adults. No description of acute cerebellitis in adults, in particular associated with Crohn's disease, was found in the Russian-language literature available to us. In this case, acute hemicerebellitis was observed in a 45-year-old patient with a long history of Crohn's disease, who received Mesalazine as a basic therapy, and also underwent resection of the ileotransverse anastomosis and resection small intestine 2 months before the onset of neurological symptoms. The disease debuted with severe headache and left-sided cerebellar symptoms. Magnetic resonance imaging (MRI) revealed signs of severe edema of the left hemisphere of the cerebellum, weak leptomeningeal accumulation of contrast agent along the sulci, and impaired cerebrospinal fluid dynamics. Lumbar puncture was limited by the possibility of developing dislocation syndrome. After intravenous pulse therapy with Methylprednisolone, there was a complete regression of symptoms and a decrease in pathological changes during control MRI. Over the next year, there were no relapses of the disease; a single convulsive episode was noted during a change in the basic therapy for Crohn's disease to Adalimumab. In this case, most likely, the nature of the hemicerebellitis is immune-mediated, which is supported by a temporary relationship with an increase in the activity of Crohn's disease and a significant positive response to pulse corticosteroid therapy. It is known that inflammatory bowel diseases have many extraintestinal manifestations, including neurological ones. A possible common pathogenetic basis for systemic inflammatory and autoimmune diseases, such as Crohn's disease and autoimmune cerebellitis, in our case can be considered a disturbance in the composition of the microbiota of the gastrointestinal tract.
A patient with unstable angina was implanted with 2 everolimus-containing stents with a permanent polymer (Promus Premier) and a biodegradable polymer (Synergy). After 9 months, optical coherence tomography was performed with calculation of indicators.
774 Synergy stent struts and 701 Promus Premier stent struts were analyzed. When assessing the thickness of the formed neointima, no significant differences were obtained (p = 0.47). At the same time, a larger number of uncovered struts was detected in the Promus Premier stent compared to Synergy (1.14% versus 0%, p=0.002). The number of malposed uncovered strata is not statistically different (0.14 versus 0.13, p=1.00), the difference in the number of malposed covered strata approaches statistically significant (1.14 versus 0.26, p=0.0545).
According to the results of optical coherence tomography, no significant differences were obtained between the studied platforms when assessing late lumen loss. A larger number of uncovered struts in a stent with a permanent polymer was identified, which can be considered as a risk factor for the development of late coronary thrombosis.
ISSN 1607-4181 (Print)
ISSN 2541-8807 (Online)
This brief historical fragment of the activities of the world-famous neurologist shows the continuity of the activities of the pharmaceutical company "Geropharm", which gives us the right (with the permission of Alexander Anisimovich) to present on our website a brief historical background about Academician of the Russian Academy of Medical Sciences Alexander Anisimovich Skoromets, which we do with great pleasure.
Academician of the Russian Academy of Medical Sciences, Doctor of Medical Sciences, Professor, Honored Scientist of the Russian Federation, laureate of the State Prize of Moldova.
Born on March 28, 1937 in the village. Anastasyevka, Romensky district, Sumy region, Ukraine. Father - Skoromets Anisiy Ivanovich (1906 - 1984) and mother - Skoromets (Panaseiko) Efrosinia Terentyevna (1903 - 1979). Wife - Skoromets Anna Petrovna - professor of child neurology (born in 1963), son - Skoromets Taras Aleksandrovich, neurosurgeon, professor (born in 1963 from his first marriage with Skoromets Tamara Sergeevna (born 1936) and son - Skoromets Alexander Alexandrovich (born 2001).
After graduating with a diploma of commendation from the Artopolot seven-year school (the village of Anastasyevka, Sumy region), in 1951 he entered the Sumy paramedic-midwife school, which he graduated with honors in 1954 and without entrance exams was enrolled in the medical faculty of the 1st Leningrad Medical Institute named after. acad. I.P. Pavlova, who graduated in 1960 and was accepted into clinical residency at the department of nervous diseases of this institute. After completing clinical residency training in 1962, he worked as a neurologist at MSCh-42 in Krasnoyarsk -45 in the system of the Third Main Directorate of the USSR Ministry of Health. From 1964 to 1967 he studied full-time graduate school at the Department of Nervous Diseases with a course in medical genetics under the guidance of prof. D.K. Bogorodinsky in the 1st LMI named after. acad. I.P. Pavlova. In 1967, he successfully defended his thesis on the topic: “Clinic of ischemic conditions in the lumbosacral segments of the spinal cord” and was hired as an assistant at this department (1967 - 1970), then as an associate professor (1970-1974). In 1973 he defended his doctoral dissertation on the topic: “Ischemic spinal stroke (clinical and experimental study)" and was accepted to the position of professor of this department, and since 1975 he was elected head of the department of neurology and neurosurgery of the 1st LMI named after. acad. I.P. Pavlova (in 1994 renamed the St. Petersburg State Medical University named after academician I.P. Pavlov), where he has been working to the present time (more than 30 years). He received the academic title of professor in 1978, in 1995 he was elected corresponding member of the Russian Academy of Medical Sciences, and in 2002 - a full member (academician) of the Russian Academy of Medical Sciences. Since 1977 he has been working as the chief neurologist of Leningrad - St. Petersburg.
He has extensive experience teaching clinical neurology to students of the medical and dental faculties. Prepared and published jointly with prof. D.K. Bogorodinsky and A.I. Shvarev textbook “Guide to practical exercises in the Clinic of Nervous Diseases" (1977), which was translated into Spanish. In 1989, he published the first edition of the manual for neurologists “Topical diagnosis of diseases of the nervous system”, which was subsequently revised and expanded, and has already gone through 5 editions (together with professors A.P. Skoromets and T.A. Skoromets).
In 2005, he published the textbook “Nervous Diseases” for medical students.
Scientific interests concern experimental and clinical neurology and neurosurgery. He studied the vascular system of the spinal cord and for the first time identified two extreme variants of its structure: mainline and scattered. A classification of pathogenetic factors leading to impaired cerebrospinal circulation (lesions of the vascular system itself, compression of the vessels supplying the spinal cord and iatrogenic factors) has been developed. For the first time he identified the syndrome of pathogenic compensation of cerebrospinal circulation. A classification of the clinical picture of myeloischemia is proposed depending on the extent of ischemia along the diameter and length of the spinal cord, which can be assessed based on the clinical signs of the disease. For the first time, he identified and developed a method for studying the phenomenon of “arterial push” and “venous push” in vascular malformation in the spinal canal. He created a new chapter of clinical neurology - vascular diseases of the spinal cord (spinal angioneurology). Many works are devoted to spondylogenic lesions of the nervous system, tunnel neuropathies, demyelinating lesions of the nervous system, inherited neuromuscular diseases, lesions of the nervous system due to pathology of internal organs and endocrine glands. With his active participation, a domestic school of manual medicine was created in the USSR (1975 - 1990) and Russia (1990 - 2006), he was president of the All-Russian Association of Manual Medicine (1997-2005), and since 2005 - honorary president of this Association.
Actively performs social work - deputy. Chairman of the All-Russian Society of Neurologists, member of the editorial board of the Journal of Neurology and Psychiatry named after. S.S. Korsakov", "Neurological Journal", "Stroke. Russian edition”, “Manual therapy”, “Medical academic journal”, “Scientific notes of St. Petersburg State Medical University named after. I.P. Pavlova”, “Neuroimmunology”, “Vertebroneurology”, “Neurological Bulletin. Journal named after V.M. Bekhterev" and others.
Academician A.A. Skoromets created a neurological school: he trained more than 800 neurologists through internship and clinical residency; more than 55 candidate and 15 doctoral dissertations were defended under his scientific leadership. Published more than 600 scientific works, including 30 monographs, textbooks and manuals.
In 1993 he was awarded honorary title- Honored Scientist of the Russian Federation, “Honored Worker higher education Russia" (1997), and in 1998 - laureate of the State Prize of Moldova. He was awarded the badge “Winner of the Socialist Competition of 1973”, “Excellence in Health Care” (1977), “For Excellent Achievements in Work” (in the field of higher education in the USSR, 1987), the medal “Veteran of Labor” (1989), “300 Years St. Petersburg" (2003), etc.
He is an honorary member of the Royal Medical Society of Great Britain, the European Society of Neurologists, the US Association of Neurologists, the Ukrainian Medical Academy, etc.
Academician A.A. Skoromets is active in charitable activities: in 1994 he organized the Prize Fund for excellent graduates of Anastasyevskaya high school(annual, by 2006, 31 gold and silver medalists became its laureates), in 1997 - a bonus fund for excellent students of Sumsky medical school(by 2005, more than 35 excellent graduates became its laureates), as well as at the St. Petersburg State Medical University. acad. I.P. Pavlova for young scientists for scientific works in the field of clinical and experimental neuroscience.
Part 1. Multidisciplinary approach. Organization of a stroke block. St. Petersburg 2003. - 34 p.
Part 2. Nursing issues. St. Petersburg, 2003. - 41 p.
Part 3. Speech therapy. Swallowing. St. Petersburg 2003. - 25 p.
Part 4. Function of the pelvic organs. St. Petersburg 2003. - 22 s
Part 5. Physical therapy. St. Petersburg, 2003. - 42 p.
Part 6. Occupational therapy. St. Petersburg 2003. - 40 p.
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