Создан на основании Постановления Президиума РАМН от 25 октября 2000 г. N 202, Указа Президента РС(Я) от 30 марта 2001 г. N 1376 и Постановления Правительства РС(Я) от 4 мая 2001 г. N 263 в целях консолидации научного потенциала республики и координации фундаментальных и прикладных исследований в области арктической медицины, направленных на укрепление здоровья населения, сохранение этногенетического фонда народов Крайнего Севера, а также внедрение высоких медицинских технологий, подготовку научных кадров, сотрудничество с ведущими российскими и зарубежными научными организациями.
Количество страниц: 4 с.
In the article the literature data on MSA, the clinical features are studied and modern diagnostic criteria for this disease are provided. We introduce our own observations of the patients with various forms of MSA who underwent inpatient treatment at the Center for Neurodegenerative Diseases of the Yakutsk Scientific Center for Complex Medical Problems in 2019-2020. These clinical cases have been studied with the aim to draw attention of general practitioners and neurologists to the disease onset among elderly patients and to the syndrome of autonomic insufficiency, which may be the initial manifestation of MSA, since this rare disease has a rapidly progressive course and leads to mortaltiy. In turn, the early diagnosis of the disease contributes to timely correction of autonomic and motor disorders and ultimately increases quality and lifetime
Трудности диагностики мультисистемной атрофии на ранних стадиях (клинические наблюдения) / А. Е. Адамова, А. А. Таппахов, Т. К. Давыдова [и другие] // Якутский медицинский журнал. — 2020. — N 4 (72). — С. 119-122
DOI: 10.25789/YMJ.2020.72.29
Количество страниц: 6 с.
- Математика. Естественные науки > Общая биология. Антропология. Вирусология. Микробиология,
- Прикладные науки. Медицина. Ветеринария. Техника. Сельское хозяйство > Медицина > Гинекология. Женские болезни. Акушерство,
- НАУКА ЯКУТИИ > ПРИКЛАДНЫЕ НАУКИ. МЕДИЦИНА. ТЕХНИКА. СЕЛЬСКОЕ ХОЗЯЙСТВО > Медицина > Гинекология. Женские болезни. Акушерство,
- НАУКА ЯКУТИИ > МАТЕМАТИКА. ЕСТЕСТВЕННЫЕ НАУКИ > Общая биология. Антропология. Вирусология. Микробиология.
The analysis of cytological samples of 100 women aged 23 to 60 years was carried out by liquid-based cytology. The predominance of NILM in the samples in comparison with intraepithelial lesions of the cervix was noted. Among intraepithelial lesions, low-grade LSIL was significantly more common. Positive HPV tests were found in less than half of the cases in tested women. Among the positive tests of high oncogenic risk the types 16 and 51 were considered as high-risk HPV types. There is approximately equal positivity of the high-risk HPV test in women with NILM and intraepithelial lesions (LSIL, HSIL, ASCUS). The positivity of the high-risk HPV test depends on age: in women under 45 years this indicator is higher than in women 46 years and older. According to our survey, with cytological study it is necessary to apply integrated test approach when screening high-risk HPV infection. The combined use of liquid-based cytology and HPV testing can improve the effectiveness of diagnostics by reducing the amount of uninformative material and allows to detect pathological changes at an earlier stage. It will significantly increase the value of diagnostic measures and will improve cytologist’s experience in diagnosing and giving recommendations in clinical practice of cervical pathologies
Вирус папилломы человека как фактор развития рака шейки матки / М. П. Кириллина, И. В. Кононова, С. И. Софронова, П. М. Иванов // Якутский медицинский журнал. — 2020. — N 4 (72). — С. 82-86
DOI: 10.25789/YMJ.2020.72.20
Количество страниц: 6 с.
A vacA gene is important virulence factor that encodes vacuolating toxin and presents in all strains of Helicobacter pylori. There is significant difference between strains in vacuolating activity determined by different sequences in the middle (m) and signal (s) regions. Helicobacter pylori vacAm has m1 and m2 alleles, vacAs has s1 and s2 alleles. The higher grade of cytotoxic activity shows Helicobacter pylori with vacAs1m1 strains than s1m2, while s2m2 has not produced vacuolating cytotoxin. The effect of vacA gene alleles on gastroduodenal diseases in patients of Yakutia earlier has not been studied. The aim of this work is an associative analysis of the clinical outcomes of the vacA Helicobacter pylori variant gene and its association with the course of gastroduodenal diseases among Yakuts. According to the results of the histological report, 154 patients (out of 322 examined) were included in the study, who had H. pylori in the antrum of the stomach. Patients were divided into two groups: chronic gastritis (n=65) and chronic gastritis with erosive and ulcerative lesions (n=89). The average age was 26,6 years. The diagnosis of chronic gastritis was established in 65 cases (42,2%), and chronic gastritis with erosive and ulcerative lesions was diagnosed in 89 cases (57,7%). A vacAs1m1 was found in 30 out of 39 patients with erosive and ulcerative lesions (76,9%) (p
Анализ клинических исходов у пациентов с гастродуоденальными заболеваниями в зависимости от вариантов гена vacA Helicobacter pylori в Якутии / Н. Н. Готовцев, Н. А. Барашков, Т. В. Борисова [и другие] // Якутский медицинский журнал. — 2020. — N 4 (72). — С. 69-73
DOI: 10.25789/YMJ.2020.72.18
Количество страниц: 6 с.
- Общественные науки. Образование > Экономика. Экономические науки. Политическая экономия > Труд. Наука о труде. Экономика труда. Организация труда,
- Прикладные науки. Медицина. Ветеринария. Техника. Сельское хозяйство > Медицина > Патология. Клиническая медицина > Оториноларингология,
- НАУКА ЯКУТИИ > ОБЩЕСТВЕННЫЕ НАУКИ > Экономика. Экономические науки. Политическая экономия,
- НАУКА ЯКУТИИ > ПРИКЛАДНЫЕ НАУКИ. МЕДИЦИНА. ТЕХНИКА. СЕЛЬСКОЕ ХОЗЯЙСТВО > Медицина > Патология. Клиническая медицина > Оториноларингология.
We have studied the impact of harmful physical factors of production on the development of occupational sensorineural hearing loss (OSHL) among civil aviation flight personnel and technological transport drivers in the mining industry of Yakutia. It was found that among flight personnel, OSHL is the only diagnosis of an occupational disease, the severity of hearing loss depends on age, length of service, and the level of excessive noise (typical pattern of OSHL). In car drivers, OSHL is combined with other diagnoses caused by exposure to local and/or general vibration, the clinical course is more severe, with a predominance of II and III degrees
Физические факторы риска при профессиональной нейросенсорной тугоухости / Ф. М. Терютин, В. Г. Пшенникова, Н. А. Барашков [и другие] // Якутский медицинский журнал. — 2020. — N 4 (72). — С. 65-69
DOI: 10.25789/YMJ.2020.72.17
Количество страниц: 6 с.
The article presents the experience of the specialized medical center on the basis of the clinic of the Federal State Budgetary Scientific Institution of the Yakutsk Scientific Center for Complex Medical Problems for patients with neurodegenerative diseases. The aim of this work is to present an improved model for providing specialized care for patients with neurodegenerative diseases in the Republic of Sakha (Yakutia) and an example of consolidation of the federal medical research institution and the regional ministry of health. The materials in the work include the register of patients with SCA 1 and MND, reporting data of regional neurologists from 2016-2018, regulatory documents of the Ministry of Health of the Russian Federation and the Republic of Sakha (Yakutia). The clinical, comparative analysis and organizational modeling were used for the study. The result of the analysis was the opening of the Center for Neurodegenerative Diseases at the YSC KMP
Опыт создания специализированного центра медицинской помощи для больных с нейродегенеративными заболеваниями на базе клиники научного учреждения / Т. К. Давыдова, С. К. Кононова, О. Г. Сидорова [и другие] // Якутский медицинский журнал. — 2020. — N 4 (72). — С. 53-57
DOI: 10.25789/YMJ.2020.72.14
Количество страниц: 4 с.
The study of the effect of smoking on metabolic disorders and determination of the association between them in the indigenous population of the northern territory of Yakutia was carried out. A high frequency of risk factors for the development of cardiovascular pathology, such as overweight, obesity and smoking, was revealed. We have confirmed the data of foreign scientists on the suppression of the level of insulin secretion under the influence of nicotine. The same association of glucose level with blood pressure was obtained in both smokers and non-smokers. Metabolic disorders in the indigenous population of the northern territory of Yakutia are caused by a change in the traditional way of life with a decrease in physical activity, diet, and non-observance of a healthy lifestyle
Софронова, С. И. Влияние курения на метаболические нарушения и взаимосвязь между ними у коренного населения арктической территории Якутии / С. И. Софронова, А. Н. Романова, В. М. Николаев // Якутский медицинский журнал. — 2020. — N 4 (72). — С. 49-52
DOI: 10.25789/YMJ.2020.72.13
Количество страниц: 6 с.
- Математика. Естественные науки > Общая биология. Антропология. Вирусология. Микробиология,
- Прикладные науки. Медицина. Ветеринария. Техника. Сельское хозяйство > Медицина > Патология. Клиническая медицина > Оториноларингология,
- НАУКА ЯКУТИИ > МАТЕМАТИКА. ЕСТЕСТВЕННЫЕ НАУКИ > Общая биология. Антропология. Вирусология. Микробиология,
- НАУКА ЯКУТИИ > ПРИКЛАДНЫЕ НАУКИ. МЕДИЦИНА. ТЕХНИКА. СЕЛЬСКОЕ ХОЗЯЙСТВО > Медицина > Патология. Клиническая медицина > Оториноларингология.
In this paper we present for the first time the results of the clinical-audiological and genealogical analysis of cases of hearing impairment in the Republic of Buryatia. As a result of the clinical-audiological analysis of the survey sample, the majority of individuals had bilateral deafness of the sensorineural type, the rest had bilateral hearing loss of varying severity. The segregation analysis carried out in Buryat and Russian families made it possible to assume the hereditary nature of cases of hearing impairment, segregating according to an autosomal recessive type of inheritance only in Russian families
Клинико-аудиологический и генеалогический анализ случаев нарушения слуха в Республике Бурятия / В. Г. Пшенникова, Ф. М. Терютин, Н. А. Барашков [и другие] // Якутский медицинский журнал. — 2020. — N 4 (72). — С. 44-49
DOI: 10.25789/YMJ.2020.72.12
Количество страниц: 4 с.
The article presents the results of the diagnostic search of the hereditary autosomal recessive disease Pendred's syndrome (sensorineural deafness combined with thyroid disorders) in patients with hearing disorders in Buryatia using instrumental (threshold tone audiometry) and laboratory methods (ELISA analysis of FT3, FT4 and TSH). Threshold tonal audiometry and analysis of thyroid hormone levels were performed in 164 patients with hearing impairment. The analysis showed that 7.9% (13 out of 164 people) of patients with severe hearing loss and deafness can be assumed to have thyroid disorders (12 people – hypothyroidism, 1 person – hyperthyroidism). Overall, 7.3% of deaf patients with hypothyroidism (12 of 164) were formally consistent with the clinical features characteristic of Pendred's syndrome
Анализ уровня гормонов щитовидной железы у пациентов с нарушениями слуха в Республике Бурятия: поиск фенотипов, соответствующих клинической картине синдрома Пендреда / Н. А. Барашков, А. М. Чердонова, В. Г. Пшенникова [и другие] // Якутский медицинский журнал. — 2020. — N 4 (72). — С. 34-37
DOI: 10.25789/YMJ.2020.72.09
Количество страниц: 4 с.
The aim of this study is to evaluate the leptin level circulating in blood serum depending on the body mass index (BMI) in young healthy Yakuts (mean age 19.8±1.5 years). The total sample (n=281) was divided into three groups according to the WHO classification: persons with underweight, normal, overweight / obese. There were no statistically significant differences in BMI between men and women in the groups. As a result of the comparative analysis, it was found that both in women and in men, leptin levels were statistically higher in overweight/obese individuals compared with the other two groups. There were no statistically significant differences in leptin levels between the groups of people with underweight and normal weight, both in women and in men, which could be associated with the body's protection from low temperatures through the development of active brown adipose tissue, secreting additional leptin
Уровень циркулирующего в крови лептина у молодых якутов в зависимости от индекса массы тела / А. А. Никанорова, Н. Н. Готовцев, Н. А. Барашков [и другие] // Якутский медицинский журнал. — 2020. — N 4 (72). — С. 16-19
DOI: 10.25789/YMJ.2020.72.04
Количество страниц: 4 с.
The results of our studies indicate that smoking stimulates the expression of tumor markers in smokers’ serum. The level of tumor markers goes up with the increase in smoking history. In the body of smokers, the concentration of tumor markers increases at a young and middle age, rather than in the elderly. The lower indicators of tumor markers in old age is explained by the natural premature dropout of smokers from the population
Влияние курения на уровень онкомаркеров в сыворотке крови населения Республики Саха (Якутия) / С. Д. Ефремова, В. М. Николаев, С. И. Софронова [и другие] // Якутский медицинский журнал. — 2020. — N 4 (72). — С. 13-16
DOI: 10.25789/YMJ.2020.72.03