[Realization of medical and medical psychological rehabilitation in sanatorium-resort organizations of Ministry of Defence of the Russian Federation]. / Organizatsiya meditsinskoi i mediko-psikhologicheskoi reabilitatsii v sanatorno-kurortnykh organizatsiyakh Minoborony Rossii.

Current conditions of military service demand higher standards of servicemen health status, whose professional activity in extreme combat conditions is accompanied by the impact of many adverse environmental factors on the body. One of the priority tasks of medical service of Armed Forces of the Russian Federation in 2023 yr. is to improve the system of curative and preventive measures in medical and medical psychological rehabilitation to recover health and increase working capacity of servicemen. The article includes an overview of measures given to servicemen for medical and medical psychological rehabilitation in sanatorium-resort organizations of Ministry of Defence in the Russian Federation for the period from 2013 to 2022 yrs.

Magnetic structures of Fe32+δGe33As2 and Fe32+δ'Ge35-xPx intermetallic compounds: a neutron diffraction and 57Fe Mössbauer spectroscopy study.

Fe32+δGe33As2 and Fe32+δ'Ge35-xPx are quasi-binary intermetallic compounds that possess a rare variant of intergrowth-type crystal structure, which is a combination of the column shaped Co2Al5 and MgFe6Ge6 structure type blocks. The compounds are antiferromagnets with the Néel temperatures around 125 K. Neutron powder diffraction experiments on the samples with δ≈ 0.1, δ'≈ 0.5 and x≈ 3 reveal commensurate magnetic ordering of low symmetry in both compounds and a non-monotonic change in the intensities of magnetic reflections. On the other hand, temperature dependence of the hyperfine fields obtained from 57Fe Mössbauer spectroscopy indicates a gradual, monotonic increase in local magnetic fields upon cooling. We interpret these results as a spin reorientation within the Co2Al5-type block of the crystal structure, with the possible formation of a non-collinear magnetic order at low temperatures. Between the compounds, the reorientation occurs at significantly different temperatures, however the resulting magnetic structures themselves are similar as well as the average values of the magnetic moments and the hyperfine fields.

[The role of the vascular surgeon in improvement of organization of dialysis help]. / Rol' angiokhirurga v uluchshenii organizatsii dializnoi pomoshchi.

Analysed herein are one-year results of formation of arteriovenous fistulas in 109 patients with end-stage chronic renal failure, as well as therapeutic decision-making after angiosurgical counselling of 144 patients presenting with 'problem' permanent vascular accesses. The counselling and formation of arteriovenous fistulas were carried out in conditions of interdepartmental collaboration between outpatient centres dealing with haemodialysis and vascular surgeons specialized in ultrasound mapping of peripheral vessels and performing different variants of arteriovenous fistulas. The angiosurgical care was as close to the patient as possible. Of the 109 operated patients, primary arteriovenous fistulas were made in 46 (42.2%) cases, secondary AVF - in 27 (24.8%) cases, and reconstruction of AVF - in 36 (33.0%) cases. Of the 144 patients with 'problem' permanent vascular assesses, correction of arteriovenous fistulas turned out impossible in 13 (9.1%). In the remaining 131 (90.9%) patients there was a possibility of different variants of open reconstruction of arteriovenous fistulas or performing angioplasty. Active policy of vascular surgeons in interdepartmental collaboration with nephrologists made it possible to bridge over the difficulties of patients routing which resulted in reduction of the terms of formation of arteriovenous fistulas by 2 months. Preventive arteriovenous fistulas were carried out in 17.4% of cases of primary permanent vascular assesses. During a year after formation of permanent vascular accesses, the number of patients with vascular catheters in ambulatory centres decreased from 22 to 17%. These positive changes in organization of the dialysis treatment made it possible to reduce the risks of infectious complications, to obtain adequate blood flow characteristics for haemodialysis procedures, as well as to decrease financial expenses and labour costs for AVF care.

Pre-treatment condition effects on blood pressure and heart rate variability change in patients with arterial hypertension on therapy.

AIM: To study the relationship of the initial clinical and functional state of patients with arterial hypertension (AH) with the dynamics of daily indices of blood pressure (BP) and sinus rhythm on antihypertensive therapy. MATERIALS AND METHODS: 38 patients were examined (general clinical examination, electrocardiography, echocardiography, daily bifunctional monitoring with the determination of weighted average rhythmogram variations - WARV, clinical and biochemical analysis of blood, glycated hemoglobin, thyroid hormones) and distribyted according to the use of hypotensive drugs of main classes and combined therapy AH. Dynamic monitoring of the effectiveness of treatment was carried out (after 2-4 weeks, then every 1-2 months), clinically and with bifunctional monitoring, correction of therapy. The observation period was 8 months. RESULTS: By the end of the study, 27 patients had target blood pressure, significant decrease in systolic / diastolic blood pressure (10/5 mm Hg and more) occurred in 30 patients. A correlation was found between the effectiveness of antihypertensive treatment and the initial clinical and instrumental parameters of patients: age, heart size (including left ventricular hypertrophy - LVH), thyroid stimulating blood hormone (TSH) level and fasting blood glucose (within normal limits). The level of WARV also correlated with these indicators and was significantly higher in patients who achieved a significant reduction in blood pressure. No significant dynamics of WARV was detected. No relationship between baseline blood pressure with WARV and their changes were identified. The connection of the myocardial mass index with the level of TSH and glycated hemoglobin was demostrated. CONCLUSION: The WARV reflects the severity of organic heart changes associated with age, disease duration, metabolic profile, LVH - heart damage as a target organ in AH, but is not suitable for analyzing its functional changes within one stage of the disease.

[Diagnosis and treatment of allergic rhinitis aggravated by respiratory tract infection].

The objective of the present paper was to propose an optimal scope of diagnostic studies for the patients complaining of rhinitis symptoms for the early detection of allergic rhinitis, including a differential diagnosis with associated respiratory tract infections. A comprehensive treatment is offered including the use of vasoconstrictors and antihistamines, eliminationand immunocorrectivetherapy with Ribomunyl.

A new layered triangular antiferromagnet Li4FeSbO6: spin order, field-induced transitions and anomalous critical behavior.

Structure, electrochemical, magnetic and resonance properties of new layered antimonate Li(4)FeSbO(6) were comprehensively studied using powder X-ray diffraction, cyclic voltammetry, magnetic susceptibility, heat capacity, electron spin resonance and Mössbauer spectroscopy. In the crystal structure the iron ions form the triangular network within (LiFeSbO(6))(3-) layers alternating with nonmagnetic lithium layers. The electrochemical activity studied implies an Fe(3+)/Fe(4+) redox couple at 4.3 V (ox.) and 3.9 V (red.) thereby revealing that Li can be reversibly extracted. The long-range antiferromagnetic order was found to occur at the Néel temperature, T(N) ≈ 3.6 K, confirmed both by the magnetic susceptibility data and specific heat ones. The effective magnetic moment is estimated to be 5.93 µ(B)/f.u. and satisfactorily agrees with theoretical estimations assuming high-spin configuration of Fe(3+) (S = 5/2). In the magnetically ordered state, though, the magnetization demonstrates rather peculiar behavior. An additional anomaly on the M(T) curves appears at T(2) < T(N) in moderate magnetic field. The positions of transitions at T(N) and T(2) separate increasingly with increasing external field. Multiple measurements consistently demonstrated field-sensitive moving of magnetic phase boundaries constituting a unique phase diagram for the compound under study. The complex low-dimensional (2D) nature of magnetic coupling was confirmed by the dynamic magnetic properties study. Electron spin resonance from Fe(3+) ions in paramagnetic phase is characterized by a temperature independent effective g-factor of 1.99 ± 0.01. However, the distortion and broadening of the ESR line were found to take place upon approaching the magnetically ordered state from above. The divergence of the temperature-dependent linewidth is analyzed in terms of both critical behavior close to long-range magnetic order and the Berezinskii-Kosterlitz-Thouless (BKT)-type transition. Heat capacity measurements even at zero field manifested an appearance of the additional anomaly at temperatures below the Néel temperature. The temperature dependence of ESR intensity, linewidth and shift of the resonant field imply an extended region of short-range order correlations in the compound studied. The rich variety of the anomalies in magnetic and resonance properties makes this new antimonate a very interesting system to investigate the multiple phase transitions and competing exchange interaction due to the critical role of the layered structure organization accompanied by the frustration effects in triangular antiferromagnets.

On the evolution of the DyNiO3 perovskite across the metal-insulator transition though neutron diffraction and Mössbauer spectroscopy studies.

The structural changes of polycrystalline DyNiO3 perovskite across the metal-insulator transition (TMI = 564 K) have been studied by high resolution neutron diffraction techniques together with Mössbauer spectroscopy, in a sample doped with 1.5 at.% 57Fe. In the insulating (semi-conducting) regime, below T(MI), the perovskite is monoclinic, space group (SG) P21/n, and the crystal structure contains two chemically different Ni1 and Ni2 cations, as a result of the charge disproportionation of Ni3+ cations. The beta parameter, characterizing the low-temperature monoclinic distortion, is smaller than 90.04 degrees for T < TMI, indicating a strongly pseudo-orthorhombic symmetry, although the internal monoclinic symmetry, implying the splitting and shifts of oxygen positions around the two Ni sites is perfectly detected by neutrons. Above TMI, DyNiO3 becomes orthorhombic, SG Pbnm. Upon heating across TMI, there is an abrupt convergence of the two sets (Ni1 and Ni2) of three Ni-O bond lengths, in the monoclinic-insulating phase, to three unique Ni-O distances in the orthorhombic-metallic phase upon entering the metallic region. The 57Fe Mössbauer spectra of an iron-doped (1.5 at.%) DyNiO3 sample recorded in the insulating, paramagnetic temperature range (TN < T < TMI) are discussed by supposing that the Fe3+ probe cations replace nickel in the two octahedral Ni1 and Ni2 sites. Electric field gradient calculations have shown that the 57Fe hyperfine parameters of Fe1 and Fe2 subspectra reflect a specificity of local structure corresponding to large (Ni1O6) and small (Ni2O6) octahedra. At T > TMI, the 57Fe spectrum gives clear evidence for the formation of an unique state for iron probe atoms and could, therefore, imply that the charge disproportionation in the (NiO6) subarray completely vanishes at the insulator-->metal transition.

[Heart rate variability dynamics during treatment of arterial hypertension].

UNLABELLED: Investigation of the dynamics of heart rate variability (HRV) in anti-hypertension therapy can facilitate the evaluation of the effectiveness of treatment. AIM OF INVESTIGATION: to compare anti-hypertension effect of monotherapy with nebivolol and dilatrend with dynamics of HRV and the estimation of the state of patients with mild arterial hypertension (AH) and metabolic syndrome (MS). MATERIAL AND METHODS: HRV was studied in 42 patients with mild AH and MS at the age of 32-60. Eighteen of them were treated with 5 mg of nebivolol during 24 weeks, and twenty-four with 25-50 mg of dilatrend during 16 weeks. All the patients were subjected to 24-hour ECG monitoring with analysis of HRV and arterial pressure (AP) before and after treatment. The main feature of HRV analysis was investigation of dependence of sinus arrhythmia on the mean value of heart rate (HR) RESULTS: With nebivolol treatment AP decreased in 11 patients, HRV became better in 9 patients. 7 cases manifested coincidence of AP reduction and HRV improvement. In 6 cases out of 7 when AP did not decrease, HRV did not change. Worsened HRV was observed in 3 cases: in one case with growing AP and in 2 cases with decreasing AP. All the patients, except one, regarded their state as improved. With dilatrend treatment AP lowered in 16 cases. In 9 cases HRV became better, in 11 cases it remained the same, and in 4 cases it became worse. Positive HRV dynamics in 7 cases out of 9 was accompanied by lowering of AP, while negative dynamics was observed in one case with rise of AP and in three cases with very low AP or in the absence of AP dynamics. 14 patients felt better, 6 of them manifested better level both of AP and HRV. CONCLUSION: The method of 24-hour HRV analysis based on assessment of dependence of the value of sinus arrhythmia on HR is useful in evaluating the effectiveness of anti-hypertension therapy. As a rule, an effective decrease in AP is accompanied with improvement of HRV. The absence of improvement of deterioration of HRV in anti-hypertension therapy is a factor which should be taken into consideration when choosing the mode of therapy.

[Changes in ST segment on ECG of hypertensive patients].

AIM: To evaluate ST depression in hypertensive patients with electrocardiographic signs of left ventricular hypertrophy (LVH), correlation of ST segment changes with heart rate (HR) and blood pressure (BP) during Holter monitoring (HM) and bi-functional ECG and BP monitoring (BFM), and to compare ST depression and local left ventricular contractility during stress-echocardiography in hypertensive patients with unaffected coronary arteries according to the data of coronary angiography. MATERIAL AND METHODS: We examined 344 hypertensive patients without clinical signs of ischemic heart disease. Correlation between ST segment depression and ECG signs of LVH was evaluated in 192 patients. 180 patients underwent HM, 122--BFM and 30 hypertensive patients with normal coronary arteries according to the data of coronary angiography underwent stress-echocardiography. RESULTS: According to the data of 12 lead ECG 40 cases of ST depression were found, with LVH signs in 26 (65%) of these patients. During HM in 34 of 180 patients 2 types of ST depression were found: type 1--short periods of transient ST depression without persistent ST depression was fond in 8 patients; type 2--persistent ST depression more than 1 mm during the whole time of recording--in 26 patients. In 7 of 8 cases of type 1 and in 5 of 26 cases of type 2 ST depression had rhythm-dependent character. During BFM in 9 cases ST depression during HR or BP increase was found. In 2 cases ST depression during BP increase was unrelated to HR increase which may be consequence of systolic myocardial strain syndrome. In 7 of 30 hypertensive patients with normal coronary arteries and without local myocardial contractility disturbances according to the data of stress-echocardiography positive criteria of ischemia were found. CONCLUSION: The cause of ST segment depression in hypertensive patients more often are secondary disturbances of repolarizaion processes related with LVH development. In some cases such patients during HM show rhythm-dependent valuable ST depressions. In BFM cases of left ventricular myocardial strain syndrome are found, similar cases are also seen in stress-echocardiography. However, in some cases one fails to define the reason of ST changes even approximately. One of the factors leading to disturbances of repolarization processes in hypertensive patients may be disturbances of microcirculation at the level of prearteriols and capillaries.

[Trends in heart rate variability in patients with ischemic heart disease and depression treated with antidepressant tianeptine].

AIM: To study heart rate variability (HRV) according to 24-h Holter monitoring of ECG in patients with ischemic heart disease (IHD) and to examine effects of tianeptine on HRV. MATERIAL AND METHODS: Twenty eight patients with IHD (17 males and 11 females aged 40-70 years) with a verified IHD diagnosis and atherosclerosis of the coronary arteries participated in the trial. Severity of depressive syndrome was assessed by CES-D questionnaire. HR V was assessed by weighted mean variation of the rhythmogram (WMVR) for 24 hours. RESULTS: Initial WMVR (m +/- sigma) in the study group (IHD with depression, n = 15) was 670 +/- 260 ms, in the control group (IHD without depression, n = 13) - 625 +/- 191 ms (the difference was insignificant (p = 0.72). Initial (m +/- sigma) WMVR in men of the study group (n = 6) before therapy was 460 +/- 139 ms that was less than in the control group (633 +/- 183 ms, n = 11). CONCLUSION: In men HRV depends on duration of the disease. There was a negative correlation between WMVR difference before and after treatment with tianeptine and difference of relevant depression indices with high correlation coefficient (-0.74, p = 0.03).

[Urgent surgical correction of ventricular septal defects in children of first months of life].

The article presents the results of urgent surgical correction of ventricular septal defects (VSDs) and a range of associated congenital heart diseases (CHDs) in 123 children of the first 6 months of life, hospitalized between 1988 and 2002 in a severe or critical condition. In 102 patients the progression of clinical symptoms was caused by a big single VSD and in 21 patients--by multiple VSDs. 70 patients had significant associated CHDs. Significant extracardiac anomalies were revealed in 75 patients. The condition of 55.3% of children had deteriorated due to pneumonia. Correction of defects with cardiopulmonary bypass was performed after urgent examination and intensive therapy. Hemodynamically significant VSD were closed in 117 (95.2%) patients. Two patients were reoperatied due to the presence of residual VSD. Partial or full simultaneous correction of associated CHDs was performed in 68 patients. 93.5% of patients with isolated VSDs survived the operation. The survival rate of patients with associated CHDs and extracardiac anomalies was 81.5%. Postoperative mortality risk factors were found to be critical condition at hospitalization and preoperative activity of infectious process (P < 0.01 and < 0.05, respectively). Accumulation of experience and introduction of a special approach allowed an 8-time decrease of the hospital mortality, which has not exceeded 3.4% within last 3 years. Good and excellent follow-up results were obtained in 98% of the survived patients within 10 to 67 months after operation. Precise diagnostics of associated CHDs and extracardiac anomalies, intensive preoperative treatment and weighed estimation of indications and risk factors allow significant improvement in the results of primary correction of VSD and accompanying cardiovascular anomalies in children of the first months of life in a heavy and critical condition upon admission.

[Circulating immune complexes in the diagnosis of allergic reactions of the immune-complex type]. / Tsirkuliruiushchie immunnye kompleksy v diagnostike allergicheskoi reaktsii immunokompleksnogo tipa.

The content of intermediate and small circulating immune complexes (iCIC and sCIC), the classical path of compliment activation (CCA), the concentration of C4 and C3 compliment components as well as the levels of IgM, IgG1, IgG2 and IgG3 in blood serum were examined in patients with atopic rhinitis and rhinoconjunctivitis concomitant with hypersensitivity to the Candida albicans allergen of the immediate and mixed (immediate and delayed) types. A significantly reduced concentration of sCIC, sCIC/iCIC(sCIC/iCIC), CCA and of the C4 content as well as a pronouncedly increased IgM concentration was typical of the patients with the mixed allergic reaction, which made them markedly different from the virtually healthy subjects and from patients with the immediate type of hypersensitivity. The most pronounced differences (p < 0.001) between the group of patients with the mixed type of allergic reaction and two other groups were those related with the sCIC/iCIC ratio index. Considering the study results, it can be assumed that the determination of the sCIC/iCIC could be used as an extra criterion in the laboratory diagnosis of the 3d (immunocomplex) types of allergic reaction as made in patients with atopic rhinitis and rhinoconjunctivitis with hypersensitivity to the C. albicans allergen.

[Dynamics of heart rate variability in ischemic heart disease patients after coronary artery bypass grafting]. / Dinamika variabel'nosti ritma serdtsa u bol'nykh ishemicheskoi bolezn'iu serdtsa posle operatsii koronarnogo shuntirovaniia.

AIM: To study dynamics of 24-hour heart rate variability (HRV) after coronary artery bypass grafting (CABG) and to elucidate relationship between HRV dynamics and clinical course of the disease. METHODS AND MATERIAL: A novel methodological approach to evaluation of HRV based on measurement of mean weighted rhythmogram variation (MWRV) was implemented. Ninety patients were studied before CABG. Then HRV was assessed in 2 weeks (61 patients), 2 (45 patients), 6 (24 patients)and 12 (33 patients) months after surgery. RESULTS: At all study points HRV was lower in CHD patients than in healthy persons. Substantial lowering of average MWRV 2 weeks after surgery was followed by return to preoperative level by the end of 2 months, leveling off until 6 months and some decline by the end of a year. Individual changes of MWRV were assessed in 29 patients in whom HRV was evaluated at 5 or 4 study points. Three types of MWRV changes were distinguished: type 1 - "normal" dynamics (9 patients) - elevation of MWRV 2, 6 and 12 months; type 2 (10 patients) - elevation of MWRV after 2 and 6 months with subsequent lowering by the end of 1 year; type 3 (10 patients) - lowering of MWRV In 2 and/or 6 months. The following relationships between MWRV changes and clinical course after surgery were observed: there were no complications among patients with type 1 MWRV dynamics; 8 of 10 type 2 patients had signs of heart failure, or blood pressure elevation, or recurrence of angina by the end of 1 year: among 10 type 3 patients 6 experienced various complications. Recurrence of angina at various intervals after CABG occurred in 5 patients and in all it was associated with MWRV decrease. CONCLUSION: Pronounced decrease of MWRV between 2 and 12 months after CABG is associated with worse clinical course and its detection should trigger additional investigation and care of a patient.

[A novel approach to assessment of individual 24-hour heart rate variability]. / Novyi podkhod k otsenke individual'noi sutochnoi variabel'nosti ritma serdtsa u patsienta.

A novel approach to assessment of individual 24-hour heart rate variability (HRV) has been suggested. This approach allows to compare sequences of RR intervals with knowingly nonstationary rhythm and to obtain valuable information on direction (increase or decrease) of HRV changes. The latter was not achievable by existing techniques. Main feature of the novel approach is consideration of dependence of sinus arrhythmia on heart rate on a given time interval (rhythmogram fragment). This became possible due to use of implementation of a new characteristic of 24-hour HRV - mean weighted variation of rhythmogram (MWVR). This parameter repesented a generalization of a previously introduced variation of short rhythmogram fragment (VSRF) and was formed in the following way. Rhythmogram was divided into short fragments and within each fragment VSRF was calculated. Then average variations were averaged for different ranges of HR changes. Each averaged variation was multiplied by weight coefficient which depended on corresponding range of HR changes, and by portion (expressed in percent) of overall number of short rhythmogram fragments belonging to this range. MWVR was determined as sum of resulting multiples. Analysis of rhythmograms from 58 healthy persons showed that MWVR declined with age. In patients with heart failure (n=80) mean MWVR was lower than in healthy persons and decreased with increase of NYHA class of heart failure. Eight patients were restudied while they were classified to a different heart failure class. Transition to a higher class was associated with lowering of MWVR and vice versa. Thus MWVR adequately reflected dynamics of functional state of an individual patient.

[Heart rate variability before and after coronary artery bypass surgery in patients with ischemic heart disease]. / Variabel'nost' ritma serdtsa do i posle operatsii koronarnogo shuntirovaniia u bol'nykh ishemicheskoi bolezn'iu serdtsa.

Short term heart rate variability (HRV) was studied in 44 patients before, in 2 weeks and 2 months after coronary artery bypass grafting (CABG). Prior to surgery the patients were divided into 2 groups: with normal and substantially lowered HRV parameters. In 2 weeks after CABG lowering of HRV was registered in all patients. In 2 months parameters of HRV returned to preoperative level almost in all patients but did not exceed it despite restoration of coronary blood flow and improvement of myocardial contractility. Intergroup differences of characteristics of HRV remained the same as before CABG.

[Biochemical diagnosis of hereditary hyperlipoproteinemias]. / Biokhimicheskaia diagnostika nasledstvennykh giperlipoproteidemii.

AIM: To specify characteristics of lipoproteins (LPs) metabolism in patients with diverse forms of hereditary hyperlipoproteinemia (HLP) and determine biochemical tests for their differential diagnosis. MATERIALS AND METHODS: According to the criteria of polygenic hypercholesterolemia (PHCE), family combined hyperlipidemia (FCHL), family hypertriglyceridemia (FHTG) and family hypercholesterolemia (FHCE), 157 patients were selected aged 7 to 70 years of 192 examinees (76 patients with primary HLP and 116 their close relatives). Lipids were measured by enzyme methods, apoproteins (apo)--by immunoturbidimetry and immune diffusion. RESULTS: Compared to healthy subjects, PHCE patients were characterized by higher apoB level and proportion cholesterol (CS)/apoB in very low and low density lipoproteins (VLDL and LDL). In unchanged level of high density lipoprotein (HDL) CS and proportion HDLP CS/apoA1 there were reduced quantities of free HDLP CS, HDLP2 CS and apoA1. In FHCE and FCHL there were also low levels of HDL CS in elevated ones of apoE in (VLDL + LDL). However, in FCHL, contrary to FHCE, the proportion SC (VLDP + LDL)/apoB was as in control group. FHTG patients differed from healthy subjects by diminished HDL parameters: lower HDL CS due to free CS and its esters, apoA1 and proportion HDL Cs/apoA. There were no differences with controls by content of apoB and proportion CS (VLDL + LDL)/apoB, apoE levels in different class lipoproteins. CONCLUSION: Biochemical parameters are proposed which can differentiate various forms of hereditary hyperlipoproteinemia.

[The effect of different factors on cardiac rhythm variability in patients with arterial hypertension]. / Vliianie razlichnykh faktorov na variabel'nost' ritma serdtsa u bol'nykh arterial'noi gipertoniei.

The purpose of this study was to evaluate the influence of different factors, among them left ventricular hypertrophy (LVH) on long-term heart rate variability (HRV) in patients with hypertension. 38 patients with arterial hypertension of different genesis were included in the study. Ischemia was excluded in all the patients by the data of clinical and instrumental methods of investigation. LVH data obtained from HRV of 20 healthy subjects was used as control. HRV was evaluated by estimating variations for short intervals of a rhythmogram (VSI). A HRV decrease did not depend on sex, but essentially depended on patients'a age, disease duration and the form of hypertension. A marked tendency leading to the rate variability decrease was observed only in moderate LVH. In cases of original LVH variability data did not differ from those in patients without signs of LVH. Low or marginal HRV was more often observed in patients with essential hypertension and in those with hypertension of endocrine genesis. As far as renal hypertension is concerned low variability was less frequent. There were a lot of factors which affect the change of HRV. The more significant of them were the patients' age, hypertension genesis and form of hypertension. Factors leading to the rate variability decrease were the following age above 40, endocrine or essential hypertension and moderate form of hypertension.

[Leukocyte index for the assessment of an allergic process]. / Raschetnyi indeks leikotsytov v otsenke allergicheskogo protsessa.

The authors discuss the diagnostic significance of the blood formula and of indexes derived from the formula, used in clinical practice, for assessing the allergic reaction. The counts of eosinophils and lymphocytes increase in 56-86% of cases in allergic reactions. Analysis of the blood formula enabled the authors derive a new index for detection of allergic reaction: the allergization index (AI). AI fluctuations in normal subjects are from 0.68 to 1.08, whereas in the patients with various forms of allergic reactions it increases to 2.37-2.97. Allergic reactions were detected by AI in 82-91% of cases.

[Significance of intravascular ultrasound studies in the evaluation of the vascular lumen and wall in interventional radiological procedures]. / Znachenie vnutrisosudistogo ul'trazvukovogo issledovaniia v otsenke sostoianiia prosveta i stenki sosudov pri interventsionnykh radiologicheskikh protsedur.

The paper analyzes the first experience with intravascular ultrasound study (IUSS) in 9 patients at the Cardiosurgery Center. It presents the potentialities of IUSS during interventional radiological procedures. It is concluded that there are benefits and trends of the technique in the exploration of various vascular beds.