[The improvement of the abilities to maintain motor coordination and equilibrium in the students presenting with the functional disorders of the musculoskeletal system by introducing the elements of therapeutic physical training into the structure of academic schedule of physical education]. / Sovershenstvovanie navykov koordinatsii i ravnovesiya u studentov s narusheniyami oporno-dvigatel'nogo apparata za schet vklyucheniya elementov lechebnoi fizicheskoi kul'tury v strukturu akademicheskikh zanyatii po fizicheskomu vospitaniyu.

The problem of deterioration of the health status in the university students at present remains as topical as it was before being a major cause of impaired working capacity, disability and/or poor social adaptation of the large number of graduates. It has been proposed to introduce a class of therapeutic physical training (TPT) into the schedule of physical education for the students. AIM: The objective of the present study was to evaluate the effectiveness of the formation of the skills needed to maintain motor coordination and equilibrium in the students presenting with the functional disorders of the musculoskeletal system (MSS) including scoliosis by the introduction of the elements of therapeutic physical training into their academic schedules. MATERIAL AND METHODS: The main study group was comprised of 32 students (men) at the age of 18-19 years presenting with the disorders of the musculoskeletal system (type III scoliosis, osteochondropathy, and osteochondrosis). The students of this group received a curriculum aimed at improving their motor skills with the emphasis laid on the selected elements of therapeutic physical training. The control group was composed of 17 students without disorders of the musculoskeletal system who attended the physical education classes following the traditional program. The coordination abilities and balance skills were evaluated based on the analysis with the use of the Stabilan-1 stabilographic apparatus. In addition, the stability test and the Romberg test with open and closed eyes were performed. RESULTS: The results of the study give evidence that the introduction of the elements of therapeutic physical training into the structure of academic schedule of physical education for the students suffering from diseases of the musculoskeletal system has beneficial effect on the parameters of stability and the general ability to maintain the posture and balance. Specifically, in the beginning of the academic year, the students of the main study group presenting with the locomotor problems (the scatter of the manifest disorders in the frontal and sagittal planes, the mean amplitude and velocity of fluctuations of the center of pressure, the area of the projection of the center of pressure displacements as well as the quality of the equilibrium function that characterizes the ability to maintain the posture) were significantly different from the respective characteristics in the control group (p<0,05). After the course of therapeutic physical training given during the academic year, the scatter of the manifestations in the frontal and sagittal planes as well as the role of the visual control in the maintenance of balance decreased significantly. CONCLUSION: The present study has demonstrated that the introduction of the elements of therapeutic physical training into the structure of academic schedule of physical education for the students presenting with the functional disorders of the locomotor apparatus exerts the positive influence on the parameters characterizing stability and the ability to maintain the posture as well as equilibrium at large. Such beneficial effect is apparent in the form of reduction of the amplitude and velocity of fluctuations of the centre of pressure, the decrease in the area of projection of its displacements, and the improvement of the quality of the equilibrium function that characterizes the ability to maintain the posture. Moreover, the ratio of spreading in the frontal and sagittal planes decreases, and the role of the visual control in the maintenance of equilibrium becomes diminished. The results of the study give grounds for recommending the introduction of the elements of therapeutic physical training into the learning process of students presenting with diseases of the musculoskeletal system.

[The diagnostic importance of different study methods in the recognition of renovascular hypertension at the prehospital stage]. / Diagnosticheskaia znachimost' razlichnykh metodov issledovaniia v raspoznavanii renovaskulianoi gipertenzii na dogospital'nom étape.

A comparative study of diagnostic potential of excretory intravenous urography, radionuclide renography and angionephroscintigraphy, renal ultrasonography and ultrasonic dopplerography of renal arteries in prehospital examination for renovascular hypertension made it possible to give preference to the above dopplerography. The latter is able to provide reliable data on renal artery stenosis and genesis of arterial hypertension.

[The use of Doppler ultrasound of the renal arteries for the diagnosis of vasorenal hypertension at the outpatient stage]. / Ispol'zovanie ul'trazvukovoi dopplerografii pochechnykh arterii dlia diagnostiki vazorenal'noi gipertenzii na poliklinicheskom state.

Ultrasonic dopplerography of the renal arteries was used to improve the differential diagnosis of arterial hypertension before hospitalization. Dopplerograms of the renal arteries of normal subjects were characterized by almost symmetrical parameters of the blood stream. In patients with vasorenal hypertension a marked asymmetry of the blood stream was seen with its reduction and qualitative changes in the dopplerogram on the side of the stenosed renal artery, that was confirmed by angiographic findings. Chronic pyelonephritis was dopplerographically characterized by hemodynamically insignificant asymmetry of the blood stream in the renal arteries with its reduction on the side of the involved kidney. In essential hypertension the type of asymmetry of blood stream parameters in the renal artery seemed similar to that in normal subjects.

[The role of the department of functional diagnosis in an interregional diagnostic center in improving the diagnostic process in cardiovascular diseases at the polyclinic stage]. / Rol' otdeleniia funktsional'noi diagnostiki mezhraionnogo diagnosticheskogo tsentra v sovershenstvovanii diagnosticheskogo protsessa na poliklinicheskom étape.

Experience gained by one of the departments of the interregional diagnostic center (DC) provides evidence in favour of its setting up within the public health system. Owing to the department of functional diagnosis of the center, the outpatients can be examined skillfully, whereas previously only hospitalization was of help. Successful functioning of the department and perfection of its work require at least two conditions. The first one lies in sufficient equipment of the DC with up-to-date facilities and outfits, and the second one in the presence of good specialists, their desire and strivings for constant perfection of the available diagnostic methods and for introduction into medical practice of the new ones.