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Biomedical subjects

A N Poliakov

Publications and source records attributed to A N Poliakov.

At least 19 recordsLinked to original sources

[Stages in the improvement of drug therapy at a polyclinic].

Within 1968-1997 the authors studied the steps of introduction of the achievements of the medical science, technology and pharmacology to therapy of exacerbations and complications of peptic ulcer (PU). The scientific and practical value of endoscopic, histological, biochemical and bacteriological examinations in the improvement of the methods of pharmacotherapy of exacerbations and complications of PU was shown. Three phases of the PU development were indicated by the clinical signs and results of esophagogastroduodenoscopy, target biopsy and histological examinations. These data and available scientific achievements were assumed as a basis for the design of optimal drug combinations and their introduction to the medical practice. The use of such combinations made it possible to prevent relapses and life-threatening complications of the disease in the overwhelming majority of the patients. The best results of the pharmacotherapy were recorded in the years (1988-1997) when the drug combinations began to be used. The combinations provided eradication of Helicobacter pylori in the gastroduodenal mucosa and it was proved that in all the patients with PU and the relapsing lesions in the duodenum and in the overwhelming majority of the patients with gastric ulcer the disease developed at the background of chronic active gastroduodenitis associated with H.pylori. The success of the pharmacotherapy in the patients with PU was due to the use of the rational combinations of antibacterial and antisecretory agents.

Ambulatory Care↗

[Several mechanisms of immunological adaptation in the etiology of subacute infectious endocarditis].

The paper deals with the possibility of identifying the persons predisposed to the development of subacute septic endocarditis (SSE), with the prediction of the course of the disease and the clarification of reasons for the inefficiency of antibacterial therapy. The studies performed revealed the impairment of cooperative interaction of the immune system, which prevents it from fulfilling its main task, i.e. to make an immunological surveillance over the maintenance of internal constancy. Imperfection of this function in SSE patients and rheumatic heart diseases is based on the body's sharply limited adaptation which results from the genetically determined low values of the immune functional reserve realizable by the level of intracellular energy processes which are substantially lower in SSE patients, as evidenced by the studies conducted. This is very important for predicting whether it may develop in some patients with rheumatic diseases. The necessity of using large doses of antibiotics decreases the activity of intracellular processes to a greater extent, aggravating primarily phagocytic function, as reflected in the efficiency of antibiotic therapy.

Adult↗

[Evaluation of binaural interaction by the characteristics of short-latency auditory evoked potentials in guinea pigs].

Binaural interaction was evaluated by determination of the curve of difference between the algebraic sum of brainstem evoked potentials which had been registered under monaural stimulation of right and left ear and potentials which had been registered under binaural stimulation. The curve of difference is characterized by three peaks: N1, P1, N2 with peak latency IV-IV' without any masking noise, and during masking with the signal-to-noise ratio of +20-0 dB additional peaks N0P0 are registered in III-III' latency regions on the difference curve. With an increase of the sound pressure level from 47 to 107 dB the P1N2 amplitude grows and relation of the P1N2 amplitude to wave amplitude IV of the sum of potentials registered during monaural right and left ear stimulation remains constant. Under masking conditions the above relation increases with worsening of the signal-to-noise ratio and the P1N2 amplitude decreases. Binaural interaction pattern is not supposed to alter with an increase in the click intensity level, and during masking with the signal-to-noise ratio of +20-0 dB specific features of neurophysiological mechanisms of binaural interaction are observed.

Acoustic Stimulation↗

[Effect of thiamine on auditory evoked potentials of the guinea pig].

Application of thiamine (1 X 10(-11)-1 X 10(-3) mol/l) on the membrane of cochlear round window increased the amplitude and decreased the latency of the auditory nerve action potential, waves I and II of brainstem auditory-evoked electrical potentials in response to acoustic clicks of different intensity. The mechanism of thiamine action on auditory-evoked electric potentials is discussed.

Animals↗

[Pathomorphology and mineral saturation of the bone tissue in congenital vitamin D-resistant rickets].

Fragments of tubular bones obtained in correcting operations from 11 patients aged between 10 and 17 years with congenital vitamin-D-resistant rickets were examined using quantitative microroentgenography, light and electron microscopy. The bone tissue was characterized by reduced mineral saturation of microstructures, marked osteoporosis and numerous resorption foci. The latter were located around osteocytes both in the area of osteones and in inserted plates. Electron microscopy revealed uneven incrustation of the organic matrix with the mineral component as well as disorganization of the ultrastructure of collagen fibrills and associated crystals in the foci of periosteocyte resorption.

Adolescent↗