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1. 16 18
. Kdelov M.,
Krivo V., Ralov H., et al. Occurrence of human papillomavirus 16 and 18 in smears
from the two cervix regions of onco-gynecological patients in Slovakia //Acta Virol.-2008.Vol.52, 1.-P.17-22.-A.
16 18 (-16,
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B,
. , Inst. of Virology, Slovak Acad. f Sci. . 38.
(. )

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2. . Heo
T.H. A potential role of the heparan sulfate in the hepatitis C virus attachment //Acta
Virol.-2008.-Vol.52, 1.-P.7-15.-A.
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. , Konyang Univ.
Daejoon. . 38.
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: _______________
: _______________
1. . Vikse B.E., Irgens
L.M., Leivestad T., et al. Preeclampsia and the risk of end-stage renal
disease //N.Engl.J.Med.-2008.-Vol.359, N8.-P.800-809.-.
, ()
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, 1967 .,
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1980 .,
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. 477 570433 . 179 .
( 3,7/100 . ./.). ., 1 ,
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3 , 6,3 (95%:4,1-9,9),
15,5 (95%:7,8-30,8).
.

., , ,
. , .,
, , .
, Inst. Medic., Haukeland Univ. Hosp., Bergen. . 35.
(. )

-
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- - -

2.
. Smith G.C.S., Celik E., To M., et al. Cervical length at midpregnancy and the risk of primary cesarean delivery //N.Engl.J.Med.-2008.-Vol.358, N13.P.1346-1353.-.
, ()
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, ()
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() . 27472 ,
16 23 .
. (16,0%) .
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1,81 (95%:1,66-1,97), ,
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, , 1,68 (95%:1,53-1,84; <0,001).
,
. ,
.
, Cambridge Univ., Cambridge. . 20.
(. )

-
- -
3.
. Chu S.Y., Bachman D.J., Callaghan W.M., et al.
Association between obesity during pregnancy and increased use of health
care //N.Engl.J.Med.-2008.-Vol.358, N14.-P.1444-1453.-.
() () .
,
. 13442
. 18 . ;
. . 1 2000 .
31 2004 .
( / ) .
. : ( <18,5),
( 18,5 24,9), ( 25,0 29,9),
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. , Natl. Cent. Chronic Dis. Prevention a. Hlth. Promotion, Atlanta. .
15.
(. )

-
- -
4. . Rowan
J.A., Hague W.M., Gao W. Metformin versus insulin for the treatment of gestational
diabetes //N.Engl.J.Med.-2008.-Vol.358, N19.-P.2003-2015.-.
() . ()
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. 751 .
20 33 ., ( ()
(1 .), (2 .).
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46,3% .
1 . 32,0%, 2 . 32,2% ( 1,00;
95%:0,90-1,10). 1 . ., 2 ., ,
(76,6 vs 27,2%; <0,001). .,
. . ,
. , . (
)
. . . , Natl. Womens
Hlth., Auckland City Hosp., Auckland. . 33.
(. )

-
- -
- - -
5.
. Grudeva-Popova J.G. Pregnancy and Philadelphia
chromosome-negative myeloproliferative diseases // .-2008.-.59.N2.-P.4-9.-., .


. , -
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. , Hematol. Clin., Univ. Hosp. St. Georgi, Plovdiv.
. 23.
(. )

-
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6. .
Zaman K., Roy E., Arifeen S.E., et al. Effectiveness of maternal influenza immunization in
mothers and infants //N.Engl.J.Med.-2008.-Vol.359, N15.-P.1555-1564.-.
() .
() . .,
() <6 .
, . ;
2004 . 2005 . 340
(1 .), 23-
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110 1 . 153 . ., 29% (95%:7-46).
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36% (95%:4-57). ,
<6 . 63% 1/3
.
. , . ,
Childrens Global Hlth. Cent., Cincinnati. . 41.
(. )

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: _______________
: _______________
17.
. Manogura AC., Turan O., Kush ML., et al. Predictors of
necrotizing enterocolitis in preterm growthresricted neonates //Am.J.Obstet.Gynecol.2008.-Vol.198, 6.-.638. 1-5.-.
,
() .
, . (), , ductus Venosis
()
(), < 37 .
39 404 (9,7%). 15,4% (6/39; 2,7;
95%:1,03-7,11).
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(<0,0001), 5 . Apgar <7 .
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, 8,2 (95%:3,9-17,6; <0,0001),
<790 ( 74,4%; 72,9%; <0,0001)
32,2 . ( 94,9%; 45,8%;
<0,0001). ,
.
-,
.
,
. , Univ. Maryland Sch. Medic., Baltimore.
(.. )

-
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6

18.
. Lee SE., Romero R., Park CW., et al. The frequency and
significance of intramniotic inflammation in patients with cervical insufficiency
//Am.J.Obstet.Gynecol.-2008.-Vol.198, 6.-.633. 1-8.-.

() - ().
52 - ( 1,5
;
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-8. , -
8 (>23 /). 82%
(42/52); 8% (4/52).
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. 50% (19/39), 34 . 84% (32/38)
. 55% (21/38)
, , (<1 .).
- , ,
(<0,05).
. .
, , , 80% -

. , Seoul Natl. Univ. Coll. Medic., Seoul. . 41.
(. )

- ,
- -
19. :
. Nath CA., Ananth CV., DeMarco C., et al. Low
birthweight in relation to placental abruption and maternal thrombophilia status
//Am.J.Obstet.Gynecol.-2008.-Vol.198, 3.-.293. 1-5.-.
,
()
(), .
- , 2002 . 156 ; .
. 170 ,
. (<2500 )
(<37 .)
(<10- ).

S, ,
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7

( 17,4; 95%:4,6-64,9),
( 15,8; 95%:8,4-29,8).
. . , Univ. Medic. a.
Dentistry New Jersey-Robert Wood Johnson Medic. Sch., New Brunswick.
(. )

-
- -
20. , 1979-2003 .
Walsh CA., McMenamin MB., Foley ME., et al. Trends in intrapartum fetal death, 19792003 //Am.J.Obstet.Gynecol.-2008.-Vol.198, 3.-.293. 1-5.-.
() ()
, , ().
. ,
,
2000 ., 0,95 11,2 /1 . .
3- () 25-.
1979 2003 . , 500
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. 508 342
500 ; 192 662 (37,9%) 315
680 (962,1%) ., . 254
, 0,5/1 . .
(<0,0001).
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=0,0018). ,
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(21/6305) ,
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14 004 500 .
(<0,0001), . ,
( 2,2; 95%:1,22-3,74;
=0,0058). ( 42%
107/254).
; .
1990 . 2 . .
: (50/254; 20%) ,
(9925/254; 10%), (18/254; 7%) (14/254;
6%). 10% .
.
25 . ,
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. - ,
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8

,
,
.
.

. , Rotunda Hosp., Dublin.
(. )

-
- - 1979-2003
21. - .
Liguori A., DArmiento F.P., Palagiano A., et al. Maternal C-reactive protein and
developmental programming of atherosclerosis //Am.J.Obstet.Gynecol.-2008.-Vol.198,
N3.-P.281. e1-e5.-.
() ()
() -
. , (CRP), -
, , ,
. . 156 -
.
.
CRP . CRP
. ,
. ,
CRP. .
, CRP .
, , .
. , Regional
Hosp. Pellegrini a. Loreto Crispi Hosp., 2nd Sch. Medic., Federico II Univ., Naples.
(. http:/ www.pubmed.gov)

- -
- -
- - -
22. . Carter T.C.,
Druschel C.M., Romitti P.A., et al. Antifungal drugs and the risk of selected birth
defects //Am.J.Obstet.Gynecol.-2008.-Vol.198, N2.-P.191. e1-e7.-.
,
1 () ().
- (
),
1997-2003 .
1 7047
4774 . . ; .
( 2,30;
9

95%:1,04-5,06), . - . (1,88)
, .
, , ,
. ,
1-
, ,

. , Natl. Inst. Child Hlth. a. Human
Development, Bethesda.
(. http:/ www.pubmed.gov)

-
- -
- - -
23. ,
(HELLP-): , - . Katz L., de
Amorim M.M.M., Figueiroa J.N., Pinto e Silva J.L. Postpartum dexamethasone for women
with hemolysis, elevated liver enzymes, and low platelets (HELLP) syndrome: a doubleblind, placebo-controlled, randomized clinical trial //Am.J.Obstet.Gynecol.-2008.-Vol.198,
N3.-P.283. e1-e8.-.
()
,
(HELLP-). , , -
, 105 . HELLP- ,
. ,
, . ,
.
,
. .
, ,
, b .
HELLP. , Prof, Fernando Figueira Inst. Materual a. Child Hlth. Care,
Pernambuco.
(. http:/ www.pubmed.gov)

-
24.
. Klebanoff M.A. Paternal and maternal birthweights and the risk of infant preterm
birth //Am.J.Obstet.Gynecol.-2008.-Vol.198, N1.-P.58. e1-e3.-.
(), ,
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(). 1974-1989
. ., 1959-1961 .
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;
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(=0,003). <3 ,
(=0,02).
, 3 (=0,34). :
,
. , , ,
, . , Natl. Inst.
Child Hlth. a. Human Development, Bethesda.
(. http:/ www.pubmed.gov)

-
- -
25.
. Agaard-Tillery K.M., Porter T.F., Lane R.H.,
et al. In utero tobacco exposure is associated with modified effects of maternal factors on
fetal growth //Am.J.Obstet.Gynecol.-2008.-Vol.198, N1.-P.66. e1-e6.-.
,
() . -
.
() (37 .) 1991-2001 .
% () (<10% ) .-
( ) .- ,
,
. . . (<0,001), ,
(<0,001) (<0,001).

( 3,53, 95%:2,61-4,79) . 283916 .
. ,
. .
, Univ. Utah Hlth. Sci. Cent., Salt Lake City.
(. http:/ www.pubmed.gov)

-
- -
26.
. De Boer I.P., Zeestraten
E.C.M., Lopriore E., et al. Pediatric outcome in Rhesus hemolytic disease treated with and
without intrauterine transfusion //Am.J.Obstet.Gynecol.-2008.-Vol.198, N1.-P.54. e1-e6..
()
(), ()
() .
( 36 .) ,
11

2000 . 2005 .
, 6. . 89 , 52 1 .
. . . 3,8 5,1 .
(=0,01). , , . 71%
65% . (=0,64). ,
, . . 77 26,5% (<0,01).
, , , .
, .
. , Leiden Univ.
Medic. Cent., Leiden.
(. http:/ www.pubmed.gov)

-
- -
27. 1 : ,
- 322 . Hod M., Damm P.,
Kaaja R., et al. Fetal and perinatal outcomes in type 1 diabetes pregnancy: a randomized
study comparing insulin aspart with human insulin in 322 subjects //Am.J.Obstet.Gynecol.2008.-Vol.198, N2.-P.186. e1-e7.-.
- (IAsp) (HI)
- Hagedorn,
() ()
. 1 . , ,
322 .,
<10 . . 157 . IAsp (1 .), 165- (2 .). 1 2
. . 137 131 . 14 21 .
. 14 22/1 . ;
. 6 9. , ,
. 343871,5 355572,9 (=0,091). 37,6 vs 37,4 .
20,3% . 1. 30,6% 2. (=0,053).
, IAsp
, . ,
Helen Schneider Hosp. Women, Rabin Medic. Cent., Tel Aviv Univ., Petah-Tigva.
(. http:/ www.pubmed.gov)

- 1
- -
- - -
28.
. Hegaard H.K., Hedegaard M., Damm P., et al. Leisure time
physical activity is associated with a reduced risk of preterm delivery
//Am.J.Obstet.Gynecol.-2008.-Vol.198, N2.-P.180. e1-e5.-.
,

() ().
12

5749 .
, ., >1 ,
., ( 0,09;
95%:0,01-0,66). ., ,
., 24%- ( 0,76;
95%:0,60-1,02), , , 66%
( 0,34; 95%:0,14-0,85). ,

. , Lund Univ., Lund.
(. http:/ www.pubmed.gov)

-
29.
- . Henderson J.J., Hartmann P.E., Newnham J.P., Simmer K.
Effect of preterm birth and antenatal corticosteroid treatment on lactogenesis II in
women //Pediatrics.-2008.-Vol.121, N1.-P.e92-e100.-.
() ()
().
() .
50 ., ()
, () <34 . 1- 10- .
, 24 ., ,
. 31 .
( 24,2 33,7). 46 . 320 .
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0-2 . , , .,
3-9 . . 324 42 .
. 156,80036,217 3,4581,442 .
,
. .
,
. , 28 34
. 3-9 . .

, . , Sch.
Womens a. Infants Hlth., Univ. Western Australia. Crawley. . 35.
(. http:/ www.pubmed.gov)

-
- -
- - -
30.
in vitro/ . Wunder
D.M., Guibourdenche J., Birkhuser M.H., Bersinger N.A. Anti-Mllerian hormon and

13

inhibin B as predictors of pregnancy after treatment by in vitro fertilization/intracytoplasmic sperm injection //Fertil.Steril.-2008.-Vol.90, N6.-P.2203-2210.-.
()
in vitro (IVF)/
(ICSI). 276 .,
IVF/ICSI. () -
(). . ,
, (), .
, - . .,
, , .
- (r=0,126,
95%:0,026-0,284).
(FSH) 3- . ,
, .
, .
. , Univ. Berne, Berne.
(. http:/ www.fertstert.org)

-
- -
- - -

: ..
: _______________
: _______________
1. - .
Grange F., Vitry F., Granel-Brocard F., et al. Variations in management of stage I to stage
III cutaneous melanoma //Arch.Dermatol.-2008.-Vol.144, N5.-P.629-636.-.
()
. - - 5
, 8,2 . . 53% - -
., . 1,4 ( .
1,9 ). (8%) ,
. 34% >1,0 .
( , ) 53% -
>1,5 .
. 62%
(n=89) . 68%
- ( 32%
24% ). 1-.
10% .
,
. , Serv. Dermat., Hp. R. Debr, Reims. .
50.
14

(. http://archderm.ama-assn.org)

-
- -
2.
: ,
. Lachiewicz A.M., Berwick M., Wiggins Ch.L.,
Thomas N.E., et al. Survival differences between patients with scalp or neck melanoma and
those with melanoma of other sites in the Surveillance, Epidemiology, and End Results
(SEER) Program //Arch.Dermatol.-2008.-Vol.144, N4.-P.515-521.-.

- ()
. . -
(n=51704)
-, . () .
5- 10-. / . 83,1
76,2%, . 92,1 88,7% ( , ,
; ; <0,001). ,
/ 1,84
( 1,84; 95%:1,62-2,10).

-; , ,
. , Dept. Dermatol., Univ. North Carolina Sch. Med., Chapel
Hill.
(. http://archderm.ama-assn.org)

- /
- -
-
- -
-
- -
3.
. Abbasi N.R., Yancovitz M., Gutkowiez-Krusin D., et
al. Utility of lesion diameter in the clinical diagnosis of cutaneous
melanoma //Arch.Dermatol.-2008.-Vol.144, N4.-P.469-474.-.
(, , , , )
, ,
. ,
>6 .
. (n=1323)
, .
853 (51,5%) 1657 6 ; 13 (1,5%)
, 41 (5,1%)
, >6 . in situ
22 (2,6%) 853 , 6 62 (7,7%) 804 ,
15

>6 . ,
>6
, , ,
. , Dept. Dermatol., New York Univ. Sch.
Med., New York. . 48.
(. http://archderm.ama-assn.org)

-
- -
4. :
S100
. Oberholzen P.A., Urosevic M., Steinert H.C., Dummer R. Baseline staging of
melanoma with unknown primary site: the value of serum S100 protein and positron
emission tomography //Dermatology.-2008.-Vol.217, N4.-P.351-355.-.
() -
, ().
S100
() 20 -. S100
35% (7) . 6 7
S100 ,
(=0,005). S100
(=0,01)
(ROC-, =0,012),
75 92% .
S100
. , Dept. Dermatol., Nucl.
Med., Univ. Hosp. Zurich, Zurich. . 32.
(. http://content.karger.com)

-
- - S100
5. -874, 12/23, / .
2 - .
Kimball A.B., Gordon K.B., Langley R.G., et al. Safety and efficacy of ABT-874, a fully
human interleukin 12/23 monoclonal antibody, in the treatment of moderate to severe
chronic plaque psoriasis //Arch.Dermatol.-2008.-Vol.144, N2.-P.200-207.-.
12-.
-874,
12/23, (). 1 . - 1 (/)
200 ; 2 . 100 . 12
.; 3 . 200 4 .; 4 . 200 .
12 .; 5 . 200 12 .; 6 . .
75% (S-75)
63, 93, 90, 93, 90 3% - 1, 2, 3, 4, 5 6 . .
.
16

, .
-874
.
. , Clin. Unit Res. Trial Skin, Massach. Gen. Brigham
Wom. Hosp., Harv. Med. Sch., Boston.
(. http:/ www.medscape.com.viewarticle)

-
- - 12/23
- - -
- - - -
6.
/ :
. Schmitt J., Zhang Z., Wozel G., et al.
Efficacy and tolerability of biologic and nonbiologic systemic treatments for moderate-tosevere psoriasis: meta-analysis of randomized controlled trials //Br.J.Dermatol.-2008.Vol.159, N3.-P.513-526.-.
24 ,
9384 - () / . -
, S 75%
8-16 . (S-75). (S75) ().
(=77%; 95%:72-81%) . (=64%; 95%:6168%) (=33%; 95%:13-52%),
(=24%; 95%:19-30%), , 50 /2 .
(=44%; 95%:40-48%) , 25 /2 .
(=30%; 95%:25-35%).
- (=48%; 95%:32-64%). ,
S-75 - /
, ,
. , Dept. Dermatol., Clin. Pharmacol., Med. Fac. Carl Gustav Carus
Dresden. . 73.
(. http:/ www.medscape.com.viewarticle)

-
- -
7. -, : -.
Brauchli Y.B., Jick S.S., Curtin F., Meier C.R. Association between beta-blockers, other
antihypertensive drugs and psoriasis: population-based case-control study //Br.J.Dermatol.2008.-Vol.158, N6.-P.1299-1307.-.
, -
() .
, -
. .
36702 1994-2005 .
17

. .
. , 1-4, 5-19
20 -, . 0,93 (95%:0,76-1,13); 1,10 (95%:0,971,24) 1,10 (95%:1,01-1,20) , .
.
- 1,0. ,
-, . , . , Basel Pharmacoepid. Unit, Div. Clin.
Pharm., Toxicol., Univ. Hosp. Basel, Basel. . 34.
(. http:/ www.medscape.com.viewarticle)

- -
-
- -
8.
: . Buckley
C., Hoffmann V., Shapiro J., et al. Calcipotriol plus betamethasone dipropionate scalp
formulation is effective and well tolerated in the treatment of scalp psoriasis: a phase II
study //Dermatology.-2008.-Vol.217, N2.-P.107-113.-.
() .

, (n=218)
. ( ) 8 .,
-
. , -
; . - 2 .
. , Dept. Dermatol., Waterford Rerion. Hosp. Ardkeen,
Waterford. . 26.
(. http://content.karger.com)

-
- -
- -
9. 1% : 16-
. Jacobi A., Brautigam M., Mahler V., et al. Pimecrolimus 1% cream in the
treatment of facial psoriasis: a 16-week open-label study //Dermatology.-2008.-Vol.216,
N2.-P.133-136.-.
()
,
. .
1% . . (n=20)
(2 /.) 8 .

() -.
,

18

. ,
Dept. Dermatol., Univ. Hosp. Marburg, Marburg. . 30.
(. http://content.karger.com)

-
- -
- - -
10.
. Mazoyer E., Enjolras O., Bisdorff A., et al. Coagulation disorders in patients with
venous malformation of the limbs and trunk //Arch.Dermatol.-2008.-Vol.144, N7.-P.861867.-.
2-. 118 ( 27 .)
() ,
.
, . 30, 58 36%
. , ; 22%
. , , ,
65, 73, 13, 12 9% - . (58% )
D- (>0,5 /),
, ,
. 84 -
. -
/

.
,

58% -, .

. , Consult.
Multidiscipl. des Angiomes, Serv. dAnatom. Patholog., Paris.
(. http://archderm.ama-assn.org)

-
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- - -
11. g 180
. Iwata Y., Komura K., Kodera M., et al. Correlation of IgE
autoantibody to BP180 with a severe form of bullous pemphigoid //Arch.Dermatol.-2008.Vol.144, N1.-P.41-48.-.
,
(), g, 180 230
(). . - (n=37) . . (26
). G (gG) -180 -230
. 35 (95%) 26 (70%) ( 37 - ).
gG1 gG4 32 (87%) 25 (68%) 180 , 16 (44%) 26 (70%) -230 . g 180 -230 22% -.
19

g -180 .
, g -180
, , g
-230 . g -180 , gG -180
. , g 180 .

. , Dept. Dermat., Nagasaki Univ. Grad. Sch. Biomed. Sci., Nagasaki. . 26.
(. http://archderm.ama-assn.org)

-
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12.

. Quereux G., Margues S., Nguyen J.-M., et al.
Prospective multicenter study of pegylated liposomal doxorubicin treatment in patients
with advanced or refractory mycosis fungoides or Szary syndrome //Arch.Dermatol.2008.-Vol.144, N6.-P.727-733.-.
-
-. ()
(). / 1 /4 .
40 /2; .
( )
56% (5 4 ).
43,7 .
. 5 . ,
- 60 50% .

, - .
, 20 /2,
40 /2 ,
( ). , Dept. Dermatol., Cent.
Hosp. Univ., Nantes. . 40.
(. http:/ www.medscape.com.viewarticle)

-
- -
- - -
- - - -
13.
. 100 .
Korber A., Graue N., Rietktter J., et al. Insufficient tetanus vaccination in patients with
chronic leg ulcer. Results of a prospective investigation in 100 patients //Dermatology.2008.-Vol.217, N1.-P.69-73.-.
(), Clostridium tetani,
. ,
20


, . -
G Clostridium tetani . (n=100)
71 . . , 47%
G ,
. , ,
Clostridium tetani , 70% 80 .
.
() ,
. , Dermatol. Clin., Outpat. Clin.,
Inst. Immunol., Univ. Hosp., Univ. Duisburg-Essen, Essen. . 34.
(. http://content.karger.com)

-
- -
14. -2 . Lysitsa S., Samson
J., Gerber-Wicht Ch., et al. COX-2 expression in oral lichen planus //Dermatology.-2008.Vol.217, N2.-P.150-155.-.
() ,
.
. , () 1 2
- .
-2
- .
- -2
. -2
, -2
. ,
-2
. , Lab. Histopath., Oral
Surg., Univ. Geneva, Divis. Endocrin., Diabetol., Univ. Hosp., Geneva. . 41.
(. http://content.karger.com)

-
- - -2
- - - -
15.
.
Yun S.J., Choi M.-S., Piao M.Sh., et al. Serum lactate dehydrogenase is a novel marker for
the evaluation of disease severity in the early stage of toxic epidermal
necrolysis //Dermatology.-2008.-Vol.217, N3.-P.254-259.-.
()
- ()
(). -
. , -
. 920,82655,50 595,35182,03 / (
21

: 218-472).
. 1319843 686171 /; =0,024. -
611160 531167 / .,
. ,
.
, Dept. Dermatol., Chonnam Natl. Univ. Med. Sch., Clin. Trial Cent.,
Gwangju. . 20.
(. http://content.karger.com)

-
- - -
- - -
- - - -
16.

. Stinco G., Piccirillo F., Valent F. Randomized
double-blind study to investigate the clinical efficacy of adding a non-migrating
antimicrobial to a special silk fabric in the treatment of atopic dermatitis //Dermatology.2008.-Vol.217, N3.-P.191-195.-.

AEGIS 5772/5
(). . - (n=30)
, .
- ,
.
7, 14, 21 28 . SCORAD,
. ,
14 . .;
.,
. . - .
AEGIS
5772/5 , - . , Dept. Clin. Experim.
Pathol., Med., Inst. Dermatol., Inst. Hyg., Epid., Univ. Udine, Udine. . 16.
(. http://content.karger.com)

-
- -
- - -
17. ,
. Pitarch G., Sanchez-Carazo J/L/. Mahiques L., et al.
Efficacy of etanercept in psoriatic patients previously treated with infliximab //Dermatology.-2008.-Vol.216, N3.-P.312-316.-.
- (),
.
, -
/ .
22

, 54 ., 25% - PASI
75%. 24 .
PASI 75% 75% -.
. - ,

. , Serv. de Dermat., Hosp. Gener. Univ., Valencia. . 19.
(. http://content.karger.com)

-
-
- -
18.
. Sheth V.M., Weitzul S. Postoperative topical antimicrobial use //Dermatitis.-2008.Vol.19, N4.-P.181-189.-.
()
-,
().
-
. (11%) -
, ;
8% .
.
(1-2%)
(1,6-2,3%).
- ; .
, . , Dept. Dermatol., Divis. Derm. Surg.,
Univ. Texas Southwest. Med. Cent., Dallas. . 53.
(. http:/ www.medscape.com.viewarticle)

-
- -
- - -
19. : . Brenninkmeijer E.E.A., Schram M.E., Leeflang M.M.G., et al. Diagnostic criteria for atopic
dermatitis: a systemic review //Br.J.Dermatol.-2008.-Vol.158, N4.-P.754-765.-.
() ,
. ,
.
27 .
. , Hanifin Rajka
87,9-96,0 77,6 93,8% .
10 100%, 89,3 99,1%.
Diepgen . 83,3-87,7 83,9-87,0%.
Kang Tian, ,
100%, 95,5%.
23

(ISAAC) ,
48,8 91,1% .
, ,
1997 . Williams et al. , Dept.
Dermatol., Dept. Clin. Epidemiol., Biostat., Bioinform., Dutch Cochrane Centre,
Amsterdam. . 58.
(. http:/ www.medscape.com.viewarticle)

-
- -
20.
. Dompmartin A., Acher A., Thibon P., et al. Association of
localized intravascular coagulopathy with venous malformations //Arch.Dermatol.-2008.Vol.144, N7.-P.873-877.-.
,
. . (n=140)
- - .
, 42%
-, 61% . 1,0 /.
6 .
,
-. (),
, . ,
/
- , , ,
, .
. -
( ), ,
. ,
,
- . , Dept. Dermat.,
Hygiene, Hematol., Pl. Surg., Univ. C.B. Normandie, Caen.
(. http://archderm.ama-assn.org)

-
- -
- - -

24


: ..
: _______________
: _______________
21. . Cassarino D.S., Cabral E.S., Kartha R.V. Primary
dermal melanoma //Arch. Dermatol.-2008.-Vol.144, 1.-P.49-56.-.
,
,
(), ,
() ().
, , ,
- .
9,6 . 2
, 1
, 1 - . ,
44 . 92%.
,
: 53 (=0,02), 67 ( 1),
(=0,002), 1 (=0,001) ( 2-40) (<0,001),
. ,
- - .
, Dept. Pathol., Dermatol., Stanf. Univ. Med. Cent., Stanford.
(. : http://archderm.ama-assn.org)
25


-
- -
- - -
22. , D240, . Niakosari F., Khn H.J., McCready D., et al.
Lymphatic invasion identified by monoclonal antibody D2-40, younger age, and ulceration
//Arch.Dermatol.-2008.-Vol.144, 4.-P.462-467.-.
, ,
() D2-40,
.
-.
,
1 , , ,
D2-40,
(<0,001),
(=0,01). - 24%
. ,
,
-. , 3
, 13%,
61%. ,
D2-40
,
-. , Dept. Pathol., Gen.Surg., Dermatol., Sunnybrook Hlth Sci.
Centre, Ontario. .34
(. : http://ontent.karger.com)

-
- -
- - - -
23. . Lecluse L.L.A., Piskin G., Mekke J.R., et al. Review and expert
opinion on prevention and treatment of infliximab-related infusion reactions
//Br.J.Dermatol.-2008.-Vol.159, 3.-P.527-536.-.
(, ) -
, / -
, , , , .
- 3-22%
.
, . ,
- -
.
, ,
, / .
26

- -,
.
- , . - . ,
Acad. Med. Center, Univ.Ansterdam. 46.
(. : http://ontent.karder.com)

-
- -
- - -
- - - -
24.
,
. Lu Y.-P., Lou Y.-R., Xie J.-G., et al. Tumorigenic effect of some
commonly used moisturizing creams when applied topically to UVB-pretreated high-risk
mice //J.Investig.Dermatol.-2008.-Publ.online in August, 14.
SKH-1
(30j-2) 2 /. 20 . 17 .
5 /. 100 Dermabase,
Dermovan, Eucerin Vanicream. ,
69 (<0,0001), 95 (<0,0001), 24
(< 0,01) 58 % (<0,0001), . ,
,
.

. , Sus. Lehman Cullman Lab.Canc.Res., Dept Chem Biol.,
New Jersey.
(. : http://www.nature.com/jid/journal)

-
- -
25. - ,
, 2001-2002 .
Kimball A.B., Robinson Jr., Wu Y., et al. ardiovascular disease and risk factors among
psoriasis patients in two US Healthcare Databases, 2001-2002 //Dermatology.-2008.Vol.217, 1.-P.27-37.-.
-
() - .
- . . , ,
, . ,
- . .
, , ,
1,20 - .

, .
. , Harv. Med. Sch., Boston. .33
(. : http://ontent.karder.com)
27


- -
- -
26. .
, Mayo Clinic 2001-2005
. Davis M.D.P., Scalf L.A., Yiannias J.A., et al. Changing trends and allergens in patch
test standard series //Arch.Dermatol.-2008.-Vol.144, 1.-P.67-72.-.
,

. . (n=3854) 55,1
.; 66,8% . 69,3. 2664
1 -, 1933 (50,2%) 2 .
. : , ,
, , ,
, ,
, . ,
. , Mayo Clinic
Cont. Derm. Group, Dept. Dermatol., Divis. Biostat., Rochester.
(. : http://archderm.ama-assn.org)

-
- -
27. , .
- , 2001-2004 .
Zug K.A., McGinley-Smith D., Warshaw E.M., et al. Contact allergy in children referred
for patch testing. North American contact dermatitis group data, 2001-2004
//Arch.Dermatol.-2008.-Vol.144, 10.-P.1329-1336.-.
()
- . (n=391) (n=9670). ,
1 - . (51,2%) (54,1%)
. . (28,3%),
(17,9%), (15,3%), (8,0%)
- (7,7%) (5,1%).
- . . 34,0% . 11,2%
(<0,001). 15%
39% . ,
,
TRUE test. ,
.
. , Set. Dermatol., Dartmouth-Hitchcock Med. Cent., Lebanon, New
Hampshire.
(. : http://www.medscape.com)

-
- -

28

28.
() in vivo :
. Kowatzki D., Macholdt C., Krull K., et al. ffect of
regular sauna on epidermal barrier function and stratum corneum water-holding capacity in
vivo humans: a controlled study //Dermatology.-2008.-Vol.217, 2.-P.173-180.-.
() , , . . 20-49 ,
, . .
() , ,
p . , ,
2 15 . 80 ,
, p . ,
-
. ,
.
,
p .
, Skin Phys. Lab., Dermatol., Inst. Clin. Chem., Berlin. .29.
(. : http://ontent.karder.com)

-
- -

29

: ..
: _______________
: _______________
3.
-, .
Yuki N., Nagaoka T., Nukui K., et al. Adding interferon to lamivudine enhances the early
virologic response and reversion of the precore mutation in difficult-to-treat HBV infection
// J. Clin. Gastroenterol.-2008.-Vol.43, 6.-P.457-463.-.

, ()
. 64 , 41
() 1) - (6 . 2
., 3 /.) (100 /.) 24 . 28 .
(n=30) 2) 52 . .
8 .
< = 7 log / (90 vs 33%, =0,013) 24 .
(75 vs 40%, =0,080). . 52
. (8 vs 30%, =0,047).
, . <
= 5 log / . ,


, . , Osaka National Hospital.
(. http:/ www.pubmed.gov)

-
- -
- - -
4. :
. Benchekroune S., Karpati P.C., Berton C.,
et. al. Diastolic arterial blood pressure: a reliable early predictor of survival in human
septic shock //J.Trauma.-2008.-Vol.64, N5.-P.1188-1195.-.

. ()

.
,
24 . .
( , ,
). 68 45 23 5 (3-10) .
. 4
(10 .) : SAPS <50,
LODS . 3<6, - <0,5 //.,
30

>50 g. , , - 0,5 //.


48 .
>50 g. . , Assistance PubliqueHpitaux de Paris.
(. http://www.pubmed.gov)

-
- -
- - -
5. : . Cassone A.
Fungal vaccines: real progress from real challenges //Lancet Inf. Dis.-2008.-Vol.8, 2.P.114-124.-.
, ,
, .
,
.

,
. , -,
,
.
, .
, , CD4
+ - .
,

. , Instituto Superiore di
Sanita.
(. http:/ www.pubmed.gov)

-
6.
. Papatheodoridis G.V., Manolakopoulos S., Dusheiko G., Archimandritis A.J.
Therapeutic strategies in the management of patients with chronic hepatitis B virus
infection //Lancet Inf. Dis.-2008.-Vol.8, 3.-P.167-178.-.
()
4
(, , ).
,
, ,
.
1 .,
.
.
.
(1 ., 10-27%; 2 ., 37-48%; 4 ., 60-65%) (1 . 0%; 2 ., 3%; 5
31

., 29%) (1 ., 3-4%; 2 ., 9-22%).


(4 ., <1%),
- (. 4, 43%).
. , Athens Univ. Sch. of Med.
(. http:/ www.pubmed.gov)

-
- -
7. : ,
. Duvalov X., Leport C. Prophylaxis of infective endocarditis: current
tendencies, continuing controversies //Lancet Inf. Dis.-2008.-Vol.8, 4.-P.225-232.-.
,
.

,
. ,
,
,
.
,
,

, .
, , ,

. , Paris 7 Diderot University.
(. http:/ www.pubmed.gov)

-
- -
8. Helicobacter : ?
Pellicano R., Mnard A., Rizzetto M., Mgraud F. Helicobacter species and liver diseases:
association or causation? //Lancet Inf. Dis.-2008.-Vol.8, 4.-P.254-260.-.
, Helicobacter hepaticus
, Helicobacter spp
.
,
.
, ,
Helicobacter spp . , ,
Helicobacter spp ,
, , Helicobacter spp. ,
Helicobacter spp
, .
, Molinette Hospital. Turin.
(. http:/ www.pubmed.gov)
32

Helicobacter spp.
9. : , MRSA? Albrich
W.C., Harbarth S. Health-care workers: source, vector or victim of MRSA? //Lancet Inf.
Dis.-2008.-Vol.8, 5.-P.289-301.-.

- Staphylococcus aureus (MRSA).
1980-2006 . MRSA
MRSA. 127
, MRSA 33318
4,6 5,1% .
, , MRSA.

MRSA . 63 (93%)
68 . MRSA 449 (88%) 510
.
.
MRSA
. , Univers. of the
Witwatersrand.
(. http:/ www.pubmed.gov)

- -
- -
10. ,
. Piersimoni C., Scarparo C. Pulmonary infections
associated with non-tuberculous mycobacteria in immunocompetent patients //Lancet Inf.
Dis.-2008.-Vol.8, 5.-P.323-334.-.

()
(). ,
,

.

, .
, , ,
, ,
.
, ,
.
,
. , .
, ,
. , United Hosp. Ancona.
(. http:/ www.pubmed.gov)

33

-
- -
11.
:
. Morrison J., Pai M., Hopewell P.C. Tuberculosis
and latent tuberculosis infection in close contacts of people with pulmonary tuberculosis in
low-income and middle-income countries: a systematic review and meta-analysis //Lancet
Inf. Dis.-2008.-Vol.8, 6.-P.359-368.-.
,
( )
. , , ,
, .

.
.
( )
4,5% (95%:4,3-4,8) ,
2,3% (95% :2,1-2,5). 51,4%
(95%:50,6-52,2) .
,
. ,
,
. ,
University of California San Francisco.
(. http:/ www.pubmed.gov)

-
- -
12. . Bechah Y., Capo C., Mege J.L., Raoult D. Epidemic typhus
//Lancet Inf. Dis.-2008.-Vol.8, 7.-P.417-426.-.
Pediculus humanus
corporis. ,
,
. , Rickettsia prowazekii, ,
, . 1975 . R.
prowazekii Glaucomys
volans . , Brill-Zinsser,
,
, .
, , ,
, . , R.
rowazekii ,
.

. , University of Mediterranean.
(. http:/ www.pubmed.gov)
34


-
- -
13.
. Nash K.L., Alexander G.J. The case for combination antiviral therapy for
chronic hepatitis B virus infection //Lancet Inf. Dis.-2008.-Vol.8, 7.-P.444-448.-.
()
.
,
,
.
,

.

. , ,
,
, , , .
,
,

. ,
. , University department of Medicine, Cambridge.
(. http:/ www.pubmed.gov)

-
- -
- - -
14. Acinetobacter baumannii: ,
. Maragakis L.L., Perl T.M. Acinetobacter baumannii: epidemiology,
antimicrobial resistance, and treatment options //Clin.Infect.Dis.-2008.-Vol.46, 8.P.1254-1263.-.
Acinetobacter baumannii () ,
.

.
.
, , , ,
.
, , ,
.
,
,
,
. , John Hopkins University School
of Medicine. Baltimore.
35

(. http:/ www.pubmed.gov)
Acinetobacter
-
15. - .
Keynan Y., Card C.M., McLaren P.J. The role of regulatory T cells in chronic and acute
viral infections //Clin.Infect.Dis.-2008.-Vol.46, 7.-P.1046-1052.-.
-., - CD4(+),
-
. .
, , ,
.
. , .
. ,
-. . ,
. , University of Manitoba.
(. http:/ www.pubmed.gov)

-
-
- - -
16. - ,
Staphylococcus aureus . Jenkins T.C., Price C.S.,
Sabel A.L. Impact of routine infectious diseases service consultation on the evaluation,
management, and outcomes of Staphylococcus aureus bacteremia //Clin.Infect.Dis.-2008.Vol.46, 7.-P.1000-1008.-.
Staphylococcus aureus ()
.

-. 134 100
. 50 90%
, (57 vs 73%), (81 vs
91%) (33 vs 46%).
4 ( ,
, ,
,
>/ =28 .) (40 vs 74%). (
, ) (17
vs 12%), . , Denver Health
and Hospital Authority.
(. http:/ www.pubmed.gov)

-
17. . DuPont A.W. Postinfectious
irritable bowel syndrome //Clin.Infect.Dis.-2008.-Vol.46, 74.-P.534-599.-.

36

,
- ,

(). , ,

, .
, ,
,
. , ,
,
. , University of Texas Medical Branch. Galveston.
(. http:/ www.pubmed.gov)

-
- -
18. :
clostridium
difficile. Rice L.B. The Maxwell Finland lecture: for the duration-rational antibiotic
administration in an era of antimicrobial resistance and clostridium difficile
//Clin.Infect.Dis.-2008.-Vol.46, 4.-P.491-496.-.

. ,
,
. , ,
- . ,
(
) . (
Pseudomonas aeruginosa Asinetobacter baumannii).
, ,
. ,

.
.
. , Case Western Reserve University, Cleveland.
(. http:/ www.pubmed.gov)

19. ,
. Colmenero J.D., Ruiz-Mesa J.D., Plata A. Clinical
findings, therapeutic approach, and outcomes of brucellar vertebral osteomyelitis
//Clin.Infect.Dis.-2008.-Vol.46, 3.-P.426-433.-.

. , ,
96 , 1982-2005 .
3 . 3 . 2-.
6 . 10,4%,
-12,7 .
37

( 94,8% )
(91,7%). 8,3% .
, , 45,8;
27,1; 10,4%; . 63 (65,6%) ,
33 (34,4%) . 20%
. 2,1%,
6,2%. - . , Carlos Haya
University Hospital, Malaga.
(. http:/ www.pubmed.gov)

-
20. .
Cahill S.M., Wachsmuth I.K., Costarrica Mde L. Powdered infant formula as a source of
Salmonella infection in infants //Clin.Infect.Dis.-2008.-Vol.46, 2.-P.268-273.-.
,
Salmonella enterica,
. , , 6
.,
.
(., ), , ,
. .
(
Salmonella ). , ,

.
, ,
. , Food and Agriculture organization of UN. Rome.
(. http:/ www.pubmed.gov)

- c
- -
21.
. Pascual
A., Calandra T., Bolay S., Buclin T., et al. Voriconazole therapeutic drug monitoring in
patients with invasive mycoses improves efficacy and safety outcomes //Clin.Infect.Dis.2008.-Vol.46, 2.-P.212-214.-.
()
. , , 4219
.

. 181
52 2388 . .
< = 1 / (. -,
, 90% ) 25% >5,5
/ (, , , ) 31% . -
38

< = 1 / (6 13, 5
, 4 6 //.),
>1 / (15 39 ). >1/
6 . 16
>5,5 /, 5 (31%) , 4 / 8 //. 4
. ,
. ,
University of Lausanne.
(. http:/ www.pubmed.gov)

-
- -
- - -
22. . Mdivani N.,
Zangaladze E., Volkova N., et al. High prevalence of multidrug-resistant tuberculosis in
Georgia //Int.J.Infect.Dis.-2008.-Vol.12, 6.-.635-644.-.
() .
- ().

4
(, , ) 2001-2004 . 1422
, 996 (70%) ; 931/996 (93,5%)
. , 64,0% (48,3%
85,3% ) Mycobacterium
tuberculosis, > = 1
. 28,1% (10,5%
53,1% ). ,
: (. [] =
5,28), (=1,59) . (=1,36). ,
.
, Nat. Center for tuberculosis and lung Dis.
(. http:/ www.pubmed.gov)

-
23. . Alp E.,
Doganay M. Current therapeutic strategy in spinal brucellosis //Int.J.Infect.Dis.-2008.Vol.12, 6.-.573-577.-.
, , 10-85% .
,
.
. ,
.
.
, (,
100 2 /., 12 . , 1 ./. 2
39

3 . ) .
(, , -) ,

(, , ..). , Erciyes University.
(. http:/ www.pubmed.gov)

-
24.
. Indino P., Lemarchand P., Bady P., et al.
Prospective study on procalcitonin and other systemic infection markers in patients with
leukocytosis //Int.J.Infect.Dis.-2008.-Vol.12, 3.-.319-324.-.

(>1010(9) ./) -
(), - ()
(). . .
: . ,
. ,
, ,
. 173 , 99 (57%)
. 0,5 /, -
0,57; 0,85; 0,59
0,84 .
. ,
, .
,
0,5 /. , Hospital de la ville.
(. http:/ www.pubmed.gov)

-
25. ,
290 . Giuliano A.R., Lu B., Nielson C.M.,
et al. Age-specific prevalence, incidence, and duration of human papillomavirus infections
in a cohort of 290 US men //Int.J.Infect.Dis.-2008.-Vol.198, 6.-.827-835.-.
() . .,
.-. .
.
290 . 18-44 . 6 .
15,5 . 52,8%
-, 31,7% 30,0% . 12-.
29,2%.
6,11,16 18 2,8; 0,5; 4,8 0,8 1000 -., ..
- 5,9 . (95%:5,7-6,1),
- . 12 .
- , 75% . .
. . , .

40

. , H.
Lee Moffitt Cancer Center.
(. http:/ www.pubmed.gov)

-
- -
26. , 2: H5N1. Lee S.M., Cheung C.Y.,
Nicholls J.M., et al. Hyperinduction of cyclooxygenase-2-mediated proinflammatory
cascade: a mechanism for the pathogenesis of avian influenza H5N1 infection
//Int.J.Infect.Dis.-2008.-Vol.198, 4.-.525-535.-.
H5N1 .
-2 (-2) H5N1-
in vitro . ,
, H5N1. ,
-2, .
n vitro , H5N1.
, H5N1-
, , ,
. , -2
, -2.

H5N1 .
, Siriraj Hosp. Bangkok.
(. http:/ www.pubmed.gov)

-
- - -2
- - -
27. ()
. Castelain S., Schnuriger A., Franois C., et al. Low levels of
hepatitis C virus (HCV) neutralizing antibodies in patients coinfected with HCV and
human immunodeficiency virus //Int.J.Infect.Dis.-2008.-Vol.198, 3.-.332-335.-.
() 37
37 -.
. ,
, .
(1,6130,416) ,
(1,9120,578).
. ,
, . , CHHHospital Snd. Amies.
(. http:/ www.pubmed.gov)

-
- -
41

- - -
28.
. Cardell K., Akerlind B.,
Sllberg M., Frydn A. Excellent response rate to a double dose of the combined hepatitis
A and B vaccine in previous nonresponders to hepatitis B vaccine //Int.J.Infect.Dis.-2008.Vol.198, 3.-.299-304.-.
.
, 5-10% (> =10 m IU/ml)
(-) . 48
24
(Twinrix) 0, 1 6 . - -
1 . . 44 ,
- 26 (59%) 42 (95%) .
. . 10 100%.
. - - .

.
, ,
. . University Hospital Linkoping.
(. http:/ www.pubmed.gov)

-
- -
29. Clostridium difficile
: . Planche T., Aqhaizu A., Holliman R., et
al. Diagnosis of Clostridium dfficile infection by toxin detection kits: a systematic
review //Lancet Inf. Dis.-2008.-Vol.8, 12.-P.777-784.-.
Clostridium dfficile (CD)
. D ,
.
CD (TCD)
. TCD .
CD : Meridian
Premier 0,95 i 0,97; TechLab Tox A/B II 0,83 i 0,99; TechLab Tox A/B Quick Chek 0,84 i
1,0; Remel Xpect 0,82 i 0,96; Meridian Immunocard 0,9 i 0,99; BioMerieux VIDAS 0,76 i
0,93. TCD (<10%),
(., <50%
) .
,
.
TCD
,
. , St. Georges Hosp.
(. http:/ www.pubmed.gov)
Clostridium dfficile
- -
42

- -
- - -
30. - : , . Lowe A.M.,
Yansouni C.P., Behr M.A. Causality and gastrointestinal infections: Koch, Hill and Crohns
//Lancet Inf. Dis.-2008.-Vol.8, 11.-P.720-726.-.
- . ,
-
,
. ,
.
(, Echerichia
coli, Campylobcter jejuni), ,
. Helicobacter pylory,
, ,
, ,

. ,
,
. ,
( )
. ,
-
. , McGill Univers. Health Centre.
(. http:/ www.pubmed.gov)

-
- -
- - -
31. . Cadogan M., Dalgleish A.G. HIV
immunopathogenesis and strategies for intervention //Lancet Inf. Dis.-2008.-Vol.8, 11.P.675-684.-.
.
,
. ,
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(. http:/ www.pubmed.gov)

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1. 1 .
Tamborlane W.V., Beck R.W., Bode B.W., et al. Continuous glucose monitoring and
intensive treatment of type 1 diabetes //N.Engl.J.Med.-2008.-Vol.359, N14.-P.1464-1476..
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1 . Ludviggson J., Faresj M., Hjorth M., et al. GAD treatment and insulin secretion
in recent-onset type 1 diabetes //N.Engl.J.Med.-2008.-Vol.359, 18.-P.1909-1920.-.
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Parving H.-H., Persson F., Lewis J.B., et al. liskiren combined with losartan in type 2
diabetes and nephropathy //N.Engl.J.Med.-2008.-Vol.358, 23.-P.2433-2446.-.
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Miller M.E., Byington RP., et al. Effects of intensive glucose lowering in type 2
diabetes //N.Engl.J.Med.-2008.-Vol.358, 24.-P.2545-2559.-.
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2 . Patel A., et al. Intensive blood glucose control and vascular outcomes in patients
with type 2 diabetes //N.Engl.J.Med.-2008.-Vol.358, 24.-P.2560-2572.-.
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Sydney. . 34.
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2 . Holman R.R., Paul S.K., Bethel M.A., et al. Longterm follow-up after tight control of blood pressure in type 2 diabetes //N.Engl.J.Med.2008.-Vol.359, 15.-P.1565-1576.-.

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Holman R.R., Paul S.K., Bethel M.A., et al. 10-year follow-up of intensive glucose control
in type 2 diabetes //N.Engl.J.Med.-2008.-Vol.359, 15.-P.1577-1589.-.

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.25
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- - -
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haemostasis //Lek.Obz.-2008.-Vol.56, .7-8.P.313-317.., .
-
-.
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, .
48

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RAS
- ;
. , Z Nemocnice Ministerstva
obrany SR, Bratislava. . 38.
(. )
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9.
. Jandova D., Biikova M., Hill M., Hampl R. Health resort treatment
improved the neurosteroid profile in thyroidectomized women // Endocrine Regulations.2008.- Vol.42, 1.-P.17-22.-.
, spa-,
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- , ,
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Inst.
Endocrinology, Prague. .23
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/. Riedel-Baima B., Riedel A. Female pattern hair
loss may be triggered by low oestrogen to androgen ratio //Endocrine Regulations.-2008.Vol.42, 1.-P.13-16.-.
49

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. , Sana Hlth. Cent.
Berlin, Berlin. . 12
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: . Goldstein D.S., Kopin I.J.
Adrenomedullary, adrenocortical, and sympathoneural responses to stressors: a metaanalysis //Endocrine Regulations.-2008.-Vol.42, 4.-P.111-119.-.
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Bethesda. . 63.
(. )

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12. , . Vladimirov V.
Hermaphroditism like stage of different kinds of sexuality //.-2008.-Vol.19,
3.-P.17-19.-., .
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Univ. Hosp., Sofia. 2
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4.-P.391-403.-.
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52

15.
.
Allan C.A., Strauss B.J.G., Burger H.C. et al. Testosterone therapy prevents gain in
visceral adipose tissue and loss of skeletal muscle in nonobese aging men
//J.Clin.Endocrinol.Metab.-2008.-Vol.93, N1.-P.139-146.-.
. ()
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. ,
- . , Prince Henrys
Inst., Clayton.
(. http:/ www.pubmed.gov)

-
- -
16.
. Laughlin G.A., Barrett-Connor E., Bergstrom J. Low serum testosterone and
mortality in older men //J.Clin.Endocrinol.Metab.-2008.-Vol.93, N1.-P.68-75.-.
, () .
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794 . 50 91 .
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- ( 1,38; 95%:1,02-1,85) ( 2,29;
95%:1,25-4,20) , .
. ,
.
>20 .,
. , Sch. Medic., Univ. California, San
Diego, La Jolla.
(. http:/ www.pubmed.gov)

-
- -
17.
. Wang C., Nieschlag E., Swerdloff R., et al. Investigation, treatment and
monitoring of late-onset hypogonadism in males //Eur.J.Endocrinol.-2008.-Vol.159, N5.P.507-514.-.
, .
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54

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,
. . , Harbor-UCLA Medic. Cent. and Los
Angeles Bio Medic. Res. Inst., Gen. Clin. Res. Cent., Torrance. . 88.
(. http:/ www.pubmed.gov)

-
- -
18. :
. Mc Grogan A., Seaman H.E., Wright J.W., de Vries C S. The
incidence of autoimmune thyroid disease: a systematic review of the literature
//Clin.Endocrinol.-2008.-Vol.69, N5.-P.687-696.-.

1980-2008 . ()
().
Medline, EMBASE Science Direct, .
2,2/100
./. . 498,4/100 ./. .,
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.).
. . , ,
,
, , . , ,
, - ,
.
2 . ,
350/100 ./. . 80/100 ./. .,
80/100 ./. . 8/100 ./. . , Univ. Bath,
Bath.
(. http:/ www.pubmed.gov)

-
- -
- - -
19. L-
. Checchi S., Montanaro A., Pasqui L. et al. L-Thyroxine
requirement in patients with autoimmune hypothyroidism and parietal cell antibodies
//J.Clin.Endocrinol.Metab.-2008.-Vol.93, N2.-P.465-469.-.
- , L-4,
,
(TSH) ,
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55

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L-4 - ,
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- - (1,810,27
//.) - - (1,520,24
//.). , L-4,
TSH . ,
, L-4 - .
-
L-4. , Univ. Siena, Siena.
(. http:/ www.pubmed.gov)

-
- - L-
20.
.
Siilin H., Rastad J., Ljunggren ., Lundgren E. Disturbances of calcium homeostasis
consistent with mild primary hyperparathyroidism in premenopausal women and associated
morbidity //J.Clin.Endocrinol.Metab.-2008.-Vol.93, N1.-P.47-53.-.
()
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s-, 5,1% (96 .). .

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56

SF-36.
, .
, ,
, . , Univ. Hosp.,
Uppsala.
(. http:/ www.pubmed.gov)

-
- -
21. .
22444 10902 .
Holmberg A.H., Nilsson P.M., Nilsson J-., kesson K. The Association between
hyperglycemi and fracture rask in middle age. A prospective, population-based study of
22,444 men and 10,902 women //J.Clin.Endocrinol.Metab.-2008.-Vol.93, N3.-P.815-822..
() 1 (),
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, .
, Malt Univ. Hosp., Malt.
(. http:/ www.pubmed.gov)

-
22. :
. Gooren L.J., Giltay E.J., Bunck M.C. Long-term
treatment of transsexuals with cross-sex hormones: extensive personal experience
//J.Clin.Endocrinol.Metab.-2008.-Vol.93, N1.-P.19-25.-.
() ().
,
.
. 1975 . 2006 .
57

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100 /. + ( 100
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. , VU Univ. Medic. Cent.,
Amsterdam.
(. http://jcem.endojournals.org)

-
24.
: .
Gurnell E.M., Hunt P.J., Curran S.E., et al. Long-term DHEA replacement in primary
adrenal insufficiency: a randomized, controlled trial //J.Clin.Endocrinol.Metab.-2008.Vol.93, N2.-P.400-409.-.
(DHEA) DHEA (DHEAS)

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36, -30) -
. (<0,001);
DHEA SF 36 (=0,004).
58

,
. . DHEAS,
,
. ,
DHEAS ,
DHEA . ,
Cent. Applied Medic. Statistics, Univ. Cambridge, Cambridge.
(. http://jcem.endojournals.org)

-
- -
- - -
24. : . Dekkers O.M., Biermasz N.R., Pereira
A.M. Mortality in acromegaly: a meta-analysis //J.Clin.Endocrinol.Metab.-2008.-Vol.93,
N1.-P.61-67.-.
-,
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-
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- ,
. , Lieden Univ. Medic. Cent., Lieden.
(. http://jcem.endojournals.org)

-
25.

. Nater U.M., Maloney E., Boneva R.S. Attenuated morning salivary cortisol
concentration in a population-based of persons with chronic fatigue syndrome and well
controls //J.Clin.Endocrinol.Metab.-2008.-Vol.93, N3.-P.703-709.-.
()
-- .
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,
. , Centers Dis. Control a. Prevention,
Atlanta.
(. http://jcem.endojournals.org)

-
- -
26.

. Hartman M.L., Weltman A., Zagar A., et
al. Growth hormone replacement therapy in adults with growth hormone deficiency
improves maximal oxygen consumption independently of dosing regimen or physical
activity //J.Clin.Endocrinol.Metab.-2008.-Vol.93, N1.-P.125-130.-.
()
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(V2) , (
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, 19,10,89 21,61,23 /., =0,010.
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(+2,50,98 /., =0,034), .
(+1,20,78 /., =0,15), .
. V2 , V2
. ,
G G V2 max
- .
. , Univ. Washington Sch. Medic., Washington.
(. http:/ www.medscape.com.viewarticle)

-
- -
- - -

60

27.
, . Burt M.G., Johansson G., Umpleby A.M., et
al. Impact of growth hormone and dehydroepiandrosterone on protein metabolism in
glucocorticoid-treated patients //J.Clin.Endocrinol.Metab.-2008.-Vol.93, N3.-P.688-695..
()
(). (G)
, ,
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- .
G ( 1)
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( 2). 1 6 - ( 694 .),
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. , Garvan Inst. Medic. Res., Sydney.
(. http:/ www.medscape.com.viewarticle)

-
- -
- - -
28. :
. Studen K.B., Barkan A. Assessment of the
magnitude of growth hormone hypersecretion in active acromegaly: reliability of different
sampling models //J.Clin.Endocrinol.Metab.-2008.-Vol.93, N2.-P.491-496.-.
(G) ()
G - .
( 10-20 . 24 .)
.
: 24-. - G - .
G
.
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61

24 . - G,
10-20 ., .
G-
G (R=0,93-0,98; <0,0001). - G 20 /
5- 9-. R>0,9. - G
<1 / 0,29, - <2,5 /
0,67 vs . 24-. .
, -
.
. , Univ. Michigan
Medic. Cent., Ann Arbor.
(. http:/ www.medscape.com.viewarticle)

-
29. -

. Bensing S., Brandt S., Tabaroj F., et al. Increased death risk and altered
cancer incidence pattern in patients with isolated or combined autoimmune primary
adrenocortical insufficiency //Clin.Endocrinol.-2008.-Vol.69, N5.-P.697-704.-.
()
() .
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(3299 ), 1964-2004 .
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( 1,3; 95%:1,2-1,5). ,
. , - S1.
, .
. ,
.
- . , Karolinska Univ. Hosp.,
Stockholm.
(. http:/ www.ingentaconnect.com)

-
- -

62

30. :
, . Sucunza N., Barahona M.J., Resmini E., et al. Gender
dimorphism in body composition abnormalities in acromegaly: males are more affected
than females //Eur.J.Endocrinol.-2008.-Vol.159, N6.-P.773-779.-.
() (),
-. -
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(64,68,7 vs 56,45,8 , <0,001) () (2,90,5 vs
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(G) -1 (IGF1)
, G
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G .,
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. , Hosp. Manacor, Manacor, Mallorca.
(. http:/ www.medscape.com.viewarticle)

-
- -

: ..
: _______________
: _______________
1. . Kinekawa F.,
Kubo F., Matsuda K. Esophageal function worsens with long duration of diabetes
//J.Gastroenterol.-2008.-Vol.43, 5, .338-344.-.

. 66 2 .
. . ,
3 .: 1-4 .; n=26; 5-9 .; n=20; C 10 . ; n=20.
24-.
-. <4
;
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63

.
. .
, . , ,

.
. . Kagawa Univ. School of Med.
(. http:/ www.pubmed.gov)

-
- -
2.
. Fujiwara A., Sakaguchi K., Fujioka
S. et al. Fibrosis progression rates between chronic hpatitis B and C patients with elevated
alanine aminotransferase levels //J.Gastroenterol.-2008.-Vol.43, N6.-P.484-491.-.

- ().
49 () 21
(), 2
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/ 36
0,28 0,32 /. 8 0,22 0,23 /. , ,
,
, , 4-5 . . Okajama Univer. Grad.
Sch. of Med.
(. http:/ www.pubmed.gov)

-
- - -
- - -
3. ,
, :
. Yamaguchi M.,
Iwakiri R., Yamaguchi K., et al. Bleeding and stenosis caused by reflux esophagitis was not
common in emergency endoscopic examinations: a retrospective patient chart review at a
single institution in Japan //J.Gastroenterol.-2008.-Vol.43, N4.-P.265-269.-.
(),
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1990-2004 .
. 1621 , 1420
64

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(19/1621, 1,2%). 19 4
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( ,0; ,2; ,8 ,13).

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. Saga Mdical. School, Saga.
(. http:/ www.pubmed.gov)

-
- -
- - -
4.
. Cambell M.S., Obstein K., Reddy K.R., Yang Y.X.
Assoiation between proton pump inhibitor use and spontaneous bacterial peritonitis
//Dig.Dis.Sci.-2008.-Vol.53, N2.-P.394-398.-.
() ,

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(2002-2005). ,
> =250 .
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Model for End Stage Liver Disease (: 23 18 .; =0,002).
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1,22 (95%:0,52-2,87) 1,05 (0,43-2,57) . ,
. . Univ. of Pennsylvania, Philadelphia.
(. http:/ www.pubmed.gov)

-
- -
- - -
- - - -
5.
. Sugiyama M., Susuki Y., Abe N., et al. Management of intraductal
papillary mucinous neoplasm of the pancres //J.Gastroenterol.-2008.-Vol.43, 3.-P.181185.-A.
()
, .
.
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, 2 :
65

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. 5-. 100%
60%
. .
2- (
> = 30 , ,
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, Kyorin Univ. Sch. of Medicine.
(. http:/ www.pubmed.gov)

-
- -
- - -
6. ,
:
- - . Niwa Y.,
Nakamura M., Ohmiya N. Efficacy of rebamipide for diclofenac-induced small-intestinal
mucosal injuries in healthy subjects: a prospective, randomized, double-blinded, placebocontrolled, cross-over study //J.Gastroenterol.-2008.-Vol.43, 4.-P.270-276.-.

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(2/10) (=0,023). . 2 1 ,
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. , Nagoya Univ. Graduate Sch. of Med., Nagoya.

-
- -
- - -
- - -
7. . Shinzeki
M., Ueda Y., Takeyama Y., et al. Prediction of early death in severe acute
pancreatitis //J.Gastroenterol.-2008.-Vol.43, 2.-P.152-158.-A.
()
().
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Severity Score (JSS), 3 .
JSS > =15 (c 4).
() > 1300 /
. ,
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. , Kobe Univ. Graduate Sch. of Med. Sci.
(. http:/ www.pubmed.gov)

-
- -
- - -
- - - -
8. . Nozu T., Komiyama H.
Clinical characteristics of asymptomatic esophagitis //J.Gastroenterol.-2008.-Vol.43, 1.P.27-31.-A.
()
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, 23-90 . 12
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Barrett, , , , (),
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(. http:/ www.pubmed.gov)

- -
- - -
9. , , :
. Mizoguchi A., Mizoguchi E.. Inflammatory bowel disease, past, present and
future: lessons from animal models //J.Gastroenterol.-2008.-Vol.43, 1.-P.1-17.-.
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() , .
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67

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, ( )
. , Massachusetts General Hosp., Boston, MA.
(. http:/ www.pubmed.gov)

-
10. . Modlin
I.M., Moss S.F. Symptom evaluation in gastroesophageal reflux disease
//J.Clin.Gastroenterol.-2008.-Vol.42, 5.-P.558-563.-.
()
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Re Quest, (
) . . Yale
Univers. New Haven.
(. http:/ www.pubmed.gov)

-
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11. : . Lacy
B.E., Weiser K. Esophageal motility disorders: medical therapy //J.Clin.Gastroenterol.2008.-Vol.42, 5.-P.652-658.-.
.

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. , Dartmouth-Hitchcock Med. Centr.
(. http:/ www.pubmed.gov)

-
12. . Kamisawa T. Diagnostic
criteria for autoimmune pancreatitis //J.Clin.Gastroenterol.-2008.-Vol.42, 4.-P.404-407..
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(. http:/ www.pubmed.gov)

-
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13. 4943 . Talamini
G., Tommasi M., Amadei V., et al. Risk factors of peptic ulcer in 4943 inpatients
//J.Clin.Gastroenterol.-2008.-Vol.42, 4.-P.373-380.-.

. , 2001-2004 .
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(94%/1439) 2001 ., 5,5% (82/1473) 2002 ., 4,5% (63/1411) 2003 ., 3,1%
(22/702) 2004 . : ,
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. ,
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. , Univ. of Verona.
(. http:/ www.pubmed.gov)

-
- -
14. :
. Domenech E., Maosa M., Navarro M., et al.
Long-term methotrexate for Crohns disease: safety and efficacy in clinical practice
//J.Clin.Gastroent.-2008.-Vol.42, 4.-P.395-399.-.
()
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7 ,
39% 3 . . , Hosp. Univers.
Germans Trias i Pujol.
(. http:/ www.pubmed.gov)

-
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15. . Sheibani S., Gerson L.B. Chemical colitis //J.Clin.Gastroent.-2008.Vol.42, 2.-P.115-121.-.
()
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70

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(. http:/ www.pubmed.gov)

-
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() . Lopasso F.P., Sakai P.,
Gazi B.M., et al. A pilot study to evaluate the safety, tolerance, and efficacy of a novel
stationary antral balloon (SAB) for obesity //J.Clin.Gastroenterol.-2008.-Vol.42, 1.-P.4853.-.
150 o 30 7

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6 . 11,5 4,6 . 1 3
. ,
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,
. , Sao Paulo Univ. Sch. of Med.
(. http:/ www.pubmed.gov)

-
17. .
Ebert E.C. Gastric and enteric involvement in progressive systemic sclerosis
//J.Gastroenterol.-2008.-Vol.42, 1.-P.5-12.-.
()
,

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, UMDNJ- Robert Wood Johnson Med. School.
(. http:/ www.pubmed.gov)

-
18. . Tahara T.,
Arisawa T., Shibata T., et al. Association of endoscopic appearances with dyspeptic
symptoms //J.Gastroenterol.-2008.-Vol.43, 3.-P.208-215.-.
Helicobacter
pylor,
. 87 93
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mura-Takemoto. Helicobacter pylori
H. pylori,
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H pylori .
, Fujita Hlth. Univ. Sch. of Medicine.
(. http:/ www.pubmed.gov)

72

-
- -
19. , . Hori K., Ikeuchi H., Nakano
H., et al. Gastroduodenitis associated with ulcerative colitis //J.Gastroenterol.-2008.Vol.43, 3.-P.193-201.-.

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.; 42 .; 162 , 163 )
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(. http:/ www.pubmed.gov)

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20.
:
. Kasahara A., Kita K., Tomita E., et al.
Repeated administration of recombinant human serum albumin caused no serious allergic
reactions in patients with liver cirrhosis: a multicenter clinical study //J.Gastroenterol.2008.-Vol.43, 6.-P.464-472.-.

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gE i IgG .
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(<0,0001),
(<0,0001). , Osaka Univ. Grad. Sch. of Med.
(. http:/ www.pubmed.gov)

-
- -
- - -
21.
,
-,
-

2-
. Hongo M., Kinoshita Y., Haruma
K. A randomized, double-blind, placebo-controlled clinical study of the histamine H2receptor antagonist famotidine in Japanese patients with nonerosive reflux disease
//J.Gastroenterol.-2008.-Vol.43, 6.-P.448-456.-.
, 2-
() ,
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( 10 20 ) 2 . 8 .
. , 528
. . ( )
62% 40 , 59% 20 55% (=0,001).
40
8 . . , Tohoku Univ. Hosp.
Aoba.
(. http:/ www.pubmed.gov)

-
- - y
- - -
22. 1
. Perez-Calle J.L., Marin-Jimenez I., Lopez-Serrano P., et al. Prevalence of
macrocreatinkinase type 1 in patients with inflammatory bowel disease //Dig.Dis.Sci.2008.-Vol.53, 2.-P.486-489.-.
() () 2
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). 1 (),
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(. http:/ www.pubmed.gov)

-
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- - -
- - - -
23.
. -1. Maconi G., Dominici R.,
Molteni M., et al. Prevalence of pancreatic insufficiency in inflammatory bowel diseases.
Assessment by fecal elastase-1 //Dig.Dis.Sci.-2008.-Vol.53, 1.-P.262-270.-.
()
().
, 6-. .
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12 -.
. (=5,4), (= 5,7),
(=4,2).
. , L. Sacco Univ. Hosp.
(. http:/ www.pubmed.gov)

-
- -
- - - -1
24. : ,
. Okazaki K., Uchida K., Fukui T. Recent advances in autoimmune pancreatitis:
concept, diagnosis, and pathogenesis //J.Gastroenterol.-2008.-Vol.43, 6.-P.409-418..
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-. () - 1 (1),
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IgG1 . , Kansai Univ. Osaka
(. http:/ www.pubmed.gov)

-
25. -6 , -6
. Nancey S., Hamzaoui N., Moussata D. et al. Serum interleukin-6,
soluble interleukin-6 receptor and Crohns disease activity //Dig.Dis.Sci.-2008.Vol.53, 1.-P.242-247.-.
- -6 (-6)
() () .
20 94 (44 50
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de Lyon.
(. http:/ www.pubmed.gov)

-
- - -6
- - -
26. : . Bellicini N., Molloy P.J., Caushaj P., Kozlowski P. Fecal
incontinence: a review //Dig.Dis.Sci.-2008.-Vol.53, N1.-P.41-46.-.
,
.
. , ,
.
47%.
76

,
. . The Western Pennsylvania Hosp.
(. http:/ www.pubmed.gov)

-
27. ,
: . Zhang X.P., Wang L., Zhou Y.F. The
pathogenic mechanism of severe acute pancreatitis complicated with renal injury: a
review of current knowledge //Dig.Dis.Sci.-2008.-Vol.53, N5.-P.1434-1435.-.
() ,

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. , Hangzhou First Peoples Hosp.
(. http:/ www.pubmed.gov)

-
- -
28. -:
. Lichtenstein G.R., Deren J.J., Katz S., et
al. Bowman-Birk inhibitor concentrate: a novel therapeutic agent for patients with active
ulcerative colitis //Dig.Dis.Sci.-2008.-Vol.53, N1.-P.175-180.-.
- (), ,
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-
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Sutherland ,
( > = 3) ( < = 1
) , 12 . .
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(p=0,067). (p=0,082)
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, ,

77

,
. , Univ. of Pennsylvania Sch. of Med.
(. http://www.pubmed.gov)

-
- -
29. ,
. Cappell M.S., Turkieh A. Chronic pericarditis and pericardial
tamponade associated with ulcerative colitis //Dig.Dis.Sci.-2008.-Vol.53, N1.-P.149-154..
. (),
9
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. . William Beaumont Hosp.
(. http:/ www.pubmed.gov)

-
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- - -
30. : , : Geeraerts B., Tack. J.
Functional dyspepsia: past, present, and future //J.Gastroenteral.-2008.-Vol.43, N4.-P.251255.-.
()
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. , Center for Gastroenterological Research.
(. http:/ www.pubmed.gov)

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1. , :
. Peters R., Peters J., Warner J., et al. Alcohol, dementia and
cognitive decline in the elderly: a systematic review //Age and Ageing.-2008.-Vol.37, N5.P.505-512.-.
() () () . , ()
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. , Imperial Coll., London.
(. http:/ www.medscape.com.viewarticle)

-
-
2.
. Di Meo F., Pedone C., Lubich S., et al.
Age does not hamper the response to pulmonary rehabilitation of COPD patients //Age and
Ageing.-2008.-Vol.37, N5.-P.530-535.-.
()
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- . , Instituto Ricovero e Cura a Carattero Sci., Roma.
(. http:/ www.medscape.com.viewarticle)

-
- -
- - -
3.
. Bartali B., Frongillo E.A., Guralnik J.M., et al. Serum
micronutrient concentrations and decline in physical function among older
persons //JAMA.-2008.-Vol.299, N3.-P.308-315.-.

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.) (.
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. , Cornell Univ., Ithaca.
(. http:/ www.jama.org)

-
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- - -
4.
. Burr M.L., Dolan E., OBrien E.W., et al. The value of ambulatory blood
pressure in older adults: the Dublin outcome study //Age and Ageing.-2008.-Vol.37, N2.P.201-206.-.
, () ()
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. ,
-
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. , Cambridge Univ. Hosp.
NHS Foundation Trust, Cambridge.
(. http:/ www.medscape.com.viewarticle)

-
- -
- - -
5. : .
Delerme S., Ray P. Acute respiratory failure in the elderly: diagnosis and prognosis //Age
and Ageing.-2008.-Vol.37, N3.-P.251-257.-.
. () - >65 .
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- . , CHU Pit-Salptrire, Paris.
(. http:/ www.medscape.com.viewarticle)

-
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6. , - 65
. Shah R., Wang Y., Foody
J.A.M. Effect of statins, angiotensin-converting enzyme inhibitors, and beta blockers on
survival in patients 65 years of age with heart failure and preserved left ventricular
systolic function //Am.J.Cardiol.-2008.-Vol.101, 2.-P.217-222.-.
- ()
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. , Yale Univ. Sch. Medic., New Haven. . 25.
(. )

-
82

- -
- - -
7. 80 . Beckett N.S., Peters
R., Fletcher A.E., et al. Treatment of hypertension in patients 80 years of age or
older //N.Engl.J.Med.-2008.-Vol.358, N18.-P.1887-1898.-.
, - 80 .
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(95%:42-78; <0,001). - 1 .
, 2 . (358 vs
448, =0,001). , (
) 80 . . , Imperial Coll. London and
London Sch. Hygiene and Tropical Med., London. . 35.
(. )

-
- -
8.
1987-2001 . Puts
M.T.E., Deeg D.J.H., Hoeymans N., et al. Changes in the prevalence of chronic disease and
the association with disability in the older Dutch population between 1987 and 2001 //Age
and Ageing.-2008.-Vol.37, N2.-P.187-193.-.

()
().
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1987-2001 .
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(GP);
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1987 2001 . ( 1987 . 103 GP, 2001 . 104).


1987 . 2708 , 2001 . 3474;
55 97 . GP
, . 1987 . 2001 . ,
/, , ,
. , / ,
.
,
, . , EMGO Inst., VU
Univ. Medic. Cent., Amsterdam.
(. http:/ www.medscape.com.viewarticle)

-
- -
- - -
9.
? . Marsden J., Gibson L.M., Lightbody C.E., et
al. Can early onset bone loss be effectively managed in post-stroke patients? An integrative
review of the evidence //Age and Ageing.-2008.-Vol.37, N2.-P.142-150.-.
() () ()
(). ,
- .
()
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MDLINE, EMBASE, AMED CINAHL 1966
. 2006 . 99
; 59 .
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- ,
,
, . , Univ. Central
Lancashire, Preston.
(. http:/ www.medscape.com.viewarticle)

-
- -
10. ;
? Roderick P.J., Atkins R.J., Smeeth L., et al. Detecting chronic kidney disease

84

in older people; what are the implications? //Age and Ageing.-2008.-Vol.37, N2.-P.176186.-.

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() (),
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(eGFR),
.

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(95%:1,37-2,32) 1,10 (95%:0,92-1,32). :
eGFR <60; eGFR <45
. ,

(., ). ,
eGFR >45. , Univ. Southampton, Southampton.
(. http:/ www.medscape.com.viewarticle)

-
- -
11.
. Foss N.B., Kristensen M.T., Kehlet H. Anaemia impedes functional
mobility after hip fracture surgery //Age and Ageing.-2008.-Vol.37, N2.-P.173-178.-.
()
() .
(/) .
,
/ . 487
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Hb, , Hb <100 /.
Cumulated
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Ambulation Score (CAS). 170, 132 116 -,


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3- / . ( 0,41; 95%:0,14-0,73;
=0,002). ,
/ -,
/.
- . , Hvidovre Univ. Hosp., Hvidovre.
(. http:/ www.medscape.com.viewarticle)

-
- -
- - -
12. .
Chipperfield J.G. Everyday physical activity as a predictor of late-life mortality //The
Gerontologist.-2008.-Vol.48, N3.-P.349-357.-.
, () ()
; . , .;
. 198
80 98 .
actigraph.
, ,
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2 .
; , . 80-. , ., ,
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2- ., .
, , .
, Univ. Manitoba, Manitoba.
(. http:/ www.medscape.com.viewarticle)

-
- -
- - -
13. ,
. Mezuk B., Eaton W.W., Golden S.H., et al. Depression, antidepressants, and bone
mineral density in a population-based cohort //J.Gerontology.-2008.-Vol.63, 12.-P.14101415.-.
() ()
()
86

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(-0,140 / 2;
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~ 1 , ,
.
, - .
, Univ. Michigan Sch. Public Hlth., Ann Arbor.

-
- -
14. ,
-1 100 . Arai Y., Takayama M.,
Gondo Y., et al. Adipose endocrine function, insulin-like growth factor-1 axis, and
exceptional survival beyond 100 years of age //J.Gerontology.-2008.-Vol.63, 11.-P.12091218.-.
, >100 .,
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(), ( . 1,6; 95%:1,142,35 1,45; 95%:1,00-2,08). IGF-1, IGF-1 -3 (IGFBP 3) .
87

,
; ; ; , ,
, - , -6 IGF-1
. ,
IGF-1
. , Keio Univ. Sch. Medic., Tokyo.

- 100
- -
15. 100 :
. Hagberg B., Samuelsson G. Survival after 100 years of age: a
multivariate model of exceptional survival in Swedish centenarians //J.Gerontology.-2008.Vol.63, 11.-P.1219-1226.-.
()
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- 100
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16.
, . Goldman S.E., Ancoli-Israel S., Boudreau R., et al. Sleep
problems and associated daytime fatigue in community-dwelling older individuals
//J.Gerontology.-2008.-Vol.63, 10.-P.1069-1075.-.
() .
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, . 2264 .
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. 6 .
,
. , Vanderbilt Univ. Medic. Cent.,
Nashville.

-
- -
17. :
. Ruggiero C., Metter E.J., Melenovsky V., et al.
High basal metabolic rate is a risk factor for mortality: the Baltimore longitudinal study of
aging //J.Gerontology.-2008.-Vol.63, 7.-P.698-706.-.
()
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~ 2 . 1227 ( 972-.)
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, 31,3-33,9 /2/.
.
; ,
. , Natl. Inst. Aging, Natl. Inst. Hlth., Baltimore.

-
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- - -

89

18.
. Abbatecola
A.M., Barbieri M., Rizzo M.R., et al. Arterial stiffness and cognition in elderly persons with
impaired glucose tolerance and microalbuminuria //J.Gerontology.-2008.-Vol.63, 9.P.991-996.-.
(),
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. --
, MMSE . ~20%
(. MMSE ) .
, .
, ,
. , Second Univ. Naples,
Naples.

-
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- - -
19. 65
:
. La Croix A.Z., Gray S.L., Aragaki A., et al. Statin use and incident frailty in women
aged 65 years or older: prospective findings from the Womens Health initiative
Observational Study //J.Gerontology.-2008.-Vol.63, 4.-P.369-375.-.
,
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S. , Fred Hutchinson Cancer Res. Cent., Seattle.

-
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. Waters
D.L., Qualls C.R., Dorin R.I. et al. Altered growth hormone, cortisol, and leptin secretion
in healthy elderly persons with sarcopenia and mixed body composition phenotypes
//J.Gerontology.-2008.-Vol.63, 5.-P.536-541.-.
() () - () (). ,
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. , Univ. New Mexico, Hlth. Sci.
Cent., Albuquerque.
91


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21. . Vaz Fragoso C.A., Araujo
K.L.B., Van Ness P.H., Marottoli R.A. Prevalence of sleep disturbances in a cohort of older
drivers //J.Gerontology.-2008.-Vol.63, 7.-P.715-723.-.
, ,
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.
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. , Yale Univ. Sch. Medic., New Haven.

-
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22.
6 . Lauretani F., Semba R.D., Bandinelli
S., et al. Low plasma carotenoids and skeletal muscle strength decline over 6 years
//J.Gerontology.-2008.-Vol.63, N4.-P.376-383.-.
,
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=0,005; . =1,88; 95%:0,93-3,56, =0,07. ,
,
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Tuscany Regional Hlth., Agency, Florence.
(. http:/ www.medscape.com.viewarticle)

-
- -
- - -
23.
. Berbe J.F.P., Mooijaart S.P., de Craen A.J.M., et al. Plasma
apolipoprotein CI protects against mortality from infection in old age //J.Gerontology.2008.-Vol.63, N2.-P.122-126.-.
,
() () .
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( 0,60; 95%:0,42-0,86; =0,005)
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( 0,63; 95%:0,44-0,90; =0,013),
. ,
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. , Leiden Univ. Medic. Cent., Leiden.
(. http:/ www.medscape.com.viewarticle)

-
- -
24.
: . Andel R., Crowe
M., Pedersen N.L., et al. Physical exercise at midlife and risk of dementia three decades
93

later: a population based study of Swedish twins //J.Gerontology.-2008.-Vol.63, 1.P.62-66.-.


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(=0,50; 95%:0,23-1,06; =0,072).
, , ,
, Univ. South
Florida, Tampa. ,
-
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: ..
: _______________
: _______________
1. . Mostafa M.G.,
McDonald J.C., Cherry N.M. Lung cancer and exposure to arsenic in rural Bangladesh
//Occup. Environ.Med.-2008.-Vol.65, 11.-.765-768.-A.
()
. 2003-2004 .
5372 , 10 .
. 3223
(1 .), 1558 . -
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, . , ,
94

( - >100 /),
. . , Natl. Inst. Canc. Res., Hosp.,
Dhaka.
(. : http://oem.bmj.com)

-
- -
- - -
2. , ,1 , ,1
,
. Alvarez-Pedrerol M.,
Ribas-Fito N., Torrent M., et al. Effects of PCBs, ,1-DDT, ,1-DDE, HCB and -HCH
on thyroid function in preschool children //Occup.Environ.Med.-2008.-Vol.65, 7..452-457.-A.

() ,
.
. .
4-.. (n=259), - 4
3 , .
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(-138, -153, -118)
3 (<0,05). , 4
-118,
- .
, ,
3 . , Cent. for Res. Environ.
Epid.-IMIM, Barcelona.
(. : http://oem.bmj.com)

-
- -
3.
. Navas-Acien A., Silbergeld E.K., Pastor-Barriuso R. et ol. Arsenic exposure and
prevalence of type 2 diabetes in US adults //JAMA.-2008.-Vol.300, N7.-P.814-822.-.

(), , (), ,
/ - .
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. (n=788) 20 . ,
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7,7%.
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;
95

. 80 20
CI 3,58 ( ), 1,57 (
) 0,69 ( ).
,
,
- , , . , Dept.
Environ. Health Sci, Dept. Epidem., Johns Hopkins Bloomberg Sch. Publ. Health,
Baltimore.
(. http://jama.ama-assn.org)

-
- -
- - -
4. 4-- : 2003-2004 .
Calafat A.M., Ye X., Wong L.-Y., et ol. Exposure of the U.S. population to bisphenol A and
4-tertiary-octylphenol: 2003-2004 //Environ.Health Perspect.-2008.-Vol.116, N1.-P.39-44..
() 4-- () ,
,
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. ( )
- 2517 6 .,
. 92,6 57,4%
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(=0,21). . - .
(=0,043). . -
(<0,001), , , - (=0,003).
, -
, , , ( >45 . .
- ). . ,
Divis. Lab. Sci, Nat. Cent. Environ. Health, CDC, Atlanta. . 59.
(. http://www.ehponline.org)

- 4--
- -
5. 50 .:
1988-1994 1999-2004 .
Gallagher C.M., Kovach J.S., Meliker J.R. Urinary cadmium and osteoporosis in U.S.
woman 50 years of age: NHANES 1988-1994 and 1999-2004 //Environ. Health
Perspect.-2008.-Vol.116, N10.-P.1338-1343.-.
()
() .
- 1 /
96

, . 50 .,
. , ,
, . 0,50-1,00 /
43% . 0,50 / (=1,43; ; =0,04).
, . .
- 3
/. -
. 50 . . , Grad. Prog.
Publ. Health, Stony Brook Univ. Med. Cent., New York. . 42.
(. http://www.ehponline.org)

-
- -
6. ,
. Turner P.C., Rothwell J.A., White K.L.M., et al.
Urinary deoxynivalenol is correlated with cereal intake in individuals from the United
Kingdom //Environ. Health Perspect.-2008.-Vol.116, N1.-P.21-25.-.
, () ,
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24-.
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1 (107 /.), 2 (170 /.) 3 .
(300 /.).
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9,63 13,24 /. 1, 2 3 . .
. , ,
,
. (1000
/) . , Molec. Epid. Un., Nutrit. Epid. Gr., Cent. Epid.
Biostat., Univ. Leeds, Leeds. . 29.
(. http://www.ehponline.org)

-
7. ,
, . Suglia S.F., Gryparis A., Schwartz
J., et al. Association between traffic-related black carbon exposure and lung function
among urban women //Environ. Health. Perspect.-2008.-Vol.116, N10.-P.1333 - 1337..
,
. .
()
., . ( ).
-
. 0,620,2 /3.
97

( )
1 . 1,1% (95%),
0,6% (95%),
3,0% (95%).
, ,
, ,
., . , Dept Environ. Health,
Harv. Sch. Publ. Health, Boston. . 41.
(. http://www.ehponline.org )

-
- -
8.
:
(NHANES) 2001-2004 . Braun J.M., Froehlich
T.E., Daniels J.L., et al. Association of environmental toxicants and conduct disorder in
U.S. children: NHANES 2001-2004 //Environ. Health. Perspect.-2008.-Vol.116, N7.-P.956
- 962.-.
(),
, ().
-, ,
. 8-15 . (n=3081).
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V
. . 2,06% (560 . . 8
15 .), . ,

() (=3,00; 95%). ( vs
) ( vs )
. 8,64 9,15 (95%).
,
,
. . , Dept. Epid., Univ. North Carolina, Chapel Hill. . 47.
(. http://www.ehponline.org )

-
- -
- - -
9.
, . Hirshon J.M., Shardell M., Alles S., et al. Elevated ambient air
zinc increases pediatric asthma morbidity //Environ. Health. Perspect.-2008.-Vol.116, N6.P.826 - 831.-.
,
2,5 (2,5)
-
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. 2,5 /
, 2,5
. ,
2,5 ,
., .
. , 2,5
(8,63-20,76 /3) .,
1,23 2,5 <8,63 /3 ,

2,5
. . , Dept. Emerg. Med.,
Univ. Maryland Sch. Med., Baltimore. .36.
(. http://www.ehponline.org )

-
- -
- - -
10.
. Franco Suglia S., Gryparis A., Wright R.O., et al. Association
of black carbon with cognition among children in a prospective birth cohort study
//Am.J.Epidemiol.-2008.-Vol.167, N3.-P.280 - 286.-.
,
, ,
.
()
202 .
9,7 ., . ().
- (
0,56 /3; -0,13).
WRAML Kaufman.
- , ,
,
(-2,2; 95%), (-4,0; 95%) .
(-3,4; 95%) Kaufman ,
(-5,4; 95%) (-3,9; 95%)
WRAML. , -
. , Dept. Environ. Health, Harv. Sch. Publ. Health, Boston.
(. http://www.medscape.om)

-
- -
- - -
11. ,

GSM. Barth A., Winker R., Pononcy-Seliger E., et al. A meta-analysis for
99

neurobehavioural effects due to electromagnetic field exposure emitted by GSM mobile


phones //Occup.Environ.Med.-2008.-Vol.65, 5.-.342-346.-.
(),
GSM ( 900 1800 ),
. ,
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. 10 ( 19 )
.
,
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() , ,
(n- back test) .
, ,
. . ,
. , Inst. Manag.
Sci., Div. Ergon., Organiz., Vienna Univ. Tchnol., .
(. : http://www.joem.org)

-
- -
- - -
12.
: 18- . Moore K.,
Neugebauer R., Lurmann F., et al. Ambient ozone concentrations cause increased
hospitalizations for asthma in children: an 18-year study in Southern California
//Environ.Health Perspect.-2008.-Vol.116, N8.-P.1063-1070.-.
() .
.
, - . -
.
- 3 ., - .
. 19 . -
3 1983-2000 .
195
3, , . 10
, , 3
, .
. 3
. . ,
3, 18 . 87,7 10 . 4,6%. , Div.
Biostat., Sch. Publ. Health, Univ. Calif., Berkeley. . 43.
(. : http://www.ehponline.org)

-
- -
- - -
100

13. - , ,'
, . Gao J., Liu L., Liu X., et
al. Occurence and distribution of organochlorine pesticides lindane, ,' DDT, and
heptachlor epoxide in surface water of China //Environ.Internat.-2008.-Vol. 34, N8.P.1097-1103.-.

(). 2003-2004 . ,
600 7 .
(-), ,' .
83,9% ( - =31,3 /;
<0,17 860 /); - . 63,1%
,' ( - =14,6 /; <0,14 368
/) - .
9,3% . -
, . ,
,'
. .
. ,
St. Key Lab. Environ. Aquat. Chem., Res. Cent. Eco-Envir. Sci., Chinese Acad. Sci,
Beijing.
(. : http://www.sciencedirect.com)

-
- -
- - - ,'
- - - -
14.
. Cocco P., Brennan P., Ibba A., et al. Plasma polychlorobiphenyl and
organochlorine
pesticide
level
and
risk
of
major
lymphoma
subtypes //Occup.Environ.Med.-2008.-Vol.65, 2.-.132-140.-.
-,
()
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) 4 (,
, , ), 6 9 (
28, 52, 101, 118, 138, 153, 170, 180 194) 377 (174 -
- 203 . .).
, -, -

, - ,' --
. , (=0,03),
. (
0,7; 95%) .
( -3,2; 95%). ,

101

-
. , Dept. Publ. Health, Occupat. Health Sect., Univ. Cagliary, Cagliary.
(. : http://www.oem.bmj.com)

- -
- -
- - -
- - - -
15.
. Lang I.A., Galloway T.S., Scarlett A., et al. Association of urinary
bisphenol A concentration with medical disorders and laboratory abnormalities in adults
//JAMA.-2008.-Vol.300, N11.-P.1303-1310.-.
()
.
- . .
(n= 1455; 18-74 .) -
;
, , /, , , ,
, - . , -
-
( - 1 []
1,39; 95%; =0,001). -
( 1--1,39; 95%; <0,001), .
. , -
- - (
1 1,29; 95%; <0,001) (
1 1,48; 95%; =0,02).
. , Epid. Publ.Health
Gr., Penin.Med.Sch., Exeter. . 44.
(. : http://jama.ama-assn.org)

-
- -
- - -
16. -3,
, :
(NHNES) 2003-2004 . Calafat A. M.,
Wong L-Y., Ye X., et al. Concentrations of the subscreen agent benzophenone-3 in residents
of the United States: National Health and Nutrition Examination Survey 2003-2004
//Environ.Health Perspect.-2008.-Vol.116, N7.-P.893-897.-.
-3 (-3) -
.
-3 6 .
/
2517 . 96,8%
-3. - - 95-
102

. 22,9 / (22,2 / ) 1,040 / (1,070 /


). . -
., . -
(<0,01),
. . . ( =3,5; 95%)
( =6,8; 95%)
- 95 . ,
-3 2003-2004 . , Div. Lab.
Sci., Natl. Cent. Envir. Health, CDC, Atlanta. . 44.
(. : http://www.ehponline.org)
-3
-
- -
17. : 2003-2004 . Calafat
A. M., Ye X., Wong L-Y., et al. Urinary concentration of triclosan in the U.S. population:
2003-2004 //Environ.Health Perspect.-2008.-Vol.116, N3.-P.303-307.-.
() ,
.
6 .
(NHANES), 2003-2004 .
2517
/-. 74,6%
- ( ) 2,4 3790 /.
- 95 . 13,0 / (12,7 / )
459,0 / (363,8 / ).

- . -
(=0,04) (<0,01)
. , (
), ,
- . , Div. Lab. Sci., Nat. Cent. Envir. Health, CDC, Atlanta. . 44.
(. : http:// www.medscape.com)

-
18. , :
. Meeker J.D.,
Rossano M.G., Protas B., et al. Cadmium, lead, and other metals in relation to semen
quality: human evidence for molybdenum as a male reproductive toxicant //Environ.Health
Perspect.-2008.-Vol.116, N11.- .1473-1479.-.
(,
, , ) ().
. . (n=219) ,
.
() ,
-
.
103

, - . 1,0; 1,4; 3,5


- 1,0; 0,8; 2,6 .
.
. -
14,4 13,7 -
. . , Dept.
Environ. Health Sci, Univ. Michigan Sch. Publ. Health, Ann Arbor. . 46.
(. : http://www.ehponline.org)

-
- -
- - -
- - - -
- - - - -
19.
. Chevrier J., Eskenazi B.,
Holland N., et al. Effects of exposure to polychlorinated biphenyls and organochlorine
pesticides on thyroid function during pregnancy //Am.J.Epidemiol.-2008.-Vol.168, N3.P.298-310.-.
,
(), (), ,- (),
,- ,- ()
) . - ,
,
334 ., ( ).
7 19
75% -
. -
, . - ,
.
/
, ,
. , Cent. Child. Envir.
Hlth. Res., Sch. Publ. Hlth., Univ. Calif., Berkeley.
(. http://aje.oxfordjournals.org)

-
- -
- - -
- - - -
20. - :
. Pathak N., Khandelwal Sh. Impact of
cadmium in T lymphocyte subsets and cytokine expression: differential regulation by
oxidative stress and apoptosis // Biometal.-2008.-Vol.21, 2.-.179-187.-.
, (d) ,
. d ,
104

/ .
d (10, 25 50 ) -
(6, 12 18 .).
D4+ /CD8+ ( )
D4+ ( -.) /CD8+ .
( -.). , . D4+ CD8+ , .
D4- /CD8- . .
D4+, CD8+ .
D4+
(IL-2 i IFNy) . Th1 i IL-4 . Th2 .
, d -.
. . , Ind. Toxical. Res. Cent., Lucknow.
(. : http://www.springerlink.com)

-
- -
21.
(). Siriwardhana N., Wang H.-Ch.R. Precancerous
carcinogenesis of human breast epithelial cells by chronic exposure to benzo(a)pyrene
//Molecular Carcinogen.-2008.-Vol.47, 5.- .338-348.-.
.
,
().
MCF10A .
- . ,
. , :
, (
), .
, 7 MCF10A .,
(). ,
, , , (<0,05)
, (). , Antican. Mol. Oncol.
Lab., Dept. Pathobiol., Knoxville.
(. : http://www.interscience.wiley.com)

-
- - ()
22.
Medicare -
. Peng R.D., Chang H.H., Bell M.L., et al. Coarse particulate matter air
pollution and hospital admissions for cardiovascular and respiratory diseases among
Medicare patients //JAMA.-2008.-Vol.299, 18.-P.2172-2179.-.

2,5 .
2,5 10
( 10-2,5). 108 1999-2005 . 3,7 .
105

- 1,4 .
. - 10-2,5 10 /3
-
0,36% . ,
2,5 , .
- 10-2,5 10 /3
0,33%,
2,5 0,26%. ,
-
. , Dept. Biostat. Epidem., John Hopkins
Bloomberg Sch. Publ. Health, Baltimore. . 53.
. : http://jama.ama-assn.org)

-
- -
- - -
23.
202 ,
1999-2005. Bell M.L.,Ebisu K., Peng R.D., et al. Seasonal and regional short-term effects
of fine particles on hospital admission in 202 US counties, 1999-2005 //Am.J.Epidemiol.2008.-Vol.168, N11.-P.1301-1310.-.
,
2,5 (2,5) . .
1999-2005 . 202 .

2,5.
, . -
1,05% - 2,5 10 /3
. . 1,49% 2,5 10 /3.
. . 2,5
,
. , Yale Univ., New Haven.
(. : http://aje.oxfordjournals.org)

-
- -
- - -
24. , - : . Opler M.G.A., Buka S.L., Groeger J., et al.
Prenatal exposure to lead, -aminolevulinic acid, and schizophrenia: further evidence
//Environ.Hlth.Perspect.-2008.-Vol.116, N11.-P.1586-1590.-.
, - Pb,
,
() .
106

,
(1959-1966).
, ( 15 /)
, 1,92
(95%:1,05-3,87; =0,03). ,
,
,
. , Dept. Psych., Col. Phys., Surgeon, Columb.
Univ., New York. . 31.
(. : http://www.ehponline.org)

-
- -
25. ;
. Baste V., Riise T., Moen B.E. Radiofrequency electromagnetic
fields; male infertility and sex ratio of offspring //Eur.J.Epidemiol.-2008.-Vol.23, 5.P.369-377.-.

() .
- ,
. 10497 22%
.
.
( , ,
) .
. . 1,86 (95%:1,46-2,37).
. ,
.
,
. , Dept. Publ. Health, Prim. Health Care, Sect. Occup.
Med., Univ. Bergen, Bergen.
(. : http://www.springerlink.com)

-
26.
. Kolarik B., Naydenov K., Larson M., et al. The association between phthalates
in dust and allergic disease among Bulgarian children //Environ.Hlth.Perspect.-2008.Vol.116, 1.-P.98-103.-.
-
() ., . .
(). . . (n=102) 2 7 .,
(, , / )
12 . , .,
, , -n-, , -(2)- () -n-. ,
, . , (1,24
107

/ ), . (0,86 / ), -
. 12 . (=0,035). ,
Technic. Univ. Denmark, Dept. Mechan. Engin., Internat. Centre Indoor Environ., Energy,
Lyngby. . 36.
(. : http://www.ehponline.org)

-
- -
27. , ,
. Arora M., Weuve J., Schwartz J., Wright R.O. Association of
environmental cadmium exposure with pediatric dental caries //Environ.Hlth.Perspect.2008.-Vol.116, 6.-P.821-825.-.
, ()
(). ,
, , . 6-12 .

(1988-1994 .) -
. - . ,
- 0,01 3,38 /. ,
- (0,21 / )
. 16% (.
= 1,16; 95%:0,96-1,40). ,

17%.
. , Environ. Occup. Med., Epidem., Dept. Envir. Health, Harvard
Sch. Publ. Health, Boston. . 41.
(. : http://www.ehponline.org)
-
- -
- - -
28.
. Lampi P., Tuomisto J., Hakulinen T., Pukkala E.
Follow-up study of cancer incidence after chlorophenol exposure in a community in
southern Finland //Scand.J.Work Environ.Health.-2008.-Vol.34, 3.-P.230-233.-.
70- 80- .
- ()
.
- 1990 .
- ,

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1953-1971 . ( ), 1972-1986 . ( ).
, 20 . .
,
108

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. , Paijat-Hame Soc.
Health Gr., Lahti. . 16.
(. : http://www.sjweh.fi)

-
- - -
- - -
29. :
. Fei Ch., McLaughlin J.K., Tarone
R.E., Olsen J. Fetal growth indicators and perfluorinated chemicals: a study in the Danish
National Birth Cohort //Am.J.Epidemiol.-2008.-Vol.168, 1.-P.66-72.-.
,
()
() . .

1400 , 1996-2002 .
. ,
. ,
, . ,
. /
0,069 (95% :0,024-0,113)
0,059 (95%:0,012-0,106).
.

. , Dept. Epidemiol., Sch. Publ. Health, Univ. Calif., Los Angeles.
(. : http://aje.oxfordjournals.org)

-
- -
30. . Zhang Ya., Sanjose S., Bracci P.M., et al. Personal use of hair
dye and risk of certain subtypes of non-Hodgkin lymphoma //Am.J.Epidemiol.-2008.Vol.167, 11.-P.1321-1331.-.
() (), ,
. ,
. - (n=4461) . . (n=5799).
(=1,3; 95%:1,1-1,4), ,
., 1980 . ,
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() /
(/). (=1,5; 95%:1,1-2,0) .,
1980 . ,
, ,
109

(=1,5; 95%:1,1-2,0).
/ . ,
Environ. Sci. Div., Sch. Publ. Health, Yale Univ., New Haven. . 35.
(. : http://aje.oxfordjournals.org)

- -
- -
- - -

: ..
: _______________
: _______________
1. - . Olive D.L.
Gonadotropin-releasing hormone agonists for endometriosis //N.Engl.J.Med.-2008.Vol.359, N11.-P.1136-1142.-.
. () ,
10%. .
30%,
50%.
, 18% .
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GnRH () ;
96 7% 6 . .

110

GnRH 3 . add-back
() 2,5 /.,
, GnRH .
GnRH 6 . add-back
; 5 /. .
. , Wisconsin Fertility Inst., Middleton. .
37.
(. )

-
- - -
2. . Cummings
S.R., Ettinger B., Delmas P.D., et al. The effects of tibolone in older postmenopausal
women //N.Engl.J.Med.-2008.-Vol.359, N7.-P.697-708.-.
() , . ,
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: 122 vs 166 /1 . -. ( 0,74;
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0,32; 95%:0,13-0,80; =0,02) ( 0,31; 95%:0,10-0,96; =0,04).
, . 1 . ( 2,19; 95%:1,14-4,23;
=0,02), 2006 .
. .
, , , ,
. . , San
Francisco Coordinating Center a. California Pacific Medic. Center Res. Inst., San
Francisco. . 53.
(. )

-
- -
3. . Kaunitz
A.M. Hormonal contraception in women of older reproductive age //N.Engl.J.Med.-2008.Vol.358, N12.-P.1262-1270.-.
.
.
,
. . () ,
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111

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, .
, . , Univ. Florida Coll.
Medic., Jacksonville. . 54.
(. )

-
- -

112


: ..
: _______________
: _______________
4.
LigaSure .
Mistrangelo E., Febo G., Ferrero B., et al. Safety and efficacy of vaginal hysterectomy in
the large uterus with the LigaSure bipolar diathermy system //Am.J.Obstet.Gynecol.2008.-Vol.199, 5.-P.475. 1-5.-.
()
() () ( 250 )
LigaSure (Valleylab, Boulder, CO).
102 ,
( ) 250 .
LigaSure,
- (-) ,
. 102 99 (97,1%; 95%:91,6-99,4%);
3- .
455 ( 241 1913 ). ,
, 1600 , ,
. 50 .
, ,
250 . , Unit.
Minimally Invasive Gynecol.-Ginteam, Torino.
(. )
-
- -
5. Gardnerella Vaginalis ()
, .
Klomp JM., Boon ME., Van Haaften M., Heintz AP. Cytologically diagnosed Gardnerella
Vaginalis infection and cervical (pre)neoplasia as established in population-based cervical
screening //Am.J.Obstet.Gynecol.-2008.-Vol.199, 5.-P.480. 1-5.-.
()

() () .,
Gardnerella Vaginalis. 800 498
.,
113

. () , G.Vaginalis
.
G.Vaginalis 0,6/1 . ()
G.Vaginalis .
( 10,3; 95%:6,6-16,1). ,
G.Vaginalis ()
.
() . ,
Leigen Cytology a. Pathology Lab., Leigen.
(. )
-
- - Gardnerella Vaginalis
- - -
6. ,
. Chechia A., Attia L., Temime RB., et al. Incidence, clinical analysis, and
management of ovarian fibromas and fibrothecomas //Am.J.Obstet.Gynecol.-2008.Vol.199, 5.-P.473. 1-4.-.
,
() () ().
24 -,
1994 . 2006 .
, , , ().
49 .; 13 . .
6 , 12 , 6
- 1 . -125, 21
, 3 . 21 - , 3
; , , ,
. 16 9 .
: , 3,3% .
. .
, ,
. ,
. , Charles Nicolle Hosp., Tunis.
(. )
-
- -
- - -
- - - -
7.
. Vercellini P., Somigliana E., Daguati R. Postoperative oral contraceptive
exposure and risk of endometrioma recurrence //Am.J.Obstet.Gynecol.-2008.-Vol.198,
5.-P.504. 1-5.-.
()
., (), .,
. .,
, , ,
114

. 1 . 6 .
. 277 . 102
( ); 129
; 46 .
28 . 74 - (27%). 36-.
-, , .
94%, . ., 51% (<0,001).
,
. , Univ. Milan, Milan.
(. )
-
- -
- - -
8. ,
20- . Berenson
A.B., Odom S.D., Breitropf C.R., Rahman M. Physiologic and psychologic symptoms
associated with use of injectable contraception and 20 microg oral contraceptive pills
//Am.J.Obstet.Gynecol.-2008.-Vol.199, 4.-P.351. 1-12.-.
,

() . 2 .
- () () () (
) .,
. 608 ., 17
6 . 24 .
,
. ,
( 0,7), ( 0,5), ( 0,6), ( 0,4),
( 0,5) ( 0,7);
( 0,5) ( 0,7),
( 2,3), >20 . ( 13,4) ( 96,9).
. ,
, ,

. , Cent. Interdisciplinary Res. Womens Hlth, Univ. Texas Medic.
Branch, Galveston.
(. )
-
- -
- -
- - -
9. :
. Brotman R,M., Ghanem K.G., Klebanoff M.A., et al. the effect of vaginal
douching cessation on bacterial vaginosis: a pilot study //Am.J.Obstet.Gynecol.-2008.Vol.198, 6.-P.628. 1-7.-.
()
(). 39 . ,
115

, 20-. ,
4-. (1 ), 12 .
(2 ), 3- ,
4 . .
. 16 . 1 20- . (
1107 ). Nugent 7.
.
,
0,76 (95%:0,33-1,76). ., ,
,
( 0,23; 95%:0,12-0,44).
, . , John Hopkins
Bloomberg Sh. Public Hlth., Baltimore.
(. )
-
- -
- - -
10.
. Chen B.A., Reeves M.F., Greinin M.D.,
et al. Misoprostol for treatment of early pregnancy failure in women with previous uterine
surgery //Am.J.Obstet.Gynecol.-2008.-Vol.198, 6.-P.626. 1-5.-.
() ()
() .
. ,
. 488 .,
800 ; 78 (1 .)
( ), 410 (2 .). .
, 2 . .
, .
(72 vs 69%; =0,64)
30 . (85 vs 82%; =0,50) . , ,
. 1 2 . .
.
. , Univ. Pittsburgh Sch. Medic. A. Madee-Womens Res.
Inst., Pittsburgh.
(. )
-
- -
- - -
11.
? Rizzo M., Berneis K., Carmina E., Rini G.B. How should we manage
atherogenic
dyslipidemia
in
women
with
polycystic
ovary
syndrome? //Am.J.Obstet.Gynecol.-2008.-Vol.198, 1.-P.4-6.-.
, . ()
- .
- (),
116

, -
. , .
, ,
. ,
(),
- .
. .
- , ,
- . -
, . -
,
; ,
. , Univ. Palermo,
Palermo.
(. )
-
- -
- - -
- - - -
12. . Chavarro J.E., Rich-Edwards
J.W.,
Rosner
B.A.,
Willett
W.C.
Protein
intake
and
ovulatory
infertility //Am.J.Obstet.Gynecol.-2008.-Vol.198, 2.-P.210-1-7.-.
,
() (). 18 555
. . ; , .
8-. .
. 438 . .

1,39 (95%:1,011,90; 0,03). 0,78
(95%:0,54-1,12; 0,07). , 5%
, ,
> 50% (=0,007). ,
. , Harvard Sch.
Public Hlth., Boston.
(. )
-
- -
- - -
13.
: . Robert M.,
Soraisham A., Sauve R. Postoperative urinary incontinence after total abdominal
hysterecttomy or supracervical hysterectomy: a metaanalysis //Am.J.Obstet.Gynecol.2008.-Vol.198, N3.-P.264.e1-e5.-.
,
() ()
117

() (). MEDLINE,
EMBASE, CINAHL, Biological Abstract Cochrane Library 2007 .
, .

, , ., ,
., ( 1,3; 95%:0,94-1,78; =0,16 1,37; 95% :0,77-2,46;
=0,25). ,
. , Univ. Calgary, Calgary.
(. http:/www.pubmed.gov)
-
- -
14.
:
. Pitsouni E., Lavazzo C., Falagas M.E.
Itraconazole vs fluconazole for the treatment of uncomplicated acute vaginal and
vulvovaginal candidiasis in njnpregnant women: a metaanalysis of randomized controlled
trials //Am.J.Obstet.Gynecol.-2008.-Vol.198, N2.-P.153-160.-.

in vivo in vitro per os

()

()

/ () .
PubMed., Scopus, Web of Science Cochrane Library;
6 , 1092 /
, .
1- 2-
- (. CI 0,94 [95%:0,6-1,48] 1,09 [95%:0,68-1,75]).
1- 2-
(. CI 0,73 [95%:0,31-1,7] 0,71 [95%:0,49-1,03]),
,
. ,
. , Alfa Inst. Biomed.
Sci. (AIBS), Athens.
(. http:/www.pubmed.gov)

-
- -
15.

. Tuomikoski P., Aittoki K., Mikkola T.S. et al. Effect of oral and trausdermal
hormone therapy on hyaluronic acid in women with and without a history of intrahepatic
cholestasis of pregnancy //Am.J.Obstet.Gynecol.-2008.-Vol.198, N4.-P.375.e1-e5.-.
() ()
() . .
- - (),
.
(1 ., 20 .) (2 ., ., 20 .).
118

. ()
2,0 /.) 2 . ,
. ( 10,9 15,4%). 4,0 /.
, ()
( 11,0 10,7%).
(50 ) ( 3,2%) . . .
, .
, / - .
. ,
. , Helsinki Univ. Cent.
Hosp., Helsinki.
(. http:/www.pubmed.gov)

-
- -
16. 1
. Thys-Jacobs S., McMahon D.,
Bilezikian J.P. Lower insulin-like growth factor-1 concentrations in women with
premenstrual dysphoric disorder //Am.J.Obstet.Gynecol.-2008.-Vol.198, N5.-P.506.e1-e8..
,
.,
() ().
() .
, ()
(1 .) ., (2, ., .).
, N-, -
-1 (IGF-1) . .
2-. ;
1 . - IGF-1 ( )
. (205,756,8 vs 240,276,9 /, =0,01)
5 . 1 . . . . -
IGF-1 , N-
. ( )
. . 1 .
, - IGF-1 . .
. , Columbia Univ.
Medic. Cent., New York.
(. http:/www.pubmed.gov)

-
- - -1
17. Trichomonas Vaginalis
. Helms D.J., Mosure D.J., Secor W.E., Workowski K.A. Management of
trichomonas vaginalis in women with suspected metronidazole hypersensitivity
//Am.J.Obstet.Gynecol.-2008.-Vol.198, N4.-P.370.e1-e7.-.
119

Trichomonas Vaginalis
() (). () ,
. ,
.
. ,
. . ,

,
. 2003 . 2006 .
59 . -
(47%) (11%) 15 . (25,4%)
, . 17 . (28,8%)

: 5 17 (29,4%).
. . , Centers for
Disease Control and Prevention, Atlanta.
(. http:/www.pubmed.gov)

-
- -
18. . Mathur R.,
Alexander C. J., Yano J. et al. Use of metformin in polycystic ovary syndrome
//Am.J.Obstet.Gynecol.-2008.-Vol.199, N6.-P.596-609.-.
. ()
,
. ()
. . , .
() 2 ,
,
2-. (75 ).
- ,
, .
, ,
. , ,
() ,
,
, (., 2 ).
.
. , Cedars-Sinai Medic. Cent., Los Angeles.
(. http:/www.pubmed.gov)

-
- -
19. . Agdi M.,
Valenti D., Tulandi T. Intraabdominal adhesions after uterine artery embolization
//Am.J.Obstet.Gynecol.-2008.-Vol.199, N5.-P.482. e1-e3.-.
120

()
(). -
-, (1.) 2000-2006 .; 2, .,
. -, () .
. 1 . 30 . 2 . 72.
1 . 44,90,8., 2 . 44,60,6. 1 .
- , , (11,31,9 vs 5,60,6 ; =0,003;
95:1,9-8,5). 1 . , 2 . (20 vs 1,4%; =0,002;
17,2). ,
. . , McGill Univ.,
Montreal.
(. http:/www.pubmed.gov)
-
- -
- -
20.
. Escobar-Morreale H.F., Botella-Carretero J.I., Martinez-Garcia
M.A. et al. Serum osteoprotegerin concentrations are decreased in women with the
polycystic ovary syndrome //Eur.J.Endocrinology.-2008.-Vol.159, N3.-P.225-232.-.
(OPG), ,
,
- . , . ().
- OPG . .
-, 40 - 40
., .
; - OPG
(ELISA). ,
- OPG . . .
(304120 vs 363105 /; F=7,641, p=0,007) .

- (RANKL) RANKL/OPG.
(R2=0,208 F=6,579, p=0,001) , (=0,281, p=0,008), (=-0,245, p=0,022), (=0,296, p=0,006),
- OPG . , -
- OPG .
OPG, -
- . , Hosp. Univ.
Ramon y Cajal a. Univ. de Alcal, Madrid.
(. http:/ www.pubmed.gov)

-
- -
21.
. Donders G., Bellen G.,
Byttebier G. Individualized decreasing-dose maintenance fluconazole regimen for recurrent
121

vulvovaginal candidiasis (ReCiDiF trial) //Am.J.Obstet.Gynecol.-2008.-Vol.199, N6.P.613 e1-e9.-.


. ()
,
() ,
, .
, ,
136 . . 600 ()
. 117 . : 200 /.
6 ., - .
.
6 . 1 /2 .
6 .
,
. 3 .,
, 101 . (90%) 6 .
, 80 . (77%) 1 .
0,5%
, ,
, 1% / . .,
( ),
( 4,9; 95%:1,8-13,7; =0,002),
(6,5 vs 3,7 .; =0,06) Candida nonalbicans (=0,001).
. ,
per os
. . , Univ. Hosp. Gasthuisberg, Leuven.
(. http:/ www.pubmed.gov)

-
- -
22.
. Karim R., Hodis H.W.,
Stanczyk F.Z. Relationship between serum levels of sex hormones and progression of
subclinical atherosclerosis in postmenopausal women //J.Clin.Endocrinol.Metab.-2008.Vol.93, N1.-P.131-138.-.
()
- . ,
- ,
. -
180 . ; 91 17- 89
( .
intima media ()
>2 . . - (=0,02),
(=0,01), (=0,02) ,
(SHBG) (=0,005)
( ). SHBG
122


( <0,0001), ()
(<0,003).
, .
SHBG
8,534,72 /., . SHBG
(-5,452,77
/., =0,3). , SHBG
. .
. .,
,
SHBG . ,
Univ. Southern California, Los Angeles.
(. http:/ www.pubmed.gov)

-
- -
23.

in vitro. Kovacs P., Kovats T., Bernard A., et al. Comparison of serum and
follicular fluid hormone levels with recombinant and urinary human chorionic
gonadotropin during in vitro fertilization //Fertil.Steril.-2008.-Vol.90, N6.-P.2133-2137..

()
(hCG) ()
in vitro (IVF).
., IVF/ (ICSI)

(FSH). 250 hCG (1 .) 7500
hCG (2 .) IVF.
. 2, (), hCG
(). , 2, , hCG
. , >14 ,
, .
, hCG
.
IVF .
. , Kaali Inst. IVF Cent., Budapest.
(. http:/ www.fertstert.org)

-
- -
24. -,
: 24-
. Cromer B.A., Bonny A.E., Stager M., et al. Bone mineral density in
123

adolescent females using injectable or oral contraceptives: a 24-month prospective


study //Fertil.Steril.-2008.-Vol.90, N6.-P.2060-2067.-.
, ()
. .
433 - 12-18 .
1 . 58
(D), 2 . (187 ) , 100
20 2, 3 . (188 ) .

6-. 24 . 24 . %
: 1 .: -1,5%, 2 .: +4,2%, 3, ., .: +6,3%.
% : 1 .: -5,2%, 2 .: +3,0%, 3
.: +3,8%. 1 . . .
1 . % 12 . -1,4%;
-0,1% 12 . .
, -, D,
2 3 .; ,
, 1- .
D,
.
(. http:/ www.fertstert.org)

-
- - -
25. . Sbaragli C., Morgante G., Goracci
A., et al. Infertility and psychiatric morbidity //Fertil.Steril.-2008.-Vol.90, N6.-P.21072111.-.
()
(). -,
: 81 70 . .
, .;

(16 vs 2%), , (8 vs 0%).
, -
.

-
. , Univ. Siena Sch. Medic., Siena.
(. http:/ www.fertstert.org)

-
26. in vitro
. McCormick B., Thomas M.,
Maxwell R., et al. Effects of polycystic ovarian syndrome on in vitro fertilization embryo
transfer outcomes are influenced by body mass index //Fertil.Steril.-2008.-Vol.90, N6.P.2304-2309.-.
124


() in vitro (IVF) () ()
() ().
. . 4 .
: 1 . 52 . , 2 . 6 . , 3 . 18 .
4 . 10 . . 94 IVF .
, . . 2 .
(12,26,0 vs 7,73,6),
(22,29,2 vs 12,65,8) (54,6 vs 1,42,6), . 1 . . 2 .
(18,86,0 vs 29,214,2),
, . 4 . (22,29,2 vs 14,34,9). . 3 .
, . 4 . (2,40,6 vs 2,90,6),
, 1 . (3,23,2 vs 1,42,6).
. 4 ., . . , -
, , ,
,
. , Univ. Cincinnati Coll. Medic., Cincinnati.
(. http:/ www.fertstert.org)

-
- - in vitro
27. . Sun W., Stegmann B.J.,
Henne M., et al. A new approach to ovarian reserve testing //Fertil.Steril.-2008.-Vol.90,
N6.-P.2196-2202.-.
() ()
().
PubMed.
;
. ,
. 30 45 .
. .
,
. , ,
, 2 .:
() () .
- ,
.

(FSH) / .
,
, .
() .
, Wake Forest Univ. Baptist Medic. Cent., Winston-Salem.
(. http:/ www.fertstert.org)

-
- -
125

28.
/
? Berkkanoglu M., Isikoglu M., Arici F., Ozgur K.
What is the best time to perform intracytoplastic sperm injection/embryo transfer cycle
after hysteroscopic surgery for an incomplete uterine septum? //Fertil.Steril.-2008.-Vol.90,
N6.-P.2112-2115.-.
,
(ICSI)/ ()
() ().
282 ., ICSI/
6 2003 . 1 2006 . 133 (1 .)
ICSI/ 9 . , 93 (2 .) 10 16 .
56 (3 .) >17 . .
2,
(FSH), , () (),
hCG; ( ),
. 1, 2 3 . . 52,6; 52,6
46,4%; . 45,8; 43,1 41,1%. . 21,1;
17,6 22,1%. . 6,4; 7,9 5,1%.
. ,
, ; - 2,
FSH, , , ,
. ,
ICSI/ -
10 .
. , Antalya IVF, Antalya.
(. http:/ www.fertstert.org)

-
- -
29. ,
in vitro :
. Serna J., Cholquevilque J.L., Cela V., et al. Estradiol
supplementation during the luteal phase of IVF-ICSI patients: a randomized, controlled
trial //Fertil.Steril.-2008.-Vol.90, N6.-P.2190-2195.-.

(2) in vitro (IVF)/
(ICSI).
176 , . ()
() (200 ,
), 2 , 2
(100 /.) /., . .
() ()/; ()/,
, , 2 .
., 2+P.
(34,9% [51 146] vs 28,9% [41 142]), , (42% [34 81] vs 41,8 [33
126

79]), (15% [6 40] vs 13,2% [5 38])


(28,6% [12 42] vs 24,4% [10 41]).
2 IVF. ,
IVI-Madrid, Madrid.
(. http:/ www.fertstert.org)

-
- - in vitro
- - -
30.
in vitro/ :
. Gelbaya T.A., Kyrgiou M., Tsoumpou I., Nardo L.G. The use of
estradiol for luteal phase support in in vitro fertilization/intracytoplasmic sperm injection
cycles: a systematic review and meta-analysis //Fertil.Steril.-2008.-Vol.90, N6.-P.21162125.-.
(2) ()
() in vitro (IVF)
(ICSI).
, 1960 .
2007 .; 10 .
., IVF ICSI
- (GnRH), GnRH,
hMG (FSH)
.
(4), 4 .
\ .

. 2 4 . 4.
, 2 4
IVF/ICSI . ,
.

2 IVF. , St. Marys
Hosp., Cent. Manchester a. Manchester Childrens Univ. Hosp., Manchester.
(. http:/ www.fertstert.org)

-
- - in vitro
- - -
31. -
. Maxwell K.N., Cholst I.N., Rosenwaks Z. The incidence of both serious and
minor complications in young women undergoing oocyte donation //Fertil.Steril.-2008.Vol.90, N6.-P.2165-2171.-.
,
.,
() () () .
127

in vitro (IVF)
587 .-, 973
886 .
, , , ,
, 0,7% (6 886 ).
, , .-
, 8,5%; 9% .
, ,
.
, ; ,

., IVF.
,
.-. ,
.- . , Coll. Physicians a. Surgeons Columbia Univ.,
New York.
(. http:/ www.fertstert.org)

-
- -
- - -

: ..
: _______________
: _______________
1.
. Volpe C., Enberg U., Sjgren A., et al. The role of
adrenal
scintigraphy
in
the
preoperative
management
of
primary
aldosteronism //Scand.J.Surg.-2008.-Vol.97, N3.-P.248-253.-.

(),
, ,
.
() (). [131] (NP-59)

49 -
. 33 -
.
27 33 -, 6 - .
22 -, 3 - . , 25 33 - (76%)
,
. 2 - . 14 -
.
NP-59-. ,
- , ,
,
. , Karolinska Inst., Stockholm. . 24.
128

(. )

-
- -
- - -
2. .
. Danov V.L., Shivachev P.A., Lazarov S.D., Simov D.O.
Rhabdomyoma in a newborn with uncommon localization. Successful surgical
treatment // .-2008.-.59.-N2.-P.48-51.-., .
() ., -
.
,
.
,
foramen ovale. ,
. . 25-
. .
, , , vena innominata
. .
, .
, Univ. Hosp. Ste Marina, Varna. . 5.
(. )

-
3.
. Jrhult J. Prospective
evaluation of symptom responses to successful operation for mild-moderate primary
hyperparathyroidism //Scand.J.Surg.-2008.-Vol.97, N1.-P.37-41.-.
, () ()
- ().
-
. 44 - , 8
, , 2
12 . . , . . , ; .
. . - . ,
. 25 . , 3-
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, , , .
,
- -. . -
129

, . ,
- ,
. , Ryhov
Hosp., Jnkping. . 29.
(. )

-
4.
. . Wester
T., Jrgensen J.J., Stranden E., et al. Treatment with autologous bone marrow
mononuclear cells in patients with critical lower limb ischaemia. A pilot
study //Scand.J.Surg.-2008.-Vol.97, N1.-P.56-62.-.
. -
() (),
, .
. . -
(). 8 - -
. . .
.
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. ,
, . 2- - 2 . . 5 -
4 . 8 .
5 ; , .
, -
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, ; ,
. , Oslo Vasc. Cent., Aker Univ. Hosp., Univ. Oslo, Oslo. .
24.
(. )

-
- -
- - -
5. :
. Gudbjartsson T., Gunnarsdottir A.,
Topan C.Z., et al. Congenital diaphragmatic hernia: improved surgical results should
influence abortion decision making //Scand.J.Surg.-2008.-Vol.97, N1.-P.71-76.-.

()
.
,
1983-2002 . ., ()
1993-2002 .
. 19 23 .
<24 . , . .,
130

, (). 8 , 7 ; 3
. 15 18 .
( 83%). 28 ., 23
. 4 .
(86% ), 9 (31%) . .
3-22 . . ,

. , - .
( <20%),
, , . ,

,
. , Landspitali Univ. Hosp., Reykjavik. . 28.
(. )

-
- -
6. Nissen-
. 10- .
Kornmo T.S., Ruud T.E. Long-term results of laparoscopic Nissen fundoplication due to
gastroesophageal reflux disease. A ten year follow-up in a low volume
center //Scand.J.Surg.-2008.-Vol.97, N3.-P.227-230.-.
() 360 Nissen- ()
1995 .
(). 170 -; 1995-1998 .
33 -. Visick-
2003 2007 .; . 69 117 .
2003 . 29 (90%), 2007 . 31 (97%). 1 -
2003 .
117 . ( 99 144 .).
- (Visick 1-2) 93% - 2003 .
97% 2007 . 97% - 10 .
. - . 1 -
. 52% - 2003 . 39% 2007 .
,
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- .
(), 3 - .
- .
,
. , Sykehuset Asker and Brum, Rud.
. 26.
(. )

-
- -
- - - Nissen-
131

7.
. Wanhainen A. How to define an abdominal aortic aneurysminfluence on epidemiology and clinical practice //Scand.J.Surg.-2008.-Vol.97, N2.-P.105109.-.
() () . ,
, .
.
, . ,

.
. ,
,
. ,
,
/ . , Uppsala Univ. Hosp., Uppsala. . 22.
(. )

-
8. .
Powell J.T. Non-operative or medical management of abdominal aortic
aneurysm //Scand.J.Surg.-2008.-Vol.97, N2.-P.121-124.-.
- () ()
. -
- ( . ,
), ,
- .
,
, .
, , .
, 5. -
. ,
, .
,
- ,
. , Vasc. Surg. Res. Group, Imperial Coll. at
Charing Cross, London. . 36.
(. )

-
- -
9.
? Lederle F.A. Should abdominal aortic aneurysm be managed differently in
women? //Scand.J.Surg.-2008.-Vol.97, N2.-P.125-127.-.
, () () .
4-6 , ., > .
132

,
. 3-4 , .
, ,
. , .,
4,5-5,0 , 5,5 ,
. , . .,
, . 4060% . ,

. , ,
. 5,5 , .
, VA Medic. Cent., Minneapolis. . 32.
(. )

-
10. -
. Hem D., Jensen D., Steine S., et al. Clinicopathological characteristics and
non-adhesive organ culture of insulinomas //Scand.J.Surg.-2008.-Vol.97, 1.-.42-49..
() () .,
.
, , ,
. -
(6 . 10 .) 1986-2006 .
53 . ( 21 74 ).
72-. .
-, -, / -. 6- -
. 0,8/. -
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-, ,
. 2- - ,
. -, ,
. -
, - 73% ,
- 38%. 5 , 8 3
. ,
11 , 5 . 2 -
, . 1- .
,
.
-. , Haukland Univ. Hosp., Bergen. . 21
(. )

- -
- - in vitro

133

11.

130 . Furne E.J.B., Draaisma W.A., Broeders I.A.M.J., et al.


Surgical reintervention after antireflux surgery for gastroesophageal reflux disease. A
prospective cohort study in 130 patients //Arch.Surg.-2008.-Vol.143, N3.-P.267-274..
()
() 3-6% -.
,
.
-,
. 1 1994 . 31
2005 . 130 -
( 48,414,1 .), 144 : 94 - (65,3%)
50 - (34,7%) .
() Besley Mark V
78 - (54,2%) Nissen 66 (45,8%),
16 .
60,137,2 . .
24-.
. 70,3% - ;
70,2% -.
14 (9,7%).
70% -. ,
.
, Univ. Medic. Cent. Utrecht, Utrecht.
(. http://www.archsurg.ama-assn.org)

-
- -
12. .
. Rantanen T.K., Oksala N.K.J.,
Oksala A.K., et al. Complications in antireflux surgery. National-based analysis of
laparoscopic and open fundoplications //Arch.Surg.-2008.-Vol.143, N4.-P.359-365.-.
()
.
() () ()
. 1 1992 . 31 2001 .
10846 . 3987 (37%) 6859 (63%) . , ,
.
(=0,01).
.
(=0,01),
(=0,03) . -
(=0,003) () (<0,001). -
.
23
134

,
. , Tampere Univ. Hosp.,
Tampere.
(. http://www.archsurg.ama-assn.org)

-
- -
13.
. Treadwell J.R., Sun F., Schoelles K. Systematic review and meta-analysis of
bariatric surgery for pediatric obesity //Ann.Surg.-2008.-Vol.248, N5.-P.763-776.-.
., .
()
, , -.

, . MEDLINE, EMBASE, 13 .
.
, 3 21 .,
50% ., ,
. 1 . 8
() 352 - ( 45,8); 6
Rouxen (R-), 131 -
( 51,8); 5 . (158 -
48,8). - 16,8 . ( 9 21 .).

, R-.
,
.
, ,
, . R-
, , , ,
, .
, . ,
. , ECRI Inst., Evidence
Based Pract. Cent. a. Hlth. Technol. Assessment Inform. Service, Plymouth Meeting.
(. http:/ www.ncbi.nlm.nih.gov/pubmed)

-
- -
14.
. Cotton B.A., Guillamondegui O.D.,
Fleming S.B., et al. Increased risk of adrenal insufficiency following etomidate exposure in
critically injured patients //Arch.Surg.-2008.-Vol.143, N1.-P.62-67.-.
()
. 137 -,

() 1
135

2002 . 2004 . - ,
9 / (248 /). 137 - 83 (60,6%)
(nonresponders), 54 (39,4%) (responders). , , ,
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(45[54%] vs 16 [30%]),
(65 [78%] vs 28 [52%]) () (59
[71%] vs 28 [52%]) (<0,01).
, . ,
-.

- . , Vanderbilt Univ. Medic. Cent., Nashville.
(. http://www.archsurg.ama-assn.org)

-
- -
- - -
15. :
. Kandil E., Burack J., Sawas A.,
et al. B-tipe natriuretic peptide. A biomarker for the diagnosis and risk stratification of
patients with septic shock //Arch.Surg.-2008.-Vol.143, N3.-P.242-246.-.

(). ,

. (N) ,
.
N
.
49 -, 3 .: 1 . 13 -
(), 2 . 18 - 3 ., ., 18 . .
- ,
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Sequential Organ Failure Assessment scoring system (SOFA). -
21 . N
-. -
N 2 3 . (<0,05). N
- 2 .
N - SOFA (r2=0,74,
<0,05) .
N
. N
. , State Univ. New York Downstate Medic. Cent., Brooklyn.
(. http://www.archsurg.ama-assn.org)

-
- -
136

16. -
. Rahman S.H., Evans
J., Toogood G.J., et al. Prognostic utility of postoperative C-reactive protein for
posthepatectomy liver failure //Arch.Surg.-2008.-Vol.143, N3.-P.247-253.-.
- (R), , ,
(). , - R
()
(). 138 -, .
(2 ), (3 4 ) (5 ). R
1-, 3- 7- . R
(, , ),
. 39 , 51
48 . R 1- .
(28 /; 5 119 /;
/ 9,524) (41 /;
5 85 /) (51 /; 8 203 /; 2=19; <0,001).
3- . (2=27; <0,001). R 1- .
-, (
=0,001; <0,001; =0,002; <0,001),
- (=0,009) (=0,01).
R 1- .
. , - R
,
. , St. Jamess Univ. Hosp., Leeds.
(. http://www.archsurg.ama-assn.org)

-
- -
- - - -
17.
. Cunha A.S., Rault A., Beau C., et al. A single-institution prospective
study of laparoscopic pancreatic resection //Arch.Surg.-2008.-Vol.143, N3.-P.289-295..
, () ()
()
. ,
(/) ,
23 . 60 - .
57 - (95%) , 3 - (5%)
. . 20%
. : 20
() , 5 -, 16
, 5 , 1 1 . /
1 . / 36%, 13%
. /
12,76 .
137

/ ,
(=0,002). -, ,
; -
. ,
, ;
, - .
, Haut-Lvque Hosp., Cent.
(. http://www.archsurg.ama-assn.org)

-
- -
18.

. Keus F., Werner J.E.M., Gooszen H.G., et al. Randomized clinical
trial of small-incision and laparoscopic cholecystectomy in patients with symptomatic
cholecystolithiasis //Arch.Surg.-2008.-Vol.143, N4.-P.371-377.-.
() ()
().
.
. 257 -,
. ,
, -.
- .
, ,
-,
105 118 .
;
.
. ,
. , St. Elisabeth Hosp., Tilburg.
(. http://www.archsurg.ama-assn.org)

-
- -
19. . .
Asari R., Passler C., Kaczirek K., et al. Hypoparathyroidism after total
thyroidectomy //Arch.Surg.-2008.-Vol.143, N2.-P.132-137.-.
()
(s) (/)
.
170 -, . ()
s <1,9 / (
) s (1,9-2,1 /)
. s
, / s, . 41 .
, ,
138

/ .
/ 97,7% ,
96,1% s.
(. 99,0 86,0%),
s . , 15 / s 1,9 /
/ . 24 .
s 2- / . ,
. , Medic. Univ.
Vienna, Vienna.
(. http://www.archsurg.ama-assn.org)

-
- -
20. 3 . Mazzaglia P.J., Berber E.,
Kovach A., et al. The changing presentation of hyperparathyroidism over 3
decades //Arch.Surg.-2008.-Vol.143, N3.-P.260-266.-.

(), 3 . 300 -,
, 100 - 1985, 1995
2005 . , ,
(), (),
. - . 1985, 1995 2005 .
. 11,8 / 1985 .
11,2 / 2005 . (<0,001) ( / / 0,25).
- <11,0 /
10% 1985 . 43% 2005 . (<0,001).
2,5 . 1985 . 1,6 .
2005 . (=0,08).
(): 7% 1985 . vs 20% 2005 . (=0,03). -
10% 1985 . 44% 2005 . (<0,001),
. 3 26% (=0,10).
,
, -,
. - ,
. , Rhode Island Hosp.,
Providence.
(. http://www.archsurg.ama-assn.org)

-
- - 1985-2005 .
21. .
. Gee D.W., Andreoli M.T., Rattner D.W. Measuring the
effectiveness of laparoscopic antireflux surgery. Long-term results //Arch.Surg.-2008.Vol.143, N5.-P.482-487.-.
-
() () .
139

-
(GERD-HRQL). .
405 -, () 1997-2006 .
,
.
GERD-HRQL,
. 54% ; 60
. ( 4 75 .). -, ,
() GERD-HRQL 5,71 (7,99) ( 0 45, 0
), 71% - . 43%
- ; -
. 3
- (1,2%) . -, ,
GERD-HRQL ( [] 14,25 [10,33]),
. - 25 35 /( )2
GERD-HRQL, ( <25) - (
35). ,
, - ,
,
.
,
. , Massachusetts
Gen. Hosp., Harvard Medic. Sch., Boston.
(. http://www.archsurg.ama-assn.org)

-
- -
- - -
22.
. Gray S.H., Vick C.C., Graham L.A., et al. Risk of
complications from enterotomy or unplanned bowel resection during elective hernia
repair //Arch.Surg.-2008.-Vol.143, N6.-P.582-586.-.
()
() ();
.
-, 1998 .
2002 . 16 3 1124 .
30 ., ,
. 1124 74,1%
, 13,3% ,
, 12,6% , . , 7,3%
. - : 5,3%
, 5,7% 20,3%
(<0,001).
(31,7 vs 9,5%; <0,001),
30 . (14,6 vs 3,6%; <0,001) (7,3 vs
0,7%; <0,001). ,
140

,
( 1,7 3,5 .; <0,001)
( 4,0 6,0 .; <0,001). , Birmingham
Veterans Affairs Medic. Cent., Birmingham.
(. http://www.archsurg.ama-assn.org)

-
- -
23. . ,
. Poultsides G.A., Kim C.J., Orlando R., et
al. Angiographic embolization for gastroduodenal hemorrhage. Safety, efficacy, and
predictors of outcome //Arch.Surg.-2008.-Vol.143, N5.-P.457-461.-.
,
()
(). -
.
. -
,
- . 1 1996 .
31 2006 . 70 57 -.
: () ( -),
( ,
) . 94% (66 70
). 51% (29 57 -),
56% (32 57 -).
2 :
(=0,03)
>6 (=0,04).
, , , ,
, , ()
vs .
. 4 - (7%)
. , Univ. Connecticut Sch.
Medic., Farmington.
(. http://www.archsurg.ama-assn.org)

-
- -
24.
. Wibmer A., Schoder M., Wolff K.S.,
et al. Improved survival after abdominal aortic aneurysm rupture by offering both open and
endovascular repair //Arch.Surg.-2008.-Vol.143, N6.-P.544-549.-.
() ()
() ,
4 . ()
()
141

. , ,
. ,
. 89
-, , 1999
. 2006 . 2 41 . 1
42 - . 2 ,
; 31 - , 16
- .
Kaplan-Meier.
(<0,03). 90
. 54,8 27,7% 2 (<0,01).
- >75,5 . (75 vs 28,6%; <0,01).
29% (<0,03).
-
. , Medic. Univ. Vienna a. Austrian Armed
Forces Hosp., Vienna.
(. http://www.archsurg.ama-assn.org)

-
- -
25. . Kaafarani H.M.A., Atluri P.V., Thornby J.,
Itani K.M.F. blockade in noncardiac surgery //Arch.Surg.-2008.-Vol.143, N10.-P.940944.-.
, -,
-
- .
-,
2000 . -, -,
. . - .
30-. , , (),
1 . - , , . ., , 30-. (2,94 vs 0,74%, =0,03) 30-. (2,52 vs
0,25%, =0,007) . . - . -, ,
(86 vs 70 ./., =0,03). -
. , - ,
,
-, . ,
Univ. South Florida, Tampa.
(. http://www.archsurg.ama-assn.org)
-
-
26.
. Bachellier P., Oussoultzoglou E., Rosso E., et al. Pancreatogastrostomy as a
142

salvage procedure to treat severe postoperative pancreatic fistula after


pancreatoduodenectomy //Arch.Surg.-2008.-Vol.143, N10.-P.966-970.-.
()
() (). ,
. ,
( ).
() , ,
. ,
()
-, ,
-, .
1 1988 . 30 2005 . 403 - (85 -
318 - ). 12 -
, . 12 -
. 8 - (1 .), 4 -
(2 .).
1 . 50% (4 8 -) 0% 2 .
. 1 - 2 .
, .
- 1 . 1 - 2 .
, -

. , Hopitaux Univ. de Strasbourg-Univ. Louis Pasteur,
Strasbourg.
(. http://www.archsurg.ama-assn.org)

-
27.

. Solorzano C.C., Mendez W., Lew J.I., et al. Long-term
outcome of patients with elevated parathyroid hormone levels after successful
parathyroidectomy for sporadic primary hyperparathyroidism //Arch.Surg.-2008.-Vol.143,
N7.-P.659-663.-.
()
()
(). ,
- ,
.
576 - ,
.
( 70 / - )
( > 6 . ). 505 -,
>6 ., 337 (66,7%)
, 168 (33,3%) .
168 - 8 (4,8%) ;
2 . . , 1/3 -
143

, (95%)
. , Univ. Miami Miller Sch. Medic., Miami.
(. http://www.archsurg.ama-assn.org)

-
- -
28. . . Limongelli P., Khorsandi S.E., Pai M., et al. Management of
delayed postoperative hemorrhage after pancreaticoduodenectomy. A metaanalysis //Arch.Surg.-2008.-Vol.143, N10.-P.1001-1007.-.
, (R)
() ()
(). ,
MEDLINE, ,
1 1990 . 31 2007 .
,
, , .

Cochrane Collaboration. .
163 ; 3,9%. 77 -
(47,2%) , 73 (44,8%) R 13 (8%) .
vs R
(73 vs 76%; =0,23),
(43 vs 20%; =0,14) (77 vs 35%; =0,06).
, ,
R . -
,
. , Imperial Coll. Sch. Medic.,
London.
(. http://www.archsurg.ama-assn.org)

-
- -
29.
. . Popping D.M., Elia N.,
Marret E., et al. Protective effects of epidural analgesia on pulmonary complications after
abdominal and thoracic surgery. A meta-analysis //Arch.Surg.-2008.-Vol.143, N10.-P.990999.-.
()
() () (/) () .
1966 . 2006 .
vs 24 . /
, . 58
(5904 -). ,
vs ( 0,54; 95%:0,43-0,68),
, .
144

, , ( 0,64;
95%:0,49-0,83) . ( 0,30; 95%:0,18-0,49),
( 0,62; 95%:0,47-0,81) ( 0,37;
95%:0,23-0,58). 1971 . 2006 .
8%, 34 12% (<0,001),
.
,
; , .
7% -. , Univ. Hosp. Mnster, Mnster.
(. http://www.archsurg.ama-assn.org)

-
- -
30.

. Bulger E.M., Jurkovich G.J., Nathens A.B., et al. Hypertonic resuscitation


of hypovolemic shock after blunt trauma. A randomized controlled trial //Arch.Surg.2008.-Vol.143, N2.-P.139-148.-.
()
-
. ,
. , .

. -
1 2003 . 31 2005 . >17 .
( 90 . .).
250 7,5%- - 6% dextran 70 (1 .) -
(2 .). -
() 28 .
. .
-, 10 24 .
1 . 209 -, 2 . 99.
- ( 1,01;
95%:0,63-1,60). . - (19% ), 10
24 ., (
2,18; 95%:1,09-4,36). ,
. -
- . , Univ.
Washington, Harborview Medic. Cent., Seattle.
(. http://www.archsurg.ama-assn.org)

-
- -
- - -

: ..
145

: _______________
: _______________
1. . Biagini E., Spirito
P., Leone O., et al. Heart transplantation in hypertrophic cardiomyopathy //Am.J.Cardiol.2008.-Vol.101, N3.-P.387-392.-.
() () -
() ()
(). , .

307 - 1987 2005 .;
9,98,2 .
141 -,
. 21 - , , 20
1

. 33
- ,
, 23,
(2 -), , 10 -,
(3714 vs 5717 ., =0,004). 21 18 -
.
7 . 94%
141 - (=0,66). ,
- -
. -
. , Inst. Cardiol., Univ.
Bologna a. Orsola-Malpighi Hosp., Bologna. . 14.
(. )

-
- -
2. . Gueugniaud P.-Y., David J.-S., Chanzy E., et al. Vasopressin and
epinephrine vs epinephrine alone in cardiopulmonary resuscitation //N.Engl.J.Med.-2008.Vol.359, N1.-P.21-30.-.
() ()
, ,
. -
, 1 40
( , 1 .), 1 ( , 2 .);
,
, , .
- ;
: ,
, 1 .
1442 -, 1452 -. - .
146

, 1 . .,
2 . (=0,03). . -
(20,7 vs 21,3%; 1,01; 95%:0,97-1,05),
(28,6 vs 29,5%; 1,01; 95%:0,97-1,06),
(1,7 vs 2,3%; 1,01; 95%:1,00-1,02),
1 . (1,3 vs 2,1%; 1,01; 95%:1,00-1,02),
(37,5 vs 51,5%; 1,29; 95%:0,81-2,06).
,
. , Univ. Lyon,
Lyon. . 26.
(. )

-
3.
. Peacock W.F., De Marco T., Fonarow G.C., et al. Cardiac troponin and
outcome in acute heart failure //N.Engl.J.Med.-2008.-Vol.358, N20.-P.2117-2126.-.

,
() .

- . -,
2001 . 2004 .
(ADHERE). ,
- <2,0 / (177
/). - ,
1,0 / 0,1 /.
84872 - 105388 (80,5%),
. - 67924 <2,0 /.
61379 -, 7880 - (
1335 -). , 4240 - (6,2%)
; - ,
(8,0 vs 2,7%, <0,001), ,
. . -
- 2,55 (95%:2,24-2,89; <0,001).
, -
.
. , Cleveland Clin. Foundation, Cleveland. . 21.
(. )

-
- -
- - -
4.
12 . Thombs B.D.,
Ziegelstein R.C., Stewart D.E., et al. Usefulness of persistent symptoms of depression to

147

predict physical health status 12 months after an acute coronary syndrome //Am.J.Cardiol.2008.-Vol.101, N1.-P.15-19.-.
()
()
- . ,
. , ()

12 . .
425 - ; Beck Depression Inventory
(BDI). 12 . ,
-12 (SF-12) .
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BDI 12 . (<0,001).
- ,
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(=0,060), - .
,
. , Sir Mortimer B. Davis-Jewish General Hosp. a. McGill Univ.,
Montreal. . 16.
(. )

-
- -
5.
. Kber L., Torp-Pedersen C., McMurray J.J.V., et al. Increased mortality
after dronedarone therapy for severe heart failure //N.Engl.J.Med.-2008.-Vol.358, N25.P.2678-2687.-.
()
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- , 2 ., .
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148


. , Rigshospitalet, Univ. Copenhagen, Copenhagen. . 20.
(. )

-
- -
- - -
6.
. Pell J.P., Haw S., Cobbe S., et al. Smoke-free legislation and
hospitalizations for acute coronary syndrome //N.Engl.J.Med.-2008.-Vol.359, N5.-P.482491.-.

() ()
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Glasgow. . 32.
(. )

-
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7.
. Weintraub W.S., Spertus J.A., Kolm P., et al. Effect of
PCI on quality of life in patients with stable coronary disease //N.Engl.J.Med.-2008.Vol.359, N7.-P.677-687.-.
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(. )

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8. . Kastrati A., Neumann F.-J., Mehilli J., et al. Bivalirudin
versus unfractionated heparin during percutaneous coronary intervention //N.Engl.J.Med.2008.-Vol.359, N7.-P.688-696.-.
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Deutsches Herzzentrum, Technische Univ., Mnich. . 27.
150

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9.
. Stone G.W., Witzenbichler B., Guagliumi G., et al.
Bivalirudin during primary PCI in acute myocardial infarction //N.Engl.J.Med.-2008.Vol.358, N21.-P.2218-2230.-.
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0,66; 95%:0,44-1,00; =0,047). , Columbia Univ. Medic. Cent., Cardiovasc.
Res. Foundation. . 30.
(. )

-
- -
- - -
10.
ST-. Rao S.V., Chiswell K., Sun J.-L.,
et al. International variation in the use of blood transfusion in patients with non-STsegment elevation coronary syndromes //Am.J.Cardiol.-2008.-Vol.101, N1.-P.25-29..
() (),
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(. )

-
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- - -
11.
. Yoshinaga M.,
Niwa K., Niwa A., et al. Risk factors for in-hospital mortality during infective endocarditis
in patients with congenital heart disease //Am.J.Cardiol.-2008.-Vol.101, N1.-P.114-118..
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-, . , Natl. Hosp.
Organization Kagoshima Medic. Cent., Kagoshima City. . 22.
(. )

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152

12. -
.
Miedema M.D., Conover C.A., MacDonald H., et al. Pregnancy-associated plasma proteinA elevation in patients with acute coronary syndrome and subsequent Atorvastatin
therapy //Am.J.Cardiol.-2008.-Vol.101, N1.-P.35-39.-.
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. , Minneapolis Heart Inst. a. Foundation, Abbott Northwestern Hosp.,
Minneapolis. . 17.
(. )

-
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- - -
13.
- , 0 10,
10 20 20 . Berry J.D., Dyer A., Carnethon M., et al. Association of
traditional risk factors with cardiovascular death across 0 to 10, 10 to 20, and >20 years
follow-up in men and women //Am.J.Cardiol.-2008.-Vol.101, N1.-P.89-94.-.
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. 28.
(. )

- -
- -
- - -
14.
. Roy D., Talajic M., Nattel S., et al. Rhythm control versus rate
control for atrial fibrillation and heart failure //N.Engl.J.Med.-2008.-Vol.358, N25.-P.26672677.-.
-
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154

15.
ST-. Ellis S.G., Tendera M., de Belder M.A., et al. Facilitated PCI
in patients with ST-elevation myocardial infarction //N.Engl.J.Med.-2008.-Vol.358, N21.P.2205-2217.-.
, (),
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(=0,49). , +,

. , Cleveland Clinic, Cleveland. . 42.
(. )

-
- -
- - -
16. . Chan P.S.,
Krumholz H.M., Nichol G., Nallamothu B.K. Delayed time to defibrillation after in-hospital
cardiac arrest //N.Engl.J.Med.-2008.-Vol.358, N1.-P.9-17.-.
() 2 . ,
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Kansas City. . 18.
(. )

-
- -
17. 1

ST-,
. Ndrepepa G., Kastrati A., Mehilli J., et al.
One-year clinical outcomes with abciximab vs placebo in patients with non-ST-segment
elevation acute coronary syndromes undergoing percutaneous coronary intervention after
pre-treatment with clopidogrel: results of the ISAR-REACT 2 randomized trial //Eur. Heart
J.-2008.-Vol.29, N4.-P.455-461.-.
, 1 .
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600 (). 1-.
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, -, ,
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Deutsches Herzzentrum, Munich. . 23.
(. )

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- - ST-
- - -
18. : .
Cardoso G., Trancas B., Luenco A., et al. Heart failure and depression: an association with
clinical importance //Rev.Port.Cardiol.-2008.-Vol.27, N1.-P.91-109.-.
1/5 - () (),
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. , Hosp. Fernando Fonseca,
Amadora. . 66.
(. )

-
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19.
, . Young J.B., Abraham W.T.,
Albert N.M., et al. Relation of low hemoglobin and anemia to morbidity and mortality in
patients hospitalized with heart failure (Insight from the OPTIMIZE-HF
Registry) //Am.J.Cardiol.-2008.-Vol.101, N2.-P.223-230.-.
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-,
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Hb
-,
. Hb
-. , Cleveland Clin. Foundation,
Cleveland. . 17.
(. )

-
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157

20. . Hung J., Knuiman M.W.,


Divitini M.L., et al. Prevalence and risk factor correlates of elevated C-reactive protein in
an adult Australian population //Am.J.Cardiol.-2008.-Vol.101, N2.-P.193-198.-.
- (CRP)
. CRP
, .
CRP 1761 . 2248 . 25 84 .
1994/1995 . CRP >3 / . 25
39, 40 59 60 84 . . 15,7, 20,6 38,7% . 21,2
22,1 33,7% ., .

CRP .: ( 3,5; 95%:2,4-5,0), ( 3,1;
95%:2,1-4,5), ( 1,6; 95%:1,1-2,3) (
1,4; 95%:1,0-1,8). . ( 7,8; 95%:5,8-10,6),
( 1,4; 95%:1,0-1,9), ( 1,6; 95%:1,12,4), ( 0,7; 95%:0,5-0,9),
( 4,6; 95%:3,3-6,5) ( 2,8;
95%:1,9-4,0). , CRP
( 59% . 64% .). , ,
- ,
CRP . . CRP

, CRP
. , Sch. Medic. a. Pharmacol., Sir Charles
Gairdner Hosp. Unit, Univ. Western Australia, Perth. . 18.
(. )

-
- -
- - - -
21.
. Mark D.B., Anstrom K.J., Sun J.L., et al. Quality of
life with defibrillator therapy or amiodarone in heart failure //N.Engl.J.Med.-2008.Vol.359, N10.-P.999-1008.-.
()
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30-. . , Duke Clin. Res. Inst., Durham. . 19.
(. )

-
- -
- - -
22. -
. Messerli F.H., Pinto L., Tang S.S.K., et al. Impact
of systemic hypertension on the cardiovascular benefits of statin therapy a metaanalysis //Am.J.Cardiol.-2008.-Vol.101, N3.-P.319-325.-.
()
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95%:0,72-0,80). ,
- . ,
- - . ,
St. Lukes-Roosevelt Hosp., New York. . 29.
(. )

- -
- -
- - -
23. .
Truong T., Slavin L., Kashani R., et al. Prevalence of migraine headaches in patients with
congenital heart disease //Am.J.Cardiol.-2008.-Vol.101, N3.-P.396-400.-.

159

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40%.
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UCLA, Los Angeles. . 21.
(. )

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24.
. Rosseb A.B., Pedersen T.R., Boman K., et al. Intensive lipid lowering with
simvastatin and ezetimibe in aortic stenosis //N.Engl.J.Med.-2008.-Vol.359, N13.-P.13431356.-.
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. 1 . (105 vs 70, =0,01).
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160

- , , . , Aker Univ.
Hosp., Oslo. . 42.
(. )

-
- -
25.
ST- 5-
. Tadel-Kcjancic S., Zorman S., Jazbec A., et al. Effectiveness of primary
percutaneous coronary intervention for acute ST-elevation myocardial infarction from a 5year single-center experience //Am.J.Cardiol.-2008.-Vol.101, N2.-P.162-168.-.
()
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ST-. 2000 . 1
2000 . 31 2004 . 2393 - ;
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2000 2004 ., , . . 152
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<0,001). ,
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. 13.
(. )

-
- -
- - -
26.
(ADHERE). Fonarow
G.C., Peacock W.F., Horwich T.B., et al. Usefulness of B-type natriuretic peptide and
cardiac troponin levels to predict in-hospital mortality from ADHERE //Am.J.Cardiol.2008.-Vol.101, N2.-P.231-237.-.
, (BNP)
(Tn) -
161

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ADHERE. BNP 48629 77467
(63%), Tn 42636 (88%) .
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( . 2,09 2,41, <0,0001). - BNP 840
Tn 10,2%, 2,2% BNP <840
Tn ( 5,10; <0,0001).
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. -, ,
. , Univ. California, Los Angeles Medic. Cent.,
Los Angeles. . 25.
(. )

-
- -
- - -
27.
ST-,
. Chong J.J.H.,
Ganesan A.N., Eipper V., et al. Comparison of left ventricular ejection fraction and
inducible ventricular tachycardia in ST-elevation myocardial infarction treated by primary
angioplasty versus thrombolysis //Am.J.Cardiol.-2008.-Vol.101, N2.-P.153-157.-.

().
ST- (), / ()
30-70% .

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. 4812%, . 4613% (=0,30). -
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30 -, 8 (27%)
162

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21.
(. )

-
- - ST-
- - -
28. - ,
? Wng T.J. New cardiovascular risk factors exist, but
are they clinically useful? //Eur. Heart J.-2008.-Vol.29, N4.-P.441-444.-.
- ()
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12.
(. )

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- -
29.
- . Ridker P.M., Danielson E., Fonseca
F.A.H., et al. Rosuvastatin to prevent vascular events in men and women with elevated Creactive protein //N.Engl.J.Med.-2008.-Vol.359, N21.-P.2195-2207.-.

163

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(CRP) - .
CRP, , ,
CRP, ,
. 17802 . .
<130 / (3,4 /) CRP 2,0 /,
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1 . 0,77, 2 . 1,36/100 -.; . 0,56
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0,41 0,77 ( 0,53; 95%:0,400,70; <0,00001); , , . 0,45 0,85 ( 0,53; 95%:0,400,69; <0,00001), - . 1,00 1,25 ( 0,80;
95%:0,67-0,97; =0,02). 1 .
, .
, -
. , Center Cardiovasc. Dis. Prevention, Brigham a. Womens Hosp., Boston.
. 29.
(. )

- -
- -
- - -
30. .
Shaw A.D., Stafford-Smith M., White W,D. The effect of aprotinin on outcome after
coronary-artery bypass grafting //N.Engl.J.Med.-2008.-Vol.358, N8.-P.784-793.-.
, () -,
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164

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(<0,001), (=0,56).
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. , Duke Univ. Medic. Cent., Durham. . 19.
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, 92- - - , 92
, 93- , 93
, 94- , 94
, 95- , 95
, 96- - - , 96
, 97- - - , 97
, 98- - - - - - , 98
, 99- - - y- - - , 99
, 100- - - - - - - - - , 100
, 101- - - - - -
-1, 101
, 102- , 102
169

, 103- - - -6- - - , 103


, 104- , 104
, 105- - - , 105
, 106- - - , 106
, 107- - - - - - , 107
, 108- , 108
.

, 109- - - 1 - - - , 109
, 110- - - 1 - - - , 110
, 111- - - 2 - - - , 111
, 112- - - 2 - - - - - - - ,
112
, 113- - - 2 - - - - - - -
, 113
, 114- - - 2 - - - , 114
, 115- - - 2 - - - , 115
-, 116- , 116
, 117- - - , 117
, 118- - - /, 118
, 119- ,
, 119
, 120- , 120
, 121- - - , 121
, 122- - - , 122
, 123- - - , 123
, 124- - - , 124
170

, 125- - - - - - , 125
, 126- - - L-, 126
, 127- - - , 127
, 128- , 128
, 129- , 129
, 130- - - - - - , 130
, 131- , 131
, 132- - - , 132
, 133- - - - - -
, 133
, 134- - - - - , 134
, 135- , 135
, 136- - - , 136
, 137- - - , 137
V. .

, 138- - - - - - , 138
, 139- - - - - -
, 139
, 140- - - - - - -, 140
, 141- g- - , 141
, 142- - - - - - , 142
, 143- -- - -2-, 143
, 144- - - - - - - - - - ,
144
, 145- - - - - - , 145

171

, 146- g- - - - - - - - - , 146
, 147- - - - - - - - - - ,
147
, 148- - - -2-- - - ,
148
, 149- - - - - - - - - - - - - - , 149
, 150- - - - - - 2-- - - , 150
, 151- - - - - - , 151- - , 151- - - - - - - - - , 151- - - - - g, 151- - - - - - - - - - - - , 151
, 152- , 152- , 152- - , 152
, 153- - - - - - - - - -
, 153
, 154- - - - - - - - - - , 154
, 155- - - - - - , 155
, 156- - - - - - - - - - , 156
, 157- - - -
- - - - - - - , 157
, 158- - - - - - , 158
, 159- - - - - - - - - - - - - - , 159
, 160- , 160
, 161- - - - - - - - - - - - - - , 161
, 162- - - - - - , 162- - - , 162- - - - - - - - - - - - - - , 162
, 163- - - - - - , 163
, 164- - - , 164
172

, 165- - - - - - - - - - , 165
, 166- g - - - - - , 166
, 167- - - - - - - - - - - - - - , 167
V.

, 168- - - - - - , 168
, 169- - - -- - - , 169
, 170- - - - - - , 170
, 171- - - - - - , 171
, 172- - - , 172
, 173- - - - - - , 173
, 174- - - - - - , 174
, 175- - - , 175
, 176- ,- - - - - - - - - , 176
, 177- - - - - - - - - - , 177
, 178- - - - - - , 178
, 179- - - - - - , 179
, 180- - - - - - , 180
, 181- - - - - - , 181
, 182- - - 2 - - - - - - , 182
, 183- - - , 183
, 184- , 184- , 184- - , 184
, 185- - - - - - , 185
, 186- - - , 186- - , 186- - - ,
186
173

, 187- - - , 187- - , 187- - , 187


, 188- - - - - - , 188
, 189- - - - - - , 189
, 190- - - - - - , 190
, 191- - - - - - - - - , 191
, 192- - - , 192
, 193- - - - - - - - - -
, 193
, 194- - - - - - , 194
V.

, 195- - - - - - , 195
, 196- , 196
, 197- , 197
, 198- - - - - -
, 198
, 199- - - , 199
, 200- - - - - - Nissen, 200
, 201- , 201
, 202- - - , 202
, 203- , 203
, 204- - - - in vitro, 204
, 205- - - , 205
, 206- - -
, 206

174

, 207- - - , 207
, 208- - - - - -
, 208
, 209- - - , 209
, 210- - - - - - -, 210
, 211- - - , 211
, 212- - - , 212
, 213- - - , 213
, 214- - - 1985-2005
, 214
, 215- - - - - , 215
, 216- - - , 216
, 217- - - , 217
, 218- - - , 218
-, 219- , 219
, 220-
, 220
, 221- - - , 221
, 222- - - , 222
, 223- - - , 223
, 224- - - - - - , 224

, 225- -- - , 225
, 226- - - - - - , 226
, 227- , 227
, 228- - - , 228
175

, 229- , 229
, 230- - - , 230
, 231- - - , 231
, 232- - - , 232
, 233- , 233
, 234- , 234
, 235- - - - - - , 235- - - , 235
, 236- - - , 236
, 237- - - , 237
, 238- , 238- , 238
, 239- , 239- , 239
, 240- - - , 240
, 241- - - , 241
, 242- - - - - - -, 242
, 243- - - - - - , 243
, 244- - - , 244
, 245- , 245
, 246- , 246
, 247- , 247
, 248- - - - - - , 248
, 249- - - , 249
, 250
, 251- - - - - - - - - - , 251
, 252- , 252
176

, 253- - - , 253
, 254- - - - - - , 254
.

, 255- - - , 255
, 256- , 256
, 257- - - - - - , 257
, 258- - - , 258
, 259- - - - - - , 259
, 260- , 260
, 261- - - , 261
, 262- - - , 262
, 263
, 264- - - , 264
, 265- - - , 265
, 266- - - - - - - - - -
, 266
, 267- - - , 267
, 268- - - , 268
, 269- - - - - - , 269
, 270- - - - - - - - - - , 270
, 271- - - , 271
, 272- - - - - - , 272
, 273- - - - , 273
, 274- - - , 274
, 275- - - , 275
177

, 276- - - , 276
, 277- - - , 277
, 278- , 278
, 279- - - - - - , 279
, 280- - - , 280
, 281- - - - - - , 281
, 282- - - - - - , 282
, 283- - - , 283
V.

, 284- - - , 284
, 285- /- - , 285- , 285- - , 285, 285- - , 285
, 286- - - , 286
, 287- - - S100, 287
, 288- - - 12/23- - - - - - , 288
, 289- - - , 289
, 290- -, 290- , 290- - , 290
, 291- - - , 291- - , 291
, 292- - - - - - , 292
, 293- - - , 293- - , 293- - - , 293
, 294- - - g, 294
, 295- - - - - - - - - - , 295
, 296- - - , 296
, 297- - - -2- - - - , 297
178

, 298- - - -- - - - - - , 298
, 299- - - - - - , 299
, 300- , 300- , 300- - , 300
, 301- - - - - - , 301
, 302- - - , 302
, 303- - - - - - , 303
, 304- - - - - - , 304
, 305- - - - - - -, 305
, 306- - - - - - - - - - , 306
, 307- - - , 307
, 308- -- - , 308
, 309- - - , 309
, 310- - - , 310
, 311- - - , 311
V. .

, 312- - - - - - , 312
, 313- - - 2- - - - - - -
, 313
, 314- - - - - - , 314
, 315- - - - - - , 315
, 316- , 316
, 317- - - , 317
, 318- - - , 318
Helicobacter spp., 319
, 320- -- - , 320

179

, 321- - - , 321
, 322- - - , 322
, 323- - - , 323
, 324- - - - - - , 324
Acinetobacter, 325- , 325
, 326- , 326- , 326- - -, 326
, 327- , 327
, 328- - - , 328
, 329
, 330- , 330
, 331- c - - , 331
, 332- - - - - - , 332
, 333- , 333
, 334- , 334
, 335- , 335
, 336- - - , 336
, 337- - - -2- - - , 337
, 338- - - - - - , 338
, 339- - - , 339
Clostridium dfficile, 340- -- - - - - , 340
, 341- - - - - - , 341
, 342
.

, 343- - - , 343
, 344- - - , 344
180

, 345- - - , 345
, 346- - - , 346
, 347- - - , 347
, 348- - - , 348
, 349- - - , 349
, 350- - - , 350
, 351- -
, 351
, 352- -- - , 352
, 353- - - - - - , 353
, 354- - - , 354
, 355- - - , ,
355
, 356- - - , 356
, 357- - - , 357
, 358- - - - , 358
, 359- - - , 359
, 360- - - , 360
, 361- - - - - - , 361
, 362- , 362
, 363- - - , 363
, 364- - - , 364
, 365- 6- - - , 365
, 366- - - - - - - - - - ,
366

181

D, 367- - -
1 , 367
, 368- - - , 368
, 369- - - - , 369
, 370- - - - - - , 370
, 371- - - - - - , 371
, 372- - - - - - , 372
. .

, 373- , 373- , 373


, 374- - - - - - , 374
, 375- - - - - -
, 375
, 376- - - - - - ,
376
, 377- - - , 377
, 378- - - - - - , 378
, 379- - - , 379
, 380- - - - - - , 380
, 381- - - , 381
, 382- - - , 382
, 383- - - - - - , 383
, 384- - - - - - , 384
, 385- - - , 385
, 386- 100 - -
, 386
, 387- 100 - - , 387
, 388- - - , 388
182

, 389- - - - - - , 389
, 390- - - - - , 390
, 391- - - , 391
, 392- - - - - - ,
, , 392
, 393- - - , 393
, 394- - - - - -
, 394
, 395- - - , 395
, 396- - -
, 396
.

, 397- - - - - -
, 397
, 398- - - , 398
, 399- - - , 399
, 400- - - - - - , 400
, 401- - - , 401
, 402- - - , 402
, 403- - - - - - ,
, 403
, 404- - - , 404
, 405- - - , 405
, 406- - - - - - - - - , 406
, 407- - - - - - , 407
, 408- - - , 408

183

, 409- - - - - - , 409
, 410- - - , 410
, 411- - , 411
, 412- - - , 412
, 413- - - , 413
, 414- - - , 414
, 415- - - , 415
, 416- - - 1979-2003 , 416
, 417- - - - - - -
, 417
, 418- - - - - - , 418
, 419- , 419
, 420- - - , 420
, 421- - - , 421
, 422- - - , 422
, 423- 1 - - - - -
, 423
, 424- , 424
, 425- - - - - - ,
425
, 426- - - - - -
, 426
.

, 427- - - - , 427
, 428- - - , 428
, 429- - - , 429
, 430- , 430
184

, 431- Gardnerella vaginalis- - , 431


, 432- - - - - - , 432
, 433- - -
, 433
, 434- - - - ,
434
, 435- - - , 435
, 436- - - , 436
, 437- - - - - - , 437
, 438- - - , 438
, 439- , 439
, 440- - - , 440
, 441- - - , 441
, 442- - - -1, 442
, 443- - - , 443
, 444- - - , 444
, 445- - - , 445
, 446- - - , 446
, 447- - - , 447
, 448- - -
, 448
, 449- - - - - , 449- - - , 449- - - - , 449
, 450- - - -, 450
, 451- , 451
, 452- - - in vitro, 452
185

, 453- - - , 453
, 454- - -
, 454
, 455, 456- - - in vitro- - , 455, 456
, 457- - - - - - , 457
. .

, 458- - - - - - , 458
, 459- - - - - - , 459
, 460- - - , 460
, 461- - - - - - - - - - , 461
, 462- - - , 462
, 463- , 463
, 464- - - - - - - - - - , 464
, 465- - - - - - - - - - , 465
, 466- - - - - - - - - - , 466
, 467- - - , 467
, 468- - - - - - , 468
, 469- - - - - - - - - - ABCD, 469
, 470- - - , 470
, 471- - - - - - ,
471- - - , 471
, 472- - - - - - , 472
, 473- - - , 473- -
, 473
, 474- - - - - - , 474

186

, 475- - - -- - -
, 475
, 476- - - - - - , 476
, 477- - - - - - , 477
, 478- - - , 478
, 479- - - - - - , 479
, 480- - - - - - - - - , 480
, 481- - - - - - , 481
, 482- , 482- , 482- - D, 482
, 483- , 483
, 484
, 485- , 485
, 486- - - , 486
, 487- - - - - - , 487
V.

, 488- - - , 488- - , 488- - - - - - , 488


, 489- , 489
, 490- - - , 490
, 491- - - - - - ,
491
, 492- - - - - - , 492
, 493- - - , 493
, 494- , 494
, 495- - - , 495
, 496- - - - - - , 496
187

, 497- , 497
, 498- -- - , 498
, 499- - - - - -
, 499
, 500- , 500
, 501- , 501
, 502- c- - , 502
, 503- - - , 503
, 504- , 504
, 505- - - , 505
, 506- - - , 506
, 507- , 507
, 508 - - - , 508
, 509- , 509- , 509
, 510- - - - - - , 510
, 511- , 511
, 512- , 512
, 513- - - , 513
, 514
, 515
, 516- - - - - - , 516
, 517- - - , 517
V.

, 518- - - - - - , 518
, 519- - - , 519
188

, 520- - - - - - , 520
, 521- 4--- - , 521
, 522- - - , 522
, 523- , 523
, 524- - - , 524
, 525- - - - - - , 525
, 526- - - - - - , 526
, 527- - - - - - , 527
, 528- - - - - - , 528
, 529- - - - - - , 529
, 530- - - - - - ,' - - - - , 530
, 531- -- - - - - - - - , 531
, 532- - - - - - , 532
-3, 533- - - , 533
, 534- , 534
, 535- - - - - - - - - - - - - - , 535
, 536- - - - - - - - - -
, 536
, 537- - - , 537
, 538- - - (), 538
, 539- - - - - - , 539
, 540- - - - - - , 540
, 541- - - , 541

189

, 542- , 542
, 543- - - , 543
, 544- - - , 544
, 545- - - -- - - , 545
, 546- - - , 546
, 547- -- - - - - , 547
V. .

, 548- , 548
, 549- , 549
, 550- - - , 550
, 551- , 551
, 552- , 552
, 553- , 553
, 554- , 554
, 555- - - , 555
, 556- - - , 556
, 557- - - , 557- - , 557- - , 557
(1) , 558- - - - - - - - - - ,
558
, 559
, 560- - - - - - - , 560
, 561- - - - - -
, 561
, 562- -- - , 562
, 563- , 563
, 564- , 564
190

, 565- - - , 565
, 566- , 566
, 567- - - , 567
, 568- - - 210Pb, 568
, 569- - - , 569
, 570- - - RANDO, 570
, 571- , 571
, 572- - - , 572- - , 572- - -
, 572
, 573- , 573 , 573- - , 573
, 574- - - , 574
, 575- - - , 575
, 576- - - , 576
, 577- , 577
V.

, 578- - - - - - []- - - -
, 578
, 579- - - - - - - - - - , 579
, 580- - - , 580
, 581- - - - - - , 581
, 582- - - - - - - - - - , 582
, 583- - - , 583
, 584- - - , 584
, 585- , 585
, 586- - - , 586
191

, 587- - - , 587
, 588- - - - - - , 588
, 589- - - 2-- - - -- - - - -, 589
, 590- - - 2--4 - - - ,
590
, 591- - - - - - - - - -
, 591
, 592- - - - - - 1-- - - , 592
, 593- - - - - - , 593
, 594- - - - - -
- - - - , 594
, 595- - - - - - , 595
, 596- - - - - - ,
596
, 597- - - , 597
, 598- - - - - - - - - - , 598
, 599- , 599- , 599- - , 599
, 599- , 599- , 599- - , 599
, 600- - - - - - , 600
, 601- - - , 601
, 602- - - , 602
, 603- - - , 603
, 604- , 604
, 605- - - - - - - - - - , 605
, 606- - - , 606
192

, 607- - - , 607
, 409
-
- -
- - - , 409
, 239, 511
- , 239
- , 239
- , 511
, 192, 581, 596
-
- - , 192
-
- -
- - - , 581
-
- -
- - - , 596
, 467
-
- - , 467
, 579, 580
-
- - , 580
-
- -
- - -
- - - - , 579
Acinetobacter, 325
- , 325
, 131, 135, 137
- , 135
-
- - , 137
- , 131
, 384
-
- -
193

- - - , 384
, 309
-
- - , 309
, 19, 20, 23, 24
-
- - , 20
- , 23, 24
- -
- - - , 23
- - - , 23
- - , 24
-
- - , 19
- - , 19
, 21, 22, 373
- , 21, 22
- -
- - - , 22
- -
- - - , 21
- - - , 21
- - - - , 21
- , 373
- , 373
, 118
-
- - /, 118
, 195
-
- -
- - - , 195
, 164
-
- - , 164
, 223
-
- - , 223
, 560, 562
- -
194

- -
- - - , 560
- -
- - , 562
, 201, 202, 203, 218, 471
- , 471
- -
- - - , 471
- - - , 471
- , 201, 202, 203, 218
- - , 202, 218
- - - , 202
- - - , 218
, 410
-
- - , 410
, 249
-
- - , 249
, 516
-
- -
- - - , 516
, 485
- , 485
, 65, 66
- , 65, 66
- - , 65, 66
- - - , 65
- - - , 66
, 395
-
- - , 395
, 604
- , 604
, 174
-
- -
- - - , 174
195

, 259, 275, 280, 281, 282, 283, 550


-
- - , 280
- , 282, 283
- - , 282, 283
- - - , 283
- - - , 282
- - - - , 282
-
- - , 550
-
- - , 275
-
- -
- - - , 281
-
- -
- - - , 259
, 62, 63, 349, 357, 368, 526, 529, 591
-
- -
- - -
- - - - , 591
- , 62, 63
- - , 62
- , 349, 357, 368, 526, 529
- -
- - - , 529
- -
- - - , 526
- - , 349, 368
- - , 357
, 469
-
- -
- - -
- - - - ABCD, 469
, 484
, 240
-
- - , 240
, 372
196

-
- -
- - - , 372
, 327
- , 327
, 117
-
- - , 117
, 438, 451, 542
-
- - , 438
- , 542
- , 451
-3, 533
-
- - , 533
-, 219
- , 219
, 241
-
- - , 241
, 602
-
- - , 602
, 521
- 4--
- - , 521
, 330, 334
- , 330
- , 334
, 435
-
- - , 435
, 566, 601
-
- - , 601
- , 566
197

, 397, 398, 399, 401, 403, 406, 411, 414, 417, 423, 424, 436
-
- - , 398
- - , 411
-
- - , 399
- 1
- -
- - - , 423
-
- - , 436
- -
- -
- - - , 417
- , 397, 401, 403, 406, 414
- - , 414
- - , 397, 403, 406
- - - , 397
- - - - , 406
- - - , , 403
- - , 401
- , 424
, 366, 407, 412, 418
- , 366, 407, 412, 418
- - , 412
- -
- - -
- - - - , 366
- - , 407, 418
- - - , 418
- - - , 407
, 316
- , 316
, 354
-
- - , 354
, 91
-
- - , 91
, 342
, 313, 314, 324, 338
198

- , 314, 324
- -
- - - , 324
- -
- - - , 314
- , 313, 338
- -
- - - , 338
- - 2
- - -
- - - - , 313
D, 367
-
- - 1 , 367
, 388
-
- - , 388
, 586
-
- - , 586
, 578, 592
- , 578, 592
- -
- - - 1-
- - - - , 592
- -
- - - []
- - - - , 578
, 524
-
- - , 524
, 97
-
- - , 97
, 328, 341
-
- - , 328
-
- -
- - - , 341
199

, 470
-
- - , 470
, 317, 339
-
- - , 339
-
- - , 317
, 120
- , 120
, 128
- , 128
, 127, 197, 214, 221
- , 197, 214
- - 1985-2005 , 214
- , 127, 221
- - , 127
- -
- - - , 221
, 379
-
- - , 379
, 147
-
- -
- - -
- - - - , 147
, 124
-
- - , 124
, 121, 213
-
- - , 121
-
- - , 213
, 126, 356
-
- - L-, 126
-
200

- - , 356
, 364
-
- - , 364
, 430
- , 430
, 489, 494
- , 494
- , 489
, 599
- , 599
- , 599
- - , 599
, 150, 151, 160
-
- -
- - - 2-
- - - - , 150
-
- -
- - - , 151
- - - , 151
- - - -
- - - - - , 151
- - - - - g, 151
- - - - - -
- - - - - - - , 151
- , 160
, 142, 157, 166
- g
- -
- - - , 166
-
- -
- - - , 142
-
- -
- - -
- - - - , 157
- , 157
, 362
201

- , 362
, 199, 216
-
- - , 199
-
- - , 216
, 337
-
- - -2
- - - , 337
, 488
-
- - , 488
- - , 488
- - -
- - - - , 488
, 523
- , 523
, 419
- , 419
, 468, 483
- , 483
-
- -
- - - , 468
, 385, 459
-
- - , 385
-
- -
- - - , 459
, 299, 301, 302, 310
- , 299, 302
- -
- - - , 299
- - , 302
- , 301, 310
- - , 310
- -
- - - , 301
202

, 40
-
- - , 40
, 96, 108, 606
-
- - , 96
- , 108, 606
- -
- - - , 606
, 254
-
- -
- - - , 254
, 89
- , 89
, 79, 109, 110, 111, 112, 113, 114, 115, 400, 408, 520, 600
-
- - , 408
-
- - , 79
-
- -
- - - , 520
- , 109, 110, 111, 112, 113, 114, 115, 400, 600
- - 1 , 109, 110
- - - , 109, 110
- - 2 , 111, 112, 113, 114, 115
- - - , 111, 112, 113
- - - - , 112, 113, 114, 115
- - - - - , 114
- - - - - , 112, 113, 115
- - - - - - , 113
- -
- - - , 400
- -
- - - , 600
, 278
- , 278
, 386, 387
- 100 , 386, 387
- - , 386
203

- - , 387
, 570, 571
- , 571
-
- - RANDO, 570
, 12
-
- -
- - - , 12
, 8
-
- - , 8
, 81, 86
-
- - , 86
-
- -
- - - , 81
, 568
-
- - 210Pb, 568
, 217
-
- - , 217
, 58, 59
- , 58, 59
- - , 59
- - , 58
, 35, 318
- , 35, 318
- - , 318
- - , 35
, 427
-
- - - , 427
, 433
-
- - , 433
204

, 355
-
- - , , 355
, 1
-
- -
- - - , 1
, 125, 536
- , 125, 536
- -
- - - , 125
- -
- - -
- - - - , 536
, 72
-
- - , 72
, 532
-
- -
- - - , 532
, 3, 37, 46, 52, 53, 67, 73, 144, 193, 353, 374, 382
-
- -
- - - , 353
- , 67, 73, 374
- - , 67, 73, 374
- - - , 67
- - - , 73
- - - , 374
- , 144, 382
- -
- - -
- - - - , 144
- -
- - - , 382
-
- -
- - -
- - - - , 193
- -, 3, 37, 46, 52, 53
- -
205

- - - , 53
- -
- - - , 46
- - , 3, 37
- - -
- - - - , 3
- - - , 37
- - , 52
, 4, 11, 14, 17, 18, 375, 380
- , 11, 14, 17, 18, 375, 380
- - , 17
- -
- - - , 18
- -
- - -
- - - - , 11
- - , 375, 380
- - - , 375
- - - , 380
- -
- - - , 14
-
- -
- - - , 4
, 26
- , 26
, 402
-
- - , 402
, 363
-
- - , 363
, 204
- -
- - in vitro, 204
, 381, 462, 465, 466, 474, 475, 479, 481, 486, 487
-
- -
- - - , 481
-
- - , 381
-
206

- -
- - -
- - - - , 466
-
- -
- - - , 487
- , 465, 474, 475, 486
- -
- - - , 474
- -
- - - , 486
- - -
- - - , 475
- -
- - -
- - - - , 465
-
- -
- - - , 479
-
- - , 462
, 33, 39, 49, 51, 464
- , 33, 39, 49, 51
- - , 33, 39, 49
- - - , 33, 39, 49
- - ST-
- - - , 51
-
- -
- - -
- - - - , 464
, 476
-
- -
- - - , 476
, 321, 326
- , 326
- - -, 326
-
- - , 321
- , 326
, 277, 331, 431
-
- - , 277
207

- c
- - , 331
- Gardnerella vaginalis
- - , 431
, 198, 461
-
- -
- - -
- - - - , 461
-
- -
- - - , 198
, 537
-
- - , 537
, 246, 440, 447
-
- - , 440
-
- - , 447
- , 246
, 554
- , 554
, 544
-
- - , 544
, 394
-
- -
- - - , 394
, 538
-
- - (), 538
, 190, 191, 555
-
- - , 555
- , 190, 191
- -
- - - , 190
- -
208

- - -
- - - - , 191
, 508
-
- - , 508
, 350
-
- - , 350
, 492, 493, 495, 502
-
- - , 493
-
- -
- - - , 492
-
- - , 495
-
- - , 502
, 515
, 244
-
- - , 244
Clostridium dfficile, 340
- -
- -
- - - , 340
, 303
-
- -
- - - , 303
, 93, 106, 107
- , 106, 107
- - , 106
- -
- - - , 107
- , 93
, 513
-
- - , 513
209

, 429, 434, 450


-
- - -, 450
-
- - , 429
-
- - , 434
- , 434
, 505
-
- - , 505
, 84
-
- -
- - - , 84
- - - , 84
, 61
-
- - , 61
, 335
- , 335
, 297
-
- - -2
- - - - , 297
, 531, 547
- -, 531, 547
- -
- - -
- - - - , 531
- -
- - - , 547
, 263
, 369
-
- - - , 369
, 293, 504
- , 504
210

-
- - , 293
- - , 293
- - - , 293
, 587, 595
- , 587, 595
- -
- - - , 595
- - , 587
, 284, 285, 286, 287, 304, 305, 510
- /
- - , 285
-
- - , 286
- , 285
- - , 285
-
- - S100, 287
- , 285
- - , 285
-
- -
- - - , 510
- , 284, 304, 305
- -
- - - , 304
- -
- - - -, 305
- - , 284
, 599
- , 599
- , 599
- - , 599
, 134
-
- -
- - - , 134
, 573
- , 573
- , 573
- - , 573
, 47
211

- , 47
, 188
-
- -
- - - , 188
, 295
-
- -
- - -
- - - - , 295
, 332
-
- -
- - - , 332
, 143
- -
- - -2-, 143
, 501
- , 501
, 477
-
- -
- - - , 477
, 478
-
- - , 478
, 551
- , 551
, 548
- , 548
, 549
- , 549
, 577
- , 577
, 245, 500
- , 245
212

- , 500
- , 60
- -
- - - , 60
, 496
-
- -
- - - , 496
, 351
- - , 351
, 420
-
- - , 420
, 27, 29, 42, 43, 45, 50, 65, 101, 133, 136, 163, 165, 208, 210, 361, 371,
377, 378
- , 136, 208
- - , 136
- -
- - - , 208
-
- -
- - - , 133
- , 163, 165
- -
- - -
- - - -
- - - - - , 165
- -
- - - , 163
-
- -
- - - -1, 101
- , 210, 361
- -
- - - -, 210
- -
- - - , 361
-
- - , 377
- , 27, 29, 42, 43, 45, 50, 65, 371, 378
- - , 27, 50
- - - , 27
- - - , 50
- - , 42
213

- - , 43
- -
- - - , 45
- -
- - - , 29
- -
- - - , 378
- -
- - - , 371
, 153
-
- -
- - -
- - - - , 153
, 298
-
- - -
- - -
- - - - , 298
, 499
-
- -
- - - , 499
, 184
- , 184
- , 184
- - , 184
, 104, 439
- , 104
-
- - , 439
, 139, 140, 141, 146, 148
- g, 141, 146
- - , 141
- -
- - -
- - - - , 146
- , 139, 140, 148
- - -2-
- - - , 148
- -
- - - , 139
214

- -
- - - -, 140
, 155, 158
-
- -
- - - , 155
-
- -
- - - , 158
, 343, 344, 345, 347, 348, 358, 405, 413, 422
-
- - , 422
-
- - , 413
-
- - , 405
-
- - , 343
- -
- - , 358
- , 344, 345, 347, 348
- - , 348
- - , 345
- - , 344
- - , 347
, 389
-
- -
- - - , 389
, 5, 16, 94, 207
-
- - , 5
- , 94
-
- - , 16
- - , 16
-
- - , 207
, 514
, 567, 569, 607
-
- -
215

- - - , 607
-
- - , 569
-
- - , 567
, 255, 260
-
- - , 255
- , 260
, 272, 522
-
- - , 522
-
- -
- - - , 272
, 233, 359
- , 233
-
- - , 359
, 13
-
- - /, 13
, 222
-
- - , 222
, 85, 90, 102, 105
- , 90, 102
- - , 90
- , 85, 105
- - , 105
- -
- - -
- - - - , 85
, 220
- , 220
, 225
- -
- - , 225
, 312, 336
216

- , 312, 336
- - , 336
- -
- - -
- - - - , 312
, 237
-
- - , 237
, 238
- , 238
- , 238
, 227
- , 227
, 154, 480
-
- -
- - -
- - - - , 154
-
- -
- - -
- - - - , 480
, 15
-
- - , 15
, 294
-
- - g, 294
, 257, 258, 265, 269, 273, 276, 279, 383
-
- - , 258
-
- -
- - - , 269
- -
- - , 273
-
- - , 265
- , 257, 383
- -
- - - , 257
217

- -
- - - , 383
-
- - , 276
-
- -
- - - , 279
, 262, 268
-
- - , 268
-
- - , 262
, 530
-
- -
- - - ,'
- - - - , 530
, 583
-
- - , 583
, 507
- , 507
, 421
-
- - , 421
, 68, 71, 77
-
- -
- - - , 71
- :
- - , 77
- - - , 77
- - , 68
- - -
- - - - , 68
, 69
-
- - , 69
, 539, 540
-
218

- -
- - - , 539
-
- -
- - - , 540
, 261
-
- - , 261
, 256
- , 256
, 404, 416, 425
-
- - 1979-2003 , 416
-
- -
- - - , 425
-
- - , 404
, 428, 441, 448
-
- - , 428
-
- - , 448
-
- - , 441
, 296
-
- - , 296
, 512
- , 512
, 152
- , 152
- , 152
- - , 152
, 288, 289, 290, 291, 292, 300, 306, 308
- , 290
- - , 290
- -, 290
-
- - , 289
219

- , 300
- -
- - , 308
- , 300, 306
- - , 300
- -
- - -
- - - - , 306
-
- -
- - - , 292
-
- - 12/23
- - -
- - - - , 288
-
- - , 291
- - , 291
, 497
- , 497
, 83
-
- -
- - - , 83
, 196
- , 196
, 168, 169, 170, 171, 172, 173, 175, 176, 177, 178, 179, 180, 181, 182, 185, 186, 187,
189, 194, 307, 518, 545, 563, 565, 582, 589, 597, 605
-
- - , 187
- - , 187
- - - , 187
-
- -
- - - , 180
- , 170, 171, 172, 173, 185, 186
- -
- - - , 171
- - , 186
- - , 172
- -
- - - , 173
- - , 170, 185
- - - , 170, 185
220

- - , 186
- - - , 186
- , 518, 605
- -
- - - , 518
- -
- - -
- - - - , 605
- , 582, 589
- -
- - -
- - - - , 582
- - 2-
- - - -
- - - - --, 589
- , 175, 176, 177, 178, 179, 194, 565
- - , 565
- - , 175
- - , 176, 177, 179
- - -
- - - - , 176
- - -
- - - - , 177
- - - , 179
- -
- - - , 194
- -
- - - , 178
-
- - -
- - - , 545
-
- -
- - - , 181
- , 168, 169, 189
- -
- - - , 189
- -
- - - , 168
- - -
- - - , 169
-
- - , 597
- , 563
-
- - , 307
-
- - 2
221

- - -
- - - - , 182
, 463
- , 463
, 211
-
- - , 211
, 329
, 552
- , 552
, 535, 603
-
- - , 603
-
- -
- - -
- - - -
- - - - - , 535
, 503
-
- - , 503
, 200
-
- -
- - - Nissen-, 200
, 232, 584
- , 232, 584
- - , 584
- - , 232
, 226, 230, 236, 242, 243, 251
-
- - , 230
- , 226, 236, 242, 243, 251
- - , 236
- -
- - - , 243
- -
- - -
- - - - , 251
222

- -
- - - -, 242
- -
- - - , 226
, 517
-
- - , 517
, 527
-
- -
- - - , 527
, 541
-
- - , 541
, 9
- , 9
, 543
-
- - , 543
, 28, 30, 34, 36, 41, 132, 352, 360, 370, 437, 442, 444, 446, 452, 594
-
- -
- - - , 370
-
- -
- - -
- - - - , 594
-
- - , 360
- , 28, 30, 34, 36, 41
- - ST-, 34, 41
- - - , 41
- - - , 34
- - , 30
- -
- - - , 36
- - , 28
-
- - -1, 442
- , 437, 444, 446, 452
- -
- - - , 437
223

- - in vitro, 452
- - , 444
- - , 446
- -
- - , 352
-
- - , 132
, 7, 116, 235
-
- -
- - - , 7
- -
- - , 116
-
- -
- - - , 235
- - - , 235
, 506, 509
-
- - , 506
- , 509
- , 509
, 231
-
- - , 231
, 490, 491
-
- -
- - - , 491
-
- - , 490
, 95, 553
-
- - , 553
- , 95
, 6
- , 6
- , 6
- - , 6
, 393
-
224

- - , 393
, 445
-
- - , 445
, 559
(1) , 558
-
- -
- - -
- - - - , 558
, 557
-
- - , 557
- - , 557
- - , 557
, 519, 546
-
- -
- - - , 546
-
- -
- - - , 519
, 392
-
- -
- - - , , , 392
, 391
-
- - , 391
, 320
- -
- - , 320
, 48, 162
-
- - , 48
-
- -
- - - , 162
- - - , 162
225

- - - -
- - - - -
- - - - - - , 162
, 250
, 2
-
- - , 2
, 119, 473
-
- - , 473
- - , 473
- , ,
119
, 585
- , 585
, 183
-
- - , 183
, 365
- 6-
- - , 365
, 122, 123
-
- - , 122
-
- - , 123
, 426, 449, 453, 454, 455, 456, 457
- , 426, 449, 453, 454, 455, 456, 457
- -
- - - , 426
- -
- - - , 449
- - - , 449
- - - - , 449
- -
- - - , 457
- - in vitro
- - - , 455, 456
- - , 454
- - , 453
226

, 234
- , 234
, 376
-
- -
- - - , 376
, 323
-
- - , 323
, 572, 574, 575, 576
- , 572, 574, 575, 576
- - , 576
- - , 574
- - , 575
- - , 572
- - , 572
- - - , 572
, 228
-
- - , 228
, 498
- -
- - , 498
, 229, 267, 270, 271, 274, 556
- , 229
-
- - , 271
-
- -
- - -
- - - - , 270
-
- - , 556
-
- - , 267
-
- - , 274
, 25
-
- - , 25
227

, 129
- , 129
, 534
- , 534
, 443
-
- - , 443
, 472
-
- -
- - - , 472
, 70, 74, 75, 76, 252, 264, 322, 333
-
- - , 74
-
- - , 322
- , 333
- , 70, 76
- -
- - -
- - - - , 76
- -
- - - , 70
-
- - , 264
-
- - , 75
- , 252
, 247
- , 247
, 525
-
- -
- - - , 525
, 10
-
- - , 10
, 415
-
228

- - , 415
, 561
-
- -
- - - , 561
, 266
-
- -
- - -
- - - - , 266
, 38
-
- -
- - - , 38
, 64, 80, 346
- , 64, 346
- - , 346
- -
- - - , 64
-
- - -
- - - , 80
, 432
-
- -
- - - , 432
, 564
- , 564
, 206
-
- - , 206
, 253, 390, 396, 528, 588, 590
- , 390, 396, 528
- -
- - - , 396
- -
- - - , 528
- -
- - -
- - - - , 390
229

- , 588, 590
- -
- - - , 588
- - 2--4
- - - , 590
-
- - , 253
, 31, 32, 44, 55, 56, 57, 78, 87, 88, 92, 99, 100, 103, 130, 138, 145, 149, 156, 159,
161, 167, 205, 215, 248, 458, 482, 598
-
- -
- - - , 130
-
- - D, 482
-
- -
- - -
- - - -
- - - - - , 149
-
- -
- - -
- - - - , 100
- , 87
- , 31, 32, 44
- - , 31, 32
- - - , 31
- -
- - - - , 44
- , 92, 103
- - -6
- - - , 103
- - , 92
-
- -
- - -
- - - - , 598
-
- -
- - - , 248
- , 145, 159, 161, 167
- -
- - -
- - - -
- - - - - , 161
- -
- - -
230

- - - -
- - - - - , 159
- - , 145, 167
- - -
- - - - , 145
- - -
- - - -
- - - - -
- - - - - - , 167
- , 458, 482
- - D, 482
- -
- - - , 458
- , 78, 88, 99, 205, 215
- - , 78, 88, 205, 215
- - - , 88
- - - , 78
- - - , 205, 215
- - - -
- - - - - , 215
- - - - , 205
- -
- - - y
- - - - , 99
- , 138, 156
- -
- - - , 138
- -
- - -
- - - - , 156
- , 55, 56, 57
- - , 55
- - , 56
- - , 57
Helicobacter spp., 319
, 212
-
- - , 212
, 82, 98
- , 82, 98
- -
- - -
- - - - , 82
- -
- - - , 98
231

, 460
-
- - , 460
, 311
-
- - , 311
, 209, 224, 315
-
- -
- - - , 224
- , 209, 315
- -
- - - , 315
- - , 209
, 54
-
- - , 54
, 593
-
- -
- - - , 593

: ..
: _______________
: _______________
1. 3-[] ,
. Frster K., Preuss R.,
Robach B., et al. 3-hydroxybenzo[a]pyrene in the urine of workers with occupational
exposure to polycyclic aromatic hydrocarbons in different industries //ccupat. Environ.
Med.-2008.-Vol.65, 4.-.224-229.-.

()
.
3-[] (-) .

. , - ,
44,3 /3. - 3-, ,
0,8 / ,
19,5 / . 1% -
(0,5 / ). -
3-
232

(0,5 / vs 1,1 / ),
(1,2 /) (1,3 /). ,
3-

,
. . , Univ. Erlangen-Nuremberg,
Inst.Outpat.Clin. Occupat., Soc. Environ. Med., Erlangen.
(. : http://oem.bmj.com)

-
- - []
- - -
2. :
. Magnani C., Ferrante D.,
Barone Adesi F., et al. Cancer risk after cessation of Italian asbestos exposure: a cohort
study of asbestos cement workers //Occupat. Environ. Med.-2008.-Vol.65, 3.-.164170.-.
-

. ,
( 1809 1312,3; <0,01).
. 135
3,6 (<0,01) 52 1,9 (<0,01);
249 103,1 (<0,01). .
(9 vs 4,0) (15 vs
5,8).
(16 vs 12,2). ,

, .
15 .
40 . . , Unit. Med. Stat., Canc. Epidem., Dept. Med. Sci.,
Novara.
(. : http://oem.bmj.com)

-
- -
- - -
- - - -
3. ,
(). Musk A.W., Klerk N.H., Reid A., et al.
Mortality of former crocidolite (blue asbestos) miners and millers at Wittenoom //Occupat.
Environ. Med.-2008.-Vol.65, 8.-.541-543.-.
. (n=7000), 1943-1966 .
. ()
( ). 2000 .,
190 32
233

. ,
, , ,
, , . .
1,52; 15,5; 1,58; 3,06; 1,47; 2,24 2,00 .
.
. , Sch. Popul. Hlth, Univ.West. Australia, Nedlands.
(. : http://oem.bmj.com)
-
- -
- - -
4.
. Pesch
B., Pierl C.B., Gebel M., et al. Occupational risks for adenocarcinoma of the nasal cavity
and paranasal sinuses in the German wood industry //Occup. Environ. Med.-2008.-Vol.65,
3.-.191-196.-.
,
,
(). 86
. ,
(=2,96; 95%:1,46-6,01)
(=0,15; 95%:0,03-0,68).
5 /2 ( = 48,47; 95%)
<3,5 /3. 40 .
4,20 (95%:1,69-10,43).
- 3,5 5 /2 (=10,54; 95%:3,34-33,27),
, . ,
, , .
- >3,5
/3.
,
BGFA-Forschungsinst.
Arbetsmed.
Deutsch.
Gesetzl.
Unfallversicherung, Bochum.
(. : http://oem.bmj.com)
-
-
- -
- - -
5. . Serra C.,
Kogevinas M., Silverman D.T.et al. Work in the textile indusrty in Spain and bladder
cancer //Occup. Environ. Med.-2008.-Vol.65, 8.-.552-559.-.
, ,

().
, 1998-2001 . 1219 - ,
126 . ,

. (=1,82; 95%:0,95-3,47),
(=4,11; 95%:1,58-10,71) ,
234

(=1,89; 95%:1,00-3,56).
>10 . (=2,27; 95%:0,97-5,34),
(=11,03; 95%:1,37-88,89), (=2,94; 95%:1,247,01), , (=2,62) (=2,00)
. ,
.
, Un. Res. Occupat. Hlth., Dept. Experim., Hlth Sci., Univ. Pompeu Fabra,
Barselona.
(. : http://oem.bmj.com)

-
- -
- - -
- - - -
6. , 1996-2006 . Scarselli A.,
Binazzi A., Ferrante P., Marinaccio A. Occupational exposure levels to wood dust in Italy,
1996-2006 //Occup. Environ. Med.-2008.-Vol.65, 8.-.567-574.-.
()

.

. 1996-2006 .

SIREP. 10837 (10528
1181 ). . 1,44
0,97 /3. ,
(n=5539)
(n=4347). 74% <2
/3. ,
, ,
.
(
)
. (
). , Ital. Inst. Occup. Saf., Prevent., Occup. Med. Depart.,
Epid. Un., Rome.
(. : http://oem.bmj.com )

-
- -
7. .
Radon K., Gerhardinger U., Schulze A., et al. Occupation and adult onset of rhinitis in the
general population //Occup. Environ. Med.-2008.-Vol.65, 1.-.38-43.-.

() . . (n=4994)
28 57 . 27 ,
235

.
, , ,
. 12, 11 3%.
.
( 3,0; 95%:1,4-6,4).
, ,
(0,3; 95%:0,1-0,7). , .,
(1,4; 95%:1,0-2,1). ,
.
, Inst. Occupat. Environ. Med., Ludwig Maxim. Univ., Munich.
(. : http://oem.bmj.com )

-
- -
8. :
378 ,
. Wild P., Leodolter K., Refregier M., et al. Effects of talc
dust on respiratory health; results of a longitudinal survey of 378 French and Austrian talc
workers //Occupat. Environ. Med.-2008.-Vol.65, 4.-P.261-267.-.
(), , -
2 /3, , 5 .
.
14,5 ., - 1,46
/3.
,
, ,
. ,
1 . 66 /100 ./3,
. .
,
, ,
. , NRS, Dept.
Epid. Entrepr., Vandoeuvre.
(. : http://oem.bmj.com )

-
9.
. Rabinowitz P.M., Galusha D., Slade M.D. et al. Organic
solvent exposure and hearing loss in a cohort of aluminium workers //Occupat. Environ.
Med.-2008.-Vol.65, 4.-P.230-235.-.
, ()
, .
.
, 1319
35 . ,
/ ,
236

.
: (=1,06; =0,004),
(=1,35, =0,049), (=1,74, =0,01), (=1,04,
<0,001) (=1,87, =0,004).

(<0,001), (<0,001), (=0,03),
(<0,001) (=0,03).
, ,
. ,
,
. , .Dept. Occup. Environ. Med., Yale Univ.Sch. Med., New Haven.
(. : http://oem.bmj.com )

-
- -
10.
. Mirabelli D., Calisti R.,
Barone-Adesi F., et al. Excess of mesotheliomas after exposure to chrysotile in Balangero,
Itale //Occup.Environ.Med.-2008.-Vol.65, N12.-P.815-819.-.
, () ()
, ().
, ()

. 6
( 1,5; <0,01).
14 ; 13
, .
, , ,
. , Unit Canc. Epidem., CeRMS and CPO-Piemonte,
Univ. Turin, Turin.
(. http://oem.bmj.com)

-
- -
11. , . Zuskin E.,
Mustajbegovic J., Schachter E.N., et al. Respiratory function in pesticide workers
//J.Occupat.Environ.Med.-2008.-Vol.50, N11.-P.1299-1305.-.
, ,
. (n=82) 1 .; 2
. (.) .
1 .;
1 .
.
1 . ,

237

. , ,
,
. . ,
Mount Sinai Sch. Med., Mount Sinai Hosp.
(. http://www.joem.org)

-
- -
- - -
12. ,
. Sorahan T. Bladder cancer risks in
workers manufacturing chemicals for the rubber industry //Occup.Med.-2008.-Vol.58, N7.P.496-501.-.
1955-2005 .
() 1971-2005 . (n=2160) .
, 4
, : 2- (),
, -- () -.
(<0,01)
611 ( .
278; 95%),
. . 1555 , ,
.
.

- (<0,05)
.
, Iust. Occup. Environ. Med., Univ. Birmingham, Birmingham.
(. http://occmed.oxfordjournals.org)

-
- - 2-
- - - -
- - - - --
13. 2--4-
. Jonsson
L.S., Littorin M., Axmon A. et al. Lung Function in relation to 2-Thiothiazolidine-4carboxylic acid and genetic effect modification among rubber workers in Sweden
//J.Occupat.Environ.Med.-2008.-Vol.50, N9.-P.1006-1012.-.
1 . ,
, 159 , 2 .
. .
2--4 -
-;
1
. 2- -4238

- 1 .
S- -1 (GSTA1)-52 GSTP1-114.
2 . GSTM1. ,
,
, , - . , Dept. Lab. Med., Divis. Occupat.
Envion. Med., Lund Univ. Hosp., Lund.
(. http://www.joem.org)

-
- - 2--4
- - -
14. ,
. Steiner M., Scaife A., Semple S. et al. Sodium
metabisulphite induced airways disease in the fishing and fish-processing industry
//Occup.Med.-2008.-Vol.58, N8.-P.545-550.-.
, ()
().
.
. 3 ,
( )
. 9 ,
,
.
>30 m. ,

.
, Dept. Environ. Occup. Med., Univ. Aberdeen, Aberdeen.
(. http://occmed.oxfordjournals.org )

-
- -
- - -
- - - -
15. 1- ,
. Pan C.-H., Chan C.-C., Huang Y.-L., et al. Urinary 1hydroxypyrene and malondialdehyde in male workers in Chinese restaurants
//Occup.Environ.Med.-2008.-Vol.65, N11.-P.732-735.-.
.,
(),
. .
(=288), .
1- (1-), ,
().
( 23,9 / 3 )
( 4,9
/3 ). , , 1-
239

344, 6,0 / .
, (244,2 2,4 /
.). 1- (<0,001)
./. (<0,05). , 1-

. , nst. Occupat. Med., Industr. Hygiene, Col. Publ. Hlth.
Natl Taiwan Univ., Taipei.
(. http://ocm.bmj.com)

-
- -
- - - 1-
- - - -
16.
. Mackie J. Effective health surveillance for occupational
asthma in motor vehicle repair //Occup.Med.-2008.-Vol.58, N8.-P.551-555.-.

().
;
, 1995-2000 .
, .
3700 , 27%
. 45% ,
, , .
, . , ,
0,79/1000 . , 5
.
,
. , Grosvenor Health, Grosvenor
House, Redditch.
(. http://occmed.oxfordjournals.org)

-
- -
- - -
17.
(RADS)? . Shakeri M.S., Dick F.D., Ayres J.G. Which
agents cause reactive airways dysfunction syndrome (RADS)? A systematic review
//Occup.Med.-2008.-Vol.58, N3.-P.205-211.-.
,
().
. .
, : (9
), (6 ) (5). 51
; 60% . 72
65% . () .
240

13 . ( = 6,5-43,5).
. , Dept. Occup.
Health, Provise Health Care, Mazandaran Univ. Med. Sci., Sari.
(. http://occmed.oxfordjournals.org )

-
- -
- - -
- - - -
18.
. Christensen B.C., Goldleski J.J., Roelofs C.R., et al. Asbestos burden
predicts survival in pleural mesothelioma //Environ.Health.Perspect.-2008.-Vol.116, N6.P.723-726.-.
- ()
, , 1 .
.
.
-
. . ,
. -
(<0,04), ( )
(<0,02).
- . (0-99 ),
(100-1099) (>1099) .
- , - .
.
, .
4,8 (95%:1,5-15,0;
<0,01). , Dept. Environ. Health, Harv. Sch. Publ. Health, Boston.
(. http://www.ehponline.org)

-
- -
- - -
19. :
, - .
Santibaez M., Vioque J., Alguacil J., et al. Occupational exposures and risk of
oesophageal cancer by histological type: a case-control study in eastern Spain
//Occup.Environ.Med.-2008.-Vol.65, N11.-P.774-781.-.
,
() .
1 . (n = 185) . - , 2 .
(.) .

( , =0,18; 95%), , ,
(=10,78; 95%);
241


(=9,69), (=5,61), ,
(=8,26), , .

,
(=3,12) (=5,30).
C (=3,46; 95%).
, Occup. Hlth. Un., Publ. Hlth. Cent., Elche, Alicante.
(. : http://oem.bmj.com)

-
- -
- - -
20. , :
. Rushton L., Hutchings S., Brown T. The burden of cancer at work:
estimation as the first step to prevention //Occup.Environ.Med.-2008.-Vol.65, N12-P.789800.-.
()
.
,
.
, , ,
, , 1
2 . , 2004 .
78237 . 71666 .,
4,9% .
,
, , , ,
, , , ,
, . ,
2557, 1867 550
. ,
, (200-240
/.). ,
. , . (
, ) . , Imper. Col. London, Dept.
Epid., Publ. Health, London.
(. : http://oem.bmj.com)

-
- -
21.

. Hamaguchi T., Omae K., Takebayashi T., et al.
Exposure to hardly soluble indium compounds in ITO production and recycling plants is a

242

new risk for interstitial lung damage //Occup.Environ.Med.-2008.-Vol.65, N1.-P.51-55..


() ,
.
, (1 .) . . (2 .).
.
1 2 . 8,25 0, 25 / . . -
116,9 /. ,
1 2 . .
, KL -6, SP-D i SP-A
1 . . 495,4; 85,2; 39,6 /,
2 . 1 . 7
. KL-6
SP-D
. ,
. , Dept. Prevent.
Med., Publ. Helth., Sch. Med., Keio Univ. Tokyo.
(. : http://oem.bmj.com)

-
- -
- - -
- - - -
22.
. Samanic C.M., De Roos A.J., Stewart P.A., et al. Occupational
exposure to pesticides and risk of adult brain tumors //Am.J.Epidemiol.-2008.-Vol.167,
N8.-P.976-985.-.
() (),
. ,
-, - (n=462) (n=195),
1994-1998 .
,
, /
. , .,
, . . . (=2,4;
95%:1,4-4,3), .,
. (=0,01)

(=0,01).

/ . , Divis. Canc. Epidem., Genetics,


Natl. Canc. Inst., Bethesda. . 46.
(. http://aje.oxfordjournals.org)

-
-
- -

243

-
-
- -
23.
:
, 1993-2003 . Montgomery M.P., Kamel F.,
Saldana T.M., et al. Incident diabetes and pesticide exposure among licensed pesticide
applicators: agricultural health study, 1993-2003 //Am.J.Epidemiol.-2008.-Vol.167, N10.P.1235-1246.-.
()
. ,
()
(n=33457).
2 : -
. . ,
, , , , ,
. ,
100 . , , .
. 51, 63 94%. , ,
- . , Epid. Branch, Nat.
Inst. Environ. Hlth. Sci., Nat. Inst. Hlth., res. Triangle Park.
(. http://aje.oxfordjournals.org)

-
- -
- - -
24. ,
. Lin Ch.-Ch., Wang J.-D., Hsieh G.-Y., et al. Health risk in the offspring of female
semiconductor workers //Occupat.Med.-2008.-Vol.58, N6.-P.388-392.-.
, .
.,
,
. 27610 ., 8 . .
., 5 . . /
.
., 3 . 3 .
.

. ,
. , Inst. Occupat.
Med., Industr. Hygiene, Natl. Taiwan Univ. Col. Publ. Hlth., Taipei.
(. http://aje.oxfordjournals.org)

-
- -

244

25. ,
. Sikkeland L.I.B., Skogstad M., vsteb R., et al. Circulating
lipopolysaccharides in the blood from bioprotein production workers
//Occup.Environ.Med.-2008.-Vol.65, 3.-.211-214.-.
,
() , 90%
Methylcoccus capsulatus, ,
(, ). , 1400
/.
. ,
,
( 430 /3). .
. . (=0,01) .
: MCP-1, MIP, MMP-3. , :
. , Dept.
Respir. Med. Fac. Div. Rikshospit., Univ. Oslo, Oslo. . 13
(. : http://www.oem.bmj.com)

-
- -
26. .
Sallmen M., Neto M., Mayan O.N. Reduced fertility among shoe manufacturing
workers //Occup.Environ.Med.-2008.-Vol.65, 8.-.518-524.-.
.,
().
() 250
(1 .) 250 .,
(2 .). , .
( .
0,55 0,70 ).
.
. . <6
. ( =0,50
)
6 . ( = 0,60 = 0,86 .).
. (
, : -, ,
, , , , ). , ,
Cent. Expertise Hlth, Work Ab., Fin. Inst. Occup. Health, Helsinki. . 38.
(. : http://www.oem.bmj.com)

-
- -
27. 3
. Michikawa T., Nishiwaki Y., Nomiyama T., et al. Job strain and
245

arteriosclerosis in tree different types of arteries among male Japanese factory workers
//Scand.J.Environ.Hlth.-2008.-Vol.34, 1.-P.48-54.-.
()
() ,
. . (n=352) .
41,7 ., ,
.
, .
,
- ,
, ,
. ,
( =2,53;
95%:1,14-5,63) (
3,5%; 95%:0,0-6,0).
. , , .
,
, , .

. , Dept. Prev. Med., Publ. Health, Sch. Med., Keio Univ.,
Tokyo. . 39.
(. : http://www.sjweh.fi)

-
28. ()
. Siew S.S., Kauppinen T., Kyyrnen P., et al. Exposure to iron
and welding fumes and the risk of lung cancer //Scand.J.Work.Hlth.-2008.-Vol.34, 6.P.444-450.-.
, ()
() ().
.
. 1970 . . 19061945 . , 1971-1995 .

,
, . , .
. 1,35 (95%:1,05-1,73)
1,15 (95%:0,90-1,46); - .
1,94 (95% :1,35-2,78) 1,55 (95%:1,08-2,24). ,
.
, . ,
,
. , Finn. Inst. Occup. Health, Helsinki.
(. : http://www.sjweh.fi)

-
- -
246

- - -
- - - -
29. ,
. Coppeta L., Pietroiusti A., Magrini A., et al.
Prevalence and characteristics of functional dyspepsia among workers exposed to cement
dust //Scand.J.Work.Environ.Hlth.-2008.-Vol.34, 5.-P.396-402.-.
()
() .
420 . , 3 .: 1 .
( ), 2 . (1 /), 3 . .
1, 2 3 . . 34,4; 51,7 59,1%;
(=2,21; 95%:1,25-3,92).
2 3 ., . 1,94 (95%:1,15-3,27) 2,61
(95%:1,62-4,20).
( 1, 2 3 . 11,71; 17,24
29,54%; =3,49).
. ,
, - . , Dept. Biopath.
Occup. Med., Tor Vergata Univ., Rome.
(. : http://www.labmeeting.com)

-
- -
30. : 20-.
. Chodick
G., Bekiroglu N., Hauptmann M., et al. Risk of cataract after exposure to low doses of
ionizing radiation: 20-year prospective cohort study among US radiologic
technologists //Am.J.Epidemiol.-2008.-Vol.168, 6.-P.620-631.-.
,
() , .
(n=35705) 22-44 ., .
20 ., 2382 , 647
. 5 /., 25 /,
, , ,
.
, 3 /
. =1,25 (95%:1,06-1,47). .
( 60 ) .
( 5 ) . 1,8
(95%:0,99-1,40). ,
, , 2 ,
, . , Radiat. Epidemiol. Branch, Div. Canc.
Epidemiol., Genet., Natl. Canc. Inst., Nat. Inst. Health, Bethesda. . 49.
(. : http://www.medscape.com)

-
247

- -

: ..
: _______________
: _______________
1. .
Rudziska M., Bukowzan S., Banaszkiewicz ., et al. Causes and risk factors of falls in
patients with Parkinsons disease //Neurol. i Neurochir. Polska.-2008.-Vol.42, 3.-P.216222.-.

(). , .
.
Olanow .
.
104 .
, 12 .
.
Olanow. 52 (50%) 1
1,5 .
,
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- .
,
UPDRS . ( 1,17, 95%:1,02 1,37)
Mini Mental State Examination ( 0,85, 95%:0,72-0,99). ,

,
. , Jagiellonian University Medical College,
Krakow. .19.
(. )

-
- -
- - -
2. .
Dennerstein L., Soares C.N.. The unique challenges of managing depression in mid-life
women //World psychiatry.-2008.-Vol.7, 3.-P.137-142.-.
.
, . ,
,
. .
,

.
248


, , ,
,
, , ,
.
.

, , .
,
. . . Univ.
f Melbourne. .60.
(. )

-
- -
- - -
3.
? Keefe R.S.E. Should cognitive impairment be included in the diagnostic
criteria for schizophrenia? //World Psychiatry.-2008.-Vol.7, 1.-P.22-28.-.
-

. ,

,
. ,
,
. DSM-IV-TR ICD
, ,
.
,
/
, , ,
.
,
,
.

. , Duke University Medical Center.
Durham. .49.
(. )

-
- -
4. . Zhang W., Wang H., Wang X., et al. Nortriptyline protects

249

mitochondria and reduces cerebral ischemia/hypoxia injury //Stroke.-2008.-Vol.39, 2.P.455-462.-.


, 1040 ()

(). ,
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3 . ,

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. . Harvard Med. School. Boston. .31.
(. )

-
- -
- - -
- - - -
5. ,
.
Josephson S.A., Sidney S., Pham T.N., et al. Factors associated with the decision to
hospitalize patients after transient ischemic attack before publication of prediction rules
//Stroke.-2008.-Vol.39, 2.-P.411-413.-.

() .

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,
, . 1707
1 . .

ABCD
. ,
. , 243
(14%) ABCD (10,0% 2. vs 20,3% ). 3
7 :
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250


. , Univer. f California. .12
(. )

-
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6. . ,
. Bernhardt J., Dewey H., Thrift A., et al. a very early rehabilitation trial for
stroke (AVERT). Phase II safety and feasibility //Stroke.-2008.-Vol.39, 2.-P.390-396..
( )
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2
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, ).
3 .
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(18%) , .
(87%). 74,7 12,5 . 58% (n=41) >7
Nat. Inst. of Health Stroke Scale.
. (, 3 33; , 8 38; =0,20).
.
( , =0,003)
. , Univers. of Melbourne. .31.
(. )

-
7. .
. Bruno A., Kent T.A., Coull B.M., et al. Treatment of hyperglycemia in
ischemic stroke. A randomized pilot study //Stroke.-2008.-Vol.39, 2.-P.384-389.-.

.
/
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, , 12 .
. 8,3 / ( 150 /).
2:1 /
(. 1) / (. 2).
1 . < 7,2 / (< 130/) < 11,1
/ (< 200 /) 2. 1-2 .,
72 . 3
251

. 46 (31 1 15- 2 .). 1


. 11 (73%) 2- .
1 . (7,4 vs 10,5 / [133 vs 190 /], < 0,001).
< 3,3 / (< 60 /) 1 . (11
, 35%), 4 (13%) ,
1 (3%) .
. . , Indiana Univ. Sch. of Medicine. .30.
(. )

-
- -
- - -
- - - -
8. .
Buck B.H., Liebeskind D.S., Saver J.L., et al. Early neutrophilia is associated with
volume of ischemic tissue in acute stroke //Stroke.-2008.-Vol.39, 2.-P.355-360..


.
- (). ,
.

.
.

. 173
73 .
. ()
: 1,3; 1,3; 3,2; 20,4 ( < 0,001);
: 3,2; 8,1; 1,3; 1,5 (=0,004).

, .
, 8,7 12,9
, . ,

. , Univ. of Toronto. .39
(. )

-
- -
- - -
- - - -
9.
. Coca A., Messerly F.H., Benetos A., et al Predicting stroke risk in
252

hypertensive patients with coronary artery disease //Stroke.-2008.-Vol.39, 2.P.343-348.-.


,
() . , ,

INVEST (INternational VErapamil SRtrandolapril STudy). (
) 22576 , ,
() .

( , -). ( 24
., > 70% < 140/90 ...) 61835 -
, 377 (6,1 /1000 ) 28% .
, , ,
, , /
, , .
< 140/90 ... . , Univ. of Barcelona.
.30.
(. )

-
- -
- - -
- - - -
10. - . Matsumoto M.,
Ishikawa S., Kajii E. Association of adiponectin with cerebrovascular disease
//Stroke.-2008.-Vol.39, 2.-P.323-328.-.
-
, - ()
.
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- 5243 12490 .
1992-1995. 9,7., ,
179 . 630 .
, . . .
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253

. , Jichi
Med. Univ. .24.
(. )

-
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11.
. Staekenborg S.S., van der Flier W.M., van
Straaten E.C.W., et al. Neurological sings in relation to type of cerebrovascular
disease in vascular dementia //Stroke.-2008.-Vol.39, 2.-P.317-322.-.

()
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706 .
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), 2) (74%,
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(49%), (10%). 2
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- . , Vrije Universiteit
Med. Center. .52.
(. )

-
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- - -
12. .
ABCD. Sciolla R., Melis F. Rapid identification of highrisk transient ischemic attacks. Prospective validation of the ABCD score //Stroke.2008.-Vol.39, 2.-P.297-302.-.
6- ABCD, : , ,
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254

. 6- 7- ABCD ABCD (
). 274 10 (3,6%) 7 . 15
(5,5%) 30 . ABCD
, 7, 30 . ( = 2,55 7 . 2,62
30 ). (
= 2,68 7 . 2,89 30 ). ,
ABCD,
. , University of Turin. .15.
(. )

-
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- - - - ABCD
13.
. Lim J.Y., Koh J.H., Paik N.J. Intramuscular botulinum toxin-A
reduces hemiplegic shoulder pain //Stroke.-2008.-Vol.39, 1.-P.126-131.-.

, , ,
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() ()
. 29
( 24 .,
6/10) 2 . 1 . /
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Ashworth. 2,
6 12 . . 12 . 4,2 1 .
2,5 2- (=0,051), 82,9 51,8 .,
(=0,059). , .
Fugl-Meyer Ashworth. 3 .
. , Seoul Nat. Univer. College of Medicine. . 56.
(. )

-
- -
14.
. CARAT. Johnson S.C., Down C.F., Higashida R.T., et al.
Predictors of rehemorrhage after treatment of ruptured intracranial aneurysms.
The cerebral aneurysm rerupture after treatment (CARAT) study //Stroke.-2008.Vol.39, 1.-P.120-125.-.
255


.
CARAT
, 9
1996-1998 . 2005 .
3 ,
.
,
, - .
1001 4 . 19
, 3 . 58%
.
( : 1,1% , 2,9% 91-99% ,
5,9% 70%-90%, 17,6% < 70%; < 0,0001 -
).
(3,4% vs 1,3%; =0,092),
(=0,83). ,
,
. , Univ. of California, Los
Angeles. .25.
(. )

-
- -
- - -
- - -
15. ? Canhao P., Cortesao A.,
Cabral M., et al. Are steroids useful to treat cerebral venous thrombosis? //Stroke.2008.-Vol.39, 1.-P.105-110.-.

().
()
624 . 6 .
3 : 1)
- (
); 2)
- ; 3) -
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2- . (26/146 vs 17/149, = 1,7; 95%
0,9-3,3); 2)
(26/146 vs 60/469, =1,5;
95% 0,9-2,4), ,
(8,45 vs 9/184, =4,2, 95% 1,6-11,6); 3)

. . ,
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256

. . ,
Hosp.Santa Maria. Lisbo. .33.
(. )

-
- -
- - -
16. 9
. Kelly P.J., Morrow J.D., Ning M.M., et al. Oxidative stress and matrix
metalloproteinase-9 in acute ischemic stroke //Stroke.-2008.-Vol.39, 1.-P.100-104..
,
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< 8 ., 24 ., 2-5 . 4-6 .
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(0,041 vs 0,0295 /; =0,012)
.
F2- ,
Rankin (> 0,05 ). , University College Dublin. .
22.
(. )

-
- -
- -
17.
: . Adams
H.P., Effron M.B., Torner J. et al. Emergency administration of abciximab for treatment of
patients with acute ischemic stroke: results of an international phase III trial //Stroke.2008.-Vol.39, 1.-P.87-99.-.
, -, -
, ()
(). /
257


. 1800. 1-
, 5 . , 2- 5-6 . 3, , 3 .
Rankin 3 . .
, 5
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- . 3 ., 33%
. (72/218) 32% . (71/221) 1-
, .
Rankin . . . 5 .
5,5% . 0,5% 1-
(=0,002).
. . . University of Iowa, Iowa. . 23.
(. )
-
- -
- - -
18. -
. Yip H.-K., Chang L.-T., Chang W.-N.
et al. Level and value of circulating endothelial progenitor cells in patients after acute
ischemic stroke //Stroke.-2008.-Vol.39, 1.-P.69-74.-.
.- ()
,
in situ. ,

(). 48 .
138 20 40 . .
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(<0,05). ,
( Nat. inst. of Health stroke <12 ),
(<0,0001) 48 .
4 21 . (= 0,00004).
,
( 12 ) 48 .
( , 12 ) 90 . (<0,001).
. Chang Gung Univ. College of Medicine. Kaohsiung. . 28
(. )
-
- -
- - - -
- - - -
19. ,
. Hermann D.M., Siccoli M., Brugger P.
et al. Evolution of neurological, neuropsychological and sleep-wake disturbances after
paramedian thalamic stroke //Stroke.-2008.-Vol.39, 1.-P.62-68.-.
258


() . 46 48,4 16,6 . 14
, 16 16 .

(n-27) (n-31).
1. 31 Rankin
Barthel.
(67%), (67%), (63%),
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. . University Hospital, Zurich. . 36.
(. )

-
- -
- - -
20. . Ikram
M.A., Vernooij W.M., Hofman A. et al. Kidney function is related to cerebral small vessel
disease //Stroke.-2008.-Vol.39, 1.-P.55-61.-.
()
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. 484
(, 60-90 .) Cockcroft-Gault.

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. 42
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259

- -
- - -
- - - -
21. -
. Kuriama S., Kusaka Y., Fujimura M. et al. Prevalence and clinicoepidemiological
features of moyamoya disease in Japan //Stroke.-2008.-Vol.39, 1.-P.42-47.-.


- . 2
. ,
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1- , 2- , 1- .
2003 . 7700. . (. .)
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2003 . 12,1% .
(77,9%). -
, 10-.
(3900 1994 . 7700 2003 .).

(0,34 1994 . 0,54 2003 . 100000). Tohoku Univ. Graduate School of
Med. . 21.
(. )
-
- -
- - -
22.
. Gargano J.W., Wehner S., Reeves.M. Sex differences in acute stroke
care in a statewide stroke registry //Stroke.-2008.-Vol.39, 1.-P.24-29.-.
.
. 2002 .
2566 ,
15 .

( Rankin)
,
. Rankin
- . . . (70 vs 67
.) . .
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(=0,56)
(=0,76)
(=2,57). . . (9 vs 8% ), .
Rankin (=1,17).
,
260

,
. . Michigan State University. . 31
(. )
-
- -
- - -
23. .
. Touze E., Rothwell P.M. Sex differences in heritability of ischemic
stroke. A Systematic review and meta-analysis //Stroke.-2008.-Vol.39, 1.-P.16-23..
, , .
. .
.

.
.

. 18 (7941
), 7 . .
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(=1,15; 95% : 1,03-1,29).
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Radeliffe Infirmary,Oxford. . 55.
(. )

-
- -
- - -
- - - -
24. 21 .
20 . Hallstrom B., Jonsson
A.-C., Nerbrand C. et. al. Stroke ncidence and survival in the beginning of the 21st century
in southern Sweden. Comparisons with the late 20th century and projections into the
future //Stroke.-2008.-Vol.39, 1.-P.10-15.-.
2001-2002
. -, , .

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1983-1985 . 1993-1995 .

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261

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. 2001-2002 . 456
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1993-1995 . 134 1983-1985 .
( 0,8; 95%:0,67-0,94) 2001-2002 .
1993-1995 . , 2050 .
59%.
, ,

. . Lund
University. . 38.
(. )
-
- -
- - -
- - - -
25. D
. Evatt M.L., Delong M.R., Khazai N., et al. Prevalence of
vitamin D insufficiency in patients with Parkinson disease and Alzheimer disease
//Arch.Neurol.-2008.-Vol.65, N10.-P.1348-1352.-.
D
() .
(). - 25- D (25
[] D). 1992-2007 .
. , , , .
, (55%) D,
(36%) (41%). - 25 [] D
, (31,9 / vs 37,0
/ 34,8 /, .).
D . D
. .Emory University
School of Medicine. Atlanta.
(. http:/ www.pubmed.gov)

-
- ,
- - D
26. : 235
. Kelley B.J., Boeve B.F., Josephs K.A. Young-onset dementia: demographic and
etiologic characteristics of 235 patients //Arch.Neurol.-2008.-Vol.65, N11.-P.1502-1508..
45 .
.
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1996-2006 .
17-45 . 235 ,
. , ,
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31,1%, 21,3%. 44 (18,7%)
. :
30 .,
35 . , (<45 .)

.
. . . Mayo Clinic.
Rochester.
(. http:/ www.pubmed.gov)

-
27. . Pandolfo M. Friedreich ataxia //Arch.Neurol.-2008.-Vol.65,
N10.-P.1296-1303.-.
. ,
. ,

19
.
1996 .
.
.
. Brussels Free University.
(. http:/ www.pubmed.gov)

28. . Novak
J.C., Lovett-Racke A.E., Racke M.K. Monoclonal antibody therapies and neurologic
disorders //Arch.Neurol.-2008.-Vol.65, N9.-P.1162-1165.-.
. ()
1970- .,
.
,
. ,
, . ,
,
.
,
. , The Ohio State Univ. Med. Center.
(. http:/ www.pubmed.gov)

263

29.
: . Stead L.G., Gilmore R.M., Bellolio
M.F. et al. Percutaneous clot removal devices in acute ischemic stroke: a systematic review
and meta-analysis //Arch.Neurol.-2008.-Vol.65, N8.-P.1024-1030.-.


. 2000-2006 .
MEDLINE EMBASE 114 .
(36%) (38%).
National Institute of Health Stroke Survey (NIHSS)
20,4. 85% . 22% .
81 18,5%,
27,3% 66 . 126 36%
Rankin (< = 2) 29% ;
24% 38% .
(=0,001)
NIHSS (=0,001). . ,
14,8
Rankin (95%I:4,4-50,0; <0,001).
/ , /
. , Division of Research. Rochester.
(. http:/ www.pubmed.gov)

-
- -
30.
. Ozdemir O., Beletsky V., Chan R., Hachinski V.
Thrombolysis in patients with marked clinical fluctuations in neurologic status due to
cerebral ischemia //Arch.Neurol.-2008.-Vol.65, N8.-P.1017-1019.-.

,
. 2004-2006 . , / /
.
.
4 NIHSS. 127
13 (10,2%) .
( , 7) NIHSS
( , 12) (<0,001).
. 24 . NIHSS
2 (1-12). 3 .
( Rankin, 0-2). ,
University of Western Ontario.
(. http:/ www.pubmed.gov)

-
- -
- - -
264


: ..
: _______________
: _______________
1. :
.Chong E.W., Kreis A.J., Wong T.Y., et al. Alcohol
consumption and the risk of age-related macular degeneration: a systematic review and
meta-analysis //Am.J.Ophthalmol.-2008.-Vol.145, N4.-P.707-715.-.

- () 7
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441 5
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(1513 410 ). ,
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. , The University of Melbourne.
(. http:/ www.pubmed.gov)

-
- -
- -
- - -
- - - -
2.
. Greenfield D.S., Weinreb R.N. Role of optic nerve imaging in
glaucoma clinical practice and clinical trials //Am.J.Ophthalmol.-2008.-Vol.145, N4.P.598-603.-.



. ,
,
,

. ,
,

265

. .
,
. , Boscom Palmer Eye
Institute.
(. http:/ www.pubmed.gov)

-
3.

,
, . Jachens A.W., Chu D.S. Retrospective
review of methotrexate therapy in the treatment of chronic, noninfectious, nonnecrotizing
scleritis //Am.J.Ophthalmol.-2008.-Vol.145, N3.-P.487-492.-.
,
,
.
, ,
. 18 27
: 15 . . 52 .
11 (9 . 2 .),
10 (3 ).
21 (78%) 27 . 8
, 1-
. 7,5-35 ,
19 . -
. ,
,
. , Institute of Ophthalmology and
Visual Science.
(. http:/ www.pubmed.gov)

-
- -
4.
. Lin P., Bhullar S.S., Tessler
H.H., et al. Immunologic markers as potential predictors of systemic autoimmune disease
in patients with idiopathic scleritis //Am.J.Ophthalmol.-2008.-Vol.145, N3.-P.463-471..

().
11-. . 91 (76,5%) 119
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.) (), ,
2(3,2%) 63 . 22,9(95%:3,4-154,2,
=0,006). ,
,
. . University of Illinois at Chicago.
(. http:/ www.pubmed.gov)

-
- -
- - -
5.
. Ghosh S., Jhanji V., Lamoureux E., et al. Acyclovir
therapy in prevention of recurrent herpetic keratitis following penetrating keratoplasty
//Am.J.Ophthalmol.-2008.-Vol.145, N2.-P.198-202.-.


(). : ,
, .
24,7 3,6 23,5 2,3 . . (26 )
(29 ), . 1 .
16,1 4,8 ., 2 15,1 3,5 .
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, 5 (19%) (<0,001).
20/40 30 7% 1 2 ., ., 2
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12 . 88,5 65,5% 24 ., . ,
, . , Centre for Eye Research
Australia. Melbourne.
(. http:/ www.pubmed.gov)

-
- -
- - -
6. . Wilhelmus K.R., Jones D.B., Matoba A.Y., et
al. Bilateral acanthamoeba keratitis //Am.J.Ophthalmol.-2008.-Vol.145, N2.-P.193-197..


(). , 1997-2007 .
,
. 50 ;
2004 . 5 (11%) 45
, 3 2
. 3
2 .
267

9 10 20/30 .
,
. ,
. , Cullen Eye Institute.
(. http:/ www.pubmed.gov)

-
- -
7. . Rylander N.R., Vold
S.D. Cost analysis of glaucoma medications //Am.J.Ophthalmol.-2008.-Vol.145, N1.P.106-113.-.
, ,


.
$150,81 0,5% (Falcon Pharmaceuticals,
Ltd, Fort Worth, Texas, USA) 697,42 (Merck & Co, West Point,
Pennsylvania, USA) $873.98 3-
0,15% (Allergan, Inc, Irvine, California, USA). -
$203,47 0,5% (Merck & Co) 657,24 S
(Alcon Laboratories, Fort Worth, Texas, USA). -
, .
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$559,08. - (2)
0,2% $352,89 529,34 . 2 3 ,
. -
. .
.
, Scott and White Memorial Hosp.and Clinic.
(. http:/ www.pubmed.gov)

-
8. . Rau G., Seedor
J.A., Shah M.K., et al. Incidence and clinical characteristics of enterococcus keratitis
//Cornea.-2008.-Vol.27, N8.-P.895 - 899.-.
,
- 1996-2005
.
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15
.faecalis. 17-98 . ( , 57,5
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268

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. , ,
. , New York Eye and
Ear Infirmary.
(. http:/ www.pubmed.gov)

-
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9. :
/. Hayreh S.S., Zimmerman M.B.
Nonarteritic anterior ischemic optic neuropathy: refractive error and its relationship to
cup/disc ratio //Ophthalmol.-2008.-Vol.115, N12.-P.2275-2281.-.

() .
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2 .
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1999-2000 .
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.
, . ,
,
. , University of Iowa.
(. http:/ www.pubmed.gov)

-
- -
- - -
10. , : 205
. Shahid H., Sandhu A., Keenan T., Pearson A. Factors affecting outcome of
punctoplasty surgery: a review of 205 cases //Br.J.Ophthalmol.-2008.-Vol.92, N 12.P.1689-1692.-.
,
205 ,
. , 20022006 . Royal Berkshire NHS Trust, UK.
269

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. , John Radcliff
Hosp. Oxford.
(. http:/ www.pubmed.gov)

-
11. 9-
- . Reibaldi A., Uva M.G.,
Longo A. Nine-year follow-up of trabeculectomy with or without low-dosage mitomycin-c
in primary open-angle glaucoma //Br.J.Ophthalmol.-2008.-Vol.92, N12.-P.1666-1670..

- ()
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=0,015); (9 vs 25%, =0,040)
(21,1 vs 48,6%, =0,009). .
, . . ,

. , University of Catania.
(. http:/ www.pubmed.gov)

- -
- -
12. :
,
270

. Kiss C.G., Simader C., Michels S., Schmidt-Erfurth U. Combination of


verteporfin photodynamic therapy and ranibizumab: effects on retinal anatomy, choroidal
perfusion and visual function in the protect study //Br.J.Ophthal.-2008.-Vol.92, N12.P.1620-1627.-.
() () ,
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Medical University of Vienna.
(. http:/ www.pubmed.gov)

-
- -
- - -
13. :
. ODoherty M., Dooley I., Hickey-Dwyer M. Interventions for diabetic
macular oedema: a systematic review of the literature //Br.J.Ophthalmol.-2008.-Vol.92,
N12.-P.1581-1590.-.

()
.
Medline i Cochrane.
. ,
1979 . 2007 . 93 , 31 .

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(. http:/ www.pubmed.gov)
271


-
14.
. Orucov F., Galbinur T., Frenkel S., et al. Prevalence of clinical asymptomatic
retinal detachment in myopic population //Br.J.Ophthalmol.-2008.-Vol.92, N10.-P.13741376.-.

() ,

2002 . 2006 .
. 6547 (12 815 ), 2907
(44,4%) . 3640 (55,4%) . 31,5 . (18-64 .).
4,42 (2,07).
20/20 (20/32 20/12,5). 5 (0,039%
1 2563 ) 4 ,
. 3
, 2 . ,

. , Hebrew University Medical
Center.
(. http:/ www.pubmed.gov)

-
15.
. Maier P., Birnbaum F., Bhringer D., Reinhard T. Toxic anterior
segment syndrome following penetrating keratoplasty //Arch.Ophthalmol.-2008.-Vol.126,
N12.-P.1677-1681.-.
()
() .
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(. http:/ www.pubmed.gov)

- c
- -
272

16.
: , 2005-2050. Saaddine J.B.,
Honeycutt A.A., Narayan K.M., et al. Projection of diabetic retinopathy and other major eye
diseases among people with diabetes mellitus: United States, 2005-2050
//Arch.Ophthalmol.-2008.-Vol.126, N12.-P.1740-1747.-.
(),
(), 40 .
2005-2050 .
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16,0 . 1,2 . 2005 . 3,4 . . 65
( 2,5 9,9 . 0,5 1,9 .
). 40 . 2050 .
235%, 65 .
12 .
, .

.
. , Centers for
diseases control and prevention.
(. http:/ www.pubmed.gov)

-
- -
17. . Warrier S., Prabharakan V.C.,
Valenzuela A., et al. Orbital arteriovenous malformations //Arch.Ophthalmol.-2008.Vol.126, N12.-P.1669-1675.-.

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,
. , University of Adelaide.
(. http:/ www.pubmed.gov)

-
273

18.
. Datiles M.B. 3rd., Ansari R.R., Suh K.I., et al.
Clinical detection of precataraktuos lens protein changes using dynamic light scattering
//Arch.Ophthalmol.-2008.-Vol.126, N12.-P.1687-1693.-.

. 380 235 7-86
. 0-3,8
- () ,
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, (<0,001).
, ,
(<0,001). 3%.

.

. , National eye institute, Bethesda, MD.
(. http:/ www.pubmed.gov)

-
- -
19. .
Monson D.M., Smith J.R., Klein ML., Wilson D.J. Clinicopathologic correlation of retinal
angiomatous proliferation //Arch.Ophthalmol.-2008.-Vol.126, N12.-P.1664-1668.-.

(),
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(. http:/ www.pubmed.gov)

-
- -

274

20. . Behlau I.,


Gilmore
M.S.
Microbial
biofilms
in
ophthalmology
and
infectious
disease //Arch.Ophthalmol.-2008.-Vol.126, N11.-P.1572-1581.-.
,
, ,
.
, , ,
.
. . 3-
-
.
.
.

. ,
Schepens Eye Res. Institute.
(. http:/ www.pubmed.gov)

-
21.
. Kase S., Parikh J.G., Youssef P.N., et al. Transforming growth factor
beta in retinoblastoma-related cataract //Arch.Ophthalmol.-2008.-Vol.126, N11.-P.15391542.-.

() . 20
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,
. . Doheny Eye Institute.
(. http:/ www.pubmed.gov)

-
- -
22. - ,
. Ostoji J., Grozdani S.D., Syed N.A., et al. Patterns of
distribution of oxygen-binding globins, neuroglobin and cytoglobin in human retina
//Arch.Ophthalmol.-2008.-Vol.126, N11.-P.1530-1536.-.
275

- ()
(). - , ( 2,
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(, ) .
.

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.

.
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, . , Iowa State
University.
(. http:/ www.pubmed.gov)

-
-
23. . Virgili G., Gatta G.,
Ciccolall L., et al. Susvival in patients with uveal melanoma in Europe
//Arch.Ophthalmol.-2008.-Vol.126, N10.-P.1413-1418.-.
, 1983-1994 .
. 32
16 ,
5788 . 5-. 68,9%
(1983-1999 .)
2,45 (95%:2,10-2,89) 75 .
54 . (1,1;
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(1,26 1,25 .). . 5-.

.
. , University of Florence.
(. http:/ www.pubmed.gov)

-
- -
- - -
24. . Boulos P.R., Rubin P.A. A
lacrimal sac abscess incision and drainage technique //Arch.Ophthalmol.-2008.-Vol.126,
N9.-P.1297-1300.-.

276

,
. 52 .

.
:
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. , , 7 .
4 48 (8,3%). 4 16
(25,0%),
( ),
. , Harvard Medical
School.
(. http:/ www.pubmed.gov)

-
25. :
. Said D.G., Mathew M., Shaikh M.Y., et al. Diffuse keratoconjunctival
proliferation: a novel clinical manifestation //Arch.Ophthalmol.-2008.-Vol.126, N9.P.1226-1232.-.

,
. 14
(28 ). 6 . ,
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. , University of Nottingham.
(. http:/ www.pubmed.gov)

-
26. 1%:
- , - . Abelson M.B., Heller W.,
Shapiro A.M., et al. Clinical cure of bacterial conjuctivitis with azithromycin 1%: vehiclecontrolled, double-masked clinical trial //Am.J.Ophthalmol.-2008.-Vol.145, N6.-P.959965.-.
, , -, , -, 1%
277

Dura Site (InSite Vision, Inc. Alameda, USA).


(1% ) 2 . 1 2 .
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in vitro. , . .
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Ophthalmic Research Associates.
(. http:/ www.pubmed.gov)

-
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27. 0,4%
: . Troiano P., Monaco G. Effect of hypotonic 0,4%
hyaluronic acid drops in dry eye patients: a cross-over study //Cornea.-2008.-Vol.27,
10.-P.1126-1130.-.
2 ,
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.. Eye Clinic-Fondazione IRCCS Ospedale Maggiore Policlinico, Milano.
(. : http:/ www.pubmed.gov)

28. , .
Ertan A., Muftuoglu O. Keratoconus clinical findings according to different age and gender
groups //Cornea.-2008.-Vol.27, 10.-P.1109-1113.-.

482 (153 . 95

278

.) 3 . (. 1: <21 ., . 2: 21-40 .,
. 3: >40 .). . 1, 2 3 83, 362 37 , .

Pentacam (Oculus Optikgerate GmbH).
(, ),
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75,3 7,5% . 37,8%
. 62,2% .
. , Kudret Eye Hosp., Ankara.
(. : http:/ www.pubmed.gov)

29.
. Sosa A.B.,
Epstein S.P., Asbell P.A. Evaluation of toxicity of commercial ophthalmic fluoroquinolone
antibiotics as assessed on immortalized corneal and conjunctival epithelial cells //Cornea.2008.-Vol.27, 8.-P.930-934.-.

. .
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.
. . Mount Sinai Medical Center.
(. : http:/ www.pubmed.gov)

-
- -
- - -
30.
: . Suh M.H, Kwon J.W, Wee
W.R., et al. Protective effect of ascorbic Acid against corneal damage by ultraviolet B
irradiation: a pilot study //Cornea.-2008.-Vol.27, 8.-P.916-922.-.

279

- ()
() 8 2,1-2,5
3 .: , . 2
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. (<0,0001).

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. . Seoul Nat. Univer. Coll. Of
Medicine.
(. : http:/ www.pubmed.gov)

-
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: ..
: _______________
: _______________
1. :
. Screening for prostate cancer: U.S. Preventive Services
Task Force recommendation statement //Ann. Intern. Med.-2008.-Vol.149, 3.-.185191.-.
()
. .

. , , .
75 . .
, -
.
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. .
. 75 . .
. ., . . , .
. , Colorado Dept. Publ. Hlth, Environ., Denver. .19.
(. : http://www.annals.org/cgi/content)

-
- -
- - -
280

2.
- . Lu-Yao G.L., Albertsen P.C., Moore D.F. et al.
Survival following primary androgen deprivation therapy among men with localized
prostate cancer //JAMA.-2008.-Vol.300, 2.-P.173-181.-.
, -
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11045 . . 10-. (80,1 vs 82,6%;
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(30,2 vs 30,3%; 1,00; 95%:0,96-1,05). ,
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(17,3 vs 15,3%; 0,92). , -

. , Dept. Environ. Occup. Med., Robert Wood Johnson
Med. Sch., New Jersey. 48.
(. : http://jama.ama-assn.org/cgi/content)

-
- - -
- - -
3.
:
. Mitry E., Fields A., Bleiberg H. et al. Adjuvant chemotherapy after
potentially curative resection of metastases from clorectal cancer: pooled analysis of
two randomized trials //J. Clin. Oncol.-2008-Vol.26, 30.-.4906-4911.-.

281

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(),
.
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/2 /) dl- (200 /2) 5 ., (370
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. -. , Hpit. Ambroise Pare, Publ. Hpit. Paris, Boulogne.
(. : http://jo.ascopubs.org)

-
- -
- - -
4.
:
(BRiTE). Grozey A., Surgue M.M., Purdie D.M., Dong W. et al.
Bevacizumab beyond first progression is associated with prolonged overall survival in
metastatic colorectal cancer: results from a large observational cohort study (BRiTE ) //J.
Clin. Oncol.2008.-Vol 26, 33.-P.5326-5334.-.
BRiTE ( :
-
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( 0,48; <0,001). , ,
- , 24,6%
. ,
,
- . , Mayo Clin.
Rochest., Rochester.

282

(. : http://jo.ascopubs.org)

-
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- - -
5. 5-
. Imperiale T.F., Glowinski E.A., Lin-Cooper Ch. et al.
Five-year risk of colorectal neoplasia after negative screening colonoscopy //N.Engl.
J.Med.-2008.- Vol.359, 12.-P.1218-1224.-.
, ,
. - (n=2436) ,
. 5,34 . 51,6%
,
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.

(1,1% [12 1057]
2,0% [4 199]). . .
<1 1,88, 3,31.
, 5-.
,
5 . , Indiana Univ. Sch. Med., Indianapolis. . 24.
(. : http://content.nejm.org)

-
- -
6.
. Johnson C.D., Chen M.-H., Toledano A.Y. et al. Accuracy of CT
clngraphy for detection of large adenomas and cancers //N.Engl.J.Med.-2008.-Vol.359,
12.-P.1207-1217.-.
()
.
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(n=2600) 50 .,
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0,84, 6 0,78.
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283


. , Mayo linic Arizona, Scottsdale. .25
(. : http://content.nejm.org )

-
- -
- - -
7.
. Bernatsky S., Clarke A.E., Suissa S. Hematologic malignant
neoplasms after drug exposure in rheumatoid arthritis //Arch.Intern.Med.-2008.-Vol.168,
4.-P.378-381.-.
,
- ()
. . - (n=23810) . .
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619 . .
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1,18; 1,44 2,21 (95%:0,99-1,40; 1,01-2,03; 1,52-3,20 .) . .
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, ,
, ,
.
. , Divis. Chin.
Epidemiol.,Allergy, Chin. Immun., McGill Univ. Hlth Centre, Quebec.
(. : http://archinte.ama-assn.org )

-
- -
- - -
8. 2007

. Harris L., Fritshe H., Mennel R. et al. American society of clinical oncology 2007
update of recommendations for the use of tumor markers in breast cancer //J.Clin.Oncol.2007.- Vol.25, 33.-P.5287-5312.-.

() .
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284


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. . , Yale Canc. Cent., Yale Univ., New Haren.
(. : http://jo.ascopubs.org)

-
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9. ,

:
. Paridaens R. J., Dirix
L.Y., Beex L.V. et al. Phase III study comparing exemestane with tamoxifen as first-line
hormonal treatment of metastatic breast cancer in postmenopausal women: The European
organisation for research and treatment of cancer breast cancer cooperative group //J.Clin.
Oncol.-2008.- Vol.26, 30.-P.4883-4890.-.
, 81 -
(),

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(20 );
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vs 5,8 .). ,
- ,
- 1 2 . (
, =0,028) . , Univ. Hosp.
Gasthuisberg Kathol. Univ. Leuven.
(. : http://jo.ascopubs.org)

- ,
- -
- - -
- - - -
10. ,


. Di Leo A., Gomez H.L., Aziz Z. et al. Phase III, double-blind, randomized study
comparing lapatinib plus paclitaxel with placebo plus paclitaxel as first-line treatment of
metastatic breast cancer //J.Clin.Oncol.-2008.- Vol.26, 34.-P.5544-5552.-.
, - 1
(EGFR/ErbB1) 2
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285

().
HER-2 HER-2
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. , - 1 .,
. ,
HER-2 HER-2 -
, HER2 - . , Sandro Pitigl. Med.
Oncol. Unit., Prato.
(. : http://jo.ascopubs.org)

-
- -
- - -
- - - -
11.
. Sparano J.A., Wang M., Martino S. et al. Weekly paclitaxel in the
adjuvant treatment of breast cancer // N.Engl. J.Med.-2008.-Vol.358, 16.-P.1663-1671..
,
3 . - ().
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, . USA, Med. Cent.Weiler Div., Bronks. .15
(. : http://content.nejm.org )

-
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286

- - -
12.
. Sherman S.I., Wirth L.J., Droz J.-P. et al. Motesanib
diphosphate in progressive differentiated thyroid cancer //N.Engl.J.Med.-2008.-Vol.359,
1.-P.39-42.-.

,
. ( AMG 706). 2
. - (n=93)
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706 125 /1 . 67%
-; - 24 . ( 35% ). 40 . (95%:3250); 30 . 81 %
- ( 75), ,
- . 59, 56, 46 40% -
. , , . -

. , Dept. Endocr. Neopl. Horm. Disord., Univ.Texas
M.D. Anderson Canc. Cent., Houston. . 29
(. : http://content.nejm.org )

-
- -
- - -
13.
. Vermorken J.B., Mesia R., Rivera F. et al.
Platinum-based chemotherapy plus cetuximab in head and neck cancer //N.Engl.J.Med.2008.- Vol.359, 11.-P.1116-1127.-.
- ()
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, . - 1 . (n=220)
(100 /2 . ) ( 5
//.) (1000 /2 4 .). 3 . ( 6 ). - 2 . (n=222)
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3/4 (, , )
. , Univ. Hosp. Dept. Med. Oncol., Edegem. 22
287

(. : http://content.nejm.org )

-
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- - -
14. , -
: . Ma
J., Li H., Giovannueci E. et al. Prediagnostic body-mass index, plasma C-peptide
concentration, and prostate cancer-specific mortality in men with prostate cancer: a longterm survival analysis //Lancet Oncol.-2008.-Vol.9. 11.-P.1039-1047.-.

() .,
(). 24-. 2546 - ,
3 . - 1, 2, 3 . . : 25,029,9; 30; <25 /2. 281 -. ,
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2,38; 95%:1,31-4,30). - 3 .,
-, - 1 2 ., -, 4
.
. , Prostate Canc. Foundation, Santa Monica,CA.
(. : http://www.thelancet.com )

-
- -
- - -
15. 2
. Sasako M., Sano T., Yamamoto S., et
al. D2 lymphadenectomy alone or with para-aortic nodal dissection for gastric cancer
//N.Engl.J.Med.-2008.- Vol.359, 5.-P.453-462.-.
- ()
2 .

().
- 2, 3 4 24 .
- 1 . 2 , - 2 .
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. ,
, - 1 2 . . 20,9 28,1 % (=0,07);
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69,2 70,3 .; 1,03 (95%:0,77-1,37; =0,85).
- . ; 1,08
(95%:0,83-1,42, =0,56). ,
288

-. ,
Dept. Surg., Hyogo Col. Med., Hyogo. 35
(. : http://content.nejm.org )

-
- - 2
- - -
- - - -
16. :
. Peto R., Emberson J., Landray M., et al. Analyses of cancer data from three
ezetimibe trials //N.Engl.J.Med.-2008.-Vol.359, 13.-P.1357-1366.-.
5-. - ,
, - . ,
, -
().

SEAS, - (),
. , - . ,
SEAS

(101 ., , vs 65
. .). .
(. 0,96; 95%:0,82-1,12; =0,61). ,
(97 vs 72 . .; =0,07),
(216 vs 254 . .; =0,08). , CTSU, Univ.
Oxford, Oxford. . 21.
(. : http://content.nejm.org )

-
- -
17. . Seters
M., Beurden M., Kate F.J.W.,et al. Treatment of vulvar intraepithelial neoplasia with
topical imiquimod //N.Engl.J.Med.-2008.-Vol.358, 14.-P.1465-1473.-.
5%

2/3 . 1 . -, 16 .
(2 /.), - 2 . .
20 . 81% - 1 .
25%, - 2 . (<0,001). - 1 .
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. 20 . - 1 . . 9 ( 26)
20 .,
12 . . (
<1 ) 6% -.
.
, Dept. Obstet., Gynecol., Erassmus. . 31.
289

(. : http://content.nejm.org )

-
-
- -
18.
:
. Mitry E., Jields A., Bleiberg H. et al. Adjuvant chemotherapy after
potentially curative resection of metastasis from clorectal cancer: pooled analysis of two
randomized trials //J. Clin. Oncol.-2008.-Vol.26, 30.-.4911.-.
, ,
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(),
-.
. - 1 .
6 ( 28-. )
/ 400 /2 + 200 /2 dl-
5 ., 370 /2 + 100 /2 l- 5 .; - 2
. . 278 -
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. 27,9 18,8 . ( 1,32; 95%:1,00-1,76; =0,058).
- 1 2 . . 62,2 47,3 . ( 1,32;
95%:0,95-1,82; =0,095).
(
). ,
, -
. , Hpit. Ambroise Par, Publ. Hpit. Paris, Paris.
(. : http://jo.ascopubs.org)
-
- -
- - -
- - - -
19.
:
MABEL . Wilke H., Glynne-Jones R., Sharel J., et al. Cetuximab plus
irinotecan in heavily pretreated metastatic colorectral cancer progressing on irinotecan:
MABEL study //J.Clin.Oncol.-2008.-Vol.26, 33.-P.5335-5343.-.

- ()
. 400
/2, - 250 /2. 1 . ()
(125 /2), 2 . 2 . (
180 /2), 3 . 3 . ( 350 /2).
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; 3/4
290

: (19%), (10%), (7%) (6%).


MABEL
-
. , Klinik. Essen-Mitte, Essen.
(. : http://jo.ascopubs.org)

-
- -
- -
- - -
20. , ,
.
Ajani J.A., Winter K.A., Gunderson L.L., et al. Fluorouracil, Mitomycin and radiotherapy
vs Fluorouracil, Cisplatin and radiotherapy for carcinoma of the anal canal //JAMA.-2008.Vol.299, 16.-P.1914-1921.-.

2 - ().
1 . (45-59 ) (1000
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(1000 /2 1 4, 29 32, 57 60, 85 88 .),
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. , Univ.Texas M.D. Anderson Canc. Cent., Houston.
(. : http://jama.ama-assn.org/cgi/content)

-
- -
- -
- - -
21. ,
. Miguel J.F., Schlag R., Khuageva N.K., et al. Bortezomib plus
Melphalan and Prednisone for initial treatment of multiple myeloma //N.Engl.J.Med.2008.- Vol.359, 9.-P.906-917.-.

/ -
291

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(1,3 /2) 1, 4, 8, 11, 22, 25, 29 32 . 1-4 1, 8, 22 29
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35 71% - 1 2 .
., 4 30% - ( <0,008).
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44 53% 1 2 . ,

- , . , Hosp.
Univ. Salamanca, Salamanca. .35
(. : http://content.nejm.org)

-
- -
- - -
22.
. Trock B.J., Han M., Freedland
S.J., et al. Prostate cancer-specific survival following salvage radiotherapy vs observation
in men with biochemical recurrence after radical prostatectomy //JAMA.-2008.-Vol.299,
23.-P.2760-2769.-.
635 -
()
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6 ., 9
. 116 (18%) - , 89 (22%), 18 (11%) 9 (12%) 1, 2
3 . . -
3 -, (
0,32; 95%; <0,001).
. , - . -
<6 .,
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. ,
Brady Urol. Inst., John Hopkins Sch. Med., Baltimore. . 25.
(. : http://jama.ama-assn.org/cgi/content)

-
- -
- - -

292

23. . Llolet
J.M., Ricci S., Mazzaferro V., et al. Sorafenib in advanced hepatocellular carcinoma
//N.Engl. J.Med.-2008.-Vol.359, 4.-P.378-390.-.
- -
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, , , .
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3 . , Barcelona Clin. Liver Canc. Group., Liver Unit,
Hosp.Clin., Barcelona. . 35.
(. : http://content.nejm.org)

-
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- - -
24. ,
> 3 . Cheng B.-Q., Jia
Ch./-T., et al. Chemoembolization combined with radiofrequency ablation for patients with
hepatocellular carcinoma larger than 3 cm //JAMA.-2008.-Vol.299, 14.-P.1669-1677..

(), ()
(PRA) 1., 2 ., PRA
3 . . - (n=291) >3 .
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( 1,87)
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1 . - 2 ., ( 1,99; 95%;
<0,001). , 6 ., 54,
35 36% - 1 2 3 . . , + PRA
- >3 .
. , Dept. Gastroenter., Radiol., Surg., Oncol., Shandong Univ., Jinan.
(. : http://jama.ama-assn.org/cgi/content)

293

-
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- - -
- - - -
25. - ,
.
Regine W.F., Winter K.A., Abrams R.A., et al. Flourouracil vs gemcitabine chemotherapy
before and after flourouracil-based chemoradiation following resection of pancreatic
adenocarcinoma //JAMA.-2008.-Vol.299, 9.-P.1019-1026.-.
, -

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( 250 /2 .; 230 -), 2 .
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22% - (. 0,82).
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,
. -, . , Dept.
Radiat. Oncol., Univ. Maryland Med.Cent., Baltimore. . 35.
(. : http://jama.ama-assn.org/cgi/content)

-
- -
26.
. Nalluri Sh.R., Chu D., Keresztes R., et al. Risk of
venous thromboembolism with the angiogenesis inhibitor bevacizumab in cancer
patients //JAMA.-2008.-Vol.300, 19.-P.2277-2285.-.
-
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,
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1966 2008 ., - (n=7956) .
, ,
. 11,9 6,3% (95%). . -
(-1,33) . .
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294

-,
. , Div. Med. Oncol., Dept. Med., St. Brook Univ., New York.
(. : http://jama.ama-assn.org)

-
- -
- - -
- - - -
27.
. Chen Zh., Arendell
L., Aickin M., et al. Hip bone density predicts breast cancer risk independently of Gail
score //Cancer.-2008.-Vol.118, 5.- .907-915.-.
()
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. .
(n=9941) 63,0 7,4 .,
. . , 8,43 .,
327 .
1,35 (95%)
(>1,67%). ,
.
,
. ,
Divis. Epidem., Biostat., Mel. Enid Zuckerman Col. Publ. Hlth., Univ. Arizona. . 18.
(. : http://www.ncbi.nlm.nih.gov/pubmed)

-
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: ..
: _______________
: _______________
1. vs : 136 . Kim Y.M., Kim
H.S., Park J.Y., et al. External vs endoscopic approach for inverted papilloma of the sinonasal cavities: a retrospective study of 136 cases //Acta Otolaryngol.-2008.-Vol.128, 8..909-914.-.

.
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. () . ().
295

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4,3% 9,5% . .
72,93+/-18,51 ., 112,02+/-56,52 .;
4,66+/-1,75 . 9,54+/-4,79 . ,
3,2% 33,3% . , .
, .
, Chungham Nat. Univ. College of Medicine.
(. http:/ www.pubmed.gov)

- -
- -
2.
. Gosepath J., Pogodsky T., Mann W.J. Characteristics of
recurrent chronic rhinosinusitis after previous surgical therapy //Acta Otolaryngol.-2008.Vol.128, 7.-.778-784.-.
()
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79%. , 17,6%
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. , Univ. of Manz.
(. http:/ www.pubmed.gov)

-
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- - -
3. :
, , . Lee J.Y. Unilateral
paranasal sinus diseases: analysis of the clinical characteristics, diagnosis, pathology, and
computed tomography findings //Acta Otolaryngol.-2008.-Vol.128, 6.-.621-626.-.

(), .
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296

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94,3%
. , Soonchunhyang Univ. College of Medicine.
(. http:/ www.pubmed.gov)

-
4. . Windfuhr J.P., Schloendorff
G., Baburi D., Kremer B. Lethal outcome of post-tonsillectomy hemorrhage //Eur.Arch.
Otorhinolaryngol.-2008.-Vol.265, 12.-.1527-1534.-.
,
() .

. 29 , 18
. (64%). , (>24 .),
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(. http:/ www.pubmed.gov)

-
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5.
. Psillas G., Pavlidis P., Karvelis I., et al.
Potential efficacy of early treatment of acute acoustic trauma with steroids and piracetam
after gunshot noise //Eur.Arch. Otorhinolaryngol.-2008.-Vol.265, 12.-.1465-1469..

() . 52 ,
( G3).
3 .: (20 ) . ; (17
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. (65%) .
297

(23,5%) (13,3%). , .
(<0,001), . .
. .,
. , Aristotle Univ. of Thessaloniki.
(. http:/ www.pubmed.gov)

-
6.
. -
. Tesche S., Metternich F., Sonnemann U., et al. The value of herbal
medicines in the treatment of acute non-purulent rhinosinusitis. Results of a double-blind,
randomized, controlled trial //Eur.Arch. Otorhinolaryngol.-2008.-Vol.265, 11.-.13551359.-.


() () 5
(5). 150
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7 . . 6,7 (+/-3,4) 11,0 (+/-3,3) ., . . 3,6 (+/-2,8) 8,0 (+/3,0) . .
(<0,00001). ,
. 5 . ,
Univ. Hosp. Hamburg-Eppendorf.
(. http:/ www.pubmed.gov)

-
- -
7. . Voelter
Ch., Kleinsasser N., Joa P., et al. Detection of hormone receptors in the human vocal
fold //Eur.Arch. Otorhinolaryngol.-2008.-Vol.265, 10.-.1239-1244.-.

(). 140
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,
298

lamina propria. -
,
. , Univ. of Wuerzburg.
(. http:/ www.pubmed.gov)

-
- -
8. . Cingi C., Conk-Dalay M., Cakli H., Bal C.
The effects of spirulina on allergic rhinitis //Eur.Arch. Otorhinolaryngol.-2008.-Vol.265,
10.-.1219-1223.-.

. .


. . ,
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, (<0,001),
, , .
. , Eskisehir
Osmangari Univ.
(. http:/ www.pubmed.gov)

-
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9. :

. Hornigold R., Gillett D., Kiverniti E., Harries M. The
management of otitis externa: a randomized controlled trial of a glycerol and icthammol
ribbon gauze versus topical antibiotic and steroid drops //Eur.Arch. Otorhinolaryngol.2008.-Vol.265, 10.-.1199-1203.-.
()
()
. 43 48
47 . (18-80 .). .
5 . 10-
. ,
.
.
. (<0,001).
,
. 27,8%
. .
,
299

.
,
( ). , Brighton and Sussen Univ. Hosp.
(. http:/ www.pubmed.gov)

-
10. : .
Page C., Charlet L., Strunski V. Cartilage tympanoplasty: postoperative functional
results //Eur.Arch. Otorhinolaryngol.-2008.-Vol.265, 10.-.1195-1198.-.

. 230
10-. (1990-2000 .) -
. 49% ,
16% 11%.

.
. , Amiens-Hpital Nord.
(. http:/ www.pubmed.gov)

-
11.
: .
Kaprana A.E., Karatzanis A.D., Prokopakis E.P., et al. Studying the effects of mobile phone
use on the auditory system and the central nervous system: a review of the literature and
future directions //Eur.Arch. Otorhinolaryngol.-2008.-Vol.265, 9.-.1011-1019.-.

() .
().
, ,
., .
,
, .
, ,
.
,
, ,
. ,
.
,
. , Univ. of Crete.
(. http:/ www.pubmed.gov)

-
- -
- - -
- - -
300

12. :
. Dudvarski Z., Pendjer I., Djukic V., et al. The analysis of clinical
characteristics of the chronic rhinosinusitis: complicated and uncomplicated
form //Eur.Arch. Otorhinolaryngol.-2008.-Vol.265, 8.-.923-927.-.

() . .

(), Lanza Kennedy
Lund-Mackay. 90
, 47 . (52%) 43 . (48%), 45 . 1 .
( ) 30 , 2 . (
) 60. ,
, 2 . (<0,01).
35,55 2 . 23,13 1 . (<0,01).
. 2 1 9,03 2,43 16,05 4,37 .
,
, , ,
. , Clinical Center of Serbia.
(. http:/ www.pubmed.gov)

-
- -
13.
. Broekema F.I., Dikkers F.G. Side-effects of cidofovir in the treatment of
recurrent respiratory papillomatosis //Eur.Arch. Otorhinolaryngol.-2008.-Vol.265, 8..871-879.-.
() ,
. 1998 .
.
,
. 31
. 188
. 5
, 2,7%.
(2-3%).
,
.
. , Univ. of Groningen.
(. http:/ www.pubmed.gov)

-
- -
14. . Finsterer J. Management of
peripheral facial nerve palsy //Eur.Arch. Otorhinolaryngol.-2008.-Vol.265, 7.-.743-752..
301

. () ( )
( ).
.
, , , , , ,
. ,
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,
.
.

. ,
.
, , , , ,
. 80%
, 15% . 5%
. , Krankenanstalt Rudolfstiftung.
(. http:/ www.pubmed.gov)

-
-
15. : . Page C., Biet A., Zaatar
R., Strunski V. Parapharyngeal abscess: diagnosis and treatment //Eur.Arch.
Otorhinolaryngol.-2008.-Vol.265, 6.-.681-686.-.
, 7-. ,
, , 16
(). 5-7 . /
.

. 5 (2 , 3
1 ). 2
. , , .
, .
2 .
.
.
(/ - )
. , Univ. Hosp. of Amiens.
(. http:/ www.pubmed.gov)

-
-
16. :
. Hirano S., Kishimoto Y., Suehiro A., et al.
Regeneration of aged vocal fold: first human case treated with fibroblast growth
factor //Laryngoscope.-2008.-Vol.118, 12.-.2254-2259.-.
302

() ()
, , .
() .
. 63-. .
10 .
1-3 . ,
. 1 .
.
. 3 .

. , Kyoto Univ.
(. http:/ www.pubmed.gov)

-
- -
17. :
. Kari E., DelGaudio J.M. Treatment of sinus headache as migraine: the
diagnostic utility of triptans //Laryngoscope.-2008.-Vol.118, 12.-.2235-2239.-.
-
() .
, ,
, ,
. , ,
.
. - : 1)
( >50%); 2) ( 25-50%) 3) -.
41 . (23-70 .). 54 31 (82%)
1 ., 35 (92%)
. ,
- . , Emerg.
Univ. Sch. of Medicine.
(. http:/ www.pubmed.gov)

-
- -
18.
. Das S., Maeso P.A., Becker A.M., et al. Proteomics blood testing to
distinguish chronic rhinosinusitis subtypes //Laryngoscope.-2008.-Vol.118, 12.-.22312234.-.
()

- - (-).
,
. 42 15
, 10 17
.
303

0 100 .
84 90%, 88 88% ., 2 .
3
76 82% 80 90% . ,
- . - ,
.
, The Ohio State Univ.
(. http:/ www.pubmed.gov)

-
- -
- - - -
19. .
Litvack J.R., Fong K., Mace J., et al. Predictors of olfactory dysfunction in patients with
chronic rhinosinusitis //Laryngoscope.-2008.-Vol.118, 12.-.2225-2230.-.

().
,
, , 367
- . ,
64% 18-64 . 95% 65 .
(<0,001) .
, ( 2,4; 95%:1,3-4,2; =0,003)
>65 . ( 10,0; 95%:2,3-43,7; =0,002) .
( 13,2; 95%:5,7-30,7; <0,001), ( 4,2;
95%:1,8-9,8; =0,001), 65 . ( 15,6; 95%:2,3-104,9; =0,005) ,
( 7,6; 95%:1,8-31,6; =0,05), .

.
. , Oregon Sinus
Center, Portland.
(. http:/ www.pubmed.gov)

-
- -
- - -
20. -432 ()
. Kim M.G., Kim S.G., Lee J.H., et al. The therapeutic effect of OK-432
(picibanil) sclerotherapy for benign neck cysts //Laryngoscope.-2008.-Vol.118, 12..2177-2181.-.
, .
-432 75 (42 ., 33 .).
.
-432. ,
, , .
75 31 (41,3%) , 7 (9,3%)
304

(>90% ), 5 (6,6%) (>70% ) 17 (22,7%)


(<70% ). 15 (20%) .
, 8 (10,7%) .
, ,
. , -432

. , Sungkyunkwan Univ.
(. http:/ www.pubmed.gov)

-
- -
21. ,
- . Roberts D.S., Mahoney E.J.,
Hutchinson C.T., et al. Analysis of recurrent angiotensin converting enzyme inhibitorinduced angioedema //Laryngoscope.-2008.-Vol.118, 12.-.2115-2120.-.
, (), (),
, , .
. ,
, ,
.
, .
, 6,2%.
, .
, ,
,
. , Boston Medical Center.
(. http:/ www.pubmed.gov)

-
22. , . Nunes F.P., Bishop T., Prasad
M.L., et al. Laryngeal candidiasis mimicking malignancy //Laryngoscope.-2008.-Vol.118,
11.-.1957-1959.-.
()
, 40 . ,
, 1015% , .
, ,

.
. , Univ. of
Massachusetts.
(. http:/ www.pubmed.gov)

305

23.
: . Olusanya B.O., Somefun A.O., Swanepoel de W. The need
for standardization of methods for worldwide infant hearing screening: a systematic
review //Laryngoscope.-2008.-Vol.118, 10.-.1830-1836.-.

, .

,
, .
.
Functioning, Disability and Health (ICF)
() . (ICF-CY).
, ICF-CY,
. ,
Univ. College London.
(. http:/ www.pubmed.gov)

-
24.
:
. Salt A.N., Gill R.M., Plontke S.K. Dependence of
hearing changes on the dose of intratympanically applied gentamicin: a meta-analysis using
mathematical simulations of clinical drug delivery protocols //Laryngoscope.-2008.Vol.118, 10.-.1793-1800.-.

.

.
568 19 .
, - ,
. ,

-, . .
, .
, ,

. , Washington Univ. Sch. of Medicine.
(. http:/ www.pubmed.gov)

-
- -
- - -
25. : -. Stenner M., Vent
J., Httenbrink K.B., et al. Topical therapy in anosmia: relevance of steroidresponsiveness //Laryngoscope.-2008.-Vol.118, 9.-.1681-1686.-.

306

( , )
.
,
- () .
299 , 89
.
,
. ,
(). 15,5 18,7
(<0,001). , (<0,001).
-,
. - . (<0,001).
,
. , -
.
. 2,1 , .
1,0. , Univ. Hosp. of Cologne.
(. http:/ www.pubmed.gov)

-
- -
26. . Cope D., Bova R. Steroids in otolaryngology //Laryngoscope.-2008.-Vol.118, 9.-.1556-1560.-.

. -
, .
. ,

, , ,
. ,
L,
. , St. Vincents Hosp.
(. http:/ www.pubmed.gov)

27. . Houser S.M.,


Keen K.J. The role of allergy and smoking in chronic rhinosinusitis and
polyposis //Laryngoscope.-2008.-Vol.118, 9.-.1521-1527.-.
()
(),
.
,
, 6-. .
,
.
(56,4%) ,
(=0,0073 =0,0114 .).
307

.
. , Case Western
Res. Univ. College of Medicine.
(. http:/ www.pubmed.gov)

-
- -
- - -
- - - -
28. :
. Roberts D.S., Dowdall J.R., Winter L., et al. Cervical tuberculosis: a decision
tree for protecting healthcare workers //Laryngoscope.-2008.-Vol.118, 8.-.1345-1349..
()
.
.

.
,
. , ,
, - -
.
. . ,
, .
.

. .
,

. , Boston Univ. Sch. of Medicine and Boston
Med. Center.
(. http:/ www.pubmed.gov)

-
29. . Pade J., Hummel T. Olfactory function
following nasal surgery //Laryngoscope.-2008.-Vol.118, 7.-.1260-1264.-.

. 775 (482 ., 293 .)
41 . (10-81 .).
, .
Sniffin Sticks. 356
4 . . 206
, 150 .
.
23%, 68% 9%,
13, 81 7% . ,
308

, , .
,
. ,
. , St. Johannes Hosp.
(. http:/ www.pubmed.gov)

-
- -
30.
: 1000 . Helmstaedter V., Wittekindt C.,
Huttenbrink K.B., Guntinas-Lichius O. Safety and efficacy of botulinum toxin therapy in
otorhinolaryngology: experience from 1,000 treatments //Laryngoscope.-2008.-Vol.118,
5.-.790-796.-.
()
1000 261 .
, , ,
. ,
16 ,
, .
1,3%
,
. . 3 (1,2%)

. 2,8%
4 . .
, -
, .
,
, . , Univ. of Cologne.
(. http:/ www.pubmed.gov)

-
- -
- - -
: ..
: _______________
: _______________
1.
. Morris B.H., Oh W., Tyson J.E., et
al. Aggressive vs. conservative phototherapy for infants with extremely low birth
weight //N.Engl.J.Med.-2008.-Vol.359, N18.-P.1885-1896.-.
, () ()
()
(1000 ). 1974 12
309

36 ., , () .
, ()
(), 91% ,
.
(7,0 vs 9,8 /, 120 vs 168 /, <0,01),
(52 vs 55%; 0,94; 95%:0,87-1,02; =0,15).
(26 vs 30% ; 0,86; 95%:0,74-0,99). .
. 24 23% ( 1,05; 95%:0,90-1,22).
, 13% 14%
751 1000 , 501 750 . 39 34% ( 1,13;
95%:0,96-1,34). ,
. ,
501 750 . , Univ. Texas
Medic. Sch., Houston. . 41.
(. )

-
- -
2. .
Moster D., Lie R.T., Markestad T. Long-term medical and social consequences of preterm
birth //N.Engl.J.Med.-2008.-Vol.359, N3.-P.262-273.-.

, . , .
.
.,
() 1967-1983 ., 2003 .;
.
903402 ., ; 1822 .
23 27 ., 2805 28 30 ., 7424 31
33 ., 32945 34 36 . 858406 37 .
, , . 17,8,
57,3, 85,7, 94,6 96,5%. , ,
0,1% , , vs 9,1%
23 27 .; 23-27 . 78,9; 95%:56,5110,0. . 0,4 vs 4,4% ( 10,3;
95%:6,2-17,2). , , .
1,7 vs 10,6% ( 7,5; 95%:5,5-10,0). , ,
, ,
, ,
. ,
, 1967-1983 .,

. , Univ. Bergen, Bergen. . 39.
(. )

-
- -
310

3.
, . Tyson J.E., Parikh N.A., Langer J., et al. Intensive
care for extreme prematurity moving beyond destational age //N.Engl.J.Med.-2008.Vol.358, N16.-P.1672-1681.-.
,
() (). ,
. .
4446 , 22 25 . (
)
. .

,
18 22 .
3702 (83%)
. 4192 (94%),
18 22 ., 49% , 61% , ,
73% , . ,
, ,
, , :
, . , ( 100 ). , 1-.
.
, , .
, ,
. ,

: ,
,
. , Cent. Clin. Res. a. Evidence-Based, Medic., Univ. Texas Medic.
Sch. at Houston, Houston. . 40.
(. )

-
- -
4. . Beden A.B., Brecelj J.,
Bratani N., et al. Guidelines for management of children with cystic
fibrosis //Zdrav.Vestn.-2008.-Vol.77, N10.-P.679-692.-., .
()
. ,
,
, ,
, , . vas
deferens.
,
. ,
311

.

.
. . , Univ. Klin. Cent. Ljubljana,
Ljubljana. . 111.
(. )

-
- -
5. .
Beardsall K., Vanhaesebrouck S., Ogilvy-Stuart A.L., et al. Early insulin therapy in verylow-birth-weight infants //N.Engl.J.Med.-2008.-Vol.359, N18.-P.1873-1884.-.
., ,
, () ()
.
().
,

. 195
0,05 / /. 20%- (1 .); 2, ., . 194
. 1-7 .
.
.
.
. . 1 . (6,21,4 vs
6,72,2 /, 11225 vs 12140 /, =0,007). 1 . .
>10% . (21 vs 33%, =0,008). 1
. , . . (5113 vs 4310
//., <0,001) . (
-0,550,52 vs -0,700,47;
=0,006). 1 . (
<2,6 / [47 /] >1 .), 29% 1 . vs 17% .
., =0,005. >1
. (intention-to-treat)
. . ; 28
. 1 ., 2 (=0,04). ,
. ,
. , Univ. Cambridge, Cambridge. .
31.
(. )

-
- -
6.
. Morley C.J., Davis P.G., Doyle L.W. Nasal CPAP or

312

intubation at birth for very preterm infants //N.Engl.J.Med.-2008.-Vol.358, N7.-P.700708.-.


() .
,
()

. . 610
, () 25 28 . 1 .
, 2 . 5 . .
28- . , 36-. . 36-.
33,9% 307 1 . 38,9%
303 2 . ( 1 . 0,80; 95%:0,58-1,12, =0,19). 28- . 1
. , 2 . ( 0,63;
95%:0,46-0,88, =0,006). . 46% . 1
. 5 .,
. 1 . 9%, 2 . 3% (<0,001); .
. 1 . .
. ,
. .
. , . .
28- . . . , Royal
Womens Hosp., Melbourne. . 43.
(. )

-
- -
7.
. Skoner D.P., Maspero J., Banerji D. Assessment of the long-term safety
of inhaled ciclesonide on growth in children with asthma //Pediatrics.-2008.-Vol.121, N1.P.e1-e14.-.

() . .
- -
. . 6-.
661 . ( 5 8,5 .) 3 .; 1 2
. 1 . 1 /. . 40 160
(ex-actuator); 3, ., . .
2 . . 4-
. ()
( 10 . 24 .).
.
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. (5,75 /.)
- 1 . -0,02 /., 2 . -0,15 /.
.
.,
10-. ( ) 24-.
313

. ,
., , , ,
. , Allegheny General Hosp.,
Pittsburgh.
(. http:/ www.ncbi.nlm.nih.gov/pubmed)

-
- -
8. . Asilsoy S., Bayram E., Agin H., et al. Evaluation
of chronic cough in children //Chest.-2008.-Vol.134, N6.-P.1111-1112.-.
() () . ,
. ,
, .
() 2006 .
108 . 6 14 . , 4 . -
2-4- . .
25% - () - , 23,4%
, 20,3% ()
4,6% .
- , .
, 2006 . .
. ,
Dr Behcet Uz Child Dis. a. Surg. Education a. Res. Hosp., Izmir.
(. http:/ www.pubmed.gov)

-
- -
9.
- ,
. Willemsen R.H., de Kort S.W.K., van der Kaay D.C.M., Hokken-Koelega
A.C.S. Independent effects of prematurity on metabolic and cardiovascular risk factors in
short small-for-gestational age children //J.Clin.Endocrinol.Metab.-2008.-Vol.93, N2.P.452-458.-.
(), .
- ()
2 . , ,
., .
,
. .
479 . ( 6,8 .),
(<36 .) (36 .).
, -., .,

. .
, . (<0,001),
. .
314

, %
, .
, ,
. . ,

. . , %
,
. , Erasmus MC Sophia, Rotterdam.
(. http:/ www.medscape.com.viewarticle)

- -
10. -
(PWS): . Hagg A.M., Grambow S.C., Muehlbauer M., et al.
Ghrelin concentrations in Prader-Willi syndrome (PWS) infants and children: changes
during development //Clin.Endocrinol. (Oxf).-2008.-Vol.69, N6.-P.911-920.-.
- (PWS)
.
.
() . ,
. PWS.
33 PWS 28 . . -
- PWS ,
- . . , z-
(z-score) . , . PWS - . 11
33 - PWS >95- . . (>2871
/): 6 - PWS z-scores <0. -
( PWS, .) .
PWS ,
, .
: PWS, , ,
, , .; , 33% -
, z-score <0.
PWS. , Duke Univ. Medic. Cent., Durham.
(. http:/ www.pubmed.gov)

- -
- -
11. , ,
6- :
,
LISA. Zutavern A., Brockow I., Schaaf B., et al. Timing of
solid food introduction in relation to eczema, asthma, allergic rhinitis, and food and
inhalant sensitization at the age of 6 years: results from the prospective birth cohort study
LISA //Pediatrics.-2008.-Vol.121, N1.-P.e44-e52.-.

() .
315

, ( 4 6 .)
(), (), () ()
() 6 . 2073 .;
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6 . .
, ( 4 6 .)
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, ., .
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4 . , .
,
4 .
,
6-. . ,
.
.
. , Inst.
Epidemiol., Neuherberg.
(. http:/ www.pubmed.gov)

-
- -
- - -
12. : ? Kumanov P., Robeva R.N., Tomova A.
Adolescent varicocele: who is at risk? //Pediatrics.-2008.-Vol.121, N1.-P.e53-e57.-.
()
. , .

.
.
6200 5 0 19 . .
, , , .
4,1% , . 10
19 . 7,9%.
, , : ,
, .
, ,
. .
,
.
. , Clin. Cent.
Endocrinol., Medic. Univ.-Sofia, Sofia.
(. http:/ www.pubmed.gov)

-
- -

316

13. , .
Shankar A.G. The role of recombinant erythropoietin in childhood cancer //The
Oncologist.-2008.-Vol.13, N2.-P.157-166.-.
() ., - (), ,
-, .
,
, ..
(, , ), ,
,
.
- b,
.

, , .,
.

,
, ; ., -
,
. , Univ. Coll. London Hosp. NHS
Foundation Trust, London.
(. http:/ www.pubmed.gov)

-
- - ,
14. -
. Van Tijn D.A., de Vijlder
J.J.M., Vulsma T. Role of the thyrotropin-releasing hormone stimulation test in diagnosis
of congenital central hypothyroidism in infants //J.Clin.Endocrinol.Metab.-2008.-Vol.93,
N2.-P.410-419.-.
.
,
. ()
() -
().
,
/
(GH). ,
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. . 15 (10 5 ) ,
317

; 6 -
, .
TRH-,
- . -
(TSH) 3 TRH , (67%)
- 2 TSH. ,
TRH- TSH
. TRH-, - 3 ,
- ,
- . , Emma Childrens Hosp., Acad.
Medic. Cent., Univ. Amsterdam, Amsterdam.
(. http:/ www.medscape.com.viewarticle)

-
- -
15.
. Kzyrski A.L., Mai X.-M., McGrath
P. Continued exposure to maternal distress in early life is associated with an increased risk
of childhood asthma //Am. J. Respir. Crit.Care Med.-2008.-Vol.177, N2.-P.142-147.-.
, () () ()
() .
,
.,
, .
() ,
. 7 .
1995 . 13907 . ,
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. 7 . ( 1,25; 95%:1,01-1,55).
, . ,
. , ,
, ., , .
( 1,44; 95%:1,12-1,85). ,
., ,
. , Cent. Hlth. Policy a Univ. Manitoba,
Manitoba.
(. http:/ www.medscape.com.viewarticle)

-
- -
16. -
. Bhandari A., Schramm C.M., Kimble C., et al. Effect of
318

a short course of prednisolone in infants with oxygen-dependent bronchopulmonary


dysplasia //Pediatrics.-2008.-Vol.121, N2.-P.e344-e349.-.
, ()
36-.
.
385 , 131 (34%)
(1 .) , 254 (66%) (2 .).
. , , .
1 . ,
,
, . 1 . 63%.
, ,
, (pulmonary acuity score
PAS) 2. . PAS .
. PAS 0,5 20% 97,4%,
. 94,1 42,1%.
2 . ,
. - 2
<48,5 . . 50% 89,7% .
89,1 51,8%. ,

, PAS <0,5 2 <48,5 . . 1
, . ,
Connecticut Child. Medic. Cent., Hartford.
(. http:/ www.pubmed.gov)

- -
- -
17.
: - -
. Bolt P., Barnett P., Babl F.E., Sharwood L.N. Topical
lignocaine for pain relief in acute otitis media: results of a double-blind placebo-controlled
randomized trial //Arch.Dis.Child.-2008.-Vol.93, N1.-P.40-44.-.
() .,
() .
2%- () ( )
. 3 17 . -
3 . - 2% (1 .),
( ) (2 .).
; Bieri
faces pain scale 10, 20 30 .
50%
; 25% 2
. 1 . 1 . .
. 1
. 31, 2 . 32 . 3 12 . .
319

,
4 . 1 . . ,
50% 10 . ( 2,06; 95%:1,03-4,11; =0,03)
30 . ( 1,44; 95%:1,07-1,93; =0,009), 20 . ( 1,35;
95%:0,88-2,06). 25% ;
20 30 .
. 30 .
,
. ;
. , Univ. Melbourne, Royal Childrens Hosp., Melbourne.
(. http:/ www.medscape.com.viewarticle)

-
- -
18. ,
/ . Aksglaede L., Molgaard C.,
Skakkebk N.E., Juul A. Normal bone mineral content but unfavorable muscle/fat ratio in
Klinefelter syndrome //Arch.Dis.Child.-2008.-Vol.93, N1.-P.30-34.-.
() .
().
3
. 18 6 ,
. . 11,0 . (
4,3 18,6 .). .
, (), (), % (%),

. . - ( -0,3 (-2,4
+2,1) +1,1 (-1,6+2,1)),
( +0,5 (-10+2,3), =0,02, +1,6 (-0,2+2,4), =0,01) (
). : -0,4 (3,1+0,9) +1,0 (-1,4+3,0), ( +0,1 (1,8+3,3), +1,5 (-1,1+2,5)) .
% , ,
/.
. , ,
, ,
, , . ,
Univ. Copenhagen, Copenhagen.
(. http:/ www.medscape.com.viewarticle)

-
- -
19. . Ciocca
M., Ramonet M., Cuerterolo M., et al. Prognostic factors in paediatric acute liver
failure //Arch.Dis.Child.-2008.-Vol.93, N1.-P.48-51.-.
320

,
() (). 210
(107 103 ; 5,33 ., 1
17,4 .). - (1 .), (2 .)
() (3 .). - 1 . . .,
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, 68 (32%) 14 (7%) .
, (59 .), (61) ,
(90 .). ,
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82 82%. :
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., ,
. , J.P. Garrahan Hosp., Buenos Aires.
(. http:/ www.medscape.com.viewarticle)

-
- -
- - -
20. : ,
? Petrou S., McIntosh. Measuring the benefits of growth
hormone therapy in children: a role for preference-based approaches? //Arch.Dis.Child.2008.-Vol.93, N2.-P.95-97.-.
()
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Cent., Univ. Oxford, Oxford.
(. http:/ www.medscape.com.viewarticle)

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321

21. -: .
Guillem P., Cans C., Robert-Gnansia E., et al. Rare diseases in disabled children: an
epidemiological survey //Arch.Dis.Child.-2008.-Vol.93, N2.-P.115-118.-.
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MSN-1. ,
, .. MSN-1 ,
. , Grenoble Univ. Hosp., Grenoble.
(. http:/ www.medscape.com.viewarticle)

-
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22. ,
. Poomthavorn P., Maixner W., Zacharin M. Pituitary function in
paediatric survivors of severe traumatic brain injury //Arch.Dis.Child.-2008.-Vol.93, N2.P.133-137.-.
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322

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Royal Childrens Hosp., Melbourne.
(. http:/ www.medscape.com.viewarticle)

-
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23. 6- : 4-11 .
Lammers A.E., Hislop A.A., Flynn Y., Haworth S.G. The 6-minute walk test: normal values
for children of 4-11 years of age //Arch.Dis.Child.-2008.-Vol.93, N6.-P.464-468.-.
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Street Hosp. Children, London.
(. http:/ www.medscape.com.viewarticle)

- 6-
- -
24.
. Eskedal L.T., Hagemo P.S., Seem E., et al.
Impaired weight gain predicts risk of late death after surgery for congenital heart
defects //Arch.Dis.Child.-2008.-Vol.93, N6.-P.495-501.-.
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, .
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. , Srlandet Regional Hosp., Kristiansand.
(. http:/ www.medscape.com.viewarticle)

-
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- - -
- - - -
25. D 1 :
. Zipitis C.S., Akobeng A.K. Vitamin D
supplementation in early childhood and risk of type 1 diabetes: a systematic review and
meta-analysis //Arch.Dis.Child.-2008.-Vol.93, N6.-P.512-517.-.
, D
1 (-1) .
MEDLINE, EMBASE, Cinahl, Cochrane
Central Register of Controlled Trials .
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(. http:/ www.medscape.com.viewarticle)
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26.
(
). Turpeinen M., Nikander K.,
Pelkonen A.S., et al. Daily versus as-needed inhaled corticosteroid for mild persistent
324

asthma (The Helsinki early intervention childhood asthma study) //Arch.Dis.Child.-2008.Vol.93, N8.-P.654-659.-.
(),
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. , Helsinki Univ. Hosp., Helsinki.
(. http:/ www.medscape.com.viewarticle)

-
- -
27. - . Rodriguez-Morn M.,
Guerrero-Romero F. Serum magnesium and C-reactive protein levels //Arch.Dis.Child.2008.-Vol.93, N8.-P.676-680.-.
,
- (hsCRP).
488 . 10 13 .
hsCRP, , -
. 109 . (22,3%) hsCRP 101 (20,7%)
; 87,1% , . .,
hsCRP (2,45 [10,6] /) (1,3 [0,3] /),
(96,0 [13,9] /), (13,6 [7,5]
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(46,4 [9,0] /).

hsCRP ( 4,1; 95%:1,3-10,8). ,
hsCRP; ,
. ,
Medic. Res. Unit Clin. Epidemiol. Mexican Soc. Security Inst., Durango.
(. http:/ www.medscape.com.viewarticle)

-
325

- - -
28. :
. Elliott .J., Payne J., Morris A., et al. Fetal alcohol syndrome: a
prospective national surveillance study //Arch.Dis.Child.-2008.-Vol.93, N9.-P.732.-.

() .
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15 . 1150 . 169 92
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40,2% . ,
.
,
,
-. , Univ. Sydney, Childrens Hosp.
Westmead, Westmead.
(. http:/ www.medscape.com.viewarticle)

-
- -
- - -
29. .
Senzaki H., Kamiyama M., Masutani S., et al. Efficacy and safety of torasemide in children
with heart failure //Arch.Dis.Child.-2008.-Vol.93, N9.-P.768-771.-.
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. , Saitama Medic. Univ., Saitama.
(. http:/ www.medscape.com.viewarticle)

-
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- - -
30. . Cass H., Gringras P.,
March J., et al. Absence of urinary opioid peptides in children with
autism //Arch.Dis.Child.-2008.-Vol.93, N9.-P.745-750.-.
. , . ()
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(. http:/ www.medscape.com.viewarticle)

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327

1. 4-
. Tashkin D.P., Celli B., Senn S., et al. A 4-year trial of tiotropium in
chronic obstructive pulmonary disease //N.Engl.J.Med.-2008.-Vol.359, 15.-P.15431554.-.
, , ()
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4-. ( 2,3 3,3 .,
<0,001). 30 ., 4 .
, ,
. , David Geffen Sch. Medic., Univ. California., Los Angeles. .26
(. )

-
- -
2.
. Sethi S., Murphy T.F. Infection in the pathogenesis and course of chronic
obstructive pulmonary disease //N.Engl. J.Med.-2008.-Vol.359, 22.-P.2355-2365.-.
. 50-60- . ., . ,
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. , Univ. Buffalo, State Univ. New York, Buffalo. . 67.
(. )

-
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3.
, .
Rusinaru D., Saaidi I., Godard S., et al. Impact of chronic obstructive pulmonary disease
on long-term outcome of patients hospitalized for heart failure //Am.J.Cardial.-2008.Vol.101, 3.-.353-358.-.
()
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(. )

-
- -
4. AngioJet . Margheri M., Vittori
G., Vechio S., et al. Early and long-term clinical results of AngioJet rheolytic
thrombectomy in patients with acute pulmonary embolism //Am.J.Cardial.-2008.-Vol.101,
2.-.252-258.-.

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5.
. Mazhdrakov G.B., Velchev V.D., Rifai N.I., et al. Our
experience in the treatment of acute massive pulmonary embolism with percutaneous
interventions // .2008.-.59, 4.-.14-19.-., .
1 2006 . 1 2007 . 12 -


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5,4 . , Cardiol.Clinic,
St.Anne Univ.Hosp., Sofia. .12.
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-
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6. . Gray
A., Goodacre S., Newby D.E., et al. Noninvasive ventilation in acute cardiogenic
pulmonary edema //N.Engl.J.Med.-2008.-Vol.359, 2.-P.142-151.-.
330

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7. , ,
. Talmor D., Sarge T., Malhotra A., et al. Mechanical ventilation
guided by esophageal pressure in acute lung injury //N.Engl.J.Med.-2008.-Vol.359, 20.P.2095-2104.-.
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(. )

-
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8.
:
. Szeffer S.J., Mitchell H., Sorkness C.A.,
et al. Management of asthma based on exhaled nitric oxide in addition to guideline-based
treatment for inner-city adolescents and young adults: a randomized controlled trial
//Lancet.-2008.-Vol.372, 9643.-P.1065-1072.-.
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. , Natl. Jewish Hlth., Denver.
(. http:/ www.pubmed.gov)

-
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332

9.
-2- .
OByrne P.M., Naya I.P., Kallen A., et al. Increasing doses of inhaled corticosteroids
compared to adding long-acting inhaled beta-2-agonists in achieving asthma
control //Chest.-2008.-Vol.134, 6.-P.1192-1199.-.
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(. http:/ www.pubmed.gov)

-
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. Barry P.J., Waterhouse D.F., Reilly C.M., et al. Androgens,
exercise capacity, and muscle function in cystic fibrosis //Chest.-2008.-Vol.134, 6.P.1258-1264.-.
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Natl. Referral Cent. Adult Cystic Fibrosis, St. Vincents Univ. Hosp., Dublin.
(. http:/ www.pubmed.gov)

-
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- - -
11.

: . Khayat R.N., Abraham W.T., Patt B., et al. Cardiac
effects of continuous and bilevel positive airway pressure for patients with heart failure and
obstructive sleep apnea: a pilot study //Chest.-2008.-Vol.134, 6.-P.1162-1168.-.
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Columbus.
(. http:/ www.pubmed.gov)

-
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- - -
12.
. Kobayashi M., Miyazawa N., Takeno M., et al.
Circulating carbon monoxide level is elevated after sleep in patients with obstructive sleep
apnea //Chest.-2008.-Vol.134, 5.-P.904-910.-.

334

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- . , Yokohama City Univ. Graduate Sch. Medic.,
Yokohama.
(. http:/ www.chestjournal.org)

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, . Ohara T.,
Hirai T., Muro S., et al. Relationship between pulmonary emphysema and osteoporosis
assessed by CT in patients with COPD //Chest.-2008.-Vol.134, 6.-P.1244-1249.-.
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(. http:/ www.pubmed.gov)

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335

- - -
14.
, : .
Zilberberg M.D., Shorr A.F., Micek S.T., et al. Antimicrobial therapy escalation and
hospital mortality among patients with health-care-associated pneumonia: a single-center
experience //Chest.-2008.-Vol.134, 5.-P.963-968.-.
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, Sch. Public. Hlth. a. Hlth. Sci., Univ. Massachusetts, Amherst.
(. http:/ www.pubmed.gov)

-
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- - -
15.
. Kelly A.M., Kerr D., Clooney M.
Outcomes of emergency department patients treated for primary spontaneous
pneumothorax //Chest.-2008.-Vol.134, 5.-P.1033-1036.-.

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Hlth., St. Albans.
(. http:/ www.pubmed.gov)

-
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16.
. Suzuki Y., Miwa S., Shirai
M., et al. Drug lymphocyte stimulation test in the diagnosis of adverse reactions to
antituberculosis drugs //Chest.-2008.-Vol.134, 5.-P.1027-1032.-.
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,
- - . , Hamamatsu Univ. Sch. Medic.,
Hamamatsu.
(. http:/ www.pubmed.gov)

-
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17. , : , ,
. Aliberti S., Amir A.,
Peyrani P., et al. Incidence, etiology, timing, and risk factors for clinical failure in
337

hospitalized patients with community-acquired pneumonia //Chest.-2008.-Vol.134, 5.P.955-962.-.


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(. http:/ www.pubmed.gov)

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Groenewegen K.H., Postma D.S., Hop W.C., et al. Increased systemic inflammation is a
risk factor for COPD exacerbations //Chest.-2008.-Vol.133, 2.-P.350-357.-.
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(. http:/ www.pubmed.gov)

-
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/ . Wedzicha J.A.,
Calverley P.M.A., Seemungal T.A., et al. The prevention of chronic obstructive pulmonary
disease exacerbations by salmeterol|fluticasone propionate or tiotropium
bromide //Am.J.Respir.Crit.Care.Med.-2008.-Vol.177, 1.-P.19-26.-.
() .

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2 . :
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, Royal Free and Univ. Coll. Medic. Sch., London.
(. http:/ www.pubmed.gov)

-
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- - -
20. .
, 1999-2000. Benett D.E., Courval
J.M., Onorato I., et al. Prevalence of tuberculosis infection in the United States population.
The
National
Health
and
Nutrition
Examination
Survey,
1999-2000
//Am.J.Respir.Crit.Care.Med.-2008.-Vol.177, 3.-P.348-355.-.
()
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Cent. Dis. Control a. Prevention, Natl. Cent. HIV/AIDS, Viral Hepatitis, STD a. TB
Prevention, Atlanta.
(. http:/ www.pubmed.gov)

-
- -
21. , .
Cain K.P., Benoit S.R., Winston C.A., MacKenzie W.R. Tuberculosis among foreign-born
persons in the United States //JAMA.-2008.-Vol.300, 4.-P.405-412.-.
2006 . , (), 57%
() .

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250 /. -, - ;
46% . , Cent. Dis. Control a. Prevention,
Atlanta.
340

(. http:/ www.pubmed.gov)

-
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22.
. Mitnick C.D., Shin S.S., Seung K.J., et al. Comprehensive treatment
of extensively drug-resistant tuberculosis //N.Engl.J.Med.-2008.-Vol.359, 6.-P.563-574..
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(. )

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- -
- - -
23.
, . Kollef M.H., Afessa B., Anzueto A., et al. Silvercoated endotracheal tubes and incidence of ventilator-associated pneumonia //JAMA.2008.-Vol.300, 7.-P.805-813.-.
, (), .
() () ,

. ,

54 .
2002-2006 . 9417 - 18 .; ,
2003 - 24 . -
,
341

. ,
104
/, -, 24 .
-, ,
, ,
. -, 24 .,
4,8% (37/766; 95%:3,4-6,6%) . 7,5% (56/743; 95%:5,7-9,7%)
(=0,03) . . - . 3,8%
(37/968; 95%:2,7-5,2%) 5,8% (56/964; 95%:4,4-7,5%) (=0,04),
35,9% (95%:3,6-69,0), 34,2% (95%:1,2-67,9%).
(=0,005).
. ,
,
. ,

. , Washington Univ. Sch. Medic., St. Louis.
(. http:/ www.jama.org)

-
- -
24.
. Garci
Rodriguez L.A., Ruigmez A., Martin-Merino E., et al. Relationship between
gastroesophageal reflux disease and COPD in UK primary care //Chest.-2008.-Vol.134,
6.-P.1223-1230.-.
()
- , .
- () .

(UK General Practice Research Database), 1996 .
- (4391 ) . -
(1628 -); .
- . -
. -
. . ,
Mantel-Haenzel. , ,
,
, , -. 5-.
- 1,17
(95%:0,91-1,49), -
1,46 (95%:1,19-1,78). ( ..
),
.
. , -
, . . , Spanish Cent. Pharmacoepidemiol. Res.,
Madrid.
(. http:/ www.pubmed.gov)
342


-
- -

: ..
: _______________
: _______________
1. . Hirsch W., Sorge I., Krohmer S., et al. MRI of the
lungs in children //Eur.J.Radiol.-2008.-Vol.68, 2.-P.278-288.-.
. ,
, . .
, , .
, , ,
200 .
? ,
, , .
,
.
.
.
. . ,
. ,
,
. , Univ. Hosp. Leipzig.
(. http:/ www.pubmed.gov)

-
2. - ,
: . Beitzke D., Simbrunner J., Riccabona M.
MRI in paediatric hypoxic-ischemic disease, metabolic disorders and malformations a
review //Eur.J.Radiol.-2008.-Vol.68, 2.-P.199-213.-.
.

, , ,
- - ,
, , ,
. .
- ,
,

, . , Medical Univ., Graz.
(. http:/ www.pubmed.gov)

343

3. . Merolla G., Di
Pietto F., Romano S., et al. Radiographic analysis of shoulder anatomical
arthroplasty //Eur.J.Radiol.-2008.-Vol.68, 1.-P.159-169.-.
.
,
. () .
()
. - 40 ,
( ),
: ,
, - , ,
, , ,
, .
40
.
(1-2
.) . 2 .

. , D. Cervesi Hosp., Cattolica (RN).
(. http:/ www.pubmed.gov)

-
- -
4. . Steinbach L.S. MRI of shoulder instability //Eur.J.Radiol.2008.-Vol.68, 1.-P.57-71.-.
,
, , .

, , ,
.
, ,
. ,
, ,
, . , Univ. of San Francisco.
(. http:/ www.pubmed.gov)

-
5. . Goud A., Segal D., Hedayati P., et al. Radiographic
evaluation of the shoulder //Eur.J.Radiol.-2008.-Vol.68, 1.-P.2-15.-.
.

.
, ,
.
, .
, s (,
344

, ).
,
. , Brigham and Womens Hosp., Boston.
(. http:/ www.pubmed.gov)

-
6. : . Rovira A., Len
A. MR in the diagnosis and monitoring of multiple sclerosis: an overview //Eur.J.Radiol.2008.-Vol.67, 3.-P.409-414.-.
() , - ,
,
- ,
, , .
,

. , 2-
1-,

.
,
.
1- , ,
; , -


,
. , Hosp. Univ. Vall dHebron, Barcelona.
(. http:/ www.pubmed.gov)

-
7. . Rodrguez E., Soler R. New MR insights of
cardiomyopathy //Eur.J.Radiol.-2008.-Vol.67, 3.-P.392-400.-.
. ,
, .
- () .
, , , ,
, .


. , Complejo
Hosp. Univ., Juan Canalejo.
(. http:/ www.pubmed.gov)

345

8. :
. Yan K., Chen M.H., Yang W., et al. Radiofrequency ablation of
hepatocellular carcinoma: long-term outcome and prognostic factors //Eur.J.Radiol.-2008.Vol.67, 2.-P.336-347.-.
()
() 266 392 (216 . 50 .)
59,415,4 . 1,2-6,7 . 158 1 , .
(2-5) .
- 19 .
- 1, 3 5 . 82,9, 57,9 42,9% .
60 94,8, 76,4 71,6%,
, 148 -V (81,8,57,6 41,2%). 9
, : ,
, , Child-Pugh,
, , ,
1 . .
3:
Child-Pugh, .
, ,
-V . , Peking Univ. Sch. of
Oncology.
(. http:/ www.pubmed.gov)

-
- -
9. : . Venkatesh
S.K., Wan J.M. CT of blunt pancreatic trauma: a pictorial essay //Eur.J.Radiol.-2008.Vol.67, 2.-P.311-320.-.

, , ,
.
.

, .
,
.
.

. , Nat. Univ. Hosp.
(. http:/ www.pubmed.gov)

-
- -
10. (1) , .
Machann J., Stefan N., Schick F. (1)H MR spectroscopy of skeletal muscle, liver and bone
marrow //Eur.J.Radiol.-2008.-Vol.67, 2.-P.275-284.-.
346

.

(), .

, . 2-
(), .

2 .
. 3
().
, ,
( . )
( .), , . , .
. ,
Eberhard-Karls Univ., Tubingen.
(. http:/ www.pubmed.gov)

-
- -
- -
- -
11. (1) , . Mader I., Rauer
S., Gall P., Klose U. (1)H MR spectroscopy of inflammation, infection and ischemia of the
brain //Eur.J.Radiol.-2008.-Vol.67, 2.-P.250-257.-.
()
(1) . (), (),
,
( ). N (N) .
,
.
().
(), , .
, N
.
, . /N,
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. ,
Neurocenter of the Freiburg Univ. Hosp.
(. http:/ www.pubmed.gov)
(1)
-
- -
- - -
- - - -
347

12. : . Skoch A., Jiru F., Bunke J.


Spectroscopic imaging: basic principles //Eur.J.Radiol.-2008.-Vol.67, 2.-P.230-239..
,
- .
(). -,
-,
. -,
.
,
. , Inst. for Clinical and Experimental Medicine, Prague.
(. http:/ www.pubmed.gov)

13. - . Holden A.,
Merrilees S., Mitchell N., Hill A. Megnetic resonance imaging of popliteal artery
pathologies //Eur.J.Radiol.-2008.-Vol.67, 1.-P.159-168.-.
,
- () .
1710 , 6- ,
.
,
,
, .


. , Auckland Hosp.
(. http:/ www.pubmed.gov)

- -
- -
- - -
14. :
. Oh
J.Y., Nam K.J., Choi J.., et al. Benign submucosal lesions of the stomach and duodenum:
imaging characteristics with endoscopic and pathologic correlation //Eur.J.Radiol.-2008.Vol.67, 1.-P.112-124.-.
()
() .

. . ,
.
.
() .

.
348


. ,
, ,
. , Dong-A Univ. College of Medicine,
Busan.
(. http:/ www.pubmed.gov)

-
- -
- - -
15. 64-
: . Sun Z., Lin C., Davidson R., et al.
Diagnostic value of 64-slice CT angiography in coronary artery disease: a systematic
review //Eur.J.Radiol.-2008.-Vol.67, 1.-P.78-84.-.
64-
() ()
()
PubMed MEDLINE. ,
10 .
, .
15 . , ,
, 95% 97% (94 99%), 88%
(79 97%), 94% (91 97%) 95% (90 99%) ; 92% (85 99%), 92%
(85 99%), 78% (66 91%) 98% (96 99%) ; 90% (85 94%), 96%
(95 97%), 75% (68 82%) 98% (98 99%) .
4

(>0,05).
.
, , , .
, Curtin Univ. of Technology, Perth.
(. http:/ www.pubmed.gov)

- -
- -
16. . Allan J.M.
Genetic susceptibility to radiogenic cancer in humans //Health Phys.-2008.-Vol.95, 5.P.677-686.-.
,
. , ,

. ,
, .

-
, , .
349

. ,
.

.
, , ,
. ,
Northera Inst. for Cancer Research.
(. http:/ www.pubmed.gov)

-
17. . Miller D.L. Overview of
contemporary interventional fluoroscopy procedures //Health Phys.-2008.-Vol.95, 5.P.638-644.-.
()
. ,
.
, ,
. ,
.
. , .

.
,
.
. , Uniformed Services Univ., Bethesde.
(. http:/ www.pubmed.gov)

-
18. . Yaffe M.J., Mainprize J.G., Jong R.A.
Technical developments in mammography //Health Phys.-2008.-Vol.95, 5.-P.599-611..
,
35 . ()
. , . .
.

, 1970 .
, ,
.
, ,
. 50 . . ,
, ,
, . ,

. , Sunnbrook Hlth. Sci. Centre, Toronto.
(. http:/ www.pubmed.gov)
350


-
- -
19. . Cousins C. Medical radiation and
pregnancy //Health Phys.-2008.-Vol.95, 5.-P.551-553.-.
. , .
. ,
, . .
.
, , ,
.
.
. ., ,
.
.
, ,
. ,
Addembrookes Hosp., NHS Trust, Cambridge.
(. http:/ www.pubmed.gov)

-
20. 2006 :
. Mettler F.A.Jr., Thomadsen B.R., Bhargavan M., et al. Medical radiation
exposure in the U.S. in 2006: preliminary results //Health Phys.-2008.-Vol.95, 5.-P.502507.-.

25 . 1982 ., , 1 0,54
124000 . 2006 . 1
( )
600% 3,0 700%
900000 .
. 62 . 15%
( )
. 4% , 26%
.
. , Rad. and Nucl. Med. Service.
(. http:/ www.pubmed.gov)

-
- -
21. 210b
. Li C., Feng Y.L., Chen J., et al. 210Pb in home dust as a possible
marker for radon exposure in indoor air //Health Phys.-2008.-Vol.95, 4.-P.436-439..

351

,
,
. 210Pb, ,
. , . 210Pb 33 352
/, 105 110 / .
210Pb ,
- 210Pb ,
. 4 .
210Pb
. , Rad. Protect. Bureau,
Ottawa.
(. http:/ www.pubmed.gov)

-
- - 210Pb
22. . Chen J., Mares
V. Estimate of doses to the fetus during commercial flights //Health Phys.-2008.-Vol.95,
4.-P.407-412.-.

. 3
. )
. 5
, , 54%
(22%), (11%), (7%), (6%).
,
1 10
. , Rad. Protect. Bureau, Ottawa.
(. http:/ www.pubmed.gov)

-
- -
23. RANDO. Scalzetti
E.M., Huda W., Bhatt S., Ogden K.M. A method to obtain mean organ doses in a RANDO
phantom //Health Phys.-2008.-Vol.95, 2.-P.241-244.-.
,
. RANDO, 24 ,
.
, 36
Z,
Y. RANDO
.
,
. , SUNY
Upstate Medical Univ., Syracuse.
(. http:/ www.pubmed.gov)

352

-
- - RANDO
24. ,
. Shockley V.E., Kathren R.L., Thomas E.M. Reconstruction of doses from
occupationally related medical x-ray examinations //Health Phys.-2008.-Vol.95, 1.P.107-118.-.

, .
.
, , : 1) -
/ ; 2) -,
, ; 3)
. ,
.
, . ()
, / .
.

30%. , Dade Moeller and Associates, Richland.
(. http:/ www.pubmed.gov)

-
25.
: ? Bayat S., Porra L., Suhonen H., et al. Imaging
of lung function using synchrotron radiation computed tomography: whats
new? //Eur.J.Radiol.-2008.-Vol.68, Suppl.3.-S.78-83.-.
,
.


.
, ,

. in vivo

().
(), .

. 3-
.
,
. , Univ. de Picardie Jules Verne.
(. http:/ www.pubmed.gov)

-
- -
353

- -
- - -
26. . Lima I., Anjos M.J., Farias
M.L., et al. Bone diagnosis by X-ray techniques //Eur.J.Radiol.-2008.-Vol.68, Suppl.3.S.100-103.-.

2 3- ()
().
2 , .
,
. ,
, :
,
. , Cidada Universitaria.
(. http:/ www.pubmed.gov)

-
-
- -
27. . Schwarz F., Ruzsics B.,
Schoepf U.J., et al. Dual-energy CT of the heart principles and protocols //Eur.J.Radiol.2008.-Vol.68, 3.-P.423-433.-.
()
()
.
( )
,
. , ,
/
(0,
. , -
()
. ,

,
(, , ) .

. , Med. Univ. of South Carolina.
(. http:/ www.pubmed.gov)

-
- -
28. 2 . Nicolaou S.,
Eftekhari A., Sedlic T., et al. The utilization of dual source CT in imaging of
polytrauma //Eur.J.Radiol.-2008.-Vol.68, 3.-P.398-408.-.
354

,
45 . .
20 .
25 .
,
, ,
- .
,
2 . , Univ. of British Columbia, Vancouver.
(. http:/ www.pubmed.gov)

-
- -
29. 2 . Boroto K., RemyJardin M., Flohr T., et al. Thoracic applications of dual-source CT
technology //Eur.J.Radiol.-2008.-Vol.68, 3.-P.375-384.-.

. 2 (2)

1 2 ,
.
2 : 2D
,
,
. 2
.
,
.

. , Hosp. Calmett, Lille.
(. http:/ www.pubmed.gov)

-
- -
30. : .
Darge K., Jaramillo D., Siegel M.J. Whole-body MRI in children: current status and future
applications //Eur.J.Radiol.-2008.-Vol.68, 2.-P.289-298.-.
() ,
,
(). ,
, , ,
. ()

. ,
.

355

.
. ,
.
, .
,
,
. , Childrens Hosp. of Philadelphia.
(. http:/ www.pubmed.gov)



: ..
: _______________
: _______________
1. 25

2005
:

. Jagger C., Gillies C., Moscone F., et al. Inequalities in healthy


life years in the 25 countries of the European Union in 2005: a cross national metaregression analysis //The Lancet.-2008.-Vol.372, 9656.-.2124-2131.-.
, , .
() .
25 2005 .
.
. ,
2005 . 50-. . 67,3 ., . 68,1
., . ,
, . , ., . .,
50 . , 9,1, ,
23,6 . ., 50 . ,
10,4 ., ., 24,1 .

. .
, Dept. Hlth. Sci., Univ. Leicester, Leicester.
(. : http://thelancet.com)

-
- -
- - -
2. 26000
. Tanne J.H. More than 26000 Americans die each year because of lack of
health insurance //BMJ.-2008.-Vol.336, 855.-.7649.-.
Families USA,
, 26260
25 64 . 2006 .
(). 7 . (2000-2006 .)
356

, , 162700. ,
, , 2006 . 47 .,
. ,
, , 25-64 .
. , Families USA, Washington.
(. : http://www.bmj.com)

-
- -
3. -
. Harald K.,
Koskinen S., Jusilahti P., et al. Changes in traditional risk factors no longer explain time
trends
in
cardiovascular
mortality
and
its
socioeconomic
differences //J.Epidemiol.Community Hlth.-2008.-Vol.62, 3.-.251-257.-.

( , , ) -
. .
(14642 . . 35 64 .), 1987, 1992, 1997
2002 . . , 1987-1997 .
.
29-44% . 1997-2002 .
.,
. ,
,
. ,
-
. , Nat. Publ. Hlth. Inst., Helsinki.
. 30.
(. : http://jech.bmj.com)

- -
- -
- - -
- - - -
4. 22 .
Mackenbach J.P., Stirbu I., Roskam A.-J.R., et al. Socioeconomic inequalities in health in
22 European countries //N.Engl.J.Med.-2008.-Vol.358, 23.-.2468-2481.-.
() ()
22 . ,
, -
, , .
, , , .

. , ,
. ,
357

.
. , .

.
,
, ,
. , Dept. Publ. Hlth., Erasmus
Univ. Med. Cent., Rotterdam. . 40.
(. : http://content.nejm.org)

-
- -
- - -
5. .
Pischon T., Boeing H., Hoffmann K., et al. General and abdominal adiposity and risk of
death in Europe //N.Engl.J.Med.-2008.-Vol.359, 20.-.2105-2120.-.
()
, () , .
,
. . (n=359387), ,
.
, 9,7 ., 14723 . ,
. . 24,3 25,3 .
,

. 5 .
1,17 , . 1,13 . ,

. , Dept.
Epid., Germ. Inst. Hum. Nutrit., Potsdam-Rohbruecke. . 40.
(. : http://content.nejm.org)

-
- -
6. 2015 ,
: 2008 .
Countdown to 2015 for maternal, newborn, and child survival: the 2008 report on tracking
coverage of interventions //The Lancet.-2008.-Vol.371, 9620.-.1247-1258.-.
2015
, .
68 , 97%
. 22 , . .
, , 16 ( 68)
,
, , ,
358

24-. ;
,
.
, , ,

,
. , Bill, Melinda Gates
Found., UK Dept. Intern. Develop., WHO.
(. : http://www.lancet.com)

-
-
- -
7. . Liu Y., Rao K., Wu J.,
et al. Chinas health system performance //The Lancet.-2008.-Vol.372, 9653.-.19141923.-.

(). ,
, . , ., 2003 .
12% -, 7% -
. 14 16% .
. , .
, .,
, 20% 1993 . 63% 2003 .
.
, , ;
, ,
, . 2011 .
90%
. , Harv. Sch. Publ. Hlth., Boston.
(. : http://www.lancet.com)

-
- -
8. , 16- 17- . Eder .F., Hillyer
Ch.D., Dy B.A., et al. Adverse reactions to allogeneic whole blood donation by 16- and 17year-olds //JAMA.-2008.-Vol.299, 19.-.2279-2286.-.
, 9
,
. 145678 16- 17. , 113307 18-19 . 1517460
20 . . .
10,7; 8,3; 2,8%.
3 (
= 3,05; 95%:2,52-3,69, <0,001). . :
(=2,63) . (=1,87). ,
, ,
359

. (5,9 10000 2,4 10000 0,4 10000).


, , ,
16- 17-. ,
. , Biomed. Serv., Med. Off., Amer. Red. Cross, Washington.
(. : http://jama.ama-assn.org)

-
- -
9. ,
. Sharp T.P. Job satisfaction among psychiatric registered nurses in
new England //J.Psych.Ment.Hlth.Nurs.-2008.-Vol.15, 5.-.374-378.-.
. (n=161),
-,
.
(86%)
(83%); 67% , 52%
. ,
,
. , Texas Hlth., Hum. Serv. Commiss., Houston.
(. : http://www3.interscience.wiley.com)

-
10. :
. Edwards R., Thornton J., Ajit R., et al. Cigarette smoking and primary open angle
glaucoma: a systemic review //J.Glaucoma.-2008.-Vol.17, 7.-.558-566.-.

().
11 .
.
( . 0,9).
, , -,
( .
2,9 10,8 .). ,
,
. , Dept.
Publ. Hlth., Univ. Otago, Wellington.
(. : http://journals.lww.com/glaucomajournal/)

-
- -
11.
: 25 . Ballester
F., Medina S., Boldo E., et al. Reducing ambient levels of fine particulates could
substantially improve health: a mortality impact assessment for 26 European
cities //J.Epidem.Com.Hlth-2008.-Vol.62, 2.-.98-105.-.
360



(2,5) , . Apheis,
,
,
, 2,5 25, 15
10 /3 26 >40 . ,
2,5 15 /3
30 . 4 , 2,5 25
/3 (3,0 0,4%) 2 , 2,5 20 /3,
2,5 10 /3 7 (3,0
0,4%). Apheis ,

. , Valencian Sch. Hlth. Studies, Valencia. . 31.
(. : http://jech.bmj.com)

-
- -
- - -
- - - -
12.
. Tsai J., Bond G. A comparison of electronic records to paper
records in mental health centers //Intern.J.Quality Hlth.Care.-2008.-Vol.20, 2.-.136143.-.
() .
,
.
3 ,
180 - ,
16 . ,
,
.
20%, 40%. ,

. , Dept. Psychol., Indiana Univ.-Purdue
Univ. Indianapolis. . 23.
(. : http://intqhc.oxfordjournals.org)

-
- -
- - -
13. :
. Aranaz-Andrs
J.M., Aibar-Remn C., Vitaller-Murillo J., et al. Incidence of adverse events related of
health care n Spain: results of the Spanish National Study of Adverse
Events //J.Epidem.Com.Hlth-2008.-Vol.62, 12.-.1022-1029.-.
361

()
.
, , 8,4% (95%:7,7-9,1%),
9,3% (95%:8,6-10,1%).
1,2 /100 -. (95%:1,1-1,3).
5,6 /1000 -. (95%:4,9-6,3%). 66,3%
, 69,9% .
42,8% , .
>65 .
(12,4 5,4%; <0,001; 2,5).
(37,4%), - (25,3%)
, (25,0%). 31,4%
.
, , ,
. , Dept. Prevent. Med.,
Teach. Hosp. Sant Joan dAlac., Alicante. . 33.
(. : http://intqhc.oxfordjournals.org)

-
- - /
14. 1953
. Osler M., Andersen A.-M.N., Nordentoft M. Impaired
childhood development and suicidal behaviour in a cohort of Danish men born in
1953 //J.Epidem.Com.Hlth-2008.-Vol.62, 1.-.23-28.-.

() (50 .).
. . (n=9359) . () 1953 . ,
12 . . 1,0 2,4%
. . 1 .
(),
() 18 . .

(=2,49; 95%:1,03-6,02),
( . 0,77 [95%:0,59-1,01] 0,81
[95%:0,64-1,02]). , ,
. 1953 . . ,
Epidem. Unit, Inst. Publ. Hlth., Odense. . 24.
(. : http://jech.bmj.com)

-
- -
- - -
15.
. Davis E.T., Lingard E.A., Schemitsch E.H., et al.
Effects of socioeconomic status on patients outcome after total knee
arthroplasty //Intern.J.Quality Hlth.Care.-2008.-Vol.20, 1.-.40-46.-.
362

974 , 13
4
. ,
- ., -
, , .
- WOMAC.
- ,
.
WOMAC (=0,021) (=0,039). ,
.
, 4 ,
, .
. , ,
. .
, Divis. Orthopaed., Dept. Surg., St. Mich. Hosp., Univ. Toronto, Toronto. . 25.
(. : http://intqhc.oxfordjournals.org)

-
- -
16. ,
. Shai I.,
Schwarzfuchs D., Henkin Ya., et al. Weight loss with a low-carbohydrate mediterranean, or
low-fat diet //N.Engl.J.Med.-2008.-Vol.359, 3.-.229-241.-.
,
.
2 . . (n=322) 52 .
() =31 /2. 1 .
, 2 .
, 3 .
.

. 3 .
, , .
1, 2 3 . 2,9; 4,4 4,7 . 272 ,
, 3,3; 4,6 5,5 1, 2, 3 .
.
3 .,
1 . (20 12%). ,

. , S. Daniel Abraham Int. Cent.
Hlth. Nutrition, Dept. Epidemiol., Beer-Sheva. . 33.
(. : http://content.nejm.org)

-
- -
- -

363

17. :
, 1986-2001 . Kondo N., Subramanian S.V., Kawachi I., et
al. Economic recession and health inequalities in Japan: analysis with a national sample,
1986-2001 //J.Epidem.Com.Hlth-2008.-Vol.62, 10.-.869-875.-.
, 90- .,
. 2
. 1986-1989 1998-2001 .
, 80%. ,
.,
, . ,
(95%) (
, )
(, ) 1,02 ,
1,14 (=0,02). .
(
).
( ) ;
. .
, Dept. Soc., Hum. Develop., Hlth., Harv. Sch. Publ. Hlth., Boston.
(. : http://jech.bmj.com)

-
- -
18. .
Rueda S., Artazcoz L., Navarro V. Health inequalities among the elderly in western
Europe //J.Epidem.Com.Hlth-2008.-Vol.62, 8.-.492-498.-.

. 4218 .
5007 . 65-85 ., . ,
. . ,
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)
( = 2,14 . 1,75 .).
. .,
, . .
. , Univ.
Pompen Fabra, Barcelona. . 50.
(. : http://jech.bmj.com)

-
- -
- - -

364


19.
. Vanheusden K., van
Lenthe F.J., Mulder C.L., et al. Patterns of association between alcohol consumption and
internalizing and externalizing problems in young adults //J.Stud.Alcohol Drugs.-2008.Vol.69, 1.-.49-57.-.
. (n=2258),
- .
5 .: , (1 .);
(1 /., 2 .); , 1-2 (3
.); 3-4 (4 .); >5 (5 .).

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. J-

, .
, Cent. Mental. Hlth. Res., Australian Nat. Univ., Canberra.
(. : http://www.jsad.com)

-
- -
- -
20.
. Mason W.A., Kosterman R., Haggerty K.P., et al.
Dimensions of adolescent alcohol involvement as predictors of young-adult major
depression //J.Stud.Alcohol Drugs.-2008.-Vol.69, 2.-.275-285.-.
, ,
() .
. (n=429),
11 . 22 .
.

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365

.

.
, , ,
,
. , Univ. Washington, Soc. Dev. Res. Group, Seattle. . 59.
(. : http://www.jsad.com)

-
- -
21.
: . Donovan
D.M., Anton R.F., Miller W.R., et al. Combined pharmacotherapies and behavioral
interventions for alcohol dependence (the COMBINE study): examination of posttreatment
drinking outcomes //J.Stud.Alcohol Drugs.-2008.-Vol.69, 1.-.5-13.-.

, 1 . -
(n=1383; 42% .). 11
16 . (pebia) ()
/
() .
16, 26, 52 68 . ,
, , .
. .
, Alc., Drug Abuse Inst., Seattle. . 37.
(. : http://www.jsad.com)

-
- -
- - -
- - -
- - - -
22. . Johnson B.A., Rosenthal N., Capece J.A., et
al. Improvement of physical health and quality of life of alcohol-dependent individuals
with topiramate treatment //Arch.Intern.Med.-2008.-Vol.168, 11.-.1188-1199.-.

( 300 /.) .
14 . . (n=370)
. ( 1,08;
95%:0,81-1,34, <0,01), ,
( 13,30 /; 95%:5,09-21,44 /, =0,02),
( 6,74 . .) ( 6,74 . .)
. , ,
- , . .
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366

. ,
. , Dept. Psych. Neurobehav. Sci.,
Univ. Virginia, New Jersey. . 43.
(. : http://archinte.ama-assn.org)

-
- -
- - -
23.
: ,
-. DeRoo L.A., Wilcox A.J., Drevon
Ch.A., et al. First-trimester maternal alcohol consumption and the risk of infant oral clefts
in Norway: a population-based case-control study //Am.J.Epidemiol.-2008.-Vol.168, 6..638-646.-.
, () , , ,
/ .
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), .
, ., 5 , .,
,
(=2,2; 95%:1,1-4,2) (=2,6; 95%:1,2-5,6).
,
. , Epidem. Branch,
Durham.
(. : http://aje.oxfordjournals.org)

-
- -
- -
24. : 34-
. Mehlig
K., Skoog I., Guo X., et al. Alcoholic beverages and incidence of dementia: 34-year followup of the prospective population study of women in Gteborg //Am.J.Epidemiol.-2008.Vol.167, 6.-.684-691.-.
() 34-.
() . 1462 . 38
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( ) (=1,5;
95%:1,0-2,2). , Dept. Publ. Hlth., Commun. Med., Gteborg. . 35.
(. : http://aje.oxfordjournals.org)
367


-
- -
.
: ..
: _______________
: _______________
1.
. Ozturk A.M., Tabak A.Y., Aktekin C.N., et al. Alendronate
enhances antibiotic-impregnated bone grafts in the treatment of osteomyelitis //Int.Orthop.2008.-Vol.32, 6.-.821-827.-.
.
.



. Staphylococcus aureus 72
Wistar. . .
. . . : 1)
(), 2) (), 3) + () 4)
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(). S. aureus
. 2 4 6 . , ,
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. , Ankara Numene Res. and
Train.Hosp.
(. http:/ www.pubmed.gov)

-
- -
2. -
. Matewski D., Szymkowiak E., Bilinski P. Analysis of management of patients
with multiple injuries of the locomotor system //Int.Orthop.-2008.-Vol.32, 6.-.753758.-.

.
.
- ().
. ,
(53%, .)
16-45 . 80,6%.
49,4%, 33,2% 14,1%; 75%
. 92,9%,
368

31,5% 21,3%.
14%. Injury Severity Score (ISS) New ISS (NISS)

. NISS,

. , Collegium Medicum in Bydgoszcz.
(. http:/ www.pubmed.gov)

-
3.
:
. Clifton R., Haleem S., McKee A., Parker M.J. Closed
suction surgical wound drainage after hip fracture surgery: a systematic review and metaanalysis of randomised controlled trials //Int.Orthop.-2008.-Vol.32, 6.-.723-727.-.

.
.
6 , 664 .
,

. .
.

.
, Peterborough District Hospital.
(. http:/ www.pubmed.gov)

-
- -
- - -
4.
. Lau T.W., Leung F., Chan C.F., Chow
S.P. Wound complication of minimally invasive plate osteosynthesis in distal tibia
fractures. //Int.Orthop.-2008.-Vol.32, 5.-.697-703.-.

(),
. , .
48 ,
. ,
, 9,4 .
18,7 . 48 7
. 15%.
. 25 (52%)
.
. ,
, . , The Univ. of Hong Kong.
(. http:/ www.pubmed.gov)

369

-
- -
5. : ? Ulrich S.D.,
Seyler T.M., Bennett D., et al. Total hip arthroplasties: what are the reasons for revision
//Int.Orthop.-2008.-Vol.32, 5.-.597-604.-.
, 10 .
()
95%. , ,
,
.
.
.
2 6 . 225 ,
237 . 83 . (-360 .).
123 (51,9%),
40 (16,9%) 37 (5,5%) . 2
. ( 5 . 5 . ) , 118 237 (50%)
., 33% 24%
. ,

, . , Sinai Hospital of Baltimore.
(. http:/ www.pubmed.gov)

-
- -
- - -
6. Cierny-Mader T :
, ,
. Kinik H., Karaduman M. Cierny-Mader type III chronic osteomyelitis: the
results of patients treated with debridement, irrigation, vancomycin breads and systemic
antibiotics //Int.Orthop.-2008.-Vol.32, 4.-.551-558.-.
Cierny-Mader T () ,
,
.
.
26 (19 . 7 .; 34,7 .),
, , .
(16 ), (n=10). ,
5
. 3 , 3
.
3,6 . ,
. ,
Ankara Univ. Sch. of Medicine.
370

(. http:/ www.pubmed.gov)

-
7.
. Emara K.M., Khames A. Functional outcome after
lengthening with and without deformity correction in polio patients //Int.Orthop.-2008.Vol.32, 3.-.403-407.-.
.

.
.
32 ,

.
.
2 . 9 .
,
5 ( ) 50 500 . ,
Ain Shams Univ. Cairo.
(. http:/ www.pubmed.gov)

-
- -
8.
. Sebestyn A., Boncz I., Sndor J., Nyrdy J. Effect of surgical delay on
early mortality in patients with femoral neck fracture //Int.Orthop.-2008.-Vol.32, 3..375-379.-.

30 . 60 .
.
. 30 .
4 . , 1)
12 ., 2) 12-24 ., 3) 24-48 . 4) 48 .
.
3777 . 4 . 7,7, 10,5, 10,5 9,4%, .

. 2 . 1.
. 2-4
, . ,
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,
. , County Baranya Hlth. Insurance fund Administration.
(. http:/ www.pubmed.gov)

-
- -
371

9.
: . Ibrahim T., Tleyjeh I.M.,
Gabbar O. Surgical versus non-surgical treatment of chronic low back pain: a metaanalysis of randomised trials //Int.Orthop.-2008.-Vol.32, 1.-.107-113.-.


. 1960 . 2005 .
(MEDLINE, EMBASE, CINAHL i Science Citation Index).
Oswestry Disability Index (ODI)

. 58 3 1
634 .
ODI . ( ODI: 4,13, 95%:-0,82
9,08, =0,10, (2)=44,4%). 16%
(95%:12-20, (2)=0%). ODI
. .

. , Leicester General Hospital.
(. http:/ www.pubmed.gov)

10.
. Oguz E., Sehirlioglu A., Altinmakas M., et al. A new classification and
guide for surgical treatment of spinal tuberculosis //Int.Orthop.-2008.-Vol.32, 1.-.127133.-.
,
,
.
( ),
. .
76 (55 . 25 .). 5
, ., , 3 (,
) . 76
.
(. 8 ) ,
. .

. , Gulhan Military
Medical Academy. Ankara.
(. http:/ www.pubmed.gov)

-
- -
11.
: . Costelloe C.M.,
Dickson K., Cody D.D., et al. Computed tomography reformation in evaluation of fracture
372

healing with metallic fixation: correlation with clinical outcome //J.Trauma.-2008.-Vol.65,


6.-.1421-1424.-.
, , ,
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, ()
, .

22-. . 34 47 .
4 . : 1
0-24%; 2 25-49%; 3 50-74%; 4 75-100%.
62 . ,
<25%; 37,5% (6
16) <25% 9,7% (3 31) >25%,
0,045. , <25%
,
. , Univ. of Texas M.D.
Anderson Cancer. Houston.
(. http:/ www.pubmed.gov)

-
- -
12.

: . Osborn T.M., Bell R.B., Qaisi
W., Long W.B. Computed tomographic angiography as an aid to clinical decision making in
the selective management of penetrating injuries to the neck: a reduction in the need for
operative exploration //J.Trauma.-2008.-Vol.64, 6.-.1466-1471.-.
,
()
(). 5-. ,
.
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. 65
(. 1-24 . 2-41). . 1
(n=6) . 2 (n=27). 6 .
,
. 27 . 2 14
, 4
, 48% , 0% . 1.
, ,
, . , Legacy Emanuel Hosp. and Health Center.
Portland. Oregon.
(. http:/ www.pubmed.gov)

-
- -
373

- - -
- - - -
13.
. Wei B., Hemmila M.R., Arbabi S., et al. Angioembolization reduces operative
intervention for blunt splenic injury //J.Trauma.-2008.-Vol.64, 6.-.1472-1477.-.
() ,
()
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, 2000 . 2006 .
,
() Glasgow. ,
(+) . 87 317
, ( , )
73%, 89%. . ,
. . ,
.
,
+ . (36 vs 6%). ,
.
. 16%. , Henry Ford Hlth.
System Detroit.
(. http:/ www.pubmed.gov)

-
- -
14. :
. Court-Brown C.M., McQueen M.M. Nonunions of the
proximal humerus: their prevalence and functional outcome //J.Trauma.-2008.-Vol.64,
6.-.1517-1521.-.
11 1027
()
6, 13, 26 . 1 .
Constant i Neer. -
. ,
. 1,1%,
8% 10%
33 100%. ,
6 . .
6 . .
.
,
.
, , 6
., ,
. , Royal Infirmary of Edinburg.
374

(. http:/ www.pubmed.gov)

-
- -
15.
. Mueller M., Rangger
C., Striepens N., Burger C. Minimally invasive intramedullary nailing of midshaft
clavicular fractures using titanium elastic nails //J.Trauma.-2008.-Vol.64, 6.-.15281534.-.
31% ()
, , ,
. ,
, .

. 2000-2005 . 31
().
26 (6-46) . . 3 .: 1)
(n=9), 2) (n=15) 3)
(n=7). .
. 7
1 5 .
.
. . Constant i
Murley .
.
. , Univ.
Hosp. of Bonn Med. Center.
(. http:/ www.pubmed.gov)

-
- -
- - -
16.
,
: . Barker R., Schiferer A.,
Gore C., et al. Femoral nerve blockade administered preclinically for pain relief in severe
knee trauma is more feasible and effective than intravenous metamizole: a randomized
controlled trial //J.Trauma.-2008.-Vol.64, N6.-P.1535-1538.-.

.
,
/ ,
. 52
1) (n=26) 2) (n=26).
100
.
375

() ;
26
6. 2 26 1 . .
. ;
. ,
. , Med. Univ. of
Vienna.
(. http://www.pubmed.gov)

-
- -
- - -
- - - -
17.
I . Rivara F.P., Koepsell T.D., Wang J. Outcomes of
trauma patients after transfer to a level I trauma center //J.Trauma.-2008.-Vol.64, N6.P.1594-1599.-.
.
() .
, ,
, .
2867 18-84 . , ,
>/=3, 7570 ,
. 1 .
.
, ,
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( 0,99; 95%).
50-365 . (1,28; 55%),
50 . ( 0,95; 95%). ,
. ,
,
- ,
. , Univ. of Washington, Seattle.
(. http://www.pubmed.gov)

-
- -
18.
. Strm D., Borgstrom F., Zethraeus N., et al. Long-term cost and effect on quality
of life of osteoparosis-related fracteres in Sweden //Acta Orthop.-2008.-Vol.79, N2.-P.269280.-.

() 13-18 . ,
684 , 18 .
.
376

7 .
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.
13-18 . , ,
2422, 3628 316 , .
13 18 . 0,05; 0,11 0,005
, , .
, ,
. ,
, . , Innovus. Stackholm.
(. http://www.pubmed.gov)

-
- -
- - -
19. -
787 . Neumaier M., Scherer M.A. C-reactive protein levels for
early detection of postoperative infection after fracture surgery in 787 patients //Acta
Orthop.-2008.-Vol.79, N3.-P.428-432.-.
(). -
.
1418 . 787
; 17 .
.
-
(136 / 45 / )
. .
96 / ( 92%, 93%).
, -
. ( -
96 / 4 .)
. , Univ. Hosp. Rechts der Isar. Munich.
(. http://www.pubmed.gov)

- -
- -
20. TLICS : ,
. Rihn J.A., Anderson D.T., Harris E. A review of
the TLICS system: a novel, user-friendly thoracolumbar trauma classification
system //Acta Orthop.-2008.-Vol.79, N4.-P.461-466.-.

. (STSG)
,
. 3 :
,
377

.
.
. , The Rothman Inst., Philadelphia.
(. http://www.pubmed.gov)

-
- -
21.
:
98 . Larsen K., Hansen T.B., Sballe K. Hip arthroplasty patients benefit from
accelerated perioperative care and rehabilitation: a quasi-experimental study of 98
patients //Acta Orthop.-2008.-Vol.79, N5.-P.624-630.-.
2005 . 6500 .
.
, ,
, (),
, .
- ,
? 98

(n=48 n=50, .).
, EQ-5D, 5
(, , , /
/) 3 . .
0,8
. ,
10% . ,
Holstebro Regional Hosp.
(. http://www.pubmed.gov)

-
- -
22. :
450 -. Busse J.W., Morton E., Lacchetti C., et al.
Current management of tibial shaft fractures: a survey of 450 Canadian orthopedic trauma
surgeons //Acta Orthop.-2008.-Vol.79, N5.-P.689-694.-.

.
. 450
( ) -
. 268 (60%) .
(80%)
; 47%
, 40% . 59%
(16%)

378

(45%)
. ,
(21%
) 80% , 6 .
. , McMaster Univ.
Hamilton. Ontario.
(. http://www.pubmed.gov)

-
- -
23. In vivo
: 19 .
Swieringa A.J., Goosen J.H., Jansman F.G, Tulp N.J. In vivo pharmacokinetics of a
gentamicin-loaded collagen sponge in acute periprosthetic infection: serum values in 19
patients //Acta Orthop.-2008.-Vol.79, N5.-P.637-642.-.
in vivo
, in
vivo . 19
. 2-5 (130 /).
- 3,2-7,2 /,
. - . /. -
2,5-36 . aeruginosa, S. aureus klebsiella spp. , 18-62 .
- 0,3 /. 24 .
2 /., .
24 . - , 2-5

. , Univ. of Groningen.
(. http://www.pubmed.gov)

-
- -
24. : 628
461 20-. . Larsson J.,
Eneroth M., Apelqvist J., Stenstrm A. Sustained reduction in major amputations in diabetic
patients: 628 amputations in 461 patients in a defined population over a 20-year period
//Acta Orthop.-2008.-Vol.79, N5.-P.665-673.-.


. .
1982 .
1982-2001 .
199000 234000
1 1982 . 31
2001 . 0,57 16 6,8 100 .
4-. .
379

80 . .
(n=240) 0,23 4-. 0,31; 0,49; 0,47 0,49 ,
0,34 4-. 0,27; 0,21; 0,32; 0,21
. ,
. , Lund Univ. Hosp.
(. http://www.pubmed.gov)

-
25. , 4
: 663
906
. Gjertsen J.E., Vinje T., Lie S.A. Patient satisfaction, pain,
and quality of life 4 months after displaced femoral neck fractures: a comparison of 663
fracture treated with internal fixation and 906 with bipolar hemiarthroplasty reported to the
Norwegian Hip Fracture Register //Acta Orthop.-2008.-Vol.79, N5.-P.594-601.-.
2
(). ,
,
. ,
, , 4 .
>70 . , (n=663)
(n=906).
VAS ( ) EQ5D. (VAS 27 vs 41),
(VAS 33 vs 48) EQ-5D (0,51 vs 0,42) 4 .
, .
,
. , Haukeland Univ. Hosp. Bergen.
(. http://www.pubmed.gov)

-
- -
- - -
26. in vitro
:
. Dunne N., Buchanan F., Hill J., et al. In vitro testing of chitosan in
gentamicin-loaded bone cement: no antimicrobial effect and reduced mechanical
performance //Acta Orthop.-2008.-Vol.79, N6.-P.851-860.-.
,
, .


Staphylococcus spp.
.
.
- .
380

,
, . ,
ISO ASTM PMMA
. ,
.
, 29 . ,
. ISO
ASTM. , Schools of Mechanical and Aerospace Engineering. Belfast.
(. http://www.pubmed.gov)

-
- -
27. . Patton
M.S., Lyon T.D., Ashcroft G.P. Levels of systemic metal ions in patients with
intramedullary nails //Acta Orthop.-2008.-Vol.79, N6.-P.820-825.-.
,
- , .
.
. 61 ,
, 3 . 21 Russell-Taylor
in situ 26 (21-32) . (316 LVm
), 20 Trigen in situ 43 (35-51) . (Ti6AL-4V ) 20 -
. -
, , , . . ,
. 1 . (0,1/)
- 2,5 , . 2 .
(6,5 /).
. ,

.
, ,
. , Univ. of Aberdin.
(. http://www.pubmed.gov)

-
- -
- - -
28.
. Andersen L.O., Husted H., Otte K.S., et al. A compressin
bandage improves local infiltration analgesia in total knee arthroplasty //Acta Orthop.2008.-Vol.79, N6.-P.806-811.-.
,
,
. 48
(170 ) 0,2%
381

.
24 . 8
. ,
, ;
.
(2,8 3,3 .) . ,

. , Hvidovre Univ. Hosp. Copenhagen.
(. http://www.pubmed.gov)

-
- -
- - -
29. :
? , -, . Andersen L.., Kristensen B.B., Husted H., et al. Local
anesthetics after total knee arthroplasty: intraarticular or extraarticular administration? A
randomized, double-blind, placebo-controlled study //Acta Orthop.-2008.-Vol.79, N6.P.800-805.-.

,
. 32

(170 ) 0,2% 20
(0,2%) () 30
() 20 0,2% 30
0,2 24 . .
4 . .
, .
,
. , Hvidovre Univ. Hosp.
(. http://www.pubmed.gov)

-
- -
.
: ..
: _______________
: _______________
1. : 5 .
Barbey F., Lidove O., Schwarting A. Fabry nephropathy: 5 years of enzyme replacement
therapy a short review //Nephrol.Dial.Transplant.Plus.-2008.-Vol.1, N1.-P.11-19.-.

()
. , ,
382

,
/ .


.


(). 5-. ,
, ,
,
.
,
,
. . 53.
(. )

-
- -
- - -
2. -1
. Chen C.-H., Shu K.-H., Wen M.-C., et al. Impact of
plasminogen activator inhibitor-1 gene polymorphisms on primary membranous
nephropathy //Nephrol.Dial.Transplant.-2008.-Vol.23, N10.-P.3166-3173.-.
1 ()
.
()
104 , , 140 , . .
-

. .
4G/4G , 4G/5G
5G/5G (43,6; 55,8 73,3 /. .)
4G/5G (14/32%) 4G/4G (4/11%), 5G/5G
(1/5%).
4G/5G (18/41%) 4G/4G (6/16%), 5G/5G (3/14%).
4G/4G (20/53%) 4G/5G (25/57%)
5G/5G (5/23%). , 4G
- . .
4G/4G. ,
Inst. of Clinical Medicine. . 20.
(. )

-
- -
- - -

383

3. ,
. Hofstra J.M., Deegens J.K.J., Steenbergen E.J., Wetzels
J.F.M. Urinary excretion of fatty acid-binding proteins in idiopathic membranous
nephropathy //Nephrol.Dial.Transplant.-2008.-Vol.23, N10.-P.3160-3165.-.
, - () -
. ()
, () .
40 (27 ., 13 .)
(). 4815 .,
- 8917 /, 8,95,0 /24 .
ELISA.
>25% . 39
. 3,29 / ( <0,38
/ ). 9 . 1,53 /
( <0,1 ). 2-,
1-, gG . 7532 . 16
(40%) .
81
83% .

. ,
. , Radboud Univ.
Nijmegen Med. Center. . 21.
(. )

-
- -
- - - -
4. - 1 (1) g . Harada K., Akai Y., Yamaguchi
Y., et al. Prediction of corticosteroid responsiveness based on fibroblast-specific protein 1
(FSP1) in patients with IgA nephropathy //Nephrol.Dial.Transplant.-2008.-Vol.23, N10.P.3152-3159.-.
, 1
g (g).
50 g, .
7,13,0 . 1 . -1
. 12
. 38
<1,0 /.
, , ,
/ ,
1+ . 1 ., 2.
2 ,
1 . - .
g >32,6 1 ./HPF,
. , Nara Med. Univ. . 28.
384

(. )

- g
- -
5.
. Achenbach J., Mengel M., Tossidou I., et al. Parietal
epithelia cells in the urine as a marker of disease activity in glomerular
diseases //Nephrol.Dial.Transplant.-2008.-Vol.23, N10.-P.3138-3145.-.

.

(D). D- .

(), () () .,
, . ,

D- ., , , .
. .
. -
D- ., 50% .
(8-18).
, 100% . D-,
, 45% 100%
. 8-18 .
8-18. , D-
.
. , .

. , Hannover Med. Sch. . 29.
(. )

-
- -
- - -
6.
-. Baekken M., Os I., Sandvik L., Oektedalen O.
Microalbuminuria associated with indicators of inflammatory activity in an HIV-positive
population //Nephrol.Dial.Transplant.-2008.-Vol.23, N10.-P.3130-3137.-.
(), ,
, - ()
. ,
- (n=495) .
(n=2091). 3
. - 8,7%, 3-5
, . -
385

, , , -2-
90 /. ,
, -2- -.
,
- .
, Ullevaal Univ. Hosp., Oslo. . 44.
(. )

- -
- - -2-
7. (): 7 Troms. Kronborg J., Solbu M., Njlstad I., et al.
Predictors of change in estimated GFR: a population-based 7-year follow-up from the
Troms study //Nephrol.Dial.Transplant.-2008.-Vol.23, N9.-P.2818-2826.-.
-
-
.
,
. 2249 . 2192 .
, 7 .
- .
(- 10 . .,
.=-0,14, .=-0,07) (-, .=-0,12, .=-0,11).
/./1,732/. .
. . .
/ . ,
-,
., . ,
Univ. Hosp. of North Norway, Troms. . 42.
(. )

-
- -
- - -
- - - -
8.
, . Chonchol M., Lippi G., Montagnana M., et al.
Association of inflammation with anaemia in patients with chronic kidney disease not
rquiring chronic dialysis //Nephrol.Dial.Transplant.-2008.-Vol.23, N9.-P.2879-2883..
()
. - ()
.
7389 .
() MDRD
386

(Modification of Diet in Renal Disease). ,



. 2221 (30,1%) 90 /./3; 4310
(58,3%) 60-89 /./3 858 (11,6%) <60 /./3.
- - () , , ,
(<0,0001). -
. .
,
. , Univ. Hosp. of Verona. . 26.
(. )

-
- -
- - -
9. g ,
. Lv J., Zhang H., Cui Z., et al. Delayed severe
pneumonia
in
mycophenolate
mofetil-treated
patients
with
IgA
nephropathy //Nephrol.Dial.Transplant.-2008.-Vol.23, N9.-P.2868-2872.-.
()
() () - g
(g). 850
32 (1-1,5 .) 47 () (50-100 .).
.
,
. . ,
, . 3
. 6 32 : 3 , 2
, 1 . .
. ,
(4 ).
. 6 16
( [] <60 /./1,733)
>60 /./1,733 .
,

. , Pekin Univ. . 27.
(. )

- g
- -
- - -
- - - -
10. ,
:
/ . Zhu S., Liu Y., Wang L., Meng Q.H.
Transforming growth factor-, is associated with kidney damage in patients with essential
387

hypertension: renoprotective effect of ACE inhibitor and/or angiotensin II receptor


blocker //Nephrol.Dial.Transplant.-2008.-Vol.23, N9.-P.2841-2846.-.
()
(
) /
(). 156 ,
. . - (). 90
12 .
, .
.
12 . . , .
. .
, . . ,


. , Royal Univ.
Hosp. . 39.
(. )

-
- -
- - -
- - - -
11. -2-
, N---. Hofstra J.M.,
Deegens J.K.J., Willems H.L., Wetzels J.F.M. Beta-2-microglobulin is superior to N-acetylbeta-glucosaminidase
in
predicting
prognosis
in
idiopathic
membranous
nephropathy //Nephrol.Dial.Transplant.-2008.-Vol.23, N8.-P.2546-2551.-.
()
,
.
-2- (2) N-- () . .
57 (38 ., 19 ., 4816.)
<135 /.
.
>50%
135 /. <2,0 /.
. 8036 . -
8920 /, 245,3 /
8,94,8 /24 . 28 (49%) .
2
. 81 90% ., 2
( 54 / .) 74 81% (
2,64 ./ .). 44%.
78% 2 14% . 2

388

.
, Radboud Univ. Med. Center. Nijmegen. . 20.
(. )

-
- - -2-
- - -
12. g :
. Haas M., Rahman .H., Cohn R.A., et al. IgA nephropathy in
children
and adults:
comparison of histologic features and clinical
outcomes //Nephrol.Dial.Transplant.-2008.-Vol.23, N8.-P.2537-2545.-.

g (g) ., . ,
g ,
.
,
.
, 99 . (17
.) g 125 g.
. (14 vs 24%)
(3 vs 17%). .
(). 2 .
. .

( vs ). , Johns Hopkins Med. Inst., Baltimore. . 28.
(. )

-
- -
- - -
- - - -
- - - - -
13. 2-
. Oda T., Tamura K., Yoshizawa
N., et al. Elevated urinary plasmin activity resistant to 2-antiplasmin in acute
poststreptococcal glomerulonephritis //Nephrol.Dial.Transplant.-2008.-Vol.23, N7.P.2254-2259.-.

(-
[]) , 2- ()

().

. 10 , 10 g
(g), 10 () 10 .
. - -
.
389

. , - ,
- (./ )
(2,990,63), g (1,020,2), (0,790,17) . (0,730,18).
.
-, -
. , Nat.
Defense Med. College, Saitama. . 20.
(. )

-
- -
- - - 2-
- - - -
14. . Cattran D.C., Reich H.N.,
Beanlands H.J., et al. The impact of sex in primary glomerulonephritis //Nephrol.Dial.Transplant.-2008.-Vol.23, N7.-P.2247-2253.-.
395
(), 370
() 542 g (g).
(), , ,
, 50%
( ). .
, 2 . , 2 g

. . . 50 30%
, g .
., . ( 0,63, 95%:0,40-1,00,
=0,05) ( 0,67, 95%:0,48-0,95, =0,02), g.
,
, .
,
.
. , , .
, .
. , Univ. Hlth. Network, Toronto. . 60.
(. )

-
- -
- - -
- - -
- - - -
- - - - -
- - - - - g
- - - - - -
- - - - - - -

390

15. /
:
. Antunes V.V.H., Veronese F.J.V., Morales J.V. Diagnostic
accuracy of the protein|creatinine ratio in urine samples to estimate 24-h proteinuria in
patients with primary glomerulopathies: a longitudinal study //Nephrol.Dial.Transplant.2008.-Vol.23, N7.-P.2242-2246.-.
. / ()
.
. 6-.
41
, .
() . .
6-. (<0,001
). 1 6 .
2,00; 1,88; 1,22; 1,07; 0,65; 0,34 0,57 .
,
.
. , Sch. of
Medicine, Porto Alegre. . 25.
(. )

-
-
- -
16. 5- ,
- . Schiffl H., Fisher R. Five-year outcomes of severe acute
kidney injury requiring renal replacement therapy //Nephrol.Dial.Transplant.-2008.-Vol.23,
N7.-P.2235-2241.-.

. ()
,
12 .
425 , - (), 226,
, 60 . .
.
5 . ; 57%
, 43% . 1 .
18% , 2 . 4%, 3-5 . 2% . 5 . 25%
. 26
., 8. 5 .
86%, 9% 5% .
, ,

. ,
- ,

391

. , Univ. of Munich,
Munich. . 21.
(. )

-
- -
- - -
- - - -
17.
. Covic A., Schiller A., Mardare N.-G., et al.
The impact of acute kidney injury on short-term survival in an Eastern European
population with stroke //Nephrol.Dial.Transplant.-2008.-Vol.23, N7.-P.2228-2234.-.
.
() ,
. : 1)
(); 2) 30-. ; 3) ,
. 1090
, . ,
, .
30 . . 66,111,5 .
(49,3% .), () 68,922,6 /./1,732; 30-.
17,2%. 932 , 158 .
14%, 36,3%. 158
(14,5%) . , ,
,
,
30-. (43,1 vs 12,8%).
,
, , . , Dr. C. I. Parhon Univ. Hosp.
Iasy. . 26.
(. )

-
- -
- - -
- - - -
18. . Paulsen L., Holm C.,
Bech J.N., et al. Effects of statins on renal sodium and water
handling //Nephrol.Dial.Transplant.-2008.-Vol.23, N5.-P.1556-1561.-.
-
, , ,
. 2 - () .
1 80 .
2 20 80 4
. (),
392

(), - (), (),


() () ().
1
; . . .
,
, , , ,
,
, .
, Holstebro Hosp., Holstebro. . 20.
(. )

-
- -
- - -
19. :
. Ortiz A., Oliveira J.P., Waldek S.,
et al. Nephropathy in males and females with Fabry disease: cross-sectional description of
patients before treatment with enzyme replacement therapy //Nephrol.Dial.Transplant.2008.-Vol.23, N5.-P.1600-1607.-.
, -
, .

(), 1262 (585 .
677 .) . 28% . ( 20-79) 13% . ( 20-82)
() <60 /./1,732. (>300
/24 .) 43 26% . . 1 .,
. 11% . 28% . <60 /./1,732
<300 /24 . 60 /./1,732
55% . 35% . >30 /24 .
130/80 . . 48 67% <60
/./1,732 . . .
. ,
, .
,
. , Fundacion Jimenes Diaz., Madrid. . 36.
(. )

-
- -
- - -
- - - -
20.
. Gupta K., Iskandar S.S., Daeihagh P., et al.
Distribution of pathologic findings in individuals with nephritic proteinuria according to
serum albumin //Nephrol.Dial.Transplant.-2008.-Vol.23, N5.-P.1595-1599.-.
393

()
, , .

.
>3 /24 .
<30 / (. 1),
30-35 / (. 2) 35 / (. 3). 1 . 57 , 2 . 20 3 . 35.
()
.: 26% (1), 45% (2) 74% (3). 35 3 . 34
. . 6 . 7 17 3
. , .
, .

,
. , Medical Center Boulevard, Winston Salem. . 21.
(. )

-
-
- -
- - -
- - - -
21. :
. Hoorn E.J., Betjes M.G.H., Weigel J., Zietse R. Hypernatraemia in critically
ill patients: too little water and too much salt //Nephrol.Dial.Transplant.-2008.-Vol.23, N5.P.1562-1568.-.
() - .
, 2005 . ()
, .
, - 150 /.
- 130 (1 .) 260 (2 .).
(9 vs 2%), (53 vs 34%), (53 vs 13%),
(91 vs 55%), (10 vs 1%)
(23 vs 0,4%) 1 . .
80 (-312 //.)
50 (723 //.).
(1482 vs 1333 /).
(405 /). 1 . (48 vs 10%),
( 4,3; 95%:2,5-7,2). ,
,

. /
. /
. , Erasmus Med. Center, Rotterdam. . 34.
(. )

394

-
- -
- - -
22.
: . De Biase V., Tobaldini O.,
Boaretti C., et al. Prolonged conservative treatment for frail elderly patients with end-stage
renal disease: the Verona experience //Nephrol.Dial.Transplant.-2007.-Vol.23, N4.-P.13131317.-.


(),
.
11 75 .
, ,

. ,
,
() .
. ,
,
. , Univ. Hosp. of Verona. . 18.
(. )

-
- -
- - -
- - - -
- - - - -
23. g . Kaartinen K., Syrjnen
J., Prsti I., et al. Inflammatory markers and the progression of IgA
glomerulonephritis //Nephrol.Dial.Transplant.-2007.-Vol.23, N4.-P.1285-1290.-.
g (g),
, 15-40% .
g ,
.
, -6
(-6) , g - ()
. 174 (70 .) 11 16 .
g .
5 . .
- 20%
, , .
-, , , , -6 . ().
2 19,5% . ,
g; -6 .
.
395


. , Univ. of
Tampere. . 18.
(. )

-
24. .
Schaeffner E.S., Kurth T., Bowman T.S., et al. Blood pressure measures and risk of chronic
kidney disease in men //Nephrol.Dial.Transplant.-2007.-Vol.23, N4.-P.1246-1251.-.
() ,
,
. (), (), ()
() .
(). 8093 .
, 24 .
14 . .
, <60 /./1,732.

. 14 . 1039 . (12,8%)
. 10 . . .
1,11 ; 1,11 , 1,14 1,05 . ,
, .
, . ,
Charite Campus Virchow, Berlin. . 28.
(. )

-
- -
- - -
- - - -
- - - - -
25.
:
. Kane G.C., Stanson A.W., Kalnicka D., et al. Comparison between
gadolinium and iodine contrast for percutaneos intervention in atherosclerotic renal artery
stenosis: clinical outcomes //Nephrol.Dial.Transplant.-2008.-Vol.23, N4.-P.1233-1240..
()
,
.
() ,
.
() 176 / (2 /) (n=57;
), (n=68; ) (n=38).
,
( 44 / [0,5 /] 7 .
396

- . ) . (3/57, 5,3%)
+ (4/38, 10,5%) (14/68, 20,6%)
30 . (<0,005).
4022 .
. .
, .
2 ,
. , Mayo Clinic
College of Medicine, Rochester. . 42.
(. )

-
- -
- - -
- - -
- - - -
- - - - -
- - - - - -
26. . Sonck J., Laureys G., Verbeelen D. The neurotoxicity and safety of
treatment with cefepime in patients with renal failure //Nephrol.Dial.Transplant.-2008.Vol.23, N3.-P.966-970.-.
()
. 8 ,
: ,
, , , , .
4,752,55 .;
1714,7 . , 3 . 5
, 3

.

.
,
.

. , Vrije Univ. Brussel.
. 26.
(. )

-
- -
- - -
27. . Bergesio F., Ciciani A.M.,
Manganaro M., et al. Renal involvement in systemic amyloidosis //Nephrol.Dial.Transplant.-2008.-Vol.23, N3.-P.941-951.-.

397

290 373 ,
1995-2000 .,
. 83
.
,
,
. 24 .
(L) , 30 . () 52 . (F). L , .
.
, ,
, .
L,
(
.) - . ,
L,
(),
. .
. , Azienda
Ospedaliero-Universitaria Careggi, Firenze. . 28.
(. )

-
- -
28.
:
. Oppert M., Engel Ch., Brunkhorst F.-M., et
al. Acute renal failure in patients with severe sepsis and septic shock a significant
independent risk factor for mortality: results from the German Prevalence
Study //Nephrol.Dial.Transplant.-2008.-Vol.23, N3.-P.904-909.-.
, ()
()
.
. 3877
415 . 14
(3,4%) - . 401
, , 166 (41,4%) ,
2
<0,5 / . APACHE
22 16 (<0,00001).
/ 55,2%,
67,3%, 42,8% (<0,0001).
( 2,11;
95%:1,27-3,52).
- , 86%. , Humboldt
Univ., Berlin. . 21.
398

(. )

-
- -
- - -
- - - -
29. g
. Lemley K.V., Lafayette R.A., Derby G., et al. Prediction of early progression
in recently diagnosed IgA nephropathy //Nephrol.Dial.Transplant.-2008.-Vol.23, N1.P.213-222.-.
g (g)
,
.
. 22 g
4-5 . .
. 30 (
, ) 22
.
41 /./. 8,6 /./.
5 : ,
, ,
.
3 ,
g
.
. ,
Stanford Univ., Stanford. . 35.
(. )

- g
- -
- - -
30. ,
. Day C., Hewins P., Hildebrand S., et al. The role of renal biopsy in women
with kidney disease identified in pregnancy //Nephrol.Dial.Transplant.-2008.-Vol.23, N1.P.201-206.-.

, .
- .
2 . .: 1) 20 ,
; 2) 75 ,
. 1 . 19/20
(95%) 9/20 (40%). 17/20 (85%) .
36 . , ,
103,3 . , 9/20 (45%) () <60
/./1,732 (6 []) 3/20 .
399

. 2 . (62/75; 82,6%) (40%


) , .
64%. , 14 . (29,7%)
, 20 (42,6%) <60 /./1,732, 6 (12,7%) .
, ,
. .
. , Univ. Hosp.
Birmingham. . 19.
(. )

-
- -
- - -
- - - -
- - - - -

: ..
: _______________
: _______________
29. . V. P //N.Engl.J.Med.-2008.-Vol.359, N8.-P.800-809.-.
. , I. . 35.
(. )

400

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