Aspects of psychosomatic disorders in highly qualified athletes

Objective: to observe general abundance of various psychosomatic disorders among highly qualified athletes. Materials and methods: the study involved 3 094 athletes of Russian national teams with age range from 18 to 77 years. Analysis of data collected during the extend medical examinations (EME) of the national Russian team athletes in 2014-2016 years was conducted. Results: research shows high frequency of psychosomatic disorders among athletes of Russian national teams - 28,1%. The most common conditions among diseases with psychosomatic mechanisms in athletes of Russian national teams were disorders of the musculoskeletal system, the gastrointestinal tract, and the nervous system. Gender and age specific differences were shown. Conclusions: both psychological and psycho-physiological factors play significant role in the formation of psychosomatic disorders in athletes. Apparently, in view of the importance of social status (success) and, consequently, the tendency to negate problems, we expect late medical resource utilization in this group of the population (only in the case of a long and severe somatic disorder)

Atherosclerotic lesions of brachiocephalic arteries and issues of surgical correction of symptomatic and asymptomatic carotid stenosis

The objective of the study was to evaluate the results of carotid endarterectomy in patients with symptomatic and asymptomatic course of hemodynamically significant stenosis of carotid arteries.Material and methods. The work was based on observations of 88 patients: the main group included 28 patients with asymptomatic lesion, the control group – 60 patients with symptomatic critical carotid stenosis.Results. There was a predominance of contralateral carotid stenosis, changes in vertebral arteries in the control group. Features of atherosclerotic lesion of carotid arteries associated with the severity of metabolic disorders, perioperative fluctuations of hemodynamics, time of clamping of carotid arteries.Conclusion. Aggressive course of symptomatic carotid stenosis requires correction of metabolic disorders in the perioperative and in the distant periods, as well as monitoring of hemodynamic abnormalities

Application of the Ho: YAG-Laser in surgical treatment of chronic tonsillitis

The problem of chronic tonsillitis (CT) is one of the most pressing in practical otolaryngology, which is supported by the data on high prevalence of the disease. The disease is found in 4-10% of adult population and in 12-15% of children [3, 4]

Justification for endonasal surgical approach for cystic lesions of the maxillary sinus

The article discusses the feasibility of endonasal surgical approach for cystic lesions in the maxillary sinus. A comprehensive study of 102 patients with chronic cystic sinusitis was conducted to evaluate anatomical and morphological characteristics of the ostiomeatal complex. CT scans of the PNS were studied using vector analysis measuring the lumen of ethmoid infundibulum and diameter of the natural maxillary ostium, and a histological examination of the mucous membrane structures of the ostiomeatal complex was undertaken. The study found that lesions in the mucosa of ethmoid infundibulum and the natural maxillary ostium are chronic with prevalence of sclerotic changes. At the same time, alongside the whole complex communication system between the sinus and nasal cavity there is a lumen 1,31 ± 0,03 mm in the area of ethmoid infundibulum, and 2,09 ± 0,02 mm in the natural ostium (