[Influence of dopamine receptors agonists on clinical and hemodynamic and neurohumoral indicators in hypertensive patients with concomitant obesity].

The article analyzes the results of studying the effects of antihypertensive treatment with the use of agonists dopamine receptors on clinical and hemodynamic and neurohumoral indicators in hypertensive patients with concomitant obesity. Special role is given to the patogenetice factor as dopamine and his relationship with the renin - angiotensin.- aldosterone system, endothelial function, which are aimed at the regulation of blood pressure and obesity formation and progression.

[State of the dopamine system activity, as one of factors for the development of arterial hypertension and obesity].

The discovery of 5 subtypes of dopamine receptors revealed their important role in development of arterial hypertension and obesity. Reduce of their functional activity or number with age conduces to the increase of tone of the sympathetic nervous system, dyspoiesis of leptin, hyperphagia, development of obesity and arterial hypertension. Prescription of dopamine agonists conduces to reduction of in, normalization of leptin, diminishing of appetite and body mass, decrease of blood pressure.

[Effect of combined treatment with dopamine receptor agonists and antagonists of aldosterone on the performance of daily blood pressure monitoring in patients with hypertension and concomitant obesity].

In hypertensive patients with concomitant obesity observed decrease in activity of dopaminergic system in conjunction with increased activity of the renin-angiotensin-aldosterone system. Identified changes point to the advisability of appointing this group of patients the dopamine receptor agonist - bromocriptine-KV and antagonist of aldosterone - veroshpiron. As a result of treatment was an increase in dopamine levels in the urine, a decrease of aldosterone in the blood, normalization of the daily blood pressure monitoring.

[Anesthesiological support of operative interventions in the injured persons, suffering a cold trauma].

Basing on analysis of the treatment results in 74 injured persons with a cold trauma there was proved, that during operative interventions performance a total intravenous anesthesy and a spinal cord anesthesy are used most frequently. Inhalation anesthesy and conducting methods of anesthesy ought to be used more frequently, because a total intravenous anesthesy is a lesser guided one and a spinal cord anesthesy may cause a severe hypotension in the injured persons.

[Influence of hospital factors on the spread of nosocomial infections].

The incidence of nosocomial infections (NI) was analyzed and the specific features of their occurrence and spread were defined at a multidisciplinary emergency care hospital. Weight coefficients were calculated for the hospital factors influencing NI, which allowed corrections to be made into the priority measures of the existing NI prevention system.