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THE DISEASE AS A PHENOMENON OF HUMAN NATURE: TOWARD UNDERSTANDING
AND DEVELOPING OF V.KH.VASILENKOS PHILOSOPHICAL LEGACY. PART 2

Ya.S. Tsimmerman1, A.S. Dimov2


E.A. Vagner Perm State Medical Academy; Izhevsk State Medical Academy, Russia

Empirical data on the nature of disease were systematized and summarized in Part 1. In Part 2 the same problem is addressed
by the deductive method from the general biological and philosophical standpoint. Methodological assessment of the most
popular definitions of the disease is undertaken along with expanded medico-philosophical interpretation of the notion of
disease as an anthropological phenomenon including its applied aspects.
K e y w o r d s: life; death; disease; pathogenesis; the nature of disease; adaptations; evolution; stabilizing selection.

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REFERENCES
1. Vasilenko V.X. To a question of the illness concept. Klin. med. 1972;
9: 1406 (in Russian).
2. Marchenko A.A., Petlenko V.P., Sergeantov V.F. Methodological
bases of clinical medicine. Kiev: Health; 1990 (in Russian).
3. Petlenko V.P. Philosophy and medicine. Arh. Pathologies. 1982; 4:
38 (in Russian).
4. Vasilenko V.X. To discussion about the concept of an illness and sokputstvuyushchy questions. Klin. med. 1976; 12: 11424 (in Russian).

5. Davydovsky I.V. General pathology of the person of Moscow: Medicine; 1969 (in Russian).
6. Davydovsky I.V. Filosofskiye of a pathology basis. Arh. Pathologies.
1969; 6: 39 (in Russian).
7. Chazov E.I. Protection physiology. On the verge of health and illness. Ter. arh. 1996; 9: 79 (in Russian).
8. Davydovsky I.V. Problemy of causality in medicine. Etiology. Moscow: Medicine; 1962 (in Russian).
9. Davydovsky I.V., Silvestrov V.E. About definition poknyatiya illness. Arh. Patholog. 1966; 1: 38 (in Russian).
10. Sheptulin A.A. Development of the general concept of an illness in
V.H. Vasilenkos works. Klin. med. 2008; 11: 6971 (in Russian).
11. Kirillov V.I., Starchenko A.A. Logic. Moscow: The Higher School;
1982 (in Russian).
12. Ado A.D. General allergology. The management for doctors. Moscow: Medicine; 1978 (in Russian).
13. Tareev E.M. Internal diseases. 3rd ed. Moscow: Medgiz; 1957 (in
Russian).
14. Shor G.V. About death of the person (introduction in thanatology).
Leningrad: KUBUCh publishing house; 1925 (in Russian).
15. Malov Yu.S. Health and illness from a position of the clinical physician. Klin. med. 1997; 1: 168 (in Russian).
16. Shmalgauzen I.I. Organism as whole in individual and historical development. The chosen works. Moscow: Science; 1982 (in Russian).
17. Vasilenko V.H. Introduction in clinic of internal diseases. Moscow:
Medicine; 1985 (in Russian).
18. Pletnev D.D. Heart diseases. Moscow; Leningrad: Biomedlit; 1936
(in Russian).
19. Reshetnikov A.V. Medico-sociological ideas of illness and health
models. Sotsiologiya meditsiny. 2003; 2: 315 (in Russian).
20. Botkin S.P. Clinical lectures. 3rd ed. St. Peterburg; 1912 (in Russian).
21. Shchepin O.P., Filatov V.B., Chudinova I.E., Pogorelov Ya.D. About
a role of values in formation of policy of health care. 2000; 2: 912
(in Russian).
22. Selye H. The Stress of Life. New York; 1956.
23. Selye G. Stress without a distress. M.: Progress; 1982 (in Russian).
24. Karpin V.A. Philosophical bases of the general theory of pathology: principle of similarity. Uspekhi sovremennogo estestvoznaniya.
2005; 3: 224 (in Russian).
25. Gegel G. Encyclopedia of philosophical sciences. Moscow: Thought;
19741977; vol. 13 (in Russian).
26. Korolkov A.A. Dialektika and medicine theory. Leningrad: Publishing house Leningrad university; 1979 (in Russian).
27. Reshetnikov A.V. Institutional changes in a sociocultural pattern of
health and illness. Sotsiologiya meditsiny. 2005; 2: 325 (in Russian).
28. Glyazer G. About thinking in medicine. Moscow: Medicine; 1969 (in
Russian).
29. Pavlov I.P. Lectures about work of big cerebral hemispheres. Leningrad; Moscow: State publishing house; 1927 (in Russian).
30. Davydovsky I.V. Adaptive processes in pathology. Vestnik AMN
USSR. 1962; 4: 3542 (in Russian).
31. Parkhanyuk E.V., Katz A.Ya. All-pathological regularities and problems of prevention and treatment of atherosclerosis and hypertensive
illness. Klin. med. 2012; 1: 801 (in Russian).
32. Vasilenko V.H., Grebnev A.L., eds. Propaedeutics of internal diseases. 2nd ed. Moscow: Medicine; 1982 (in Russian).
33. Pavlov I.P. Sobr. soch. Moscow: 1925; vol. 3; book 1: Natural sciences and brain (in Russian).
34. Oganov R.G., Gerasimenko N.F., Pogosova G.V., Koltunov I.E. Cardiovascular prevention in operation. Cardiology. 2011; 1: 478 (in
Russian).
35. Grandfathers I.I., Tyulpakov A.N., Chekhonin V.P., Baklaushev V.P.,
Archakov A.I., Moszkowski S.A. The personalized medicine: current state and prospects. Vestnik Russian AMN. 2012; 12: 412 (in
Russian).
36. Suchkov S.V., Rose N., Notkins A., Golubnichy O., Herrat M., Legg
M. et al. Introduction in predictive and preventive medicine. Ter.
arhiv. 2012; 8: 815 (in Russian).
37. Oganov R.G., Maslennikova G.Ya. Demographic tendencies in the
Russian Federation: contribution of diseases of system of blood circulation. Kardiovascularnaya terapiya i profilaktika. 2012; 1: 510
(in Russian).
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