Vol 60, No 6 (1979)

Child health care

Mukhutdinov I.Z.


The United Nations, on the initiative of the progressive forces, proclaimed 1979 the International Year of the Child.

Kazan medical journal. 1979;60(6):1-3
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Theoretical and clinical medicine

Contemporary aspects of childhood obesity

Knyazev Y.A., Kartelishev A.V.


More modern views on epidemiology, pathogenesis, genetics, obesity clinics in children are presented; the classification of obesity in children, the evolutionary scheme and characteristics of the "adiposus-genotype" were developed, the principles of predicting the risk of morbidity from constitutional-exogenous obesity were determined, the features of the symptoms of the disease and dynamics depending on the inherited morphotype, new approaches to therapy and prevention of this form of obesity were described.

Kazan medical journal. 1979;60(6):4-8
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Early rehabilitation of premature babies born to mothers with severe late toxicosis

Belova N.A.


In 312 premature infants born to mothers with severe late toxicosis, in order to reduce perinatal morbidity and mortality, a differentiated (taking into account the degree of maturity and malnutrition) stage-by-stage therapy was carried out in accordance with the process of restoration of adaptive mechanisms. Indicators of clinical and physiological development of children and data from functional biochemical studies indicate the effectiveness of the developed therapy. A 2-fold decrease in perinatal morbidity and mortality in children has been achieved, and long-term results have also become better.

Kazan medical journal. 1979;60(6):8-11
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Viral-bacterial pneumonia in children and their emergency treatment

Kudryavtseva N.P., Malysheva L.M., Tsaregorodtsev A.D.


The study included 100 children with acute respiratory viral infections: 30 with adenovirus infection, 26 with influenza, 112 with respiratory syncytial infection, 9 with parainfluenza and 123 with mixed viral infections. In all children, the disease was complicated by pneumonia, predominantly staphylococcal in nature. Viral-staphylococcal pneumonia was more often recorded in children under the age of 1 year; their course was especially severe, toxic forms with neurotoxicosis, encephalitic reaction, cardiac and severe respiratory failure with obstructive syndrome prevailed. Due to the timely use of syndromic, complex antibacterial and stimulating therapy, 96 children experienced a complete clinical recovery.

Kazan medical journal. 1979;60(6):11-14
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Rationale for intrapulmonary antibiotic administration

Rokitsky M.R., Kuchinskaya A.I., Volkova N.V.


In the experiment and in the clinic, a study of the distribution of a water-soluble contrast agent in a mixture with an antibiotic with intrapulmonary administration was carried out. It was found that a high concentration of antibiotics in the injection zone is maintained by its slow resorption from the focus of inflammatory infiltration. Of 84 children who were treated with intrapulmonary injections of antibiotics, 82 were discharged with recovery. The mortality rate was 2.4%.

Kazan medical journal. 1979;60(6):14-16
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Respiratory rehabilitation of newborns with continuous positive airway pressure

Zhavoronkov V.F., Voronin K.V., Molokovich N.I.


A review of the principles and methods of dealing with the syndrome of respiratory disorders in newborns described in the literature is presented, the author's method of creating a constant positive airway pressure in newborns born with this syndrome is presented. The positive and negative aspects of the method are noted.

Kazan medical journal. 1979;60(6):16-19
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Treatment of a mild form of dysentery Zonne in children

Bashirova D.K., Galeeva R.K., Sorokin A.A., Mingazova A.F., Shagidullina A.R., Tavlinova Z.S., Khaertynova D.S.


The clinical effectiveness and economic feasibility of various methods of treatment - with and without antibiotics - for young children with mild Sonne dysentery were studied. It was found that the method of treatment does not significantly affect the time of normalization of their stools and the duration of their stay in the hospital. The combination of antibacterial agents (antibiotics + chemotherapy) has no advantages over monoantibacterial therapy for mild Zonne dysentery with pathological stools. On this basis, a recommendation was made to treat children with a mild form of dysentery Zonne with a mono-antibacterial agent (furazolidone).

Kazan medical journal. 1979;60(6):20-21
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Immunological mechanisms of food and drug allergy in children

Romanova N.A., Garifullina D.I., Poroshenko L.E.


Some immunological mechanisms of food and drug allergy in children have been studied. It was found that the indicators of humoral immunity (immunoglobulins A, M and G, Shelley test, Wanier reaction) depend on the form of allergic dermatoses

Kazan medical journal. 1979;60(6):21-22
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Non-specific therapy for allergic dermatoses in children

Shamova A.G., Andreeva L.N.


Complex treatment of 30 children suffering from skin allergies was carried out, united in a special group in the children's team. This included elimination of the antigen by formulating an elimination diet and nonspecific drug therapy. By the end of the follow-up, 22 children had a stable remission. In this group, in comparison with the control group, the overall morbidity decreased by 1.5-12 times. The data obtained make it possible to recommend the organization of specialized groups for patients with allergic dermatoses in children's centers.

Kazan medical journal. 1979;60(6):23-25
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Thrombocytokinetics in idiopathic thrombocytopenic purpura in children

Smirnov A.M.


In 40 children with idiopathic thrombocytopenic purshura, thrombocytokinetics were studied taking into account humoral antiplatelet antibody production during treatment. It was stated that there was no statistically significant difference in thrombocytokinetics in positive and negative immunological tests, which confirms the immunological nature of the disease, regardless of the form of its manifestation. It has been established that steroid therapy “has a prolonging effect on the course of the disease.

Kazan medical journal. 1979;60(6):25-27
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Therapy of hypovolemic shock in cholera in children

Nikiforov V.N., Koroteev A.V., Orazgaliev B.D.


The features of the pathogenesis of cholera in children are described. Detailed recommendations for the treatment of hypovolemic shock with an indication of the formulation of the infusion fluid are given

Kazan medical journal. 1979;60(6):27-28
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Intestinal coli infection "Crimea" in children

Belogorskaya E.V., Kuznetsova L.A., Iskanderova Z.Z., Podryadnoe G.S.


According to the data of clinical observations (377 patients), coli infection "Crimea" in most children is mild, has an acute or abortive course. Vomiting, lethargy, decreased appetite were noted in 1.8% of children, mainly of early age. 34% of children had loose or semi-liquid stools with mucus. There were no symptoms of hemocolitis. Treatment with neomycin antibiotics or nitrofuran drugs was equally effective.

Kazan medical journal. 1979;60(6):29-31
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Reasons for the incidence of measles in vaccinated children

Kachurets V.I., Sadekov F.F., Shamsutdinova F.Z.


During the period of mass immunization, the incidence of measles decreased by 8.1 times, during the period of active routine vaccination - 1: 5 times compared with the pre-vaccination period. In recent years, measles has "matured": the incidence among children 10 years and older has increased. As a result of anti-measles immunization, the bulk of children (80.5%) develop immunity with a concentration of anti-measles antibodies in a dilution of 1: 40 - 1: 20. At the same time, factors associated with a violation of the immunization technique, the age of the vaccinated, affect the intensity of vaccine immunity. the period that has passed after vaccination, the quality of the biological product, the acute infectious viral and intestinal diseases suffered in the pre and post-vaccination period. The reason for the rise in the incidence of measles in 1974-4975. there was a low immune layer, a loss of post-vaccination measles immunity within 1-6 years after vaccination.

Kazan medical journal. 1979;60(6):31-34
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The effectiveness of donor anti-influenza gamma globulin and leukocyte interferon for the prevention of acute respiratory viral infections

Kalugin I.L., Aronova A.V., Bryukhanova L.K., Danilin V.A., Tselishchev G.G.


Study of the epidemiological effectiveness of intramuscular administration of anti-influenza donor gamma globulin to children for the purpose of prophylaxis during the seasonal rise in the incidence of influenza and ARVI in January-February 1976 and 1977. in preschool groups in Togliatti showed that the coefficient of epidemiological protection reaches 1.67-2.47. Intranasal use of interferon in the context of mass prophylaxis for children 3-7 years old in the dose recommended by the instruction, as well as in double the concentration of the effect did not give

Kazan medical journal. 1979;60(6):34-36
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Frankovskaya system of corrected orthogonal ECG leads in the examination of children with active rheumatic process

Burba N.E.


In 59 children with rheumatism in the active phase without valvular defects, ECGs were studied, recorded in corrected Frank orthogonal leads and in 12 conventional leads. Comparative analysis showed high sensitivity of the Frankish system of corrected orthogonal leads in detecting changes in the myocardium in children with rheumatism.

Kazan medical journal. 1979;60(6):36-38
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Dynamics of ecg in corrected orthogonal leads after mitral commissurotomy

Shcherbatenko N.S.


An ECG examination was performed in 62 patients before and 1 year after mitral commissurotomy. It was shown that 3 leads of the Frankovsk system have the same sensitivity in detecting the reverse development of hypertrophy of the left atrium and main ventricle, as 12 conventional leads. Symptoms of left ventricular hypertrophy appeared in 25 patients (40.3%) in orthogonal and conventional leads

Kazan medical journal. 1979;60(6):39-42
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Variants of discogenic cardialgic syndrome

Bogoyavlensky V.F., Veselovsky V.P., Latfullin I.A., Popelyansky Y.Y., Chugunov V.K., Khafizov R.T.


Variants of clinical manifestations of discogenic cardialtic syndrome have been studied. A differential diagnostic table has been developed, which allows for a significant individualization of treatment

Kazan medical journal. 1979;60(6):42-46
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Electric charge and erythrocyte lipids in patients with atherosclerosis

Kurashov M.I.


The study of the electric charge and the content of lipids, erythrocytes in 78 patients with atherosclerosis of stages I and III was carried out. A decrease in the electrophoretic mobility of erythrocytes and a change in the ratio of the main lipid components in the membrane, which naturally increase with the progression of the atherosclerotic process, have been stated.

Kazan medical journal. 1979;60(6):46-48
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Adult thymus

Zabusov Y.G.


Studied using morphohistochemical and morphometric methods with statistical processing of material 161 thymus gland, including 15 removed during operations for multiple sclerosis. It was shown that the weight of the organ in those who died from cancer, non-neoplastic diseases and violent causes (control group) is practically the same. Cancer is characterized by small Gassal bodies, proliferation of blast and PAS-positive cells. The thymus mass increases with lymphogenous metastasis and metastases to the adrenal glands. In autoimmune diseases, especially in multiple sclerosis, there is lymphofollicular hyperplasia of the thymus and a sharp increase in the cystic forms of Gassal's bodies. The functional activity of the thymic epithelium is morphologically traced to deep; old age. The phenomena characteristic of accidental involution at a young age are not observed in the thymus of adults.

Kazan medical journal. 1979;60(6):49-50
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Clinical experiences

On measures to reduce child mortality in Naberezhnye Chelny

Kolchin G., Mudarisov V.S., Zamyatina I.P.


In the specialized department of neonatal pathology in 1975, an increase in mortality was registered in comparison with 1974 by 1.7 times.

Kazan medical journal. 1979;60(6):50-51
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Catamnesis of children with primary rheumatism

Porseva S.Y., Naumova L.E.


In 1971-19.77. we carried out follow-up observations of 138 children suffering from rheumatism for 2-6 years.

Kazan medical journal. 1979;60(6):51-52
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Acute poisoning in children

Cherkasova N.A., Khusnulgatina R.R., Gabidullina I.R., Klementyeva O.V.


The release of a large number of new drugs and their use for treatment at home with careless storage often lead to accidental poisoning of children.

Kazan medical journal. 1979;60(6):52-53
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Marble disease in children

Tazetdinova F.G., Yakubova S.N., Gurevich E.P.


Marble disease is a serious illness of the whole organism, accompanied by significant damage to the skeletal system.

Kazan medical journal. 1979;60(6):53-55
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The condition of the marginal periodontium in preschool children

Khamidullina S.A., Ivshina V.A., Akhmetova G.K.


Due to insufficient study of the issue of susceptibility of preschool children to periodontal disease and other periodontal diseases, we examined the condition of teeth, periodontal disease and occlusion in 275 children aged 3 to 6 years in two kindergartens

Kazan medical journal. 1979;60(6):55-56
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Clinical polymorphism of mycoses of the feet in children

Mustaev R.K., Nemkaeva R.M.


The clinical manifestations of mycoses of feet and hands were studied in 267 children and adolescents (in 146 girls and 121 boys aged: 7 - up to 3 years, 19 - from 3 to 6 years, 59 - from 7 to 10 years, 111 - from 1.1 up to 14 years old and 71 - from 15 to 47 years old).

Kazan medical journal. 1979;60(6):56-56
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Influence of anabolic hormonal drugs on phagocytosis and streptococcal antigen titer in rheumatism

Starkova N.V.


We observed 62 patients with an active phase of rheumatism. 50 of them received glucocorticoid steroids in combination with anabolic drugs, 12 patients who did not receive anabolic drugs constituted the control group.

Kazan medical journal. 1979;60(6):57-57
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Redistribution of coronary blood flow in toxicoinfectious shock

Yakovlev M.Y.


The aim of our study was to elucidate the relationship between metabolic and vascular changes with structural damage to various parts of the myocardium during toxicoinfectious shock.

Kazan medical journal. 1979;60(6):57-58
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About Lyell's syndrome

Khasanova S.M.


Toxicoallergic epidermal necrolysis, or Lyell's syndrome, according to its clinical course, frequency of complications and prognosis, is one of the most severe forms of drug allergy.

Kazan medical journal. 1979;60(6):58-60
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Assistance to the practicing physician

Malignant tumors of the nasopharynx

Alimetov X.A.


The results of treatment of 45 patients with malignant tumors of the nasopharynx are presented. Radiation therapy was carried out in 32 of them, a combination of distance and application gamma therapy - 4, radiation therapy in combination with chemotherapy - 7, 1 patient underwent Kreil surgery and external carotid artery ligation - also 1. The survival rate within 5 years was 33.3%.

Kazan medical journal. 1979;60(6):60-62
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Social hygiene and healthcare management

Experience in organizing the fight against child mortality

Bogdanov D.S.


The prospects and reserves of reducing child mortality are considered on the basis of its analysis based on the materials of the Aznakaevskaya Central Regional Hospital. A set of organizational measures aimed at further strengthening the health of the child population in the region is presented.

Kazan medical journal. 1979;60(6):62-63
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Etiological structure of purulent-septic diseases

Zakharevskaya N.S., Belyaev E.I., Usacheva S.Y.


A comprehensive examination of 924 patients with various forms of purulent-septic diseases was carried out. Multivariate analysis using bacteriological, immunological and epidemiological research methods showed that in most cases, the causative agent of the disease is staphylococcus aureus. There has been an increase in recent years in the proportion of gram-negative microorganisms (Pseudomonas aeruginosa and Escherichia coli, Proteus, Klebsiella) in the etiology of purulent-septic infections.

Kazan medical journal. 1979;60(6):63-65
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Hygienic efficiency of water purification from n-nitroso compound

Mikhailovsky N.Y., Ilnitsky A.P., Korolev A.A.


The influence of some methods of improving the quality of water (clarification, chlorination, ozonation) on its purification from N-nitrosamines (HA) and the degree of stability of the latter in water of reservoirs has been studied. The high efficiency of using carbon filters and ozonation as methods for neutralizing water contaminated with HA is shown. The HA ozonation products did not have the ability to induce tumors in animals, in contrast to the original HA.

Kazan medical journal. 1979;60(6):65-68
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Peculiarities of blood and urine parameters of people in connection with urolithiasis endemic

Suslikov V.L., Lyashko L.S.


Individuals living in urolithiasis-endemic areas of the Chuvash Autonomous Soviet Socialist Republic have increased blood levels of potassium, calcium, phosphorus, residual nitrogen and cholesterol

Kazan medical journal. 1979;60(6):68-71
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The Scientific Society of Endocrinologists of the TASSR was organized in 1970.

Kazan medical journal. 1979;60(6):71-72
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