Vol 59, No 5 (1978)

On the tasks of the health authorities and institutions of the Tatar Autonomous Soviet Socialist Republic on the implementation of the decree of the Central Committee of the CPSU and the Council of Ministers of the USSR of September 22, 1977 "on measures to further improve public health"
Khasanov M.H.
Abstract

The Soviet people, under the leadership of the Leninist Party of Communists, are working with great enthusiasm to implement the historic decisions of the 25th Congress, the December (1977) Plenum of the CPSU Central Committee.

Kazan medical journal. 1978;59(5):1-12
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Surgical treatment of patients with obliterating endarteritis by the method of para-arterial sympathectomy
Medvedev N.P., Rutshtein S.Y., Medvedev V.N., Ibragimov A.R.
Abstract

An anatomically substantiated technique of para-arterial sympathectomy is proposed. This operation was used in 93 patients with obliterating endarteritis with a good clinical effect, lasting 2-3 years.

 
Kazan medical journal. 1978;59(5):12-16
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Venography for obliterating diseases of the limb arteries
Musin M.F.
Abstract

Based on the results of intravital arterio- and phlebography of the vessels of the extremities of 87 patients with an obliterating process, as well as the study of the vessels of the extremities amputated due to gangrene due to obliterating diseases, a description of the X-ray symptoms and semiotics of changes in the venous circulation of the extremities in this pathology is given.

 
Kazan medical journal. 1978;59(5):16-21
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Rehabilitation of patients with venous disease of the lower extremities after surgical treatment
Telegin A.V.
Abstract

The results of surgical treatment and restoration of working capacity, depending on the method of surgical intervention, were compared in 159 people with diseases of the veins of the lower extremities.

 
Kazan medical journal. 1978;59(5):21-23
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Surgical treatment of congenital narrowing of the aortic isthmus
Ivanov A.M., Chulkova V.N.
Abstract

Surgical tactics for coarctation of the aorta is determined by the anatomical type of narrowing and its length. The results of treatment of this anomaly depend on the age of the operated patients and the adequacy of the restoration of blood flow through the aorta.

 
Kazan medical journal. 1978;59(5):23-25
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To the problem of cardiomyopathies
Nefedov V.P.
Abstract

Based on the study of domestic and foreign literature and analysis of 8 own observations, the author considers the issues of terminology, classification, etiology, pathogenesis and pathomorphology of cardiomyopathies. A new working classification of cardiomyopathies has been proposed.

 
Kazan medical journal. 1978;59(5):25-29
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On the pathogenesis of autonomic disorders in myocardial infarction
Latfullin I.A., Veselovsky V.P., Tenkov A.A., Veselovsky V.P., Ladygin A.N., Khafizov R.T., Sharangin S.A.
Abstract

Clinical and electrophysiological examination of patients with myocardial infarction revealed the interest of segmental, autonomic and hypothalamic structures in the genesis of autonomic disorders. The role of myocardial infarction in the development of autonomic disorders has been experimentally confirmed.

 
Kazan medical journal. 1978;59(5):30-34
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131 I-insulin metabolism in patients with chronic ischemic heart disease
Trusov V.V., Pimenov L.T., Glezerov A.A.
Abstract

In 55 patients with chronic ischemic heart disease and 23 healthy individuals, the exchange of insulin was studied by the clearance of its radioactive analogue.

 
Kazan medical journal. 1978;59(5):35-36
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Changes in acid phosphatase activity during antirheumatic therapy with methylmethionine sulfonium chloride
Starkova N.V.
Abstract

The activity of blood serum acid phosphatase was studied in 72 patients with rheumatism, in 8 patients with systemic lupus erythematosus and 6 patients with rheumatoid arthritis. 10 people made up the control group.

 
Kazan medical journal. 1978;59(5):37-38
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To the study of the biomechanics of breathing in chronic pneumonia
Shafikov R.K.
Abstract

The experience of studying the biomechanics of respiration in patients with chronic nonspecific lung diseases using a device for general bodily plethysmography showed that this method allows one to determine the state of bronchial patency depending on the air content of the lungs, to monitor the dynamics of the process and the effectiveness of treatment.

 
Kazan medical journal. 1978;59(5):38-40
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Diagnostic value of Alpha2 Ferroprotein in blood serum of patients with tuberculosis and lung cancer
Afanasyeva A.V., Gracheva L.N., Sukharev A.E., Karabash A.V.
Abstract

It was found that alpha2-ferroprotein, which is absent in the blood serum of donors and patients with acute and chronic pneumonia, appears in the blood serum of patients with tuberculosis and lung cancer.

 
Kazan medical journal. 1978;59(5):40-41
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Features of the function of external respiration in patients with cystic hypoplasia of the lungs
Verevkina V.A.
Abstract

The results of a study of the function of external respiration in 49 patients with cystic hypoplasia of the lungs indicate that with this suffering due to a decrease in the functioning tissue of the lungs, as well as inadequate development of the elements of the wall of the bronchial tree, pulmonary ventilation is significantly impaired. the power of inhalation and exhalation decreases.

Kazan medical journal. 1978;59(5):41-43
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Experience of combined pharmacotherapy with immunosuppressants and anabolic steroids of chronic pneumonia and bronchial asthma
Bryksina G.S.
Abstract

The results of treatment of 242 patients with chronic pneumonia and bronchial asthma refractory to traditional drug therapy are analyzed. 139 people received immunosuppressants-cytostatics (cyclophosphamide, cyclophosphamide, 6-mercaptopurine, azathioprine) and 103 - immunosuppressants in combination with anabolic steroids (retabolil, methandrostenolone).

 
Kazan medical journal. 1978;59(5):43-45
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Treatment of pulmonary tuberculosis by jet intravenous administration of anti-tuberculosis drugs
Sigal I.Z., Shakirova H.G.
Abstract

The authors describe a method of intravenous jet injection of a mixture of 10% tubazide solution (up to 20 mg / kg) and a calcium chloride complex of streptomycin (1 million units) to patients with pulmonary tuberculosis. The analysis of the results of the application of this method revealed its high efficiency.

 
Kazan medical journal. 1978;59(5):46-47
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The effectiveness of the treatment of pulmonary tuberculosis in adolescents with hypercortisolism syndrome
Filippov V.V.
Abstract

In 179 adolescents with hypercortisolism syndrome caused by GINK drugs, the effectiveness of pulmonary tuberculosis treatment was traced. The syndrome of hypercortisolism does not exclude the use of tuberculin, collapse therapy and surgical methods of treatment. As a result of long-term complex therapy of respiratory tuberculosis in adolescents with hypercortisolism syndrome, a clinical cure was achieved in 95.5%.

Kazan medical journal. 1978;59(5):47-48
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Cytochemical study of immune processes in newborns with acute respiratory infections
Gurevich E.P.
Abstract

At various stages of the immune process in 101 newborns with acute respiratory infections, the glycogen content in lymphocytes and neutrophils, neutrophil phospholipids and the activity of acid and alkaline phosphatases in them, the activity of succinate dehydrogenase of lymphocytes and the average content of lysosomes in them, as well as the activity index of monocytes were studied. The peculiarities of the dynamics of cytochemical parameters were revealed depending on the premorbid background, the phase of the disease, the presence of bacterial concomitant diseases and superinfection with acute respiratory infections. The calculation of the average content of lysosomes in lymphocytes and the activity index of monocytes can be recommended for use in clinical laboratories of the departments of neonatal pathology.

Kazan medical journal. 1978;59(5):49-52
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The content of some trace elements in the blood of patients with chronic pancreatitis
Askarova Y.N., Titov R.I.
Abstract

In 83 patients with chronic pancreatitis, the content of copper, manganese, nickel, molybdenum, chromium and vanadium in whole blood was studied. Found a statistically significant increase in the concentration of manganese, molybdenum and vanadium, a decrease in chromium. Correlations were found between the content of trace elements and the form of the disease, the stage of the process and the activity of pancreatic enzymes in the blood and urine. The diagnostic role of the index of the ratio of antagonistic microelements was revealed.

Kazan medical journal. 1978;59(5):52-55
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Diagnostic doubts in clinical hematology
Shustov V.Y., Ivanov A.P.
Abstract

Difficulties and errors in modern diagnostics of diseases of the blood system are often caused by polymorphism of the clinical and hematological picture, which does not correspond to the previous descriptions of the classical forms of the most important blood diseases, sometimes an incorrect interpretation of blood changes, as well as a passion for the purely cytomorphological aspect of diagnosis without a broad assessment of the clinical and hematological picture as a whole.

Kazan medical journal. 1978;59(5):55-58
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Diagnostic criteria for glanzmann thrombasthenia
Odesskaya T.A., Fedorova Z.D., Senchilo E.A., Belyaeva Z.N.
Abstract

Based on long-term observations and study of the state of hemostasis in 17 patients with Glanzmann's thrombasthenia, the diagnostic criteria of this disease during periods of exacerbation and clinical remission were determined. During the period of exacerbation, such signs are violations of platelet adhesion to glass fiber, their aggregation under the influence of ADP, adrenaline and collagen, changes in the excretory reactions of the patient's platelets under the action of ADP on them, as well as a sharp violation of the process of retraction of a blood clot. In the absence of clinical manifestations of the disease, impaired adhesion of platelets to fiberglass, aggregation of platelets under the influence of ADP and adrenaline, as well as a significant decrease in values ​​in retraction of a blood clot retain their diagnostic value.

Kazan medical journal. 1978;59(5):58-61
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The importance of tissue and vascular factors in the mechanism of hemostasis in childbirth
Susloparov L.A.
Abstract

The role of tissue and vascular factors in the mechanism of hemostasis during labor was studied in 68 women with various types of obstetric pathology. A significant decrease in the coagulation activity of tissue and vascular factors was found in women in labor before the onset of subsequent and early postpartum hemorrhages and in women in labor with antenatal fetal death compared with healthy women. The processes of thrombus formation in the uterus during labor are activated by tissue and vascular factors of hemostasis to such an extent that they proceed extremely quickly and during the subsequent period provide a final, reliable hemostasis.

Kazan medical journal. 1978;59(5):61-64
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The content of estrogenic hormones in tissues and urine with uterine fibroids
Mazitov I.M.
Abstract

The amount of estrogenic hormones in the urine and tissues of the endometrium, myometrium and myomatous nodes in 10 patients with uterine myoma before surgery during the menstrual cycle, as well as in urine and in the tissues of the uterus after its surgical removal was investigated. It was found that there is no difference in the content of estrogens in the myometrium and myomatous nodes. This means that myomatous nodes do not show an increased ability to accumulate hormones in comparison with neighboring unchanged muscle tissue. The obtained weak correlation dependence of estrogen hormones excreted in the urine and contained in the tissues of the uterus does not give the right to draw conclusions about changes in the hormonal balance in the tissues of the uterus only by determining the amount of estrogen in the urine. All the more difficult it is only on the basis of studying the excretion of estrogenic hormones in the urine to judge their significance in the occurrence of uterine fibroids.

Kazan medical journal. 1978;59(5):64-66
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Abdominal cesarean section in women in labor with uterine fibroids
Chugunova L.V., Talatina L.L.
Abstract

The study included 31 women in labor with uterine fibroids. Most women had a conservative management of labor, 9 had an abdominal cesarean section. The indications for it were necrosis of myomatous nodes, mechanical obstacles to childbirth when the nodes are located in the lower segment or cervix and violations of the labor process due to abnormalities of labor forces, improper position of the fetus, etc. (mainly in elderly primiparous).

Kazan medical journal. 1978;59(5):66-68
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Treatment of postoperative choroidal detachment with subconjunctival glycerol injections
Khasanova N.H., Valimukhametova N.A.
Abstract

Observations carried out on 45 patients with choroid detachment after cataract cryoextraction showed that subconjunctival glycerol injections give good results in this postoperative complication.

 
Kazan medical journal. 1978;59(5):68-69
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Functional activity of human pituitary corticotropocytes with different patterns of death
Boyko R.T., Iryanov Y.M., Kiryanov N.A.
Abstract

The method of immunofluorescence was used to study the corticotropocytes of the pituitary glands of people who died from various causes. Changes were revealed in the number of corticotropocytes, their size, the degree of vacuolization of the cytoplasm, tinctorial properties, depending on the causes of death.

 
Kazan medical journal. 1978;59(5):69-72
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Smoking tobacco
Vainshtein S.G.
Abstract

“Tobacco is a divine, incomparable, supremely excellent tobacco, far surpassing all panaceas, potable gold and philosophers' stones, an effective remedy for all diseases.

Kazan medical journal. 1978;59(5):72-75
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Clinical significance of the cytochemical determination of alkaline phosphatase of leukocytes in myocardial infarction
Garifdzhanova A.F.
Abstract

We investigated changes in the activity of alkaline phosphatase (ALP) in leukocytes in 44 patients with acute myocardial infarction (men - 31, women - 13; age - from 45 to 81 years). Cytochemical determination of alkaline phosphatase activity in peripheral blood smears was performed using the azo coupling method. When evaluating the enzymatic activity, the percentage of phosphatase-positive cells and the index of phosphatase activity of neutrophils (PFAN) were calculated.

Kazan medical journal. 1978;59(5):75-76
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A case of cardiac defibrillation in an out-of-clinic setting
Mingaleev A.A.
Abstract

We managed to achieve successful resuscitation of the patient by 2-fold electrical defibrillation, performed 45 minutes after the onset of clinical death.

Kazan medical journal. 1978;59(5):76-76
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Two cases of repeated cardiac arrest with a successful outcome
Taninov S.S.
Abstract

I., 14 years old, was admitted to the children's surgical department on 24 / XI 1975 with bilateral staphylococcal pneumonia and left-sided purulent otitis media. The patient's condition on admission was grave. A blood test revealed a sharp decrease in the content of hemoglobin and erythrocytes, moderate leukocytosis with a shift to the left.

Kazan medical journal. 1978;59(5):76-78
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About the therapeutic effect of pyridinol carbamate
Frolova I.F.
Abstract

Pyridinol carbamate is recognized as an effective anti-atheromatous agent. According to published data, it does not have cholesterol-lowering and vasodilating properties.

Kazan medical journal. 1978;59(5):78-79
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Intravital X-ray anatomy of the splenic artery
Shendrik Y.G., Shendrik A.Y.
Abstract

Studied aortograms and selective angiograms of 1899 examined at the age from 16 to 75 years on the materials of X-ray angiological departments of I MMI, MONIKI and NIIEIKO of the USSR Academy of Medical Sciences.

Kazan medical journal. 1978;59(5):79-79
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On the issue of hemocoagulation in patients with diabetes mellitus
Grigorieva L.P., Grechaninov A.A.
Abstract

The aim of our research was to establish the nature and degree of hemocoagulation disorders in diabetes mellitus, to identify the dynamics of these disorders depending on the clinical course of the disease and some of its complications, as well as to clarify the effect of various antidiabetic agents on them (insulin, sulfonamides, biguanides).

Kazan medical journal. 1978;59(5):79-80
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Liver condition with hyperbaric oxygenation
Shlyapnikov V.N., Rossiyskaya V.V., Uglova M.V., Sarkisova O.I.
Abstract

The high sensitivity of the liver to the damaging effects of oxygen under increased pressure is generally recognized. But only a few works are devoted to the study of the effect of multiple sessions of hyperbaric oxygenation (HBO) on the tissue of this organ.

Kazan medical journal. 1978;59(5):80-82
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Therapeutic Uses of Normal Immunoglobulin for Pulmonary Diseases
Korolev A.M., Voronchikhina L.D., Vakhrusheva A.S., Meteleva L.V., Malakhova I.A., Dumkin I.M.
Abstract

In the complex treatment of 30 patients with severe pulmonary diseases (males — 14, females — 16; age — from 15 to 70 years), we used normal immunoglobulin for intravenous administration, developed at the Kirov Research Institute of Blood Transfusion. In 20 patients the process was bilateral, in 10 it was unilateral. The sclerotic form of chronic pneumonia according to the classification of KG Nikulin (stage I) was established in 7 patients, bronchiectasis (stage II) in 11 and abscessing (stage III) in 12. The patients stayed in the hospital from 21 to 89 days. Immunoglobulin was injected intravenously (the rate of administration was no more than 20 drops per minute), 50–75 ml 2 times a week in a total dose of 100–150 ml. The drug was prescribed only for extensive lung lesions, bronchiectasis, abscess formation; in 2 patients it was used in preparing them for lung operations during critical periods of the course of the disease. Under the influence of complex treatment with the use of immunoglobulin for intravenous administration, patients showed positive shifts in the indicators of total protein, protein fractions and albumin-globulin index (see table).

Kazan medical journal. 1978;59(5):82-83
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On the issue of late pregnancy termination by intra-amnional administration of hypertonic sodium chloride solution
Korotkova M.V., Dobronetskiy V.S., Zolotareva M.P., Borodin Y.I.
Abstract

We used transcervical intraamnional administration of 20% hypertonic sodium chloride solution in 135 pregnant women aged 15 to 45 years for the purpose of terminating pregnancy for medical reasons at a period of 15 to 28 weeks. There were 77 (57%) first-pregnant women, 58 (43%) multi-pregnant women.

Kazan medical journal. 1978;59(5):83-83
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New factor allergization of the body
Trubitskaya G.P., Bokov A.N.
Abstract

Along with many indisputable positive qualities, polymer building materials can exhibit some properties hazardous to human health. In order to clarify the question of the possible sensitizing effect of polymeric materials used in housebuilding, we studied the air environment in three preschool institutions and the state of health of about 400 children at the age of 2 to 7 attending these institutions; in addition, employees of built-in furniture stores and some workshops of the Rostov automatic intercity telephone exchange were examined.

Kazan medical journal. 1978;59(5):83-84
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To the methodology of dispensary services for persons with nonspecific respiratory diseases
Smirnov G.A.
Abstract

A method of dispensary services for patients with nonspecific respiratory diseases has been proposed. To identify them, a simple questionnaire has been drawn up, which the population can fill out when visiting a clinic or undergoing fluorography. In connection with the need for differentiated monitoring of patients with nonspecific pathology of the respiratory system, a project of a dispensary grouping them with the allocation of 4 groups of accounting was developed.

Kazan medical journal. 1978;59(5):84-89
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Combined reflexology needle
Tabeeva D.M.
Abstract

The reflexology method has won fairly wide recognition. Acupuncture is effective in a number of diseases, which are based on changes in organ function associated with a disorder of the central nervous system.

Kazan medical journal. 1978;59(5):89-90
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"Rural doctor" V. A. Alekseev, A. M. Aminev. Chuvash book publishing house. Cheboksary, 1977, circulation 8000 copies
Bregadze I.L.
Abstract

The book is dedicated to the rural surgeon Konstantin Vasilyevich Volkov (1871-1938). In the twenties and thirties, the name of K.V. Volkov was extremely popular among surgeons. His speeches in the press and at congresses were always sharp and polemical. He spoke all European languages, subscribed to many magazines and, although he lived and worked not in the capital or in the university center, but in one of the villages of Chuvashia, he responded vividly to all more or less significant events in the surgical world. Among his many publications, the article "Surgery without danger" (Nov. hir. Architect, 1931, vol. 24, p. 390) deserves special attention, in which he sharply criticized the well-known work of SP Fedorov "Surgery at the Crossroads" , condemned the author's decadent mood.

Kazan medical journal. 1978;59(5):90-90
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"Emergency pulmonology of childhood" MR Rokitsky. "Medicine", 1978, 256 pages
Pulatov A.T., Kim L.E.
Abstract

The monograph by MR Rokitsky is devoted to important issues of childhood pulmonology - treatment tactics in emergency conditions associated with an acute respiratory accident.

Kazan medical journal. 1978;59(5):90-91
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"Diagnostic errors in pulmonology" A. I. Vorokhov, L. G. Dukov M., "Medicine", 1977, 176 pp., Circulation 15,000 copies
Saperov V.N.
Abstract

The difficulties in diagnosing respiratory diseases are well known. As IK Esipova points out, they are due to the fact that the lungs, as a certain physiological and anatomical system, react with stereotypical reactions to various etiological factors, and this stereotypicity often erases the boundaries of nosological forms.

Kazan medical journal. 1978;59(5):92-93
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"Film-forming aerosols and their use in medicine." G. L. Bilich, V. E. Kolla, S. I. Eidelstein, G. I. Galetsky. Yoshkar-Ola, Mari Book Publishing House, 1977, 430 pages
Rokitsky M.R.
Abstract

The monograph under review is the first work in the domestic literature that summarizes special and clinical studies on the use of film-forming aerosols. Particular interest in the monograph is given by the participation in the work on it of prominent specialists in the field of regeneration (V. E. Kolla, G. L. Bilich) and aerosol therapy (S. I. Eidelstein).

Kazan medical journal. 1978;59(5):93-93
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Professor Isaak Mikhailovich Oksman
Abstract

On May 16, 1978, at the age of 86, the Honored Scientist of the TASSR, a member of the CPSU since 1942, Doctor of Medical Sciences, Professor Isaak Mikhailovich Oksman, died. A remarkable doctor, a prominent scientist, an outstanding teacher, a charming person, one of the founders of Soviet orthopedic dentistry, who devoted more than 70 years of his life to it, passed away.

Kazan medical journal. 1978;59(5):94-95
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Letter to the editor. Regarding the article by L. I. Moskvicheva "experience in the prevention of pneumonia"
Smirnov G.A.
Abstract

The question of the advisability of using antibacterial agents for respiratory viral diseases remains controversial. Most researchers consider it useless and even harmful (E. M. Tareev, K. V. Bunin, E. Katiladze and many others). D. Debsai et al. write that with prophylactic antibiotics, the number of bacterial complications does not decrease. According to AF Bilibin, antibiotics, suppressing the normal microflora of the body, promote the activation of viruses. Only a few authors (L.S. Schwartz et al.) Believe that for the prevention of pneumonia it is necessary to treat patients with acute respiratory diseases from the first days as patients with pneumonia.

Kazan medical journal. 1978;59(5):95-95
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