Vol 82, No 1 (2001)
Resultsое distance lithotripsy depending on the pelvis system structure
Abstract
The results of the treatment of patients with urolithiasis by the distance piezoelectric lithotripsy method for 10 years are analyzed. It is established that the efficiency of this method depends not only on the sizes and physicochemical structure of concrements but mostly on their localization, the pelvis system structure type, anatomic and functional state of kidneys and upper urinary tract. It is enough to carry out. one procedure to destroy concrements of extrarenal pelvis, whereas the desintegration of concrements of intrarenal pelvis requires repeated procedures.
1-4
Efficiency of dimephosphonum, cytochrom cand mexidol in the treatment of cardiac rhythm disorders in children
Abstract
The efficiency of dimephosphonum, cytochrom c and mexidol in the treatment of ventricular, supraventricular arrhythmias in children is shown. Dimephosphonum (100 mg/kg i.v.), mexidol (10 mg/kg p.o.) and cytochrom c (0,5 mg/kg i.v.) were studied in comparison with cordaron, finoptin and also with “the standard neurometabolic therapy”. It is shown that dimephosphonum was the most effective drug in all kinds of disturbances of cardiac rhythm and conductivity in children. In supraventricular arrithmias and sinus node dysfunction it surpasses traditional drugs. At ventricular arrhythmias dimephosphonum was less effective than cordaron. However, cordaron induced cardiac (20%) and extracardiac (20%) negative effects. The dimephosphonum treatment was safe and was accompanied by favourable influence on the basic heart functions
5-7
Pump function of the heart in patients with scoliosis in rest and in stress test
Abstract
The indices of the pump function of the heart in teenagers with scoliosis of the 3d — 4 th degree in rest and during stress test are studied. Disorders of the pump function of the heart take place in rest: the heart rate signficantly increases. During physical exercise in patients with scoliosis the increase of minute blood volume is less pronounced than in healthy persons and is realized by the increase of the heart rate and not by the stroke blood volume. It is less economical form of adaptation of the pump function of the heart to physical exercise. The functional reserves for increasing the minute blood volume, volumetric circulation rate in the response to physical exercise are decreased
8-11
Compensatory mechanisms of adaptation of the cardiorespiratory system of athletes of different ages
Abstract
The mechanism of external respiration and gas exchange in sportsmen ECG stress test are studied. It is established that adaptation of the cardiorespiratory , system to the increasing load in groups of sportsmen of different age is going through various ways. In groups of teenagers and adults aged 36—60 it occurs through pulmonary ventilation, in sportsmen aged 22—36 it occurs as a result of the increase of the oxygen use ratio, and in groups of youths — by the activation of gasotransportation system
12-14
15-16
Methodical approach to the clinicopharmacotherapeutic differentiation of somatoform disorders
Abstract
The term “somatoform disorders” in general is similar to the concept of hypochondria. Seven components (sensory, cognitive, vegetative, affective, behavioral, temporal, therapeutic) making it possible to peform the clinical classification are shown
16-18
New method of epidural anesthesia in closed blunt chest injury
Abstract
The thoracic epidural anesthesia is the most suitable method for the treatment of the closed blunt chest injury but there is probability of the spinal cord injuiry. The original method combining the efficiency of classic thoracic epidural anesthesia with safety and simplicity of lumbar epidural anesthesia is suggested. This method is based on the postulates of the molecular hydrokinetic theory. Two catheters ends are disposed in lumbar epidural space in distance about two inches between them. Through one catheters end the anesthetic solution and through other’s end the 0,9% saline are injected synchronously in equal volumes. Hydroplunger phenomenon provides the upward anesthetic solution spreading
18-21
Humoral and cellular indices of immunity in newborns with early realization of the allergically changed reactivity
Abstract
The complex immunologic examination in 39 children aged 2 to 28 days with early realization of the allergically changed reactivity in boys — 61,5%, in girls — 38,5% is performed. The peculiarities of immunologic reactivity in children with early realization of the allergically changed reactivity (the increase of the immune regulatory index due to the deficiency of CD 8+ lymphocytes, the increased expression of activation markers, the increase of Ig E) show the prevalence of the atopic response type. Uniformity of changes of the immune status indices in early and late neonatal period testifies the intrauterine and/or early change of immunocompetent cell phenotype under the influence of perinatal development factors of a child
22-24
Transbone osteosynthesis by the ilizarov apparatus in calcaneal fractures
Abstract
The new arrangement of the Ilizarov apparatus for treating calcaneal fractures is suggested. The scheme of laying wiring through calcaneum and its anatomotopographical grounds are shown. The nearest and remote results of treating 23 patients with calcaneal fractures are studied
24-27
Peculiarities of hemodynamics in gestosis
Abstract
As many as 239 pregnant women suffering from gestosis were examined and they were allowed to give birth by the caesarean operation. Nine types of hemodynamics were selected. All the patients were divided into two groups, depending on the level of gestosis. In each group two subgroups were picked out according to the type of therapy (the 1st one by the old way, the 2d one by new methods). It is shown that in both groups the hypertensive-hypodynamic dissociation and isolated hypertension prevailed. It is stated that in both groups the calculation of the Cardiac Index and Systemic Vascular Resistance with the following definition of the hypodinamic type reflects the severity of the course of gestosis and the effeciency of the therapy directed to the correction of hemodinamics. The application of suggested systematization of hemodynamics disorders and the therapy methods promotes quicker correction of complications of hypertensive therapy in the form ofv postural reactions than in the case of the routine method.
27-30
Pathomorphological aspects of the placental deficiency in chlamidial And mycoplasmal infection
Abstract
The peculiarities of morphogenesis of placenta lesions and pathogenesis of placental deficiency in these types of infectious pathology are studied. It is stated that the subcompensated form of the relative chronic placental deficiency in chlamidiosis can be developed, morphological vascularization indices of ’ terminal villi being higher than normal and in mycoplasmosis such placental deficiency is connected with the partial decrease of vascularization indices. In the presence of mixed clamidia and mycoplasma infection in pregnants the dissociated type of villi lesions is observed and the placental vascularization indices (the content and state of capillaries, syncytiocapillar membranes and syncytial kidneys) ' are impaired to a greater extent resulting in chronic placental defficiency.
31-34
Medical aspects of the quality of life in patients with essential hypertension
Abstract
In recent years, there has been an increase in interest in assessing the quality of life in patients with diseases of the cardiovascular system. This can be explained by the fact that not only indicators of the physical state of central hemodynamics, the disappearance of the main symptoms of a particular disease, but also a sense of well-being, including in the mental and social aspects are important for each patient - this truly important position is often completely ignored in everyday practice [3, 10, 12, 14, 15, 20, 23, 28]. In this regard, clinical studies are increasingly focusing on quality of life indicators [1-5, 7, 8, 10, 11, 13].
35-37
Clinical and immunohistochemical assessment of proliferative activity in uterine myoma
Abstract
A tumor of the uterus, consisting of smooth muscles, is called myoma and fibroids, and in practice, the terms are used synonymously. Myoma of the uterus is a common disease in women of childbearing age. The frequency of its detection without regard to age is 2.45%. With age, its prevalence increases and reaches 8.31% by the age of 50. The estimate of the final probability of contracting uterine fibroids in the population throughout life is 9.7%. According to sectional data, uterine fibroids, including small nodes, occur in 20% of women. In 50% of cases, these tumors are manifested by clinically pronounced disorders that lead a woman to a doctor.
38-40
Analysis of the quality of outpatient medical care for patients with bronchial asthma
Abstract
The spectrum of drugs prescribed to patients with bronchial asthma (BA) on an outpatient basis was studied. For this, an analysis of outpatient records of BA patients was carried out on the basis of two polyclinic branches in the city of Yoshkar-Ola.
41-41
Experience of using glycyphonic ointment in the treatment of superficial forms of skin basal cell carcinoma
Abstract
Most of the patients with basal cell skin cancer are elderly and senile people, therefore, the use of radical and aggressive methods of treatment is impractical or impossible (concomitant somatic pathology, multiple lesions, localization of foci in hard-to-reach places). Thus, the development of conservative minimally invasive methods of therapy seems to be very promising.
41-42
The state of humoral antibacterial immunity in purulent-inflammatory diseases of the abdominal cavity
Abstract
We have studied the level of antibacterial antibodies to E coli. Rg. mirabilis, Ps. aeruginosa, Bact. fragilis, St. aureus, as well as to the endotoxin of grammatical bacteria (glycolipid - HLP) by enzyme immunoassay in plasma in patients with varying degrees of prevalence of the pyoinflammatory process in the abdominal cavity.
42-44
44-45
The state of health of doctors of ultrasound diagnostics
Abstract
The professional activity of doctors of ultrasound diagnostics is accompanied by the impact of a number of adverse specific production factors on their health. An analysis of the incidence rate of doctors of this specialty indicates its growth from year to year, which can be explained by the direct effect of ultrasonic rays on the doctor's body.
46-46
Average length of stay of patients in bed and improving the efficiency of the hospital ambulance
Abstract
It is established that the average duration of patients’ inhospital stay varies depending on the season. Taking into account seasonal variations of the average duration of inhospital stay makes it possible to optimize the management process of medicoprophylactic institutions, gives the possibility to use the bed fund more rationally and gives more appreciable economic effect
47-48
Organization of the surgical service in France
Abstract
The characteristic of structural subdivisions of Нашу Mondor hospital in France, the organization of its surgical service, activity indices of the hospital are given. The peculiarities of work of physicians- interns, teaching of students are described, the merits in organization of medical service to patients, the quality of diagnosis and treatment are noted.
49-51
A case of pseudotuberculosis with lethal outcome
Abstract
A rare case of pseudotuberculosis with lethal outcome in the child aged two months and 20 days is described. Y. pseudotuberculosis infection of the child occurred likely in using milk, for the second time contaminated by the pseudotuberculosis pathogene. The inhibition reaction of indirect hemagglutination is more sensitive method of revealing Y. pseudotuberculosis than the bacteriologic method.
52-54
Leptospiroses as occupational disease
Abstract
Среди инфекций с природной очаговостью особой группой выделяются лептоспирозы: их отличают острое начало, многообразие клиники с преимущественным поражением сердечно-сосудистой системы, почек, печени. Резервуаром и источником патогенных лептоспир служат различные виды диких, сельскохозяйственных и домашних животных. Для регистрации лептоспироза на территории Ульяновской области есть объективное основание: это животноводческая направленность сельского хозяйства в регионе, что с учетом способности длительного лептоспироносительства и высокой восприимчивости животных к лептоспирам представляет опасность заражения для человека.
54-56
Сhange of 1xodidae population in i connection with anthropogenic transformation of landscapes on the boundary of forest and forest-steppe zones of the middle volga region
Abstract
Within the last 60 years in the region studied the joint inhabitance zone of I. ricinus and I. persulcatus displaced in the North-East direction and the D. reticulatus natural habitat significantly expanded to the North- West. These regional changes depend on the temperature rise of climate, the decrease of precipitation and change of species and age of afforestation. Decay of epidemiologic stress of natural foci of the tick borne encephalitis, Lyme disease, and strengthening the epizootologic valency of foci of pyroplasmosis, nuttaliosis as well as epidemiologic f importance of natural foci of tularemia of meadowfield type would be expected in further expansion of the boundaries of I. ricinus, D. reticulatus natural habitat and contraction of the inhabitance zone of I. persulcatus on the territories cleared of the latter species.
57-60
Osteoporosis
Abstract
Due to the increase in life expectancy in all countries, the stratum of elderly and senile people, who often have osteoporosis (OP), is increasing. The fragility of the bone base of the skeleton in OP leads to frequent fractures of the spine, femoral neck, bones of the forearm and other areas of the musculoskeletal system (IOS). The prevention of OP and its treatment are becoming a socio-economic problem, in the solution of which doctors of all specialties should take part. In the course of studying the problem of OP, there has been a departure from the traditional ideas about it as an age-related inevitability, and in women as a result of menopause. It is appropriate to mention that S.A. Reinberg [2] emphasized the polyetiology of OP.
61-63
Modern aspects of clinical, radiological and computed tomographic diagnostics of odontogenic cysts and the results of their treatment
Abstract
There are many classifications of jaw cystic formations. The most perfect is the International histological classification of odontogenic tumors, cystic lesions of the jaws and tumor-like processes, approved by WHO in 1971. According to WHO, the group of epithelial cysts includes both developing ones, including odontogenic (primordial or keratocyst, gingival, erupting, follicular) and non-ontogenic origin (nasopalatine duct, globular-maxillary, nasolabial or so-called naso-alveolar), and inflammatory (radicular) tumor-like formations.
64-66
New technologies in wound closure
Abstract
At the present time, adaptive-reversible devices (ARA) have been created, designed to approximate the edges of the wound (WBR) in various areas of surgery [1, 8, I, 17, 19, 20, 21]. The first group includes tools for temporary sbkr, reducing its size and holding it in a certain position: tweezers, one- and two-pronged hooks, linen plate clamps or with a ratchet. The second group is made up of the most modern ARA for SBCR, allowing for intraoperative hardware correction during suturing, as well as during its long-term treatment. According to the design features of the working part and the converging mechanism, the ARA can be divided into the following main subgroups: 1st - needle (I), 2nd - plate (P), 3rd - filament (H), 4th - spoke (Cn ) and 5th - rod (St).
67-71
III international conference on restorative medicine (rehabilitation)
Abstract
The III International Conference on Restorative Medicine (Rehabilitation) was held at the Rehabilitation Center of the Medical Center of the Presidential Administration (UDP) of the Russian Federation. The conference was attended by representatives of Russia, USA, Sweden. In addition to the plenary session, 10 symposia were held on the following topics: cardiovascular diseases and rehabilitation issues; doubt; therapeutic and prophylactic nutrition and the problem of dysbacteriosis; rehabilitation treatment of diseases of the musculoskeletal system; rehabilitation in neurology, neurosurgery; functional diagnostics and physiotherapy in restorative medicine; implementation of staged rehabilitation treatment programs in a multidisciplinary rehabilitation center; topical problems of general and private rehabilitation; legal, economic, informational and educational aspects of the organization of the rehabilitation link in the system of medical care.
72-73
III all-Russian school-seminar For immunohistochemical diagnosis of tumors
Abstract
The III All-Russian school-seminar on immunohistochemical diagnosis of tumors was held at the Clinical Oncological Dispensary (CODE) of the Ministry of Health of the Republic of Tatarstan. The school participants were 30 oncomorphologists from Moscow, Novosibirsk, Rostov-on-Don, Yekaterinburg, Krasnodar, Vitebsk, Perm, Tyumen, Khanty-Mansiysk, Chelyabinsk, Cheboksary, Ulyanovsk, Ufa, Khabarovsk, as well as pathologists of the Republic of Tatarstan.
73-74
To the 100th anniversary of the "Kazan medical journal"
Abstract
In December 2000, the scientific and medical community of Tatarstan and the Russian Federation celebrated the centenary of the Kazan Medical Journal. The ceremonial meeting dedicated to this significant date was attended by prominent scientists, healthcare organizers, medical educators and practitioners not only from our republic, but also from a number of cities in the country - Moscow, Yoshkar-Ola, Samara, Ufa and Cheboksary.
76-77