Vol 79, No 2 (1998)

Medical bioethics as a science and teaching subject
Amirov N.H., Albitsky V.Y., Nezhmetdinova F.T.
Abstract

In the development of the higher medical school in Russia, in our opinion, a remarkable event took place: by the order of the rector of Kazan State Medical University of July 7, 1996, an independent course of medical bioethics was created.

Kazan medical journal. 1998;79(2):81-86
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Possibilities of electrocardiography of high settlement
Latfullin I.A., Teptin G.M.
Abstract

The new method of registration and analysis of electrocardiography allowing to obtain more information than standard electrocardiography is described. The equipment complex developed makes it possible to reveal the potentials of His' bundle and late potentials of ventricles. The initiation model of late potentials of electrocardiography signals is proposed

Kazan medical journal. 1998;79(2):87-91
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Validity and efficiency of in gacort treatment of patients with chronic obstructive bronchitis
Sukhov V.M., Kuzmin A.Z., Chernysheva N.S., Wiesel A.A.
Abstract

As many as 42 patients with chronic obstructive bronchitis, 24 men and 18 women were treated with Ingacort during 8 weeks. 30 patients with clinical signs of lower respiratory ways infection were given Asitromicin (Sumamed) for 5 days. All patients were divided into two groups depending on age and duration of the disease. Ingacort is recommended as a basic therapy for patients with chronic obstructive bronchitis.

Kazan medical journal. 1998;79(2):92-93
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Extragenital pathology and disorders of menstrual function in young girls
Mansurova G.N., Tukhvatullina L.M., Mirolyubova L.Y., Valiullina A.T.
Abstract

Anamnestic, objective and clinicolaboratory data with estimation of physical and sex development of young girls are studied. The functions of thyroid gland, adrenal cortices, pituitary body and ovaries are studied, ultrasonic examination of small pelvis, roentgenography and MR-tomography of skull are performed. It is shown that disorders of sex development and menstrual function occur in the majority of young girls in the presence of unfavourable anamnesis and various extragenital pathology. Unfavourable anamnesis is revealed in 1/3 of young girls with menstrual function disorder. Polycystosis of ovaries, disfunctional metrorrhagia, tumors and inflammatory diseases of genitals, pituitory body adenoma are revealed. Extragenital pathology is diagnosed in 44% of young girls

Kazan medical journal. 1998;79(2):94-97
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Metabolic processes during physiologic pregnancy in unfavourable ecologic conditions
Lineva O.I., Gilmiyarova F.N., Spiridonova N.V., Krasnova N.A.
Abstract

The peculiarities of metabolic and oxidation — reduction processes as well as energoplastic metabolism during physiologic course of gestation in unfavourable ecologie conditions are studied. It is established that in ecologically unfavourable region during physiologic pregnancy general degydrogenase activity of blood plasma increases, cell membranes are packed, general protein level increases. The decrease of general degydrogenase activity of blood plasma with the increase of pregnancy length, rarefaction of membranes, the reduction of relation coefficient of malate dehydrogenase and lactate degydrogenase activity, the increase of combined quantity relationship of reduced and oxidated equivalents can be considered to be biomarkers of physiologic pregnancy transfer to pathologic.

Kazan medical journal. 1998;79(2):98-102
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Metabolic processes during physiologic pregnancy in unfavourable ecologic conditions
Tukhvatullina L.M., Chechulina O.V., Mansurova T.N.
Abstract

The peculiarities of metabolic and oxidation — reduction processes as well as energoplastic metabolism during physiologic course of gestation in unfavourable écologie conditions are studied. It is established that in ecologically unfavourable region during physiologic pregnancy general degydrogenase activity of blood plasma increases, cell membranes are packed, general protein level increases. The decrease of general degydrogenase activity of blood plasma with the increase of pregnancy length, rarefaction of membranes, the reduction of relation coefficient of malate dehydrogenase and lactate degydrogenase activity, the increase of combined quantity relationship of reduced and oxidated equivalents can be considered to be biomarkers of physiologic pregnancy transfer to pathologic.

Kazan medical journal. 1998;79(2):103-108
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Dishormonal diseases of mammary glands of central genesis
Khamitova G.V., Gilyazutdinov I.A., Gilyazutdinova Z.S., Tukhvatullina L.M.
Abstract

The tactics of combined examination of patients for the choice of pathogenetic therapy is developed. Using this tactics neuroendocrininic syndromes suggesting functional disorders in hypothalamohypophysialoovarian system are revealed in 90 women being registered. These disorders as well as overview roentgenograph of the skull, increased serotonin level, decreased level, of adrenalin and norepinephrine are indicative of central genesis of mastopathy development. The treatment included the use of parlodel, L-DOFA, central electroanalgesia. Menstrual and reproductive functions were reduced in the majority of patients and mastopathies were cured

Kazan medical journal. 1998;79(2):109-113
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Fundamental and applied aspects of immunohistochemical diagnosis of tumors in a person
Petrov S.V., Balatenko N.V., Kozyreva N.F., Vinokurova G.I., Mazitova F.M., Khasanov R.S., Raikhlin N.T.
Abstract

The role of immunohistochemistry in the solution of a series of clinial oncology problems is studied on the basis of 300 observations taking into account current demands of histogenetic diagnosis of tumors. The most rational schemes of immunohistochemical diagnosis based on the use of minimum set of antibodies at the first and second stages of the study are given. The importance of the use of immunohistochemistry in differential histogenetic diagnosis of the most widely met tumors of a person is emphasized. This method significantly extends the possibilities of morphological verification of tumors. The prospects of the development of histochemistry for oncologic clinics are considered.

Kazan medical journal. 1998;79(2):114-119
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Efficiency of different tranquilizers in patients with somatogenic neurosis - type disorders
Nabiullina R.R.
Abstract

The comparative clinicocatamnestic investigation of efficiency of tranquilizers of various chemical groups in 210 patients with somatogenic neurosis-type disorders caused by chronic bronchitis and chronic gastroduodenitis is performed. The use of tranquilizers in somatogenic neurosis-type disorders significantly precipitates phychopathologic symptomatology regress and increases life quality of a patient.

Kazan medical journal. 1998;79(2):120-123
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Experience of the use of lamizil in the treatment of onychomycosis
Faizullina E.V., Guryanov V.V.
Abstract

The antimycotic drug — lamizil is used in the treatment of patients with onychomycosis. It is established that this drug has a wide spectrum of antimycotic activity, does not have side effects; it is characterized by short-term treatment, and therefore, it is a drug of the choice in the treatment of intact forms of mycotic diseases

Kazan medical journal. 1998;79(2):124-125
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Influence of environmental factors on the reproductive function of women and on the health of newborns
Gimadeev M.M., Borodin Y.I., Orlov Y.V.
Abstract

Recently, due to environmental pollution, the study of the reproductive function of women has been resorted to to assess the state of the genetic health of the population.

Kazan medical journal. 1998;79(2):126-131
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Psychosexual and somatic state of women after sparing and radical ovarian surgery
V. N. Kustarov V.V., Svetozarova I.V.
Abstract

В структуре опухолей гениталий одну четвертую часть занимают новообразования яичников. Основным методом лечения данной патологии являются операции [15]. С учетом возможного развития ряда клинических проявлений после двусторонней овариэктомии [1], которые, по данным литературы, наблюдаются у 60—80% женщин [11], понятен интерес к органосохраняющим операциям на яичниках, особенно у женщин детородного возраста.

Kazan medical journal. 1998;79(2):132-134
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Angioma of the middle lobe of the lung
Potanin V.P., Khamidullin R.G., Polikarpov V.A., Segal E.I., Maximov A.P., Novakovsky A.R.
Abstract

Vascular lung tumors occur in 2.6% of cases. Differentiate single and multiple angiomas and conditionally refer them to the group of arteriovenous neoplasms. According to the literature, in 18% of patients in whom they were identified, general underdevelopment was noted: small growth, decreased fatness, pallor of the skin, rapid fatigue during exercise.

Kazan medical journal. 1998;79(2):134-135
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Experience of using prostaglandin E2 in obstetric practice
Baryshnina R.S., Miftakhova F.A., Galimova I.R., Shamsutdinova L.G.
Abstract

The problem of preparing pregnant women for childbirth or termination of pregnancy with various complications, extragenital pathology in modern obstetrics remains relevant to this day. In recent years, various methods of administering prostaglandins have been increasingly used.

Kazan medical journal. 1998;79(2):135-135
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Inhibitors of proteolysis and plasminogen of blood serum in parturient women with an uncomplicated course of the postpartum period
Semenkov N.N., Gorin V.S., Zhabin S.G., Renge L.V., Potekhin N.G.
Abstract

Recent studies have shown that proteolysis inhibitors can be regarded as markers of inflammation with immunoregulatory properties. From this point of view, the study of inhibitors of proteinases in blood serum of puerperas with an uncomplicated course of the postpartum period is of great scientific and practical interest.

Kazan medical journal. 1998;79(2):135-136
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A case of intrauterine infection with yersiniosis
Khakimov N.М., Shamsutdinov N.S.
Abstract

Yersiniosis (intestinal yersiniosis and pseudotuberculosis) are topical infectious diseases that have become widespread in recent years abroad and in our country. Until the 60s of the XX century, these infections were considered very rare and had a high mortality rate. It has been established that most cases of human infection with pathogens of yersiniosis are accompanied by the development of mild forms of the disease, and the share of generalized and severe forms accounts for 1-2%.

Kazan medical journal. 1998;79(2):136-137
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Diphtheria incidence in the Republic of Tatarstan
Fedorenko L.I., Makarova T.V., Savitskaya T.A., Bulaeva R.M., Groshev V.F.
Abstract

From 1950 to 1959 in the Republic of Tatarstan, from 1300 to 2000 people suffered from diphtheria annually, the annual number of deaths ranged from 50 to 120 children. Mass immunization of children, which began in 1955-1957, contributed to a decrease in the incidence by 1960 (16.4 per 100 thousand population).

Kazan medical journal. 1998;79(2):137-138
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The Role of the Republican Children's Clinical Hospital in Improving Surgical Care for the Rural Population
Khasanov R.S.
Abstract

Emergency surgical care for the children's population in 5 cities of Bashkortostan, where children's surgical departments are located, is provided around the clock only by children's surgeons. In 38 (64.8%) districts of the Central District Hospital and 15 (75%) cities of the republic, emergency care by pediatric surgeons is provided only during the daytime, at night - by both pediatric and general surgeons, and in 19 (35.1%) - only by general surgeons.

Kazan medical journal. 1998;79(2):138-140
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On the level of antidiphtherial immunnity in population of Tatarstan Republic
Shafeev M.S., Zorina L.M., Sadykova D.G., Yakupov I.F., Ibragimov A.K., Zabirov H.G., Vakhitov S.M., Ismagilova Z.M., Andreeva T.N., Iskhakova S.K., Lukatkov V.M., Galeev A.G.
Abstract

Level of antidiphtherial immunity among indicatory groups of Tatarstan Republic is studied for improving vaccinal prevention and developing management decisions and recommendations. The increase of antitoxic immunity in groups aged 2—3 to 16—17 and its decrease with age rise especially in persons aged 36—37 and 46—47 are noted. For revaccination of persons aged 26—27 it is appropriate to perform single immunization, for persons aged 36—37, 46—47, 56 and older selective immunization is used taking into account the results of passive hemagglutination reaction

Kazan medical journal. 1998;79(2):141-147
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Measles cases in tatarstan republic and the effect of revaccination of children aged 6 to 7
Savitskaya T.A.
Abstract

The frequency and dynamics of measles cases in Tatarstan Republic within recent 10 years are analyzed. Its successive decrease, especially in connection with introduction in 1986 of revaccination by living measles vaccine of children aged 6 to 7. Immunization against measles performed during 1994—95 proved to be highly efficient: the sickness rate index 1,8 per 100 thousands of population proved to be the lowest index in a time of measles registration in the Republic. Elimination of endogenic measles in the Republic is fully actual reaching not less than 95% of immunization against measles, appropriate revealing of children falling ill and the performance of antiepidemic measles complex.

Kazan medical journal. 1998;79(2):148-149
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Estimation of group professional risk and damage to health of workers
Khamitova R.Y.
Abstract

The traditional medicosocial criteria of group professional risk and damage (professional disease level etc.) are of little information in conditions of different- level multifactor effects of low and average intensity changing during shift and length of service. It is recommended to use the adaptometry data and to take into account the combined polynozology spreading value. The estimation of labour conditions should be carried out by integral indices.

Kazan medical journal. 1998;79(2):150-153
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Medicopsychologic examination of bank workers
Orlov G.V.
Abstract

Medicopsychologic examination of 60 bank workers aged 20 to 49 is performed. The examination data allow to reveal a wide predisposition to neurotic disorders caused by the effect of unfavourable factors complex of activities and production environment on the state of their psychic health.

Kazan medical journal. 1998;79(2):154-155
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IV All-Russian Scientific Conference "The influence of anthropogenic factors on the morphogenesis and structural transformations of cells, tissues and organs of humans and animals"
Valishin E.S., vanov N.M.
Abstract

The conference was dedicated to the 190th anniversary of the Department of Human Anatomy of Kazan State Medical University, the 100th anniversary of the birth of Corr. USSR Academy of Sciences, prof. N.G. Kolosov, and was also timed to coincide with the opening of the unique building of the Department of Anatomy after reconstructive capital repairs.

Kazan medical journal. 1998;79(2):156-157
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Professor Akhunzyanov Almaz Askhatovich
Abstract

December 20, 1997 marked the 60th anniversary of his birth and 36 years of medical, scientific and social activity of the head of the course of pediatric surgery and urology of postgraduate education of Kazan State Medical University, doctor of medical sciences, corresponding member. Academy of Medical and Technical Sciences of the Russian Federation, Professor Almaz Askhatovich Akhunzyanov.

Kazan medical journal. 1998;79(2):158-158
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Chronicle
Abstract

By the decree of the President of the Republic of Tatarstan the honorary title “Honored Doctor of the Republic of Tatarstan was awarded.

Kazan medical journal. 1998;79(2):159-159
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