Vol 80, No 2 (1999)

May 14, 1999 marks 185 years since the opening of the Medical Faculty of the Imperial Kazan University, a significant event in the history of higher medical education in our country. After the medical faculty of Moscow University (opened in 1758) and the St. Petersburg Medical and Surgical Academy (1798), this faculty became the third forge of domestic medical personnel in the 19th century in Russia.

The comparative estimation of results of cesarean section in 269 puerperas depending on suture material and peritonization method is given. Catgut and resolved suture material vicril (polyglactin 910) werw used for trachelorrhaphy. Peritonization was performed traditionally and using laser “welding” surure of the peritoneum. The minimum number of complications is revealed in the group where uterus integrity was recovered using vicril suture in combination with laser photocoagulation of the peritoneum. The largest number of complications was observed in using catgut.

The increase of systemic and regional arterial pressure, the disorder of microcirculation in bulbar conjunctiva and eye retina take place in the combined craniocerebral injury. The effective method in complex pathogenetic treatment of this type of the injury is novocainic trigeminovagosympathetic block including the effects of the Zhakov trigeminosympathetic block and the Vishnevsky vagosympathetic block. The complex pathogenetic treatment method of the combined craniocerebral injury using trigeminovagosympathetic block abates pain, decreases arterial pressure, normalizes microcirculation and finally strengthens reparative and proliferative processes in damaged organs and tissues.

In examination of 240 women with alcoholism the spontaneous in initiation and autochthonous in course alcoholism variant which does not depend on psychotraumatizing factors and is formed in early young age, was revealed in 70 (29,2%) of the patients. Numerous predisposing factors, hereditary and genetic, microsocial, premorbid and personal, constitutional and psychologic factors were revealed. These patients respond with difficulty to phychotherapeutic treatment, so their treatment is usually limited by the use of medicines.

Augmentin in the form of aerosol is used as an independent remedy of antibacterial therapy in a dose of 100 mg dissolved in 2 ml of water for injection 2 times per day into the nasal sinus or maxillary sinuses by drainage using a sprayer. The nasal sinus and sinuses were washed properly by a physiological solution. The drug was used in 22 patients with acute sinusitis. Acute maxillary sinusitis was diagnized in 16 patients, acute ethmoiditis — in 2 patients, acute frontal sinusitis metopantritis — in 4 patients. The positive dynamics was noted in all patients after the begining of the treatment.

The manifestations of muscular syndrome affecting the gravity and prediction of the disease take place in the most widespread and invalidizing rheumatic diseases: osteoarthrosis, rheumatoid arthritis and ankylosing spondylarthritis. Paraclinical studies showed heterogeneity of pathogenetic mechanisms in lesion of skeletal muscles in rheumatic diseases. The differentiated methods of the treatment of patients with osteoarthrosis, rheumatoid arthritis and ankylosing spondylarthritis taking into account the clinical picture and pathogenesis of muscular syndrome, as well as the diagnosis criteria and classification of muscular system lesion are suggested.

A wide range of clinical efficiency of dimephosphone — a home-made low-toxic organic phosphonis drug supposes its effect on the processes universal for most cellular systems. The basis of the leading mechanisms of effect of the drug is antagonism to calcium-dependent processes of the intracellular transfer of excitation. The concept of the therapeutic effect of dimephosphone on the basis of antiinflammatory, antihistaminic and antiagrega-tional properties with the recommendation to comprehensive use according to new indications in patients with chronic urticaria and acute erosive and ulcerous processes of gastroenteric tract is developed.

Violation of the processes of intracellular respiration can be considered as one of the variants of apoptosis of blood cells. We conducted a study of the cytochemical status of lymphocytes in 50 children aged from 3 months to 3 years, in whom a general blood test showed a persistent decrease in the number of neutrophils.

Herpetic infections are the most common cause of chronic human viral diseases. However, until recently, these infectious diseases were not regarded by doctors as a rather serious pathology, and the attention of domestic clinicians and virologists has attracted only in the last 15-20 years.

The organizational structure of uronephrologic service based on the 35-year experience is suggested. The basic principles of the service functioning and the necessity of obligatory reglamentation of the volume and type of medical and diagnostic procedures among children’s medical and prophylactic institutions are substantiated. These measures increase the level of active revealing patients, decrease the number of diagnostic and medical errore, increase the efficiency of work of specialized subdivisions of the service, bring the specialized medical service to children with uronephrologic pathology nearer to rural and remote from the centre industrial regions.

The regulation of the fluid state of the blood depends on many factors. One of the most important among them is plasmin activity. Under normal conditions, because of the pronounced anti-plasmin properties of blood, it is weakly manifested. Currently, it is often determined by lysis of a clot of the euglobulin fraction of plasma.

The monograph is devoted to the urgent problem of urgent surgery - damage to the duodenum and is aimed at a wide range of doctors of various specialties. The material used in the book is based on the personal clinical experience of the authors and data from domestic and foreign literature for the period from 1916 to 1997.

The 60th anniversary of the birth and 37th anniversary of the medical, scientific and social activities of the Rector of Kazan State Medical University, Corresponding Member of the Russian Academy of Medical Sciences, Doctor of Medical Sciences, Honored Scientist of the Republic of Tatarstan, Head of the Department of Hygiene and Occupational Medicine with a course in ecology of postgraduate education, Professor Nail Khabibullovich Amirova.

One of the fundamental disciplines in the training of doctors and pharmacists is bioinorganic and physical colloidal chemistry. Knowledge of the basics of biophysical chemistry and the properties of biogenic elements serve as the basis for the subsequent study of bioorganic and biological chemistry, pharmacology, physiology, sanitation and hygiene, anesthesiology and other disciplines.