Vol 82, No 3 (2001)

Surgical Treatment of Congenital Heart Diseases in Adults

Medvedev V.N., Kurmaev S.M., Kharitonov G.I., Sadekov R.F., Vagizov I.I.

Abstract

The results of treatment of 701 adult patients with congenital heart diseases from 1987 to 1997 are analyzed. As many as 248 operations with general postoperative lethality 3,2% are made. It is concluded on the necessity of improving the diagnosis of congenital heart diseases in children, especially in rural regions in relation to the high rate of inopportune revealing heart diseases resulting in the increase of the number of inoperable patients with pronounced pulmonary hypertension. The presence of symptoms or pronounced blood escape out of the left article into the right one in the absence of pulmonary hypertension is considered the indication to the radical correction of secondary defect of interatrial septum in adults. The radical heart disease correction in conditions of moderate hypotermy without artificial blood circulation is recommended in small secondary defect of interatrial septum

Kazan medical journal. 2001;82(3):161-164
pages 161-164 views

Correction of Antithrombogenic Activity of the Vascular Wall and Insulin Provision in Patients with Ischemic Heart Disease

Altshuler M.Y., Sazhina E.Y.

Abstract

The antithrombogenic activity of the vascular wall during probe, insulin provision during the glucosotolerant test are studied in 50 patients with ischemic heart disease and in 18 healthy persons. The change of antiagregational, anticoagulant, fibrinolytic activity of the endothelial cells of the vascular wall is revealed. The essential hyperinsulinemia duruing the whole glucosotolerant test at the low level of C-peptide showing the disorder of transforming proinsulin into insulin is noted. The use of ticlide is recommended in combined treatment of patients with ischemic heart disease

 

Kazan medical journal. 2001;82(3):164-166
pages 164-166 views

Bronchoobstructive Syndrome in Patients with Outpatient Pneumonia

Kulidzhanov A.Y., Sirotko I.I.

Abstract

The respiratory function test and biochemical blood indices — mucinous 3EG5 antigene and eosinophil cation protein showing the bronchi reactivity state are studied in patients with outpatient pneumonia. It is established that the pneumonia course is characterized by delay of normalization of velocity indices in relation to volume finally resulting in transformation of disorders of the mixed type into obstructive. The significant increase of the level of the eosinophil cation protein is highly informative and sensitive indicator of the increase of bronchi reactivity. More pronounced and prolonged increase of the level of mucinous antigenereflecting mucous hypersecretion, aggravation of bronchi drenage function and strengthening bronchical obstruction are characteristic for lingering course of pneumonia

Kazan medical journal. 2001;82(3):167-171
pages 167-171 views

Endoscopic Drainage of Acute Purulent Abscesses of Lungs Using Ronkoleikin

Blashentseva S.A.

Abstract

The endoscopic drainage of acute purulent abscesses of lungs is performed in 57 patients, in 27 of them using ronkoleikin. The good clinical effect is obtained: the length of stay in hospital, period of temperature normalization, period of sputum disappearance are reduced. The treatment results are improved. The immediate immunomodulating effect of ronkoleikin after its injection into the abscess covity is noted.

Kazan medical journal. 2001;82(3):172-173
pages 172-173 views

Remote Results of Radiotherapy of Esophagus Cancer

Volodina G.I., Vakhitov V.I., Sadykov M.R., Sevastyanova G.D., Timofeev A.A.

Abstract

The results of radiotherapy of esophagus cancer in 127 patients are analyzed. It is noted that the life duration of patients depends on the incidence and localization of tumor process. The five-year survival of patients with esophagus cancer localized in the cervical and superthoracal parts of esophagus was 0. in the middle thoracal part was 3,2%, in the lower thoracal part was 11%, in all localizations was 4,7%. The immediate favourable result of radiotherapy was noted in 77% of the patients with esophagus cancer.

Kazan medical journal. 2001;82(3):174-176
pages 174-176 views

Antibody Production to Specimens of Microflora of Large Intestine in Patients with В and C Virus Hepatitis

Sozinov A.S., Tkacheva S.V., Bayazitova L.T., Zinkevich O.D., Safina N.A., Gaifullina E.G., Enaleeva D.S.

Abstract

The changes of antibody concentration to specimens of the normal intestine microflora are revealed in conditions of disbiotic shifts and activated immune response in patients with В and C virus hepatites. Dysbacteriosis is the possible basis of the antibody level changes specific to some specimens of intestine microflora in В and C virus hepatites.

Kazan medical journal. 2001;82(3):176-180
pages 176-180 views

Endotoxinemia and Intensity of Humoral Immunity in Surgical Treatment of Acute Diseases of Extrahepatic Biliferous Tracts

Volkov D.E., Safina N.A., Tereshchenko V.Y., Zinkevich O.D.

Abstract

The level of systemic endotoxinemia and intensity of antiendotoxine humoral immunity in surgical treatment of acute diseases of extrahepatic biliary tracts are studied. Two groups of patients were examined. The patients with acute cholecystitis complicated by mechanical jaundice were in the first group, the patients with various forms of acute cholecystitis without disorders of bile outflow were in the second group. It is established that the high level of systemic endotoxinemia is found in patients with signs of mechanical jaundice in preoperative period, in this case the level of general blood bilirubine is directly correlated with the level of systemic endotoxinemia in both groups of patients. The decrease of humoral antiendotoxine immunity in preoperative period and its recovery in postoperative period are noted in patients with mechanical jaudice phenomena as the level of systemic endotoxinemia decreases and bile passage into intestine is recovered.

Kazan medical journal. 2001;82(3):180-183
pages 180-183 views

Effect of Distance Piezoelectric Nephrolithotrispy on Renal Hemodynamics in Patients with Urolithiasis

Sitdykova M.E., Aitova E.R., Sitdukov E.N., Andreev A.P.

Abstract

The renal hemodynamics is studied in 50 patients before and after treatment using the distance piezoelectric nephrolithotri psy method by ultrasound scanning system in conditions of colour doppler and energy mapping. The reliable decrease of the index values to the initial indices occurred in two days after lithotripsy in patients with extrarenal structure of the calicle and pelvis system and only in seven days in patients with intrarenal structure in conditions of retaining the urine passage. The necessity of doppler- monitoring for determination the terms of performing regular lithotripsy seance is stressed taking into account the variation of the terms of recovering renal hemodynamics.

Kazan medical journal. 2001;82(3):184-186
pages 184-186 views

Postoperative Wound Infections: Reasons and Consequences

Slepykh N.I.

Abstract

The results of the treatment of 4222 patients after planned (48,7%) and urgent (51,3%) surgical interventions are studied. Pyoinflammatory complications of postoperative wounds were developed in 539 patients. The reasons and risk factors of developing complications in this group of patients are determined by expert and sociologie investigations. The consequences of complications are estimated by the nature and terms of the treatment

Kazan medical journal. 2001;82(3):186-190
pages 186-190 views

Vibratory Therapy of Postimmobilizational Contractures of the Knee Joint

Krivoshapko S.V.

Abstract

For the treatment of postimmobilizational contractures of the knee joint and the development of the optimal method of vibratory therapy, the comparative analysis of results of the treatment of 49 patients aged 15 to 67 was carried out. In the basic group (29 patients) the vibration therapy action was performed instead of classical mechanotherapy (the frequency 12 hertz within the first 7—10 days of the treatment, 15 hertz within the following days, the vibration amplitude 2 mm; the vibratory action duration 5—7 min). Good results were obtained in | 62,1% of the patients, satisfactory results were in 34,5% of the patients, unsatisfactory results were in 3,4% of the patients, in the control group (20 patients) 45%, 30% and 25%, respectively.

Kazan medical journal. 2001;82(3):190-192
pages 190-192 views

Elizarov Transosseous Osteosynthesis in the Treatment of Patients with Calcaneus Fractures

Pankov I.O.

Abstract

The urgency of the problem of the treatment of calcaneus fractures is well-grounded. The peculiarities of the Elizarov transosseous osteosynthesis in the treatment of patients with various types of calcaneus fractures are shown. The analysis of remote results of the treatment of 50 patients with these fractures is carried out.

 

Kazan medical journal. 2001;82(3):193-197
pages 193-197 views

Quality of Life and Compliance with Treatment in Patients with Essential Hypertension

Galyavich A.S., Davidov S.V.

Abstract

The relation of the total index of the quality of life and the integral index of compliance with treatment in definite levels of systolic and diastolic blood pressure as a whole by the example of all examined patients - with hypertension, as well as in groups of persons with various minifestation of arterial hypertension with lesion and without lesion of brain vessels, is estimated. The obtained results of calculating the integral index of compliance with treatment in various levels of blood pressure, the estimation of its variation causes, as well as the correlation of this parameter with other characteristics show the difinite discriminative ability and validity of the method developed.

Kazan medical journal. 2001;82(3):198-202
pages 198-202 views

Organization of Surgical Care for Patients with Abdominal Injuries in Peacetime Emergences

Anisimov A.Y.

Abstract

The tragic events of recent years have shown the need to radically rethink the approach to providing medical care to the population affected by peacetime emergencies. The very concept of “catastrophe” has acquired a very definite medical and organizational meaning today [33]. In the medical aspect, it is understood as a sudden, extremely dangerous event for the health and life of people, which caused a discrepancy between the acute need for medical care and the capabilities of the available forces and means of the medical service to provide it [36]. In this context, it is appropriate to note that the main thing in a disaster is not its size, but the available resources of survival [15]. That is why the early preparation for a meeting with the elements, allowing to resist the situation of confusion and chaos, is rightly called the cornerstone in the system of measures for the successful elimination of its consequences [26]. Even in small peacetime disasters (road accidents), due to low organization, lack of a clear action plan, and insufficient training of practitioners in extreme medicine, only about 50% of those in need receive emergency care [11]. It is obvious that the emergency requires a restructuring of the doctor's thinking from optimal individual to optimal collective medicine.

Kazan medical journal. 2001;82(3):203-207
pages 203-207 views

Personal Psychologic Pecularities of Aborted Women

Yusupova A.N., Kamysheva O.N.

Abstract

It is established that the significant part of aborted women is susceptable to pronounced negative psychic reactions (personal alarm, psychotism, neurotism) which have stable nature. Women with such personal psychologic characteristics present a group of highW risk of abortion propagation, various disorders of reproductive function and reproductive behaviour. In women dispensaries and in family planning service institutions it is necessary to introduce the psychologic testing to reveal persons of this risk group and to perform the corresponding psychologic correction for prevention of undesirable pregnancy.

Kazan medical journal. 2001;82(3):215-218
pages 215-218 views

Effect of Antenatal Factors on the Development of Dental Caries in Children

Galiullin А.N., Burganov R.G., Kalimullin A.R., Rosseikina E.A.

Abstract

As many as 2551 families were examined in the conditions of the large industrial city. It is established that unfavourable factors of a mother during pregnancy correlate with 56 risk factors in a child aged 0—3. However the effect of antenatal factors decreases with age. These factors retain the correlation only with 26 risk factors of a child aged 12—15 (P<0,05).

Kazan medical journal. 2001;82(3):219-220
pages 219-220 views

Etiologic ole of Acinetobacter Bacteria in Diseases of Early Age Group Children

Sindyakova L.G., Pozdeev О.К., Lapshina G.N., Shulyaeva M.P.

Abstract

Seeding of Acinetobacter haemolyticus bacteria in newborns and children aged to one from 1997 to 1999 is analyzed. The growth of their seeding within the last three years is shown. The etiologic role of A. Haemolyticus bacteria in inflammatory processes in children is confirmed by the repeated secretion of the pathogene from the pathologic material during the disease and simultaneous revealing of microorganisms in patients with omphalitis-rhinitis, omphalitisconjunctivitis, omphalitis-rhinitis-conjunctivitis. Cleansing of maternity hospital results in ceasing of Acinetobacter haemolyticus secretion in children

Kazan medical journal. 2001;82(3):221-224
pages 221-224 views

Telemedicine in Tatarstan

Tuishev T.I.

Abstract

Remote transmission of medical information has been carried out in our country since the late 60s. Let's recall, for example, the use of a regular phone to transmit an ECG. But only thanks to modern achievements in the field of telecommunications, the necessary conditions for full-fledged communication of specialists in real time have appeared. On March 6, 2001, the first TV show was held in the ICDC of Kazan with the connection of several telemedicine centers in Russia. Preparation for it was conducted for several years. It included the provision of modern types of digital communication, which made it possible to implement this project.

Kazan medical journal. 2001;82(3):225-226
pages 225-226 views

A Clinical Example of Observation of an Hiv-infected Woman from a Nosocomial Focus

Tekeeva B., Burdaeva T., Stoyanova V.

Abstract

In the development of the infectious process in HIV infection, a number of critical stages can be identified that determine the final outcome of the human body's contact with the virus. Prerequisites, cofactors are necessary for HIV to settle in the human body and for replication in the cell.

Kazan medical journal. 2001;82(3):227-229
pages 227-229 views

Use of the “Myustela” Cream as a Contact Medium for Ultraphonophoresis

Mikusev I.E., Mikusev Y.E., Aidarov V.I., Mikusev G.I., Avetisova E.G.

Abstract

The high efficiency of lidasa ultraphonophoresis using the “Myustela” cream as a basis in the treatment of 185 patients of orthopedotraumatologic profile is shown. A wide application of this method is recommended.

Kazan medical journal. 2001;82(3):230-231
pages 230-231 views

Professor Vladimir Feoktistovich Bogoyavlensky

Zubairov D.M.

Abstract

March 18, 2001 marked the 70th anniversary of the birth and 45 years of medical, scientific, pedagogical and social activities of the Honored Scientist of the Republic of Tatarstan, Academician of the Eurasian Academy of Medical Sciences, Professor of the Department of Therapy and Family Medicine of the Kazan State Medical Academy of Postgraduate Education, Doctor of Medical Sciences V. F. Bogoyavlensky.

Kazan medical journal. 2001;82(3):232-234
pages 232-234 views

Associate Professor Khabibulla Nurmukhametovich Amirov (for the 100th anniversary of his birth)

Valishin E.S.

Abstract

Khabibulla Nurmukhametovich Amirov was born on May 18, 1901 in the village of Tat. Tashaevo of the Nurlatsky district of Tatarstan in a working peasant family. His early desire for knowledge prompted him to move to his brother in Chita as a child, where he graduated from the parish school of the 1st stage in 1916, and in 1923 from the parish school of the 2nd stage. Having shown outstanding performance, curiosity and a great thirst for knowledge over the years of study, after graduating from college, he was sent to continue his studies at the Medical Faculty of Kazan State University. From the very first days of his stay at the university, he takes up his studies with great zeal, paying great attention to a new and unfamiliar subject — normal human anatomy. However, experiencing great financial difficulties, he was forced to interrupt his studies at the university. From 1924 to 1927, the young man worked as a nurse in the Zabulachno-Pletenevsky skin and venereological dispensary of the Tatnarkomzdrav, and only after the appointment of a special family scholarship, he was able to continue his studies.

Kazan medical journal. 2001;82(3):234-235
pages 234-235 views

Academician of the Academy of Sciences, Professor Eduard Nazipovich Sitdykov

Abstract

On May 29, 2001, Eduard Nazipovich Sitdykov, Doctor of Medical Sciences, Professor, Honored Doctor of Russia and Tatarstan, Honored Scientist of the Republic of Tatarstan, Academician of the Academy of Sciences of the Republic of Tatarstan, the first head of the Department of Urology of Kazan State Medical University, was 70 years old.

Kazan medical journal. 2001;82(3):235-236
pages 235-236 views

About Errors in the Diagnosis of Diseases at the Pre-hospital Stage

Lushnikov E.V.

Abstract

The main cause of mortality in emergency conditions (myocardial infarction, neurotrauma, etc.) is the untimely provision of emergency care at the pre-hospital stage (up to 60% of all cases). Severe complications leading to a fatal outcome in emergency conditions in the first hours and days from the onset of the disease are mostly associated with incorrect diagnosis and, therefore, incorrect tactics of medical workers during the initial treatment of patients (1.8%). They are often caused by the erased clinical picture of a particular condition.

Kazan medical journal. 2001;82(3):237-237
pages 237-237 views

Obituary. Professor Nikolai Ivanovich Atyasov

Belyaev A.N., Kozlov S.A., Taratynov I.B., Rygin E.A.

Abstract

On April 25, 2001, the head of the Department of General Surgery and Anesthesiology of the Medical Faculty of the Ogarev Mordovian State University, laureate of the State and Ogarev Prizes of Mordovia, academician of the Russian Academies of Natural Sciences and Medical and Technical Sciences, the International Academy of Integrative Medicine, Honored Scientist of Russia and Mordovia, Doctor of Medical Sciences, Professor Nikolai Ivanovich Atyasov, died suddenly.

Kazan medical journal. 2001;82(3):238-239
pages 238-239 views

Diagnosis and therapy of hypovitaminosis A and E in chronic cholecystocholangitis in children

Kamalova A.A.

Abstract

The aim of this study was to study the content of retinol and a-tocopherol in the blood serum of children with chronic cholecystocholangitis, as well as to evaluate the effectiveness of traditional treatment and therapy with the use of the drug tykveola. The latter is a lipid complex of Cucurbita pepo pumpkin seeds, which contains phospholipids, bioflavinoids, carotenoids, tocopherols, some amino acids, iron, manganese, zinc and calcium.

Kazan medical journal. 2001;82(3):208-208
pages 208-208 views

Treatment of inflammatory periodontal diseases in children infected with Helicobacter pylori

Urazova R.Z.

Abstract

Microorganisms, including Helicobacter pylori, play an important role in the etiology of inflammatory periodontal diseases. The aim of our study was to study the effectiveness of topical use of metronidazole on the mucous membranes of the oral cavity in combination with antihelicobacter therapy for Helicobacter pylori infection in childhood.

Kazan medical journal. 2001;82(3):208-209
pages 208-209 views

Chronic tuberculous rhinosinusitis in a patient with widespread destructive pulmonary tuberculosis

Mahmutov I.F., Zalyaliev R.A., Batrhanova G.Y., Kondratieva N.E., Kamalov L.I.

Abstract

We observed a case of chronic left-sided maxillary rhinosinusitis of tuberculous etiology. K., 57 years old, has been registered with the State Medical Institution "Phthisiology" for infiltrative pulmonary tuberculosis since 1998.He was repeatedly treated in a tuberculosis hospital and outpatient with short courses. In January 2000, he was admitted to the Kazan City Tuberculosis Hospital due to complaints of cough with scant sputum, weakness, shortness of breath during physical exertion; negative X-ray dynamics was also observed. After clinical, radiological, laboratory and bacteriological examination methods, he was clinically diagnosed with infiltrative tuberculosis of the upper lobe of the left lung in the phase of decay and contamination of CD (+).

Kazan medical journal. 2001;82(3):209-209
pages 209-209 views

More than 50 years with a complete heart block

Krasnoperov F.T.

Abstract

We have described several cases of complete heart block on the background of rheumatism ("Ter. arch”", 1955), and both favorable and unfavorable clinical course. In all cases, an electrocardiographic break was noted in the passage of the pulse from the atria to the ventricles, when the atria and ventricles contract independently of each other. Some authors believe that the life expectancy of patients with complete atrioventricular heart block of rheumatic etiology does not exceed 2-3 years.

Kazan medical journal. 2001;82(3):210-210
pages 210-210 views

Liebman-Sachs endocarditis

Gabitov S.Z., Yunusov R.V., Abdrahmanova A.I.

Abstract

The diagnosis of Liebman-Sachs endocarditis is difficult, since the clinical picture of systemic lupus erythematosus (SLE) has signs similar to other diseases, in particular with rheumatism and infectious endocarditis. The establishment of the etiology and pathogenesis of the defect determines the timeliness and effectiveness of the patient's treatment.

Kazan medical journal. 2001;82(3):210-212
pages 210-212 views

Intellectual and emotional features of patients with multiple sclerosis

Matveeva T.V., Mendelevich V.D., Rechanik D.P.

Abstract

In the Republic of Tatarstan in 1999, 968 patients with multiple sclerosis (PC) were registered; the incidence and its prevalence were 0.33 and 0.71 cases per 1000 population, respectively, the mortality rate reached 1.1% of the total number of registered patients.

Kazan medical journal. 2001;82(3):212-213
pages 212-213 views

Features of the course of onychomycosis in children

Faizullina E.V.

Abstract

Onychomycosis is relatively rare in children. The prevalence of the disease is 0.2%. As the nail plate grows, the masses of the fungus in children shift to the free edge and are removed, that is, the low prevalence of onychomycosis in childhood is explained by faster nail regrowth.

Kazan medical journal. 2001;82(3):213-214
pages 213-214 views

Antifungal activity of dermadex-agents for the treatment of microsporia and trichophytia

Zakieva L.R., Garaev R.S., Tremasov M.T.

Abstract

The aim of our study was the toxicological evaluation of the drug Dermadex, which is a new medicinal form of the antifungal agent 2-mercantobenzothiazole, as well as the study of its fungicidal and fungistatic activity with the development of tactics for the treatment of microsporia and trichophytia.

Kazan medical journal. 2001;82(3):214-214
pages 214-214 views


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