Vol 67, No 4 (1986)

The significance of biogenic amines in neuroendocrine pathology in obstetrics and gynecology

Gilyazutdinova Z.S.


On the traditional day of the Kazan Institute for Advanced Training of Physicians, I had the great honor to give an act speech in front of its staff. It was based on the results of scientific works of the staff of the department in 1981-1986 mainly on studying the role of biogenic amines and some hormones (prolactin, hormones of adrenal cortex, parathyroid hormone and calcitonin) in the pathogenesis of some neuroendocrine diseases, which occur in obstetric-gynecological practice.

Kazan medical journal. 1986;67(4):241-245
pages 241-245 views

Quantitative assessment of myocardial mechanical activity

Germanov A.V., Bukhvalova L.P.


The use of computer technology makes it possible to increase diagnostic capabilities of traditionally used methods of cardiovascular system investigation and significantly reduce the examination time. Methods of automatic processing of ECG, sphygmograms and rheograms are most developed. The aim of this work is to use computer processing of apexcardiograms (ACG) to develop a set of quantitative indices characterizing mechanical activity of myocardium.

Kazan medical journal. 1986;67(4):246-248
pages 246-248 views

Temporal and amplitude parameters of systole and diastole in dilated cardiomyopathy

Kuznetsov G.P., Pogodina T.K., Rusakov V.M.


The aim of the present investigation was to study left ventricular pelimechanocardiogram (ECG, FKG, left ventricular cardiogram, sphygmogram) and estimate their changes in dilated cardiomyopathy. We studied 40 patients with dilated cardiomyopathy aged from 28 to 58 years (mean age, 43.7 years). There were 34 men and 6 women. The diagnosis of cardiomyopathy in all patients was verified by echocardiography and in 5 deceased patients was confirmed by sectional study. The control group consisted of 20 healthy persons aged 16 to 55 years.

Kazan medical journal. 1986;67(4):248-250
pages 248-250 views

Diagnosis of anterior branch block of the left Gis bundle by orthogonal ECG

Movchan L.A., Mamish A.M., Burba N.E.


The aim of our work was a comparative study of ECG signs of block in the corrected orthogonal leads of the Franck system with reversed polarity, in the lead and in the usual 12 leads. We studied 150 healthy people and 70 patients (39 males, 31 females) with left bundle branch anterior blockade. There was 1 patient under 20 years of age, 21 to 30-2, 31 to 40-10, 41 to 50-13, 51 to 60-16, and 28 over 60 years of age.

Kazan medical journal. 1986;67(4):251-252
pages 251-252 views

Changes in central and regional blood circulation in patients with coronary heart disease under the influence of nitro ointment

Tsybulina E.V., Fomin Y.K.


The aim of the study was to investigate changes in central and regional blood circulation occurring after a single application of 2% nitro ointment produced by Orion Pharmaceuticals (Finland) in patients with coronary heart disease (CHD). We have studied 39 patients aged from 31 till 72 years (mean age - 54,4 years) with angina pectoris of tension and rest (angina pectoris frequency - not less than 7 attacks a week) of II-IV functional class (according to classification of All-Russian Center of Medical Science of the USSR).

Kazan medical journal. 1986;67(4):252-254
pages 252-254 views

Study of acoustic cardiac symptomatology in patients with acute myocardial infarction

Goncharova L.N., Romanova O.V.


The main objective of this study was to study I and II heart tones using phono- and spectrography in healthy subjects and in patients with acute myocardial infarction. We examined 79 patients (59 men and 20 women) with acute transmural large focal myocardial infarction aged 30 to 77 years. The diagnosis of acute myocardial infarction was made on the basis of clinical, electrocardiographic and laboratory studies.

Kazan medical journal. 1986;67(4):255-257
pages 255-257 views

The use of paracoagulation tests to control heparin therapy in patients with acute myocardial infarction

Shcherbatenko L.A., Gabitov S.Z., Voronina I.E.


The aim of the work was to determine the optimal doses of heparin for the prevention of thrombotic complications in patients with acute myocardial infarction based on the results of paracoagulation tests. We followed 269 patients with acute large focal and transmural myocardial infarction, verified by typical development and course of the disease, characteristic ECG dynamics in 12 standard leads, in some cases supplemented with three corrected orthogonal leads in Frank's system, blood picture dynamics and typical hyperenzymemia. In 49 cases pathological and anatomical investigations were carried out.

Kazan medical journal. 1986;67(4):257-261
pages 257-261 views

Prognostic value of cardiometry in myocardial infarction

Axelrod G.B., Oleinik N.A.


We tried to find out the influence of absolute heart size in patients in the acute period of myocardial infarction on long-term life and labor prognosis. For this purpose we studied long-term results (in 4-5 years) in 127 patients with myocardial infarction, who were treated at the specialized department of "Izhmash" hospital. All these patients in the wards of intensive care, along with other clinical and laboratory tests, on the first day of stay in the hospital trochography with cardiometry was carried out with a portable X-ray unit of P5 brand at focal distance of 1 m, voltage 83 kV, current strength 150 mA and exposure time 0,1 s.

Kazan medical journal. 1986;67(4):261-263
pages 261-263 views

Assessment of scarring time in myocardial infarction

Vtorov A.E., Kalinina S.A.


The aim of this work was to study the concentration of collagen metabolite peptide-bound hydroxyproline in the dynamic observation of patients with myocardial infarction. We observed 80 patients, including 50 patients (31 men and 19 women) with myocardial infarction aged 34-72 years. In 7 patients the infarction was small focal, in 26 patients it was non-transmural, and in 17 patients, it was transmural.

Kazan medical journal. 1986;67(4):263-265
pages 263-265 views

Morphological characteristics of the thymus gland in children with congenital heart disease

Matyushin I.F., Okhotin I.K., Ovsyanikov V.Y.


We have undertaken a study of thymus gland structure in children with congenital heart defects aged 3 to 10 years. We analyzed thymus biopsy specimens obtained from the marginal zone of the gland during surgical correction of cardiac malformations after thoracic cavity dissection. The biopsy size was 1.5 cm3.

Kazan medical journal. 1986;67(4):265-268
pages 265-268 views

State of microcirculation and capillary permeability in nephrogenic hypertension

Albekova R.G., Biktemirova R.G.


We studied microcirculation and capillary permeability in 70 patients with nephrogenic hypertension and 40 healthy subjects. The main contingent of patients was under 40 years old. Bulbar biomicroscopy was used to investigate the state of the microcirculatory bed by means of slit lamp SLT-U 4.2. To describe the state of microcirculation we used quantitative-qualitative assessment, intravasal status was determined according to the method of V.F. Bogoyavlensky.

Kazan medical journal. 1986;67(4):268-270
pages 268-270 views

Diagnosis of renal dysfunction in hypertensive patients using the ß2-microglobulin test

Trusov V.V., Filimonov M.A., Kazakova I.A.


The aim of the present work was to study the clinical value of ß2-microglobulin test to detect renal disorders in hypertensive patients. The ß2-microglobulin test was performed in 118 people, including 88 hypertensive patients (53 women and 25 men), 18 men with chronic hypertensive glomerulonephritis, and 12 healthy individuals. The age of the patients ranged from 26 to 59 years. Depending on the stage of the underlying disease, the patients were subdivided as follows: 19 patients were verified to have stage I hypertension, 42 patients had stage II, and 27 patients had stage III.

Kazan medical journal. 1986;67(4):270-272
pages 270-272 views

Clinical variants of vasculogenic impotence

Klyachkin M.L., Burov Y.A.


We examined 53 patients suffering from obliterating atherosclerosis with localization only in the aortoiliac segment, who were treated in the clinic from 1982 to 1984. The patients were aged from 42 to 61 years. According to the WHO classification, 16 (24.5%) were young (under 45 years) and 37 (75.5%) were middle-aged (46-60 years).

Kazan medical journal. 1986;67(4):272-275
pages 272-275 views

Prediction of postpartum purulent-septic complications using intradermal tests

Karimov Z.D., Bakuleva L.P., Yakutina M.F., Nesterova A.A., Nazarova S.V., Minkina A.E.


Intradermal tests for functional assessment of T-cell immunity were performed on 95 women who gave birth. There were 39 women aged 19 to 24 years, 25 to 29 to 36, and 30 to 35 to 20. Bacterial allergens were injected at a dose of 0.1 ml on the inner surface of the forearm strictly intradermally at 7-8 cm apart. The results were evaluated after 24 h. The reaction was considered positive if the size of the infiltrate was equal or greater than 8 mm.

Kazan medical journal. 1986;67(4):275-276
pages 275-276 views

Prevention of disruption of adaptation in children upon entering preschool and school

Solntsev A.A., Shilyaev R.R., Ageev A.K., Zhdanova L.A., Filkina O.M., Kryukova T.G.


In order to provide a pathogenetic substantiation and develop a system of measures to facilitate children's adaptation to new microsocial conditions, a comprehensive dynamic examination with a unified methodological approach was conducted in 299 children of early childhood, preschool and primary school age on entering nursery, kindergarten and school. The initial state of health, the level of physical and mental development, and, in addition, the degree of psychofunctional readiness for learning were examined in all children. The data of the social and biological anamnesis were analyzed in detail.

Kazan medical journal. 1986;67(4):276-281
pages 276-281 views

Using genealogical analysis to identify children at increased risk of diabetes mellitus

Belyanko N.E.


In order to identify risk groups, genealogical analysis was performed on the pedigrees of 711 children who were on the dispensary registry in children's endocrinology offices in Saratov for various endocrine disorders. In addition, together with pediatric endocrinologists we conducted a targeted medical examination of 11978 children in 41 preschool institutions and 5 general education schools according to the screening program with the help of Glucotest.

Kazan medical journal. 1986;67(4):281-282
pages 281-282 views

Peculiarities of autoaggressive behavior formation in patients with chronic alcoholism

Kovalenko V.P.


The aims of our research were to study the frequency of suicidal thoughts and tendencies in patients with chronic alcoholism, to identify their dependence on the duration of alcohol abuse, stages of alcoholism, degree of alcohol intoxication, presence of withdrawal syndrome, psychogenias and degree of personality psychopathy (premorbid and due to alcoholism), to determine the age qualification and the most frequent reasons of suicidal behavior.

Kazan medical journal. 1986;67(4):282-284
pages 282-284 views

Effect of cervical spinal cord ischemia on gastrointestinal function

Mikhailov M.K., Akberov R.F., Fattakhov V.V.


In the available literature, we did not find any works devoted to the influence of cervical spinal cord ischemia on gastrointestinal tract function. Since ischemia of the spinal cord structures, hypothalamus and vegetative centers plays the leading role in the occurrence of functional disorders of the gastrointestinal tract, we carried out experimental studies on 11 purebred puppies.

Kazan medical journal. 1986;67(4):284-287
pages 284-287 views

Radiological features of hypertension-hydrocephalus syndrome

Kamalov I.I.


The aim of this work was to differentiate the signs of hypertension and hydrocephalus, analyze and systematize them. We carried out complex radiological study of 97 patients (67 males and 30 females) with hypertension and hydrocephalus syndrome aged 25-30 years old with the determination of pressure in the liquor system. Observations showed that hypertension (increase of cerebrospinal pressure) in 17 patients proceeded without hydrocephalus.

Kazan medical journal. 1986;67(4):287-289
pages 287-289 views

Diagnosis and correction of immune system disorders

Kovalchuk L.V., Cheredeev A.N.


Modern clinical immunology has a wide range of tests that can detect immune system disorders with a sufficiently high degree of accuracy. Laboratory evaluation of the immune system is performed using in vivo and in vitro methods. In vivo methods allow to judge the state of the immune system at the organism level.

Kazan medical journal. 1986;67(4):289-294
pages 289-294 views

Physiological shifts in cardiac activity in young athletes

Sitdikov F.G., Vanyushin Y.S.


The aim of our study was to investigate the effect of physical training on cardiac activity in boys 9-10 years old engaged in skiing. The group of subjects included 24 boys aged 9-10 years, regularly training 3-4 times a week. The control group included 30 healthy children of the same age, engaged in physical activity only at physical education classes at school.

Kazan medical journal. 1986;67(4):294-295
pages 294-295 views

Long-term follow-up of a patient with sinus node weakness syndrome

Brodskaya A.M., Zakirzyanov K.S., Strogova N.A., Ugarova I.N.


A patient 3. 79 years old. In spring 1977 during in-patient examination he was first diagnosed with sinus node weakness syndrome. At that time the patient had no heart complaints, however, objective examination revealed systolic murmur over the whole irecardiac area, bradycardia (46-58 per 1 min), arterial hypertension, congestive moist rales in the lower lungs, pastosity of shins and feet was observed.

Kazan medical journal. 1986;67(4):295-296
pages 295-296 views

The effect of isoptin on sinus arrhythmias arising from hypoxia

Mitrokhina N.M., Polunin I.N.


It was found that exposure to isoptin reduced the amplitude of action potentials by 15.8 mV (41.19%), the pre-potential value by 11.5 mV (68.6%); prolongs the phase of slow diastolic depolarization by 176.5 ms (54.5%), the phase of systolic depolarization by 20.12 ms (29.1%); shortens repolarization by 34.5 ms (17.5%) and slows the frequency of spontaneous activity by 22.0 per 1 min (18.4%).

Kazan medical journal. 1986;67(4):296-297
pages 296-297 views

Study of neutrophil cationic proteins in acute myocardial infarction

Maksimova I.N.


In the available literature we have not found works on the study of cationic proteins in acute myocardial infarction. In this regard, we set a goal to identify the level of neutrophil cationic proteins in patients with acute myocardial infarction, to determine the sensitivity of this index and its dynamics in relation to the generally recognized laboratory tests (CRP, degree of leukocytosis), to assess the value of the test as an additional laboratory criterion, characterizing necrotic and resorptive processes in the dynamics.

Kazan medical journal. 1986;67(4):297-298
pages 297-298 views

Periarteritis nodosa in a child

Volkova Y.V., Nizamutdinova K.S., Ubasev V.T.


Periarteritis nodosa in young children is rare, so we present our observation. Sh., 1 year 8 months old, was admitted to Kazan Children's Hospital No.7 with referral diagnosis: small focal pneumonia, severe form, DN3, neutrotoxicosis.

Kazan medical journal. 1986;67(4):298-299
pages 298-299 views

The pathogenesis of obliterating endarteritis of the lower extremities

Alimov Z.Z., Alimova N.Z.


We analyzed the case histories of 772 patients with obliterative endarteritis of the lower extremities. The collected material indicates that both direct and reflex effect of etiological factors on the fingers of the lower extremities is important in the genesis of this disease. Direct influence of trauma, low temperature, infection, vibration and heavy load was in 533 (69%) patients, and reflex influence of nicotine and other neurotoxins, trauma, low temperature, arthroso-arthritis, spine osteochondrosis and other pathological processes in topographically distant from fingers areas and organs as well as nervous and emotional shocks and mental stresses was in 239 (31%).

Kazan medical journal. 1986;67(4):299-300
pages 299-300 views

Long-term results of treatment of patients with limb arterial embolism

Strelnikov I.I.


We followed the fate of 166 patients with limb arterial embolism in the late stage of the disease after conservative and surgical treatment from 6 months to 10 years. Of 166 patients, 44 (26.5%) died after hospital discharge. Thirty of them were older than 61 years. The most frequent causes of death in the long-term period were acute cerebrovascular disease (11), myocardial infarction (7), progressive cardiovascular insufficiency due to cardiac defects (6), repeated peripheral artery embolism causing limb gangrene (7). In 7 patients the cause of death was not determined.

Kazan medical journal. 1986;67(4):300-300
pages 300-300 views

Methods to improve the quality of rheovasograms

Tukshaitov P.K., Gatin M.S., Malkov I.S.


The purpose of this study was to improve the noise immunity of the signal in the rheometer and to improve the quality of the recorded rheovasogram.

Kazan medical journal. 1986;67(4):300-301
pages 300-301 views

Experience of the functional diagnostics department in an acute care hospital

Vologin N.A.


The Cheboksary Emergency Medical Care Hospital has a functional diagnostics department, which includes 6 rooms: electrocardiography, phonocardiography, examination of respiratory function, central nervous system, peripheral hemodynamics and veloergometry. Establishment of the functional diagnostics department allowed to rationally use complex expensive equipment and provide round-the-clock failure-free service by functional diagnostic methods to all those in need, improve the quality of examination and reduce its duration.

Kazan medical journal. 1986;67(4):302-302
pages 302-302 views

Microbial allergy in patients with chronic destructive pulmonary tuberculosis

Abashev I.M.


The aim of our work was to detect microbial allergy in patients with chronic destructive pulmonary tuberculosis. We followed up 114 patients, 14,9% of them were under 40 years old, 41 to 50-24,5%, 51 to 60-38,7%, 21,9% were aged over 61. The duration of TB disease up to 5 years was ascertained in 20.6% of examined patients, from 5 to 10 years - in 26.4%, from 10 to 20 years - in 24.5% and more than 21 years - in 28.5%.

Kazan medical journal. 1986;67(4):302-303
pages 302-303 views

Influence of sensitization on the character of immunological disorders in bronchial asthma and asthmatic bronchitis in children

Maltsev S.V., Smirnova L.R., Kuznetsova N.I.


The aim of the work was to study the state of immunological reactivity in bronchial asthma and asthmatic bronchitis in children depending on the severity of the process and the degree of sensitization to bacterial allergens.

Kazan medical journal. 1986;67(4):303-303
pages 303-303 views

On the work of a pediatrician in emergency and urgent care

Zakirova R.A., Belogorskaya M.V.


To study the activity of an emergency pediatrician, we analyzed calls using a specially designed questionnaire, which included detailed anamnesis, premorbid background, and objective examination data. The main criteria for diagnosing diseases, peculiarities of each call and the volume of emergency care rendered were revealed.

Kazan medical journal. 1986;67(4):304-304
pages 304-304 views

A case of abdominal pregnancy with a live and full-term fetus

Matsuev A.I., Malyuzhenko M.V.


Late stage ectopic pregnancy is extremely rare. Most often it is regarded as a normal pregnancy and is diagnosed at the time of rupture of the placenta. Therefore, it seems justified to describe our own observation of such pregnancy pathology.

Kazan medical journal. 1986;67(4):304-305
pages 304-305 views

Medical rehabilitation for the visually impaired

Zaretskaya Z.M., Ayupova G.K., Pavlova I.Y.


Among the surveyed disabled people working at the training and production enterprise of the All-Russian Society of the Blind in Beloretsk, 51.2% were men and 48.8% were women. Most of them were of working age, from 20 to 59 years old.

Kazan medical journal. 1986;67(4):305-306
pages 305-306 views

Improving working conditions and reducing the incidence of disease among workers of industrial enterprises of TASSR

Gorkhov N.N., Amirov N.K., Morozov V.V., Yampolskaya L.K., Minniyarova T.Z.


TASSR is one of the most developed industrial regions of the Russian Federation and is represented by enterprises of chemistry and petrochemistry, mechanical engineering and instrument-making, light, woodworking and printing industries, construction industry, etc. In this connection the work of occupational hygienists is aimed at creating optimal working conditions, reducing occupational injuries and morbidity with temporary loss of ability to work.

Kazan medical journal. 1986;67(4):306-307
pages 306-307 views

On the experience of work to improve the health of atmospheric air in Kazan

Pigalova N.V., Karatay S.S., Gimadeev M.M., Khabibullin V.F., Dautov F.F.


The industrial face of Kazan, a large multi-sectoral industrial center, determine the enterprises of chemistry and petrochemistry, metalworking and mechanical engineering, woodworking and construction industry, light and food industry, etc., as well as large thermal power plants. By the peculiarities of technology, they are the sources of various pollutants into the air. In addition, in Kazan, as well as in other large industrial cities, air is polluted by road transport. It accounts for more than 50% of the total emissions into the air basin of the city.

Kazan medical journal. 1986;67(4):307-309
pages 307-309 views

50th anniversary of the Department of Pediatrics at the Kazan S.V. Kurashov State Medical Institute of the Order of the Red Banner of Labor

Svyatkina K.A., Tazetdinova F.G., Shchiptsova I.A.


Pediatrics as an independent medical specialty began to develop in Russia in the 30s-40s of the last century. At that time, Russia had one of the highest infant mortality rates. Assistance provided to mothers and children was based on charitable collections; no government funds were allocated for this purpose; there were no doctors who dealt only with children's diseases.

Kazan medical journal. 1986;67(4):309-313
pages 309-313 views

Pediatric anesthesiology and intensive care

Rokitsky M.R., Zhavoronkov V.F.


The first textbook on pediatric anesthesiology and resuscitation for students of pediatric faculties of medical institutions has been published. This work is a summary of 17 years of experience in pedagogical, therapeutic, and scientific activities of the department of pediatric surgery, orthopedics, and anesthesiology at the 2nd MOLGMI.

Kazan medical journal. 1986;67(4):313-314
pages 313-314 views

Differential X-ray diagnosis of diseases of bones and joints

Fastykovskaya E.D.


The book is a textbook of 8 chapters written by the authors based on their own years of teaching.

Kazan medical journal. 1986;67(4):314-314
pages 314-314 views

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