Vol 67, No 6 (1986)

Changes in extracellular cyclic nucleotides in patients with peptic ulcer disease and chronic gastritis

Trusov V.V., Vakhrushev Y.M.


The aim of this work was to study the peculiarities of changes in the levels of cyclic nucleotides (cAMP and cGMP) in peripheral blood during oral administration of solutions with different pH in patients with peptic ulcer disease and chronic gastritis. Studies were conducted in 55 patients, 23 of them had duodenal ulcer, 16 - chronic gastritis with decreased secretory function of the stomach.

Kazan medical journal. 1986;67(6):401-403
pages 401-403 views

Local treatment of gastroduodenal ulcers

Vainshtein S.G., Shust Z.I., Zhukovsky M.N., Fedoriv Y.N.


In spite of the established ideas about peptic ulcer as a general disease of the whole organism, there is a continuous flow of publications in which local treatment of ulcers of the mucous membrane of the stomach and duodenum is recommended. With the development of fiber optics, it became possible to target the ulcers, activating reparation processes in them. Adhesives and film-forming compositions MK-6, Lifusol, Gastrovol etc. were used to cover the ulcers.

Kazan medical journal. 1986;67(6):403-404
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Methodology for determining the anthrofundal border of the stomach in the surgical treatment of peptic ulcer disease

Naumov V.F., Popov V.Y.


Special methods allowing during the operation to establish the boundary between the mucous membrane of the body and the antral part of the stomach have an important practical value. Knowledge of gastric secretory topography provides clear performance of organ-saving operations (antrumectomy and selective proximal vagotomy). We propose to "cut out" the gastric stump so that it retains a part of the vagal nerve branches (in the area of cardia, esophagus, along the right gastroesophageal artery) and in its distal part it is represented by the antral part of the stomach.

Kazan medical journal. 1986;67(6):405-407
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Choice of surgical intervention for duodenal ulcer

Sigal Z.M., Makarov A.S.


Various complications encountered during gastric surgeries, in particular during vagotomies, dictate the necessity to predict the functional consequences of one or another intervention before or during the operation. Currently, this issue is not only undeveloped in surgery, but also is not posed, which leads to insufficient efficiency of surgical treatment, occurrence of such complications as ischemic necroses, anastomosis suture failure, gastroparesis, gastroplegia.

Kazan medical journal. 1986;67(6):407-409
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Comparison of blood polarography results with morphological findings in patients with acute cholecystitis

Voronin V.N., Shamsutdinov N.S.


We made a comparative assessment of the results of serum polarographic analysis with postoperative findings and data of histological examination of gallbladder tissues and liver biopsy specimens in patients with acute cholecystitis. Such comparison was carried out in 35 patients operated for acute cholecystitis, and in 2 deceased patients; and in 19 patients acute cholecystitis was complicated with jaundice. The age of the patients ranged from 30 to 80 years, 34 women and 3 men.

Kazan medical journal. 1986;67(6):410-411
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Surgical tactics for acute cholecystitis in patients over 70

Kochnev O.S., Kim I.A., Korobkov V.N., Kim B.H., Muraviev E.I.


In this work we cover the issues of surgical tactics in patients with acute cholecystitis over 70 years old, because this category of patients is the most difficult in terms of diagnosis, choice of treatment method and timing of surgical intervention. Basically, these are patients with concomitant diseases, which largely obscure the clinical picture, aggravate the patient's condition, influence the surgeon's decision and the outcome of surgical intervention.

Kazan medical journal. 1986;67(6):411-414
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Treatment tactics for bacterial liver abscesses

Kuznetsov V.A.


During the last 15 years 92 patients with bacterial liver abscesses were under observation (men-29, women-63, age-7 to 87 years). Over the past five years, the number of patients over 60 years of age more than doubled and the number of complicated forms of the disease tripled compared with the previous five years.

Kazan medical journal. 1986;67(6):414-419
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Significance of sensitization to Escherichia coli allergen in the dysentery clinic

Badrieva L.I.


The purpose of this work was to study the features of the clinical course of dysentery in patients with specific and nonspecific bacterial sensitization. There were 103 patients aged from 17 to 64 years under observation: 76 patients with dysentery and 27 with influenza. Fifteen healthy individuals were examined as controls.

Kazan medical journal. 1986;67(6):419-421
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State of microcirculation in patients with food toxicoinfections and hypovolemic shock during infusion therapy

Rashchinsky M.I.


In the present work we made an attempt to study the state of microcirculation in 56 patients with food toxicinfections, proceeding with signs of dehydration of II-IV degree and symptoms of hypovolemic shock of I-III degree. The age of the patients ranged from 19 to 59 years. On the basis of laboratory investigations, 14 patients were found to have Salmonellae of groups B, C, E, the etiology of the food toxico-infection could not be established in the rest of the patients.

Kazan medical journal. 1986;67(6):421-425
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Prevention of increased blood loss in obstetric practice by external electrical stimulation

Kozlov L.A., Polyakov I.F., Sevastyanov V.V., Kazimirov E.K.


Prevention of increased blood loss in the postpartum and early postpartum periods can be carried out by influencing both the contractility of the uterus and coagulation in the vessels of the placental site. At present, uterine contractility is enhanced most often by administering appropriate drugs, but the use of electrical stimulation of the uterus seems promising. The requests of obstetric practice require long-term use of electrostimulation with excitation of uterine contractions close to natural. It is also desirable that uterine electrostimulation is performed during the first and second periods of labor with its prospective continuation in the third and early postpartum periods.

Kazan medical journal. 1986;67(6):425-427
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Reflex therapy in the acute period of mild closed craniocerebral trauma

Valeev E.K., Shakurov R.S., Samitov O.S.


We followed up 287 patients (102 men and 185 women aged 19 to 60 years) who suffered mild concussion and contusion of the brain. Of them, 112 patients were treated with acupuncture (except for drugs of psychotropic and vegetative action, analgesics and sleeping pills). The control group consisted of 175 people treated in the acute period according to conventional methods, including dehydration, desensitization and sedation therapy. Hospitalization was performed in the first hours-days after injury. Clinical, radiological, and electrophysiological examinations were performed.

Kazan medical journal. 1986;67(6):427-429
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Medical and professional rehabilitation of cataract patients with intraocular lens implantation

Khasanova N.K., Kamalov D.G., Amirova F.S., Galiullina R.S.


The purpose of this report is to summarize the results of the first 100 intraocular lens implantations of the Fedorov-Zakharov model in 96 patients, of which 4 patients had implantation in both eyes. The age of the patients ranged from 18 to 60 years; there were 89 men and 7 women.

Kazan medical journal. 1986;67(6):430-431
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Speech audiometry in the Tatar language in the diagnosis of sensorineural hearing loss

Nursaitova R.M.


Among the existing methods of studying human auditory function, speech audiometry is widely used, which provides an opportunity to quantitatively and qualitatively judge the condition of the subject's hearing by the degree of intelligibility of speech sounds. Each language has its own phonetic, grammatical, acoustic and other features, which requires the creation of verbal tests in the respective language, suitable for speech audiometry. It has been found that the method of speech audiometry achieves a consistency of recording and reproducing a speech test, there is no influence of the acoustics of the room, and elements of subjectivity in the pronunciation of words are excluded. Due to the lack of balanced speech material, the method of verbal audiometry has not yet been used with Tatar nationals who do not speak or speak poorly Russian.

Kazan medical journal. 1986;67(6):431-433
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Prevention of pulp lesions during surgical and restorative treatment of caries

Ovrutsky G.D., Dmitrieva L.A., Ibragimov M.K.


We have studied the possibility of preventing complications associated with the filling of carious cavities by applying glucocorticoid to the hard tissues of the tooth. Experimental research was carried out on 672 teeth of 64 animals - mongrel dogs of 2-3 years of age with the body weight of 10-12 kg. 576 teeth of 52 dogs were studied light-optically and 96 teeth of 12 dogs - electron-microscopically.

Kazan medical journal. 1986;67(6):433-436
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Influence of current study load and examinations on the character of sympathetic-adrenal system reactions of students

Kamaeva A.A., Sukhanova M.V., Braunagel A.L., Kozhevnikova A.Y., Khaletova S.S.


The aim of this work was to study the urinary excretion of adrenaline and noradrenaline, blood glucose content and determination of skin temperature of students at different stages of the educational process. The simultaneous study of these indicators, in our opinion, is justified on the basis of biochemical effects of catecholamines-stimulation of glycogenolysis and lipolysis, increase in blood glucose levels, as well as its further use by tissues for energy needs.

Kazan medical journal. 1986;67(6):436-438
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Enzymatic diagnosis of chronic pancreatitis

Lukyanov V.V., Rapoport S.I., Lukyanov I.V.


Chronic pancreatitis in the structure of diseases of the digestive system makes up from 5.1 to 9%. Severity of clinical manifestations and outcomes of this disease, frequent involvement of other organs and systems in the pathological process make diagnosis of chronic pancreatitis a very urgent task. Till now the anamnesis is the initial point of examination of the patient and further diagnosis. In a number of cases it allows to make a preliminary diagnosis without using complicated methods of pancreas function examination. In recent years radiological, gastroduodenoscopic, angiography and echography of pancreas are often used for recognition of chronic pancreatitis.

Kazan medical journal. 1986;67(6):438-441
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Functional disorders of the gastrointestinal tract in young children

Akberov R.F.


Functional disorders of the gastrointestinal tract in young children are the most difficult and insufficiently studied issues of clinical medicine. So far, such relevant issues as the mechanism of regurgitation and vomiting, the origin of pylorostenosis and dyskinetic disorders of the small intestine have not been elucidated. Unified methods of diagnosis and differential diagnosis of both functional and organic changes of the gastrointestinal tract, especially in children in the first days of life, have not been developed.

Kazan medical journal. 1986;67(6):441-444
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Radiological diagnosis of gastric motor disorders in peptic ulcer disease

Volodina G.I., Gorst V.R.


In order to study motility of the stomach and to establish practical significance of a number of quantitative radiological criteria of its motility 60 patients with peptic ulcer and duodenal ulcer and in the presenting state and 8 virtually healthy persons aged from 18 to 57 years were examined. There were 62 men and 6 women. Thirty-nine suffered from duodenal bulb ulcer, 12 from gastric ulcer, and 9 had a presenting condition. Three patients with peptic ulcer had a pronounced pain syndrome; 9 people had no pain at the time of X-ray examination.

Kazan medical journal. 1986;67(6):444-444
pages 444-444 views

Use of thermography to assess the effectiveness of treatment of chronic cholecystitis

Lyubovtsev V.B.


We studied informativity of thermography in comparison with the results of bile biochemical studies in 58 patients with chronic acute acute acute cholecystitis. The patients' age varied from 23 to 58 years (48 women and 10 men). The duration of the disease was from 3 to 15 years.

Kazan medical journal. 1986;67(6):444-445
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Combined operations for cholelithiasis

Sakhautdinov V.G., Gantsev S.K., Senderovich E.I.


The treatment of concomitant surgical diseases has recently been a topical issue in surgery. We analyzed 190 case histories of the patients who underwent concomitant operations on the abdominal cavity organs from 1974 till 1984 in Ufa medical institutions. Of the total number of operated patients in 26. (13,7%) had a combination of cholelithiasis with other diseases.

Kazan medical journal. 1986;67(6):445-446
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Use of laser radiation for choledochotomy and papillosphincterotomy

Itskovich L.N., Vasiliev E.M., Belousova T.M., Malofeev V.A.


The objective of this study was to determine the parameters and identify the design elements of the working part of surgical instruments for choledochotomy and papillosphincterotomy using laser radiation.

Kazan medical journal. 1986;67(6):446-447
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Intraintestinal bleeding after appendectomy

Mizurov N.A.


In 2 of 5300 patients operated on for appendicitis, we observed bleeding into the lumen of the large intestine.

Kazan medical journal. 1986;67(6):447-448
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Appendicular peritonitis in a newborn

Nikolaev S.N.


Preoperative diagnosis of acute appendicitis during neonatal period presents significant difficulties. As a rule, surgical intervention in such children is carried out late against the background of peritonitis or the diagnosis is confirmed only at autopsy. Currently, the national literature describes appendicitis only in 44 newborns. Due to the rarity of the disease, lack of pathognomonic symptoms, which complicates the differential diagnosis of appendicitis in newborns, we consider it necessary to report our observation.

Kazan medical journal. 1986;67(6):448-449
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Use of hemosorption in the intensive care unit

Kazantsev F.I., Sagitov R.S.


In 33 patients we used hemosorption in the complex treatment. There were 20 men and 13 women, the average age of the patients was 46 years. A total of 61 sessions of hemosorption using activated carbon SKT-6A were carried out. When preparing the sorption columns for work the charcoal was thoroughly washed with 0.9% sodium chloride solution followed by autocoating the sorbent with the patient's blood proteins.

Kazan medical journal. 1986;67(6):449-450
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Peculiarities of the clinical course and complex therapy of peritonitis after cesarean section

Nagovitsina A.I., Kornyaeva Z.S., Soboleva Z.Y., Ivshin F.N., Borozdina V.N.


We observed 23 women who developed peritonitis after cesarean section. The average age of the patients was 28.9 years. There were 7 first-pregnant women and 16 second-pregnant women. The anamnesis revealed the presence of endogenous foci of infection in all the patients. Thus, flu, sore throat, acute respiratory infections were diagnosed in 20 women, pneumonia in 3; chronic pyelonephritis in 5, inflammatory uterine appendages in 6, rheumatism with mitral valve insufficiency in 1, Botkin disease in 1. Genuine pregnancy was preceded by abortions in 19 women, of whom 11 had formal abortions, 3 had criminal abortions, and 5 had spontaneous abortions at 10 to 25 weeks' gestation against a background of chronic pyelonephritis and inflammatory diseases of the uterine appendages.

Kazan medical journal. 1986;67(6):450-451
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On metachronous polyneoplasias with primary localization in digestive organs

Bashkov Y.A., Batov S.V.


We studied features of the course and results of treatment of metachronous primary multiple malignant neoplasms with localization of the first tumor in digestive organs; the second and (or) third tumors were located both in them and in organs of other systems. Case histories of 621 persons with primary multiple malignancies were analyzed. In 329 of them at least one of the tumors was located in the digestive organs, and in 104 (16,7%) patients tumors of this localization were primary. 100 patients were diagnosed with 2 tumors, 4 patients had 3 tumors. Among the patients there were 69 male and 35 female patients. The average age of patients at the time of detection of the first tumor was 53.6 and 62.9 years at detection of the second tumor.

Kazan medical journal. 1986;67(6):451-452
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Doubled kidney megaureter simulating abdominal tumor

Fedotov I.L., Lebedev V.V.


In the surgical literature, we have encountered isolated reports that megaureter may mimic an intra-abdominal tumor, presenting certain diagnostic difficulties. To date, the methods and scope of surgical intervention for this malformation have not been clearly defined. Therefore, we consider it advisable to share an observation.

Kazan medical journal. 1986;67(6):452-453
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To the casuistry of foreign bodies of the gastrointestinal tract

Filichkin V.G., Mukhametzyanov R.M.


We observed adhesive intestinal obstruction caused by a foreign body in a 9-month-old child.

Kazan medical journal. 1986;67(6):453-454
pages 453-454 views

Experience of using the Picoskel apparatus for medical examinations of the population

Trigulova V.S., Grigoriev V.N., Akberov N.K., Malikhova L.V., Makhmutova G.R.


The purpose of this work was to study the possibility of using an automatic blood-forme element counter when conducting clinical examination of the whole population. For this purpose we used "Pikoskel" apparatus produced by the All-Russian People's Republic, which was preliminarily tested in the Republican Clinical Hospital of the Ministry of Health of the TASSR.

Kazan medical journal. 1986;67(6):454-454
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Prediction of lactational mastitis

Karimov Z.D., Bakuleva L.P., Yakutina M.F., Babayan S.S.


We investigated the bacterial contamination of the milk of women in the iris group in parallel with the determination of lysozyme activity in it. The risk group included birthing women with a history of mastitis, foci of chronic infection; acute respiratory infections during pregnancy, childbirth, postpartum period, other febrile conditions; lactostasis; prolonged labor; severe forms of toxemia of the second half of pregnancy.

Kazan medical journal. 1986;67(6):454-455
pages 454-455 views

Outcomes of pregnancy and childbirth for the fetus and newborn in case of untimely discharge of amniotic fluid

Suleimanova T.G.


To date, the question of the effect of untimely amniotic fluid discharge on the birth act, fetal condition and further development of the newborn has not been solved. We performed a clinical and statistical analysis of 564 term births. Premature amniotic fluid flow occurred in 117 (20.7%) women in the study group and timely flow in 447 (control group).

Kazan medical journal. 1986;67(6):455-456
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Spontaneous uterine eversion in labor

Miftakhova F.A., Kuryatnikova V.S.


A severe complication of the third period of labor is uterine eversion, which can occur when the baby is not detached or after it is detached. Uterine eversion occurs when there is a change in the functional properties of the uterus, pressure on the uterine floor from the abdominal wall, or pulling on the umbilical cord of the placenta attached to the uterine floor.

Kazan medical journal. 1986;67(6):456-457
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Histochemical profile of mucinous cysts and Brenner tumors

Nefedov V.P.


We performed histological, histochemical and histoenzymological examination of 42 mucinous cysts (including 27 benign, 6 borderline and 9 malignant) and 4 benign Brenner tumors. The operated patients ranged in age from 20 to 70 years.

Kazan medical journal. 1986;67(6):457-459
pages 457-459 views

Two cases of Sjogren-Larsson syndrome in the same family

Kuzmin I.K., Gubar R.P., Vasilevskaya V.V.


Sjоgren-Larsson syndrome is a hereditary disorder detected in the first months of a child's life. It is characterized by varying degrees of oligophrenia combined with spastic diplegia and congenital universal ichthyosis, and sometimes epileptic seizures, retinitis pigmentosa in the macula, dwarfism or giant growth, genital hypoplasia and anemia. Inheritance type is autosomal recessive with high penetrance and variable expression.

Kazan medical journal. 1986;67(6):459-459
pages 459-459 views

The value of ultrasound in the diagnosis of auditory disorders in cervical osteochondrosis

Svatko L.G., Sobol I.L.


We performed a comprehensive audiometric examination of 105 patients with hearing impairment due to cervical osteochondrosis. The correlation between the lesion of the auditory analyzer and cervical osteochondrosis was considered absolutely proven if hearing improvement was observed as a result of manual therapy of the cervical spine.

Kazan medical journal. 1986;67(6):459-460
pages 459-460 views

Device for one-stage compression and fixation of bone fragments in osteosynthesis of tubular bone fractures

Avdeev A.A.


One of the important points in osteosynthesis of tubular bone fractures is the elimination of fragment displacement and keeping them in the correct position until the completion of manipulations on their fixation. Produced by the domestic medical industry for these purposes 2-3-arm bone holders and other fixation devices do not fully meet the requirements. Their use often results in angular and transverse displacement of fragments, which creates difficulties in osteosynthesis and adversely affects the process of fracture consolidation.

Kazan medical journal. 1986;67(6):460-462
pages 460-462 views

Establishment of Zemstvo health care in Simbirsk Province

Evdokimov P.P.


In the 60s of the last century in the life of Russian society there were significant changes: in 1861 fell serfdom, in 1864 followed the zemstvo reform. It "... was one of those concessions, which the wave of public excitement and revolutionary onslaught repulsed the autocratic government...". Under this reform, the central provinces of Russia were granted the right to self-government, but not without control of the governor. Zemstvo received public education, public health, trade, roads, etc.

Kazan medical journal. 1986;67(6):462-463
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Professor Lev Lvovich Fofanov

Anisimov V.E., Salikhov I.G.


The physicians and the public of our country are well aware of the names of Kazan therapists K. F. Fuchs, N. A. Vinogradov, A. N. Kazem-Bek, N. A. Zasetskii, S. S. Zimnitskii, M. N. Cheboksarov, N. K. Goryaev, A. G. Teregulov, 3. I. Malkin and other scientists who have made a worthy contribution to the development of medical science and practice. Professor L.L. Fofanov, about whose life and work doctors know little about, should also be included among the glorious pleiad of representatives of the Kazan School of Physicians.

Kazan medical journal. 1986;67(6):464-465
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General nosology issues

Rakhmatullin I.M.


The monograph of the prominent Russian pathologist, full member of the USSR Academy of Medical Sciences Professor A.D. Ado is devoted to one of the most actual problems of medical science - various aspects of general nosology. As one of the leading pathophysiologists of our country, the author is widely known not only for his works in the field of experimental pathology, but is also a recognized expert on philosophical problems of medicine, a participant of many discussions on general pathology.

Kazan medical journal. 1986;67(6):465-466
pages 465-466 views

Physician of the People

Samtsov A.V.


Rakiya Attarovna was the first Bashkir woman to receive a doctor's diploma. This was in 1913, when obscurantism and prejudice, especially toward women, prevailed on the national fringes of Russia.

Kazan medical journal. 1986;67(6):467-468
pages 467-468 views

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