


Vol 62, No 1 (1981)
Plans of the consignment - people's plans
Abstract
The attention of all Soviet people, of all progressive mankind these days is riveted on the ongoing XXVI Congress of the CPSU, which, as the General Secretary of the Central Committee of the CPSU, Chairman of the Presidium of the Supreme Soviet of the USSR, Comrade L.I.Brezhnev pointed out, to determine the strategy and tactics of struggle at the upcoming stage of communist construction.



Modern aspects of the use of infusion therapy
Abstract
The assessment of infusion therapy in the treatment of hypovolemia, conditions accompanied by severe intoxication and requiring long-term parenteral nutrition. Practical recommendations on the tactics of replenishing the volume of circulating blood in operated patients, the choice of infusion-transfusion media for detoxification therapy and parenteral nutrition are presented.



Influence of autohemotransfusion on the quantitative and qualitative composition of plasma proteins in patients with thyrotoxic goiter
Abstract
Changes in the concentration of plasma proteins were studied in 45 patients with thyrotoxic goiter, who were injected with autologous blood during the operation. Exfusion of 250 ml of blood in patients before surgery and its reinfusion during surgery did not cause protein metabolism disorders. On the contrary, after hemexfusion, the production of plasma proteins increased. As a result of this, as well as reinfusion of autologous blood, the concentration of albumin increased; the content of G-globulins returned to normal.



Influence of plasma fibrinolysis transfusions on some indicators of reactivity in acute pneumonia in young children
Abstract
In 63 children with acute pneumonia, changes in the cellular composition of blood, proteinogram, indices of nonspecific immunological reactivity and fibrinolytic activity of blood were studied under the influence of fibrinolytic plasma transfusions. The data obtained confirm the expediency of using the indicated transfusion medium in the system of complex treatment of young children with acute pneumonia.



Solubility of tooth enamel and the mineral composition of saliva with caries in children
Abstract
The solubility of tooth enamel and the mineral composition of mixed saliva were studied in 124 children subject to caries. It was found that the content of inorganic phosphate in mixed saliva in children with an unfavorable state of nonspecific resistance of the organism is significantly lower than in children with a favorable state of it.



Assessment of the anti-carious action of xylitol
Abstract
A two-year observation was carried out over schoolchildren in order to find out the possibility of preventing dental caries by replacing sugar with xylitol. Replacement of 30 g of sweets per day with xylitol led to a significant decrease in the incidence of caries in permanent teeth and had a beneficial effect on the clinical course of caries.



Comparative evaluation of treatment of acute caries with inlays and fillings
Abstract
Based on the registration of cases of secondary caries and loss of fillings 15-18 months after treatment, a comparative assessment of treatment with inlays and fillings in acute forms of caries was carried out. It was found that replacing carious defects with inlays is more effective than replacing them with fillings and that inlays made of chromium-cobalt alloy are more durable than plastic ones.






To the question of the treatment of patients with glossalgia
Abstract
Clinical and laboratory studies of the functional state of the autonomic nervous system have shown that in patients with glossalgia, the tone of the sympathetic, less often parasympathetic, or both of its departments is increased. To normalize the functional state of the autonomic nervous system and its departments, in addition to complex local treatment, antihistamines, neuroleptics, tranquilizers were used. In some patients using dental prostheses made of steel, it was enough only to remove them; no medication was required.



The use of dioxidine for the treatment of patients with inflammatory processes in the maxillofacial region
Abstract
A comparative analysis of the effectiveness of topical application of a solution of dioxidine and Vishnevsky ointment for the treatment of patients with inflammatory processes of the maxillofacial region of odontogenic and non-odontogenic origin in a hospital and a dental clinic was carried out. The antimicrobial effect of dioxidine has been confirmed by microbiological studies. Dioxidine is recommended for use in dental practice.



Some features of the interpretation of radiographs of the human temporomandibular joint
Abstract
A change in the relative position of the elements of the temporomandibular joint, depending on the functional displacements of the lower jaw, can be mistakenly interpreted as subluxation and dislocation of the joint heads. An important condition that helps to avoid diagnostic errors in X-ray examination is the correct position of the patient's lower jaw at the time of exposure. Obtaining identical radiographs of the temporomandibular joint is achieved using a craniostat that unifies the styling.



The effectiveness of treatment of malocclusion with function regulators
Abstract
Studies, including masticiography, chewing test, electromyography and pneumotachography, have shown that the treatment of malocclusion with Frenkel function regulators is highly effective during the period of active growth of the jaw bones. A prerequisite for the successful treatment of malocclusion in children with impaired nasal breathing is preliminary sanitation of the nasopharynx followed by breathing exercises and myogymnastics to restore nasal breathing.



New methods of fixing fragments of the lower jaw with a circumferential suture
Abstract
Four variants of the circumferential suture are described, which make it possible to fix fragments in all types of fractures of the body and angles of the lower jaw. 45 operations were performed. The provision of rigid fixation of the fragments for the entire period of treatment of mandibular fractures promoted good fracture healing. No complications were noted.



Anesthesia of dental surgical interventions in children with trimecaine
Abstract
The study of the effectiveness of the use of trimecaine for analgesia of surgical interventions in the oral cavity in 1075 children showed its dependence on the concentration of the anesthetic solution and the severity of inflammation in the tissues of the oral cavity. The data obtained make it possible to recommend 0.5% and 1% solutions of trimecaine for pain relief of surgical interventions in the oral cavity in children.



Tactics of the maxillofacial surgeon for head injuries
Abstract
Reposition and fixation of fragments in case of combined injuries of the face and brain areas should be classified as anti-shock measures and should be carried out, taking into account the general condition of the victim, at the earliest possible date.



Methods for identifying reflex mechanisms of epilepsy
Abstract
In patients who have weak manifestations of epileptiform activity on the electroencephalogram, it can be stopped by painful stimulation of the receptors of the patient's hand. The zones of reflex initiation of epileptic discharges on the electroencephalogram from the periphery can be actively identified by palpation of various parts of the body.



Acupuncture therapy for neurotic insomnia
Abstract
Clinical data and the results of electrophysiological examination of 50 patients with sleep disorders treated with various methods of acupuncture therapy indicate its high efficiency and targeted effect on nonspecific (synchronizing and desynchronizing) and emotional-motivational systems of the limbic-reticular complex.



On the initial manifestations of vascular lesions of the spinal cord
Abstract
The results of clinical observations of 19 patients with initial manifestations of insufficient blood supply to the spinal cord are presented. Clinical symptoms manifested themselves only with an increased need for the spinal cord for blood flow, while additional research methods revealed changes outside of exacerbation.



Dyslipoproteinemia during acute myocardial infarction
Abstract
In patients with chronic ischemic heart disease, an increase in the content of total cholesterol, triglycerides, ß- and ppe-ß-lipoproteins and a decrease in the level of α-cholesterol and α-lipoproteins were revealed. In the following days until the end of the study, an increase in the concentration of triglycerides and ppe-ß-lipoproteins was observed.



On the question of choosing a method of surgery for chronic calculous cholecystitis
Abstract
In patients who have undergone surgery for chronic calculous cholecystitis and its complications, an increase in duodenal pressure and tone occurs secondarily, in response to biliary and pancreatic hypertension caused by choledocholithiasis, papillary stenosis, and other complications of the disease. Operations that remove mechanical obstacles to the outflow of bile and pancreatic juice help to reduce duodenal hypertension or normalize pressure in the duodenum. In functional duodenal hypertension, papillosphincterotomy and choledochoduodenostomy are not contraindicated.



Dependence of the course of pregnancy, childbirth and the neonatal period on the antigenic relationship between the mother and the fetus
Abstract
The study of obstetric anamnesis in 488 women and clinical observation of their children during the neonatal period showed that isoantigenic incompatibility of blood negatively affects the fetus, complicating the course of the neonatal period. With isoantigenic incompatibility, toxicosis of pregnancy and the pathological course of childbirth are more often observed.



Complex treatment of chronic fractures of the femoral and tibial condyles
Abstract
The experience of using exercise therapy and physiotherapy in 112 patients who were operated on for fractures of the femoral and tibial condyles is generalized. Therapeutic exercises and physiotherapy contribute to the normalization of the functional state of the neuromuscular and ligamentous apparatus of the knee joint, as evidenced by the achievement of limb stability after treatment.



About reverse blood transfusion
Abstract
In the district hospital since 1975, we have performed blood reinfusion to 22 patients, including 11 with closed abdominal trauma, 4 with a penetrating abdominal injury, 4 with a ruptured fallopian tube during an ectopic pregnancy and 3 with rupture of the ovary.



Carcinoid of the stomach complicated by occult bleeding
Abstract
Carcinoid, which belongs to the group of hormonally active tumors, does not belong to the number of frequently occurring neoplasms of the stomach; therefore, each report about it is of practical interest. If it is complicated by occult bleeding, it can cause hypochromic anemia, incomprehensible at first glance, and the existing carcinoid syndrome creates even greater diagnostic difficulties. The doubts of even experienced pathohistologists in determining the histogenetic affiliation of a removed tumor are quite understandable, because the diversity and diversity of the cell structure of the carcinoid sometimes pose a difficult task for them.



The effectiveness of clinical examination of therapeutic patients
Abstract
We studied the effectiveness of prophylactic medical examination of patients according to a five-group system by shop therapists of one of the factories of Ufa in 1975-1977. The methodology proposed by G.A. Popov and P.P. Petrov (1976) was used in the work.



The condition of the dentition in young children living in an industrial city
Abstract
The prevalence and intensity of dental diseases were studied in 669 children (356 boys and 313 girls aged 1 to 3 years) in 7 nurseries in Ufa. The analysis of dental morbidity in children living in four populated areas of the city, located on the border of the sanitary protection zone (zone I), at a distance of 3 km (zone II), 10 km (zone III) and 15 km (zone IV) from petrochemical complexes. Of the surveyed children, 102 (15.2%) showed good physical development, 412 (61.6%) - satisfactory and 155 (23.2%) - deteriorated. The prevalence of dental caries was 18.6 ± 3.5%, 24.0 ± 2.1% and 30.3 ± 3.7%, respectively. The difference is statistically significant between the indicators of groups of children with good and impaired physical development (P <0.05). Accordingly, the intensity of caries lesions was 3.1 ± 0.4; 3.7 ± 0.1 and 4.9 ± 0.6 among children with carious teeth.



Experience of dispensary observation of children with congenital cleft lip and palate
Abstract
In the children's department of the dental clinic of the Privolzhsky district of Kazan, the registration of children with clefts of the lip and palate and dispensary observation of them is organized. In accordance with the order of the head doctors of maternity hospitals, in the event of a child born with cleft lip or palate, the doctors of the maternity wards send special sheets to the polyclinic to be accepted for dispensary registration. For each registered child, an individual medical history is started.



Some features of rhinogenic and odontogenic sinusitis
Abstract
Analysis of our observations of 37 patients with various forms of sinusitis and 76 case histories for 2 years made it possible to identify a number of features in the clinic and the course of sinusitis. Patients with a rhinogenic form of the disease (65 people) more often complained of headache (43), nasal breathing difficulties (27), nasal discharge (43). The inflammatory process was often bilateral (37), and the sinus disease was preceded by respiratory infections (influenza, acute respiratory infections). Rhinoscopy revealed a curvature of the nasal septum, polyps in the nose, hypertrophy of the turbinates. Conservative treatment gave good results.



Activity of lysozyme of blood and saliva in patients sensitized to chromium
Abstract
The study of the causes of intolerance to dental prostheses made of steel showed that the development of pathological changes in the oral cavity is associated with the allergenic effect of chromium contained in such dental prostheses. The signs of chromium sensitization revealed in persons using dental prostheses made of steel fall within the framework of three syndromes. The first is characterized by various painful sensations in the mouth without objective signs of damage to the oral mucosa, the second is a combination of pain and discomfort in the mouth with objectively detectable morphological changes in the oral mucosa, the third is the same manifestations as the second, and in addition - damage to the skin.



Serotonin in the blood of patients with dental caries
Abstract
The aim of this work was to elucidate the dependence of the development and nature of the clinical course of dental caries on the serotonin content in the blood. 65 students aged 18-20 years were examined: 9 with acute (rapid) dental caries (group 1), 26 with chronic caries (group 2) and 30 people with intact teeth (group 3, control). Recorded the values of KPU (caries - filling - extracted tooth), the average number of carious cavities per person, as well as the depth of the lesion. Blood serotonin was determined by the biological method of Chernov and Lipats (1962).



Tooth preparation paste for porcelain crowns
Abstract
Operational processing of teeth when restoring their destroyed crowns and when replacing defects in the dentition with fixed prostheses injures the pulp. Compliance with the rules of the preparation technique of hard dental tissues, as well as cooling the prepared tooth with water and air, to a certain extent, allow avoiding an undesirable reaction from the tooth pulp. However, these methods are effective only for teeth to be restored with stamped metal crowns and plastic crowns. When replacing crown defects of non-pulped teeth and dentition with fixed prostheses made of porcelain and metal-ceramic, when a significant layer of enamel and dentine has to be excised, these preventive measures are no longer able to prevent traumatic damage to the tooth pulp. The preparation of teeth in such cases is accompanied by severe pain. Application anesthesia, as a rule, does not achieve the goal, and injection or general anesthesia, eliminating only pain, does not prevent traumatic damage to the dental pulp, its inflammation or necrosis.



Replacement of teeth defects with tabs
Abstract
We use plastic inlays that allow you to fill a tooth defect in one visit. For this purpose, plastic set teeth are used, from which the desired area corresponding to the tooth defect is cut. For reliable fixation of the plastic in the cavity of the tooth, a stainless steel wire reinforcement with a diameter of 0.6 mm is fixed. The inlay, connected to the reinforcement with a quick-hardening plastic, fills well the contours of the prepared cavity.



Replacement of dentition defects in periodontal disease with bar-retained prostheses
Abstract
Orthopedic treatment of periodontal disease with simultaneous replacement of dentition defects was carried out in 14 patients. Six of them made 6 prostheses for the lower jaw using the Rumpel method, including 5 prostheses with frontal stabilization of supporting teeth. In 4 patients, the bar was soldered to the crowns, in 1 to the crown and to the root coping, and in 1 to two root copings. One prosthesis was made with sagittal stabilization.



Efficiency of elimination of pathological periodontal pockets in periodontal diseases
Abstract
A method of sclerotherapy has been developed to eliminate pathological periodontal pockets, based on the introduction of hypertonic solutions that cause aseptic inflammation of the connective tissue. The outcome of the inflammatory process is fibrotization of the gingival wall, which leads to compaction and reduction of the gums in volume.



On the use of barium sulfate in surgical tattooing of flat hemangiomas
Abstract
In 40 patients (26 females and 14 males aged 7 to 47 years), barium sulfate powder with a particle size of 0.063 to 0.1 mm was used to paint flat hemangiomas. The localization of hemangiomas is diverse: in the infraorbital, buccal, temporal, parotid regions, on the lips, eyelids, neck, etc.









Odontogenic focal diseases
Abstract
The pathogenic role of dental foci of infection in the emergence of a very wide range of diseases of various localization is generally recognized. In accordance with modern ideas, the dental focus is considered as a source of hetero- (microbial, medicinal) and autosensitization of the body. The realization of the pathogenic effect of the dental focus is to a large extent connected with its depressing effect on the nonspecific resistance of the organism.



New methods of prosthetics for defects of teeth and dentition
Abstract
Many years of experience in prosthetics for defects in dentition and teeth showed a number of shortcomings of stamped metal crowns, brazed bridges, fenestrated crowns and bridges with plastic veneers, removable plastic plate prostheses with defective retaining clasps. At the department, modern prostheses have been developed and are successfully applied, which make it possible to eliminate deficiencies and replace defects in teeth and dentition with a high functional and aesthetic effect.



Influence of fluoridation of drinking water on the incidence of dental caries
Abstract
The effect of three-year artificial fluoridation of drinking water on the frequency of dental caries among 1955 children aged 7-11 years in Zelenodolsk was studied. A significant decrease in the incidence of tooth decay was revealed in all age groups of children living in the zone of fluoridation of drinking water.






D. M. Tabeeva. Atlas of acupuncture. Kazan, 1979, circulation 5000 copies, 111 pages.
Abstract
Among domestic and foreign guidelines on acupuncture, the new book of the famous specialist associate professor D. M. Tabeeva is distinguished by the originality of both form and content. Although the book is called "Atlas of acupuncture", in fact it is a very capacious and interesting written manual, illustrated with colorful large-format drawings, provided with detailed descriptions. Thus, it is both a guide and an atlas - a form that has no analogue either in our country or abroad. The author's extensive pedagogical experience is reflected in the layout of the book. It is convenient for self-study while learning this ancient healing method.



L. M. Klyachkin. Clinical lectures on pulmonology. Saratov, 1978. Circulation 1000 copies.
Abstract
The lectures are structured in a typical hospital clinic style of presentation with clinical illustrations of various variants of the course of the disease. At the beginning of each lecture, the patient is analyzed with extensive use of the data of modern laboratory-functional research. The assessment of functional tests corresponds to modern concepts, in particular, the interpretation of pathophysiological changes in the respiratory system.



V.D. Troshin, E.P.Semenova. Fundamentals of early diagnosis and prevention of cerebrovascular diseases. Gorky, Volgo-Vyatka Book Publishing House, 1979. Circulation 3000 copies. 208 pp.
Abstract
The monograph is devoted to the topical problem of neurology. The authors comprehensively consider the least studied, perhaps, but the most important aspect of neuroangiology from a practical point of view and in terms of social significance - early and initial manifestations of cerebrovascular pathology. When solving the set tasks, a modern methodological approach with multifactor analysis is used. The authors identified the basic principles of systematization of cerebrovascular pathology and, based on the concept of the stage-by-stage formation of vascular diseases, proposed their classification. Methodological aspects of early diagnosis of cerebrovascular pathology are considered in the light of the development of programs for mass preventive examinations of the population. At the same time, the need for widespread use of computer technology is correctly pointed out and the experience of creating functional diagnostic systems is described.



V.Ya. Chikin, Yu. F. Isakov, B. M. Cheknev. Health care and medical training in the USSR. M., Medicine, 1980, 270 pages, 5000 copies.
Abstract
The book of prominent organizers and leaders of domestic health care and higher medical education shows the influence of higher medical school on the development of health care, emphasizes the organic connection of medical institutions with practical health care, in contrast to the disunity of universities and health authorities that existed in pre-revolutionary Russia.






Professor Zalman Izrailevich Malkin
Abstract
2/XII 1980, after a serious and prolonged illness, the Honored Scientist of the TASSR, Doctor of Medical Sciences, Professor Zalman Izrailevich Malkin, who for more than 35 years headed the department of faculty therapy of the Kazan Order of the Red Banner of Labor of the Medical Institute named after S. V. Kurashova



Organization of treatment and prophylactic care for vertebrogenic diseases of the nervous system
Abstract
In the country as a whole, diseases of the nerves and peripheral ganglia (according to the reporting form No. 16) in 1977 ranked fifth in terms of cases and seventh in terms of days of incapacity for work. In 1974-1977, there was a trend towards a decrease in the incidence - in cases by 7.7% and in days by 6.5%. At the same time, there was a slight (by 1.8%) increase in the average duration of incapacity for work (in 1974 it was 11.4 days, in 1975 - 11.7, in 1976 - 11.6 and in 1977 — 11.6 days). An increase in the average duration of a case with a downward trend in morbidity seems to us to be a positive factor, indirectly indicating an improvement in the quality of treatment of patients. The most important condition for a further decrease in the number of vertebrogenic diseases, obviously, can be hospitalization in a wider range of these patient populations. Treatment of patients with clinical manifestations of lumbar osteochondrosis in the hospital allows, according to our data, to reduce the period of temporary disability by 2-4 times.



Letter No. 1. Volume 62, No.1 (1981)
Abstract
Dear editor-in-chief, on the pages of your journal (1980, No. 3, pp. 78-79) in the section "Letters to the Editor", an article by Sh. M. Vakhitov on the organization of geriatric sites has been published. It expresses considerations about the prospects for geriatric services in the country that are difficult to agree with.



Letter No. 2. Volume 62, No.1 (1981)
Abstract
Dear Editor-in-Chief!
I am sincerely grateful to you for the opportunity to get acquainted with the letter of Academician DF Chebotarev regarding our note "On the organization of geriatric sites" (Kazan Medical Journal, 1980, No. 3, pp. 78-79). In this letter, Academician DF Chebotarev notes that the idea of organizing geriatric sites contradicts the principles of building a geriatric service in our country, with which it is rather difficult to agree.



Chronicle. Volume 62, No.1 (1981)


