Vol 78, No 2 (1997)

Changes of rheologic blood properties in the pathology of gastroenteric tract and hepatoduodenal zone organs in the presence of endogenic intoxication

Tsarapkin I.M., Bessmeltsev S.S.


The examination of 30 patients in the presence of operative or conservative treatment is performed to study rheologic blood properties and to select the most informative tests for the diagnosis of microcirculai; disorders in the pathology of gastroenteric tract and hepatoduodenal zone. It is revealed that endogenic intoxication in the pathology of the stomach, duodenum and hepatoduodenal zone organs is accompanied by grave rheologic disorders. The determination of aggregation, deformation of erythrocytes and intoxication leukocytic index can serve as an additional criterion of treatment adequacy of patients with the pathology indicated.

Kazan medical journal. 1997;78(2):81-86
pages 81-86 views

Blood viscosity changes in laparotomic and laparoscopic cholecystectomies

Chugunov A.N., Belopukhov V.M., Fedorov I.V., Zazvonov S.L., Borisov A.P., Novoselov E.A., Baisheva N.A., Mukhin G.B.


It is suggested to perform endoscopic cholecystectomies with minimum pressure as less traumatic and promoting rapid rehabilitation in postoperative period in patients of elderly and senile age with accompanying diseases of cardiovascular and pulmonary systems. The risk of complications in patients significantly decreases and the positive dynamics of changes in blood microcirculation and viscosity is observed.

Kazan medical journal. 1997;78(2):87-90
pages 87-90 views

Intensification roentgenologic and endoscopic diagnosis of stomach diseases

Musin M.F., Yusupova A.F., Safin R.S., Glebasheva S.G.


The diagnostic possibilities of roentgenologic and endoscopic methods using proper estimation criteria in various stomach diseases including rare pathologies like submucous tumors are determined. It is established that for diagnosis the endoscopic investigation for the most part is sufficient. A list of the indications to obligatory roentgenologic examination after endoscopy is given.

Kazan medical journal. 1997;78(2):91-94
pages 91-94 views

Surgical treatment of invasive hypophysis adenomas

Shulman R.M.


The immediate results of surgical treatment of invasive hypophysis adenomas in 85 patients are presented. The indications to the transcranial operative access are given. The complications of the immediate postoperative period, their causes and prevention are described.

Kazan medical journal. 1997;78(2):95-98
pages 95-98 views

Clinical application of salvage subcutaneous veins

Izmailov G.A., Izmailov S.G.


The ablated subcutaneous veins during operation in persons with varicose disease are used as drain in 70 patients with various purulent diseases of bones and soft tissue. The positive results obtained allow to consider that under definite indications thoroughly washed and conserved salvage veins can be used as drain.

Kazan medical journal. 1997;78(2):99-100
pages 99-100 views

Diagnosis of traumatic damages hand fingers in ambulant practice

Ayupov Z.V., Mikusev L.E., Khismatov K.K., Faiziev A.S., Gorshkov A.V.


The methods used in manual therapy are suggested to improve traumatic damage diagnosis of fingers and metacarpal bones of hand in ambulant practice. Reduction of the terms and cost of examination, the number of cases of hyperdiagnosis of fractures and unjustified roentgenographies is gained.

Kazan medical journal. 1997;78(2):101-102
pages 101-102 views

Errors in pregnancy diagnosis

Kozlov L.A., Orlov Y.V., Ahchkaev I.M.


The causes of widely met diagnostic errors in pregnancy determination are considered. Several clinical cases of wrong diagnosis connected with pathologically changed female organism organs are described, as well as a case of false (suggestive) pregnancy is presented. The cause and effect relations of the origin of the pathologic symptom—complex of false pregnancy are analyzed. The causes of diagnostic errors in pregnancy differentiation are explained, and the conditions are emphasized when such errors are excluded.

Kazan medical journal. 1997;78(2):103-106
pages 103-106 views

Effect of the anticeptics of electrochemically activated solution of potassium chloride and chlorine hexidine on the state of peripheric neuromuscular apparatus

Sokolova E.M., Chikaev V.F., Giniatullin R.A., Agadzhanyan S.I.


The new data of the effect mechanism of the anticeptic agents used in clinical practice on neuromuscular apparatus are obtained. The comparative estimation of the effect of two anticeptics of electrochemically activated solution of potassium chloride and chlorine hexidine of bigluconate on functional characteristics of peripheric neuromuscular apparatus extended the possibilities of the effect on transition processes in synapses.

Kazan medical journal. 1997;78(2):107-110
pages 107-110 views

«Empty» Turkish saddle syndrome

Zhirnova R.S., Tukhvatullina L.M.


The differential diagnosis of "empty" Turkish saddle syndrome and other pathologic changes of hypophysis is described and as well as the problems of conservative and operative treatment of the syndrome are presented. The patient’s own observation with "empty" Turkish saddle syndrome confirming the necessity of prolactin level investigation in the dynamics in the presence of the treatment to exclude the given pathology is performed.

Kazan medical journal. 1997;78(2):111-114
pages 111-114 views

Vegetable species in combined treatment of patients with alcoholism

Ibatov A.N.


As many as 37 patients with alcoholism in the disease remission are treated with vegetable species. The remission up to a year is achieved in 11 persons, up to 6 months is achieved in 15 persons. The disease relapse is found within a month in 11 patients. The use of the species in combination with rational psychotherapy allows to obtain a good therapeutic effect and promotes the remission prolongation.

Kazan medical journal. 1997;78(2):115-116
pages 115-116 views

Prevention of dental caries and immunological parameters in patients with allergic diseases

Kuznetsova O.Y., Giniyatullin L.I.


The data of efficiency of dental caries prevention using 15% dimephosphone solution and 10% calcium gluconate solution in 105 patients with allergic diseases aged 12 to 44 years are presented. It is established that dental caries prevention proposed favorably affects the clinical course of allergic diseases, improves treatment efficiency, allows to provide stable remission of the disease, promotes immune status normalization, reduces labour and medical rehabilitation terms.

Kazan medical journal. 1997;78(2):117-119
pages 117-119 views

Myocardial infarction (clinic, diagnostic features, complications, treatment)

Latfullin I.A.


Myocardial infarction (MI) occurs due to an acute mismatch between myocardial oxygen demand and its blood supply through the coronary arteries of the heart, which results in the development of ischemic necrosis of the heart muscle with subsequent topical changes on ECG.

Kazan medical journal. 1997;78(2):120-128
pages 120-128 views

A method of surgical treatment of esophageal hernia of the diaphragm

Galimov O.V., Prazdnikov E.N.


One of the common and difficult-to-treat complications after surgery for esophageal hernia is its narrowing, accompanied by dysphagia and severe pain syndrome. Surgical treatment of esophageal hernia includes fundoplication and suturing of the esophageal opening of the diaphragm on a probe under the control of the surgeon's fingers inserted into the esophageal opening. The data obtained in this case cannot be used for objective estimation of the degree of narrowing of the esophageal opening of the diaphragm necessary for hernia repair and sufficient for normal functioning of the esophageal-gastric transition, because individual anatomical features of the fingers and their orientation are highly variable for each particular surgeon.

Kazan medical journal. 1997;78(2):129-129
pages 129-129 views

Rare form of intestinal obstruction strangulation

Dobrokvashin S.V., Bondarev Y.V., Davletshin A.K.


Rare forms of strangulated intestinal obstruction constantly attract the attention of surgeons. The latter include impinged internal hernias in the inner ring of inguinal and femoral canals, under the ligament of Treitz, in the ring of the vermiform process, in the diaphragm orifices, semilunar line, and obturator foramen. These forms occur in 1-2% of all cases of strangulated intestinal obstruction.

Kazan medical journal. 1997;78(2):129-130
pages 129-130 views

Hemangioma of the small intestine in a child

Grebnev P.N., Mustafin Y.M., Osipov D.V.


Small intestinal hemangiomas in surgical patients with diseases of the gastrointestinal tract occur in only 0.009% of cases. Intestinal bleeding is often the first and only sign of a disease that is asymptomatic for a long time. This pathology is also extremely difficult to diagnose.

Kazan medical journal. 1997;78(2):130-131
pages 130-131 views

Foreign bodies as a cause of acute paraproctitis

Khidiyatov I.I., Kulyapin A.V., Nigmatullin R.A.


The proportion of acute paraproctitis in the structure of colon diseases is 24%. Most current researchers consider the most likely route of entry of infection into the pararectal tissue to be through the crypt and ducts of the anal glands. It is believed that acute trauma can also lead to the development of paraproctitis.

Kazan medical journal. 1997;78(2):131-132
pages 131-132 views

Subtotal areola depigmentation after breast endoprosthesis

Fedorov Y.Y., Kostik L.A.


The main way to correct breast volume in hypomastia remains the use of endoprostheses. The most common complications after such operations include the development of constrictive fibrosis of the connective tissue capsule around the endoprosthesis or its rejection. Despite reports of possible duct damage, impaired nipple sensitivity and erection, a number of surgeons prefer the periareolar surgical access as the most cosmetic one.

Kazan medical journal. 1997;78(2):132-132
pages 132-132 views

Resection of a single kidney for asynchronous cancer

Yarisov Y.N., Salmin A.F., Yarisov A.Y.


Asynchronous cancer of the single kidney is relatively rare and the prognosis after its resection is worse than in patients whose contralateral kidney was removed for other reasons. The survival rate was 37%, with a mean life expectancy of 26 months. We performed resection of a single kidney with asynchronous cancer. The case is of interest both in terms of the length of time interval of asynchronous cancer (22 years) and the duration of the favorable period after surgery (52 months).

Kazan medical journal. 1997;78(2):132-133
pages 132-133 views

Rare case of epidemic mumps

Khaertynov H.S.


Diagnosis of epidemic parotitis (EP) in typical cases of the disease is not difficult, which is explained by the salivary gland involvement characteristic of this infection. It is known that in the pathological process of ES, in addition to salivary glands, pancreas, testicles, etc. can be involved. At the same time, different authors assess the possibility of their isolated involvement ambiguously: either pancreatitis or orchitis are the only manifestations of mumps infection, or involvement of salivary glands in the pathological process is a mandatory component of ES and, therefore, involvement of other glands cannot be isolated.

Kazan medical journal. 1997;78(2):133-133
pages 133-133 views

The concept of development of a training system for health care management

Amirov N.K., Vakhitov S.M.


The problems of management development system for health protection are considered in conceptual plan. The conceptions of the author in this field can be treated as one of the variants of the suitable system development.

Kazan medical journal. 1997;78(2):134-138
pages 134-138 views

Psychophysiological characteristics of victims of accidents in agriculture

Nushtaev I.A.


The results of multidimensional analysis of traumatism cases in agriculture are presented. The basic causes of dangerous situations and accidents in production are revealed. The significance of accident prevention, in particular, the study of psychophysiologic features of victims with subsequent professiogram preparation for basic types of activity in agriculture is emphasized.

Kazan medical journal. 1997;78(2):139-140
pages 139-140 views

Organization of serologic monitoring of antidiphtherial immunity intensity of population in Tatarstan Republic

Shafeev M.S., Zorina L.M., Kolpachikhin F.B., Sadykova D.G., Yakupov I.F., Ismagilovа Z.M., Yamaleev R.G., Mukhtarov R.M., Garipov A.K., Nizamov R.R., Sirazutdinovа D.N., Mustafin I.G., Galeev A.G., Rodnina M.Y., Samoilova R.E., Akhmerova F.G., Zakirov K.Z., Mustafin R.A., Yakupov M.S., Ibragimov A.K.


The intensity of immunity to diphtheria and the indicated groups of population in Tatarstan Republic is studied. The work organization described allows, furthermore, to perform a comparative analysis for population of various classes and to create the data base for the realization of similar work in perspective.

Kazan medical journal. 1997;78(2):141-144
pages 141-144 views

On the appropriateness of including phytotherapy in the therapeutic activities of a general practitioner

Bogovyavlensky V.F., Gazizov R.M.


At present there is a gradual transition of domestic health care to a new method of medical care according to the regulations of the family physician (general practitioner). According to Professor I.N. Denisov, Corresponding Member of the Russian Academy of Medical Sciences, the curator of this type of activity, it is necessary to radically restructure the program of higher and secondary medical education with maximum attention to creating a doctrine of healthy lifestyle within the family, collective and society as a whole.

Kazan medical journal. 1997;78(2):145-149
pages 145-149 views

Simulation of standard genital operations during educational process

Safina M.R., Gerasimovich G.J.


The procedure of simulation of standard genital operations using postoperative pathoanatomical material is developed. The habits acquired during the study of ablated postoperative material, broaden professional outlook and will serve as the basis for self- education in subsequent original work. This form of mastering the genital operations technology permits a student to be oriented in different atypical variants of organs topography.

Kazan medical journal. 1997;78(2):150-151
pages 150-151 views

Plenum of Physicians of Russia "Difficulties in Modern Diagnostics and Treatment of Internal Diseases"

Latfullin I.A.


The plenum was attended by the Secretary General of the International Society of Internists, Prof. R. Stroehli, who represented the organization of the autologous donor service in Switzerland. In his speech, Prof. R. Strohly emphasized the difficulties of this service.

Kazan medical journal. 1997;78(2):152-155
pages 152-155 views

S.N. Sorinson "Viral hepatitis in clinical practice - hepatitis A, B, C, D, E and none A-E". St. Petersburg, 1996, 300 p.

Enaleeva D.S.


A new book honored scientist of the Russian Federation, academician of the EA Academy of Medical Sciences, a famous hepatologist S.N. Sorinson is devoted to viral hepatitis (VH) - the most pressing medical problem. Large infectiousness of the world population (more than 1 billion people), the bulk of which remain hidden sources of infection to others, is alarming WHO, has long considered the problem of VH an issue of global health.

Kazan medical journal. 1997;78(2):156-156
pages 156-156 views

Shulutko Lazar Ilyich

Latypov A.L.


June 24, 1997 will be 100 years since the birth of Honored Scientist of the RSFSR and TASSR, member of the International Association of Orthopedists and Traumatologists (SI-AT), Honorary Member of several foreign scientific societies, Head of the Department of Orthopedics and Traumatology of Kazan HIDUVE, Professor Lazar Ilyich Shulutko.

Kazan medical journal. 1997;78(2):157-157
pages 157-157 views

On the work of the Scientific Medical Society of Surgeons of the Republic of Tatarstan in 1996

Ibatullin I.A., Anisimov A.Y.


The activity of the oldest scientific medical society of surgeons in Tatarstan is especially relevant in the conditions of the period of profound reforming of the society and the system of public health care that we are going through. Its work is a reliable means of transferring up-to-date information and advanced practical experience from some leading clinics and departments to the widest circle of physicians and teams of medical institutions of surgical profile. At the meetings of NMOH RT the most interesting issues in different branches of surgery and adjacent spheres: anesthesiology, gynecology and oncology were discussed. A wide range of possibilities of Kazan Surgical School was presented in the form of demonstrations of clinical observations and educational and methodological videos.

Kazan medical journal. 1997;78(2):158-159
pages 158-159 views

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