Vol 78, No 3 (1997)

The integrated index level of feto-infantile losses combining mortinatality and infantile mortality iii Tatarstan Republic increased by 10,9% at the expense of its sharp rise in rural region from 1985 to 1995. Mortality in perinatal period (mortinatality is 39,8% and mortality during the first week of life is 31,4%) takes the leading position in its structure suggesting the necessity of reorganization of perinatal help by introducing a three— level system with concentration of pregnants and newborns of high risk groups, skilled staff and high material and technical provision in perinatal centres.

The basic principles of active kinesiotherapy with intensification of their medical effect by means of the following stimuli (biological inverse association, trans cranial magnet stimulation, conductive therapy) are used in the treatment program in 124 patients with neurologic motor deficiency (consequences of the acute disorder of cerebral circulation, traumata of spinal cord and brain, cerebral paralysis). The use of the proposed neurorehabilitation system causes the significant improvement of lost motor functions in 29% of the cases (in the control group in 14% of the cases). Invalids acquired social and everyday-life habits and were accustomed to social and useful labour.

The changes of components of neuron — glia — capillar system in sensorimotor cortex of rats in 1, 12 and 24 hours after one and four audiogenic seizures are investigated by luminous and partly electronic microscopy methods. The changes of neurons, their dendrites, glial cells and vessels with elements of reparative character are discovered. During postseizure period the intracellular structure of neurons rocovers earlier then the structure of dendrites. The separate neurons undergo irreversible destruction in the presence of glial cells hyperplasia, vascular disorders retain.

Проанализированы результаты эндопротезирования 39 пациентов с последствиями туберкулезного коксита. Однополюсный цервикокапитальный протез при разрушении головки бедренной кости применен у 18 пациентов, тотальное эндопротезирование эндопротезами Польди-Безноска (Чехия) - у 21 пациента. Противотуберкулезная терапия проводится в течение 2-6 месяцев с обязательным клинико-рентгенологическим контролем в 28 случаях после гистологической верификации диагноза, а в 4 случаях в связи с активностью процесса с использованием одного препарата. Эндопротезирование коксофеморального сустава после туберкулезного коксита является перспективной операцией, но перед операцией необходимо тщательное обследование больных для выявления скрытого туберкулезного процесса.

The influence of tiklide on hemostasis indices and clinical manifestations of diabetes microangiopathy in patients with diabetes mellitus of the II type is studied. A pronounced clinical effect is shown, after the course of treatment with tiklide the antithrombogenic potential of a vascular wall is in excess of that before the treatment.

Nonparasitogenic cysts of the spleen are met rarely. They have no pathognomonic clinical picture and are characterized by prolonged asymptomatic course. Clinical manifestations can be found when cysts reach big size. Nonparasitogenic cysts of the spleen are dangerous because of possible following complications: supputaration, rupture, torsion of cyst formation and malignancy. The diagnosis of nonparasitogenic cysts of the spleen is complicated and the diagnostic mistakes comprise 70%.

The transperioral biopsy of the prostate under sonographic control is performed in 13 patients. The urinary bladder carcinoma is revealed in 4 patients and adenocarcinoma is revealed in 9 patients. The transcutaneous paracentetic nephrostomy under ultrasound control being an effective method of supravesical urine lead is performed in 23 patients with retentional and obstructive affection of upper urinaiy tracts as a result of the urinary bladder tumor invasion. The interventional ultrasound tactics in patients with tumors of the urinary bladder and prostate is perspective.

It is established that combined radiation initial treatment of cervical carcinoma results in relapses at about each forth patient. Relapses develop in more than 57,1% of the observations during the first two years after treatment and in more than 20,8% of the observations after 5 years. This shows the necessity of careful observation of patients for long, especially during the first two years. The survival rate of patients after radiation and chemical therapy increases essentially in comparison with that in patients after just symptomatic treatment.

Among the numerous changes in a woman's body during pregnancy, childbirth and puerperium, changes in the pubic joint occupy a specific place. M.F. Eisenberg pointed out that "by changes in the pubic joint, which is like an indicator of the pelvis, one can judge about changes occurring in the whole pelvic ring". Under the general name "changes and damages of the pubic joint" there are up to 16 components: loosening, softening, edema impregnation, stretching, dilation, divergence, rupture, inflammatory process, aseptic necrosis, a sterile form of osteomalacia of pregnant women, a special form of pregnant women toxicity, a special form of hypovitaminosis, symphysiopathy, osteopathy, symphyseitis.

Combined operations in 158 patients with gastroduodenal ulcers complicated by concomitant pathology of the abdominal cavity organs were performed at the clinic of the Faculty Surgery of Bashkir Medical University. Among the patients, there were 110 men and 48 women. Patients' age averaged 52.5 years. In 108 patients ulcers were localized in the duodenum, in 46 patients - in the stomach, in 4 patients - in the stomach and duodenum. 

In 1969, the U.S. created the ARPAnet computer network, linking the computer centers of the Department of Defense and several academic organizations. This network was designed for a narrow purpose: mainly to study how to communicate in the event of a nuclear attack and to help researchers exchange information. As this network grew, many other networks were created and developed.

In the practice of clinical laboratory research polarimeters are rarely used so far. The reason is that existing visual polarimeters are inconvenient, require special sample processing and are inaccurate (at best ±0.05°, which for yellow light and at L=0.5 dm corresponds to C = ±0.2%), and universal photoelectric polarimeters are expensive (from 3500 to 66000 dollars), bulky and usually give readings in angles a, so difficult to maintain.

The conference was opened by Prof. R.S. Garaev, Head of the Department of Pharmacology. In the report "The main directions of scientific research of the Department of Pharmacology" he gave an overview of the works carried out over the past 5 years. The main direction is still the study of new organophosphorus compounds synthesized in Kazan.

In Kazan, three practical manuals "Extragenital Pathology and Pregnancy" edited by Professor Z.Sh. Gilyazutdinova, Honored Scientist and Laureate of the State Prize of the Republic of Tatarstan, have been published. These works cover the most serious types of complications accompanying pregnancy, diseases of the cardiovascular and urinary systems, viral hepatitis, central nervous system disorders (syringomyelia, epilepsy, myasthenia, multiple sclerosis), as well as diabetes mellitus and thyroid disease.