Vol 78, No 4 (1997)

Unity of medicine and science

Salikhov I.G.


The achievements of the department in the field of the science of medicine are the fruit of the efforts of its distinguished individual representatives, renowned medical scientists, as well as of the staff as a whole. The remarkable tradition of delivering commemorative speeches provides an opportunity to reflect on the past and, by analyzing the present, to look to the future.

Kazan medical journal. 1997;78(4):241-251
pages 241-251 views

Formation of risk groups for the prevention of ischemic heart disease among fertile women

Tsibulina E.V., Zharkin A.F., Emelyanova L.A.


The epidemiologic examination of 962 young women is performed and autopsy reports of 102 women of the same age died of ischemic heart disease are considered. Four leading causes (postgestosis, uterus myoma, menopause, arterial hypertension) are stood out in correlation of the risk factors of ischemic heart disease of living women and those died of this disease. The factors revealed allow to form the risk groups of ischemic heart disease for preventive measures.

Kazan medical journal. 1997;78(4):252-254
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Differential diagnosis of chronic cardiac and pulmonary insufficiency using echocardiographic examination

Kozlov V.P., Miloslavskaya T.Y.


The echocardiographic examination of 78 patients with chronic pulmonary diseases and 85 patients with various stages of cardiac and pulmonary insufficiency is performed. As many as 28 patients without cardiac and pulmonary diseases are examined as a control group. A group of patients (20) with combination of chronic cardiac and pulmonary diseases is stood out. The results of the investigations revealed the reliable changes of the echocardiographic indices that can be used for the differential diagnosis of chronic cardiac and pulmonary insufficiency.

Kazan medical journal. 1997;78(4):255-258
pages 255-258 views

Comparative estimation of esophagoplasty variants in esophagus carcinoma

Mustafin D.G., Zlygostev P.N., Malinovsky E.G., Mustafin R.D.


The comparative multifactor analysis of immediate and remote outcomes as well as functional disorders in various transpleural (80%) and extracavitary (20%) methods of operations is performed. The postoperative lethality comprises 9,6% (as a result of failure of anastomosis and stomach wall necrosis it is 4,8%). Three-year survival rate depends heavily on the process stage (6,8% in I — II stage and 32% in III stage; P < 0,05). The differential choice of the method and volume with due regard for the localization in I and II stages provides efficacy and reliability of anastomosis at any level and satisfactory quality of life. The results of the radical operations performed in 104 patients with esophagus carcinoma are analyzed.

Kazan medical journal. 1997;78(4):259-264
pages 259-264 views

Invaginational-and-valvular choledochoentero anastomosis

Popov A.N.


The invaginational and valvular choledochoen-teroanastomosis that has explicit advantages as compared with similar types of anastomoses is suggested. The histologic specimens of choledochoenteroanastomosis place prove a clinical picture of its complete healing and normal functioning, lack of cicatrization and reflux of enteric contents in choledochs. The anastomosis type recommended can be used in clinical conditions for reconstructive operations on biliary tracts.

Kazan medical journal. 1997;78(4):265-268
pages 265-268 views

Treatment of aceptic necrosis of the semilunar hand bone

Kuzmenko V.V., Korshunov V.F., Magdiev D.A.


The original method of the dosed distraction with the following fixation in the apparatus of the achieved level of unloading of the radiocarpal articulation are suggested. The combination of the method with the following plaster immobilization and physiomechanotherapy allows to obtain positive results in 86% of the cases.

Kazan medical journal. 1997;78(4):269-270
pages 269-270 views

Disfunction of visceral organs in children with perinatal distruction of nervous system

Morozov V.I.


The different nosologic forms of neurogenous gastrointestinal dyskinesias and urinary bladder disfunctions are described, it is the author's opinion that the bases for them are the unified patogenetic neurogenous mechanisms of development.

Kazan medical journal. 1997;78(4):271-273
pages 271-273 views

The state of lipid peroxidation and antioxidant system in patients with luteal phase insufficiency and pathogenetic therapy

Kayumova L.D., Gilyazutdinova Z.S.


The state of peroxide oxidation of lipoids and antioxidant system in sterility in patients with lutein phase insufficiency is studied for the justification of pathogenetic therapy. It is noted that the intensity of peroxide oxidation of lipoids depends on the genesis of the given pathology. The effective pathogenetically justified, basically nonmedicamental acupunctural therapy is developed.

Kazan medical journal. 1997;78(4):274-276
pages 274-276 views

Reflexotherapy by stages in gynecologic endoscopy

Serov V.N., Tereshin A.T.


The utility of the application of reflexotherapy in endoscopic operations of gynecology is shown. The injection of physiologic solution into the points of the auricle floor and along its perimeter potentiates premedication, general anesthesia, decreases the use of narcotic analgetics and provides the prevention of postoperative complications. The registration of cutaneogalvanic response offers a criterion of anesthesia adequacy.

Kazan medical journal. 1997;78(4):277-288
pages 277-288 views

Extrauterine pregnancy and intrauterine contraception

Mazitova M.I., Sadykov B.G., Gubaidullina S.V., Shaikhutdinova L.N., Gainanova N.N.


The role of intrauterine contraception as a risk factor of extrauterine pregnancy initiation is studied using the analysis results within 4 years in Tatarstan (1992—1995). As many as 26,9% of the women of fertile age use intrauterine contraception. Extrauterine pregnancy is found, on the average, in 1390 women. The close direct correlation between the use of intrauterine contraception and the incidence of extrauterine pregnancy is revealed suggesting that intrauterine contraception is a risk factor.

Kazan medical journal. 1997;78(4):279-281
pages 279-281 views

On treatment of moderate and severe forms of Flexner's dysentery 2a

Rakhmonova A.G., Neverov V.A., Tsinzeoling V.F., Romanenkova N.I., Kulikov V.P., Vasin Y.V., Goltsova E.Y., Fazylov V.K.


The comparison of the treatment efficiency of patients with Flexner's 2a dysentery with fluochinolones (in peroral and parenteral administration) and antibacterial drugs of other groups is performed. The antibiotic sensitivity of Flexner 2a Shigella strains evolved from patients with midgrave and grave forms of dysentery (during life and postmortelly) using the methods of disks and serial cultivation is studied. It is established that the largest sensitivity of Flexner 2a Shigella is expressed in tarivid that is a highly effective antibacterial drug for the treatment of patients with midgrave and grave course of Flexner's dysentery. There is significant resistance of Flexner 2a Shigella to the traditionally used antibacterial drugs for the treatment of dysentery.

Kazan medical journal. 1997;78(4):282-284
pages 282-284 views

Diagnosis of testicular tissue affection by the level of specific thermostable alpha-glycoprotein in ejaculate of patients with chronic prostatitis

Galkovich K.R., Sosnin D.Y.


As many as 196 men with chronic prostatitis аre examined. The concentration of specific thermostable alphaglycoprotein in ejaculate is determined by Oukhterlony s immunodiffusion method. The patients are treated with prostatilen. The latent functional insufficciency of testicules that is partially normalized after therapy with prostalinen is established.

Kazan medical journal. 1997;78(4):285-286
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Cases of the affection of visual and audition organs in early forms of syphilis

Shaikhrazieva V.I., Guryanov V.V., Dyadkin V.Y., Mavlyutova G.I., Gataullin A.G.


The peculiarity of syphilis course in the present — day stage is the affection of internal organs, visual and audition organs. The rarity and lack of the affection specific clinical picture of visual and audition organs in early forms of syphilis can be a result of diagnostic errors. The observations presented testifies that the variety of the clinical picture of syphilis is not adequately studied by physicians of particular specialities.

Kazan medical journal. 1997;78(4):287-289
pages 287-289 views

Surgery of duodenal injuries

Davletshin A.K., Izmailov S.G., Shaimardanov R.S., Izmailov G.A., Kim I.A., Dobrokvashin S.V., Kedrin M.Y., Boytsov V.V.


Closed duodenal injury (CLI) was first described in 1894 by N.M. Verzilov. In 1896 Petry reported about 9 similar injuries. We have published materials on 620 cases of CDA from 1916 till 1996 in the Russian literature available to us. Besides, we have the data of analysis of 27 case histories of patients with the same trauma treated in various clinics of Kazan city from 1960 till 1996.

Kazan medical journal. 1997;78(4):290-292
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State of the autonomous (autonomic) nervous system in general diseases accompanied by myopia

Pakhanov Y.P.


Myopia is a type of refractive error of the eye characterized by the fact that the rays from the image of objects gather in focus before reaching the retina, in front of it. Divergent rays fall on the retina and create light scattering circles. To reduce these, people with myopia squint their eyes.

Kazan medical journal. 1997;78(4):293-297
pages 293-297 views

Health of students at a financial institution

Batyasov Y.I., Khairullin R.A., Batyasov V.Y.


We summarized the results of the study of morbidity on the treatment and medical examination of 768 students of Kazan Institute of Finance for the academic year 1994-1995.

Kazan medical journal. 1997;78(4):298-298
pages 298-298 views

Antibiotic therapy in patients with surgical sepsis and pulmonary-broncho-pulmonary complications

Bogus K.M.


In 152 patients with pulmonary-broncho-pleural complications (PBLS) developing against the background of surgical sepsis, rational antibiotic therapy was administered. Before laboratory microflora examination, 2 antibiotics were prescribed, and 3 antibiotics were prescribed for anaerobic sepsis, based on the clinical assumption of the pathogen type. Broad-spectrum antibiotics (claforan, amikacin, gentamicin, metronidazole, etc.) were used. After laboratory investigation, according to the bacteriogram data, targeted antibiotic therapy was switched to.

Kazan medical journal. 1997;78(4):298-299
pages 298-299 views

Foreign bodies of common bile duct

Krasilnikov D.M., Mavrin M.I., Kim B.K.


After endoscopic retrograde pancreatocholangiography, endoscopic nasobiliary drainage and removal of external drains in the postoperative period sometimes fragments of catheters remain in the common bile duct. The left foreign bodies contribute to cholangitis, pancreatitis, mechanical jaundice and concrements formation.

Kazan medical journal. 1997;78(4):299-301
pages 299-301 views

To the treatment of ligature fistulas

Nizamov F.K.


The treatment of ligature fistulas is a rather difficult task. According to most authors, a frequent mistake is prolonged conservative treatment, including physiotherapeutic methods. The attempt to remove the cause of local suppuration, i.e. ligature, with a clamp is also considered flawed: this method can cause severe complications associated with damage to internal organs, so it is correct and safer to excise the fistula in hospital conditions. At the same time this method of treatment inevitably causes bleeding from the damaged vessels, which requires their ligation, i.e. it creates conditions for the reappearance of fistulas.

Kazan medical journal. 1997;78(4):301-301
pages 301-301 views

Apparatuses with a system of spring elements for the treatment of dental anomalies

Zubkova E.E., Sukhoretskaya E.N., Nasibullin G.G., Zizevsky S.A.


There are various conservative methods for the treatment and prevention of dentoalveolar anomalies. Undoubtedly, early initiation of orthodontic treatment allows not only to eliminate morphological and functional disorders of the oral cavity and jaws, but also to create conditions for the harmonious development of the facial skeleton. Refusal of early treatment leads to consolidation and aggravation of anomalies and aesthetic disorders, which are more difficult to treat in adulthood.

Kazan medical journal. 1997;78(4):302-302
pages 302-302 views

Optimization of extravasal correction of lower limb main vein valve failure in varicose veins

Ignatiev I.M., Zharov V.K.


Various methods have been proposed for surgical correction of venous valve insufficiency. Extravasal correction with framework elastic spirals (A.N. Vedensky) is the most widespread. The disadvantage of this method is empirical selection of the spiral diameter for correction of venous valve incompetence.

Kazan medical journal. 1997;78(4):303-303
pages 303-303 views

Medical card - a guarantor of social and legal protection of a medical worker and an indicator of the quality of medical care

Safin T.F., Samigullina F.N., Khisamutdinov I.F., Kim B.K., Kadyrov G.R., Zainullin R.V., Solodkova A.V., Dvoryankina T.V., Fatcullina R.S., Malysheva I.Y., Kosulnikov N.N., Sabitov I.R., Gimadeev R.Z.


Maintaining medical records is one of the most important responsibilities in the medical activity of medical and preventive institutions, regardless of their departmental affiliation and form of ownership. Constant improvement of the technology of medical care requires a more effective system of medical record keeping. Computing equipment currently used in medical practice makes it possible to introduce new forms of documents that are convenient and easy to process statistically.

Kazan medical journal. 1997;78(4):304-304
pages 304-304 views

Clinicosocial aspects of mortality of infants aged 1 to 4 years

Korchagina A.V.


The social and hygienic aspects of mortality of infants aged 1 to 4 years based on the cases of death of 201 infants in Kazan for 1990—1994 are studied. The data presented can serve as initial information for the program and special planning of infantile mortality decrease in Kazan and help pediatricians in the determination of the groups of infants for observation.


Kazan medical journal. 1997;78(4):305-306
pages 305-306 views

Organization of therapeutic care, rehabilitation, and dispensary care for patients with septic diseases

Bogus K.M.


The organization principles of combined and appropriate treatment, rehabilitation and prophylactic medical examination of patients with pyo-inflammatory diseases in the specialized antisepsis centre are presented. The work will be useful for physicians of polyclinics involved in rehabilitation of patients after surgical sepsis.

Kazan medical journal. 1997;78(4):307-308
pages 307-308 views

Graduates of the Medical Faculty of Kazan University in the pre-revolutionary Urals

Sverdlov A.K., Sorkin Y.E.


The Medical Faculty of Kazan University was opened on May 2 (14), 1814. Up to 1888 this faculty was the only higher medical educational institution on the vast territory of our country, covering the basins of Volga and Kama, Ural, Siberia, Far East, Caucasus and Central Asia. Many Ural physicians, later famous medical scientists, were educated at Kazan University: A.A. Mislavsky, P.V. Rudanovsky, P.V. Kuznetsky, B.I. Kotelansky, B.P. Kushelevsky and A.T. Lidsky.

Kazan medical journal. 1997;78(4):309-311
pages 309-311 views

S.N. Golikov. S.V. Anichkov (1892-1981), Moscow, 1992, рр. 185.

Badyugin I.S.


The book by Prof. S.N. Golikov, Academician of the Russian Academy of Medical Sciences, is devoted to the life and scientific feat of Sergey Viktorovich Anichkov. The monograph consists of two parts: the first describes events from the life of the scientist, the second presents his creative heritage. At the beginning of the book S. N. Golikov emphasizes: "The Kazan period in Anichkov's life played a great role".

Kazan medical journal. 1997;78(4):312-312
pages 312-312 views

Letter to the editors. Vol. 78, No. 4 (1997)

Korotkov A.G.


The letter I have written is, in fact, an extended annotation of a painting created on my subject by the famous Kazan artists S.V. Neustroev and V.M. Popov. It has cognitive value for practicing physicians, young teachers, and students because it provides biographical information about major anatomists.

Kazan medical journal. 1997;78(4):313-314
pages 313-314 views

Scientific and practical conference "Higher nursing education and current issues of public health"

Vakhitov S.M.


In October 1996, the staff of Kazan State Medical University in Naberezhnye Chelny conducted a thematic cycle of advanced training for healthcare organizers (mainly chief nurses) "Organizational and methodological support of healthcare management in modern conditions". The final stage of the cycle was the first in Tatarstan scientific and practical conference "Higher nursing education and current problems of healthcare".

Kazan medical journal. 1997;78(4):315-316
pages 315-316 views

New drug coverage for patients with diabetes mellitus

Nuzhnova T.N., Tukhbatullina R.G.


In recent years the pharmacy service of RT has undergone significant structural and qualitative changes due to the processes of denationalization and privatization. More than 70 pharmacies acquired the status of a legal entity, including pharmacy № 350. In the conditions of the transition period the problem of improving pharmaceutical care to the population, as well as increasing the economic stability of pharmacies become extremely urgent. To solve these problems there is a search for new forms and methods of organizing the work of pharmacies.

Kazan medical journal. 1997;78(4):317-317
pages 317-317 views

Professor Victor Petrovich Veselovsky

Ivanichev G.A.


On February 4, 1997 after a long illness passed away an outstanding scientist of Kazan, honored scientist of the Russian Federation and the Republic of Tatarstan, the head of the department of nervous diseases and vertebro-neurology KGMA, President of the International Association of vertebro-neurologists, President of the Euro-Asian Academy of Medical Sciences, Board member of the Russian Society of Neurologists, Editor-in-chief of the magazines "Vertebro-neurology" and "Bulletin of EA AMS", Director of Vertebro-neurological Center of the Republic of Tatarstan and the Russian Federation, Doctor of Medicine.

Kazan medical journal. 1997;78(4):318-319
pages 318-319 views

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