Vol 82, No 4 (2001)

Method of autoimmunity correction in ischemic heart disease

Shanin V.Y., Shanina N.Y., Bogoslovskaya S.I., Elyutin D.V., Tsarenko T.P.


The influence of a new enterosorbent-enterosgel on the immune and autoimmune process in the dynamics of ischemic heart disease and the possibilities of endogenic intoxication decrease using the given drug are estimated. The use of enterosgel made it possible to get the high therapeutic hypolipidemic and autoimmunocorrecting effect in patients with ischemic heart disease, expressed in the improvement of the state - the decrease of the frequency of stenocardia making it case of peace and effort making it possible to decrease daily nitroglycerine dose.

Kazan medical journal. 2001;82(4):241-245
pages 241-245 views

Efficiency of sanatorium rehabilitation of persons after myocardial infarction

Kemalov R.F.


The results of rehabilitation of persons after myocardial infarction when applying the complex including in addition to standard low-intensive laser radiation, normobaric hypoxyitherapy, dry carbonic acid bath, current psychotherapy methods (nondirectory hypnosis, psychoanalysis elements and heshtalt-therapy) for rehabilitative treatment in sanatorium. This complex provides the improvement of atherogenic shifts in blood, the decrease of repeated infrarction rate, mortality, temporary disablement and decrease of expenses of the social Insurance Fund to pay medical certificates.

Kazan medical journal. 2001;82(4):245-247
pages 245-247 views

Organization of going in for physical training in sanatorium-preventive clinic

Davliev A.A.


The factors determining the motor activity are revealed and the adequate system of measures on drawing workers of industrial works in going in for physical training in the sanatorium-preventive clinic is developed. Two basic groups of methodical approaches: general clinic therapeutic examination to estimate the state of health and generally accepted in sport medicine the methods to estimate physical development, physical work ability and states of motion apparatus were used. The mathematical model of motion activity and health level in multidimensional relations with factors affecting them was constructed.

Kazan medical journal. 2001;82(4):247-250
pages 247-250 views

Dynamics of structural and functional changes of the heart in patients after myocardial infarction

Shchukin Y.V.


The dynamics of structural and functional changes of the heart developing within three years in patients with ischemic heart disease after myocardial infarction is studied. Some peculiarities of the development of the remodulation process in postinfarctial period are revealed. The changes of the heart structure have a progressive nature. Early prescription of inhibitors of angiotensinconverting enzyme after myocardial infarction to prevent progress of the heart remodulation is advisable.

Kazan medical journal. 2001;82(4):251-253
pages 251-253 views

Use of temporary obturation of bronchi in prevention and treatment of complications after pulmonary and pleura operations

Krasilnikov D.M., Khasanov R.M., Bondarev A.V., Matveev V.Y.


The temporary obturation of bronchi is used in 16 patients with post-operative nonhermetism of the lung to prevent and to treat pleura empyema. Good results are obtained in 15 (93,8%) of the patients, in 11 (68,8%) of them the full recovery is achieved, in 4 (25%) of them some dry pleural cavities are retained. The complications significantly affecting the final result of the treatment of patients with temporary obturation of bronchi were absent. Temporary obturation of bronchi is effective in the treatment of postoperative nonhermetism of the lung and in prevention of pleura empyema.

Kazan medical journal. 2001;82(4):253-255
pages 253-255 views

Estimation of the mucous membrane state of operated stomach in various methods of restoration of gastroenteric passage

Naumov V.F., Popov N.P., Gabclraupova S.R.


The most rational option of surgical intervention making it possible to provide the optimal functional state of the secretory apparatus of the operated stomach is established. It is shown that the loss of the stomach part is accompanied by the atrophy of the mucous membrane of the preserved stomach part. In the cases when pylorus mechanism is preserved and the conditions close to the natural food chyme passage are reproduced, the mucous membrane atrophy with rough changes of its structures does not occur.

Kazan medical journal. 2001;82(4):256-260
pages 256-260 views

Ultrasonography of diseases of bone and muscular system

Klyushkin I.V., Pasynkov D.V., Tikhonov V.A., Nafikov G.A., Tazeev R.R.


As many as 1500 patients with various pathology of bone and muscular system were examined. The comparative study of traditional roentgenography, ultrasound examination, computer and magnetoresonance tomography was carried out to determine the optimum application in examining bone and muscular system. In many cases of the bone and muscular system diseases (bone fractures, osteomyelitis, bone tumors, soft tissue fistulas) the ultrasound examination successfully competes with other methods and in some cases, it is the method of choice.

Kazan medical journal. 2001;82(4):260-265
pages 260-265 views

Epidemiology of fractures and reduction of mineral density of bone tissue in the population of the industrial city of the Middle Volga Region

Tseitlin O.Y.


The retrospective epidemiologic investigation in Otradnoe, Samara region was carried out to study the hip and forearm fracture rate in persons over 60 within 1995—2000. The hip fracture rate in men varied between 32,0 and 113,9 for 100000 of population (on the average 72,3), in women - between 52,9 and 152,5 (on the average 90,2). In women hip fractures were found 1,9 more often than in men. The growth of the hip fracture rate was noted in women over 60, in men — over 70. The fracture rate of forearm in women was five times higher than in men. The mineral density of calcaneus bone tissue was studied in 220 men and 113 women by ultrasound densitometry. The pronounced tendency to the increase with aging of the number of persons with the decreased mineral density of bone tissue was noted.

Kazan medical journal. 2001;82(4):265-267
pages 265-267 views

Adhesiolysis in early dynamic laparoscopy as the stage of hospital rehabilitation of patients with tubal pregnancy

Fatkullin I.F., Mazitova M.I., Yagudina L.N.


As many as 48 patients hospitalized with tubal pregnancy were examined and operated. Early second- look laparoscopy with adhesiolysis and chromohydrotubation was performed on the second day of postoperative period to 12 patients, on the third day - to 17 patients and to the rest of patients — on the fourth, fifth and seventh day. Repeated adhesiolysis, chromohydrotubation with visual control of uterine tube permeability were performed in third-look laparoscopy. The special titanium trocars were used 2 for early second-look laparoscopy. It is established that second- and third-look laparoscopies make it possible to observe adhesions after surgical intervention and to perform adhesiolysis.

Kazan medical journal. 2001;82(4):268-270
pages 268-270 views

Concentration of antimicrobic antibodies in children with diabetes mellitus of the 1st type

Filimonova I.M., Sultanova L.M.


The state of antibacterial humoral immunity in 121 children with diabetes mellitus of the 1st type is shown using the hard phase immunoenzymic analysis. The increase of the level of antibodies to glycolipid independent of the degree of carbohydrate metabolism is revealed. The analysis of concentration of E. coli antibodies showed the changes similar to antibodies to glycolipid. Increas in the levels of glycolipid and E. coli antibodies in children with diabetes mellitus of the 1st type is justified by the excess supply of endotoxin from the enteric tract and is the result of its immunogenic properties.

Kazan medical journal. 2001;82(4):271-274
pages 271-274 views

Efficiency of lipostabil in functional and inflammatory lesions of biliar sistem in children

Shprenger L.V.


The state of enzymatic link of the antioxidant system of blood serum by the level of catalase, peroxidase, ceruloplasmin and total antioxidant activity is studied in 65 children with chronic cholecystocholangitis and in 62 patients with dyskinesias of biliar sistem. The change of antioxidant activity depending on the disease duration and pathologic process nature is revealed. The clinical and biochemical efficiency of the use of “lipostabil” in complex therapy is justified.

Kazan medical journal. 2001;82(4):274-278
pages 274-278 views

Change of zinc homeostasis in kidney diseases in children

Makarova T.P.


The zinc metabolism in kidney pathology in children is studied. The decrease of serum zinc level connected with its increased excretion, that is identified as deficiency of the excretory type, is revealed. The effect of the increased zinc excretion on the functional state of proximal tubules, tested by the level of aminoaciduria and phosphate reabsorption, as well as on the function of distal tubules, determined by the processes of acido- and ammoniogenesis, is established. The depressive effect of zinc on cellular and humoral immunity links as well as on phagocytic activity of neutrophiles, that is identified as dificiency of immunologic consumption, is established.

Kazan medical journal. 2001;82(4):278-281
pages 278-281 views

Of primary osteoarthrosis

Vasilyev A.Y.


As many as 70 patients with various stages of osteoarthrosis deformans are examined. Earlier signs of the disease — epiphyses change of the cyst type and small ostephytes are revealed using microfocal roentgenography with direct increase of the image. The roentgen semiotics of this disease depending on the pathologic process stage is refined and supplemented.

Kazan medical journal. 2001;82(4):282-285
pages 282-285 views

On psychotropic effect of acupuncture in patients with alcoholism

Rakhov D.A.


Various acupuncture regimes were used in 87 patients with alcoholism with psychovegetative disorders alongside the pharmacotherapy to refine the therapeutic effect spectum. In this case the dynamic estimation of psychologic status indices of patients was carried out. The presence of psychotropic effect of acupuncture not associated with placebo effect and pharmacotherapy is established. Various direction of the psychotropic effect during application of various acupuncture regimes was revealed for the first time.

Kazan medical journal. 2001;82(4):285-287
pages 285-287 views

Some aspects of etiology, pathogenesis and treatment of mycrobial eczema

Orkin V.F., Olekhnovich N.M., Mikhailova E.V.


The complex clinical and laboratory examination of 110 patients with microbial eczema is carried out. The change of skin microbiocenosis in eczematous foci is revealed. It is established that the disorders of important regulatory systems: immune, “protease specific inhibitors”, lipid peroxidation and antioxidant protection; hemostasis and microcirculation lie in the multifactorial pathogenesis of mycrobial eczema. The new pathogenetic therapy by sodium hypochlorite is suggested.

Kazan medical journal. 2001;82(4):287-291
pages 287-291 views

Efficiency of using calcium antagonists in the treatment of hypoxic intracranial hemorrhages in newborns

Levitina E.V., Ivanichev G.A.


The prospective observation and clinico-biochemical examination of 55 infants with intracranial hemorrhages from the neonatal period till one year old are carried out. The interrelation of disturbances of enzyme activity of electrolyte transmembrane transport and calcium level in thrombocytes with the character, gravity degree, clinical syndromes and course of the pathological process is revealed. The decrease of Ca2+-AT phase activity and the increase of intracellular calcium level in patients with the chronic and combined character of hypoxia are noted. The clinical and biochemical efficiency of calcium antagonists (nimodipine) in children with perinatal intracranial hemorrhages is determined.

Kazan medical journal. 2001;82(4):291-294
pages 291-294 views

Bacterial vaginosis as a cause of preterm labor and intrauterine infection

Anokhin V.A., Khaliullina S.V.


In recent decades, powerful anthropogenic impacts on modern ecosystems and the introduction of advances in pharmacology into medical practice have led to significant changes both in the human biocenosis itself and in the etiological structure of all infectious pathology. The traditional pathogenic agents responsible for the development of infectious diseases have been replaced by opportunistic microorganisms, which had previously exhibited their pathogenic properties comparatively rarely. Both the number and the characteristics of the pathological properties of the newly described microbes are rapidly increasing. At the same time, there are reports on the possible involvement of previously known, "normal" microorganisms in human pathology. The field of modern infectious pathology has begun to shift more and more toward the environmental problems of medicine, when all questions, from determining the etiology of a disease process to treating the patient, involve taking into account other components of the microbiocenosis. It is already obvious that the spectrum of such diseases is not limited to the traditionally known in this respect gut dysbacteriosis.

Kazan medical journal. 2001;82(4):295-298
pages 295-298 views

A case of subcutaneous injury of the tendon of the first deep flexor of the finger

Mikusev G.I., Mullin R.I., Safin R.D.


Closed (subcutaneous) injuries of the extensor tendons of the fingers have received considerable attention in the literature, in contrast to subcutaneous injuries of the flexor tendons. However, practitioners are little familiar with this type of injury due to its extreme rarity.

Kazan medical journal. 2001;82(4):299-300
pages 299-300 views

Neurophysiological characteristics of the pyramidal tract in patients with the hyperkinetic form of infantile cerebral palsy in the late residual period

Zalyalova Z.A., Bashirova E.S., Yakupova V.A.


Children's cerebral palsy (cerebral palsy) occupies the main place among the causes that lead to disability from childhood. The majority of disabled patients with various forms of cerebral palsy have a late residual stage, which is characterized by stabilization of the pathological process. Hence, it is of great interest to study the central mechanisms of formation of cerebral palsy syndromes in patients in the late residual period.

Kazan medical journal. 2001;82(4):300-301
pages 300-301 views

Plasmapheresis and hyperbaric oxygenation in the treatment of psoriasis complicated by polyarthritis

Korobkov V.N., Slepukha G.G., Yapparov I.G., Saetgaraev A.K.


Treatment of psoriasis (Ps) is still one of the most difficult tasks of practical medicine. The disease often affects young and able-bodied people, and the process itself has a persistent and progressive nature, not amenable to treatment by traditional methods. PS as a systemic disease is based on the phenomena of chronic nonspecific skin inflammation with intracellular edema, infiltration, microcirculatory and metabolic disorders. PS is also characterized by disorders of oxidative processes in skin cells and in the system of free-radical oxidation of lipids. The study of immune status in PS patients revealed disorders of circulating immune complexes (CIC), in particular immunoglobulins A, M, G, against the background of suppressed cellular immunity and phagocytic activity of neutrophils.

Kazan medical journal. 2001;82(4):301-302
pages 301-302 views

Organizational and methodological basis for improving the quality of work of an ultrasound diagnostician

Sagdeeva E.T.


The quality of medical care depends on a complex of factors that characterize many aspects of the doctor's activity - medical and biological, social and hygienic, production, etc. The aim of this work was to describe mathematically the influence of unfavorable factors on the activity of an ultrasound diagnostician and to build a model to improve the quality of his work.

Kazan medical journal. 2001;82(4):302-302
pages 302-302 views

Nursing as a subject of licensing

Vakhitov S.M., Yamaleev R.G., Pronevich V.S., Gaidullin Z.Z., Vilkova O.N., Petrova O.S., Nabiullina L.I., Zakharova S.M.


Currently, 18 medical universities in the country have opened faculties of higher nursing education (HEE), graduates of which are qualified as "manager" in the specialty of "nursing". The emergence of a new category of medical workers for domestic health care is a necessity dictated by the objective need to reform the industry and introduce modern organizational, managerial and medical technologies. However, not all medical workers, including managers, adequately and willingly perceive the innovations. Moreover, many of them simply do not think about the fact that the emergence of specialists with HSS is only the first and necessary link in the chain of subsequent changes in the system of organization and management of health care.

Kazan medical journal. 2001;82(4):303-303
pages 303-303 views

То the results of radiation and hygienic passport system of the Zelenodolsk Region territory of Tatarstan Republic in 1999

Shigapov R.M., Morozov V.G., Ismagilov R.K., Chuprun V.F.


The average individual effective irradiation doses of population of the Zelenodolsk region by the radiation and hygienic passport system data for 1999 are determined. It is shown that 74% of the effective dose are defined by the natural factors. The measures directed to the decrease of the dose loads at the expense of medical roentgen procedures are considered. It is established that the true decrease of dose loads on population can achieved at the expense of reducing the medical irradiation part.

Kazan medical journal. 2001;82(4):304-308
pages 304-308 views

Hygienic characteristic of actual nourishment of small peoples of the far north

Raengulov B.M., Istomin A.V., Mikhailov I.G., Shushkova T.S.


The actual nourishment of the representatives of small peoples of the Far North: Nenets, Khanty, Komi as well as some indices of the functional state of central nervous and cardiovascular systems of the organism are studied. The revealed peculiarities of food status are the bases for development of hygienic recommendations on nourishment optimization and population health improvement.

Kazan medical journal. 2001;82(4):308-310
pages 308-310 views

Rational approaches to diagnosis and treatment of pneumoconiosis

Kosarev V.V., Zhestkov A.V., Lotkov V.S.


Dust-related lung diseases still occupy a significant place among other forms of occupational pathology, accounting for about 30% in the structure of occupational diseases in our country. Pneumoconiosis continues to be one of the priority problems of occupational medicine worldwide, and for many developing countries - one of the most important: at various production facilities the number of patients with silicosis reaches 54.6% of the number of workers. In Canada, 283 cases of silicosis have been reported among 68,000 people working in dust-exposed environments; in the United States, about 3 million people have significant occupational exposure to silica dust.

Kazan medical journal. 2001;82(4):311-313
pages 311-313 views

Use of electronic information resources in the health care system of the Republic of Tatarstan

Drescher Y.N.


A distinctive feature of the modern period is the large and not fully satisfied need of the subjects of the Russian Federation in all types of information on the background of the termination of the previously existing medical information bodies, responsible for working with the regions. The most important task of the regional medical information subsystem, which is becoming increasingly important, is information support for all activities, on which the improvement of the health of the population of a particular administrative-territorial unit depends.

Kazan medical journal. 2001;82(4):314-315
pages 314-315 views

Doctor of Medical Sciences Arkady Leizerovich Gimmelfarb

Gafarov H.Z., Valeev E.K.


May 30, 2001 was the 75th birthday and 46 years of medical and scientific activity of Arkady Leyzerovich Gimmelfarb, Head of scientific-organizational and patent-information department of Tatarstan Scientific Research Center "Restorative Traumatology and Orthopedics", honored inventor of the Republic of Tatarstan, Doctor of Medical Sciences.

Kazan medical journal. 2001;82(4):316-316
pages 316-316 views

Professor Ildar Gazimdzhanovich Salikhov


June 19, 2001 was 60 years old the head of the department of hospital therapy KSMU, doctor of medical sciences, professor, member-correspondent of Academy of Sciences of the Republic of Tatarstan Ildar Gazimjanovich Salikhov.

Kazan medical journal. 2001;82(4):317-317
pages 317-317 views

Professor Marcel Mirgayazovich Minnebayev

Mukhutdinova F.I., Ivanov A.V., Mikusev Y.E., Boychuk S.I., Teplov A.Y.


June 26, 2001 Head of the Department of Pathophysiology of Kazan State Medical University, Honored Scientist of the Republic of Tatarstan, Professor Marcel Mirgayazovich Minnebayev turned 60.

Kazan medical journal. 2001;82(4):80-80
pages 80-80 views

Professor Uzbek Yakubovich Bogdanovich

Gafarov H.Z., Valeev E.K.


July 17, 2001 was the 80th birthday of a prominent scientist - orthopedist-traumatologist Professor Bogdanovich Uzbek Yakubovich, Honored Scientist of the Russian Federation and the Republic of Tatarstan, a well-known organizer of medical science.

Kazan medical journal. 2001;82(4):319-319
pages 319-319 views

Professor Ilgiz Abdullovich Ibatullin


August 14, 2001 was the 70-th birthday and 40 years of medical, scientific, pedagogical and social activity of Professor of Clinical Anatomy and Surgical Surgery Department of Kazan State Medical Academy, Honored Scientist of the Republic of Tatarstan, Doctor of Medical Sciences, Professor I.A. Ibatullin.

Kazan medical journal. 2001;82(4):320-320
pages 320-320 views

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