Vol 82, No 5 (2001)

Humoral regulation of neuromuscular transmission and neurotrophic control of skeletal muscle fiber

Poletaev G.I.


The mechanism of nerve-to-muscle transmission, as well as the trophic influence of the nervous system on effector organs, have always been in the focus of attention of scientists of the Kazan physiological school. Suffice it to recall the famous physiologist A.F. Samoilov, who in 1924 for the first time established the chemical nature of neuromuscular transmission.

Kazan medical journal. 2001;82(5):321-325
pages 321-325 views

Optimization of the diagnosis process in large medical

Bakirov R.S., Yarullin A.K., Zaripov R.A.


The diagnosis process scheme in the diagnosis centres of large multi profile hospitals introducing the unit of the physician-diagnostician and the computer system is suggested. The examination and treatment of 1890 patients by this scheme made it possible to reduce the terms of total examination up to determining the clinical diagnosis from seven-nine days to one-two days, and the number of prescribed and performed instrumental examinations made it possible to reduce the terms of total examination up to determining the clinical diagnosis from 11 — 15 days to four-five days per one patient.

Kazan medical journal. 2001;82(5):326-328
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Clinicoanatomic substantiation of preventing the injury of neurovascular fascicles of the anterior abdominal wall in median laparotomy and drainage of the postoperative wound

Koreiba K.A., Ibatulin L.A., Stroitelev L.A.


The clinical anatomy of the anterior abdominal wall and syntopy of its surface neurovascular are worked out in detail. On the basis of this the method of low traumatic median laparotomy and the method of selective drainage of the postoperative wound taking into account preservation of basic neurovascular fascicles of the anterior abdominal wall are developed and introduced.

Kazan medical journal. 2001;82(5):328-330
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Criteria of biological reliability of cardiovascular system

Vanyushin Y.S., Sitdikov F.G.


The central hemodynamics indices as the criteria of biological reliability of heart functioning of sportsmen are determined by the method of gradually increased physical loads. In this case the limiting values of ventricular ejection can be obtained in loads when chronotropic reaction of the heart does not exceed 150 beats per minute.

Kazan medical journal. 2001;82(5):331-332
pages 331-332 views

Computer sphygmography for the quantitative estimation of kinetics of main arteries

Germanov A.V.


In 58 healthy persons the contour analysis is performed according to the second derivative of sphygmograms of central and peripheral arteries.lt is established that the kinetics characteristics of the vascular arterial wall remain as the pulse wave moves from proximal parts of the arterial system to dystal parts.

Kazan medical journal. 2001;82(5):333-335
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Dinamics of somatosensory generated potentials in myofascial pain syndromes

Ivanichev G.A., Ovchinnikov A.V.


In pronounced pain syndrome the most important functional shifts (the generators of pathologically increased excitement) by recording somatosensory generated potentials arc revealed at higher levels than in slight tenderness. At the same time in slight painfulness tenderness a great number of the generators of mild activity arc found, showing insufficient activity of antinociceptive system. After treatment a number of the generators of pathologically increased excitement decrease, at the same time the migration to the caudal parts of nervous system occurs. The neurophysiologic basis for possible worsening myofascial pain syndromes is created.

Kazan medical journal. 2001;82(5):336-340
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Remote results of puncture laser diskectomy in patients with lumbar osteochondrosis

Akberov R.F., Radievich S.R.


The efficiency of remote results of puncture laser diskectomy in patients with vertebral osteochondrosis, with the determination of indications and contraindications to this method is studied. In discal hernia of less than six mm the positive results are obtained in 91,4% of the patients. The total regress of neurologic symptomatology is found in 84,1% of the patients.

Kazan medical journal. 2001;82(5):340-344
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Correction of the oxidation stress by trimetazidine in blood of patients with after myocardial infarction cardiosclerosis

Davydkin I.L., Fatenkov V.N.


The results of studies of the possibilities and mechanisms of correcting the oxidation stress in patients with cardiosclerosis after myocardial infarction, correlating with stable stress stenocardia of the 111 functional class are given. The treatment by trimetazidin of 34 patients in the daily dose of 60 mg within two months is carried out. Trimetazidine treatment in patients with angina after myocardial infarction decreases indices of metabolic oxidative stress. Trimetazidine treatment is accompanied by decrease in incidence and severity of angina and increase of physical tolerance.

Kazan medical journal. 2001;82(5):344-347
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Polyclinic stage of rehabilitation of patients after acute myocardial infarction

Khamidullin A.G., Gizatullin K.G., Vafin S.A.


The results of the polyclinic stage of rehabilitation of 295 patients with acute myocardial infarction are j given. The general number of days of temporary disablement (hospital, sanatorium, polyclinic stages) — 112,6±6,92 - 151,2±12,64. As a result of the rehabilitation course 57 (40,1%) patients regained their ability to work, 35 (24,6%) patients restored partially their ability to work, 50 (35,4%) patients got disability the second group.


Kazan medical journal. 2001;82(5):347-350
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Prognostic importance of microvesiculation in acute pneumonias in children of school age

Pikuza O.l., Andrushko I.A., Zakirova A.M., Moroz T.B.


Microvesiculation is studied in 52 children with acute pneumonia in relation to the nature of inflammatory process course in lungs. The highest indices of microvesiculation marker the activity of 5-1 nucleotidase enzyme are recorded in cases of focal inflammatory infiltration in the presence of areactive course of the disease. In the classical course of the process the shifts in enzyme indices were less bright. It is shown that the activity of 5-nucleotidase enzyme can be used as the index of inflammatory lesion variant of lungs and process rehabilitation.

Kazan medical journal. 2001;82(5):351-352
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Congenital leukosis in children

Bulatov V.P., Fazleeva L.K., Cherezova I.N., Trofimova I.S., Nazipov R.N.


As many as seven cases of congenital leukosis in children are analysed. The peculiarities of the clinical symptomatology of these patients are established. The use of polychemothcrapy, radiation therapy and transplantation of bone marrow in the treatment of acute congenital leukosis is not effective.

Kazan medical journal. 2001;82(5):353-356
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Neurologic manifestation in children parenterally infected by AIDS

Burdaeva T.Y., Bobrysheva N.V.


The rate and spectrum of central nervous system lesion in children parenterally infected by AIDS the rate of clinical manifestations of lesions, life duration of such children are established. The differential diagnosis of nervous system lesion is made difficult due to the high rate of combining various symptoms in one patient, hence there are the complications of selecting the treatment tactics. Tomography, nuclear magnet resonance, brain biopsy should be used, neuropsychologic testing with standard tests should be performed to reveal the early signs of progressive encephalopathy.

Kazan medical journal. 2001;82(5):356-358
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Peculiarities of humoral antibacterial immunity in patients with psoriasis

Garaeva Z.S., Safina N.A., Kuklin V.T., Bildyuk E.V., Zinkevich O.D.


It is revealed that in patients with psoriasis the average indices of antibodies to eight of ten microbic antigens of normal microflora under study were significantly decreased in comparison with the indices of healthy persons. After the treatment the endotoxin level in blood was reduced by 10—100 times but did not reach the standard. The results obtained show the essential role of humoral immunity state to endotoxine and the condition of pathogenic intestine microflora in the development and acute condition of psoriasis.

Kazan medical journal. 2001;82(5):359-361
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Psichic disorders in patients with renalcolic

Onegin A.V., Yakhin K.K., Sitdykova M.E.


The structure of psychic disorders in renal colic is analyzed. They are manifested by alarm, depressions and phobias. The methodical recommendations of using tranquilizers in combined therapy of urolithiasis as well as performing psychotherapeutic correction are developed.

Kazan medical journal. 2001;82(5):361-364
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Formation of bone tissue around dental mechanically active implants with form memory

Khafizov R.G.


The reaction of bone tissue around dental mechanically active implants made of nickelide-titanium alloy with form memory in various terms of grafting is studied. When using properties of nickelide-titanium alloy to change the geometric form under the effect of oral cavity temperature, to reserve the given form and stress, mechanical activity, the prevention of undensity between implant and bone tissue occurs, improving fixation of fixed and removable prostheses. When interacting mechanically active implants with bone tissue the bone formation process is completed in three months making it possible to begin the prosthetics stage in earlier terms in comparison with other famous implant systems.

Kazan medical journal. 2001;82(5):364-365
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Instrumental methods of osteoporosis diagnosis

Gaibaryan A.A., Mikhailov M.K., Salikhov I.G.


For a long time, the only method of diagnosing osteoporosis (OP) was radiographic examination. The radiological signs of OP are well known. Conclusions about normal or increased bone transparency can be made on the basis of 5 images of the axial skeleton (thoracic, lumbar spine in two projections, pelvic bones with both femoral trochanters, skull in lateral projection, hands in direct projection). But it is possible to make a reliable diagnosis of OP with the help of radiographic examination of any localization only after the loss of 20-40%, and according to some data - up to 50% of the bone mass. The reason for diagnostic difficulties is the variability of doctor's assessment of radiographs, soft tissue thickness and stacking, peculiarities of manifestation, quality and sensitivity of the film, exposure, etc.

Kazan medical journal. 2001;82(5):366-369
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Application of laser treatment for internal diseases

Amirov N.B.


In the early 60's, the first studies of laser radiation (LR) interaction with biological objects were carried out. Experiments showed that laser beam due to monochromaticity and coherence has a high power density, allowing selective thermal effect on living tissues without significant damage to adjacent tissues. Since the 70s, LR has significantly expanded its applicability and has been successfully introduced in the clinic of internal diseases. In the early 80's the first intravascular irradiation of blood with helium-neon laser (HNL) using a light guide was carried out. This method has found wide application. For any organism laser light is an unfamiliar artificial stimulus, not found in natural conditions. The main features of LR are high directionality, monochromaticity and energy intensity.

Kazan medical journal. 2001;82(5):369-372
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Nonnarcotic analgesics and chronic renal failure

Rastegar A.


Nonnarcotic analgesics are among the class of drugs most widely used in the world. These drugs were developed mainly in the second half of the nineteenth century and have become very popular for pain relief both as monotherapy and as part of combination medications. This group includes salicylates (aspirin - ASA), pyrazolones (antipyrine), and anilides (phenacetin and acetaminophen - AAP). Despite the rapid progress of medical science during the last century, they still remain the basis of modern therapy.

Kazan medical journal. 2001;82(5):373-376
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Iodine deficiency conditions in the Tukayevsky District of Tatarstan

Zakirov Z.M., Kharisova R.M.


Iodine is a micronutrient: the daily requirement is 100-200 mcg. The most obvious manifestation of iodine deficiency is endemic goiter. Iodine deficiency increases the frequency of congenital hypothyroidism and leads to irreversible brain damage in the fetus and newborn. In addition to pronounced forms of mental retardation, iodine deficiency causes a decrease in the intellectual potential of the entire population living in an area of iodine deficiency.

Kazan medical journal. 2001;82(5):377-377
pages 377-377 views

Pathogenetic significance of Ca, Zn, Sr, Pb homeostasis changes in biliary pathology in children

Osipova N.V., Bulatov V.P.


We studied the peculiarities of homeostasis of some metals - Zn, Sr, Pb, Ca in biliary tract diseases. 108 children aged 5 to 15 years old at different stages of biliary pathology development were examined: biliary dyskinesia (Biliary dyskinesia) of hypomotor type - in 45 children, chronic cholecystocholangitis in acute period - studies of thickening of thyroid gland or nodes were accompanied by ultrasound examination. 

Kazan medical journal. 2001;82(5):377-379
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Two cases of gastrointestinal trichobezoar in children

Grebnev P.N., Mustafin Y.M., Bulashov V.I., Tanyashin M.V., Suchkov O.M., Andreev A.V., Khabibullina G.F.


Trichobezoars are among the rare foreign bodies of the gastrointestinal tract. They occur more often in girls who have a bad habit of biting and swallowing hair. Gradually in the stomach forms a hard-to-separate ball of hair, resembling a tumor. In our practice, we observed two. cases of trichobezoar gastrointestinal tract in girls 7 and 8 years.

Kazan medical journal. 2001;82(5):379-380
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Patau syndrome

Akhmetzyanova G.Z., Klimenko A.D., Mityushkin A.P., Yulamanova N.D.


Pregnant woman J., 37 years old, was referred for the second stage of selective ultrasound screening from the maternity hospital with the diagnosis: "Pregnancy 31-32 isd. Intrauterine fetal retardation, gestosis in the second half of pregnancy. Zh. is an employee of a tire plant with 17 years of work experience, has contact with heavy gasoline, ammonia, formalin, kaolin and talc dust, carbon monoxide, and rubber.

Kazan medical journal. 2001;82(5):380-381
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Foreign bodies of the airways in children

Edikhanov I.K.


Aspiration of foreign bodies into the airways accounts for 3-5% of all cases of acute respiratory distress and is thus a relatively frequent problem in pediatric hospitals. The presence of a foreign body in the airways often causes recurrent attacks of choking and secondary inflammatory changes in the lungs. In typical cases, diagnosis is not difficult. Important anamnestic findings are the child's parents' references to aspiration of an object by the child.

Kazan medical journal. 2001;82(5):381-382
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Morphology of the pancreas at early terms after disruption of organ blood flow

Kadyrov R.K., Tsyplakov D.E.


The aim of the present work was an experimental morphological study of the pancreas at early stages of ischemia. Particular attention was paid to the condition of blood microcirculatory channel. The study was carried out on cats.

Kazan medical journal. 2001;82(5):382-382
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То the problem of irradiation dosing of population in radionuclde studies

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


It is shown that with the introduction of new wording of the radiation safety standards - 99 regulating powers of gamma-radiation doses at the distance of one meter from the patient, treated by radiopharma-ceutical drugs, should not exceed three mcSv/h. The number noted is obviously set too high and should be substantiated. Abolition of the adopted standards and statement of the given regulations in the radiation safety standards — 99 in new wording is not proven enough substantiated.

Kazan medical journal. 2001;82(5):383-385
pages 383-385 views

On the problems in rural of nonworking pregnant women

Pokhodenko I.V.


In order to study the peculiarities of pregnancy and labor course in nonworking women in rural area the indices obtained are analysed in two groups of women: the first (basic) group — 144 nonworking pregnants, the control group — 156 working pregnants. The complications of pregnancy, in labor and postlabor period are more often in the basic group to anemias, hestoses and kidney diseases, fetus hypotrophy was revealed two times more often. It is possible to avoid some complications of pregnancy and to improve health of women in rural area by introducing the complex of medicosocial measures.

Kazan medical journal. 2001;82(5):386-387
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Medical and economic aspects of mammolog1c preventive examinations of women

Orlov O.A.


The clinico-medical and economic aspects of mammologic preventive examinations of female workers Perm and Perm region are studied. As many as 61276 women aged 17—72 were examined within 9 years. Various pathologic states were revealed in 9126 (14,9%) cases: diffusive mastopathies — in 7286 (11,9%) women, nodes — in 1840 (3%) women, mammary gland carcinoma— in 62 cases (0,1% examined, 0,7% revealed diseases and 3,4% local formations). The examination cost of all patients was 716490 roubles or on the average, for one women, it was 11,7 roubles (0,4$). The cost of revealing one case of breast cancer was 11556 roubles (398$) and without taking into account mammography and ultra sound examination it was 7727 roubles (266$). The cost of revealing each case of cancer or premalignant processes more objectively reflects the economic validity of examinations and their importance in prevention of carcinomas.

Kazan medical journal. 2001;82(5):388-391
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Behaviour risk among city youth of Tatarstan

Taisheva L.A., Khamitova R.Y.


The study is carried out by anonymous questionnaire using the unrepeated random selection in March, 2000. The object of study was youth aged 15—25 in Kazan with population more than one million and in Naberezhnye Chelny with population more than 500.000. It is shown that the sexual behaviour of Kazan youth comparing with Chelny youth is more relaxed and active especially among of young men. Kazan young people take more care of health (both partners), more often use and have condoms by them and are seldom ingaged in unprotected sex.

Kazan medical journal. 2001;82(5):391-395
pages 391-395 views

A new approach to solving the problem of road traffic injuries in agricultural areas

Faizullin I.G.


In the Republic of Tatarstan from 1995 to the first half of 1999, there were 18,376 road traffic accidents (RTAs). They affected 23558 people, killed 3525 and injured 20033. The accident severity index averaged 14.8 during that period. Downward trends in the severity of accidents in 1995, 1996, 1997, 1998 were rather telling: 26.9; 17.6; 16.9; 13.7; 11.8. In spite of that, Tatarstan looks unfavorable against the background of other territories of the Russian Federation. In order to identify the cause-and-effect relations of the severity of traffic accidents, we conducted an in-depth study of them in the territory of cities and agricultural districts during this period.

Kazan medical journal. 2001;82(5):369-397
pages 369-397 views

“Critical” period in the development of epidemic process

Savilov E.D.


On the basis of general biological laws, connected with intrapopulational variety, the proposition proving that the optimum action time on the epidemic process is the minimum prevalence rate both in long-term and in year dynamics is substantiated. It is shown that both the parasite (shigellosis pathogenes) and host (patients with disenteria) have the least heterogeneity in the period of minimum disease intensity showing the instable state of parasitical system of the epidemic process. The proposition suggested is substantiated in the epidemiologic experiment on the model of disenteria. The epidemiologic experiment was carried out in five cities of East Siberia. The preventive measures made it possible to decrease shigellosis incidence.

Kazan medical journal. 2001;82(5):398-401
pages 398-401 views

Immunoprophylaxis of infectious diseases in children of Tatarstan

Valiullina S.A., Chigvintseva I.G., Doronina L.A., Poroshenko L.E.


One-fourth of all annually reported infections are due to seven diseases that are controlled by immunoprophylaxis: diphtheria, polio, whooping cough, measles, epidemic parotitis, viral hepatitis B, and rubella. Analysis of the reasons for the sharp rise in the incidence of such diseases as diphtheria, pertussis, poliomyelitis, and measles among children in Tajikistan revealed significant omissions in vaccination work: a sharp decline in the level of coverage of young children (up to 50-60%), a large number of refusals and unjustified refusals to vaccinate, The "arbitrary" expansion of contraindications to vaccinations by specialists, the unsatisfactory level of work on immunization of children with health problems, those who are sick frequently and for long periods, those suffering from chronic diseases, and the wide use of preparations with reduced antigen content (ADS-m, DPT-m).

Kazan medical journal. 2001;82(5):401-403
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On venous insufficiency

Mirolyubov B.M., Mirolyubov M.G., Mirolyubov L.M.


Venous insufficiency is very common and requires the attention not only of angiosurgeons but also of general surgeons. "The widespread dissemination of venous diseases does not allow to solve the problem of their treatment only by surgeons of specialized hospitals. It is impossible to disagree with this statement. However, in order to solve this problem on such a scale, we need a unified system of views or concept, which would be clear to every surgeon and generally accepted in Russia for a certain period of time.

Kazan medical journal. 2001;82(5):404-405
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Pathogenetic therapy of systemic scleroderma

Salikhov I.G., Bodrova R.A., Ziganshina L.E.


Systemic scleroderma (SSD) is a progressive polysyndromic disease with characteristic changes in the skin, musculoskeletal system, internal organs and widespread vasospastic disorders based on connective tissue lesions with predominant vascular fibrosis of the type of obliterating endarteriolitis.

Kazan medical journal. 2001;82(5):406-409
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On the diagnosis of galactophoritis

Zakirov R.F., Druzhkov B.K., Krasilnikov D.M., Zharkova T.F., Startseva L.M.


Galactophoritis is a fairly common disease, but is rarely diagnosed in practice due to its low level of study. Clinically, the disease is manifested by abnormal discharge from one or more ducts of the mammary gland. Galactophoritis is usually diagnosed as a secretory mastopathy, against which a chronic intraductal inflammation develops.

Kazan medical journal. 2001;82(5):410-411
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VIII Russian National Congress "Man and Cure"

Amirov N.B.


A. I. Vyalkov, First Deputy Minister of Health, made a plenary report "The System of Rational Use of Medicines in Russia". He noted that in recent years the mortality rate among able-bodied population has increased by 54%. In the period from 1999 to 2000 the Russian population morbidity rate for all diseases was growing, mostly due to cardiovascular diseases, infectious and parasitic diseases, as well as tuberculosis.

Kazan medical journal. 2001;82(5):412-412
pages 412-412 views

Zubairov D.M. Molecular basis of blood coagulation and thrombosis. - Kazan, 2000 - Circulation 1000 copies. - 364 p.

Tarasova L.N.


The book by Prof. D.M. Zubairov is devoted to the actual problem - the study of molecular and regulatory mechanisms of hemostasis and their disorders. The publication of this fundamental scientific work of an authoritative scientist, known not only in our country but also abroad, is very timely.

Kazan medical journal. 2001;82(5):413-414
pages 413-414 views

Smetanin A.N., Bogoyavlensky V.F. Remarkable plants from the natural flora of Kamchatka. - Petropavlovsk-Kamchatsky, 2000. - Circulation 4000 copies, 313 p.

Stadnitsky G.V.


The book, written by two authors - botanist and zoologist docent A.N. Smetanin and doctor of medical sciences prof. V.F. Bogoyavlensky, is certainly a non-standard work: it differs significantly from usual books, devoted to flora or fauna of different regions. On the one hand, this is really a botanical work concerning the flora of the Kamchatka Peninsula and adjacent areas, and on the other hand, it is a kind of encyclopedic reference book, which contains interesting information about useful plants as food, medicinal, technical resources.

Kazan medical journal. 2001;82(5):414-414
pages 414-414 views

About the Society of Plastic, Reconstructive and Aesthetic Surgeons of Kazan

Mullin R.I.


Intensive development of plastic, reconstructive and aesthetic surgery in recent years, increase in the number of specialists involved in it, including in the Republic of Tatarstan, have created prerequisites for organization of local society, uniting representatives of various surgical and other medical and non-medical specialties. The main objective of their scientific and practical activity is development of plastic, reconstructive and aesthetic surgery, formation of this science as a specialty.

Kazan medical journal. 2001;82(5):415-415
pages 415-415 views

Chronicle. Vol. 82 No. 5 (2001)

Hasanov R.S., Gilyazutdinov I.A.


According to the decision of V Russian congress of oncologists there was All-Russian scientific conference "Organizational questions of early diagnostics, prevention of malignant neoplasms and palliative care for oncology patients" (Kazan, Russia, June 15-20, 2001).

Kazan medical journal. 2001;82(5):416-416
pages 416-416 views

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