Vol 82, No 6 (2001)

Retrospective diagnosis of acute phase of HIV-infection

Bashirova D.K., Khaertynova I.M., Romanenko O.M., Sirazieva F.K., Zamyatina E.A.


The retrospective analysis of case histories of HIV- infected persons is carried out. It is established that in 62 patients there were clinical manifestations of acute HIV-infection: lymphadenopathy (60%), fever (71,2%), eruption (6,5%), diarrhea (3%), herpetic infection (3%), body mass decrease (30%), neurologic symptomatology. The growth of the number of persons with “fresh" infections HIV is noted in Kazan and in most regions of Tatarstan Republic. Expected increase of persons with acute stages of HIV infection taking medical advice demands being on guard of medical workers of various specialities.

Kazan medical journal. 2001;82(6):417-420
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Possibilities of echocardiography in the estimation of severity of heart failure in patients after myocardial infarction

Fatenkov V.N., Shchukin Y.V.


The diagnostic informativity of echocardiography for estimation of severity of heart failure in patients after myocardial infarction is shown. The discriminant model of determining the functional class of heart failure is developed. Its use in performing the expert work in patients after myocardial infarction will make it possible to objectify the estimation of heart failure insufficiency.

Kazan medical journal. 2001;82(6):420-423
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Efficiency of dimephosphone in sinus node weakness syndrome in children

Balykova L.A., Markelova I.A., Balashov V.P., Kotlyarov A.A.


The comparative study of efficiency of dimephosphone (50—100 mg/kg/day intravenously in dropper) cytochrome c (0,5 mg/kg/day intravenously in dropper) and the standard treatment scheme in 121 children with sinus node weakness syndrome is carried out. It is shown that monotherapy with dimephosphone made it possible to reach the therapeutic effect in children with the I clinicoelectrocardiographic continuation of the disease. In the II and III types the addition of dimephosphone to the standard scheme increased its efficiency by 27—30%. The validity of continuation the neurometablic therapy with sinus node weakness syndrome during half a year and pe forming three courses of treatment with the drug at the interval of three months is shown.

Kazan medical journal. 2001;82(6):424-427
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Remote metastases of lung cancer

Volodina G.I., Vakhitov V.I., Sevastyanova G.D., Sadykov M.R., Laryukov A.V., Timofeev A.A.


Remote metastases were revealed in 178 (60%) op 295 observed patients with lung cancer. The dependence of rate and localization of remote metastases on form histologic structure and sizes of the mitial focus of lung cancer is presented. In 133 (45%) patients, remote metastases are revealed in initial examination suggesting the low-symptom or symptomless course of lung cancer and remote metastases. The data suggested will provide timely diagnosis and will have prognostic importance.

Kazan medical journal. 2001;82(6):428-430
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Possibilities of echography in chronic liver diseases and portal hypertension

Raimova R.F., Bashirov D.K., Tukhbatullin M.G.


The possibilities of the complex echography in studies of the state of patients with chronic liver diseases are estimated. It is concluded that in definite situations the complex echography has undeniable advantages because it makes it possible to reveal early signs of portal hypertension and to predict its course. This will make it possible to choose more adequate therapy and to perform timely surgical correction and to improve the life quality of patients.

Kazan medical journal. 2001;82(6):430-436
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Visceral massage in the treatment of atopic dermatitis in children

Shamov B.A., Shamova A.G., Figurova I.J.


The efficiency of visceral massage in atopic dermatitis in children manifests itself in prolongation of remission period, the decrease of severity of exacerbations, the reduction of marker indices of systemic endotoxinemia and immunoregulating effect. The procedure of visceral massage is developed and its effect on the immune status and markers of systemic endotoxinemia in atopic dermatitis in children is studied.

Kazan medical journal. 2001;82(6):436-440
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Comparative efficiency of the therapy with grandaxine of psychopathologic manifestations of climacteric syndrome

Mendelevich V.D.


The results of studies of grandaxine efficiency in the treatment of psychopathologic manifestations of climacteric syndrome in 217 patients with asthenic, senestopathic and hypochondriac, anxiety and depressive, and hysteric variants of climacteric psychic disorders are given. Grandaxine proved to be a highly effective drug in arresting asthenic and to a lesser degree anxiety and depressive variants.

Kazan medical journal. 2001;82(6):440-443
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Diagnosis and correction of regional blood circulation disorders in acute adontogenic inflammatory diseases of maxillas

Salakhov A.K.


The complex study of vascular tonus and microcirculation state in patients with acute odontogenic inflammatory diseases is performed. The revealed microcirculation disorders correlated with regional hypertension. These changes reflected the regional hemodynamics disorders growing with acute odontogenic periostitis, acute adontogenic osteomyelitis complicated by perimaxilla soft tussue phlegmon. The complex correction method of mentioned hemodynamics disorders is developed.

Kazan medical journal. 2001;82(6):443-445
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Current aspects of epidemiology, clinic and diagnosis of campylobacteriosis

Khaliullina S.V., Anokhin V.A.


The problem of campylobacteriosis (CB) has been widely covered in the national and foreign literature over the past 10-20 years. Probably, the interest to this topic is due to a number of reasons. From a microbiological point of view, the causative agent of CB was discovered relatively recently and is an actively studied microorganism. At the same time, the responsibility of the microbe for the development of diseases in domestic animals and birds brings it into the category of problems of veterinary pathology. In medical terms, CB, taking into account modern epidemiological studies, is attributed to the group of the most common bacterial intestinal infections in children of different age groups, since it causes from 5 to 44.9% of all cases of the disease.

Kazan medical journal. 2001;82(6):446-450
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Application of electrostimulation in the treatment of pain syndrome in diseases of the peripheral nervous system

Kazarov S.V.


Diseases of the peripheral nervous system account for almost half of the neurological morbidity of the adult population. One of the leading clinical signs of peripheral nervous system disorders is pain. With all the commonplace simplicity of the concept "pain", the scientific definition of this specific feeling is associated with significant difficulties of epistemological nature. One of the essential moments of correct understanding and estimation of pain phenomenon is its division into primary and secondary, which is based on the classification suggested by Gode in 1881, which distinguishes protopathic and epicritic pain, that is identical to division of pain into acute and chronic.

Kazan medical journal. 2001;82(6):451-454
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Echocardiographic findings in pulmonary immaturity in premature infants

Kudris I.V.


The main cause of morbidity in preterm and premature infants remains pulmonary pathology. Among the features of the bronchopulmonary structures of premature and immature preterm infants is a lag in the development of the arterial network from the venous one. Small and medium arteries have narrow lumen and thick muscle mass. When the lungs are unfolded, an obstacle is created for rapid blood flow in the small circle of circulation, which results in delayed unfolding of the alveoli.

Kazan medical journal. 2001;82(6):455-455
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Treatment of children with thermal skin lesions

Ayupov R.K.


We analyzed data on 508 children with thermal lesions of the skin treated in the surgical department from 1996 to 1998. In 29 of them, various forms of autodermoplasty were used (free split-skin plasty - mesh, flap, Italian plasty).

Kazan medical journal. 2001;82(6):455-457
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Rare combination of aortopulmonary septal defect with other heart defects

Lukanikhin V.A., Kharitonov G.I., Shigabutdinova N.G., Ostroumov B.A.


Defects between the ascending aorta and the pulmonary artery are among the rare congenital heart defects (CHD), occurring at a rate of 0.27%. In 10-15% of cases this CHD is combined with patent ductus arteriosus (PDP), coarctation of the aorta. Single cases of its combination with pulmonary artery stenosis have been described in the literature. We present a case of successful correction of aortopulmonary septal defect (ASD) combined with PDP and stenosis of the bicuspid pulmonary valve.

Kazan medical journal. 2001;82(6):457-458
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Foreign body in the abdominal cavity

Shaimardanov R.S., Malkov I.S., Biryaltsev V.N., Zainutdinov A.M., Khalilov K.M., Gubaev R.F.


In the structure of proctological diseases, foreign bodies in the rectum account for 0.5%. Foreign bodies in the rectum occur less frequently in general clinical institutions. We observed a patient with a foreign body in the rectum perforating into the abdominal cavity.

Kazan medical journal. 2001;82(6):458-459
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A rare type of pinched inguinal hernia

Koreyba K.A.


Cryptorchidism is known to occur in 0.18-3.6% of the population. Impingement of an undescended testicle in the inguinal canal has been described in 1.9% of cases as one of the complications of cryptorchidism along with volvulus and malignant degeneration (up to 15-40%). In 20-80% of cases, cryptorchidism is combined with inguinal hernia. Endocrine insufficiency in cryptorchidism occurs in 4-5% of cases.

Kazan medical journal. 2001;82(6):459-460
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Peculiarities of clinic and immunocorrective therapy of viral hepatitis B in adolescents who abuse psychoactive substances

Lesnaya I.N.


The aim of this work was to study clinical and immunological features of acute viral hepatitis B (SVH) and analyze therapeutic efficacy of endogenous interferon inducer - cycloferon (CF) in adolescent substance abusers with SVH.

Kazan medical journal. 2001;82(6):460-461
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Infectious diseases and morbidity in conditions of anthropogenic environmental pollution

Savilov E.D.


In the scientific literature, there are virtually no publications related to the systematic study of the impact of industrial environmental pollution on infectious pathology at both the organismal and population levels. This connection is sufficiently argued only for a number of endogenous infections (pneumonia, bronchitis, etc.), as well as for the incidence of influenza and acute respiratory infections. For other forms of infectious pathology such materials are either completely absent or available in separate, unrelated publications.

Kazan medical journal. 2001;82(6):461-462
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Experience in the application of low-frequency magnetic stimulation in the complex treatment of multiple sclerosis patients

Rakhmatullin M.S., Anufriev A.Y.


Multiple sclerosis (MS) is the most common chronic disease, leading to early and profound disability, mainly in persons of young age. The morphological substrate of the disease is the death of myelin (demyelination) in the white matter of the spinal cord and brain. Recently, there has been a trend toward increased morbidity and complications.

Kazan medical journal. 2001;82(6):462-463
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Drinking water quality in Zelenodolsk District and the health status of the child population

Shigapov R.M., Garipova A.G.


Indicators of total hardness (from 1.4 to 1.9 times the norm), concentrations of iron (from 1.1 to 2.2 times) and manganese (up to 1.2 times) remain stably high in the Zelenodolsky district as a whole. During the whole observed period, nitrites and polyphosphates, which should not be present in drinking water, were detected, though in small amounts. Organoleptic indicators deteriorated, although they do not exceed standard annual averages. This is probably due to some increase in dry residue, sulfates and chlorides, are able to change the taste and smell even when reaching half of the normative values.

Kazan medical journal. 2001;82(6):463-464
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Relationship between the state of gastroduodenal organs in children and the quality composition of drinking water

Bulatov V.P., Ivanov A.V., Rylova N.V.


The aim of our research was to establish the relationship between the quality composition of drinking water and indicators of the state of gastroduodenal organs in children. We analyzed the incidence of diseases of the digestive organs according to the reporting and statistical data for the period from 1995 to 1999.

Kazan medical journal. 2001;82(6):464-465
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Intellectual efficiency of teenagers under various teaching regimes

Mustafina R.G., Sitdikov F.G., Samigullin G.K.


Intellectual efficiency parameters of pupils of the seventh — eighth forms going in for sports and mathematics as well as pupils learning by standard program, are studied. The studies were carried out by measuring out the work performance, using the V.Y. Anfilov letter tables. The great lability of nervous processes in girls going in for sports and the favourable effect of motor loads on the organism of girls in improving the nervous impulse course process were shown. The data obtained confirms the necessity of differentiating loads not only by age and by education regime, but by sex as well, because the rate of changes in nervous processes in growing organism in children of both sexes is different.

Kazan medical journal. 2001;82(6):466-467
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Disease incidence and life style of student of secondary medical institutions

Nizamov I.G., Nugaeva G.S.


The objective picture of life style and health state of students of secondary medical institutions is obtained. The basic social and hygienic factors which determine it are shown. It is noted that this youth contingent is in the significant risk group of developing of basic nosologic forms.


Kazan medical journal. 2001;82(6):468-471
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Dynamics of ultrasound diagnostic examinations at various stages of medical care

Galeev N.E.


The dynamics of ultrasound diagnostic examinations at various stages of medical care in some regions of Russian Federation is studied. It is shown that with the most efficiency the ultrasound apparatus is used at the third stage of medical care (institutions of republic subordination), as well as at the second stage at the level of urban hospitals. In most cases hepatobiliar system (66,2%), urinogenital system (21,9%) and pelvis (on the whole in women — 50%) are examined.

Kazan medical journal. 2001;82(6):471-472
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Efficiency of using roentgenoendoscopic diagnosic methods in multiprofile hospital

Bakirov R.S., Kurbangaleev A.I., Sukharev N.I.


The algorithm of management of patients with suspicion on choledocholithias including ultra-sound examination, retrograde pancreato-cholangiography and laparoscopic choledochoscopy is developed. In 82 urgent laparoscopic examinations the pathology requiring urgent operation is revealed in 39 (47,2%) patients and the injustified surgical intervention is prevented in 43 (52,4%) patients. The use of roentgenoendoscopic methods makes it possible to avoid unjustified examinations and surgical interventions, gives economy of means by reducing the duration of admission and the number of unnecessary diagnostic studies.

Kazan medical journal. 2001;82(6):473-474
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Doppler ultrasound in urology

Sitdykova M.E., Zubkov A.Y., Gilyazova F.M.


Due to the rapid development of new computer technologies and their rapid introduction into the field of medical technology the diagnostic capabilities of ultrasound have significantly enriched and expanded. A new trend appeared - ultrasound angiography based on color Doppler mapping (CDM), three-dimensional reconstruction of vessels, use of echocontrast enhancement of Doppler signal and "second harmonic" energy. The new method of vascular studies was based on the physical phenomenon discovered in 1842 by the Austrian scientist Doppler and named after him in the world literature.

Kazan medical journal. 2001;82(6):475-478
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Training of medical personnel and research in the context of human immunodeficiency virus and acquired immunodeficiency syndrome in Russia

Sherwood D., Sadig M.


The HIV virus, probably more accurately referred to as primate lymphotropic virus, has been found in troglodyte chimpanzees in equatorial West Africa. Due to racial and cultural discrimination, researchers have mistakenly focused their attention on the geographic longitude of the African continent rather than on the geographic and biological latitude of the equator in the Amazon Basin, perhaps the origin of all life in its most diverse forms.

Kazan medical journal. 2001;82(6):478-480
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Study of venous tone in varicose veins by duplex scanning

Bredikhin R.A., Ignatiev I.M., Safiullina L.I., Obukhova T.N.


Varicose vein disease (VD) of the lower extremities is the most common pathology of the peripheral vessels: 26-38% of women and 10-20% of men of working age suffer from it. The annual increase of new cases of VD among the inhabitants of industrialized countries reaches 2.6% among women and 1.9% among men. Its course is accompanied by a number of complications and a high level of disability of patients, which, in turn, is associated with significant economic costs. These circumstances make the development of an effective system for diagnosing VD an important medical and social problem.

Kazan medical journal. 2001;82(6):481-482
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Fabrication of dental implants with shape memory

Khafizov R.G.


Despite the successes achieved in the field of implantology, the creation of optimal structures for immediate dental implants currently remains the most pressing task. Various methods and technologies are used to create implants: manufacturing of implants by casting, milling, sintering (powder metallurgy), electrical discharge machining, etc. However, the successful functioning of direct implants largely depends on the accuracy of manufacturing, placement and their primary stabilization in the tooth wells.

Kazan medical journal. 2001;82(6):483-483
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I Russian Congress of the Medical Laser Association

Amirov N.B.


The organizers of this congress are the European Medical Laser Association. Russian Academy of Medical Sciences, Russian Medical Laser Association, Russian Academy of Public Service under the President of the Russian Federation. The Congress was managed by Prof. V.A. Mikhailov, who was elected President of the Russian Laser Association in 2000-2004. Honorary presidents of the Congress were Z. Simunovic (Switzerland) and the President of Russian Academy of Medical Sciences V. Pokrovsky, honorary guests of the Congress were T. Ohshoro (Japan), S. Rochkind (Israel), K. Rau (India), Nick S. Nicolopoulos (Greece).

Kazan medical journal. 2001;82(6):484-484
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Professor Mikhail Rafailovich Rokitsky


September 28, 2001 marked the 70th anniversary of the birth of one of the prominent Russian pediatric surgeons, Corresponding Member of the Russian Academy of Natural Sciences, Doctor of Medical Sciences, Professor Mikhail Rafailovich Rokitsky, who headed the Department of Pediatric Surgery at Kazan Medical Institute for over 30 years.

Kazan medical journal. 2001;82(6):485-486
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Corresponding Member of ANT, Professor Stanislav Viktorovich Maltsev


September 28, 2001 was 60 years from the date of birth of Stanislav V. Maltsev, Corresponding Member of the Academy of Sciences of the Republic of Tatarstan, Honored Scientist of the Republic of Tatarstan, Doctor of Medical Sciences, Professor.

Kazan medical journal. 2001;82(6):486-487
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Corresponding Member of ANT, Professor Khaidar Zainullovich Gafarov

Valeev E.K.


Director of the Tatarstan Research Center for Restorative Traumatology and Orthopedics, Corresponding Member of the Academy of Sciences of the Republic of Tatarstan, Doctor of Medical Sciences, Professor Gafarov Khaidar Zainullovich was born November 3, 1941 in Bashkiria.

Kazan medical journal. 2001;82(6):487-488
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