Vol 64, No 1 (1983)

Communist morality as the basis of medical ethics

Fedyaev A.P.


Одной из актуальных проблем, поставленных перед системой здравоохранения на XXVI съезде КПСС, является воспитание врача с высокими нравственными принципами строителя коммунизма. Научно-методологической основой решения всех вопросов, связанных с врачебной этикой, служит марксистско-ленинское понимание морали. К. Маркс и Ф. Энгельс уделяли большое внимание вопросам морали, выявлению ее роли в новом бесклассовом обществе. Ф. Энгельс писал, что мораль истинно человеческая, стоящая выше классовых противоречий, станет возможной лишь на такой ступени развития общества, когда не только будет уничтожена противоположность классов, но изгладится и след ее в практической жизни [1]. Дальнейшее развитие проблемы коммунистической морали получили в трудах В. И. Ленина, особенно в его произведении «Задачи союзов молодежи». Выступая на III съезде комсомола, В. И. Ленин раскрыл основные принципы коммунистической морали, дал широкую программу нравственного воспитания молодежи, выделил действенный характер морали нового общества. «В основе коммунистической нравственности— подчеркнул В. И. Ленин,— лежит борьба за укрепление и завершение коммунизма»[2]. Из этого высшего принципа коммунистической морали вытекают и все остальные нормы морали нашего общества, такие как коммунистическое отношение к труду, выполнение общественного долга и т. д.

Kazan medical journal. 1983;64(1):1-3
pages 1-3 views

Activity of serum dehydrogenases in acute pneumonia

Gergel N.I.


The activity of lactate, malate, glutamate and glucose-6-phosphate dehydrogenases was studied in the blood serum of 107 patients with acute pneumonia with various clinical variants of the course of the disease, as well as in 22 rabbits with experimental staphylococcal pneumonia in lung tissue homogenate and blood serum. It was found that the change in the activity of the studied enzymes in the blood serum in the dynamics of the disease reflects metabolic disorders in the lungs, the level of damage to cell structures.

Kazan medical journal. 1983;64(1):4-6
pages 4-6 views

Pulmonary gas exchange in patients with chronic nonspecific lung diseases

Andreev V.M.


The results of the study of the relationship of all indicators of pulmonary gas exchange in 188 patients with chronic nonspecific lung diseases with obstructive process are presented. It is shown that the cause of respiratory insufficiency and arterial hypoxemia in these diseases are violations of ventilation-diffusion-perfusion relations.

Kazan medical journal. 1983;64(1):6-9
pages 6-9 views

Blood groups in patients with respiratory tuberculosis

Slepova R.I., Kryeva X.G.


The distribution of blood groups of the ABO system was studied in 455 patients with various forms of tuberculosis and 3321 healthy donors. It was found that blood type B (III) was more common in patients (27.9%) than in healthy (21.3%). The severe course of the tuberculosis process in the lungs was observed mainly in patients with blood group B (III), while in those with blood group AB (IV), the disease was productive.

Kazan medical journal. 1983;64(1):9-11
pages 9-11 views

On the possibility of local outbreaks of tuberculosis during the endemic period

Ivanova L.S., Kozlenko L.S., Volchkova I.L.


Of the group of children who had been in contact with an unknown source of tuberculosis infection for no more than 6 months, 35.1% were infected and 9.4% of children became ill with intra-thoracic tuberculosis. This situation is interpreted as a local outbreak of the disease during the endemic period of tuberculosis caused by an unknown source of infection in children with reduced specific immunity.

Kazan medical journal. 1983;64(1):11-12
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The course of pneumoconiosis caused by the dust of calcareous-dolomite rocks

Danilin V.A., Kosarev V.V., Daniin A.V.


During the examination of 536 workers who were exposed to lime-dolomite dust for a long time in production conditions, 40 people were diagnosed with interstitial form of pneumoconiosis, the clinical picture of which was characterized by shortness of breath, cough, chest pain. Six-year dynamic clinical and radiological observation showed the benign course of the disease.

Kazan medical journal. 1983;64(1):13-15
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The use of immune drugs for the treatment of patients with acute staphylococcal pneumonia

Leshinsky L.A., Sinitsina G.M., Pavlovskaya E.N.


In patients with acute staphylococcal pneumonia, which occurred against the background of chronic obstructive bronchitis, pronounced changes in the immunological reactivity of the body were revealed, manifested by a decrease in the ability of T-lymphocytes to blast transformation, inhibition and deregulation of the interaction of T- and B-immune systems, a decrease in nonspecific protection factors. The effectiveness of the use of targeted immune drugs and retabolil in the complex treatment of patients has been established. In addition, their use reduces the possibility of sluggish lingering pneumonia.

Kazan medical journal. 1983;64(1):15-18
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The use of terrilitin in the treatment of patients with nonspecific lung diseases

Korepanov A.M., Yezhov V.A., Kirshin G.I.


The effectiveness of the proteolytic enzyme terrilitin, used in the form of tracheobronchial infusions in patients with chronic bronchitis and administered by electrophoresis in patients with acute pneumonia, was studied. Positive results were obtained, indicating an improvement in the drainage function of the bronchi, especially in patients with chronic bronchitis. The appointment of terrilitin is indicated for non-specific lung diseases.

Kazan medical journal. 1983;64(1):19-23
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The state of some indicators of hemostasis and kallikrein-kinin system in patients with atherosclerotic occlusion of the arteries of the lower extremities

Rzaev N.M., Kazieva N.K., Sultanova T.I.


Based on the results of the study of hemostasis and kallikrein-kinin system indicators in patients with atherosclerotic occlusion of the arteries of the lower extremities, an increase in kinpnoobrazovatelny function and increased fibrinolysis were established while maintaining a high thrombotic potential of the blood. In complex therapy for uncomplicated course of the disease, it is necessary to include activators of the kallikrein-kinin system (padutin, delminal, etc.), and in complicated course — inhibitors (anginin, prodectin).

Kazan medical journal. 1983;64(1):23-26
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Thermal inactivation of tissue thromboplastin

Zubairov D.M., Svintenok G.Y.


Thermal inactivation of a tissue thromboplastin is a reaction of a complex order, including, in addition to denaturation of the apoprotein, disorganization of lipid components. When heated under aerobic conditions, the oxidation of thromboplastin also contributes to its inactivation. Storage of tissue thromboplastin preparations under anaerobic conditions increases their biological stability.

Kazan medical journal. 1983;64(1):26-28
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Effect of modification of the protein part of thromboplastin (factor III) on its interaction with factors VII and Viii

Baykeev R.F., Chenborisova G.S.


The effect of enzymatic modification of the protein part of thromboplastin on its interaction with factors VII and V. was studied. It has been shown that the effect of papain on apoprotein disrupts the interaction of these factors with thromboplastin, resulting in the formation of a factor X activator with less activity than before modification.

Kazan medical journal. 1983;64(1):28-32
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Distribution of 5'-nucleotidase and thromboplastic activity in human tissues

Kuznetsov V.i.


The distribution of 5-nucleotidase activity and thromboplastic activity in human tissues was studied. The greatest activity of 5-nucleotidase and tissue thromboplastin was found in the microsomal fraction. During homogenization, the activity of 5-nucleotidase and tissue thromboplastin was not separated. The membrane structures of the aortic endothelium have the highest 5-nucleotidase and thromboplastic activity compared to the membrane fraction of the middle layer of the aorta.

Kazan medical journal. 1983;64(1):32-35
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Thromboplastinemia in patients with acute traumatic brain injury

Andrushko I.A., Evseev E.M.


The dynamics of blood 5'-nucleotidase activity and the state of the hemocoagulation system were studied in 47 patients with acute traumatic brain injury. An increase in the activity of blood 5'-nucleotidase was found in all observations, directly correlating with the degree of intravascular activation of the blood coagulation system. It is assumed that the main cause of these shifts is the arrival of thromboplastin from the foci of destruction of brain tissue, an indicator of which is the increased activity of 5'-nucleotidase of blood.

Kazan medical journal. 1983;64(1):35-39
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The use of thymalin for the treatment of thermal injury

Kuznik B.I., Havinson V.H., Morozov V.G., Budazhabon G.B., Sizonenko V.A., Kuzmin V.N.


It has been shown that the use of a low-molecular polypeptide from thymus cells - thymalin - in patients with burns shortens the time of the first autoplasty, improves the results of engraftment of autografts, increases the number of T-lymphocytes, "active" T-lymphocytes, B-lymphocytes and the concentration of Ig A, reduces complement activity. At the same time, the intensity of intravascular coagulation decreases and fibrinolysis is activated. The most favorable time for the use of thymalin is 6-15 days after thermal injury.

Kazan medical journal. 1983;64(1):39-42
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Mathematical modeling in the study of optic nerve pathology

Broshevsky T.I., Branchevskaya S.Y.


Based on mathematical modeling, a method for a comprehensive assessment of the fundus elements is proposed. With the help of a computer, the average statistical indicators of the elements of the optic nerve disk in 240 people were calculated. Quantitative differences were revealed in groups of healthy individuals with glaucoma and with optic nerve atrophy. A correlation analysis of statistical data is recommended to clarify the pathogenesis of specific glaucomatous atrophy of the optic nerve.

Kazan medical journal. 1983;64(1):42-44
pages 42-44 views

On violations of the germinative function of men in certain pathological conditions

Petrov S.B.


Morphometric and morphohistochemical changes of the gonads of 83 men who died of cancer, tuberculosis, and chronic pneumonia were studied.

Kazan medical journal. 1983;64(1):44-46
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Population profile of lymphocytes of patients with obstructive jaundice

Kharitonov G.I.


The rosette formation method determined the content of T- and B-lymphocytes of venous blood in 16 patients with extrahepatic cholestasis. The number of T-lymphocytes in extrahepatic cholestasis is reduced, and B-lymphocytes are increased. The proportional dependence of this decrease on the increase in the level of direct bilirubin in the blood has not been established.

Kazan medical journal. 1983;64(1):46-48
pages 46-48 views

The content of free amino acids in blood serum in chronic myeloid leukemia and idiopathic myelofibrosis

Shustov V.Y., Ivanov A.P.


The results of studies of the content of free amino acids in blood serum in patients with chronic myeloid leukemia and idiopathic myelofibrosis are analyzed. In chronic myeloid leukemia, the level of methionine +-valine, leucine + isoleucine was reduced, and cystine, serine and glycine were elevated. With myelofibrosis, a decrease in the concentration of lysine, histidine, arginine and to a lesser extent methionine + valine, aspartic acid and serine was found. The content of alanine, glutamic acid, and cysteine is increased. The nature of metabolic disorders of amino acids in the blood serum in these diseases, along with similarities, has fairly clear differences. The specificity of the latter in combination with other signs may become one of the early biochemical criteria for the differential diagnosis of chronic myeloid leukemia and myelofibrosis.

Kazan medical journal. 1983;64(1):49-50
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Immunotherapy of patients with chronic nonspecific salpingoophoritis

Maltseva L.I., Molotilov B.A., Kapeliushnik N.L.


The state of cellular and humoral immunity was studied in 80 patients with chronic nonspecific salpingoophoritis. At the stage of remission of the process, a comprehensive allergological examination was carried out. Bacterial sensitization was diagnosed in 41 patients, 19 of them —monovalent, mainly to staphylococcus, 22 - in polyvalent combinations. Sensitization determined the nature of changes in the indicators of specific immunity and the features of the clinical course of the disease. Differentiated therapy was carried out taking into account the altered reactivity by the method of specific hyposensitization with bacterial allergens and levamisole. Sustained remission was obtained.

Kazan medical journal. 1983;64(1):50-53
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The content of free amino acids in blood serum in chronic myeloid leukemia and idiopathic myelofibrosis

Klyushkin I.I.


Treatment of open limb injuries remains one of the urgent and not yet fully resolved issues in modern traumatology (13, 18, 29, 37). Significant frequency of these injuries [50], a large number of complications [17, 19, 52, 54], unsatisfactory outcomes, a fairly high percentage of disability and mortality make this a major problem in traumatology. Due to the increased industrialization of the country, an increase in the fleet of heavy-duty and high-speed vehicles, intensive construction of high-rise buildings [38], the number of severe open limb injuries has increased. The specific weight in the total number of diaphyseal fractures ranges from 27.3 to 53% [10, 31, 53, 57]. Very often, open injuries of long tubular bones are combined with traumatic brain injury, shock, blood loss, severe damage and crushing of soft tissues and vascular, nerve formations [29, 53]

Kazan medical journal. 1983;64(1):53-56
pages 53-56 views

Vascular lesions of the spinal cord in spinal injuries

Kamalov I.I.


According to the literature [22, 31, 33, 35], the main attention of researchers in spinal injury was paid to the study of changes in the bone base of the spine, their ligamentous apparatus and the state of the spinal cord.

Kazan medical journal. 1983;64(1):57-60
pages 57-60 views

An atypical case of Marfan syndrome

Petukhova N.I., Slobozhanin M.I., Makarov A.S.


Marfan syndrome is a relatively rare disease characterized by a primary congenital defect of connective tissue, which is based on dystrophic changes in fibrous structures caused by impaired metabolism of chondroitinseric and glucuronic acid. The classic signs of this syndrome are lesions of the musculoskeletal system, eyes, heart and large vessels.

Kazan medical journal. 1983;64(1):61-61
pages 61-61 views

Surgical treatment of rupture of both kidneys in hemorrhagic fever with renal syndrome

Shakirov F.Z., Valiakhmetov R.Z., Zagidullin I.M., Mavlyutov V.I.


Spontaneous rupture of the kidneys is a formidable complication of hemorrhagic fever with renal syndrome, usually occurs against the background of severe acute renal failure, sharply aggravates the already serious condition of patients, being a frequent cause of their death. Surgical treatment of such patients was previously considered contraindicated.

Kazan medical journal. 1983;64(1):61-63
pages 61-63 views

Diagnosis of autoaggressive processes in liver diseases

Starkova N.V.


Among the immunological methods of diagnosing liver diseases to detect autoimmune processes, the reaction of inhibition of leukocyte migration using water-salt extracts or liver tissue homogenates is known.

Kazan medical journal. 1983;64(1):63-63
pages 63-63 views

Is suturing of perforated gastroduodenal ulcers an operation of choice?

Afanasenko V.P.


Treatment of perforated ulcers of the stomach and duodenum currently remains an urgent task of emergency surgery, since it is associated with the severity of this pathological process and the need for urgent surgery at any time of the day.

Kazan medical journal. 1983;64(1):63-64
pages 63-64 views

Gunshot wound to the stomach and pancreas

Romashev P.N., Mamistov V.A.


K., 22 years old, entered the surgical department on 30/V 1975 at 23:25 with complaints of a wound and severe pain in the left hypochondrium. At 22 o'clock he was wounded by a pistol shot.

Kazan medical journal. 1983;64(1):64-64
pages 64-64 views

Measures to reduce oncogynecological morbidity in the Udmurt ASSR

Bashkov Y.A., Dudina T.B., Kochurin E.A., Chumareva I.S.


The UASSR is actively working on the early detection of cervical cancer and precancerous diseases of the female genital area with the use of a cytological examination method during preventive examinations. The number of cytological studies increased from 29 thousand in 1969 to 430 thousand in 1980, as a result, the proportion of actively identified patients with cervical cancer among newly registered increased from 23.3 to 89.1%- Over the same period, the incidence of this localization of cancer per 100 thousand. the population decreased by 2 times, and the number of neglected cases among women newly registered decreased by 6 times.

Kazan medical journal. 1983;64(1):64-65
pages 64-65 views

Combination of uterine fibroids with malignant granulocellular ovarian tumor

Biktimirova N.F.


Granulocellular ovarian tumor is often combined with uterine fibroids. The presence of fibroids makes it difficult to detect ovarian tumors, and patients are not hospitalized for a long time. In some cases, they receive conservative treatment contraindicated to them, which promotes tumor growth.

Kazan medical journal. 1983;64(1):65-65
pages 65-65 views

Diagnosis of infertility of unclear origin

Gurtovaya N.B.


The diagnostic capabilities of modern research methods (laparoscopy, ultrasound echography, the concentration of steroid hormones in peritoneal fluid, blood plasma, urine) were studied in order to identify and analyze the causes of infertility of unclear genesis.

Kazan medical journal. 1983;64(1):65-66
pages 65-66 views

To the method of removing foreign bodies from the respiratory tract

Nikolaev S.N., Savaderov V.P.


The ingestion, localization of foreign bodies and subsequent changes in tissues and various complications in childhood have certain features, and sometimes it seems "obvious-incredible". Often therapeutic tactics require an individual approach. Of interest is the case of extraction of a foreign body from the right interstitial bronchus.

Kazan medical journal. 1983;64(1):66-67
pages 66-67 views

X-ray morphological diagnostics of oncological diseases of the chest organs

Loginova A.Y., Maksimov A.P., Muravyov V.Y., Khairutdinova G.N.


The analysis of complex clinical and radiological examination (X-ray, radiography, tomography, bronchography, bronchoscopy) of 64 patients with lung and mediastinal diseases in combination with transthoracic aspiration biopsy is presented. The details of the survey methodology are noted. Clear puncture results were obtained in 70.3%. The technique is simple and can be recommended for wide use in thoracic departments.

Kazan medical journal. 1983;64(1):67-69
pages 67-69 views

About miscarriage of pregnancy

Kapelyushnik N.L., Kutysheva T.M.


Based on the observation of 782 women who were on inpatient treatment for threatened miscarriage and premature birth, it was found that the most common cause of termination of pregnancy were previous abortions, chronic extragenital diseases, infectious diseases of the genitals and urinary tract, isthmic-cervical insufficiency due to previous pathological childbirth and abortions.

Kazan medical journal. 1983;64(1):69-71
pages 69-71 views

To substantiate the tactics of immunoprophylaxis of infectious diseases in modern conditions

Khisamutdinov A.G., Kolpachikhin F.B., Grigoriev V.E., Khromova L.I.


The basic principles of the work of offices (receptions) for the immunoprophylaxis of infectious diseases in modern conditions are highlighted. For the immunization of children with altered reactivity, gentle methods of immunization of DPT, DS, AS anatoxin and the appointment of hyposensitizing agents are proposed. The purpose of the offices is to reduce the number of non-immunized children.

Kazan medical journal. 1983;64(1):72-73
pages 72-73 views

Epidemiological characteristics of salmonellosis in the Tatar ASSR

Mukhutdinov I.Z., Yakobson D.A., Khamitova O.M., Koksina K.D., Bulaeva P.M., Gadelshina A.M., Gerasimova L.V., Ismagilova Z.М., Anderzhanova F.G., Bocharova E.P., Zemanova V.U., Danilina G.V.


The main regularities of the epidemic process of salmonellosis in the Tatar ASSR for 1960-1980 are characterized. In various administrative territories, the epidemic process of salmonellosis has common patterns. The increase in morbidity since 1976 is mainly due to the nosocomial spread of the disease among young children.

Kazan medical journal. 1983;64(1):72-75
pages 72-75 views

Regional features of malaria epidemiology

Yahod D.B., Fomenkova L.I., Akhmetshin N.A.


Imported cases of malaria have been noted in the TASSR over the past 3 years. During the medical care of patients, a number of mistakes were made that could lead to the occurrence of local cases of the disease. In order to preserve epidemiological well-being in the republic, it is necessary to carry out a full range of preventive and anti-epidemic measures.

Kazan medical journal. 1983;64(1):75-77
pages 75-77 views

Soviet-Czechoslovak Symposium "Polytrauma" (Riga, 20-22/V 1982)

Nikolaev G.M.


18 scientists from Czechoslovakia and 22 from the Soviet Union made presentations at the symposium. The authors shared the results of their observations on the surgical treatment of multiple fractures.

Kazan medical journal. 1983;64(1):77-78
pages 77-78 views

Antithrombotic therapy in clinical practice, new in theory, diagnosis, treatment

Litvinov R.I., Voronina I.E.


The problem of thrombosis remains extremely relevant for clinical practice and continues to attract the attention of scientists around the world working in various fields of theoretical and clinical medicine. Therefore, the II All-Union Conference on Antithrombotic Therapy was attended by prominent therapists, surgeons, physiologists, biochemists, pharmacologists, pathologists from the USSR, GDR, Czechoslovakia, VNR, USA, Germany. Sweden, Austria. At 11 meetings, a wide range of issues related to new approaches to antithrombotic therapy and new ideas about the process of intravascular blood clotting were considered.

Kazan medical journal. 1983;64(1):78-79
pages 78-79 views

Professor Zarif Shakirovich Zagidullin


The scientific and medical community of our country suffered a heavy loss: on August 5, 1982, the Honored Doctor of the RSFSR, Honored Scientist of the Bashkir ASSR, Doctor of Medical Sciences, Professor Zarif Shakirovich Zagidullin died suddenly.

Kazan medical journal. 1983;64(1):79-80
pages 79-80 views

On 30/IX—2/X 1982, a plenum of the problem commission "Allergology and Clinical Immunology" of the Scientific Council on Immunology of the USSR Academy of Medical Sciences was held in Kazan


On 30/IX—2/X 1982, a plenum of the problem commission "Allergology and Clinical Immunology" of the Scientific Council on Immunology of the USSR Academy of Medical Sciences was held in Kazan.The plenum was organized by the Ministry of Health of the USSR, the USSR Academy of Medical Sciences, the Research Institute of Immunology of the USSR Academy of Medical Sciences, the Ministry of Health of the RSFSR, the Ministry of Health of the TASSR, the Kazan Medical Institute, Kazan GIDUV, Kazan Research Institute of Epidemiology and Microbiology, the Scientific Society of Pathophysiologists of the TASSR.

Kazan medical journal. 1983;64(1):80-80
pages 80-80 views

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