Vol 62, No 6 (1981)

Tasks for further improving the health care of the Tatar ASSR in the light of the decision of the XXVI Congress of the CPSU

Mukhutdinov I.Z.


The decisions of the 26th Congress of the CPSU, the speech at it by the General Secretary of the Central Committee of the CPSU Comrade Leonid I. Brezhnev entered our life as a program of great achievements for the good of the people. These historical documents creatively generalize the practice of communist construction in the USSR, embody the strategy and tactics of the CPSU on the most important issues of the economic, social and spiritual development of our country, taking into account the specific conditions of our time.

Kazan medical journal. 1981;62(6):1-6
pages 1-6 views

Etiology of scoliosis in children

Latypov A.L., Ryzvanov A.A., Satdarov S.G., Latypova N.A.


The morphology of paravertebral muscles biopsied from 5 patients with scoliosis, as well as muscles autopsied from 35 corpses of newborns and children who died from accidental causes and had no signs of scoliosis, was studied. The asymmetry of the structure of paravertebral muscles in newborns and children, caused by congenital dysplasia of muscle tissue, was found. This asymmetry can be considered as an etiological factor in the onset of scoliosis.

Kazan medical journal. 1981;62(6):6-8
pages 6-8 views

The effectiveness of conservative treatment of congenital clubfoot in children

Gafarov K.Z.


The experience of Kazan Research Institute for Traumatology and Orthopedics in conservative treatment of congenital clubfoot in 259 sick children of the first year of life is generalized. The reasons for failure and recurrence of deformity in the application of common methods of treating clubfoot are considered. The article describes the design and application of the apparatus developed by the author for the functional treatment of congenital clubfoot in children. The device was used to treat 54 patients (84 feet). Positive results in the long-term follow-up were achieved in 96.3% of patients.

Kazan medical journal. 1981;62(6):8-11
pages 8-11 views

Intertrochanteric osteotomy with the formation of a canopy according to Girgolav in dysplastic coxarthrosis

Gimmelfarb A.L., Akberdina D.L.


The technique of intertrochanteric osteotomy for dysplastic coxarthrosis in combination with the formation of a canopy from the wing of the ilium according to Girgolav is described. General biological and biomechanical aspects of the operation are discussed.

Kazan medical journal. 1981;62(6):11-12
pages 11-12 views

Treatment of patients with benign tumors and tumor-like diseases of the skeleton

Akberdina D.L., Takhavieva D.G.


The experience of treatment of 203 patients with benign tumors and tumor-like diseases of the skeleton is generalized. The largest group consisted of patients with osteoblastoclastomas (47.8%). The analysis of the results of 221 operations is given. Some so-called benign skeletal tumors (osteoblastoclastomas, chondromas) are capable of recurrence and malignancy even after the use of rather radical methods of treatment, and therefore the observation of such patients should be as long and regular as for patients with malignant tumors. The greatest number of osteoblastoclastoma recurrences was observed during exocleation.

Kazan medical journal. 1981;62(6):13-16
pages 13-16 views

The clinical course of chronic subdural hematomas

Tokmakov G.V., Likhterman L.B., Fraerman A.P., Khitrin L.K., Arzhanov N.I.


The study of the dynamics of the manifestations of chronic (verified 2 weeks or more after the injury) traumatic subdural hematomas in 14S patients revealed a phasic character in the clinical course of the disease. Five clinical phases were identified: compensation, subcompensation, moderate decompensation, gross decompensation, and terminal phase. The approach to the peculiarities of the clinic of chronic subdural hematomas from the point of view of phase currents facilitates the solution of differential diagnostic, operational-tactical and prognostic problems.

Kazan medical journal. 1981;62(6):16-21
pages 16-21 views

Long-term results of treatment of patients with Dupuytren's contracture

Mikusev I.E., Rozovskaya T.P., Maksimova T.A.


The long-term outcomes of surgical treatment of 205 patients with Dupuytren's contracture were analyzed. After partial and total excision of the palmar aponeurosis, performed in 140 patients on 183 hands, excellent results were noted on 114 hands, good - 33, satisfactory - 23, poor - 13. The best effect is the surgical treatment of Dupuytren's contracture, carried out in the early stages.

Kazan medical journal. 1981;62(6):21-22
pages 21-22 views

Disturbances in the regulation of orthostatic posture after closed craniocerebral trauma in boxers

Kravets R.Z., Sirotkin V.M.


In a study of 347 athletes-boxers, it was noted that 123 of them after knockout significantly impaired the function of the vestibular apparatus. Three types of changes in the stabilogram were identified.

Kazan medical journal. 1981;62(6):22-24
pages 22-24 views

Features of coronary heart disease in residents of Turkmenistan

Gulmedov K.K.


Studied the state of microcirculation and the content of cholesterol, lecithin, beta-lipoproteins in the blood serum of 524 people - residents of the desert zone of temperate climate, including 146 healthy and 378 patients with coronary heart disease. Patients have marked microcirculation disorders. At the same time, a relatively low level of cholesterol and beta-lipoproteins in the blood serum was established; the amount of lecithin was within the lower limits of the norm.

Kazan medical journal. 1981;62(6):30-34
pages 30-34 views

Diagnosis of postinfarction heart aneurysms

Barbakova A.A.


The results of clinical and instrumental examination of 300 patients with myocardial infarction are presented. The leading role of complexes of diagnostic signs in the recognition of postinfarction heart aneurysms in the absence of classical symptoms is shown.

Kazan medical journal. 1981;62(6):34-36
pages 34-36 views

Treatment of patients with hyperchronic fibrous-cavernous pulmonary tuberculosis on an outpatient basis

Eisayev B.A.


The experience of two-stage treatment (hospital - outpatient clinic) of 314 bacillary patients with hyperchronic fibrous-cavernous pulmonary tuberculosis with severe concomitant diseases is generalized. At the outpatient stage, 4 organizational forms of chemotherapy were used. In all cases, treatment was performed using an intermittent controlled method. The total duration of chemotherapy at both stages ranged from 5 to 24 months. As a result of treatment, cessation of bacillus excretion was achieved in 73.5% of patients, healing of decay cavities - in 16.3% - Side effects at the outpatient stage of treatment, when drugs are prescribed every other day, were observed almost one and a half times less often than with daily treatment in a hospital.

Kazan medical journal. 1981;62(6):36-38
pages 36-38 views

Clinical forms of vertebral deformity in patients with lumbar osteochondrosis

Veselovsky V.P., Ladygin A.P.


On the basis of clinical and instrumental examination of 168 patients with lumbar osteochondrosis, three forms of vertebral deformities were identified: functional, functional-organic and organic. These forms represent a sequential chain of biomechanical adaptation of patients. Analysis of the influence of vertebral deformities on the clinical manifestations of the disease showed that the most favorable form is organic, and the least favorable — functional-organic. In the organic form, the minimum severity of painful muscle-tonic and neurodystrophic syndromes of the disease, the shortest duration of exacerbation and a longer remission were observed. In the functional-organic form, on the contrary, reflex syndromes were most pronounced.

Kazan medical journal. 1981;62(6):24-27
pages 24-27 views

Clinical and diagnostic value of determining the total protein and polarographic activity of bile in chronic cholecystitis

Pozdnyak N.D., Garifdzhanova A.F.


In 80 patients with cholecystitis, the total protein and polarographic activity of bile were determined. In cholecystitis in the polarograms of the gallbladder and hepatic bile, significant changes were revealed, expressed in an increase in the total height of the polarographic wave, an increase in the first and second stages and a decrease in the polarographic index, most pronounced in calculous cholecystitis. A high degree of correlation was found between the total height of the polarographic wave and the level of proteinocholia.

Kazan medical journal. 1981;62(6):39-40
pages 39-40 views

The role of the neural scar in the pathogenesis of the secondary contracture of the facial muscles

Ivanichev G.A.


The hypothesis was tested that the “artificial synapse” in the area of ​​the neural scar is the role of the pathogenetic factor in the origin of the secondary contracture of the facial muscles. The distal branches of the facial nerve were alternately stimulated. A possible orthodromic response, capable of moving to adjacent fibers in the zone of the neural scar, was recorded in the frontal muscle (upon stimulation of the lower branch) and chin (upon stimulation of the upper branch). The results of studying the direct M-response and trigeminofacies reflex of these muscles are presented. The possibility of transverse transition of impulses was established only in the acute stage of facial neuritis. The involvement of the neural scar in contracturogenesis has not been confirmed.

Kazan medical journal. 1981;62(6):27-30
pages 27-30 views

Diagnostics of the colon diverticulosis

Avdonin S.I., Kharitonov R.K., Fayzullin M.K., Starostin A.P.


The analysis of clinical and radiological manifestations of colon diverticular disease was carried out taking into account new data on the nature and classification of this disease (152 patients). Methodological techniques are proposed to help identify the indicated pathology and carry out differential diagnostics.

Kazan medical journal. 1981;62(6):41-44
pages 41-44 views

Pathogenetic therapy of acne vulgaris

Andreeva V.N.


The pathogenetic substantiation of the effectiveness of the inclusion of zinc preparations in the complex of treatment of acne vulgaris is given. An original methodology for an objective assessment of the severity of skin manifestations of the process at the stages of treatment is presented. Based on the materials of examination and treatment of 34 patients with acne vulgaris, the initial change in the indicators of the activity of cellular alkaline phosphatase was proved, which stabilized during the course of treatment. The inclusion in the complex of therapy of the preparation of zinc sulfate in a dose of 110-220 mg contributed to the rapid disappearance of inflammation, a progressive decrease in the index of severity of skin manifestations and improvement of the immediate results of therapy.

Kazan medical journal. 1981;62(6):44-46
pages 44-46 views

Outcome of labor for mother and fetus in pregnant women with heart disease who received electrosleep

Kuritsyna L.K., Gilyazutdinova Z.S., Minibaeva R.M., Mustafina S.S.


In pregnant women with pathology of the cardiovascular system, who received complex pathogenetic therapy with the inclusion of electric sleep, untimely discharge of amniotic fluid, bleeding in the early postpartum period, less blood loss during childbirth and the duration of childbirth, the condition of the newborns was better, the postpartum period was more favorable.

Kazan medical journal. 1981;62(6):46-48
pages 46-48 views

Idiopathic osteonecrosis of the femoral head in adults

Prokhorov V.P.


Idiopathic osteonecrosis (IO) of the femoral head in adults is a serious disease that leads to permanent disability at the most working age (in the 3-5th decade of life). Its essence lies in subchondral necrosis of the bone matter of the head in the upper, most loaded segment, followed by impaction of the head and the development of the most severe deforming arthrosis. The disease develops spontaneously, for no apparent reason, and should be distinguished from post-traumatic head necrosis after neck fractures and hip dislocations.

Kazan medical journal. 1981;62(6):48-52
pages 48-52 views

Modern radiopaque diagnostics of the consequences of vertebrospinal trauma

Kamalov I.I.


The diagnosis, treatment and outcome of vertebrospinal trauma are determined not only by the primary damage to the vertebrae, surrounding tissues and vessels, but also by the emerging cicatricial and adhesive processes in the membranes of the spinal cord and in the epidural tissues, the development of secondary irreversible degenerative-dystrophic disorders and post-traumatic deformities. This leads to a disorder of the lymph and blood circulation, to ischemia, hypoxia of the spinal cord, and the development of secondary compression syndrome.

Kazan medical journal. 1981;62(6):52-54
pages 52-54 views

Study of the impact of atmospheric pollution on public health

Dautov F.F.


In recent years, the study of the impact of air pollution on the health of the population is of utmost importance. In 1957, temporary guidelines were issued for the study of the influence of atmospheric air pollution on the health and sanitary and hygienic conditions of the population, in 1962 - instructive and methodological guidelines for organizing the study of atmospheric air pollution, in 1976 - temporary instructive and methodological guidelines for assessing the degree of air pollution. However, unified research methods and criteria for the influence of atmospheric air pollution on public health have not yet been developed. Internationally unified methodologies for studying the dependence of public health on the state of the environment are the most important area of ​​scientific research in general and communal hygiene.

Kazan medical journal. 1981;62(6):54-56
pages 54-56 views

Blood picture as an indicator of the impact of low-intensity factors on the body of workers in the production of xylene

Boyko V.I., Makarieva L.M.


Exposure to xylene, at low concentrations (less than 50 mg / m3) under the conditions of its production, from petroleum raw materials was characterized in the first 3 years of work by the development of hematopoietic irritation in working people, as well as an increase in the functional activity of leukocytes. 5 years after the start of work under these conditions, the above indicators approached the data of the control group, and then there was a decrease in the functional usefulness of leukocytes.

Kazan medical journal. 1981;62(6):57-59
pages 57-59 views

Working conditions and morbidity with temporary disability of workers engaged in the production of polymetallic catalysts for the oil refining industry

Valishin B.S.


The working conditions and health status of workers at the 3 largest catalyst factories in the country were studied, where alumino-silicate and aluminum-cobalt-molybdenum catalysts are produced. The main hygienically unfavorable factors in both industries are air pollution of the working areas with catalyst dust, high air temperature and industrial noise in some areas. Among the nosological forms, acute respiratory diseases, tonsillitis, pustular diseases of the skin and subcutaneous tissue occupy the leading places both in the frequency of cases and in days of disability per 100 workers. All indicators of morbidity in most cases were higher among workers at the production of an aluminum-cobalt-molybdenum catalyst. The level of morbidity in the studied industries is influenced by the duration of exposure to adverse factors and the nature of harmful substances.

Kazan medical journal. 1981;62(6):59-61
pages 59-61 views

175th anniversary of the Department of Human Anatomy of Kazan Medical Institute

Korotkov A.G., Valishin E.S.


For about a century and a half, on the territory of Kazan University, among its monumental structures, a building with a colonnade stands out for its stately simplicity, on the pediment of which the Latin dictum "Hic locus est, ubi mors gaudet succurrere vitae" is inscribed in golden letters. The rector of the university, H. I. Lobachevsky, who headed the construction committee, reported to the trustee of the Kazan educational district that in this place. ... ". Since 1837, this purpose-built building houses the Department of Human Anatomy, which was transferred to the Medical Institute in 1930.

Kazan medical journal. 1981;62(6):61-64
pages 61-64 views

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