Vol 76, No 5 (1995)

By means of immunization by the mouse heart homogenate and streptococcic allergen on guinea-pigs the model of the pathologic process is reproduced where the changes of hematologic and immunologic blood indices, the clinical picture of the heart lesion are similar to the changes observed in patients with rheumatism. The use of drugs of pyrimidine series such as methyluracil and xymedone benefits the positive dynamics of blood indices and the decrease of the manifestation of pathologic changes in the heart. Xymedont is superior to methyluracil in efficacy allowind to of patients with rheumatism.

We analyzed the statistical materials of the city health department for 1980-1990, as well as sectional materials of the pediatric prosectura - autopsy reports of 183 children who died of sepsis.

The circular ligation of the bronchus stump in the base without lumen suture retaining the nourishing graft along the back semicircle is proposed. The bronchus stump formed by the method proposed endures the endobronchial pressure more than 1 atm. In aseptic conditions the adhesion follows the pattern seen in first intention retaining the blood supply of the terminal part for all terms after the operation. The rate decrease of postoperative complications in the stump is determined by the exception of sputum congestion and infection penetration along the suture channel, the provision of the optimal contact of the mucosal edges and its primary adhesion in short terms and prolonged reliable hermeticity, coservation.

The pronounced progress in the achievement of full remission (in acute myeloid leukemia— 58,8%, in acute lymphoblastic leukemia— 66%) is revealed in studies of the results of randomizational use of intensive programs of polychemotherapy of 23 patients with acute leukemia. The intensification of the programmed treatment is connected with a high risk of complications. For their decrease the adequate maintaining therapy and the treatment in aseptic wards become necessary.

The existence of multiple primary malignant tumors (PMT) is currently beyond doubt. The most common descriptions of a combination of stomach cancer with malignant tumors of the breast, uterus, bladder and skin. The rarity of the combination of gastric cancer with cancer of the cecum and rectum and the difficulty of diagnosis prompted us to share our observation.

The relevance of the research of border mental disorders (PPR) after radical oncological operations is determined by their rather large prevalence. The frequency of border mental disorders, according to different authors, varies from 26 to 92% [2, 4, 5], which depends on the personality constitutional features, the phase of the disease, the effectiveness of its therapy. It is believed that the "gravity" of the oncological diagnosis is the strongest psychotrauming factor along with such as the radicality of the operational intervention about the malignant neoplasms, the need for pre-postoperative coursework radiation and (or) chemotherapy.

Based on the results of the operative treatment of patients with Dupuytren’s contracture of fingers (more than 1000 operations) in general surgical and traumatologic departments of hospitals, as well as in the specialized department, it is established that the most often reason for the repeat operations is deficient skill of surgeons performing the first intervention. It is appropriate to reveal Dupuytren’s contracture at the beginning when the operative intervention is more easily fulfilled. The operative intervention is more efficient in the specialized department.

The results of a clinicoexperimental examination of the new drug, lespephlane are presented. The odvisability of the drug in acute hepatic and renal insufficiency in connection with a wide use of its pharmacologic effect is shown.

The increasing role of radiation diagnostics in clinical practice is due to the constant improvement of equipment, improvement of the quality of the images obtained, and more rational use of traditional methods of examining patients. Radically new types of image acquisition and processing include X-ray computed tomography (CT), in which an X-ray tube connected to a data collection system rotates in an axial plane around the patient's body. The narrow X-ray beam emitted by the tube with a width of 1 to 10 mm, passing at different angles through the studied layer at each point, weakens to a different degree, which is captured by the detectors, numerically displayed in the data acquisition system and then processed by a fast processor using the method of back projections [11]. All transverse images obtained in numerical form are fed to the "main" matrix of the computer.

In order to further improve dialysis treatment, we have created a computer information technology "History of the disease", which has no analogues in Russia. The need for such a system was caused by the imperfection of computer support for dialysis treatment, which does not take into account all information about the patient, performed operations, drug therapy outside dialysis, other treatment methods, diaries, consultations, etc. adjusting treatment.

In the last decade, all new drugs have been introduced annually in practical health care. Despite careful pharmacological studies, many medicines can cause side effects, including allergic ones.

The dictionary was prepared for publication with the assistance of the departments of foreign languages ​​and the Latin language of Kazan State Medical University and was published on the recommendation of its Central Coordination Methodological Council (reviewers - professors I.A. R. Shamsutdivoy, compiled by professor at the Medical University MM Minnebaev. It contains 1,500 active medical terms, and is designed for a wide range of readers interested in medicine and medical terminology, but primarily it can be used as a practical guide by students of medical schools, colleges, medical students, doctors and medical teachers.

The scientific session of the Cardiological Scientific Center of the Russian Academy of Medical Sciences was devoted to ischemic heart disease. Acad. LAMN, prof. VN Smirnov in the message Atherosclerosis and Ischemic Heart Disease: Interrelation of Development Mechanisms "noted that now no one doubts the role of cholesterol in the development of ischemic heart disease. According to Swedish scientists, lowering cholesterol levels by 30% reduces mortality from myocardial infarction (MI) by the same amount. As the speaker noted, today human health must be considered from the point of view of the state of his vessels. He presented, as it were, a revived theory of the inflammatory origin of atherosclerosis, the essence of which is damage to the vascular endothelium by a nonspecific inflammatory agent. If in a newborn the endothelium has a fine-mesh structure, then by 3-5 years large endothelial cells, the so-called clusters, appear in this finely branched network. By the age of 20, the surface of the vessels, on which mainly atherosclerotic changes are detected, for example, the large aorta, becomes heterogeneous.