Vol 76, No 5 (1995)

To the clinical picture of osteoarthrosis

Salikhov I.G., Khabirov R.A.


The basic clinical manifestations of osteoarthrosis not limited by the changes in joints are described. The correlation between various manifestations of the disease is shown. The necessity of their combined study to perform the adequate treatment-and-rehabilitation measures is emphasized.

Kazan medical journal. 1995;76(5):353-356
pages 353-356 views

Use of drugs of pyrimidine series for the treatment of experimental immune heart lesion

Valimukhametova D.A., Nurmukhametova E.B.


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.


Kazan medical journal. 1995;76(5):356-359
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New antibiotic tienam in the treatment of children with severe forms of sepsis

Rokitsky M.R., Karpukhin E.V., Krinkina R.A., Grebnev P.N., Khasanova L.E., Fatykhov Y.I.


The antibiotic tienam is used in combined theatment of 28 children with sepsis: complications of side effects are observed in no case. The pronounced antibacterial action of tienam allows to recommend it for the treatment of neglected forms of sepsis and pyoseptic diseases in children including newborns.

Kazan medical journal. 1995;76(5):360-361
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Sepsis of newborns (according to pathological studies)

Karimova D.Y.


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.

Kazan medical journal. 1995;76(5):362-363
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Tolerance for antibiotics’ piiag’s lysis and virulence in hospital strains of staphylococcus aureus

Musina L.T., Semina N.A., Fix L.I.


The correlative analysis between tolerance for antibiotics phages lysis and manifestation of pathogenicity factors in. 635 strains S. aureus is performed. The reliable reverse connection between poliresistance to antibiotics of staphylococcus aureus and phages lysis is established. The intimate direct correlation between poll- resistance to antibiotics and the evidence of microbe pathogenicity as hemolytic fibrinolytic activity and chromogenesis is revealed.

Kazan medical journal. 1995;76(5):363-366
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Ligation of the bronchus in the base in pneumonectomy

Salikhov I.A., Khasanov R.M., Weissenberg A.Y., Bondarev A.V., Kurbangaleev A.I.


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.

Kazan medical journal. 1995;76(5):366-369
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Test of natural emigration inhibition of leukocytes in combined diagnosis of fungous allergy

Potemkina A.M., Artemieva T.A.


The results of the modified test approbation of natural emigration inhibition of leukocytes in revealing of fungous sensibilization are presented. Its high diagnostic value in the allergy form involved is established. The ease and quickness of the realization, atraumatism of the test allow to recommend it for the diagnosis of fungous sensibilization in allergologic departments and rooms.

Kazan medical journal. 1995;76(5):369-372
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Immediate results oe the programmed treatment of patients with acute leukemia

Svedentsov E.P., Fedorovskaya N.A., Cherepanova V.V., Dokshina I.A., Ryabov N.V.


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.

Kazan medical journal. 1995;76(5):372-374
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Some issues in the diagnosis of pituitary adenomas

Shulman H.M., Danilov V.I., Solomatina A.K.


One of the urgent problems of neurosurgery and endocrinology is the early diagnosis of pituitary tumors, which rank third among the neoplasms of the nervous system [1]. Patients with these tumors account for 13.3% of all patients with neurooncological pathology, about 75% of them are people aged 20 to 50 years [1]. On the territory of Russia, the annual increase in the number of patients with pituitary adenomas reaches 3000, while 80-100 thousand patients need treatment or active observation [3].

Kazan medical journal. 1995;76(5):374-376
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Multiple primary tumors of the gastrointestinal tract

Chekaev G.M.


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.

Kazan medical journal. 1995;76(5):377-377
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Role of irradiation therapy in the treatment of malignant tumors of soft tissue

Datsenko V.S.


As many as 254 patients with sarcomas of soft tissue were under observation for 5 years. The classification of malignant soft tissue tumors depending on their irradiation sevsitivity is developed. The data for the rate of local relapses and romote metastases in histologic variants of tumors and the data for five-years survival without relapses are presented. Based on the irradiation sensitivity of sarcomas of soft tissue the treatment methods are recommended.

Kazan medical journal. 1995;76(5):377-380
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Features of border unexicotic disorders in patients of different age groups after radical oncological operations

Vasiyanova V.V., Mendelevich V.D.


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.

Kazan medical journal. 1995;76(5):380-382
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Functional state of endocrinic system in patients with various forms of ichthyosis

Kuklin V.T., Marvina L.N., Dobrotina I.A., Tarasenko V.D.


The increased content of AKTG, renin in blood serum and progesterone in men is cha- recteristic of all forms of ichthyosis. The decrease of the level of somototropin, prolactin. aldosterone in blood serum and testosterone in men is revealed in all forms of ichthyosis.

Kazan medical journal. 1995;76(5):382-384
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Reasons and prevention of repeat operations in dupuytren’s contracture of fingers

Mikusev I.E.


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.

Kazan medical journal. 1995;76(5):384-387
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Morphofunctional changes in uterus tissue in the laser «welding»

Gabidulina R.I., Kozlov V.I., Fatkullin I.F., Terman O.N.


The morphofunctional changes in. uterus tissue in laser «welding» suture and in reparation process stages in correlation with traditional surgical suture are studied in acute and chronic experiments on dogs and rats. It is established that in laser «welding» suture 4 zones of microcirculation disturbance: tissue and microvessels coagulation, stasis, reactive-destructive and disfunctional changes of microcirculatory channel are formed in uterus tissue. The recovery of the microcirculatory channel in laser suture occurs earlier in correlation with the traditional one. The data of the manometric method show the high mechanic strength of laser «welding» suture.

Kazan medical journal. 1995;76(5):387-391
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Efficacy of the new home-produced hyponitrogenic and antiinflammatory drug, lespephlane in experiment and clinical practice

Glyaev V.G., Liansevich S.F., Mukhachev V.V., Glyaev P.V., Perminova I.B., Yanovenko E.P., Troitsky S.E.


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.

Kazan medical journal. 1995;76(5):391-394
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Morphologic analysis oe pancreatic arteries atherosclerosis and insular apparatus of the pancreas in eldarly diabetic patients

Silutin V.G., Fedorina T.A.


The degree of atherosclerosis of pancreatijjgt arteries and the condition of insular аррагщг tus of the pancreas in 86 elderly persons with various clinical types of diabetes and without it are studied. More severe atherosclerotic damage of chall pancreatic arteries in diabetes is shown. The direct dependence of the degree of atherosclerosis on the long persistence of diabetic anamneses is revealed only in type II diabetes, in type I diabetes the dependence is opposite. It is considered to be due to the onset of type I diabetes in eldarly patients, with principally regional atherosclerosis damage of pancreatic arteries. In the diagnosis of type II diabetes the sharp distinction of islets diameters and fibrosis nature are noteworthy.

Kazan medical journal. 1995;76(5):394-398
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The use of computed tomography in clinical practice

Kamalov I.I., Appakova A.Z.


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.

Kazan medical journal. 1995;76(5):398-402
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Influence of industrial air pollution on the hyporesistant state of children

Pikuza O.I., Dautov F.F., Sadykova L.B., Muslimov I.K.


Today in the literature, such concepts as often ill children have become established. (BWD), opportunistic infections, hyporesistance. It is believed that their occurrence is due to many reasons, in particular perinatal complications, medical and social factors, the transformation of the course of many diseases, however, the influence of environmental pollution is of decisive importance. It is the impact of environmental pressure that is currently in the focus of attention of physicians of various specialties. Increasing industrialization and concentration of industries in large cities lead to significant pollution of atmospheric air, soil and water with harmful substances. The most powerful sources of pollution are chemical agents emitted by industrial enterprises, as well as vehicle exhaust gases containing more than 200 chemical compounds.

Kazan medical journal. 1995;76(5):403-404
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Computer information technology "Case history"

Mukhametzyanov I.S.


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.

Kazan medical journal. 1995;76(5):405-405
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Contract form of remuneration at the Central Regional Hospital

Safin A.M.


Since the beginning of 1993, the pediatric service of the Kamsko-Ust'insky Central Regional Hospital switched to the contractual form of remuneration (KFOT). Not only doctors, but also nurses began to work on KFOT. The main goal of KFOT is to ensure the correspondence between the labor costs of a particular employee and his remuneration, as well as to raise the specialist's interest in the quality of his work, and to improve his professional skills.

Kazan medical journal. 1995;76(5):405-407
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Acute toxic-allergic reactions to medications

Burnasheva R.K., Fassakhov R.S., Rakhmatullina N.M., V. V.V.


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.

Kazan medical journal. 1995;76(5):407-409
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Electrocardiography training systems

Grishina A.V., Domrachev V.N., Latfullin I.A., Terzi V.F., Khabriev R.U.


Currently, medical information technologies based on knowledge bases, automated information support systems for doctors, including means of centralized accumulation of data about a patient and his treatment, and consulting (training) expert systems, are widely developed abroad.

Kazan medical journal. 1995;76(5):409-411
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M. M. Minnebaev. Concise Russian-Tatar explanatory dictionary of medical terms (with equivalents in English, German, French and Latin). - Kazan, - Medicine. - 1994 - 260 p.

Ganiev V.V., Khairullin M.B.


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.

Kazan medical journal. 1995;76(5):411-411
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E. P. Svedennoe, A. A. Kostyaev, A. Rakhmatullaev. Obtaining bone marrow for clinical purposes. - Tashkent, Publishing house. uniting them. Ibn Sina 1993.- 111 p.

Epifanov N.S.


The book under review was written by transfusion specialists who deal with various aspects of bone marrow, hematopoietic cells and their preservation. The subject of attention was the experience of obtaining bone marrow for diagnostic and therapeutic purposes, accumulated by domestic and foreign researchers. Taking into account the growing interest of young doctors and clinicians in the preparation of bone marrow, the authors for the first time combined in one monograph disparate information, published mainly in the last 5-7 years, about the current level of this promising clinical method. The book uses the experience of the Kirovsky, St. Petersburg Research Institute of Hematology and Blood Transfusion, the Hematological Research Center of the Russian Academy of Medical Sciences, as well as the Research Institute of Hematology and Blood Transfusion of the Ministry of Health of the Republic of Uzbekistan.

Kazan medical journal. 1995;76(5):411-412
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Scientific session of the Cardiological Scientific Center of the Russian Academy of Medical Sciences "ischemic heart disease"

Latfullin I.A.


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.

Kazan medical journal. 1995;76(5):413-414
pages 413-414 views

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