Vol 41, No 3 (1960)

Development of a health care network in the oil-bearing regions of the TASSR


June 1960 marks the 40th anniversary of the formation of the Tatar Autonomous Soviet Socialist Republic. The working people of the republic are celebrating the anniversary with new achievements in the development of the economy and culture. The pride of the republic is its oil industry, which is developing at an unprecedented speed. Nowadays, in terms of production and proven oil reserves, Tataria ranks first among the country's oil-producing regions. Compared to 1957, oil production increased by one and a half times and gas production by 2.2 times. Over the past two years, 12 new oil fields have been discovered, and five areas of the unique Romashkinskoye field have been put into development.

Kazan medical journal. 1960;41(3):3-6
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Kazan Medical Institute for the 40th anniversary of the Tatar ASSR


Revived by the October Revolution and warmed by the Leninist national policy, the Tatar people in the friendly family of the peoples of the USSR for 40 years of intense and successful struggle to build socialism in the country have achieved considerable success in the field of science, culture and health care. A branch of the USSR Academy of Sciences, research institutes, a university and numerous other higher and secondary educational institutions, in which more than 30 thousand students study, operate in the capital of the republic - Kazan.

Kazan medical journal. 1960;41(3):7-9
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Theoretical and clinical medicine

On the problem of breathing regulation and functional diagnostics of the lungs

Teregulov A.G.


Functional diagnostics of the lungs is usually based on the state of correlation of gas exchange in the alveolar-capillary system of the lungs. It is known that respiration is one of the powerful factors involved in maintaining a certain acid-base balance. In humans, with normal lung and cardiovascular function, blood pH is 7.35-7.45, arterial oxygen saturation is 96-98%, oxygen capacity is 18-24 vol.%, Plasma carbon dioxide voltage is pCO2 35 -45 mm Hg. Art., CO2 content - 45-50 vol.%; hematocrit - 40-54% (Zunderman and Berner).

Kazan medical journal. 1960;41(3):10-17
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Clinical and physiological study of the action of aminophylline in patients with chronic cor pulmonale

Kogan B.B., Zlochevsky P.M., Muravyov M.V.


In a report previously published by B. B. Kogan and P. M. Zlochevsky, positive ECG shifts are described, and in some cases a decrease in the amplitude of the second tone in the pulmonary artery, according to phonocardiography, under the influence of intravenous administration of aminophylline in patients with chronic cor pulmonale in reversible stages of decompensation. Produced in 5 patients synchronously with ECG of right atrial catheterization (M.V. Muravyov) found that under the influence of aminophylline introduced through a probe directly into the heart cavity, along with a decrease in pulmonary P, systolic pressure in the right atrium simultaneously decreases. These studies made it possible to elucidate the undoubted pathogenetic relationship between the pressure level in the small circle and the right cardiac cavities and the ECG, in particular, with the electrical activity of the right atrium, as well as the diagnostic value of the administration of aminophylline in diseases occurring with hypertension of the pulmonary circulation (aminophylline test).

Kazan medical journal. 1960;41(3):17-22
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About chlorome (chlorleukemia)

Yasinovsky M.A., Lepyavko A.G., Sotnichenko L.A.


Chloroma, or, according to the modern classification, chlorleukemia, belongs to the group of acute leukemias - sarcoleukemias. The disease is characterized by the development of local tumor-like growths of a greenish color, emanating most often from the periosteum and having aggressive growth. Unlike malignant neoplasms, chloroma does not metastasize, but differs in its tendency to generalization, which is expressed in the occurrence of heterotropic foci of hematopoiesis in many organs. With infiltrating growth, chloroma grows into surrounding tissues and puts pressure on neighboring organs. The preferred localization of chloroma is the bones of the skull, especially the orbital area, as well as the lymph nodes. However, chloromatous growths, diffuse or nodular, can affect all other organs.

Kazan medical journal. 1960;41(3):25-29
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The use of nitroglycerin to assess the state of the coronary circulation

Kilinsky E.L.


Nitroglycerin was proposed for the treatment of angina pectoris in 1867 by Lauder-Brunton. However, there is still no consensus regarding the mechanism of action of this drug. It is known that nitrites have an effect not only on coronary circulation. They cause a decrease in blood pressure, venous pressure, change the venous blood flow to the heart, minute and stroke volumes, etc. Karpman and M. X. Khody-Zade).

Kazan medical journal. 1960;41(3):23-25
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Surgical treatment of multiple pulmonary echinococcosis

Popov M.P.


For a long time, there was an opinion that infection with echinococcus occurs only through the digestive tract. Clinical observations have led to the conclusion that all cases of multiple lesions by echinococcus cannot be explained only by exogenous invasion. It has been proven that the echinococcal cyst can multiply without changing the owner from the embryonic membrane of the maternal cyst by implanting daughter bubbles and scolexes on the serous membranes of the cavities.

Kazan medical journal. 1960;41(3):32-35
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Acute combined diseases of the abdominal organs

Blagovidov D.F.


The question of concomitant or combined diseases of the abdominal organs is not new. It has long been noted a close relationship between diseases of the stomach and duodenum with chronic appendicitis (I.I. Grekov, B.A. etc.). The pathological relationships between the appendix and the intestine, the pancreas (S.M. Rubashev), the gallbladder and the large intestine (K.A. Mayanskaya, A.G. Teregulov, S.V. Bazanova), etc. are described. medical press combined diseases of the organs of the right half of the abdomen, including the right kidney, biliary tract and right uterine appendages (S.P. Fedorov, A.V. Vishnevsky, S.M. Alekseev, etc.).

Kazan medical journal. 1960;41(3):35-39
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Opisthorchiasis in Laishevsky district of TASSR

Khamidullin R.I.


Examining carp fish caught in the areas of Laishev on the Kama and Kamsky Ustye on the Volga, we found its high infestation with opisthorchis metacercariae. Thus, 96 out of 112 ides were affected (85.7%), out of 52 bream - 38, out of 13 asps - 4. The pathogenicity of metacercariae was proved by feeding dogs with this fish. All 16 dogs that received raw fish (ide, bream, asp) fell ill with opisthorchiasis with the appearance of opisthorchis eggs in their feces and detection of helminths upon opening in the bile ducts of the liver, gall bladder, pancreatic duct.

Kazan medical journal. 1960;41(3):29-32
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Complex treatment of closed fractures of the femur

Murugov V.S.


При лечении переломов бедренной кости мы пользуемся методом, который, одновременно с репозицией отломков, обеспечивает и их надежную фиксацию. Эти два условия сочетаются при применении постоянного вытяжения. Нужное положение конечности для лечения скелетным вытяжением мы осуществляем почти исключительно шиной-аппаратом проф. Л. И. Шулутко, так как она обеспечивает создание любого угла сгибания в коленном и тазобедренном суставах, а также дает возможность изменить длину наклонной плоскости для бедра, в зависимости от роста больного. Кроме того, при применении этой шины не требуется дополнительной стойки с блоками, так как последние смонтированы на самом аппарате. Перемещение блоков обеспечивает тягу при любом осевом положении центрального отломка бедра. Лишь в двух случаях мы пользовались шинами Белера.

Kazan medical journal. 1960;41(3):39-41
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Immediate and long-term results of cesarean section for mother and newborn

Ilyina N.V.


In this work, we set ourselves the task of studying the immediate and long-term results after caesarean section for the mother and the newborn. We have developed material on two clinical bases in Orenburg for 5 years (1950-1954). There were 18845 deliveries in total, 190 (1.01%) had cesarean sections, of which 81 were classical and 109 were in the lower segment.

Kazan medical journal. 1960;41(3):41-45
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The effect of chlorpromazine on labor in late pregnancy toxicosis

Orlovsky V.M.


Aminazine in recent years has become quite widely and with a significant therapeutic effect in the treatment of late toxicosis of pregnancy. In normal childbirth, chlorpromazine does not have a significant effect on labor, as evidenced by numerous data from foreign authors [2, 6, 7, etc.], who used it for pain relief during labor. There are conflicting observations about the effect of chlorpromazine on labor in late pregnancy toxicosis. Most authors [1, 3, 6, etc.] indicate that chlorpromazine does not significantly affect the course of labor, however, opposite opinions have also been published.

Kazan medical journal. 1960;41(3):45-47
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The use of lidase for saccular tumors of the uterine appendages and parametritis

Rembez I.N.


The purulent process in the tubes and ovaries is limited by the formation of dense capsules from their walls and extensive adhesions with the walls of the pelvis and neighboring organs (uterus, intestines, omentum). The formation of capsules impermeable to microbes and extensive adhesions in the acute stage plays a protective role, preventing the spread of infection. This is the manifestation of the barrier function of the connective tissue. Later, after the death of the causative agents of the inflammatory process in the appendages, these impermeable capsules delay the resorption of the accumulated serous or purulent exudate.

Kazan medical journal. 1960;41(3):47-48
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Some evidence on the effects of benzene on menstrual and fertile function

Safina C.


The purpose of our work was to study the state of some health indicators of female workers exposed to benzene. The technological process is associated with the use of benzene as a solvent and is carried out at a slight increase in the ambient temperature. Studies of the Department of Occupational Hygiene of the KGMI and the Kazan City SES established the presence of benzene vapors in the air of the premises of the chemical plant named after VV Kuibyshev up to 0.1-0.36 mg / l and an increase in air temperature to 30-35 °.

Kazan medical journal. 1960;41(3):49-50
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On the question of pylorospasm and pyloric stenosis in children

Yakubova S.N., Timerbulatova V.H.


Pyloric stenosis and pylorospasm in young children are very dangerous diseases for their lives. Late diagnosis can lead to a sharp depletion of the child, the addition of other diseases, sometimes fatal. Opinions about the etiology of these two diseases are still contradictory. Many attribute pyloric stenosis to congenital malformations. This view is adhered to by T. P. Krasnobaev, N. I. Langovoy, S. I. Fedynsky, M. A. Skvortsov, S. D. Ternovsky, who believe that congenital hypertrophy of the muscular layer of the pylorus is a condition for the development of pyloric stenosis and pylorospasm.

Kazan medical journal. 1960;41(3):50-53
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On the pathogenesis and treatment of psoriatic erythroderma

Shamsutdinova R.H.


Exfoliative, or exfoliating, erythroderma is usually called dermatoses of various nature, characterized by the following clinical features: duration of the course, generalized bright redness of the skin, accompanied by abundant peeling, or pityriasis nature, or taking the form of small and large plates of various shapes. These clinical features do not represent something constant, unchanging in their intensity. On the contrary, the clinical symptom complex can vary within wide limits, which gave the French authors a reason to consider erythroderma as a disease that occupies some intermediate place between erythema and erythematosquamous dermatoses.

Kazan medical journal. 1960;41(3):53-55
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Clinical characteristics of poliomyelitis according to the materials of the 1st Infectious Diseases Hospital of Kazan for 1957

Bashirova D.K.


In our country, in comparison with the countries of Europe, North America and other countries, until recently, poliomyelitis was found only in the form of sporadic cases or small focal outbreaks. In the post-war period, the incidence of poliomyelitis increased both abroad and in the USSR. In 1955-56. the first epidemic outbreaks of this infection were noted in most regions of our country, including the Volga region.

Kazan medical journal. 1960;41(3):55-59
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Experience of using adapted dysentery bacteriophage in complex treatment of adult patients with chronic dysentery

Perelstein S.B.


The question of phage therapy for dysentery arose almost simultaneously with the discovery of the bacteriophage. Reviews of the results of bacteriophage treatment were rather contradictory. So, some researchers (I. A. Kassirsky, 1939; N. S. Polyansky, 1946; and others) did not see a convincing effect, others received good results in the treatment of acute dysentery (V. A. Krestovnikova, 1943; A. E. Reznik, 1947; and others).

Kazan medical journal. 1960;41(3):59-62
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Receptor apparatus of the stomach for peptic ulcer disease

Kuznetsov V.A.


Numerous works of Russian physiologists (K.M.Bykov, 1947; K.M.Bykov and V.N. Chernigovsky, 1947; and others) provide objective evidence in favor of the existence of specialized nerve endings in the stomach (chemo-, mechano-, termo-, osmo-, baroreceptors), the function of which under pathological conditions changes sharply, as a result of which interoceptive influences from the stomach on the activity of various organs and systems are disrupted. The issue of the afferent innervation of the human stomach has been little studied. The interest of the morphological study of the afferent innervation of the stomach is associated, first of all, with the question of the functional significance of the detected sensory nerve endings and with the changes that they undergo during pathological processes.

Kazan medical journal. 1960;41(3):63-65
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About changes in the external secretion of the pancreas during irritation of the large intestine

Jackson I.M.


Bowel diseases occupy a large place in the clinic for diseases of the digestive organs. The resulting disturbances in the digestion and absorption of nutrients can be caused not only by direct disorders of the intestinal function, but also by associated, secondary disturbances in the activity of other parts of the digestive tract.

Kazan medical journal. 1960;41(3):65-68
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Short articles

Axillary Artery Embolism Successfully Treated with Pelentan

Tikunova E.I.


Currently, the great importance of anticoagulants in the treatment of thrombosis and embolism has been established. We consider it necessary to report on the case of successful treatment of axillary embolism with pelentan. B-naya P., 71 years old, was admitted on 10/5/58 with complaints of aching pains in the left arm, aggravated by movement, a feeling of numbness in the fingers and a cold snap of the left hand, general weakness, noise in the head, periodic aching pains in the area heart and feeling of interruption, shortness of breath when walking.

Kazan medical journal. 1960;41(3):68-69
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To the clinic of multiple myelomatosis (Rustitsky-Kalera disease)

Vorobieva E.S., Khasanova N.A.


Although multiple myelomatosis was described by O. A. Rustitsky back in 1873, and the clinical picture was supplemented by Kaler in 1887, there is still no single idea of ​​its nature. A. I. Abrikosov, A. F. Korovnikov, A. N. Kryukov, M. I. Arinkin, G. A. Alekseev, I. A. Kassirsky believe that myelomatosis is a systemic disease of hematopoietic tissue, such as leukemia, in which hyperplasia of myelomatous elements is accompanied by the appearance of heterotopic foci in the bones and internal organs. SA Reinberg, AA Opokin and others attribute myelomatosis to malignant neoplasms with a tendency to hematogenous metastases. A. I. Strukov included him in the group of "tumor-like reticulosis".

Kazan medical journal. 1960;41(3):69-71
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To the casuistry of heart wounds

Kuznetsov I.M.


In this post, we would like to share one of our observations. At three o'clock in the morning on 22 / VII-58, a carpenter A., ​​31 years old, picked up on the street, was delivered to the surgical department. He had 4 stab wounds, one of them located in the 5th intercostal space along the anterior axillary line. The wound is linear, 2 cm long, bleeds, penetrating. B-noy unconscious, pale face, rapid breathing, shallow, threadlike pulse, at times on the radial artery is not palpable, blood pressure is not determined. The patient was taken to the operating table with a diagnosis of heart injury. After a transfusion of 450 ml of blood, I regained consciousness, and my pulse could be felt better. The cervical vago-sympathetic blockade on the left was performed. Introduced 20 ml of 0.25% solution of novocaine in 5-6 intercostal spaces on the left of the spine.

Kazan medical journal. 1960;41(3):71-72
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Severe electrical injury

Ogneva E.N.


Patient S., 27 years old, a loader, works in Moscow, was on vacation, was admitted to the surgical department of the Menzelinsky hospital 10 / VII-59. Delivered by ambulance from the village 15 km away. 40 minutes before being drunk, he jumped over the transformer fence, grabbed the wire of the high-voltage electrical network with his right hand and hung on it, touching the support with his body. He was admitted in a pronounced state of shock. Extremely agitated. From mouth. strong alcohol smell. Spilled pallor of the skin.

Kazan medical journal. 1960;41(3):73-74
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On the casuistry of closed duodenal ruptures in abdominal trauma

Fedorov V.V.


Among the extensive group of closed injuries of the abdominal organs, ruptures of the duodenum are quite rare. According to I. A. Krivorotov, this group of patients is 1% among those who have undergone closed injuries of the abdominal organs, since closed injuries of the duodenum are often combined with trauma to other abdominal organs. So, N. P. Alekseeva reports on a case of simultaneous rupture of the stomach, duodenum and pancreas. Most authors point to a high postoperative mortality rate in case of damage to the organs of the gastrointestinal tract (47%, according to B. A. Dmitriev). According to Kenu's combined statistics, out of 138 patients with subcutaneous ruptures of the duodenum, only 9 recovered. At the same time, surgery for a rupture of the retroperitoneal duodenum is associated with certain difficulties and differs in some peculiarities.

Kazan medical journal. 1960;41(3):72-73
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Dynamics of blood prothrombin during operations on the thyroid gland

Morozov V.G.


Scientific advances in the physiology and pathology of the endocrine glands made it possible to establish their participation in many pathological processes and to successfully apply hormones in the treatment of many diseases. In the literature, there are indications of changes in the level of prothrombin in the blood in diseases of the thyroid gland, in particular, thyrotoxicosis. At the same time, most authors point to hypoprothrombinemia (A. V. Palladin, A. A. Polyantsev, E. Ginsburg, etc.). However, the question of the participation of the thyroid gland in prothrombin formation has been little studied.

Kazan medical journal. 1960;41(3):75-76
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Brachial plexus neurinoma

Pushkarev N.I.


In the available literature, we managed to find a description of 307 observations of peripheral neurinomas. Here is the case history of the patient we observed. Patient S., 57 years old, was admitted on 25 / XI-58 for a tumor in the left subclavian and axillary regions, which appeared 5 years ago, which was slowly increasing; the first 4 years did not bother at all.

Kazan medical journal. 1960;41(3):76-76
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Lithopedion after abdominal ectopic pregnancy

Razumovsky Y.K.


The abdominal form of ectopic pregnancy, according to A. D. Alovsky, occurs in 0.4%. The place for its development can be any part of the abdominal cavity, and the bed can be the intestines, omentum, peritoneum, stomach, liver and other organs. However, most often the place of localization of abdominal pregnancy is the Douglas space. At the same time, the fertilized egg is attached on one of the wide ligaments, or between the sacro-uterine ligaments. Sometimes in such cases, the fetus dies, mummifies and, encrusted in layers, turns into a fossilized one, which can be in the abdominal cavity for many years.

Kazan medical journal. 1960;41(3):76-77
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Occupational hygiene

On the study of working conditions and morbidity when working with methanol in the "dark shops" of the chemical plant named after V. V. Kuibyshev

Kamchatnov V.P., Valiullina F.G., Samoylova A.I.


We are not aware of the literature on the hygienic assessment of working conditions in "dark workshops", on the morbidity of workers, as well as on the earliest changes that occur in the eye during chronic intoxication with methyl alcohol. The main hazards of the workshop are: 1) the effect of mainly methyl alcohol vapors, as well as phenol, silver nitrate, urea, ammonium chloride, chlorides, iodides and other chemicals; 2) the action of darkness, in which all production processes are carried out. The state of the air environment was studied in dynamics, depending on the technological process, as well as during the working hours of the shifts.

Kazan medical journal. 1960;41(3):78-82
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Healthcare mangement

Experience of 10-year dispensary observation of patients with diabetes mellitus who used the physiological diet of Genes

Chernova V.I.


Physiological diet in the treatment of patients with diabetes mellitus, developed and clinically tested by prof. Genes and Reznitskaya, has long won universal recognition. In 1948, the service of patients with diabetes mellitus in Saratov was concentrated in the diabetic center. At the first stages of its activity, this point, due to the limited staff, could not deal with dispensary work and only carried out registration of patients with diabetes mellitus entering under supervision.

Kazan medical journal. 1960;41(3):82-84
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Some vital issues in the fight against glaucoma

Romanovsky M.M.


Glaucoma is a common condition. Almost 22% of all blind people have lost their sight from glaucoma. The successful use of clinical examination in a number of chronic diseases led to the idea of ​​the advisability of using this method in the fight against glaucoma. The fight against this complex and serious disease is still insufficient. As a rule, glaucoma is diagnosed late; examination of persons with suspected glaucoma and patients with glaucoma is often limited only to testing visual acuity and palpation of intraocular pressure. Treatment is often limited to the stereotypical prescription of a single miotic drug, usually pilocarpine.

Kazan medical journal. 1960;41(3):84-86
pages 84-86 views


On the clinical application of the beekeeping product - royal jelly

Radbil O.S., Kalinin A.P.


In recent years, practitioners of various specialties abroad have shown increasing interest in royal jelly, a product fed by worker bees to the larvae of the queen bee of the honey bee (Apis mellifera L.). The amazing biological properties of royal jelly are well known: being on this food turns the larva of an ordinary working bee into a queen bee, which is much larger than working bees in size, life expectancy, enormous power of the reproduction apparatus, etc.

Kazan medical journal. 1960;41(3):87-91
pages 87-91 views

New device

New gas analyzer for continuous determination and registration of CO2 percentage in exhaled air (type GUF-1)

Abdrakhmanov M.I., Trofimovsky M.R.


On the instructions of the USSR Ministry of Health, the Kazan Design Bureau team designed and tested a new desktop portable device for continuous determination and registration of the CO2 percentage in exhaled air at the Institute of Surgery of the USSR Academy of Medical Sciences. Photoelectric carbon dioxide gas analyzer - GUF-1 (Fig. 1) allows you to continuously determine the percentage of carbon dioxide in the exhaled air of a person, both during natural and artificial respiration at the time of the patient's operation.

Kazan medical journal. 1960;41(3):91-93
pages 91-93 views


All-Russian Congress of Pediatric Doctors

Makarova G.A., Shakirzyanova R.M.


The congress was timed to coincide with the 100th anniversary of the birth of prof. A. A. Kisel, whose report was devoted to the creative activity of N. P. Savvatimskaya. Speakers at the congress, Minister of Health of the Federation N. A. Vinogradov and Deputy Minister. I. I. Grigorieva, noting the achievements in the medical care of children, outlined a number of tasks that should be performed in the near future (further reduction in infant mortality, elimination of diphtheria, whooping cough, typhoid fever, poliomyelitis, a sharp decrease in the incidence of tuberculosis, rheumatism, pneumonia, gastrointestinal -intestinal diseases).

Kazan medical journal. 1960;41(3):93-95
pages 93-95 views


Chronicle. Volume 41, No. 3 (1960)


On May 5, 1960, the Republican Sanitary and Epidemiological Station of the Ministry of Health of the Tatar ASSR, together with the societies of hygienists and sanitary doctors, epidemiologists, microbiologists and infectious disease specialists, held a scientific and practical conference in Kazan dedicated to the 40th anniversary of the Tatar ASSR. The conference was attended by 140 practitioners, as well as scientists from Kazan institutes. The conference was opened by the Minister of Health of the TASSR R. Yu. Yarmukhametova. 12 reports were heard and discussed.

Kazan medical journal. 1960;41(3):96-96
pages 96-96 views

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