Vol 76, No 6 (1995)

In patients with chronic heart failure due to chronic heart disease (rheumatic heart disease, hypertension, coronary artery disease with postinfarction and atherosclerotic cardiosclerosis), changes in pulmonary hemodynamics contribute to the development of respiratory failure.

The proposed method of the study of capacitive vessels is simple, does not require large material expenditure, and its application is not connected with expensive technical equipment. It allows to perform screening investigations of the noninvasive nature just as in patients so also in healthy persons.

It is shown that the use of radiopaque investigation methods with suspicion on ileus allows not only to determine the ileus level but also for the most part to solve the problems of etiologic and pathogenetic diagnoses in presurgical period and accodingly to perform surgical treatment of the disease before the development of the clinical picture of acute ileus more successfully.

In recent years, much attention has been paid to the development of new drug-free methods of treating many diseases in various fields of medicine. Since the 80s, low-intensity lasers have been increasingly introduced into the clinic of internal medicine.

The computer processing technology of the programmed hemodialysis is proposed for the first time in Russia. It provides the comprehensive optimization of the treatment process of patients with the terminal stage of chronic ranal insufficiency, the increase of its efficacy. The integration in the regional or national system of computer provision of hemodialysis and kidney transplantation are possible as may be required. The programs allow to straighten out the relations with administrative, economic, pharmacy, commercial subdivisions of medical institutions at one time. The technology may be used for the clinic observation of recipients with transplanted organs.

The frequency of pregnancy in minors has increased over the past decade, which can be explained by both biological (acceleration) and unfavorable social factors. Undoubtedly, the influence of early sexual activity, pregnancy, abortion and childbirth on the formation of the adolescent's reproductive system is sharply negative. Gestogenic contraceptives fix the anovulatory orientation of the menstrual cycle, which leads to dysfunctional bleeding. An abortion in puberty threatens infertility. The mental trauma that a socially immature person receives is also great. Often a young pregnant woman does not understand what happened to her. More worried are parents who want to terminate their daughter's pregnancy at all costs. The school also sharply negatively relates to the accomplished fact.

The advisability of the use of metabolic fractional plasmapheresis in combined treatment of the diffusive neurodermite is shown. The mechanism of the therapeutic action of plasmapheresis is probably connected with the removal of the part of disordered metabolism products from dermatic epithelium tissue, the improvement of rheologic properties and viscosity of the blood, capillary blood flow and transcapillary metabolism.

The results of clinico-statistical analysis of the tongue diseases and injuries are presented. It is found that their incidence comprises 1,89±0,18 cases for 10 000 of adult urban population. The duration of the hospital treatment is 12,6±0,4 days. The clinical classifications of nonpeculiar pyo-inflammatory diseases and benign tumors of the tongue are recommended. As many as 73% of the patients with tongue diseases and injuries withstood the operative treatment.

Three variants of nutrient medium for the isolation of B. pertussis are developed, where the commercial medium N 199 (Parker) is the basis. The comparative study of the quality of the developed variants of the nutrient medium and the casein-coal agar medium of Dagestan production and the casein-coal agar medium of Moscow production shows that the new nutrient media do better than the casein-coal agar medium of Dagestan as well as the casein-coal agar medium of Moscow, porticu- larly effective is the 3 variant.

The ideas about the stability and conservatism of the osteoarticular system, its weak reaction to metabolic disorders are becoming a thing of the past. The human skeleton becomes an arena where dystrophic processes occur as a result of, for example, diseases of the blood [13], abdominal organs [3]. All these phenomena have a complex genesis and were previously observed much less frequently. As the diagnosis and treatment of the main diseases of osteodystrophy of this origin improves, they are encountered more and more often, but they are not well covered in the literature, and discrepancies are observed even in the names of the syndromes. So, shifts in the musculoskeletal system (ODS) in congenital lesions of the renal tubules are defined as the Debreu — de Toni — Fanconi [1], de Toni — Fanconi [5], de Toni — Debre — Fanconi [6], Fanconi — syndromes de Toni-Debre [8]. Insufficient attention to the problem of renal osteodystrophies (RO), especially in adults, prompted the authors to write this review.

Within the framework of the jubilee scientific session dedicated to the Institute of Cardiology and the Cardiological Scientific Center of the Russian Academy of Medical Sciences, two symposia were held: "Problems of pathogenesis and treatment of atherosclerosis" and "Possibilities of modern methods of instrumental diagnostics".

The purpose of our study is to study the incidence, extragenital pathology, the degree of physical and sexual development of vocational school students of the sewing profile.

We carried out 2 series of experiments to determine physical performance under conditions of preliminary ligation of the main lymphatic collectors. In the first series, animals (dogs) were divided into three groups. In 3 dogs of the 1st (control) group, the left and right lymphatic ducts were simultaneously isolated (without dressing) with subsequent suturing of the wound. In 5 animals of the 2nd group, the ligation of the left thoracic lymphatic duct in the cervical spine was performed, and in 3 of the 3rd group, simultaneous ligation of both the left and right thoracic lymphatic ducts in the cervical spine was performed.

In 1951, for the first time, cases of simulated hemorrhagic syndrome were described, when patients deliberately caused themselves to bleed, either by taking medications or mechanically. Later in the literature, there were reports of similar cases that arose, as a rule, in young women with personality psychopathization. Clinical manifestations are polysymptomatic and can proceed as profuse bleeding of various localizations, hyperthermia, paresis, paralysis, etc. Such patients are under the supervision of specialists of various profiles, more often by rheumatologists for suspected hemorrhagic vasculitis, periarteritis nodosa, etc. they are characterized by a combination of various symptoms that do not fit into the picture of any of the known diseases and syndromes, a complete discrepancy between the subjective symptomatology and the data of objective and laboratory studies. Patients often give extensive false information about their lives.

One of the complications after cholecystosupostomy requiring repeated operations is the obstruction of the gallbladder duct, leading to a relapse of jaundice. This raises the need for differential diagnosis of cholestasis and clarification of the level of obstruction of the biliary tract. Ultrasound examinations (ultrasound) in this situation becomes the method of choice due to its atraumatic nature and high information content. However, in the available literature, we did not find a description of the dynamics of the ultrasound picture after cholecystectomy.

By outreach work, we mean the activities of workers in the health care management system of the republic (region, region) associated with travel to the districts and due to the need to solve certain managerial problems and tasks. At the same time, several people, as a rule, participate in meetings from the side of regional health care institutions - the chief physician of the Central Regional Hospital, his deputies, and various specialists.

None of the periods of the entire previous history was as bright and diverse in the manifestation of human genius as the 19th century - the “century of science and technology”. SP Botkin wrote: "... what a movement forward was then, what an irrepressible current swept the whole society, and at the same time what a thirst for knowledge awoke in it." Society "wanted to learn, to know." The greatest discoveries of the second half of the 19th century, made with seemingly ingenious simplicity or "by accident", acquire true value today.

On September 22, 1995, at the age of 87, Doctor of Medical Sciences, Professor Zainab Khabibulovna Karimova died.

Teaching epidemiology at the Kazan GIDUV began in 1940, when the epidemiology course was opened at the Department of Infectious Diseases. Lectures on private epidemiology with the clinic of infectious diseases, general epidemiology with coverage of the variability of microbes and experimental epidemiology were delivered by professors A.F. Agafonov, N.N. Spassky, N.K. Lukoyanov, B.A. Volter and associate professor S.G. Silenkov. In 1955, the question of creating an independent department of epidemiology was raised. Its organizer and first head was Professor H. N. Spassky, who headed the department for 14 years.