Vol 68, No 1 (1987)

XXVII Congress of the CPSU on enhancing the role of health care in accelerating the socio-economic development of the country

Fedyaev A.P.


At the 27th Congress of the CPSU it was noted that the acceleration of socio-economic development of the country could only be achieved on the basis of scientific and technological progress. The CPSU Program (new version) stated that it was a strategic course of the party aimed at a qualitative transformation of all aspects of life in Soviet society: a radical renewal of its material and technical base based on the achievements of the scientific and technological revolution; improvement of social relations and, above all, economic relations.

Kazan medical journal. 1987;68(1):1-4
pages 1-4 views

Current problems of diagnosis and treatment of rheumatic diseases

Abdrakhmanova R.S.


In recent years, rheumatology has clearly defined itself as an independent field of medicine, which studies a large group of diseases of the musculoskeletal system and connective tissue with the most characteristic inflammatory or degenerative joint involvement. Despite the advances in treatment, rheumatic diseases remain an extremely urgent problem of medical science. Their significant prevalence, frequent development in persons of mature working age, a clear tendency to a chronic course also determine the socio-economic significance of these diseases.

Kazan medical journal. 1987;68(1):5-9
pages 5-9 views

Humoral and cellular immunity parameters in rheumatoid arthritis patients

Salikhov I.G., Miftakhov N.A., Mangusheva M.M.


The leading role in the pathogenesis of rheumatoid arthritis belongs to the immunocomplex lesion with pronounced humoral and cellular reactions [7]. That is why a comprehensive study of the state of the humoral link of immunity and cellular reactions of the body is of particular interest in terms of both assessment of immune status and determination of the activity of the process, variants of the course of rheumatoid arthritis and the choice of adequate therapy. One of the main manifestations of immune disorders in rheumatoid arthritis is the formation of rheumatoid factor, detected in the blood of patients. Most authors consider its titer to be an important criterion for the diagnosis of the disease and the nature of the clinical course.

Kazan medical journal. 1987;68(1):9-11
pages 9-11 views

Respiratory and circulatory disorders in patients with systemic lupus erythematosus

Bombina L.K.


In our opinion, a comprehensive study of hemodynamics and respiratory system in patients with systemic lupus erythematosus is important for early diagnosis of lung and heart damage, which are often little noticeable at the beginning of the disease. For this purpose we studied peculiarities of pulmonary diffusion capacity and its components - membrane (Dm) and blood (Vc); uniformity of alveolar ventilation according to capnography; systolic pressure in pulmonary artery; echocardiography with data processing by computer program with BASIC language translator.

Kazan medical journal. 1987;68(1):11-14
pages 11-14 views

To the diagnosis of periarteritis nodosa

Yunusov R.V., Gabitov S.Z., Fomina L.L.


In recent years, there has been a significant increase in systemic vascular diseases, including periarteritis nodosa and Wegener's granulomatosis [5]. If by 1933 M.D. Zlatnikov [4] had collected 260 papers published on this issue in the world literature, of which 33 - in the domestic literature, by 1960 R.V. Volevich [1] had already analyzed more than 1500 observations of this disease, including over 450 in the USSR. O. Engelbert et al. in 1960. [8] on 41478 autopsies met nodular periarteritis in 0.13% of cases.

Kazan medical journal. 1987;68(1):14-17
pages 14-17 views

The role of diastolic abnormalities in the mechanisms of early stages of heart failure

Goncharova L.N., Danilova I.V.


Widely spread methods of diagnostics of early, including latent, heart failure are based mainly on systolic, pump function indices. Limited spread of diastolic myocardial function studies is probably due to the absence of clear criteria for evaluation of existing diastolic process parameters and their comparison with the generally accepted division of heart failure into stages.

Kazan medical journal. 1987;68(1):17-21
pages 17-21 views

On the effects of pelentan on human erythrocyte membrane proteins and lipids

Leader V.A., Bogdanov N.G.


The relationship between natural naphthoquinones and oxycoumarin derivatives still attracts the attention of researchers and is intensively studied, although much remains unclear so far in the intimate mechanisms of this antagonistic influence. It is known that oxycoumarins affect not only the processes of hemocoagulation, but also the composition and relationship of membrane phospholipids, changing the adhesive (cohesive) properties of cells. In this regard, the possibility of their effective use for the prevention of early metastasis of malignized (atypical) cells has been shown.

Kazan medical journal. 1987;68(1):21-23
pages 21-23 views

Purulent pericarditis in postpartum septicaemia

Shinkareva L.F., Chudnova V.S., Abramchuk A.S., Soboleva Z.Y.


Purulent pericarditis in postpartum infection is extremely rare, and its diagnosis presents certain difficulties. In this regard, our observation deserves special attention.

Kazan medical journal. 1987;68(1):23-25
pages 23-25 views

The impact of induced abortion on a woman's health

Parafeinik G.P., Tselkovich L.S., Kabakova L.D.


The problem of induced abortion in gynecology is very relevant. A woman decides to have an abortion most often based on personal motives. Abortion and its possible complications cause many gynecological diseases, especially inflammatory ones, worsen women's health and adversely affect specific functions. We studied the impact of induced abortion on women's reproductive function and analyzed the social aspects that prompted the termination of pregnancy.

Kazan medical journal. 1987;68(1):25-27
pages 25-27 views

On the volume of surgical intervention in patients with uterine body cancer

Slepov M.I., Galeeva S.L.


The optimal volume of surgical intervention in patients with uterine corpus cancer remains a subject of debate. In the majority of domestic and foreign clinics, simple extirpation of the uterus with appendages is most commonly performed. Extended uterine extirpation according to Wertheim is rarely used because of its difficulty in elderly patients with obesity, hypertension and diabetes.

Kazan medical journal. 1987;68(1):27-29
pages 27-29 views

Changes in the microcirculatory bed of regional lymph nodes during cancer metastasis

Tsyplakov D.E.


Lymph nodes from 70 patients during operations for cancer of the stomach, lung, breast, esophagus and intestine were examined in order to study the blood microcirculatory channel of lymph nodes regional to the tumor and the possible role of the detected changes in cancer metastasis. There were 52 men and 18 women; mean age, 54.9 years.

Kazan medical journal. 1987;68(1):29-31
pages 29-31 views

Effect of hemodialysis on carbohydrate metabolism in patients with chronic renal failure

Kazakova I.A.


Interest in the study of the features of metabolism in chronic renal failure is steadily increasing due to the improvement of methods of treatment of uremia patients. Under conditions of prolonged hemodialysis uremia various metabolic disorders are observed, in particular changes in carbohydrate metabolism. As shown by studies in recent years, the majority of patients with chronic renal failure have reduced glucose tolerance with a frequency of 54 to 100%, which served as the basis for the introduction of the term uremic-azotemic pseudodiabetes.

Kazan medical journal. 1987;68(1):31-33
pages 31-33 views

Clinical and radiological diagnosis of obstruction of the digestive tract in newborns and infants

Akberov R.A., Morozov V.I., Aynullov Z.S.


Obstruction of the digestive tract in newborns and infants is often characterized by vomiting, stool retention (meconium), abdominal bloating, visible increased peristalsis in the first hours of the disease. However, these symptoms are nonspecific and may be observed not only in surgical but also in somatic, therapeutic diseases: sepsis, otitis media, pneumonia, intestinal infections. Associated complications, often a combination of several malformations of the digestive tract, heart and, finally, late admission of the child to the surgical hospital significantly complicate the clinical diagnosis of congenital, acquired, functional and organic disorders of gastrointestinal tract patency.

Kazan medical journal. 1987;68(1):34-38
pages 34-38 views

Clinical questionnaire to detect early signs of alcoholism

Yakhin K.K., Mendelevich V.D.


Finding ways to objectify the diagnostic process is one of the leading problems of modern psychiatry and substance abuse treatment. The main emphasis in diagnosing mental disorders is on identifying symptoms specific to a particular nosological form, and the evaluation of observed psychopathological phenomena is based on the clinical and descriptive method of examination. The latter circumstance can lead to a subjective diagnosis, since the same symptoms may be interpreted differently by researchers.

Kazan medical journal. 1987;68(1):38-42
pages 38-42 views

Clinical and immunological differences of acute respiratory viral infections in young children with frequent and infrequent respiratory infections

Tsaregorodtsev A.D., Kuznetsova N.I., Malysheva L.M., Nizamova T.I.


To date, the causes of recurrent acute respiratory viral infections (ARI) in young children have not been conclusively established. The aim of this work was to study the features of the clinical course of acute respiratory viral infections and the immune status of young children who often and rarely have these infections. There were 132 acute respiratory viral infections patients at the age of 1 to 3 years under observation. There were 87 (65.9%) from 1 to 2 years old, and 45 (34.1%) from 2 to 3 years old. All patients depending on the frequency of ARI, registered in them during the recent year, were divided into 2 age groups: the 1st group (37 patients) included children ill with ARI from 7 to 10 times a year, and the 2nd group (95 patients) - up to 6 times a year.

Kazan medical journal. 1987;68(1):42-44
pages 42-44 views

Fibronectin content in the milk and blood of mothers and in the blood of their newborns

Litvinov R.I., Urazaev R.A., Ermolin G.A.


The infant's resistance to infection is largely determined by the biologically active substances in the woman's milk: immunoglobulins, proteins of the complement system, interferon, lysozyme, lactoperoxidase, lactoferrin, etc. There are single works, which show the presence of fibronectin protein in women's milk. One of the main functions of this protein is its opsonic activity in phagocytosis reactions, which allows to consider it as a nonspecific protection factor capable of taking part in the formation of antimicrobial immunity of newborns.

Kazan medical journal. 1987;68(1):44-46
pages 44-46 views

About epifascial gangrene

Ibatullin I.A., Ruppel G.G., Tarabarin S.A., Kuznetsov Y.V., Rastrenin S.I., Revetsky V.P.


The occurrence of epifascial gangrene in the scrotal region is caused by anatomical and physiological features of this region. The absence of anastomoses of scrotal skin arteries with the underlying anatomical formations, which worsens the local blood supply conditions, draws attention. Triggering mechanisms causing epifascial gangrene (surgical and domestic trauma, skin diseases, etc.) cause vasomotor reaction of blood circulation at the level of arterioles, lymph circulation with evident ischemia and secondary venous thrombosis. This creates conditions for intensive development, accumulation and manifestation of pathogenic properties of microbial flora naturally vegetating on the surface or penetrating into the subcutaneous tissue from the thoracic and abdominal cavity during surgery.

Kazan medical journal. 1987;68(1):46-48
pages 46-48 views

Aetiology and mechanism of spinal compression fractures

Matyushin I.F., Tsybusov S.N.


We identify 5 etiological factors of vertebral compression fractures, which individually are probabilistic and together lead to a fracture: impact force action on the vertebral body, suddenness of force action, position of the spine bending at the moment of force action, orientation of force action along the spinal axis, and exceeding the individual strength limit of the vertebra.

Kazan medical journal. 1987;68(1):48-50
pages 48-50 views

Treatment of vegetovascular dystonia in adults and children

Alyavedinov R.I., Ismagilov M.F.


Vascular disorders in children, referred to by most researchers as vascular dystonias, are a common phenomenon. Their frequency in the population of schoolchildren ranges from 7.1 to 43.7%. Usually they appear at critical stages of ontogenesis, especially during puberty. In the absence of timely therapeutic and preventive measures in a significant number of children vascular dystonias acquire a persistent character or develop into hyper- or hypotensive disease in adults. Therefore, one of the most urgent problems of pediatrics nowadays is prevention, early detection and treatment of vegetovascular disorders, because the efficiency of therapy is the higher, the earlier it is started.

Kazan medical journal. 1987;68(1):50-53
pages 50-53 views

Surgical interventions for congenital dislocation of the hip in children

Akhtyamov I.F.


Congenital dysplasia of the hip joint is one of the most frequent musculoskeletal defects and occurs in 0.15-4.5% of newborns. This problem attracts the attention of orthopedists because of its social significance: 40-50% of adults develop osteoarthritis due to congenital dislocation of the hip. Early functional closed reduction gives good results in most cases, but in 6.1-26% of children under 3 years of age it is impossible to cure hip dislocation conservatively. Unsuccessful and, especially, repeated attempts of closed reduction cause significant damage to the hip joint and adversely affect the outcome. There is no consensus in the literature as to the optimal age for surgical intervention. While most surgeons previously considered surgical reduction in children under 2 years of age to be undesirable, recently, there have been many proponents of early surgical treatment, i.e., in the first year of a child's life.

Kazan medical journal. 1987;68(1):53-57
pages 53-57 views

Determination of central hemodynamic parameters by Doppler echocardiography

Vdovina I.V., Lukushkina E.F., Efimova E.A., Orlov B.N., Romanov E.I.


Doppler echocardiography (ultrasound pulse-Doppler location) is used in medical practice in our country and abroad mainly for diagnostics of various heart defects. Using this method it is possible to non-invasively study blood flow in the heart chambers, the mouth of the main vessels, to detect changes in hemodynamics and accurately diagnose heart defects, including combined ones. The use of Doppler echocardiography in clinical practice has shown that its informative value increases with quantitative assessment of Doppler frequencies, comparing changes in their spectrum over time.

Kazan medical journal. 1987;68(1):57-60
pages 57-60 views

Age-related features of immunological reactivity in healthy children

Potemkina A.M., Druzhinina N.G., Klykova T.V., Bilyalova R.M.


In 90 healthy children aged from 8 months to 15 years (up to 3 years - 25, from 3 to 7 - 22, from 7 to 11 - 23 and from 11 to 15 - 20) a comprehensive study of cellular and humoral immunity parameters was conducted.

Kazan medical journal. 1987;68(1):60-61
pages 60-61 views

Local vascular skin reactions in the area of joints in rheumatoid arthritis in children

Alimova N.Z.


The aim of the investigation was to study the local vascular reactions (temperature, vascular reaction, pain sensitivity of the skin in the joint area) in the dynamics of the course and treatment of children with juvenile rheumatoid arthritis. The obtained results were compared with the data of clinical and laboratory radiological studies, the state of the microcirculatory channel of the eyeball conjunctiva and humoral immunity. The investigations were performed at the same hours (from 10 a.m. to 1 p.m.). Ambient air temperature was from 20 to 26°.

Kazan medical journal. 1987;68(1):61-61
pages 61-61 views

Cryosurgical treatment of patients with chronic rhinitis and chronic pharyngitis

Yurchenko P.I.


Cryotherapy was performed in 117 patients with chronic rhinitis (73 men, 44 women) and in 65 patients with chronic pharyngitis (24 men, 41 women). In the group of patients with chronic rhinitis 42 patients had chronic hypertrophic rhinitis, 75 patients had vasomotor rhinitis, with 32 patients having neurovegetative form and 43 - allergic form.

Kazan medical journal. 1987;68(1):62-62
pages 62-62 views

Biomicroscopy of bulbar conjunctiva in patients with hemorrhagic vasculitis

Sukhov V.M.


Biomicroscopy of the bulbar conjunctiva in patients with hemorrhagic vasculitis was performed. There were 86 patients under observation (44 men, 42 women). There were 53 patients aged 18-44 years, 45-59 - 30 and over 60 - 3.

Kazan medical journal. 1987;68(1):62-63
pages 62-63 views

A case of alkaptonuria

Gilmullin I.F., Latypov A.S.


Insignificant population frequency of alkaptonuria - 3-5 per 1,000,000 (H.P. Bochkov et al., 1984), autosomal recessive character of inheritance, which often does not give family accumulation, late development of clinical symptoms (after 40 years) lead to that practical doctors, rarely meeting with the specified pathology and having no indication of family or congenital character of the disease, find it difficult to make a diagnosis.

Kazan medical journal. 1987;68(1):63-64
pages 63-64 views

Prevention of bruxism and its complications

Demner L.M., Zaligyan A.P.


Bruxism, manifested by nocturnal teeth grinding, teeth clenching, and other non-physiological mandibular movements, is a pathology in which habitual chewing movements are transformed from physiological to uncontrollable traumatic stresses that damage the jaw system. For a long time, bruxism was viewed as a bad habit or parafunction. This perception led to insufficient attention to this pathology and contributed to complications from the organs and tissues of the maxillary system: pathological tooth erasure, periodontal disease, and temporomandibular joints. In most cases, bruxism has a latent course and is not diagnosed.

Kazan medical journal. 1987;68(1):64-64
pages 64-64 views

The technique of osteosynthesis of the humerus

Karalin A.N.


We suggest the following technique for intramedullary osteosynthesis of the shoulder. The patient lies on the healthy side. The injured limb is in the position of maximum extension. In closed osteosynthesis, the medullary canal is opened with a perforator from the puncture of the skin and soft tissues along the anterior edge of the acromial process of the scapula, where the upper pole of the head is projected. In open retrograde osteosynthesis a perforator is inserted into the same section. After osteosynthesis, the protruding end of the structure inserted under the acromial process of the scapula does not prevent restoration of function in the shoulder joint.

Kazan medical journal. 1987;68(1):64-65
pages 64-65 views

Experience in the treatment of post-traumatic deformities of lower limb tubular bones

Barskiy A.V., Semenov N.P.


The authors observed 189 patients (152 men and 37 women) aged 3 to 74 years. Sixty-two patients had false joints, 20 patients had bone defects, 76 patients had non-united fractures, and 31 patients had improperly healed fractures. In 62 patients, the above pathology developed after gunshot and open fractures, and in 127 - after closed fractures.

Kazan medical journal. 1987;68(1):65-65
pages 65-65 views

Effects of induced abortion on a woman's neuroendocrine system

Gatina G.A., Bakuleva L.P., Kuzmina T.I.


The aim of the study was to investigate the effect of first-trimester abortion on the neuroendocrine system of women. Sixty-seven women after a first-trimester abortion were followed up for 3-9 months. Blood pressure and pulse rate were measured in the course of observation; clinical blood and urine analyses and autonomic tests were performed; the Gollweiss Ferriman hirsute number was determined; and morphograms and functional diagnostic tests were examined.

Kazan medical journal. 1987;68(1):65-66
pages 65-66 views

Endoscopic diagnosis of melanoma metastases to abdominal organs

Korzhensky F.P.


Melanoma accounts for 1 to 3% of all malignant neoplasms. This relatively rare tumor is one of the most unfavorable human tumor diseases because of its extremely high metastasis potential. Metastases are mainly hematogenous and often involve organs of the abdominal cavity. As a rule, metastases remain unrecognized during the life of the patient, and sometimes are interpreted incorrectly.

Kazan medical journal. 1987;68(1):66-67
pages 66-67 views

Use of domestic acetate cellulose membranes for electrophoresis of blood serum proteins

Bilalov I.V.


Protein electrophoresis on filter paper, used in clinical and biochemical laboratories, is a time-consuming procedure that takes 16-20 h. Electrophoresis in agar gel is labor-intensive. Polycrylamide gel is an excellent carrier for protein electrophoresis, but the use of this material in clinical laboratories is still very limited due to the difficulty of quantifying and interpreting the data obtained.

Kazan medical journal. 1987;68(1):67-67
pages 67-67 views

Labor conditions and health of workers operating automatic lines in modern machine shops

Berkheeva Z.M., Reznikov E.B.


Technical progress in the machine-building industry is connected with the introduction of more perfect technology and metalworking equipment. Data from the literature of recent years indicate that the new technology creates significant prerequisites for improving working conditions and healthier air environment in machine shops. The aim of the present study was a hygienic assessment of working conditions and health condition of workers of mechanical workshops, serving modern metal-cutting equipment, combined in automatic lines.

Kazan medical journal. 1987;68(1):68-70
pages 68-70 views

Determination of cardiac stroke volume in newborns and children under one year of age during anesthesia and surgery

Zhavoronkov V.F., Shalimov V.N.


To calculate cardiac stroke volume in newborns and children under one year of age during anesthesia and surgery, we used RP-2U rheograph, which had a rheostat built in, allowing to determine the baseline impedance with an accuracy of 1.0 Ohm. The time constant of the rheograph (0.05 s) made it possible to record the differential curve with insignificant influence of respiration. Electrodes were applied according to the integral rheography method. The area of each of the four electrodes was 4.2 cm2. Registration of rheographic curve was performed on three-channel electrocardiograph 3NEK-1 in parallel with phono-electrocardiogram. Cardiac stroke volume was calculated according to Kubitschek formula.

Kazan medical journal. 1987;68(1):70-70
pages 70-70 views

Formation of risk groups for gynecological and oncogynecological diseases

Gilyazutdinova Z.S., Tukhvatullina L.M., Mazitov I.M.


Based on the literature and our own clinical experience, we have grouped together a number of criteria covering medical history, constitutional features, neuro-endocrine status, previous somatic and gynecological diseases, surgical aids, the presence of benign tumors, etc., the combination of which allows us to assign a woman to a particular risk group for gynecological and oncogynecological diseases.

Kazan medical journal. 1987;68(1):70-72
pages 70-72 views

Diagnostic algorithm for hypereosinophilia

Trigulova V.S., Karpov V.A.


As is known, eosinophils belong to granulocytes and perform a variety of functions in the body. They are ascribed mainly a detoxifying role, since normally they are found in large quantities in the skin, intestinal and respiratory tract mucosa, tissues and tissue fluids. In addition, eosinophils take an active part in allergic reactions, can stimulate fibrosis processes (e.g. in tumor tissues), have a cytotoxic effect (in reactions directed against helminths), etc.

Kazan medical journal. 1987;68(1):73-76
pages 73-76 views

Y. I. Lyashenko. // Angina. - L., Medicine, 1985

Sorinson S.N.


Angina is one of the most common diseases. At the same time, the knowledge of a wide range of doctors in diagnostics, clinic and treatment of patients, as practice shows, is often insufficient. Among other things, this is due to the traditionally one-sided notion of angina as a localized process - acute tonsillitis, which is the responsibility of laryngologists. In medical schools, the teaching of angina is a part of the ENT-diseases course. Earlier monographs covered the problem of angina from this point of view.

Kazan medical journal. 1987;68(1):76-77
pages 76-77 views

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