Vol 81, No 1 (2000)

Public health: Role and place in the modern health care system

Vakhitov S.M.


Public health has been around for a long time. Suffice it to recall one of the oldest government agencies in the United States - the Public Health Service, which emerged back in 1798 [4]. Public health at different times and in different countries meant different structures - from those responsible for monitoring the sanitary and epidemiological state of society to ministries responsible for organizing medical care and public health.

Kazan medical journal. 2000;81(1):1-3
pages 1-3 views

Theoretical and clinical medicine

The relationship between humoral antibacterial immunity and oxygen-dependent metabolism of neutrophils in young children with various types of bronchitis

Delyan V.Y., Safina N.A., Pikuza O.I., Platonov O.A., Zinkevich O.D., Ado E.I.


In the relapsing nature of obstructive bronchitis as in the case of acute obstructive bronchitis the percent of children with polyimmunization in the given variant of bronchitis reached 63,2% of the number of examined persons. In bronchial asthma the phenomenon of polyimmunization was typical for all examined persons of the given group, in this case in the majority of children the level of antibodies was high to 5—6 antigenes and in some of them even to 7—8 antigenes. The level of spontaneous luminol dependent chemoluminescence at the height of the disease was higher than 1000 imp/min in the children with the phenomenon of polyimmunization. The results show the relationship between oxygen dependent metabolism of polymorphonuclear leukocytes and natural polyimmunization depending on the genesis of the pathological process of the bronchial tree.

Kazan medical journal. 2000;81(1):4-7
pages 4-7 views

Current trends in the treatment of patent ductus arteriosus

Mirolyubov L.M., Kalinicheva Y.B., Grebnev P.N., Zakharov A.A., Sabirova D.R., Arzin D.N.


The experience of work of the cardiosurgical department of the Children medical centre on the diagnosis, treatment and postoperative dispensary examination of patients with open arterial duct is generalized. The Botallo’s duct was closed by surgical method in 92 patients making up 18,4% of the total number of operated patients, catheterization of heart cavities was performed in 88 children. For closing the open arterial duct the various operation techniques were carried out: the dressing of the duct from aorta out of the anterolateral access (1%), out of the posteriorlateral access from aorta (85,8%), as to recanalization out of the anterolateral access from aorta and pulmonary artery intrapericardially (1%), clipping of the duct out of the minithoracotomic access (8,7%), videothoracoscopic clipping (3%). The operated children are under examination of the cardiologist throughout the year with visits every month, three months, 6 months and one year.

Kazan medical journal. 2000;81(1):8-9
pages 8-9 views

The use of xymedon in surgical practice to increase the body's nonspecific resistance to infection

Izmailov S.G., Zinkevich O.D.


Two groups of patients with various forms of acute appendicitis taking a drug of pyrimidine series, xymedone (102 patients) and methyluracil (138 patients) are examined. Nonspecific resistance of the organism to infection is estimated by the results of determining the functional activity of blood neutrophils, concentration of bioactive and immunoreactive fibronectin in blood plasma, activity of the fibrinostabilizing blood factor (factor XIII). Xymedone increases nonspecific resistance of the organism to infection by strengthening the functional activity of neutrophils, their reserve potentials. The use of xymedone in clinical surgery for increasing nonspecific resistance of the organism to infection is advisable.

Kazan medical journal. 2000;81(1):10-12
pages 10-12 views

Experimental and clinical substantiation of the use of xymedon as an antioxidant in the complex treatment of patients with chronic osteomyelitis

Malyshev K.V.


The antioxidant activity of blood plasma is studied in patients with chronic osteomyelitis. The experimental data on the effect of antioxidants of xymedone and methyluracil on the basic free radicals, peroxide oxidation of li poids and chemoluminescence of peritoneal macrophages of rats made it possible to justify the use of drugs in the complex treatment of patients in pre- and postoperative period. As a result of the use of xymedone in the complex treatment the blood indices improved, antioxidant plasma activity increased in 25 patients of the basic group. In patients of the control group taking methyluracil the efficiency of the treatment was less significant

Kazan medical journal. 2000;81(1):13-17
pages 13-17 views

Retinoic acid preparations in the complex treatment of acute promyelocytic leukemia

Cherepanova V.V., Medvedeva N.A., Tarasova L.N., Svedentsov E.P., Kudryavtseva A.V., Hovsepyan V.A., Platonov G.K., Minakov V.N., Kostin A.I.


The results of the treatment of 11 patients with acute promyelocyte leukosis using the retinoic acid drugs (ATRA, 13-cis-retinoic acid) are presented. Total remission was achieved in 6 out of 9 patients within 22—39 days of treatment: in 2 patients — on ATRA monotherapy and in 4 patients — in combination with polychemotherapy. Normalization of hemostasis indices with tendency to hypercoagulation is noted during the first week. Cupping of hemorrhages took place within 14—30 days of treatment. High incidence (67%) of the retinoic acid syndrome is noted. It is connected with the initial hyperleukocytosis and not always timely prescription of polychemotherapy. Less dramatic nature of the disease course, fast cupping of hemorrhages, absence of the bone marrow aplasia phase, decrease of demand in transfusional provision were observed in using ATRA.

Kazan medical journal. 2000;81(1):18-26
pages 18-26 views

Detection of Helicobacter pylori in diseases of the gastrointestinal tract in the oral organs in children

Urazov R.Z., Shamsutdinov N.S.


The role of Helicobacter pylori in the development of the diseases of digestive organs is considered. The possibility of colonizing these microorganisms of the mucous membrane of oral cavity organs in children with gastroduodenal pathology is studied. The immunohistochemical method made it possible to detect Helicobacter pylori not only in dental deposit and saliva but also on the mucous membrane of oral cavity organs, on the tongue surface and gingivital margin.

Kazan medical journal. 2000;81(1):27-28
pages 27-28 views

Prerequisites for the use of dimephosphone for the treatment of erosive and ulcerative diseases of the gastroduodenal zone

Tsybulkina V.N., Novozhilova A.A.


The therapeutic activity of dimephosphone in erosive and ulcerous processes in gastroduodenal zone is revealed by the experiments on 34 rats and observations of 148 patients. The increase of the medicinal effect of therapy with dimephosphone is determined, in particular, by suppression of the HC1 production by means of parietal cells of the stomach owing to inhibition of the calcium dependent discharge of endogenic histamine out of enterochromaffin like cells

Kazan medical journal. 2000;81(1):29-32
pages 29-32 views

About the pathogenesis of diverticular disease

Timerbulatov V.M., Mehdiev D.I., Zagidullin S.Z., Mikheeva E.A., Galyamov A.K., Magafurov R.F., Lukasheva T.M., Kovalskaya S.F.


The results of examination of 130 patients with the irritable colon syndrome are analyzed. The patients were divided into 4 groups depending on the disease duration (up to 3 years — 40 patienrs, from 3 to 6 years — 40 patients, from 6 to 10 years — 30 patients, more than 10 years — 20 patients). Morphological and clinical manifestations characteristic of the diverticulum disease were determined by the process duration.


Kazan medical journal. 2000;81(1):33-35
pages 33-35 views

Localized and primary multiple biolithiasis

Martynov G.V.


The rate of detecting biliary, urinary and salivary biolithes on the sectional material is not rare and is 10,6% of the general number of autopsies: cholilithiasis — 8,7%, urolithiasis — 6,4%, sialolithiasis — 1,03%. The primarily multiple biolithiasis in the given systems is revealed in 3,4% of the cases. Throughout the life of patients biolithes were found only in 12 patients in particular, when the death resulted from the complications of the urolithic or cholelithic diseases. Sialolithiasis, especially the primarily multiple biolithiasis was not diagnosed in none of the cases throughout the life of patients.

Kazan medical journal. 2000;81(1):36-37
pages 36-37 views

Influence of factors of the antenatal period of pregnancy on the formation of psoriasis in children

Zakiev R.Z.


The accompanying diseases during pregnancy (gastroenteric tract diseases, neuroses), complications during pregnancy (toxicoses), stress situations have the essential effect on the formation of psoriasis in children. It should be taken into account in performing medicosocial prevention of this dermatosis in children.

Kazan medical journal. 2000;81(1):38-39
pages 38-39 views

Treatment of damage to the extensors of the fingers

Nettov G.G., Safin R.D.


The nature of operative and treatment methods depending on the terms of trauma and injury levels in 134 patients with injuries of hand finger extensors is established. The treatment method stereotype of injuries of hand finger extensors is developed. The internal splinting is typical and the most adequate treatment method for the 1st injury zone; the buried tendon sutures with temporal (to three weeks) fixation of the joint by the wire to accretion of the sutured ends of the injuried tendons are typical for the 2d zone; the primary and secondary tendon sutures with the palmar plaster bandage to accretion of tendons are typical for the 3d zone, the most favourable zone for recovery; the primary or secondary tendon sutures with the absence of defect butween tendon ends are typical for the 4th zone, and with defect more than 3—5 sm the free bridge-like plasty by autotransplant is typical. In chronic injuries of one — two finger extensors when defect is more than 5 sm the transposition is advisable, that is switching the distal extensor end over to the new motor muscle.

Kazan medical journal. 2000;81(1):40-41
pages 40-41 views

Posterior ureteroscopy in the treatment of men with chronic prostatitis

Lobkarev O.A.


The use of posterior urethroscopy has obvious diagnostic and therapeutic value because it makes it possible to increase the efficiency of the treatment course and significantly to decrease the number of season acute conditions of chronic prostatitis.

Kazan medical journal. 2000;81(1):42-42
pages 42-42 views

The effectiveness of grandaxin in post-castration syndrome

Fattakhova F.A.


The results obtained in the treatment of 14 women (45,6±1,6 years) with postcastration syndrome confirmed the vegetostabilizing properties of grandaxin. It is advisable to include grandaxin (0,1 x twice daily) into the complex therapy of postcastration syndrome.

Kazan medical journal. 2000;81(1):43-44
pages 43-44 views

The level of use of biometric methods in Russian periodicals

Tukshaitov R.K., Nedzvetskaya Z.A.


The level of the use of two biometrical methods most frequently applied in Russian biological and medical periodicals is analyzed. The data are based on material processing of more than 100 issues of magazines of 19 names. The sequence of magazine names according to their biometrical rating is proposed.

Kazan medical journal. 2000;81(1):45-47
pages 45-47 views


Clinical and pathophysiological aspects of disseminated intravascular coagulation

Litvinov R.I.


Disseminated intravascular coagulation (DIC) is a complex process, the course and outcome of which is determined by triggering mechanisms, the reactivity of the body and a number of related conditions. As a result of these interactions, the clinical and laboratory manifestations of DIC vary greatly, making it difficult to diagnose and correct it. With DIC, there are no standard, especially pathognomonic, clinical symptoms, there are no generally accepted laboratory diagnostic criteria, as well as specific therapy. The development of methods for treating DIC and assessing their effectiveness is hampered by the fact that, firstly, the outcome of DIC depends more on its immediate cause than on treatment; secondly, the usually recommended therapeutic effects (heparin therapy, infusion of antithrombin III concentrates, protein C, etc.) have never been the subject of objective randomized follow-up studies, with the exception, perhaps, of the use of antithrombin III drugs [4]. Undoubtedly, advances in the prevention, diagnosis and treatment of DIC directly depend on the depth of understanding of its pathogenetic mechanisms that unfold at the molecular and cellular levels. Modern ideas about the pathogenesis of DIC syndrome are, in one way or another, a development of the idea of ​​continuous intravascular coagulation [5], which under some conditions from latent physiological becomes massive pathological with distinct clinical and laboratory manifestations [1, 2, 7].

Kazan medical journal. 2000;81(1):48-55
pages 48-55 views

Short articles

The experience of healing frequently ill children

Miftakhova M.Z., Miftakhova G.V., Gizatullina M.K.


The role of frequent morbidity in the early formation of chronic pathology in children is known. The risk of chronicity is due to the influence of a complex of factors that give antigenic loads, the prevalence of the contingent of frequently and long-term ill children. During their clinical examination, the maximum shift in allergic changes in reactivity falls on the age period from 4 to 6 years. The formation of foci of chronic infection is observed mainly at the age of 7-10 years.

Kazan medical journal. 2000;81(1):56-57
pages 56-57 views

Combination of Hirschsprung's disease, malrotation, colon diverticulum, and renal aplasia

Karpukhin O.Y., Kolomensky S.N., Arzhanov Y.V., Gilmutdinov A.A., Cherenkov E.V., Abdulyanov A.V.


Hirschsprung's disease is referred to as developmental defects of hereditary etiology. This is a fairly common disease, its frequency is estimated at 1 in 5000 births. Comorbidity, including Down's syndrome, congenital anomalies of the urinary tract and heart occur in 2-11% of all cases of Hirschsprung's disease. Isolated observations of the combination of Hirschsprung's disease with anus atresia and malrotation are mentioned in foreign literature.

Kazan medical journal. 2000;81(1):57-58
pages 57-58 views

A case of generalized tuberculosis

Zalaliev R.A., Makhmutov I.F., Ubasev V.T.


3., 42 years old, worked as a security guard at a vegetable base. Transferred from the 1st infectious diseases hospital to the city tuberculosis hospital of Kazan 03.02.1998 due to disseminated pulmonary tuberculosis VK (-), right-sided encapsulated pleurisy and tuberculous meningitis.

Kazan medical journal. 2000;81(1):58-59
pages 58-59 views

The effect of sharply increased motor activity on the heart of a growing organism

Abzalov R.A., Vasenkov N.V.


The aim of our work was to study the functional parameters of the heart of immature rat pups and the mechanisms of its regulation under conditions of sharply increased motor activity.

Kazan medical journal. 2000;81(1):59-60
pages 59-60 views

Method for marking radiographs

Sergeev L.P.


For marking survey radiographs when conducting research on X-ray diagnostic devices RUM-20, it is proposed to strengthen the shortened standard stencil RTC-2 using an angular plate metal bracket on the upper fixing bar of the screened cassette holder. This is done in such a way that it is located behind the upper left corner of the cassette, without interfering with its free movement during operation. Before the study, a set of numbers corresponding to the patient number, according to the study register, is placed in the stencil slot. During the production of survey images, the image of these numbers is projected onto the radiograph. To mark the sighting radiographs, a similar stencil is placed on the front side of the compression tube in the projection of the upper sections of the tube window.

Kazan medical journal. 2000;81(1):60-60
pages 60-60 views

Социальная гигиена

On certification of jobs in agricultural production

Khamitova R.Y.


Agricultural production belongs to one of the least favourable braches as to sanitary and hygienic, demographic, social and economic indices. In this connection the attestation of working places by labour conditions of the given brach is timely and important stage on the way to providing safe labour conditions meeting the requirements of hygiene and decreasing professional risk. The operative correction of the leading documents is necessary for increasing the effeciency of the attestation of working places.

Kazan medical journal. 2000;81(1):61-63
pages 61-63 views

Healthcare mangement

Potential-demographic assessment of mortality of the child (able-bodied) population

Albitsky V.Y., Nikolskaya L.A., Glushakov A.I.


The demographic situation in the Russian Federation, including the Republic of Tatarstan, is characterized by extremely negative manifestations. As a result of the incessant decline in the birth rate and the continuing rise in mortality, even a simple renewal of the number of generations has not been ensured for several years. Under these conditions, the significance of every child's life saved, every death of a fetus and a child averted for society (government officials, demographers, health workers, etc.) increases many times over.

Kazan medical journal. 2000;81(1):64-65
pages 64-65 views


Sarcoidosis: etiology, pathogenesis, clinical picture, diagnosis and treatment

Wiesel A.A.


The relative rarity of sarcoidosis, most often the chance of detection, but at the same time the possibility of affecting all systems of the human body (only adrenal gland lesions are not described) require a reminder of sarcoidosis to doctors of all specialties. This lecture is based on a review of more than 1000 publications (their citation would exceed the volume of the article, and in the Medline information system in August 1999, 13175 works on sarcoidosis were available). In addition, it outlines the author's modest experience in this area over the past 20 years.

Kazan medical journal. 2000;81(1):66-75
pages 66-75 views

Book review

I.A. Ibatullin. Homeostasis and arterial hypertension. Segmental structure of the lymphatic system and its clinical significance


The appearance of the book by I.A. Ibatullina is an important event in the history of medical science. It can be equally useful for doctors of various specialties, researchers, teachers of the postgraduate education system and medical universities. The book is also interesting for anesthesiologists-resuscitators, since it outlines the pathophysiology of the function of blood circulation, respiration, central and peripheral nervous system, metabolism, neurohumoral homeostasis from the position of clinical morphofunctional analysis carried out by a major specialist in clinical anatomy and surgical surgery.

Kazan medical journal. 2000;81(1):76-76
pages 76-76 views


Professor Marat Mingazovich Gimadeev


February 26, 2000 marked the 70th anniversary of his birth and 46 years of medical, scientific, pedagogical and social activities of the corresponding member of the Academy of Sciences of the Republic of Tatarstan, Doctor of Medical Sciences, Professor of the Department of Hygiene, Occupational Medicine and Medical Ecology of Kazan State Medical University Marat Mingazovich Gimadeev.

Kazan medical journal. 2000;81(1):77-78
pages 77-78 views


II All-Russian School-Seminar on Immunohistochemical Diagnosis of Tumors


According to the plan of scientific conferences of the Ministry of Health of Russia for 1999, on November 17-19, 1999 in Kazan at the Clinical Oncological Center (CTC) of the Ministry of Health of Tatarstan the II All-Russian School-Seminar on Immunohistochemical Diagnostics of Tumors was held. The seminar was organized at the initiative of the Ministry of Health of the Republic of Tatarstan, KOTs M3 of Tatarstan, employees of the Department of Pathological Anatomy of KSMU, together with scientists from the Oncological Scientific Center named after N.N. Blokhin Russian Academy of Medical Sciences (Moscow), MMA them. Sechenov, MONIKI them. Vladimirsky (Moscow) and took place in the Kazan sanatorium "Livadia". The general sponsor of the seminar was the Finbio company. The "Labmethod" company (Moscow) also rendered sponsorship support. The school participants were 27 oncomorphologists from various cities of Russia - Moscow, St. Petersburg, Obninsk, Rostov-on-Don, Omsk, Saratov, Novosibirsk, Irkutsk, Yekaterinburg, Chelyabinsk, Ulyanovsk, Khabarovsk, Barnaul, Krasnodar, as well as pathologists from Kazan ...

Kazan medical journal. 2000;81(1):79-80
pages 79-80 views

This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies