Vol 77, No 4 (1996)

Theoretical and clinical medicine

Hereditary autosomal recessive pathology and its connection with inbreeding in Mari El Republic

Mamedova R.A., Ginter E.K., Moshkina I.S., Galkina V.A., Elchinova G.I.


The complex medical and population genetic stu dy is performed in 5 districts of Mari El Republic (Gornomarisky, Orshansky, Morkinsky, Sovetsky). The units of autosomal recessive pathology are found in 115 families with 137 patients. The high level of dependence of the load of autosomal recessive pathology on inbreeding is shown.

Kazan medical journal. 1996;77(4):241-243
pages 241-243 views

Inbreeding in Mari El Republic

Elchinova G.I., Startseva E.A., Moshkina I.S.


The determination of inbreeding, a simple method of its calculation, meanings of random inbreeding in five districts of Mari El Republic (Gornomarisky, Sernursky, Zvenigovsky, Orshansky, Morkinsky) for rural and urban population are presented.

Kazan medical journal. 1996;77(4):243-245
pages 243-245 views

Hereditary nervous disorders in Mari El

Rudenskaya G.E., Klyushnikov S.A., Moshkina I.S.


The population genetic study of hereditary nervous disorders is performed in Mari El (6 regions, total population 224100, including 144100 ethnic Maries and 66100 ethnic Russians). Overall hereditary nervous disorders prevalence is 25,44 per 100000, including 21,86 in Maries and 32,52 in Russians, the load of X-linked and autosomal recessive disorders being heavier than that of autosomal dominant disorders. The hereditary nervous disorders spectrum includes 24 nosologies neuromuscular disorders predominantly. Clinical and genetic characteristics of some cases are presented.

Kazan medical journal. 1996;77(4):245-249
pages 245-249 views

Blockade of the anterosuperior ramus of His bundle left crus on evidence of integral topography

Andreicheva E.A., Andreichev N.A.


The amplitude indices of QRS complex are studied by R.Z. Amirov’s integral topography with the record of 104 Vilson’s monopolar leads from the chest surface in 42 persons in norm depending on the heart electric axis position as a control group and in 47 patients with the blockade of the anterosuperior ramus of His0 bundle left crus. The results obtained allow to derive a comprehensive idea of the electric field character in the blockade involved and to explain the variability of electrocardiographic picture in chest leads of classic ECG. The additional criterion of the blockade of the anterosuperior ramus diagnisis with high sensitivity and specificity is proposed.

Kazan medical journal. 1996;77(4):250-253
pages 250-253 views

Experience of applying the χ2 criterion to assess qualitative features in patients with acute pneumonia

Khamitov R.F.


The results of the study of qualitative signs relationship with peculiarities of the course and outcome of acute pneumonias are presented. One of the adequate methods of the estimation of qualitative signs relationship using χ2 is used.

Kazan medical journal. 1996;77(4):253-255
pages 253-255 views

New method of the treatment of systemic scleroderma — electrophoresis of diuciphone in dimethylsulfoxide

Nikonova L.V.


The new method of the treatment of systemic scleroderma on the basis of combined action of diuciphone dissolved in dimethylsulfoxide and constant electric current regulates the peripheric blood flow changed state and microhemocirculation in patients: improves blood filling rate of artery large branches, creates optimal conditions for collateral blood flow stimulation, improves venous outflow.

Kazan medical journal. 1996;77(4):255-259
pages 255-259 views

Use of xymedone in combined therapy of widespread forms of pulmonary tuberculosis

Slabnov Y.D., Firsov О.V., Viesel A.A., Tsybulkin A.P.


The use of xymedone in combined specific chemotherapy in disseminated forms of pulmonary tuberculosis results in more pronounced therapeutic effect than the use of pure base therapy. The immunomodulating effect can be one of the mechanisms of the drug action providing positive clinicoroentgenologic dynamics.

Kazan medical journal. 1996;77(4):259-263
pages 259-263 views

Clinicopsychologic correlations in teenagers being born with various rate of prematurity

Maltsev S.V., Volgina S.Y., Mendelevich V.D., Gaisina T.A.


The clinicopsychologic correlations in 69 children aged 14 to 15 years being born with various rate of prematurity are revealed. Kettell’s test is used for estimation of personal peculiarities. The general mental and behaviour disorders prevail in prematurely being born children. The essential personal characteristics of teenagers being born premature are social shyness, straightforwardness, low level of uneasiness. The data obtained show the presence of phychosocial desadaption in observed children.

Kazan medical journal. 1996;77(4):264-266
pages 264-266 views

Some indices of blood plasma lipoids and erythrocytic membranes in patients with stomatopharynx diphtheria

Kuznetsov V.I., Mironova N.I.


The content of general lipids, general phospholipids and their spectrum: lysophosphatidylcholine, phosphatidylcholine, sphingomyeline, phosphatidylethanolamine, phosphatidylserine, phosphatidylinositol, polyphosphatidic acids is determined in blood plasma and erythrocytic membranes in adult patients with various forms of stomatopharynx diphtheria. The dataindicating the changes of lipids components of blood plasma and erythrocytic membranes depending on the disease course gravity and conformation of erythrocytic membranes structure are obtained.

Kazan medical journal. 1996;77(4):266-269
pages 266-269 views

Hypothesis of scalenus-vasoneural mechanism of the development of Personege - Turner Syndrome

Popelyansky Y.Y.


The hypothetic approaches to the explanation of pathogenetic variants of not rarely observed syndrome of painful hypotrophy of the arm muscles region are considered in the context of topographic and anatomic interrelations of brachial plexus structures, vessels and scalene muscles.

Kazan medical journal. 1996;77(4):269-273
pages 269-273 views

On the problem of possibilities of x-ray computer tomography in the diagnosis of endophitic tumors of the stomach

Gorshkov A.N., Akberov R.F.


The possibilities of X-ray computer tomography in the diagnosis of endophitic tumors of the stomach including tumors of small sizes are considered using the examinations of 100 patients with stomach diseases. The computer—tomographic semiotics of small endophitic tumors of the stomach is presented, the place of computer tomography in the diagnisis о tumors of the stomach as well as its potential possibi lities in revealing small tumors of the stomach witl principally endophitic spreading.

Kazan medical journal. 1996;77(4):273-275
pages 273-275 views

Correction of metabolic and hemodynamic disorders by pulsed magnetic field in children with chronic hepatitis

Sadovnikova I.V., Shabunina E.I., Volkov A.I., Pereslegina I.A., Smotrina E.V.


The new method — magnetotherapy is used for greater efficacy of pathogenetic treatment of chronic hepatitis in children. Dynamic observation of patients shows the improvement of metabolic and hemodynamic changes after impulse magnetotherapy in earlier terms than after basic therapy. The data obtained indicate the stimulating effect of impulse magnet field on recreative processes in the liver.

Kazan medical journal. 1996;77(4):275-278
pages 275-278 views

Difficult intubation in anesthesiology

Shaimardanov R.S., Nazipov A.A., Korobkov V.N., Shutov A.V., Biryaltsev V.N.


The cases of difficult trachea intubation in the performance of general anesthesia are analyzed. Two aspects affecting the successful performance of intubation: the determination of the cause and degree of difficulty of the procedure involved and the choice of optimum method for it are provided.

Kazan medical journal. 1996;77(4):279-282
pages 279-282 views

Hemostasis method in adenomectomy

Dubrovin V.N.


Hemostasis method of the prostate adenoma bed in adenomectomy — intraoperative urethrocystoscopy after adenoma enucleation in permanent adenoma bed lavage with subsequent electrocoagulation of bleeding vessels by button electrode (resectoscope) is proposed.

Kazan medical journal. 1996;77(4):282-283
pages 282-283 views

Intensive radiology diagnosis in urgent urology

Snopchenko S.O., Dubrovin V.N.


As many as 65 patients with hematuria are examined by sonography at their receiving to the hospital in urgent conditions. The examinations are repeated in 2—4 days as well as conventional X-ray methods of examination. The sonography efficacy in the diagnosis of hematuria causes is shown in comparison with conventional X-ray methods.

Kazan medical journal. 1996;77(4):286-289
pages 286-289 views

Oxygen metabolism of polymorphonuclear leukocytes of peripheric blood as a criterion of gestosis treatment efficacy

Bashkirova D.S., Safina N.A., Zinkevich O.D.


The effect of gestosis pathogenetic therapy on oxygen metabolism of polymorphonuclear leukocytes of peripheric blood is studied. Enterosorbents, cell membranes stabilizer and eubiotics are used as therapeutic agents. The partial normalization of oxygen metabolism of leukocytes: the decrease of spontaneous chemoluminescence by 50—70% in the presence of treatment and induced chemoluminescence by 20—25% in comparison with initial level before treatment are shown. The direct correlation of this characteristic with clinical picture shows the possibility of its use as an objective laboratory criterion of the therapy efficacy.

Kazan medical journal. 1996;77(4):286-289
pages 286-289 views

Sinuses structure of lymphatic nodes in norm and in metastatic spreading process of cancer

Tsyplakov D.E., Shamsutdinov N.S.


The sinuses of regional lymphatic nodes obtained during operations of 50 oncologic patients are died using ultrastructural and morphometric method. The investigations are performed in 3 groups unow observation: 1) control (lymphatic nodes of practically healthy persons being lost from casual circumstances), 2) lymphatic nodes without metastases, 3) lymphatic nodes with metastases of various volume. It is established that the pronounced macrophagal and T-cellular reactions retard metastatic spreading in early stages of tumoral growth (I, II stade of cancer more rarely). The intensity of these reactions decreases noticeably providing holding in sinuses of malignant cells and generalization of tumoral process.

Kazan medical journal. 1996;77(4):290-294
pages 290-294 views


Epidemiology of bladder cancer

Dubrovin V.N.


Unsatisfactory treatment results of malignant neoplasms in general and bladder cancer in particular require a closer study of their epidemiology. The incidence of bladder cancer varies from 1.3 to 6% among all malignant neoplasms of various localizations. According to autopsy findings, they comprise 35-50% of all tumors of urogenital organs and occur mostly in persons older than 40-45 years old. Men are affected 3-4 times more often than women.

Kazan medical journal. 1996;77(4):294-298
pages 294-298 views

Clinical aspects of chemiluminescence analysis

Pikuza O.I., Ado E.I., Delyan V.Y.


Cardinal improvement in the quality of medical care requires further improvement of methods of diagnosis, treatment and prevention of various diseases. In this context, the study of molecular mechanisms of the earliest, nonspecific pathological reactions that precede and underlie the development of many diseases is of particular importance.

Kazan medical journal. 1996;77(4):298-300
pages 298-300 views

Short articles

HLA antigens in patients with myocardial infarction

Kuzmina A.A., Latfullin I.A., Kurmyshkin A.A.


To check HLA-association of myocardial infarction (MI) among citizens of Kazan, we profiled 32 patients (men) diagnosed with MI aged 33 to 58 years, 32 healthy blood transfusion station donors and medical personnel (also men) aged 32 to 56 years, who did not suffer from cardiovascular diseases at the time of examination.

Kazan medical journal. 1996;77(4):301-302
pages 301-302 views

Results of an experiment in preferential observation of young children in the outpatient clinic

Purtov I.I., Albitsky V.Y., Fedorovich L.A.


The existing system of medical care for children does not allow increasing the volume and improving the quality of the district doctor's work in raising a healthy child, despite the availability in each territorial children's clinic of specially created and equipped rooms (rooms) for healthy children and dedicated nursing staff for this purpose. An analysis of the work of the district pediatrician, carried out by employees of the Gorky Research Institute of Pediatrics of the RF Ministry of Health, showed that the doctor has to spend the bulk of his working time treating sick children. Healthy children are treated by a doctor for only 27.4% of his working time. During periods of increased morbidity, the amount of work with healthy children is reduced to a minimum.

Kazan medical journal. 1996;77(4):302-303
pages 302-303 views

Treatment of chronic gastroduodenal ulcers associated with Helicobacter Pylori-infection

Soshin A.N.


Treatment of chronic gastroduodenal ulcers remains one of the most difficult and unsolved problems. The main difficulty that they try to overcome is their recurrent course. Nowadays the main directions of medical therapy of peptic ulcer disease are the decrease of intragastric acidity and sanation of gastroduodenal mucosa from Helicobacter Pylori. Treatment aimed at the destruction of Helicobacter Pylori allows to reduce the relapse rate to almost zero, provided it is successfully suppressed.

Kazan medical journal. 1996;77(4):303-303
pages 303-303 views

A case of functional intestinal obstruction in a child with a spinal cord injury

Morozov V.I., Filippova N.G.


Patient B., 12 years old, was delivered to the emergency room of Kazan Children's Hospital with complaints of episodes of abdominal pain, repeated vomiting, abdominal bloating. She was acutely ill. On examination: temperature - 36.5 degrees Celsius, general condition, clear consciousness, dry skin, white coating of the tongue, pulse rate - 120 beats per minute. The abdomen is symmetrical, limited in the act of breathing, tense and painful on palpation, swollen in the lower parts. Schetkin-Blumberg's symptom was negative.

Kazan medical journal. 1996;77(4):303-304
pages 303-304 views

Experience of endosurgical treatment of tubal infertility in women

Koroleva S.D., Plotnikova A.A.


We analyzed the effectiveness of surgical laparoscopy in 107 patients with tubal-peritoneal form of infertility. The women were aged 20 to 25 years - 23 (21.5%), 26 to 35 - 68 (63.6%), 35 and over - 16 (14.9%). The duration of the sterility period varied from 1 to 5 years in 40 patients, from 6 to 9 years in 48 patients, from 10 to 14 years in 15 patients, and from 15 years or more in 4 patients.

Kazan medical journal. 1996;77(4):304-304
pages 304-304 views

Plasma replacement therapy in patients with acute pancreonecrosis

Zhavoronkov V.F., Mikheev S.A.


Treatment of patients with acute pancreonecrosis is very difficult, which is associated, in addition, with a change in the physical and chemical properties of the plasma. The latter becomes viscous, white in color, sometimes with a grayish or dirty tint. Such plasma blocks microvascular bed with the development of respiratory distress syndrome, hepatic and renal failure. Common method of forced plasmapheresis with exfusion of 1.2-1.5 liters of plasma is not always effective.

Kazan medical journal. 1996;77(4):304-305
pages 304-305 views

Mimic tic in a patient with temporomandibular articulation

Zizevskiy S.A., Nasibullin G.G.


Mimic tic refers to diseases whose pathogenesis may be due to a reflex mechanism. Its clinic is characterized by involuntary muscle twitches on one half of the face. As a rule, convulsions begin spontaneously, are easily provoked during eating, talking, mental and physical tension, appear only during the waking period and are completely painless. It affects people of different ages.

Kazan medical journal. 1996;77(4):305-305
pages 305-305 views

Hand oleoma

Nettov G.G.


Oleoma (synonyms: lipogranuloma, oleoscleroma, lipoid granuloma, etc.) is a focus of chronic inflammation characterized by the presence of small cysts lined by large cells containing fat and giant multinucleated cells in the infiltrate. Oleoma usually occurs at the site of injection of oily solutions of drugs. The usual places of localization of injected granulomas (oleomas) are, as a rule, the gluteal area, the outer surface of the shoulder, and the scapular area. Our clinical observations show that the cause of oleoma formation is the injection of liquid vaseline, and in an unusual place - in the tissues of the hand (2 cases - three hands).

Kazan medical journal. 1996;77(4):305-306
pages 305-306 views

Social hygiene and healthcare management

Results of population sanitation in voluntary medical insurance system

Rozengarten M.Y., Afanasyev A.P.


Early results of population sanitation in volunttary medical insurance system are presented. Its high efficacy in the context of revealing diseases in insured persons and appropriate treatment is shown.

Kazan medical journal. 1996;77(4):306-308
pages 306-308 views

Medico-social aspects of abortion

Lipatov A.N., Gabidullina S.N.


The dependence of the frequency of induced abortion on various factors and their complexes has been studied. The influence of individual socio-hygienic, biological, economic and production factors on the frequency of abortions has been shown; however, the question of the role of each factor complex in this connection has not yet been elucidated.

Kazan medical journal. 1996;77(4):308-310
pages 308-310 views

Zone hospitals as one of the ways of rural public health reforming in Tatarstan Republic conception

Zyyatdinov K.S., Sadykova R.A., Rybkin L.I.


The profound study of sickness rate and medical advice taking of population of Tatarstan Repute regions in treatment-and-prophylactic institutions allows to reveal the decrease of medical advice taking rate of east and south regions population (the regions over the Kama). The analysis of this phenomenon allows to formulate the conception of new medical devision into regions (zones) for medical service to rural population directed to availability increase and approaching of specialized medical service to rural population of the regions over the Kama.

Kazan medical journal. 1996;77(4):310-314
pages 310-314 views

History of medicine

The Radiodiagnosis and Radiotherapy Department of the Kazan State Medical University - 60 years

Kamalov I.I., Musin M.F.


The formation of roentgenology in Kazan is connected with the name of professor V.A. Luria, a therapeutic gastroenterologist. In 1922 he began to teach a course on roentgenology in the Institute for Advanced Training of Physicians, which he created. One of Luria's first students and organizer of the X-ray department of his clinic, which was later transformed into an independent department, was M.I. Goldstein (1896-1974).

Kazan medical journal. 1996;77(4):314-317
pages 314-317 views


V All-Russian Congress of Cardiologists

Arleevsky I.P., Latfullin I.A.


The Congress was opened by the President of the All-Russian Scientific Society of Cardiology (ARSC) Prof. V.A. Lyusov (Moscow). He noted that for 4 years the society has completed re-registration according to the new charter and legal status and has 54 regional organizations in its membership. In 1993 at the XV Congress of the European Society of Cardiology the All-Russian Society of Cardiology was accepted as a permanent member with a casting vote. This membership will accelerate the international integration of cardiologists, without which the progress in the field of fundamental and applied research, training and expansion of international relations is unthinkable.

Kazan medical journal. 1996;77(4):317-318
pages 317-318 views

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