Vol 60, No 5 (1979)

By the decree of the Central Committee of the CPSU and the Council of Ministers of the USSR of September 22, 1977 "0 measures to further improve public health" outlined a broad program of measures to improve the health of the population of our country.

The results of a clinical examination of more than 300 patients with impaired venous circulation in the kidney are summarized.

The experience of surgical treatment by the method of V.M.Derzhavin of 27 children who suffered from urinary incontinence due to severe epispadias was generalized. Long-term outcomes were studied in terms of 1 to 5 years. Good and satisfactory results were obtained in 90% of those operated.

For the early diagnosis of malignant kidney tumors, a comprehensive examination using clinical, laboratory, radiological X-ray methods is necessary. Treatment of kidney cancer is predominantly surgical; recently, there have been attempts at combination therapy.

It was found that relapses of nephroureterolithiasis often occur after combined operations and pyelolithotomy. Predisposing factors are chronic pyelonephritis and impaired urodynamics. With the lengthening of the observation period (more than 10 years), the frequency of disease relapses increases. Long-term medical examination is recommended.

In 10 patients aged 48 to 70 years with post-inflammatory strictures of the urethra with a length of 12 to 16 cm, 3-4-stage surgical treatment was used, consisting of a combination of the Michalovsky method (for the penile urethra), with Johansen's operation (for other departments).  Long-term results were verified after 1-4 years. Urination was restored in all patients.

In the clinic of prostate adenoma, the leading importance belongs to the violation of the patency of the vesicourethral segment, discoordination of the detrusor activity and the resistance of the sphincters and urethra. The most important additional factors are the addition of infection and repercussion from the upper urinary tract, the inflammatory process that occurs in the tissue of the adenoma.

In 32 out of 49 patients with bladder tumors, a decrease in immunity was revealed, more pronounced in patients with tumors at the T4 stage. In 12 patients, nonspecific immunostimulation with BCG vaccine was carried out 12-30 days before chemoradiation treatment. Due to this, in 6 of them, the level of the nonspecific immune system slightly increased and the immunosuppressive effect of chemoradiation therapy decreased. 5 patients with advanced stages of bladder cancer received nonspecific immunotherapy with BCG vaccine according to Toris. 2 of them showed subjective, and 1 - objective improvement. The results of the study give reason to consider the use of immunostimulation in the complex treatment of patients with bladder cancer advisable. Further development of indications and schemes of immunotherapy in patients with advanced stages of the disease is required.

Two groups of patients operated on under neuroleptic narcosis for prostate adenoma were examined. In the first group (78 patients), the surgical blood loss was compensated with an equal volume of homologous blood, in the second (66 patients), the surgical intervention was performed under conditions of acute normovolemic hemodilution. In patients of the 2nd group, a significantly more pronounced improvement in the indicators of central hemodynamics in the postoperative period and an increase in myocardial contractility with minimal energy consumption were stated.

To prevent urinary tract infection and accelerate the recovery of the function of the bladder after operations on the pelvic organs for cancer, 32 patients were treated with rhythmic flow irrigation of the urinary bladder with furacillin solution using the Monroe system. None of the patients developed a urinary tract infection, and the function of the bladder was restored in a short time. In 3 patients, flow-through irrigation was undertaken for therapeutic purposes - a good result was achieved.

The results of examination of 112 young children with various forms of rickets are presented. D-vitamin deficiency is not the only cause of rickets in young children; signs of rickets can also develop with impaired transport of phosphates or metabolism of vitamin D

Since hemorrhagic fever with renal syndrome (HFRS) was first identified and described in the USSR, many authors have proposed various methods of pathogenetic therapy for this disease.

The polarographic filtrate test is not strictly specific.

Previously, we found that in renal failure, simulated in the experiment by the operative removal of one kidney and the poles of the second, the calcium content in the cortical layer of the kidney increases.

T., 48 years old, was taken on an emergency basis to the urology department of the regional hospital on 25 / XI 1976 at 19:00.

Distribution of 215 persons with eye pathology at the age from 16 to 60 years according to ABO and Rh blood groups was studied.

Workers in the commercial production of an oil refinery are exposed to saturated and unsaturated hydrocarbons, hydrogen sulfide, sulfur dioxide, carbon monoxide in concentrations not exceeding, as a rule, permissible, and workers in aromatic hydrocarbon storage parks are also exposed to benzene, toluene, xylene. From a hygienic point of view, it is permissible for women to work in the position of operator-machinist of commercial production of refineries (with the exception of parks with aromatic hydrocarbons).

11/14/1979, the 75th anniversary of the Honored Doctor of the RSFSR, Honored Scientist of the B ASSR, Doctor of Medical Sciences, Professor Z. Sh. Zagidullin.

The reviewed guidelines are essentially a description of a new method for examining the retroperitoneal cellular space and organs located in it. The manual consists of an introduction, 6 chapters, a conclusion and a literature index.

ORDER OF THE PRESIDIUM OF THE SUPREME COUNCIL OF THE RSFSR