Vol 59, No 2 (1978)

The data on the clinical picture of drug allergic reactions occurring in dental practice are systematized, and, taking into account them, reasonable recommendations are proposed for the diagnosis, treatment and prevention of allergic reactions manifested on the oral mucosa and outside the mouth when drugs are introduced into the body in various ways.

Based on a survey of 1037 children and adolescents, it was found that in children who have consumed water rich in fluoride throughout their lives, the periodontium is more resistant than in children who use fluorine deficient water.

The results of correcting malocclusion by the method of R. Frenkel in 209 patients aged 6 to 16 years have been analyzed. Based on the study of 836 diagnostic models of their jaws and 254 lateral teleradiograms of the head obtained before and after orthodontic treatment, it was concluded that the success of therapy is due to the simultaneous elimination of morphological and functional disorders by using function regulators of I, II and III types during periods of active growth of the jaws.

Studies carried out in 107 patients with acute and chronic odontogenic osteomyelitis of the jaws found that during these processes there is a decrease in salivary cholinesterase activity and an increase in erythrocyte cholinesterase activity.

Seven endoscopic polypectomies of the duodenal bulb were performed. It is recommended to perform this operation in a surgical hospital after preliminary histological examination of the biopsy material.

According to the authors, in order to establish the cause of jaundice, if the conservative treatment is ineffective, diagnostic laparotomy with revision of the biliary tract is justified. Such an intervention, even in those suffering from Botkin's disease, as shown by observations (12), does not cause dangerous complications. It can contribute to a more favorable course of the underlying disease.

In order to prevent postoperative functional obstruction, a method of temporary minimal gastrostomy with the use of the round ligament of the liver was developed and tested during surgery on the biliary tract (in 41 patients).

The angioarchitectonics of the blind and terminal ileum and vermiform appendix was studied using the transillumination technique during 69 operations, on 12 resected preparations and 67 autopsy organocomplexes. Blood pressure was measured in the intramural vessels of the ileum (43), the blind (43), and the appendix (35). The obtained data allow us to recommend transillumination and determination of blood pressure in intramural vessels as additional research methods during surgery.

The blood pressure in the intramural vessels of the submucosal layer of the intestine and stomach was investigated during surgery in patients using an original non-injection method. With hyper- and hypotension, both equidirectional and so on were revealed and multidirectional shifts in regional and systemic blood pressure.

As a result of studying the blood vessels of the pancreas in elderly and senile people (150 observations), their atherosclerotic lesion was established, which develops simultaneously with fibrotic changes in the parenchyma. In the light of these data, the mechanism of development of necrotic organ changes in acute pancreatitis becomes clear.

The long-term outcomes of treatment of 230 patients with chronic pancreatitis were studied. Indications for surgical and conservative treatment have been developed. An early pathogenetically grounded operation, as a rule, gave good and satisfactory results.

The study involved 185 patients with diabetes mellitus aged 17 to 60 years, as well as 88 people who made up the control group. In men, diabetes mellitus has no significant effect on the occurrence of coronary atherosclerosis, as evidenced by the absence of a difference in the frequency of detection of coronary insufficiency in patients with diabetes mellitus and in the control group.

The prospects of applying the methods of biophysical study of blood corpuscles for the diagnosis of early stages of myocardial infarction are shown. The analyzed tests make it possible to differentiate myocardial infarction from cardialgias of other genesis.

The results of laboratory and clinical studies of blood serum by the polarography method in patients with tumors of the genitals and in practically healthy women are presented. There was a difference in the height of both waves of the polarogram, depending on the nature of the process (benign or malignant).

The results of complex treatment with carbogen in 91 patients with retinal and optic nerve diseases are presented. The majority of patients improved visual function - visual acuity improved in 60%, the field of vision expanded in 42%.

An extensive clinical material on the use of dimethyl sulfoxide (DMSO) in dermatology has been analyzed. Both the "conductive" and the actual therapeutic efficacy of the drug were noted.

Modern possibilities of intravital study of the intestinal mucosa give reason to revise the traditional concepts in the issues of differential diagnosis of pathological processes in the large intestine. In some cases, taking into account the dynamics of clinical and morphological changes, instead of the diagnosis "chronic colitis" it is more legitimate to use the term "restructuring colitis" or "collective farm".

The study of the basal level of gastrin in the blood and stimulation of its secretion with insulin in patients with peptic ulcer disease revealed certain changes in its content depending on the localization of the ulcer and the form of the clinical course of the disease.

We have studied the diagnostic value of some clinical symptoms of peri-root cysts of various localization. As a result of clinical and radiological observations of the course of 436 peri-root cysts and analysis of their symptoms, the peculiarities of their manifestation depending on localization were established.

Damage to the pancreas presents great difficulties for diagnosis, as a result of which the mortality rate in them ranges from 12 to 43.5% (A.V.Belsky).

Lumbar hernias are rare. It is known that they leave the abdominal cavity through its wall in the weakest places, which are the Grünfeld-Lesgaft triangle and the Petit triangle.

We used therapeutic electroanesthesia in the stage of analgesia in 30 patients with algomenorrhea (17 with primary and 13 with secondary) aged 16 to 32 years. The duration of the disease was from 5 months. up to 3 years. All women noted pain in the lower abdomen and in the lower back 1-2 days before menstruation or in the first 1-2 days of menstruation against the background of vegetative disorders (nausea, vomiting, pain in the epigastric region, headaches, fainting, sweating, etc.).

Mesonephroma (synonyms: urogenital mesoblastoma, hypernephroid, clear cell adenocarcinoma, mesonephrogenic cancer, etc.) is a dysontogenetic formation arising from the remnants of the embryonic mesonephros

1199 samples of atmospheric air were analyzed for the content of sulfur dioxide, sulfuric acid mist, nitrogen dioxide in the industrial area of the city. Air pollution has become much lower than in 1957-1966, but the total concentration still exceeds the permissible value.

The monograph is devoted to a complex and poorly studied issue of clinical medicine. It is based on the author's observations of 580 patients. The book consists of two sections - general and special.

On 16-18 / XI 1977 in the city of Podolsk the All-Russian meeting of doctors of sanitary and epidemiological stations on occupational hygiene was held. It was attended by about 150 representatives of republican, regional, regional, city and district SES.