Vol 59, No 4 (1978)

The progress of clinical medicine is unthinkable without a consistent fundamental analysis of errors in the recognition and treatment of diseases, without looking for the causes of errors, without developing measures to prevent them. By medical error, we mean a doctor's delusion in good faith, which has caused or could damage the interests of the patient.

Clinical, X-ray and biochemical examination of 32 patients with phosphate diabetes was carried out. It was found that this disease is accompanied by hypophosphatemia, increased blood alkaline phosphatase activity and phosphorus clearance, and decreased phosphorus reabsorption in the renal tubules.

The study of the effectiveness of treatment of patients with adenovirus infection with a new antiviral drug No. 1215 from the group of organophosphorus compounds was carried out. He was prescribed in the form of a 0.1-0.3% solution, 1 teaspoon inside and 2 drops in the nose and conjunctiva 4 times a day. The course of treatment was 7-10 days.

As a result of studying the frequency, causes and duration of subfebrile conditions in children, it was found that subfebrile rises are most often caused by infectious diseases, less often - by functional disorders of the nervous system. Children with long-term subfebrile condition are subject to compulsory hospitalization and careful examination.

Relapses of nephrotic syndrome most often occur in the first two years of the first clinical and laboratory remission. The likelihood of relapse after 4-5 years of remission is small. It is necessary to select an individual active therapy in the period of early relapses of nephrotic syndrome.

The results of examination of 68 patients with the myatonia symptom complex give grounds to assume that the pathogenesis of this suffering is damage to the cervical spine and vertebral artery in childbirth with secondary ischemia of the reticular formation of the brainstem.

The article presents data proving that when assessing the quality indicators of the work of antenatal clinics and maternity hospitals, it is important to take into account the health and development of children born in conditions of pathology of pregnancy and childbirth, based on the results of studying long-term outcomes.

It was found that pregnancy and childbirth with a large fetus affect the condition of both the mother and the fetus and the newborn. The incidence of pregnancy pathology increases, the duration of labor and blood loss increase, and the incidence of injuries to the mother and fetus increases.

A brief review of the literature on the use of radioisotope renography in obstetric and gynecological practice, as well as the authors' own data, who applied this method in 33 women who have suffered late toxicosis of pregnant women, is presented. The authors consider it possible to use the method of radioisotope renography in the differential diagnosis of kidney disease and in deciding the admissibility of repeated pregnancy.

For the purpose of diagnosis and treatment, emergency laparoscopy was performed in 132 patients with acute cholecystitis and pancreatitis. Cholecystocholangiography significantly expanded the diagnostic and therapeutic capabilities of emergency laparoscopy, not only for obvious jaundice, but also for suspected impaired bile outflow.

The analysis of case histories of 745 deceased patients suffering from various surgical diseases (age - from 50 to 94 years) was carried out. 561 (75.3%) people were operated on. Among surgical interventions, the first place in terms of frequency was occupied by exploratory laparotomies (10.9%), the second - by appendectomy (9.89%). Postoperative mortality was 8.76 ± 0.85%.

In accordance with the clinical symptoms of neurotic conditions, a questionnaire was created to identify and evaluate them. Based on the survey data, 100 healthy people and 50 patients with neuroses, the diagnostic coefficients were calculated for each feature according to the gradation of responses. The questionnaire has scales that make it possible to characterize the main syndromes of detected disorders.

Steroid hormones are powerful drugs the likes of which medicine has never had. EM Tareev [10], referring to the treatment of patients with systemic lupus erythematosus, wrote: “Already the first experience of hormonal therapy for systemic lupus erythematosus, even with the use of low doses and short courses, testified (as in the treatment of rheumatoid arthritis) about striking, symptomatic efficacy not previously attainable by any other treatment

As A.D. Ado (1976) points out, in recent years, along with an increase in allergic diseases proper, allergic reactions and processes have been noted as secondary or concomitant mechanisms in the pathogenesis of very many diseases. The role of allergic altered reactivity in the mechanism and clinical picture of the development of kidney disease in children deserves special attention.

We studied the morphology of the tympanic membrane and the mucous membrane of the tympanic cavity in an experiment in rabbits after repeated administration of boric alcohol into the middle ear under normal conditions. For the experiment were taken 6 adult male Chinchilla rabbits, weighing about 2 kg. 5 animals were injected into the right ear with boric alcohol, the sixth - with physiological solution.

A number of methods for calculating economic losses from morbidity with temporary disability are analyzed. The most effective of them is the method proposed by A.I. Gorokhover (1968). However, in view of the fact that it does not take into account the cost of past labor, it should be supplemented by the definition of the enterprise's income per man-day according to M.I. Malamud (1976)

The morbidity with temporary disability of workers employed in the oil refining and petrochemical industries, in general, has tended to stabilize over the past 7-8 years.

Clinical and statistical analysis of 281 birth histories of women - drivers of urban electric transport (172 tram drivers and 109 trolleybus drivers) was carried out. It has been established that a complex of production factors characterizing the working conditions of tram and trolleybus drivers creates a certain danger for carrying a pregnancy.

More than 100 scientists from 39 cities of the country, delegates from Bulgaria headed by Academician K. Bratanov, as well as representatives of Czechoslovakia and Poland took part in the symposium.

6 / VI 1978 in Kazan, a republican meeting of health workers was held, at which the tasks of the health authorities and institutions of the Tatar ASSR on the implementation of the decree of the Central Committee of the CPSU and the Council of Ministers of the USSR were discussed

In the "Handbook of Gastroenterology" edited by V. Kh. Vasilenko (1976) describes, among others, bowel diseases and diseases of the anorectal region. AM Aminev considers it inexpedient to blur the boundaries between gastroenterology and proctology.