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Vol 63, No 5 (1982)

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Moral education of the doctor

Trunin M.A., Dvoryashin Y.E., Nikitina E.V.

Abstract

The society of developed socialism needs broad-based specialists, politically literate, ideologically convinced, possessing a culture and high morality, able to work with people, and organize a work collective. Forming such specialists is the task of higher education.

Kazan medical journal. 1982;63(5):1-2
pages 1-2 views

Dimexide in intensive care of septic complications of postresuscitation disease

Bogoyavlenskiy V.F., Bogoyavlenskiy I.F., Zaks I.O.

Abstract

Dimexide was used in a complex of intensive care in 42 extremely severe patients with septic complications of postresuscitation disease. The drug was administered intravenously, for drainage and in combination: in combination with infusion-transfusion, anticoagulant and antibiotic therapy. The observation results show that Dimexide is an effective remedy for the correction and prevention of septic complications of postresuscitation disease, even with resistance to antibiotics.

Kazan medical journal. 1982;63(5):3-6
pages 3-6 views

Thrombotic complications and changes in the hemocoagulation system in acute myocardial infarction

Shcherbatenko L.A., Gabitov S.Z., Voronina I.E., Litvinov R.I.

Abstract

A natural relationship was revealed between the incidence of thrombotic complications and changes in the indicators of the blood coagulation system in patients with acute myocardial infarction. The totality of tests revealed two periods of maximum activation of the blood coagulation system, combined with inhibition of the anticoagulant system, on the 3-5th and 9-17th days of illness. These periods coincide with the time of the maximum incidence of thrombosis of the great vessels, disseminated intravascular coagulation and recurrence of myocardial infarction.

Kazan medical journal. 1982;63(5):7-9
pages 7-9 views

Heparin therapy for acute myocardial infarction

Gabitov S.Z.

Abstract

The results of the determination of soluble fibrin-monomer complexes according to the data of paracoagulation tests in patients with acute myocardial infarction treated with heparin at various doses are presented. With negative results of paracoagulation tests, heparin therapy at a dose of 10 thousand units per day can effectively prevent the development of thrombotic complications. With positive results of these tests, the appointment of heparin only in a dose of 50-60 thousand units. per day contributes to the effective prevention of thrombotic complications.

Kazan medical journal. 1982;63(5):9-12
pages 9-12 views

Hypothalamic-pituitary neurosecretory system in myocardial infarction

Latfullin I.A.

Abstract

In 22 patients who died from myocardial infarction, the paraventricular and supraoptic nuclei of the hypothalamus and neurohypophysis were morphologically examined (Gomori-Gabi staining). The sizes of neurons and their nuclei were increased. Vacuolated cells were observed at a high concentration of nagum in the blood.

Kazan medical journal. 1982;63(5):12-15
pages 12-15 views

Errors in the diagnosis and treatment of acute pneumonia

Panfilov Y.A., Movilovich B.L., Kalyachkin R.S., Bystrova I.R.

Abstract

Objective and subjective diagnostic, treatment-tactical, organizational errors in the management of patients with acute pneumonia have been studied. The quantitative and qualitative characteristics of mistakes at all stages of rehabilitation are given. The greatest number of medical miscalculations was observed at the pre-hospital stage.

Kazan medical journal. 1982;63(5):15-18
pages 15-18 views

Clinical picture, diagnosis and treatment of staphylococcal lung destruction in adults

Golovanov A.L., Shcheglov M.G., Belokonev V.I., Suetin A.N., Kvetnoy I.M.

Abstract

The experience of treating 27 patients with staphylococcal lung destruction aged 21 to 60 years is generalized. Treatment should be comprehensive, including antibacterial, detoxification, immune and restorative therapy in combination with surgical interventions of the pleural cavity, pneumotomy with removal of the main purulent cavities.

Kazan medical journal. 1982;63(5):18-21
pages 18-21 views

Rheoencephalography and echoencephalography in the diagnosis of the initial forms of otogenic intracranial complications

Bikbaeva A.I., Chuikin S.V.

Abstract

With the help of rheoencephalography, echoencephalography, and rheoaurography, 216 patients with chronic purulent otitis media were examined. In patients with chronic purulent epitympanitis and epimesotympanitis, hemodynamic disturbances were revealed during rheoaurography. Hydrocephalic-hyperhydration syndrome was noted rheoencephalographically in local leads in 73% of patients in this group. Echoencephalography showed signs of hydrocephalus in 56% of patients. The complex application of rheoencephalography and echoencephalography made it possible to establish signs characteristic of the initial, clinical forms of otogenic intracranial complications.

Kazan medical journal. 1982;63(5):21-23
pages 21-23 views

Electrical activity of the brain during asphyxia

Yakupov R.A.

Abstract

The method of electroencephalography was used to study the convulsive state during strangulation asphyxia. Differences in the electroencephalographic manifestations of tonic and clonic asphytic seizures are shown. With a longer strangulation, a greater severity of convulsive electrical activity of the brain was established. The data obtained can be used for differential diagnosis of convulsive states and in determining the duration of asphyxia.

Kazan medical journal. 1982;63(5):23-26
pages 23-26 views

Diagnosis and treatment of pancreatitis with a new method of endoscope insertion

Kochnev О.S., Evdokimov N.P.

Abstract

A method for direct endoscopy of the pancreas and omental bursa has been developed. 26 out of 35 patients with pancreatitis were able to examine and carry out therapeutic measures using this method.

Kazan medical journal. 1982;63(5):26-28
pages 26-28 views

On the timing of external drainage of hepatocholedochus in complicated cholecystitis

Salikhov I.A., Mozhanov V.I., Akhmerov A.B.

Abstract

In 35 patients with complicated cholecystitis in the postoperative period, manometric and debitometric studies were carried out, and the amount of bile secreted through the drainage was taken into account. This made it possible, in combination with other research methods, to develop criteria (pressure of passage - 1214 = 0.5 mm of water column, residual pressure - 109 ± 0.6 mm of water column, increase in flow rate up to 17.8 = L1.7 ml / min) to determine the time of removal of the drainage, which contributed to the faster healing of the fistula and the acceleration of the recovery of patients.

Kazan medical journal. 1982;63(5):28-30
pages 28-30 views

Post-transfusion acute renal failure in surgery

Shakhov E.V., Kukarin S.A., Petrov V.N.

Abstract

Based on the experience of diagnosis and treatment of post-transfusion acute renal failure in 27 surgical patients, the tactics, role and place of hemodialysis in complex therapy are considered. Outcomes and ways to improve treatment outcomes are reported.

Kazan medical journal. 1982;63(5):30-32
pages 30-32 views

Reasons for diagnostic errors of an objective nature

Dimov A.S.

Abstract

An analysis of 601 diagnostic errors is presented. It was found that 2/3 of them were due to objective reasons. When determining the specific value of each, the following factors turned out to be leading: low-symptom, atypical and adynamic clinical picture of the disease. The idea of the great role of the excess of information about the disease, the significance of rare forms and the serious condition of the patient has not been confirmed.

Kazan medical journal. 1982;63(5):32-35
pages 32-35 views

Specific therapy for infectious and allergic diseases

Burnasheva R.H., Tsibulkina V.N.

Abstract

Specific hyposensitization with bacterial allergens was carried out in 406 patients with infectious-allergic diseases (pre-asthma, and infectious-allergic forms of bronchial asthma, rhinitis, urticaria). The overall positive result of hyposensitization was 72.7%.

Kazan medical journal. 1982;63(5):35-38
pages 35-38 views

Influence of the condition of antenatal development on the content of immunoglobulins in the blood of newborns

Fazleeva L.K., Romanova N.A.

Abstract

Studied IgG, IgA and IgM in 103 newborns up to the 12th day of life. In children whose mothers have suffered from pregnancy toxicosis, IgG and Dovppen IgA and IgM are reduced. Immunological changes in late toxicosis in pregnant women for the presence of additional antigenic stimulation of the fetus.

Kazan medical journal. 1982;63(5):38-41
pages 38-41 views

Features of immunity in patients with diphtheria

Lebenzon S.S., Mayansky D.N., Spiridonova E.A., Vasyunin A.V., Altukhova I.V., Garbuzova S.B.

Abstract

The indices of humoral and cellular immunity were studied in 10 patients with typical and 7 atypical (carriage) forms of diphtheria infection. The highest level of antibodies (4.25 ± 1.2 AU / ml) was in carriers of diphtheria bacteria, and the lowest (0.07 AU / ml) was in patients with toxic diphtheria. Disturbances in the structure of cellular immunogomeostasis - a decrease in the total number of T-lymphocytes, an increase in Ta-ROK, an increase in the functional activity of phagocytic neutrophils and peripheral blood monocytes - were found in all and were most pronounced in patients with toxic diphtheria. In children, according to epidemiological indications, vaccinated with ADS, while the number of T-lymphocytes was preserved, all other studied parameters turned out to be increased.

Kazan medical journal. 1982;63(5):41-42
pages 41-42 views

Individual prediction of allergic diseases in children

Shamova A.G.

Abstract

The use of sequential Wald analysis with the study of a number of anamnestic and clinical signs in the presence of predisposing and etiological factors makes it possible to predict allergic diseases before they occur. When summarizing the prognostic coefficients in children with early manifestations of exudative-catarrhal diathesis, the possibility of developing respiratory allergy or allergic dermatosis was established. A prognostic table for allergic dermatoses and respiratory allergies has been compiled. A definite conclusion was given for 158 children out of 212; in 54 children, the outcome of the initial manifestations of exudative diathesis was uncertain.

Kazan medical journal. 1982;63(5):43-47
pages 43-47 views

Immunotherapy of neurodermatitis in children with bacterial allergies

Kuznetsova N.I., Molotilov B.A.

Abstract

For the diagnosis and treatment of neurodermatitis with bacterial sensitization in children, purified bacterial allergens of Staphylococcus aureus, Streptococcus pyogenic and Escherichia coli were used. Specific immunotherapy was administered to 99 patients. Good and excellent results were obtained in 76.8% of patients, satisfactory - in 12%, unsatisfactory - in 11.1% of children. The clinical effect was accompanied by a decrease in body sensitization indices and activation of the humoral-cellular link of immunity.

Kazan medical journal. 1982;63(5):47-49
pages 47-49 views

Allergic dermatitis in artificial leather workers

Bikbulatova A.N., Speransky V.V.

Abstract

The immunological reactivity of the organism of workers suffering from allergic dermatoses and healthy workers in contact with the products of artificial leather production has been studied. Studies have shown a violation of immunological homeostasis in workers employed in production, and, along with specific sensitization, revealed autosensitization to tissue antigens of the skin in patients with allergic dermatitis.

Kazan medical journal. 1982;63(5):49-50
pages 49-50 views

Detection of autoantibodies in patients with chronic bronchitis

Osipov Y.A.

Abstract

In 120 patients with chronic bronchitis and 104 healthy individuals, circulating autoantibodies to the bronchial mucosa were studied. Exacerbation of the chronic inflammatory process in the bronchi is accompanied by a significant increase in autoantibody titers. A direct relationship was found between the level of autoantibodies, the severity and duration of the disease. By the time of discharge from the hospital in some patients, autoantibody titers remain at a high level, often up to six months. Determination of anti-bronchial antibodies in the dynamics of chronic bronchitis can be used to recognize the activity of the inflammatory process and predict its outcome.

Kazan medical journal. 1982;63(5):51-53
pages 51-53 views

Bacterial sensitization and microflora of duodenal contents of patients with chronic cholecystitis

Molotilov B.A., Gedze G.I., Kamalov F.Z., Kalaycheva Z.N.

Abstract

The bacterial sensitization and its relationship with the microflora of the duodenal contents were studied in 67 patients with chronic cholecystitis. Bacterial sensitization was found in 44 patients (65.7%), most often to E. coli and pyogenic streptococcus allergens. A clear relationship between bacterial sensitization and the microflora of the duodenal contents has not been determined.

Kazan medical journal. 1982;63(5):53-55
pages 53-55 views

Acupuncture treatment for leukoplakia and kraurosis of the vulva

Dobronetsky V.S., Polyakova N.S.

Abstract

In 22 patients with leukoplakia and kraurosis of the vulva, acupuncture was performed, which turned out to be an effective method of treating this pathology. Changes in the vulva disappeared after the second course of treatment, and with widespread prodesss - after the third.

Kazan medical journal. 1982;63(5):55-56
pages 55-56 views

The content of insulin and some of its antagonists in the blood of patients with diabetes mellitus

Volkova E.A., Stepanova N.A.

Abstract

70 patients with diabetes mellitus treated with insulin were examined. When normoglycemia was reached, changes in the concentration of free and bound insulin in the blood were not observed, and the content of growth hormone, glucagon, and free fatty acids decreased.

Kazan medical journal. 1982;63(5):57-59
pages 57-59 views

On the classification of chronic inflammatory nonspecific lung disease

Krylov A.A.

Abstract

On the pages of the Kazan Medical Journal, the issues of the classification of chronic pneumonia are again discussed as a discussion. It should be emphasized that the proposed classifications do not relate to chronic pneumonia in a collective sense, as envisaged by the Minsk (1964) and Tbilisi (1972) classifications, which have been seriously criticized. We are talking about chronic pneumonia, as a strictly localized recurrent inflammatory process in the bronchopulmonary system, characterized not only by localization (in a lobe or segment), but also by variants of the course (rare or frequent exacerbations, continuously recurrent course), the phase of the pathological process (exacerbation, remission) , the degree of disease activity in the exacerbation phase (pronounced or moderate exacerbation, sluggish process).

Kazan medical journal. 1982;63(5):60-62
pages 60-62 views

On the objective foundations of medicine

Vylegzhanin N.I.

Abstract

The search for objective, that is, scientific knowledge of medicine has been and remains an important aspect of its historical development. And although it can be considered that the scientific foundations of medicine already exist by now, they cannot but develop further - the process of the growth of scientific knowledge never stops. And the discussion of many issues in this discussion is also devoted to this goal.

Kazan medical journal. 1982;63(5):62-63
pages 62-63 views

Cardiac glycosides in the therapy of cor pulmonale

Wiesel A.A.

Abstract

Cardiac glycosides (CG) attracted the attention of scientists at the turn of the 18th-19th centuries. The first clinical lecture on digitalis treatment belongs to S.P.Botkin. However, from the very beginning of the study of cardiac glycosides, it was noted that their excellent therapeutic effect is often combined with severe adverse reactions. Sometimes an incorrect interpretation of the therapeutic and toxic effects of SG (for example, with angina pectoris) led to unreasonable contraindications.

Kazan medical journal. 1982;63(5):64-66
pages 64-66 views

Features of the course and diagnosis of heart failure in non-coronary myocardial lesions

Anisimov V.E.

Abstract

Heart failure occurs as a result of various diseases, both caused by damage to the coronary arteries (in most cases, atherosclerosis), and not associated with the involvement of the coronary arteries in the process. A decrease in the functional capacity of the myocardium with heart damage is either a consequence of its excessive overload with an increased volume of blood entering the chambers of the heart during diastole, or the result of increased resistance to blood outflow during systole. The first occurs with heart defects with valve insufficiency, and the second occurs in case of obstruction of the blood flow in patients with stenosis of the holes or with hypertension of the large and pulmonary circulation.

Kazan medical journal. 1982;63(5):67-71
pages 67-71 views

Health status of workers in contact with cutting fluids

Berkheeva Z.M., Chudnovskaya I.V.

Abstract

In the structure of morbidity among workers in contact with cutting fluids, the largest specific weight was occupied by diseases of the ENT organs. The second most frequent place was occupied by autonomic dysfunctions, often occurring with hypertensive type of neurocirculatory dystonia. For the prevention of these diseases, a complex of health-improving measures has been developed.

Kazan medical journal. 1982;63(5):72-74
pages 72-74 views

Help of the peoples of the Volga region to the wounded soldiers of the Red Army (1941-1945)

Stegunin S.I., Razumov V.I.

Abstract

The Volga region, which occupies a vast territory of the country, was a powerful hospital base during the Great Patriotic War, in which tens of thousands of wounded and sick soldiers and commanders of the Red Army were recovering their health.

Kazan medical journal. 1982;63(5):74-76
pages 74-76 views

In memory of N.N.Sirotinin

Ado A.D.

Abstract

While still a student, in 1915 Nikolai Nikolaevich Sirotinin began working in the field of bacteriology at the Saratov Veterinary Institute, and from 1917 at the Department of Microbiology at Saratov University. Later (1919-1923) he continued to work on bacteriology in various microbiological institutions in Saratov, starting from the position of a laboratory assistant. Nikolai Nikolayevich instilled this style of training a scientist in his students. He demanded that each employee of the laboratory begin his activity with the rough work of a minister and a laboratory assistant, and only after that would he admit him to independent scientific research.

Kazan medical journal. 1982;63(5):76-80
pages 76-80 views

Professor G. G. Kondratiev

Nureyev G.G.

Abstract

It is 80 years since the birth and 55 years of medical, pedagogical, scientific and social activities of Doctor of Medical Sciences, Professor Gavriil Grigorievich Kondratyev.

Kazan medical journal. 1982;63(5):80-80
pages 80-80 views


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