Vol 67, No 4 (1986)

On the traditional day of the Kazan Institute for Advanced Training of Physicians, I had the great honor to give an act speech in front of its staff. It was based on the results of scientific works of the staff of the department in 1981-1986 mainly on studying the role of biogenic amines and some hormones (prolactin, hormones of adrenal cortex, parathyroid hormone and calcitonin) in the pathogenesis of some neuroendocrine diseases, which occur in obstetric-gynecological practice.

The aim of the present investigation was to study left ventricular pelimechanocardiogram (ECG, FKG, left ventricular cardiogram, sphygmogram) and estimate their changes in dilated cardiomyopathy. We studied 40 patients with dilated cardiomyopathy aged from 28 to 58 years (mean age, 43.7 years). There were 34 men and 6 women. The diagnosis of cardiomyopathy in all patients was verified by echocardiography and in 5 deceased patients was confirmed by sectional study. The control group consisted of 20 healthy persons aged 16 to 55 years.

The aim of the study was to investigate changes in central and regional blood circulation occurring after a single application of 2% nitro ointment produced by Orion Pharmaceuticals (Finland) in patients with coronary heart disease (CHD). We have studied 39 patients aged from 31 till 72 years (mean age - 54,4 years) with angina pectoris of tension and rest (angina pectoris frequency - not less than 7 attacks a week) of II-IV functional class (according to classification of All-Russian Center of Medical Science of the USSR).

The aim of the work was to determine the optimal doses of heparin for the prevention of thrombotic complications in patients with acute myocardial infarction based on the results of paracoagulation tests. We followed 269 patients with acute large focal and transmural myocardial infarction, verified by typical development and course of the disease, characteristic ECG dynamics in 12 standard leads, in some cases supplemented with three corrected orthogonal leads in Frank's system, blood picture dynamics and typical hyperenzymemia. In 49 cases pathological and anatomical investigations were carried out.

The aim of this work was to study the concentration of collagen metabolite peptide-bound hydroxyproline in the dynamic observation of patients with myocardial infarction. We observed 80 patients, including 50 patients (31 men and 19 women) with myocardial infarction aged 34-72 years. In 7 patients the infarction was small focal, in 26 patients it was non-transmural, and in 17 patients, it was transmural.

We studied microcirculation and capillary permeability in 70 patients with nephrogenic hypertension and 40 healthy subjects. The main contingent of patients was under 40 years old. Bulbar biomicroscopy was used to investigate the state of the microcirculatory bed by means of slit lamp SLT-U 4.2. To describe the state of microcirculation we used quantitative-qualitative assessment, intravasal status was determined according to the method of V.F. Bogoyavlensky.

We examined 53 patients suffering from obliterating atherosclerosis with localization only in the aortoiliac segment, who were treated in the clinic from 1982 to 1984. The patients were aged from 42 to 61 years. According to the WHO classification, 16 (24.5%) were young (under 45 years) and 37 (75.5%) were middle-aged (46-60 years).

In order to provide a pathogenetic substantiation and develop a system of measures to facilitate children's adaptation to new microsocial conditions, a comprehensive dynamic examination with a unified methodological approach was conducted in 299 children of early childhood, preschool and primary school age on entering nursery, kindergarten and school. The initial state of health, the level of physical and mental development, and, in addition, the degree of psychofunctional readiness for learning were examined in all children. The data of the social and biological anamnesis were analyzed in detail.

The aims of our research were to study the frequency of suicidal thoughts and tendencies in patients with chronic alcoholism, to identify their dependence on the duration of alcohol abuse, stages of alcoholism, degree of alcohol intoxication, presence of withdrawal syndrome, psychogenias and degree of personality psychopathy (premorbid and due to alcoholism), to determine the age qualification and the most frequent reasons of suicidal behavior.

The aim of this work was to differentiate the signs of hypertension and hydrocephalus, analyze and systematize them. We carried out complex radiological study of 97 patients (67 males and 30 females) with hypertension and hydrocephalus syndrome aged 25-30 years old with the determination of pressure in the liquor system. Observations showed that hypertension (increase of cerebrospinal pressure) in 17 patients proceeded without hydrocephalus.

The aim of our study was to investigate the effect of physical training on cardiac activity in boys 9-10 years old engaged in skiing. The group of subjects included 24 boys aged 9-10 years, regularly training 3-4 times a week. The control group included 30 healthy children of the same age, engaged in physical activity only at physical education classes at school.

It was found that exposure to isoptin reduced the amplitude of action potentials by 15.8 mV (41.19%), the pre-potential value by 11.5 mV (68.6%); prolongs the phase of slow diastolic depolarization by 176.5 ms (54.5%), the phase of systolic depolarization by 20.12 ms (29.1%); shortens repolarization by 34.5 ms (17.5%) and slows the frequency of spontaneous activity by 22.0 per 1 min (18.4%).

Periarteritis nodosa in young children is rare, so we present our observation. Sh., 1 year 8 months old, was admitted to Kazan Children's Hospital No.7 with referral diagnosis: small focal pneumonia, severe form, DN3, neutrotoxicosis.

We followed the fate of 166 patients with limb arterial embolism in the late stage of the disease after conservative and surgical treatment from 6 months to 10 years. Of 166 patients, 44 (26.5%) died after hospital discharge. Thirty of them were older than 61 years. The most frequent causes of death in the long-term period were acute cerebrovascular disease (11), myocardial infarction (7), progressive cardiovascular insufficiency due to cardiac defects (6), repeated peripheral artery embolism causing limb gangrene (7). In 7 patients the cause of death was not determined.

The Cheboksary Emergency Medical Care Hospital has a functional diagnostics department, which includes 6 rooms: electrocardiography, phonocardiography, examination of respiratory function, central nervous system, peripheral hemodynamics and veloergometry. Establishment of the functional diagnostics department allowed to rationally use complex expensive equipment and provide round-the-clock failure-free service by functional diagnostic methods to all those in need, improve the quality of examination and reduce its duration.

The aim of the work was to study the state of immunological reactivity in bronchial asthma and asthmatic bronchitis in children depending on the severity of the process and the degree of sensitization to bacterial allergens.

Late stage ectopic pregnancy is extremely rare. Most often it is regarded as a normal pregnancy and is diagnosed at the time of rupture of the placenta. Therefore, it seems justified to describe our own observation of such pregnancy pathology.

TASSR is one of the most developed industrial regions of the Russian Federation and is represented by enterprises of chemistry and petrochemistry, mechanical engineering and instrument-making, light, woodworking and printing industries, construction industry, etc. In this connection the work of occupational hygienists is aimed at creating optimal working conditions, reducing occupational injuries and morbidity with temporary loss of ability to work.

Pediatrics as an independent medical specialty began to develop in Russia in the 30s-40s of the last century. At that time, Russia had one of the highest infant mortality rates. Assistance provided to mothers and children was based on charitable collections; no government funds were allocated for this purpose; there were no doctors who dealt only with children's diseases.

The book is a textbook of 8 chapters written by the authors based on their own years of teaching.