Vol 82, No 6 (2001)

The retrospective analysis of case histories of HIV- infected persons is carried out. It is established that in 62 patients there were clinical manifestations of acute HIV-infection: lymphadenopathy (60%), fever (71,2%), eruption (6,5%), diarrhea (3%), herpetic infection (3%), body mass decrease (30%), neurologic symptomatology. The growth of the number of persons with “fresh" infections HIV is noted in Kazan and in most regions of Tatarstan Republic. Expected increase of persons with acute stages of HIV infection taking medical advice demands being on guard of medical workers of various specialities.

The comparative study of efficiency of dimephosphone (50—100 mg/kg/day intravenously in dropper) cytochrome c (0,5 mg/kg/day intravenously in dropper) and the standard treatment scheme in 121 children with sinus node weakness syndrome is carried out. It is shown that monotherapy with dimephosphone made it possible to reach the therapeutic effect in children with the I clinicoelectrocardiographic continuation of the disease. In the II and III types the addition of dimephosphone to the standard scheme increased its efficiency by 27—30%. The validity of continuation the neurometablic therapy with sinus node weakness syndrome during half a year and pe forming three courses of treatment with the drug at the interval of three months is shown.

The possibilities of the complex echography in studies of the state of patients with chronic liver diseases are estimated. It is concluded that in definite situations the complex echography has undeniable advantages because it makes it possible to reveal early signs of portal hypertension and to predict its course. This will make it possible to choose more adequate therapy and to perform timely surgical correction and to improve the life quality of patients.

The results of studies of grandaxine efficiency in the treatment of psychopathologic manifestations of climacteric syndrome in 217 patients with asthenic, senestopathic and hypochondriac, anxiety and depressive, and hysteric variants of climacteric psychic disorders are given. Grandaxine proved to be a highly effective drug in arresting asthenic and to a lesser degree anxiety and depressive variants.

The problem of campylobacteriosis (CB) has been widely covered in the national and foreign literature over the past 10-20 years. Probably, the interest to this topic is due to a number of reasons. From a microbiological point of view, the causative agent of CB was discovered relatively recently and is an actively studied microorganism. At the same time, the responsibility of the microbe for the development of diseases in domestic animals and birds brings it into the category of problems of veterinary pathology. In medical terms, CB, taking into account modern epidemiological studies, is attributed to the group of the most common bacterial intestinal infections in children of different age groups, since it causes from 5 to 44.9% of all cases of the disease.

The main cause of morbidity in preterm and premature infants remains pulmonary pathology. Among the features of the bronchopulmonary structures of premature and immature preterm infants is a lag in the development of the arterial network from the venous one. Small and medium arteries have narrow lumen and thick muscle mass. When the lungs are unfolded, an obstacle is created for rapid blood flow in the small circle of circulation, which results in delayed unfolding of the alveoli.

Defects between the ascending aorta and the pulmonary artery are among the rare congenital heart defects (CHD), occurring at a rate of 0.27%. In 10-15% of cases this CHD is combined with patent ductus arteriosus (PDP), coarctation of the aorta. Single cases of its combination with pulmonary artery stenosis have been described in the literature. We present a case of successful correction of aortopulmonary septal defect (ASD) combined with PDP and stenosis of the bicuspid pulmonary valve.

Cryptorchidism is known to occur in 0.18-3.6% of the population. Impingement of an undescended testicle in the inguinal canal has been described in 1.9% of cases as one of the complications of cryptorchidism along with volvulus and malignant degeneration (up to 15-40%). In 20-80% of cases, cryptorchidism is combined with inguinal hernia. Endocrine insufficiency in cryptorchidism occurs in 4-5% of cases.

In the scientific literature, there are virtually no publications related to the systematic study of the impact of industrial environmental pollution on infectious pathology at both the organismal and population levels. This connection is sufficiently argued only for a number of endogenous infections (pneumonia, bronchitis, etc.), as well as for the incidence of influenza and acute respiratory infections. For other forms of infectious pathology such materials are either completely absent or available in separate, unrelated publications.

Indicators of total hardness (from 1.4 to 1.9 times the norm), concentrations of iron (from 1.1 to 2.2 times) and manganese (up to 1.2 times) remain stably high in the Zelenodolsky district as a whole. During the whole observed period, nitrites and polyphosphates, which should not be present in drinking water, were detected, though in small amounts. Organoleptic indicators deteriorated, although they do not exceed standard annual averages. This is probably due to some increase in dry residue, sulfates and chlorides, are able to change the taste and smell even when reaching half of the normative values.

Intellectual efficiency parameters of pupils of the seventh — eighth forms going in for sports and mathematics as well as pupils learning by standard program, are studied. The studies were carried out by measuring out the work performance, using the V.Y. Anfilov letter tables. The great lability of nervous processes in girls going in for sports and the favourable effect of motor loads on the organism of girls in improving the nervous impulse course process were shown. The data obtained confirms the necessity of differentiating loads not only by age and by education regime, but by sex as well, because the rate of changes in nervous processes in growing organism in children of both sexes is different.

The dynamics of ultrasound diagnostic examinations at various stages of medical care in some regions of Russian Federation is studied. It is shown that with the most efficiency the ultrasound apparatus is used at the third stage of medical care (institutions of republic subordination), as well as at the second stage at the level of urban hospitals. In most cases hepatobiliar system (66,2%), urinogenital system (21,9%) and pelvis (on the whole in women — 50%) are examined.

Due to the rapid development of new computer technologies and their rapid introduction into the field of medical technology the diagnostic capabilities of ultrasound have significantly enriched and expanded. A new trend appeared - ultrasound angiography based on color Doppler mapping (CDM), three-dimensional reconstruction of vessels, use of echocontrast enhancement of Doppler signal and "second harmonic" energy. The new method of vascular studies was based on the physical phenomenon discovered in 1842 by the Austrian scientist Doppler and named after him in the world literature.

Varicose vein disease (VD) of the lower extremities is the most common pathology of the peripheral vessels: 26-38% of women and 10-20% of men of working age suffer from it. The annual increase of new cases of VD among the inhabitants of industrialized countries reaches 2.6% among women and 1.9% among men. Its course is accompanied by a number of complications and a high level of disability of patients, which, in turn, is associated with significant economic costs. These circumstances make the development of an effective system for diagnosing VD an important medical and social problem.

The organizers of this congress are the European Medical Laser Association. Russian Academy of Medical Sciences, Russian Medical Laser Association, Russian Academy of Public Service under the President of the Russian Federation. The Congress was managed by Prof. V.A. Mikhailov, who was elected President of the Russian Laser Association in 2000-2004. Honorary presidents of the Congress were Z. Simunovic (Switzerland) and the President of Russian Academy of Medical Sciences V. Pokrovsky, honorary guests of the Congress were T. Ohshoro (Japan), S. Rochkind (Israel), K. Rau (India), Nick S. Nicolopoulos (Greece).

September 28, 2001 was 60 years from the date of birth of Stanislav V. Maltsev, Corresponding Member of the Academy of Sciences of the Republic of Tatarstan, Honored Scientist of the Republic of Tatarstan, Doctor of Medical Sciences, Professor.