Science

Kazan Medical Journal
1996 N2.

CONTENTS

Social Hygiene and Organization of Health Protection
Arslanov Sh. Sh., Vizel A.A., Galiullin A.N., Guryleva M.E.
Tuberculosis epidemiologic situa-tion analysis in Tatarstan for 1980-1984 and 1990-1994
Konovalova I.M., Guryleva M.E., Konovalov S.I.
Analysis of tuberculosis relapses of respiratory organs in Tatarstan Republic
Smirnov G.A., Kalyamova R.A., Kazakov I.M.
Sickness rate of destructive pulmonary tuberculosis as an important epidemiologic index
Vasilyev M.I., Rassanov V.P., Furina L.V.
Formation of phthisiologic service in Mari El Republic
Galiullin A.N.
Conception of the health protection reform of Tatarstan Republic
Theoretical and Clinical Medicine
Yaushev M.F., Firsov O.V.
Clinical aspects of the use of functional diagnosis methods in phthisiopulmonology
Shpaner I.Ya., Vizel A.A.
Daily fluctuations of the ventilation function in patients with pulmonary tuberculosis
Firsov O.V., Slabnov Yu.D., Mustafin I.G., Tsibulkin A.P.
Comparative characteristic of immunogram indices of patients with pulmonary tuberculosis and healthy donors
Shakurova O.V., Nurieva S.A., Tutik A.Z., Kukarkin S.E., Erokhova L.P.
Tuberculosis bacteriologic diagnosis in conditions of the inter-district antituberculosis centre
Valiev R. Sh.
Peculiarities of the clinical picture, diagnosis and treatment of lobar, caseous pneumonia
Lavrov V.N., Ziyatdinov K.M., Galiullin F.B.
Treatment of tuberculosis spondylitis in persons of elder age groups
Vasilyev M.I.,Redkin V.L.
Unimoment double - sided interventions on respiratory organs from transsternal access
Kochetkov S. G., Kryukov N.N., Uglova M.V., Erkina V. M.
New approaches to the study of stomach pathology in patients with chronic inspecific pulmonary diseases
Gainutdinov A. R., Ivanichev G. A.
Diaphragm contractility in patients with chronic obstructive pulmonary diseases
Maltseva L. I., Andrushko I. A., Ibragimov O.B.
Pathogenetic role of hemostasis system disorders in the urogenital mycoplasma infection in women
Bashkirova D. Sh., Safina N. A., Zinkevich O.D.
Estimation of oxygen metabolism of polymorphonuclear leukocytes of peripheric blood as a hestosis course criterion
Shamova A. G., Malanicheva T. G.
Air pollu-tion and immunologic indices in children with allergic diseases
Surveys
Valiev R. Sh.
Clinical picture, diagnosis and treatment of tuberculosis in patients with mental diseases
Ziganshin A.U., Ziganshina L.E.
Advances of the clinical use of drugs affecting the receptors ATF-P2-purinoreceptors
Short Communications
Smirnov G.A., Zamaletdinova L.T., Gazizullina N.K.
Social and clinical characteristic of patients with pulmonary tuberculosis died in the first observation year
Akhmetova Kh. Kh., Kazakov I.M.
Possibilities of the diagnosis of osteal pathology by fluorog-raphy
Yulmetyeva D.G.
Pulmonary mask of cholan-giocellular carcinoma of the liver
Khabibullin A.G.
Uncommon case of chondromatosis of the knee joint
Epidemiology
Kartasheva F.A., Ukhorskaya L.V.
Peculiarities of the epidemiologic situation of childish tuberculosis in Tatarstan Republic
Grigoryev V.E.
Epidemiologic inspection of intrahospital infection and prevention measures of pyo-inflammatory diseases
Guidelines for Practitioner
Kazakov I.M., Rachevsky A.G.
Experience of the organization of fluorographic examination of population in Kazan in 1992-1994
Medicine History
Krasnoperov F.T., Galiullin B.V., Salikhov A.A.
Contribution of scientists and physicians in Kazan to the theory and practice of home phthisiology
Smirnov G.A.
Materials to the phthisiology history in Kazan
Latfullin I.A.,Arleevsky I.P.
Session of the Cardiologic Scientific Centre of the Russian Academy of Medical Sciences
Bibliography and Book Reviews
Mikusev Yu. E. To the book: V.P. Skipetrov, O.A. Enikeev, A.V. Zorkina etc.
Aeroions and life
Attention for the Authors Congratulations

TUBERCULOSIS EPIDEMIOLOGIC SITUATION ANALYSIS IN TATARSTAN FOR 1980-1984 AND 1990-1994

Sh. Sh. Arslanov, A.A. Vizel, A.N. Galiullin, M.E. Guryleva
S u m m a r y
The comparative analysis of the basic medical statistical indices of tuberculosis for 2 five-years is given. The investigation results show the sharp change for the worse of the epidemiologic situation, and the revealed tendencies are indicative of the real possibility of the subsequent worsening up to the tuberculosis epidemic. The real way out of the established situation is the centralixed interdepartmental program directed to the realization of urgent measures against tuberculosis.

CLINICAL ASPECTS OF THE USE OF FUNCTIONAL DIAGNOSIS METHODS IN PHTHISIOPULMONOLOGY

M. F. Yanshev, O.V. Firsov
S u m m a r y
The description of the basic current functional diagnosis methods is presented. Peculiar attention is given to the clinical interpretation of the data obtained by these methods. The possibility of the morphological changes interpretation of bronchopulmonary system on the basis of not only roentgenologic observation data but functional observation data is shown.

SICKNESS RATE OF DESTRUCTIVE PULMONARY TUBERCULOSIS AS AN IMPORTANT EPIDEMIOLOGIC INDEX

G.A.Smirnov, R.A. Kalyamova, I.M. Kazakov
S u m m a r y
The analysis of the general sickness rate of tuberculosis and its destructive forms for one hundred thousand people in Kazan for 30 years is performed, and the number of deads in the first observation year in percent for the general number of persons with tuberculosis and for the number of persons with destructive pulmonary tuberculosis is determined. The epidemiologic situation can be judged from the sickness rate index of destructive forms of the disease and from the number of deads in the first observation year in percent for the persons fell ill for the first time.

CONCEPTION OF THE HEALTH PROTECTION REFORM OF TATARSTAN REPUBLIC

A. N. Galiullin
S u m m a r y
The data for social and economic state of the health protection of Tatarstan Republic in the transition to market economy are presented. The reform conception of the health protection financial and budget policy, management bodies, price formation system of personnel tre ining, initial medicosanitary service, improvement of treatment-and-diagnostic process and widespread diseases prevention is outlined.

DAILY FLUCTUATIONS OF THE VENTILATION FUNCTION IN PATIENTS WITH PULMONARY TUBERCULOSIS

I.Ye. Shpaner, A.A. Vizel
S u m m a r y
The fluctuations during the day of the ventilation function indices such as VC, FEV0,5, FEV1, PEF, FEF25, FEF50, FEF75, FEF25-75, FEF75-85 are examined in 52 patients with pulmonary tuberculosis. It is found that VC, FEV0,,5 and PEF increased but FEF75, FEF25-75 and FEF75-85 decreased during the day, and fluctuations of different ventilation indices are in connection with other clinical indices.

COMPARATIVE CHARACTERISTIC OF IMMUNOGRAM INDICES OF PATIENTS WITH PULMONARY TUBERCULOSIS AND HEALTHY DONORS

O.V. Firsov, Yu.D. Slabnov, I.G. Mustafin, A.P. Tsibulkin
S u m m a r y
The immune status of patients with infiltrative pulmonary tuberculosis and healthy donors is investigated, and the possible mechanisms of the disease development are studied. The revealed regularities of the changes of immunogram indices can have practical significance for phthisiologists and physicians of the general practice.

TUBERCULOSIS BACTERIOLOGIC DIAGNOSIS IN CONDITIONS OF THE INTER-DISTRICT ANTITUBERCULOSIS CENTRE

O.V. Shakurova, S.A. Nurieva, A.Z. Tutik, S.E. Kukarkin, L.P.Erokhova
S u m m a r y
The state of tuberculosis bacteriologic diagnosis for 1985-1994 in conditions of the inter-district antituberculosis centre is studied . It is shown that the number of inoculations to one patient with active tuberculosis as well as micobacteria inoculation depend on the volume of bacteriologic investigations and the quality of pathologic material. The growth of bacillar patients number is stated showing the change for the worse of tuberculosis epidemiologic situation. The high efficacy of the cultural diagnosis method particularly of pulmonary tuberculosis among persons of heightened risk of the disease in comparison with fluorographic examination is noted.

PECULIARITIES OF THE CLINICAL PICTURE, DIAGNOSIS AND TREATMENT OF LOBAR, CASEOUS PNEUMONIA


R.Sh. Valiev

S u m m a r y
The clinical picture of lobar, caseous pneumonia, peculiarities of its roentgenologic picture and laboratory data are analyzed. The differences in the tactics of treament and outcomes of the disease that can have concrete practical importance are shown.

TREATMENT OF TUBERCULOUS SPONDYLITIS IN PERSONS OF ELDER AGE GROUPS

V.N. Lavrov, K.M. Ziyatdinov, F.V. Galiullin
S u m m a r y
The results of the combined early surgical treatment of patients over 55 years of age with tuberculous spondylitis are analyzed. The conservative therapy tactics and surgical treatment method -the combination of the radical operation in the tuberculous focus with external fixation of vertebra¥ by Byrov's apparatus-are described. The method applied allows to reduce the terms of the bed postoperative period.

NEW APPROACHES TO THE STUDY 0F STOMACH PATHOLOGY IN PATIENTS WITH CHRONIC INSPECIFIC PULMONARY DISEASES

S.G. Kochetkov, N.N. Kryukov, M.V. Uglova, V.M. Erkina
S u m m a r y
Symptomatic lesions of the stomach in patients with chronic inspecific pulmonary diseases depend on the respiratory insufficiency gravity and blood gas composition changes. Hypoxemia promotes stomach mucous membrane atrophy, and hypercapnia reduces stomach mucous membrane resistance to the action of different ulcerogenic factors including Helicobacter pylori. The infection of the stomach mucous membrane Twith Helicobacter pylori is retained in the treatment of patients with chronic inspecific pulmonary diseases by antibiotics.

DIAPHRAGM CONTRACTILITY IN PATIENTS WITH CHRONIC OBSTRUCTIVE PULMONARY DISEASES

A.R. Gainutdinov, G.A. Ivanichev
S u m m a r y
Diaphragm contractility is studied by the measurement method of transdiaphragm pressure and its components in 154 patients suffering from chronic obstructive pulmonary diseases with clinical signs of respiratory musále deficiency. The investigations show the considerable fall of power characteristics, stability to fatigue of diaphragm in conditions of high bronchial resistance and pulmonary emphysema.

PATHOGENETIC ROLE OF HEMOSTASIS SYSTEM DISORDERS IN THE UROGENITAL MYCOPLASMA INFECTION IN WOMEN

L.I. Maltseva, I.A. Andrushko, O.B. Ibragimov
S u m m a r y
The pathogenetic role of hemostasis system disorders in the urogenital mycoplasmas infection (M. hominis, M. fermentans, M. genitalium and M. urealiticum) is studied. DRNA-DRNA-hybridization method and immunofermental analisis are used to reveal mycoplasmas . It is infection is not a local process but chronic syndrome signs of coagulability. The increase of the indices of Villebrandt's factor and 5'-nucleotidase allows to judge of the functional state of vessels endothelium and infection activity.

PATHOGENETIC ROLE OF HEMOSTASIS SYSTEM DISORDERS IN THE UROGENITAL MYCOPLASMA INFECTION IN WOMEN

L.I. Maltseva, I.A. Andrushko, O.B. Ibragimov
S u m m a r y
The pathogenetic role of hemostasis system disorders in the urogenital mycoplasmas infection (M. hominis, M. fermentans, M. genitalium and M. urealiticum) is studied. It is stated that the urogenital mycopeasmas a systemic lesion accompanied by infection is not a local process but chronic syndrome signs of disseminated intravascular blood coagulability. The increase of the indices of Villebrandt's factor and 5'-nucleotidase allows to judge of the functional state of vessels endothelium and infection activity.

AIR POLLUTION AND IMMUNOLOGIC INDICES IN CHILDREN WITH ALLERGIC DISEASES

A.G. Shamova, T.G. Malanicheva
S u m m a r y
The interrelation between the air pollution extent and immunologic indices complex in children with allergic diseases is studied. The changes of immunologic indices manifested in the oppression of the cellular link and activation of the humoral one, more noticeable in the regions with increased aerohenic load are revealed. The importance of the realization of air protection measures directed to the decrease of not only the concentration of substances exerting allergenic action but the air pollution combined index is stressed.

PECULIARITIES OF THE EPIDEMIOLOGIC SITUATION OF CHILDISH TUBERCULOSIS IN TATARSTAN REPUBLIC

F.A. Kartasheva, L.V. Ukhorskaya
S u m m a r y
The analysis of peculiarities of the epidemiologic sitiation of childish tuberculosis in Tatarstan Republic for the last twenty years is performed. The negative tendencies are revealed. The sickness rate in 1994-1995 increased by a factor of two in comparison with the sickness rate in 1993 (9.0 to 100 thousands). The reasons of this situation are considered and the recommendations on the directions of combined work of phthisiothric and general pediatric system are given.

EPIDEMIOLOGIC INSPECTION OF INTRAHOSPITAL INFECTIONS AND MEASURES OF PYO-INFLAMMATORY DISEASES PREVENTION

V.E. Grigoryev
S u m m a r y
More detailed inspection of intrahospital pyo-inflammatory diseases is proposed. The additional methods of sanitation of pathogenes carriers of pyo-inflammatory diseases by the local use of lifuzol, chlorhexidine, metacid and propolis are suggested.


Kazan Medical Journal


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