CONTENTS
SCREENING OF CHILD HEALTH RESERVES BY THE LOCAL IMMUNITY INDICESThe screening system of health reserves of pre-school children experiencing the influence of technogenic loads in the intrauterine period and later in the period of living in ecologically unfavourable regions of the city is developed by profound study of the local immunity indices. The natural colonization level of buccal epitheliocites was selected as the most informative test. The decrease of this index lower than 1 unit correlated with the development of repeated respiratory diseases up to 8-10 times during a year, otitis, bronchitis. The natural colonization index is recommended for a wide use in practical medicine as one of the reliable prognostic criteria of the child health state. OUTPATIENT PNEUMONIA: A COMPARATIVE ANALYSIS OF CASE RECORDSThe efficiency of the treatment of outpatient pneumonia of various severity in medical institutions of different levels is analyzed. It is shown that patients with severe outhospital pneumonia can be treated only in highly qualified institutions provided with highly technological wards of intensive care using current etiotropic and pathogenetic means. Treatment of such patients on the level of district hospitals often ends in lethality. Patients with mild outpatient pneumonias should not be admitted and can be treated by taking antibiotics. The results of the work show the validity of wide introduction of the pneumonia treatment standards adopted in Russia in 1998. USE OF SELECTIVE CATHETERIZATION OF THE LOBAR BRONCHUS THROUGH MINITRACHEOSTOMY IN THE INTENSIVE THERAPY COMPLEX OF UNILATERAL BRONCHOPULMONARY PATHOLOGYThe new method of respiratory therapy in unilateral bronchopulmonary obstruction for immediate influence on the pathologic focus is developed and introduced into practice. The selective catheterization method of the lobar bronchus through minitracheostomy using endoscopic control is applied. The analysis of the obtained results showed the reliable and qualitative optimization of the parameters of respiration, gas metabolism acid-base state indices and hemodynamics resulting in the reliable decrease of mortality. PECULIARITIES OF LIPID HOMEOSTASIS IN RURAL POPULATION OF BASHKORTOSTAN REPUBLICThe male population of two rural regions of Bashkortostan aged 20-59 is examined. The regional peculiarities of lipid spectrum are analyzed. In the Abzelil region where more Bashkirs live, the indices are proved to be higher than in the Arkhangelsk region where persons of Russian nationality are aboriginal population. CHELICOBACTERIA INFECTION OF THE MUCOUS MEMBRANE OF STOMACH AND DUODENUM IN VARIOUS DISEASES OF THE GASTROENTERIC TRACTThe aim of the study was to reveal chelicobacteriosis in patients with various diseases of the gastroenteric tract. It is established that it was often revealed in stomach and duodenal ulcer.The infection of patients increases in the group of persons aged 21 to 30 (63,0 + 5,9%) and is kept at the level of 59 - 61% in elder age groups. The best place for taking bioptates on chelicobacteriosis is the mucous membane of the stomach anthral part. CONTENT OF TRIGLYCERIDES IN LIPOPROTEINS OF HIGH DENSITY IN PATIENTS WITH CHRONIC CALCULUS-FREE CHOLECYSTITISThe content of triglycerides in lipoprotein fraction of high density in patients with chronic calculus-free cholecystitis is studied. It is established that the lipoprotein fraction is enriched by triglycerides, that it is modified and changes its functions. The lipid status disorders are found in all patients. In the Chazov and Klimov (1980) phenotyping the lipoprotein metabolism disorder is largely revealed by the IV type, their minimum degree - by the IIA type. DIFFERENTIAL EFFECT OF SILIBOKHOLE AND LEGALONE ON THE ANTIOXIDANT LIVER SYSTEMS IN CARBON TETRACHLORIDE POISONINGThe decrease of selenium concentration in liver tissue as well as the decrease of activity of superoxyddismutase and catalase, as well as the increase of peroxide lipid oxidation in carbon tetrachloride toxic lession are shown on rats. Simultaneous injection of legalone prevents the decrease of activity of superoxyddismutase and catalase but doesn't recover the decreased concentration of selenium and only partially decreases the increased peroxide lipid oxidation in liver tissue. CLINICAL IMPORTANCE OF ANTIPHOSPHOLIPID ANTIBODIES IN PREGNANTS WITH MYCOPLASMA AND ASSOCIATED INFECTIONThe examination of 167 infected pregnants in I and II terms was carried out to reveal the rate of antiphospholipid antibodies in pregnants with mycoplasma and assoáiated infection. The pathologic level of antiphospholipid antibodies was determined in 21% of the pregnants with micoplasma and associated infection, in 22% of them the antiphospholipid syndrome was revealed. The most severe complications of pregnancy and accompanied extragenital pathology were found in women with antiphospholipid antibodies. During complex therapy the elimination of antibodies accompanying by the positive clinical dynamics of gestational process was found in some pregnants. Various complications of pregnancy which were arrested by timely treatment were found in women with associated mycoplasma infection without antiphospholipid antibodies. It is concluded that the formation of antiphospholipid antibodies is the part of infectious process in pregnancy. ROENTGEN AND COMPUTER TOMOGRAPHY IN THE DIAGNOSIS OF OSTEOCHONDROSIS OF THE VERTEBRAL COLUMN LUMBAR PARTThe use of the roentgen and computer tomography in the diagnosis of osteochondrosis of the vertebral column lumbar part is studied. This diagnosis method makes it possible to reveal protrusions, prolapses of intervertebral disks in 100% of the cases. The radiation diagnosis algorythm and indications to performance of the open or laser paracentetic diskectomy are developed. The suggested radiation diagnosis algorythm using the roentgen computer tomography makes it possible to visualize all structures of vertebro-motor segments promoting the choice of the most rational treatment method of discogenic lumbosacral radiculitis. EXTRAPYRAMIDAL MANIFESTATIONS ACCOMPANYING TREATMENT WITH NEUROLEPTICSThe manifestations of neuroleptic syndrome depending on the duration of treatment with neuroleptics as well as the combinations of various extrapyramidal disorders are studied in 50 women aged 28 to 69 with the diagnosis "schizophrenia". Parkinsonism manifestations are observed in 32 patients, various symptoms of late dyskinesia are observed in 30 women. Such motor disorders as lingua-bucco-mental dyskinesias, motor anxiety syndrome, dystonia in hands, tongue tremor, blepharospasm, usual manipulations re often revealed. There were extrapyramidal disorders in more than 60% of the patients. Late dyskinesia and parkinsonism syndrome depend on the treatment duration, and their combination is not typical. PECULIARITIES OF PSYCHIC ONTOGENESIS OF CHILDREN FROM THE SCHIZOPHRENIA GROUP OF RISK, BREEDING IN THE SITUATION OF BREAKING THE COMMUNICATION CONNECTIONS IN THE "MOTHER-CHILD" SYSTEMThe psychic development of 79 children aged 0 to 3 years, after the birth of whom mothers had the manifastory bout of schizophrenia, is analyzed. The development stage of children aged 0 to 3 years is characterized by the dissociation of psychic develop-ment as nonuniformity and not rare pronounced arrest of speech function development, social hygienic habits, thin motility, emotional sphere deficiency, its dissociation, breaking the communication connec-tions in the "mother-child" system, high rate of clinically differentiated psychopathologic phenomena. EXPERIENCE OF USING INFRARED LAZER RADIATION IN COMBINED TREATMENT OF BRONCHOPULMONARY DISEASESThe efficiency of the effect of low-intensive laser infrared radiation in combined treatment of patients with bronchpulmonary pathology, taking into account the time normalization of the leading clinical syndromes of pulmonary inflammation, laboratory and instrumental blood indices and X-ray data, is studied. The plausible differences of terms of arresting the bronchopulmonary syndrome and improving the external respiration function indices are obtained in all the patients with bronchial astma and chronic bronchitis. Wider use of laserotherapy in combined treatment of patients with bronchopulmonary pathology is recommended. MEDICODEMOGRAPHIC ESTIMATION OF THE INCIDENCE OF CARDIOVASCULAR DISEASES IN THE GREAT AGROINDUSTRIAL REGIONThe medicodemographic characteristic and medicosocial estimation of the incidence of cardiovascular diseases in Tatarstan Republic in the nineties of the 20th century are given. The growth of mortality and initial disability due to cardiovascular diseases in persons capable of working is revealed. Among blood circulation diseases the largest growth rates of mortality and initial disability were characteristic for patients with hypertension capable of working. PECULIARITIES OF PASSING REHABILITATION ROUTES BY INVALIDS WITH CARDIOVASCULAR DISEASESThe conditions of passing rehabilitation routes by invalids with cardiovascular diseases are studied. The lowest inclusion of invalids by various rehabilitation measures is stated among invalids aged up to 29. They are rarely directed to rehabilitation by physicians of corresponding specialities and are often forced to pay for their treatment in full measure. The data obtained are used to develop the methodical recommendations directed to the optimization of the medicosocial examination and rehabilitation, to increase the efficary of the individual rehabilitation programs made for invalids with cardiovascular disease. © 1995-2008 Kazan State University |