CONTENTS
RETROSPECTIVE DIAGNOSIS OF ACUTE PHASOF HIV-INFECTIONThe retrospective analysis of case histories of HIV-infected persons is carried out. It is established that in 62 patients there were clinical mass decrease (30%), neurologic symptomatology. The growth of the number of persons manifestations of acute HIV-infection: lymphadenopathy (60%), fever (71,2%), eruption (6,5%), diarrhea (3%), herpetic infection (3%), body 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. OF SEVERITY OF HEART POSSIBILITIES OF ECHOCARDIOGRAPHY IN THE ESTIMATION FAILURE IN PATIENTS AFTER MYOCARDIAL INFARCTIONThe diagnostic informativity of echocardiography for estimation of severity of heart failure in patients after myocardial infarction is shown. The discriminant model of determining the functional class of heart failure is developed. Its use in performing the expert work in patients after myocardial infarction will make it possible to objectify the estimation of heal t failure insufficiency. EFFICIENCY OF DIMEPHOSPHONE IN SINUS NODE WEAKNESS SYNDROME IN CHILDRENThe 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 performing three courses of treatment with the drug at the interval of three months is shown. REMOFE METASTASES OF LUNG CANCERRemofe metastases were revealed in 178 (60%) of 295 observed patients with lung chancer. The dependence of rate and localisation of remote metastases on form histologic structure and sizes of the mitial focus of lung cancer is presented. In 133 (45%) patients remote metastases are revealed in initial examination suggesting the low-symptom or symptomless course of lung cancer and remote metastases. The data suggested will provide timely dianosis and will have prognostic importance. POSSIBILITIES OF ECHOGRAPHY IN CHRONIC LIVER DISEASES AND PORTAL HYPERTENSIONThe 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. VISCERAL MASSAGE IN THE TREATMENT OF ATOPIC DERMATITIS IN CHILDRENThe efficiency of visceral massage in atopic dermatitis in children manifests itself in prolongation of remission period, the decrease of severity of exacerbations, the reduction of marker indices of systemic endotoxinemia and immunoregulating effect. The procedure of visceral massage is developed and its effect on the immune status and markers of systemic endotoxinemia in atopic dermatitis in children is studied. COMPARATIVE EFFICIENCY OF THE THERAPY WITH GRANDAXINE OF PSYCHOPATHOLOGIC MANIFESTATIONS OF CLIMACTERIC SYNDROMEThe 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 depiessive variants. DIAGNOSIS AND CORRECTION OF REGIONAL BLOOD CIRCULATION DISORDERS IN ACUTE ADONTOGENIC INFLAMMATORY DISEASES OF MAXILLASThe complex study of vascular tonus and microcirculation state in patients with acute adontogenic inflammatory diseases is performed. The revealed microcirculation disorders correlated with regional hypertension. These changes reflected the regional hemodynamics disorders growing with acute adontogenic periostitis, acute adontogenic osfeomyelitis complicated by perimaxilla soft tussue phlegmon. The complex correction method of mentioned hemodynamics disorders is developed. INTELLECTUAL EFFICIENCY OF TEENAGERS UNDER VARIOUS TEACHING REGIMESIntellectual 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. DISEASE INCIDENCE AND LIFE STYLE OF STUDENT OF SECONDARY MEDICAL INSTITUTIONSThe objective picture of life style and health state of students of secondary medical institutions is obtained. The basic social and hygienic factors which determine it are shown. It is noted that this youth contingent is in the significant risk group of developing of basic nozologic forms. DINAMICS OF ULTRASOUND DIAGNOSTIC EXAMINATIONS AT VARIOUS STAGES OF MEDICAL CAREThe 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 effeciency 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. EFFICIENCY OF USING ROENTGENOENDOSCOPIC DIAGNOSIC METHODS IN MULTIPROFILE HOSPITALThe algorithm of management of patients with suspicion on choledocholithias including ultia-sound examination, retrograde pancreato-cholangiography and laparoscopic choledochoscopy is developed. In 82 urgent laparoscopic examinations the pathology requiring urgent operation is revealed in 39 (47,2%) patients and the injustified surgical intervention is prevented in 43 (52,4%) patients. The use of roentgenoendoscopic methods makes it possible to avoid unjustified examinations and surgical interventions, gives economy of means by reducing the duration of admission and the number of unnecessary diagnostic studies. © 1995-2008 Kazan State University |