Abstracts
Kazan Medical Journal
2000 N2
CONTENTS
| Hygiene | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Zhilyaev N.S., Novikov Yu.V., Istomina A.V., Artamonov S.V. Hygienic characteristic and rationalization of alimentary status of railway workers. | 151 | Anniversaries and Dates | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Amirov N.Kh., Ziganshin A.U., Potselueva L.A. On the 25th Anniversary of the Pharmacologic Department | 155 | Chronicle | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
| The First Department of Allergology and Allergologic Service of Tatarstan Republic - 30 years | 158 |
WAYS OF INCREASING THE EFFICIENCY OF THE PHARMACEUTIC INSTITUTIONS ACTIVITIESThe financial and economic analysis of the pharmaceutic institutions of Tatarstan is performed. It is established that in conditions of deficiency of turnover means the pharmaceutic institutions do not use bank credits. The concrete model of using bank credit for increasing the efficiency of pharmacy activities, availability and quality of medicinal aid to population is suggested. OPTIMUM PHARMACEUTIC MARKET STRUCTURE WHILE PRIVATIZING OF PHARMACEUTIC INSTITUTIONSThe socialogic studies among pharmaceutic institutions managers, chemists and pharmacists are carried out. The positive attitude of these employees to privatization was revealed by questionnaire. However, as for now the pharmacetic managers prefer transition of the property in the form closed joint-stock company as more gradual way of reforms. URGENCY OF THE PROBLEM OF PREFERENTIAL MEDICINAL PROVISION IN TATARSTAN REPUBLICThe problem of preferential medicinal provision in Tatarstan Republic is described. The data on the experience of introducing medicinal provision insurance in Moscow and St. Petersberg are given. The information on the creation of the working group for complex decision of the problem of preferential medicinal provision is presented. The automated personalized accounting system of prescription and delivery of drugs is suggested. PRICE FORMATION ON MEDICAL PRODUCTS IN CONDITIONS OF NONMONETARY FORMS OF ACCOUNTSThe various forms of accounts used in financing practical health system as a factor determining the formation of prices on medical products are studied. The practical experience of organizing purchases of medical products using various forms of accounts is analyzed. The possibility of the effect on the reduction of prices of medical products in nonmonetary payments including interpayments, barter is shown on the concrete examples. The neccesity to study raw material market for using the industrial potential of the region providing delivery of medical products at prices lower than market ones is shown. The recommendations on optimizing the schemes of delivery of medical products into medical prophylactic institutions with maximum economy of budget means are suggested. |
COLLAGEN METABOLISM CHANGE IN IRON-DEFICIENCY ANEMIACollagen metabolism parameters are studied in 48 females aged 17-53 with iron-deficiency anemia. This protein metabolism state is estimated on the basis of determining the concentration of free and peptide- and protein-connected hydroxyproline forms in plasma and gastric juice of the patients. The significant decrease of this protein anabolism processes is revealed in relative predominance of this catabolism in the organism of the observed patients. PHENOTYPE OF PERIPHERIC BLOOD LYMPHOCYTES IN ANGINAThe phenotype of peripheric blood lymphocytes is studied in 87 patients with angina by cytofluorimetry. It is shown that the course of the disease is accompanied by significant changes of the phenotype of lymphocytes: the increase of expression of activation markers, the increase of the content of CD16+cells. However, the changes of the phenotype of lymphocytes in groups of patients with lacunar and ulceromembranous anginas are ambiguous in the acute period of the disease as well as late in the observation. PHARMACOEPIDEMIC ANALYSIS OF APPROACHES TO THE PRESÑRIPTION OF ANTIBACTERIAL DRUGS IN THE TREATMENT OF ACUTE RESPIRATORY VIRAL INFECTIONS IN CHILDRENThe pharmacoepidemic analysis of 500 clinical charts of children aged 1 day to 15 years on the basis of 7 pediatric polyclinics is carried out. If the indications and quality of prescribing antibacterial drugs in acute respiratory viral infections are taken into account, their injustified use is established in 36,5% of the cases, the discrepancy between standard doses on a number of drugs is established in 33-61,5% of the cases. This justifies the necessity of pharmacoepidemic monitoring of pharmacotherapy of patients with acute respiratory viral infections. X-RAY COMPUTER TOMOGRAPHY AND MAGNETIC RESONANCE TOMOGRAPHY IN DETECTING DISSEMINATED SCLEROSISThe comparicon of diagnostic possibilities of x-ray computer tomography and magnetic resonance tomography in detecting disseminated sclerosis and its evolution is performed. Demyelinizating foci in the second examination method are revealed twice as often than in the first examination method at the expense of the double relaxation. Selection of the treatment tactics and prediction of disseminated sclerosis determine various forms of its course. IMPORTANCE OF THE ULTRASONIC DIAGNOSÒIÑ METHOD IN THE SYSTEM OF DIAGNOSTIC AND CONSULTATIONThe examination of 20000 patients revealed coincidence of by the ultrasonic and preliminary diagnosis in the diseases of hepatopancreatobiliary system in 35,2% of the cases, urinary system -in 64,4% of the cases thyroid gland - in 90,7% of the cares. The practical importance of the ultrasonic investigation is determined by the study quickness, the method has no side effects to doctor or patient, it can be repeated to control the changes of the disease course, to estimate the efficiency of medical measures, timely diagnosis of complications. |
HEPATOBILISCINTIGRAPHY IN THE DIAGNOSIS OF BILE SECRETION IN EARLY POSTOPERATIVE PERIOD IN PATIENTS WITH CHOLELITHIASISThe importance of hepatobiliar scintigraphy in the diagnosis of complications in early postoperative period in patients operated for cholelithiasis is considered. The high efficiency of this noninvasive method as compared with ultrasonography is shown. INTENSIVE THERAPY AND ANESTHESIA IN DIFFUSE NECK AND FACIAL PHLEGMONS COMPLICATED BY RESPIRATORY DISTRESS AND MEDIASTINITISThe peculiarities of intensive therapy in 5 patients with Dupuytren's phlegmons complicated by mediastinitis and respiratory distresses are considered. The prolonged artificial pulmonary ventilation in the positive pressure regime in the expiration end of prevents not only respiratory insufficiency but phlegmon propagation from lower neck parts into the chest, as well as improves mediastinum drainage. EXPERIENCE OF THE TREATMENT OF THE LARGE INTESTINE DIVERTICULUMThe results of the treatment of 645 patients with the large intestine diverticulum (women - 65,4%, men - 34,6%) are analyzed. As many as 54,4% of the patients were hospitalized in case of emergency, 45,6% of the patients - in planned cases. The conservative treatment was given to 82,5% of the patients, the operative theatment - to 24,8% of the patients. In the hyperkinetic type of intestine motility, preference was given to low invasive operations conserving organs (in 28 cases the Reilly and Hodgson laparoscopic seromyotomt were carried out, in 17 cases - through miniaccess), in the hypokinetic type the various kinds of large intestine resections were carried out (in 20 cases). In cases of emergency depending on the general state of a patient, nature and incidence of the pathologic process, the possibility of choosing various intervention methods is presented (in 29 cases - the primary resection with anastomosis was carried out). |
ON THE CLASSIFICATION OF UTERUS PERFORATIONS AND MEDICAL TACTICSThe causes producing the uterus perforation and adequate medical tactics in this case are considered. The most suitable classification of the uterus perforations is presented. The recommendations on the prevention of this complication are given. SOCIAL AND PSYCHOLOGIC ASPECTS OF FORMING THE PERSONALITY OF A CHILD WITH FROM CHRONIC SOMATIC DISEASEThe psychologic aspects of forming the personality of a child under school age with chronic, disease such as allergy are studied. The basic psychologic factors, determining the peculiarities of "social development situation" of children with allergy are revealed. The importance of personal features of parents in. USE OF THE ROD APPARATUS FOR EXTERNAL FIXATION IN THE TREATMENT OF THE FEMORAL FRACTURESThe results of the treatment of patients with the femoral fractures using the rod apparatus for external fixation are analyzed. The basics for the estimation of the results are the anatomic, roentgenologic and functional possibilities of extremities as well as job performance. The indicators of remote results of the treatment confirmed the utility of using the rod apparatus of one-side external fixation in the treatment of the complicated femoral fractures. VALIDITY OF THE USE OF XIMEDONE IN COMBINED THERAPY OF PATIENTS WITH PSORIASISThe use of the new home-made drug - ximedone in combined therapy of patients with psoriasis is justified. Its immunosimulating effect, normalizing influence on the immune status indices, the absence of side effects are shown making it possible to recommend ximedone for the treatment of patients of any age. HYGIENIC CHARACTERISTIC AND RATIONALIZATION OF ALIMENTARY STATUS OF RAILWAY WORKERSThe labour conditions, actual alimentation and biochemical indicators of the health state of workers repairing railway tracks are studied. The revealed peculiarities of the alimentary status are the basis for developing the hygienic recommendations on alimentation optimization, their health improvement. © 1995-2008 Kazan State University |