Science

Abstracts
Kazan Medical Journal
1998 N4.

CONTENTS
Ivanichev G.A.
Fibromyalgic syndrome - defect of the program of movement comstruction and fulfilment
241
Theoretical and Clinical Medicine
Latfullin I.A.,Bondarev A.V., Podolskaya A.A., Aglullina E.I.
Thrombolytic therapy of the acute period of myocardial infarction by cabicinase
251
Kozlov V.P., Andreev V.M.,ArleevckyI.P.,Miloslavskaya I.Ya
To the differential diagnosis of chronic cardiac and pulmonary insufficiency
255
Cherenkov A.A.
Interventional methods in the complex of respiratory support of subcompensated respiratory insufficiency in grave pneumonias
258
Mizurov N.A.
Infusion of ozonized solutions in the treatment of diabetic angiopathies of lower extremities
262
Medvedev V.N., Kharitonov G.I.
Dynamics of the changes luminoldependent chemolumines-cence of blood in patients with heart diseases operated in artificial blood circulation
264
Markosyan S.A.
Age peculiarities of the change of the local morphofunctional status of the small intestine after anastomosis formation
268
Mikusev I.E., Mikusev G.I.
Treatment of the lesions of hand finger flexor tendons in children
272
Baiteryak I.K., Yarullin A.Kh., Baiteryak I.I., Akinfiev A.A., Akhmetzyanova N.B., Krupina N.N., Malinkina R.P.
Estimation of the body mass increase in early diagnosis of complications in pregnants
274
Khasanov A.A., Malyshev V.G.
Experimental model of obstetric birth injury of the cervical part of spinal cord
276
Zhivoglyad R.N.
Antibacterial treatment and hirudotherapy in hormonodependent and inflammatory diseases of female genital organs
280
Potemkina A.M., Klykova T.V., Belokuraua I.A.
Prospects of the study of the external respiration function in children with atopic dermatitis.
282
Giniatullin I.I., Studentsova I.A., Orlova G.D., Zaripova S.Sh.
Prevention and treatment of dental caries and various clinical forms of pulpitis with dimephosphone
286
S u r v e y s
Valimukhametova D.A., Pogoreltsev V.I., Garmonov S.Yu., Bikmullin M.F., Reznik V.S.
Clinico-pharmacologic properties of diuciphone.
288
Mazitova M.I.
Current approaches to the treatment of tubal pregnancy
294
Short Communications
Zhuravleva V.I., Kuryatnikova V.S., Sabirova F.M.
Clinical aspects of the use of depo-prover
297
Nazipov A.A., Gizatullin R.M., Maskina N.A., Aglyamova T.A., Agishev N.G.
A case of successful treatment of meningoencephalopolyradiculoneuritis of viral origin.
297
Epidemiology
Boev B.V., Bondarenko V.M., Valencia S.R.
Mathematical model for the operative analysis and prediction of klebsiellosis outbreaks among infants
299
Guidelines for Practitioner
Gilyazutdinova Z.Sh.
Diagnosis of genital tuberculosis
303
Medicine History
Aleksandrov N.A., Khaletova S.S.
Professor Pavel Ivanovich Pichugin, a prominent pediatrician
306
Congresses and Conferences
Svedentsov E.P. The combined congress of the international society on blood transfusion (European section) and German society of transfusion medicine and immunogematology 309
Anniversaries and Dates
Rakhmatullin Irek Makhmudovich, professor 312
Khamitov Khanif Sabirovich, professor 314
Chronicle 316

THROMBOLYTIC THERAPY OF THE ACUTE MYOCARDIAL INFARCTION BY CABICINASE

I.A. Latfullin, A.V. Bondarev, A.A. Podolskaya, E.I. Aglullina
The necessity to perform the systemic thrombolysis to patients with acute myocardial infarction is emphasized. The most effective and save thrombolytic agent is cabicanase. The recommendations for practical physicians are worthy of notice. The control of blood coagulability velocity and hemorrhage lingering is obligatory in the performance of thrombolysis; if it is possible, thrombelastograms are to be studied. It is essential to know well the contradictions to thrombolysis.


TO THE DIFFERENTIAL DIAGNOSIS OF CHRONIC CARDIAC AND PULMONARY INSUFFICIENCY

V.P. Kozlov, V.M. Andreev, I.P. Arleevsky, T.Yu. Miloslavskaya
The comparative investigation of the functions of hemodynamics and respiratory system in equally pronounced chronic cardiac and pulmonary insufficiency in patients with chronic diseases of the heart and lungs is performed. In patients with chronic diseases of the heart the left auricle sizes, final systolic and diastolic sizes, final systolic and diastolic volumes, and the mass of the left ventricle miocardium are changed significantly more, suggesting the pronounced hyperfunction, and subsequently, the dilatation of the left auricle and left ventricle. The definite mechanism in the changes of external respiration is traced.


INTERVENTIONAL METHODS IN THE COMPLEX OF RESPIRATORY SUPPORT OF SUBCOMPENSATED RESPIRATORY INSUFFICIENCY IN GRAVE PNEUMONIAS

A.A. Cherenkov
The interventional method algorythm in grave pneumonias accompanied by pronounced respiratory insufficiency is developed. As a result of the use of the given algorythm the normalization of homeostasis parameters came fast; positive roentgenologic dynamics, the improvement of indications of central and peripheric hemodynamics were observed. The algorythm developed can serve as an important addition to the complex of intensive therapy in patients of the given contingent.


INFUSION OF OZONIZED SOLUTIONS IN THE TREATMENT OF DIABETIC ANGIOPATHIES OF LOWER EXTREMITIES

N.A. Mizurov
For the application in surgical practice the treatment method of diabetic angiopathy of lower extremities is proposed involving the intravenous injection of ozonized solutions. The method proposed allowed to localize fast the pyo-necrotic process, to reduce the number of amputations, to decrease the terms of hospitalizations. The method is simple, it does not require special skills and is pathogenetically justified.


DYNAMICS OF THE CHANGES OF LUMINOLDEPENDENT CHEMOLUMINESCENCE OF BLOOD IN PATIENTS WITH HEART DISEASES OPERATED IN ARTIFICIAL BLOOD CIRCULATION

V.N. Medvedev, G.I. Kharitonov
The search of the prognostic criterion of postperfusion period course is performed. The informativity of one of the nonspecific organism protection indices - luminoldependent chemoluminescence of blood is estimated. Spontaneous chemoluminescence expresses phagocytes activity by the intensity of hydrogen peroxide generation. Stimulated chemoluminescence allows to establish the functional leykocytes reserve. As many as 54 patients with heart diseases are examined in dynamics. The increase of both of chemoluminescence types is observed in the cases of the uncomplicated course, during artificial blood circulation and after operation. The sharp decrease of indices with reduction of the stimulated chemoluminescence level below spontaneous level is noted during complications.


AGE PECULIARITIES OF THE CHANGE OF THE LOCAL MORPHOFUNCTIONAL STATUS OF THE SMALL INTESTINE AFTER ANASTOMOSIS FORMATION

S.A. Markosyan
The pathogenetic factors responsible for anastomosis regeneration are studied. The experiments are performed on 58 inpuberal and puberal dogs of both sexes. It is established that the essential disturbance of hemomicrocirculation in the anastomosis region in younger age groups of animals determines subsequently the significant disorder of tissue homeostasis. This involves the formation of the pronounced pathomorphologic changes in intestine wall tissue determining the unfavourable course of reparative regeneration in younger age.


TREATMENT OF THE LESIONS OF HAND FINGER FLEXOR TENDONS IN CHILDREN

I.E. Mikusev, G.I. Mikusev
Among more than 1000 patients with hand lesions 17 children with the lesions of hand finger flexor tendons (in 7 patients in combination with nerves) aged from 11 months to 6 years were observed within recent 10 years. The proposed recommendations on the tactics of treatment and postoperative keeping of patients (especially immobilization of hand and fingers) allowed to obtain positive results.


ESTIMATION OF THE BODY MASS INCREASE IN EARLY DIAGNOSIS OF COMPLICATIONS IN PREGNANTS

I. K. Baiteryak, A.Kh. Yarullin, I. I. Baiteryak, A.A. Akinfiev, N.B. Akhmetzyanova, R.P. Malinkina, N.N. Krupina
The investigations to reveal the regulations of the body mass increase in women were performed within 5 years on a special program at two sectors of the women´s consultation clinic. Women were registered (2741 persons) for gestation periods of 8-9 weeks with weåkly presence. The data were processed on computer following the biometry laws. The regulations of the body mass increase in women of ten weight categories within first and second half of pregnancy development and within 40 weeks as a whole are derived.


EXPERIMENTAL MODEL OF OBSTETRIC BIRTH INJURY OF THE CERVICAL PART OF THE SPINAL CORD

A.A. Khasanov, V.G. Malyshev
The obstetric birth injury is simulated on experimental animals (rats - males). During the experiment it was proved that rotations and unbending of the animal´s head can result in the trauma of the spinal cord, vertebral column, vertebral arteries, ischemic processes of the reticular formation, white substance of the brain. Neurologic symptomatology of traumatized animals resembles paresis of extremities or myatonic syndrome that are often found in infants. Traumatism of generally recognized obstetric methods is justified.


ANTIBACTERIAL TREATMENT AND HIRUDOTHERAPY IN HORMONO-DEPENDENT AND INFLAMMATORY DISEASES OF FEMALE GENITAL ORGANS

R.N. Zhivoglyad
The results of the influence of the Hirudo medicinalis leeches and antibacterial therapy on homeostasis indices in patients with hormono-dependent and inflammatory diseases of genital organs are analyzed. The positive effect of hirudotherapy courses on general and biochemical indices of blood changed as a result of the pathologic process progression is shown. The combined use of hirudotherapy and antibacterial treatment is recommended.


EXTERNAL RESPIRATION FUNCTION IN CHILDREN WITH ATOPIC DERMATITIS

A.M. Potemkina, T.V. Klykova, I.A. Belokuraya
The data on the frequency of revealing the bronchial permeability disorders are presented and the mechanisms of its development in children with atopic dermatitis not having clinically bronchoobstructive syndrome in anamnesis are studied. In children with atopic dermatitis the main risk factors of the bronchial asthma development are shown and the possibilities of revealing its early preclinical signs are determined. It is significant in prevention of the bronchial asthma development in timely performance of specific preventive measures.


PREVENTION AND TREATMENT OF DENTAL CARIES AND VARIOUS CLINICAL FORMS OF PULPITIS WITH DIMEÐHOSPHONE

I.I. Giniyatullin, I.A. Studentsova, G.D. Orlova, S.Sh. Zaripova
The decrease of the origin frequency of dental caries is revealed as a result of the use of 15% aqueous solution of dimephosphone by ultraphonophoresis for complex prevention of dental caries in 1069 children aged 2 to 4. The use of dimephosphone in acute deep caries involved the disappearance of pain reaction to cold within 1-3 days. In conservative treatment of 253 teeth as to various clinical forms of acute pulpitis the cupping of spontaneous pain attacks was observed within 15-20 minutes after the use. The drug shows local analgetic and antiinflammatory effect.


MATHEMATICAL MODEL FOR THE OPERATIVE ANALYSIS AND PREDICTION OF KLEBSIELLOSIS OUTBREAK AMONG INFANTS

B.V. Boev, V.M. Bondarenko, C.P. Valencia
The mathematical model of the study of hospital infections outbreaks caused by Klebsiella pneumoniae in the intensive therapy departments of children´s hospitals is applied. Using the program it is not difficult to perform calculations connected with estimation and prediction of the number of children diseased and died of hospital infections. The peculiarity of the model involves taking account of some possibilities of bringing klebsiells to the intensive therapy department as well as the realization of the contact way of infection transmission through dirty hands of medical staff.


Kazan Medical Journal


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