Abstracts
Kazan Medical Journal
1998 N6.
CONTENTS
Mendelevich D.M.
Psychiatry: unsolved problems and new approaches to them | 401 |
Theoretical and Clinical Medicine |
Maltsev S.V., Ozhegov A,M.
Clinicoimmuno-logical peculiarities of the active cytomegaloviral and mixed infection in breest-feeding children | 411 |
Gorchkov A.V., Picuza O.I.
Disfunction of the left ventricle myocardium and its correction in premature infants with intrauterine pneumonia | 416 |
Tutik A.Z., Sadykov Sh. B., Shakurova O.V., Nurieva S.A., Kukarkin S.E., Erokhova L.P., Zinurova G.A., Lemeshko V.V.
Diagnostic sensitivity of the immunofermental analysis in patients with tuberculosis and inspecific pulmonary diseases | 419 |
Nazipov A.A., Shutov A.V., Khazieva A.G., Saetgaraev A.K.
Use of prolonged microtracheostomy in the treatment of patients with grave forms of acute respiratory insufficiency | 422 |
Trofimov V.A.,, Minnebaev M.M., Vlasov A.P.
Influence of the low-intensity He-Ne laser radiation on lipid spectrum and thrombocyte aggregation kinetics in peritonitis | 426 |
Ibatullin I.A., Koreiba K.A., Davletkildeev F.A., Stroitelev I.A., Gilmutdinova G.Z.
Paravertebral conduction blocks in combined treatment and prevention of postoperative complications | 430 |
Gorshkov A.N., Akberov R.F.
Role of X-ray examination methods in the diagnosis of endophytic stomach carcinomas | 433 |
Nikonova L.V.
To the justification of the effect of diuciphone-electrophoresis with dimethylsul-foxide on the microhemocirculation and peripheric blood flow in complex therapy of the Bekhterev disease | 436 |
Zefirova T.P., Maltseva L.I.
Possibilities of hirudotherapy of complications of gestation process | 442 |
Short Communications |
Kelina T.I., Kazarina N.E.
Use of clamin in combined treatment of children being ill frequently and for a long time | 445 |
Fazleeva L.K., Trofimova I.Sh., Bobyleva E.V.
A case of primordial nanism | 446 |
Discussion |
Ishenin Yu. M., Danilov D.G., Tishkov V.N., Elizov A.N., Ardavichene T.A., Koshkareva Z.V., Valeev R.A.
To the problem of the use of rifampitsin in the prevention and treatment of infections complications in patients of traumatologo-orthopedic profile | 447 |
Vizel A.A.
On the rightness of the use of rifampitsin in the diseases of nontuberculous etiology | 449 |
Social Hygiene and Organization of Health |
Sadykova R.A.
Results of social and hygienic study of a young family | 450 |
Galiullin A.N., Nurkhamitov R.Z.
Optimization ways of public yealth management in current economic conditions | 453 |
Nushtaev I.A., Arutyunova Z.A.
Some social and medical aspects of occupational traumata with fatal outcome in agroindustrial complex | 456 |
Hugiene |
Novikov Yu.V., Timokhin D.I., Istomin A.V., Chepets M.I.
Hygienic problems of the combined effect of fluorine on an organism | 458 |
Epidemiology |
Sharifullina D.M., Shagidullina N.Z., Lapshina G.N., Kuryaeva N.Yu.
Comparative estimation of macro- and micromethods of serologic diagnosis of salmonellosis and shigella in hemagglutination reactoin | 461 |
Nafeev A.A., Merculov A.V., Volkova E.G.
Sickness rate of native and focal infections in Ulyanovsk region | 465 |
Guidelines for Practitioner |
Safin R.Sh., Yusupova A.F., Farrakhov A.Z., Valiullina N.M.
Preoperational radionuclear diagnosis of hypertension of bile ducts | 467 |
Anniversaries and Dates |
| Khalima Mukhlisovna Saifullins, professor | 469 |
Bibliography and Book Reviews |
| Krasilnikov D.M. To the book: Fedorov I.V., Sigal E.I., Odintsov V.V. Endoscopic surgery | 470 |
| Article index for 1998 | 472 |
| Author index for 1998 | 477 |
S.V. Maltsev, A.M. Ozhegov, L.S. Myakisheva, E.M. Shakirova
As many as 107 breast-feeding children with active cytomegaloviral and mixed (chlamidia and mycoplasma) infections are examined. The comparative analysis of the diagnostic significance of different markers of cytomegoloviral infection showed the necessity of combined determination of DHA of cytomegalovirus and cytomegaloviral antibodies of Ig M and Ig G classes in patients. The clinical picture of cytomegaloviral infection in breast-feeding patients is varied and characterized by lesion polysystematics. Combined infection (cytome-galoviral - chlamidia and cytomegaloviral - myco-plasma) in children has an unfavourable effect on the neonatal period course and determines the peculiarity, degree of manifestation and duration of the basic clinical syndrome of the disease. In children with cytomegaloviral infection and mixed chlamidia infection serious changes in the cellular immunity characterizing the gravity of the disease are observed.
A.V. Gorshkov, O.I. Pikuza
As many as 62 premature infants with intrauterine pneumonia are examined using echocardiography during early neonatal period. During the first 12 hours of life the disfunction of the left ventricle myocardium is diagnosed which is characterized by the pronounced decrease of the contractile and pump function, stroke and cardiac index of its myocardium. It is established that infusion of dapamine in dose of 5-8 mkg/kg/min provides the support of adequate contractility of the left ventricle myocardium and normalization of hemodynamics integral indices.
A.Z. Tutik, Sh.B. Sadykov, O,V. Shakurova, S.A. Nurieva, S.E. Kukarkin, L.P. Erokhova,
G.A. Zinurova, V.V. Lemeshko
Validity of the immunoenzyme analysis is studied in 273 patients, being ill with tuberculosis for the first time (the 1st group), 75 patients with acute condition and relapse of tuberculosis (the 2d group), 144 patients with inspecific pulmonary diseases (the 3d group) and 40 healthy persons (the control group). The specific antibodies are revealed in 50,5%, 66,7%, 28,5% and 7,5% of the cases in the groups observed, respectively. The largest number of antibodies in patients of the 1st and 2d groups is observed in fibrocavernous tuberculosis - 75% and 91,5%, respectively and in the patients of the 2-rd group in disseminated tuberculosis - 75%. The incidence of their revealing in patients of the 2-rd group with bacteriodischarge especially with massive is higher than in patients of the 1st group with similar tuberculosis parameters (67,6% and 78%, 51,5% and 56,6%, respectively). Similar tendency is found in destructive changes in lungs. The incidence of revealing antibodies in the immunoenzyme analysis is 79,3% in patients of the 2-rd group with decay cavities and 56,2% in patients of the 1st group.
A.A. Nazipov, A.V. Shutov, A.G. Khazieva, A.K. Saetgaraev
The prolonged microtracheostomy method combines the case of performance, high efficiency and safety. The work is based on the results of the use of the given method for the treatment of acute respiratory insufficiency of grave degree in 65 patients in comparison with the control group of 32 persons. The studies of the indices of peripheric blood, gas exchange, acidic and alkaline state, the parameters of endotoxicosis and lethality revealed the advantage of the intensive therapy complex including the intratracheal respiratory support method.
V.A. Trofimov, M.M. Minnebaev, A.P. Vlasov
Low-intensity He-Ne laser radiation has a modifying effect on lipid exchange in trombocytes, firstly it initiates the start of lipid-dependent signal systems, the intermediates of which are free fatty acids, lisophosphatidylcholin, 1,2-diacylglycerol, phosphatidic acid, phosphatidylinositol, secondly, it stimulates metabolic changes in lipid spectrum, which are attended by the changes of physicochemical states of biomembranes and are of adaptational nature in normal state and compensate-adaptational nature in peritonitis. Laser radiation has a correcting effect on lipid exchange. The lipid component modification of photomodified thrombocytes provokes to a conciderable extent the low level of their aggregational activity in normal state and in peritonitis.
I.A. Ibatullin, K.A. Koreiba, F.A. Davletkildeev, I.A. Stroitelev, G.Z. Gilmutdinova
The conduction anesthesia method in combined treatment and for prevention of postoperative complications, which at present replaces peridural anesthesia, is suggested. It increases circulating blood volume in gastroenteric tract, improves microcirculation causing exudation phase contraction and recovery of reparative and proliferating processes in operative zone and organs under operation.
A.N. Gorshkov, R.F. Akberov
The combined X-ray and endoscopic examination and X-ray computer tomography in 130 patients with endophytic stomach carcinoma are performed. The diagnosis is verified morphologically and is confirmed in operation. The role of X-ray examination methods in the diagnosis of endophytic stomach carcinoma is studied.
L.V. Nikonova
The peculiarities of microhemocirculation and peripheric blood flow in patients with the Bekhterev disease are analysed. Sharp disorders of the values given which are correlated with the disease clinical picture gravity according to the data of conjunctival biomicroscopy, onyx capillaroscopy, rheovasography, ultrasonic dopplerography are noted for certain. The utility of the prescription of the complex treatment - dliuciphone electrophoresis in dimethylsulfoxide in the presence of medicinal therapy in the Bekhterev disease is proved. A new method of the treatment of the Bekhterev disease - the use of diuciphone-electrophoresis in dimethylsulfoxide manifests as a corrector of the disordered state regulation of microcirculation and peripheric blood flow. Only the medicinal therapy taken separately does not give valuable positive dynamics of these indices.
T.Ð. Zefirova, L.I. Maltseva
The results of the use of hirudotherapy in the combined treatment of pregnants with gestosis are described. Hirudotherapy allows to decrease the doses of medicamental drugs and in some cases to abolish them, to reduce the terms of the obstetric hospital stay. The treatment by medicinal leeches is endured very well and doesn't cause side effects.
R.A. Sadykova
Young families and health of children in these families are studied on the basis of the presented data. The analysis makes it possible to perform decomposition of the problems of young families. The results obtained should be taken into account developing and realizing family policy.
A.N. Galiullin, R.Z. Nurkhamitov
The data of public opinion poll, expert estimation of activities of treatment and prophylactic institutions under transition to the budget and insurance medicine are given. It is shown that treatment and prophylactic institutions are not ready to work in current economic conditions. It is concluded that there are unused reserves for improving the quality of medical care in health service management in current economic conditions.
Kazan Medical Journal
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