Science

Abstracts
Kazan Medical Journal
1999 N2

CONTENTS

Amirov N.Kh.
The Kazan State Medical University - 185 years
81
Theoretical and Clinical Medicine
Krasilnicov D.M., Fatkullin I.F., Karpukhin J.Yu.
New laser technologies in surgery, obstetrics and gynecology
88
Fatkullin I.F., Gabidullina R.I., Guryev E.N., Galimova I.R., Safina F.V., Shabrukova O.V.
Dependence of pyoseptic complications of cesarean section on suture material and perito-nization process.
91
Danilov V.I.
Medicinal correction of cerebro-vascular reactivity - a necessary component of the treatment of cerebral blood circulation disorders
94
Faizov T.T.
Experimental and clinical justification of novocainic trigemino-vagosympathetic block in the treatment of the combined craniocerebral injuty
95
Mendelevich V.D., Mukhametzyanova D.A., Lazareva I.A.
Age peculiarity of anticipated mechanisms of neurosogenesis
100
Shaidukova L.K., Melchikhin O.I.
Importance of predisposing factors in antochthously predo-minating type of female alcoholism
104
Kalinin Yu.P., Yakhin K.K., Kharin G.M.
Expert estimation of mental disorders in traumas of the head
106
Krasnozhen V.N.
Local use of augmentin in the treatment of patients with inflammatory diseases of the nose and accessory nasal sinuses
109
Alimetov Kh. A.
Osteochondrosis of the supercervical level of vertebral column and larynx dyskinesia
110
Khabirov R.A.
Muscular syndrome in patients with inflammatory and degenerative diseases of joints and vertebral column
113
Grebnev P.N.
New approaches to the treatment of various cavitary formations of lungs in children
117
Tsibulkina V.N.
Leading mechanisms of the therapeutic effect of dimephospone
120
Khidiyatov I.I., Amirova D.Kh., Kulyapin A.V., Panferov V.O., Teitelbaum A.A.
Use of x-ray computer tomography with intraenteric contrasting for differential diagnosis of ulcerative colitis and Crohn disease
123
Short Communications
Stepanova O.L., Makushina L.A., Zaripov M.M., Volkova M.A.
Correction of neutropenia in children by lemontar, glicin, lipoic acid, riboflavin, pyridocal phosphate and placentol
125
Nettov G.G.
Operative procedure of eliminating chronic dislocation fractures of ossa carpi
125
Lecture
Anokhin V.A.
Current principles of clinicolaboratory diagnosis of herpetic infections
127
Social Hygiene
Oslopov V.N.
Programs of primary and secondary prevention of the basic cardio-vascular diseases in Tatarstan Republic for 1999-2009
130
Organization of Health Protection
Akhunzyanov A.A.
Problems of organizing in Tatarstan Repablic the specialized to children with surgical diseases of urogenital system organs
135
Trifonov S.V.
Medical specialists of medicine service
140
New Methods and Rationalization Proposals
Ivanov G.K., Gradovsky S.A., Olenin V.V.
Fast methods of defining total, enzymic and "nonenzymic" fibrinolytic blood activity of disasters
143
Medicine History
Studentsova I.A., Romanova E.B.
Vasily Nikolaevich Boldyrev, professor: the head of the pharmacology department of the Kazan University
145
Bibliography and Book Reviews
Anisimov V.N. To the book: A.Kh. Davletshin, G.A. Izmailov etc. Surgery of duodenum lesions 150
Congresses and Conferences
Latfullin I.A. The VIII Congress of Therapeutists of Russian Federation 151
Anniversaries and Dates
Amirov Nail Khabibulovich, professor, corresponding member of the Russian Academy of Medocal Sciences 154
Ildar Ishakovich Kamalov, professor 156
Amirov N. Kh., Abdullin T.A.
On the 70-th anniversary of the nonorganic chemistry department of the Kazan State Medical University
158
Chronicle 160

NEW LASER TECHNOLOGIES IN SURGERY, OBSTETRICS AND GYNECOLOGY

D.M. Krasilnikov, I.F. Fatkullin, O.Yu. Karpukhin
The ultraviolet laser spectrofluorimetry method for the diagnosis of urgent surgical disrases of abdominal cavity organs and the determination of their vitality is determined. The experimental studies showed the possibility of the use of Nd: YAG-laser for sutureless connection of uterus wound edges and geometric recovery of serous integument on the basis of tissue "welding". The use of the laser "welding" suture in the clinic made it possible to decrease by a factor of three the frequency of occurence of pyo-inflammatory complications after caesarean section and uterus supravaginal amputation.


DEPENDENCE OF PYO-SEPTIC COMPLICATIONS OF CESAREAN SECTION ON SUÒURE MATERIAL AND PERITONIZATION METHOD

I.F. Fatkullin, R.I. Gabidullina, E.N. Guryev, I.R. Galimova, F.V. Safina, O.V. Shabrukova
The comparative estimation of results of cesarean section in 269 puerperas depending on suture material and peritonization method is given. Catgut and resolved suture material vicril (polyglactin 910) werw used for trachelorrhaphy. Peritonization was performed traditionally and using laser "welding" surure of the peritoneum. The minimum number of complications is revealed in the group where uterus integrity was recovered using vicril suture in combination with laser photocoagulation of the peritoneum. The largest number of complications was observed in using catgut.


MEDICINAL CORRECTION OF CEREBROVASCULAR REACTIVITY - A NECESSARY COMPONENT OF THE TREATMENT OF CEREBRAL BLOOD CIRCULATION DISORDERS

V.I. Danilov
The results of experimental studies made it possible to draw a conclusion on the reality of cerebral vessels reactivity recovery using drugs with primary neurometabolic activity, in particular, dimephosphone, sermion and pyracetam. The advantages of low-toxic nonauticholinesterasic organic phosphorus compounds among the correctors of regulatory mechanisms of circular provision of the brain are shown.


EXSPERIMENTAL AND CLINICAL JUSTIFICATION OF NOVOCAINIC TRIGEMINO-VAGOSYMPATHETIC BLOCK IN THE TREATMENT OF THE COMBINED CRANIOCEREBRAL INJURY

T.F. Faizov
The increase of systemic and regional arterial pressure, the disorder of microcirculation in bulbar conjunctiva and eye retina take place in the combined craniocerebral injury. The effective method in complex pathogenetic treatment of this type of the injury is novocainic trigeminovagosympathetic block including the effects of the Zhakov trigeminosympathetic block and the Vishnevsky vagosympathetic block. The complex pathogenetic treatment method of the combined craniocerebral injury using trigeminovagosympathetic block abates pain, decreases arterial pressure, normalizes microcirculation and finally strengthens reparative and proliferative processes in damaged organs and tissues.


AGE PECULIARITY OF ANTICIPATED MECHANISMS OF NEUROSOGENESIS

V.D. Mendelevich, D.A. Mukhametzyanova, E.A. Lazareva
The results of clinicopsychopathologic and pathopsychologic examination of 70 patients of varions age groups with neurotic disorders are given. Some age peculiarities are noted: a predominance of pathogenic monovariant and polyvariant types of prediction in all age groups with their dominance in children and elderly persons, a predominance of various anticipatedly mediated emotional phenomena in patients of various age groups: perplexity affect in children, disappointment affect in elderly persons, offence affect in teenagers and adults.


IMPORTANCE OF PREDISPOSING FACTORS IN AUTOCHTHONOUSLY PREDOMINATING TYPE OF FEMALE ALCOHOLISM .

A.K. Shaidukova, O.I. Melchikhin
In examination of 240 women with alcoholism the spontaneous in initiation and autochthonous in course alcoholism variant which does not depend on psychotraumatizing factors and is formed in early young age, was revealed in 70 (29,2%) of the patients. Numerous predisposing factors, hereditary and genetic, microsocial, premorbid and personal, constitutional and psychologic factors were revealed. These patients respond with difficulty to phychotherapeutic treatment, so their treatment is usually limited by the use of medicines.


EXPERT ESTIMATION OF MENTAL DISORDERS IN TRAUMAS OF THE HEAD

Yu. P. Kalinin, K.K. Yakhin, G.M. Kharin
Nature and manifestation of mental disorders in patients with various traumas of the head are studied. The possibility of relation between gravity of traumas of the head and peculiarities of developing mental disorders as well as frequency of revealing syndromes of clinically pronounced mental disorders is noted. Patients not only with concussion or contusion of the brain but with injuries of soft tissue of the head must undergo examination.


LOCAL USE OF AUGMENTIN IN THE TREATMENT OF PATIENTS WITH INFLAMMATORY DISEASES OF THE NOSE AND ACCESSORY NASAL SINUSES

V.N. Krasnozhen
Augmentin in the form of aerosol is used as an independent remedy of antibacterial therapy in a dose of 100 mg dissolved in 2 ml of water for injection 2 times per day into the nasal sinus or maxillary sinuses by drainage using a sprayer. The nasal sinus and sinuses werå washed properly by a physiological solution. The drug was used in 22 patients with acute sinusitis. Acute maxillary sinusitis was diagnized in 16 patients, acute ethmoiditis - in 2 patients, acute frontal sinusitis metopantritis - in 4 patients. The positive dynamics was noted in all patients after the begining of the treatment.


OSTEOCHONDROSIS OF THE SUPERCERVICAL LEVEL OF VERTEBRAL COLUMN AND LARYNX DYSKINESIA

Kh. A. Alimetov
As many as 260 patients with voice disorders caused by pathology of the supercervical part of vertebral column are examined. This disease in literature is determined as functional dysphony and is characterized by the absence of visible pathology in the larynx. However it is shown that the larynx and surrounding organs can be involved into the myofixation zone and give the adequate response to the pathology of the cervical part of vertebral column.


MUSCULAR SYNDROME IN PATIENTS WITH INFLAMMATORY AND DEGENERATIVE DISEASES OF JOINTS AND VERTEBRAL COLUMN

R.A. Khabirov
The manifestations of muscular syndrome affecting the gravity and prediction of the disease take place in the most widespread and invalidizing rheumatic diseases: osteoarthrosis, rheumatoid arthritis and ankylosing spondylarthritis. Paraclinical studies showed heterogeneity of pathogenetic mechanisms in lesion of skeletal muscles in rheumatic diseases. The differentiated methods of the treatment of patients with osteoarthrosis, rheumatoid arthritis and ankylosing spondylarthritis taking into account the clinical picture and pathogenesis of muscular syndrome, as well as the diagnosis criteria and classification of muscular system lesion are suggested.


NEW APPROACHES TO THE TREATMENT OF CAVITARY FORMATIONS OF LUNGS IN CHILDREN

P.N. Grebnev
The problems of local sanation of lung cavitary formations of nonspecific etiology in children and the methods directed to their fast healing are considered. The results of the treatment of 421 children with single cavitary formations of lungs are analyzed, and it is concluded that the effective treatment of single purulent cavities of lungs in children requires the combined use of bronchoscopic sanation and "small" surgery methods. The developed complex treatment method of cavitary formations of lungs (127 patients) makes it possible to restrict the indications to radical operations and to reduce the terms of cavity obliteration.


LEADING MECHANISMS ÎF THE THERAPEUTIC EFFECT OF DIMEPHOSPHONE

V.N. Tsibulkina
A wide range of clinical efficiency of dimepho-sphone - a home-made low-toxic organic phosphorus drug supposes its effect on the processes universal for most cållular systems. The basis of the leading mechanisms of effect of the drug is antagonism to calcium-dependent processes of the intracellular transfer of excitation. The concept of the therapeutic effect of dimephosphone on the basis of antiinflam-matory, antihistaminic and antiagrega-tional properties with the recommendation to comprehensive use according to new indications in patients with chronic urticaria and acute erosive and ulcerous processes of gastroenteric tract is developed.


USE OF X-RAY COMPUTER TOMOGRAPHY WITH INTRAENTERIC CÎNTRASTING FOR DIFFERENTIAL DIAGNOSIS OF ULCERATIVE COLITIS AND CROHN DISEASE

I.I. Khidiyatov, D.Kh. Amirova, A.V. Kulyapin, V.O. Panferov, A.A. Teitelbaum
For the purpose of increasing informativity of X-ray methods in using them in the diagnosis of large intestine diseases including the differential diagnosis of nonspecific ulcerative colitis and Crohn disease 27 patients with the given diseases were examined using a modified method-computer tomography with intraenteric contrasting. The computer-tomographic sighus characteristic for colitis and Crohn dicease are established.


PROGRAMS OF PRIMARY AND SECONDARY PREVENTION OF THE BASIC CARDIOVASCULAR DISEASES IN TATARSTAN REPUBLIC FOR 1999-2009

V.N. Oslopov
The principal directions of the formed project of the Republican program having a special purpose "Healthy heart" in 1999 - 2009 - the program of primary and secondary prevention of the basic cardiovascular diseases in Tatarstan Republic are given. Recommendation of suggestions of this program will make it possible to economize up to 40% of means by decreasing the number of patients as a whole, by reducing expenditures connected with payment of disability pensions and other medicosocial expenses.


PROBLEMS OF ORGANIZING IN TATARSTAN REPUBLIC THE SPECIALIZED SERVICE TO CHILDREN WITH SURGICAL DISEASES OF UROGENITAL SYSTEM ORGANS

A.A. Akhunzyanov
The organizational structure of uronephrologic service based on the 35-year experience is suggested. The basic principles of the service functioning and the necessity of obligatory reglamentation of the volume and type of medical and diagnostic procedures among children's medical and prophylactic institutions are substantiated. These measures increase the level of active revealing patients, decrease the number of diagnostic and medical errors, increase the efficiency of work of specialized subdivisions of the service, bring the specialized medical service to children with uronephrologic pathology nearer to rural and remote from the centre industrial regions.


Kazan Medical Journal


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