Science

Abstracts
Kazan Medical Journal
1999 N3

CONTENTS

Theoretical and Clinical Medicine
Mukhametzyanov I.Sh., Karpov A.E., Ganeev T.S.
Medicosocial rehabilitation of patients with terminal renal insufficiency on the individually programmed hemodialysis
161
Maleev M.V., Latypova N.A., Kuznetsova R.G.
Prediction of hand syndactylia relapse
166
Nettov G.G.
Recovery of the impaired function of the hand thumb flexion
170
Batrakov S.N., Troshkin V.N.
Endoscopic laserotherapy in combined treatment of duodenal peptic ulcerous disease
172
Osipov S.A., Ziganshin A.U., Enaleeva D.Sh.
Comparison of efficiency of benzylpenicillin in the treatment of pneumonia in intramuscular and lymphotropic methods of injection
176
Vizel A.A., Gizatullina E.D., Khamitov R.F., Khasanova Sh.M., Fatkullina R.Sh., Filatova M.S., Aznabaeva Yu.A., Khalfiev I.N.
Efficiency of ambrosan in bronchopulmonary diseases
179
Yakushenko M.N., Kochubei A.A., Kerimov M.B. Kalinin Yu.P., Yakhin K.K., Kharin G.M.
Determination of the incidence of bronchial asthma in children of school age
184
Vanyushin Yu.S., Sitdikov F.G.
Complex estimation of the cardiovascular and respiratory systems under loads of an increasing power
187
Gainutdinov A.R., Ivanichev G.A., Chuchalin A.G.
Respiratory modulation of reflex activity of the truncus cerebri
190
Daminov T.E., Muratkhodzhaeva A.V.
Differentiated treatment of chronic hepatitis of nonvirus etiology in children
193
Sirotkin E.A.
Clinicogenetic characteristic of patients with mucoviscidosis in the Saratov region
197
Bashirova D.K., Sorokin A.A., Gazizova G.F.
Sodoku
201
Ozhegov .M., Penkina N.I., Myakisheva L.S., Maltsev S.V.
Functional state of immune and endocrinic systems in children of first three months of life with active cytomegalovirus infection
204
Khalilov I.G.
Simultaneous reconstruction of two-storeyed lesions of lower extremity arteries
208
Mazitova M.I., Davletshina L.T., Mazitov I.M.
Reproductive potential in women after tubal pregnancy operation
212
Surveys
Kamalov I.I., Malinovsky M.N., Korobov V.V.
Current state and prospects of roentge-noendovascular surgery
214
Aron I.S., Potemkina A.M.
On the importance of psychologic factors in allergic diseases in children
219
Short Communications
Ishenin Yu.M., Valeev R.A., Fakhrutdinov R.N., Kiselev D.I.
Operative treatment of chronic pancreatitis
222
Lyashova G.M.
Experience of using depo-prover in female dispensary
223
Kuklin V.T., Torbina O.V., Bychkova L.I., Tsyplakov D.E., Gilmutdinova V.R.
A case of actinic reticuloid
224
Kalimullin F.Kh., Baranov V.A.
Timalin as an immunomodulator in experimental vaccination
226
Social Hygiene
Sharapova O.V., Nizamov I.G., Kulakov V.I. Basic causes and ways of decreasing perinatal mortality at the regional level
Programs of primary and secondary prevention of the basic cardio-vascular diseases in Tatarstan Republic for 1999-2009
227
Albitsky V.Yu., Volgina S.Ya., Shakirova E.M.
Ethicolegal aspects of nursing premature infants
230
Epidemiology
Zakirov I.G., Bashirova D.K., Sorokina A.A., Gorlovskaya E.V.
Clinicoepidemiologic peculiari-ties of hemorrhagic fever with renal syndrome in Tatarstan Republic
234
Lecture
Kozlov L.A., Nigmatullina N.A.
Abortion complications
237
Bibliography and Book Reviews
Gribina L.N. To the book: I.A. N u s h t a e v "Saratov scientists-physicians: historico-biographic essays" 240

MEDICOSOCIAL REHABILITATION OF PATIENTS WITH TERMINAL RENAL INSUFFICIENCY ON THE INDIVIDUALLY PROGRAMMED HEMODIALYSIS

I.Sh. Mukhametzyanov, A.E. Karpov, T.S. Ganeev
The possibility to achieve medicosocial rehabilitation of patients on hemodialysis using the individually programmed hemodialysis on the computer information technology "Dialysis center" and kinetic urea simulation is studied.


PREDICTION OF HAND SYNDACTYLIA RELAPSE

M.V. Maleev, N.A. Latypova, R.G. Kuznetsova
The computer prediction algorithm making it possible before the operation to estimate with sufficient reliability degree the feasibility of the hand syndactylia relapse after surgical intervention and to choose the rational operation tactics is developed. The test of the prognostic table by the data of the control group case records showed a good agreement between the prognostic results and the true ones.


RECOVERY OF THE IÌÐÀIRED FUNCTION OF THE HAND THUMB FLEXION

G.G. Nettov
The results of the treatment of the long flexion injuries of the I finger in combination with the median nerve branches injuries of the I-III fingers in 63 patients are analysed. The primary and primary delayed tendon sutures proved to be effective. In isolated long flexion injury of the I finger the primary and secondary sutures are effective, and at remote terms the Dubrov autotendoplasty is effective. Recovery of the thumb injuried blockform ligament is possible parallel with it without sacrifice for the function.


ENDOSCOPIC LASEROTHERAPY IN COMBINED TREATMENT OF DUODENAL PEPTIC ULCEROUS DISEASE

S.N. Batrakov, V.N. Troshkin
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.


COMPARISON OF EFFICIENCY OF BENZYLPENICILLIN IN THE TREATMENT OF PNEUMONIA IN INTRAMUSCULAR AND LYMPHOTROPIC METHODS OF INJECTION

S.A. Osipov, A.U. Ziganshin, D.Sh. Enaleeva
Penicillin concentration in blood serum of patients with pneumonia in the presence of acute respiratory virus infection is studied by the highly effective liquid chromatography method in lymphotropic and intramuscular methods of injection. The effect of lymphotropic injection of the antibiotic on the clinical picture of the disease is revealed. Total disappearance of penicillin from blood serum in 3 hours in intramuscular injection and conservation of it within the minimum inhibiting concentration up to 9 hours after lymphotropic injection is indicated. The conclusions are made on the superiority of the given method over intramuscular one in velocity of cupping pulmonary symptomatology, quautity of the drug injections and load on middle medical staff.


EFFICIENCY OF AMBROSAN IN BRONCHOPULMONARY DISEASES

A.A. Vizel, E.D. Gizatullina, R.F. Khamitov, Sh. M. Khasanova, R.Sh. Fatkullina, M.S. Filatova, Yu.A. Aznabaeva, I.N. Khalfiev
As many as 137 patients with acute and chronic bronchitis, pneumonia, bronchial asthma, bron-choectatic disease and tuberculosis were given ambrosan in a dose of 30 mg three times per day in combined therapy (all patients were given antibacterial drugs). It was shown that ambrosan softens cough, promotes sputum passage, positively affects rhe bronchopul-monary disease course. This effect was the most pronounced in acute and chronic bronchitis (87% and 94,8%).


DETERMINATION OF THE INCIDENCE OF BRONCHIAL ASTHMA IN CHILDREN OF SCHOOL AGE

M.N. Yakushenko, A.V. Kochubei, M.B. Kerimov
A group of children aged 7 and 13-14 was chosen using the questionnaire data of 6104 pupils in Nalchik according to the International program ISAAC. It is possible to identify the patients which need the diagnosis refinement by studying medical documentation in the risk group.


COMPLEX ESTIMATION OF CARDIOVASCULAR AND RESPIRATORY SYSTEMS UNDER THE LOADS OF AN INCREASING POWER

Yu.S. Vanyushin, F.G. Sitdikov
The coefficient of the complex estimation of providing a body with oxygen is suggested. Physical load at 200 W is provided with various combination of the interaction of transport and oxygen utilization systems depending on the age of athletes.


RESPIRATORY MODULATION OF REFLEX ACTIVITY OF THE TRUNCUS CEREBRI

A.R. Gainutdinov, G.A. Ivanichev, A.G. Chuchalin
The effect of resistive load and hyperventilation on reflex activity of bulbar cerebrum structures was studied in 32 healthy volunteers by blink-reflex registration method. It is established that resistive load caused the increase of amplitude-time characteristics of the reflex response late component. Hyperventilation test, in its turn, was accompanied by suppression of the late reflex response. The data obtained show that resistive load increases excitability of truncal neurons responsible for the realization of the late reflex response, and hyperventilation has an inhibiting effect on the cerebrum structure data.


DIFFERENTIATED TREATMENT OF CHRONIC HEPATITIS OF NONVIRUS ETIOLOGY IN CHILDREN

T.A. Daminov, A.V. Muratkhodzhaeva
According to the data of the subjective and objective study catergen and essentiale are the agents to treat the children with chronic nonvirus hepatitis independent of the disease forms.


CLINICOGENETIC CHARACTERISTIC OF PATIENTS WITH MUCOVISCIDOSIS IN THE SARATOV REGION

E.A. Sirotkin
Às many as 52 families having patients with mucoviscidosis (2 : 100000 inhabitants) live in the Saratov region. The molecular and genetic examination was performed in 38 children. 52,6% of chromosomes in patients with mucoviscidosis carry the mutation del F508, 47,4% of chromosomes carry other mutations. 28,9% of them have homoxygotes, 47,4% have homozygomes by the mutation del F508, and 23,7% of patients with both rare or unknown mutations. The mixed mucoviscidosis form is revealed in 92,1% of children, the pulmonary one is revealed in 5,3% of children and the enteric one is revealed in 2,6% of children. It is shown that the incidence of mucoviscidosis corresponds to the assumed incidence for the European part of Russia: the level of chromosomes carrying the mutation del F508 is lower than in the countries of west Europe but higher than in the south of Europe and in the north-west of Russia.


SODOKU

D.K. Bashirova, A.A. Sorokin, G.F. Gazizova
The follow-up of the patient aged 69 suffering from sodoku treated with intramuscular injections of totacet is described.


FUNCTIONAL STATE OF IMMUNE AND ENDOCRINIC SYSTEMS IN CHILDREN OF FIRST THREE MONTHS OF LIFE WITH ACTIVE CYTOMEGALOVIRUS INFECTION

A.M. Ozhegov, N.I. Penkina, L.S. Myakisheva, S.V. Maltsev
The state of immune and endocrinic systems and their relation in children of first three months of life with active cytomegalovirus infection is studied. Significant immunity disorders as cellular reaction dysbalance and humoral link activation are revealed in children with active congenital cytomegalovirus infection. The association of lymphocyte subpopulations with the disease gravity and terms of infecting a child is established. The low level of thyroidin hormone T3 that is the disease gravity criterion is revealed in 1/3 of children.


UNIMOMENT RECONSTRUCTION OF TWO-STOREYED LESIONS OF LOWER EXTREMITY ARTERIES

I.G. Khalilov
The comparative characteristic of the results of two basic surgical treatment methods of two-storeyed lesions of lower extremity arteries; proximal reconstruction and simultaneous reconstruction of both storeys is given. It is revealed that atherosclerosis progress in the distal anastomosis region of the aortofemoral shunt as well as in the popliteal artery region and its trifurcation can cause blood circulation decompensation at remote terms after proximal reconstructions. The unimoment reconstruction makes it possible to exclude in advance from blood circulation zone the potential hemodynamic barriers in deep femoral artery region, popliteal artery and its trifurcation arising with atherosclerosis development at remote terms after the primary operation as well as to decrease the probability of lesion of the distal anastomosis of aortofemoral shunt by neointimal hyperplasia.


REPRODUCTIVE POTENTIAL IN WOMEN AFTER TUBAL PREGNANCY OPERATION

M.I. Mazitova, L.T. Davletshina, I.M. Mazitov
The ectopic pregnancy frequency is studied by the data of one of the great puerperal houses in Kazan for 1993-1997. It is established that following the ectopic pregnancy, the pregnancy comes in each fifth woman; among women wishing to give birth, the pregnancy comes in each second one. Hence, in ectopic pregnancy complications of tuboperitoneal sterility in calculations it is necessary to take into account the woman's wish to retain reproductive function.


BASIC CAUSES OF PERINATAL MORTALITY AT THE REGIONAL LEVEL

O.V. Sharapova, I.G. Nizamov, V.I. Kulakova
On the basis of complex multidimentional study of perinatal mortality causes in Chuvash Republic during 1986-1996 the authors revealed and quanti-tatively measured the factors causing perinatal mortality. The work is performed on the basis of 1196 cases of perinatal mortality which are collected all over the Chuvash Republic. The adequate directions of the given mortality type prevention are suggested.


ETHICOLEGAL ASPECTS OF NURSING PREMATURE INFANTS

V.Yu. Albitsky, S. Ya. Volgina, E.M. Shakirova
The problems involving prematurity are considered. The high death rate among such infants especially in perinatal period is noted. The problems of an ethic nature involving the viewpoint of physicians and parents on the problem of nursing premature infants in our country are studied by anonymous questionnaire.


Kazan Medical Journal


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