CONTENTS
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CLINICOSURGICAL PARALLELS AND IMMEDIATE RESULTS OF THE OPERATIVE TREATMENT OF PATIENTS WITH THE CRANIOVERTEBRAL PASSAGE ANOMALIESThe clinical picture of the disease in 65 patients with the craniovertebral passage pathology is presented, surgical finds took place in 50 of them. The pyramidal and bulbar, cerebellobulbar syndroms and their combinations are shown in the clinical picture of the disease. NEUROPHYSIOLOGIC LAWS OF WINK REFLEX IN PATIENTS WITH FACIAL NEUPOPATHYElectroneuromyographic examination of 120 patients with the Bell paralysis, in the clinical picture of which facial muscle paresis of various gravity dominates, is performed. On the basis of the results obtained the bioelectric activity of facial muscles with the aim of early diagnosis and prevention of secondary contracture of facial muscles is studied. EXPERIENCE OF ANESTHESIOLOGIC PROVISION OF TOTAL ENDOPROSTHETICS OF MAJOR JOINTSThe variants of anesthesiologic provision of endoprosthetics of major joints are considered. The total spinal block with pronounced analgesia was obtained using the combined spinal and epidural anesthesia. This anesthesiologic provision method is easily reproduced, it gives a significant economic effect and has few contraindications. RESULTS OF THE TREATMENT OF INFECTED PSEUDOARTHROSES OF THE TIBIA BY EXTRAFOCAL OSTEOSYNTHESIS METHODThe peculiarities of the course of infected pseudoarthroses of the tibia using the extrafocal fixation method are studied, as well as laws of the origin of postoperative complications in this category of patients are revealed. The selection analysis data of patients show the significant discrepancy between the outcome structure and number of postoperative complications and the data given by other authors. At the same time these data on complications correspond or slightly below the data of foreign clinics. Since the data presented are obtained during long-term selection analysis of patients with infected pseudoarthroses treated in specialized clinics they sufficiently show the course of this disease using extrafocal osteosynthesis. BASIS OF REHABILITATION OF PATIENTS WITH URINARY BLADDER CANCERThe results of clinical studies of 753 patients are analyzed to develop the effective methods of recovery treatment and to determine the criteria of medical and social rehabilitation of patients with urinary bladder cancer. Rehabilitation of patients with urinary bladder cancer is based on the early diagnosis making it possible to use endoscopic treatment methods, on the efficiency of open operative organopreserving interventions, on the recovery of natural uresis along urethra after cystectomy by enterocystoplasty. PECULIARITIES OF PRODUCING SOLUBLE LEUKOCYTE ANTIGEN 2 BY NEUTROPHILS AND ITS IMMUNOREGULATORY EFFECT IN LATE GESTOSISThe data suggesting the increase of secretion of soluble lenkocyte antigen-2 by neutrophils in late gestosis of SLA-2 are given. The soluble leukocyte antigen-2 has in its turn an immunomodulating effect on producing the factor inhibiting leukocyte migration by lymphocytes. The possible involvement of neutrophils in pathogenesis of late gestosis is considered. STATE OF SOME INDICES OF LASER DOPPLER FLOWMETRY IN NORM AND IN GINGIVITIS IN CHILDRENCapillary blood flow of paradont tissue in norm and in children sufferred from chronic generalized gingivitis and paradontosis in slight form is studied. The method of estimating microcirculatory disorders in paradont tissue using laser doppler fluorometry is developed. The prospects of its wide use in stomatology for early diagnosis of disorders of paradont capillary net-work are stressed. USE OF INFORMATION TECHNOLOGIES TO INCREASE THE EFFICIENCY OF MANAGEMENT OF MEDICODIAGNOSTIC PROCESSES IN HOSPITALSThe existing medical computer systems used in hospitals are analyzed. The factors affecting the time and quality of performing medicodiagnostic processes are shown. The problems of automated control of factors depending on the organization of medicodiagnostic process in hospitals are formulated. TRAUMATISM IS A PRIORITY MEDICOSOCIAL PROBLEMThe traumatism problem as a whole and in particular in Tatarstan Republic is considered. It is stressed that traumatism prevention should be carried out on the state level. Social nature of traumatism with losses of labour and means makes it necessery to create the organizations as interdepartmental traumatism drive commissions of administrations heads where the preventive work should be centered. The fundamental problems of traumatism suck as bone tissue regeneration, hemorrhage, lethality, endoprosthetocs require subsequent long-term studies. WAYS OF MEDICOSOCIAL HEALTH IMPROVEMENT OF CHILDREN FROM FAMILIES OF SOCIAL RISKThe classification of families of the extreme social risk is developed. The medicosocial examination of children from prisoners families with the resulting health improvement of 145 children studying in the boarding school is carried out. The health improvement complex included juridical, educational, psychologic and medical correction. The system proved to be sufficiently effective: for the year acute sickness rate decreases by 45,4% principally at the expense of respiratory organs diseases and respiratory and viral infections. STATE OF OCCUPATIONAL DISEASES IN KAZANThe occupational diseases in Kazan are studied. The diseases from the effect of physical factors and from overstress of separate organs and systems occupy a prominent plase. The observed tendency to decreasing the level of occupational diseases is determined by output reduction, performance of engineering and sanitary and hygienic measures directed to the improvement of labour conditions as well as decrease of the quality of periodic medical examination. It is urgent to teach physicians the problems of occupational pathology in connection with elimination of medicosanitary service in workchops. © 1995-2008 Kazan State University |