CONTENTS
PSYCHOPATHOLOGIC PECULIARITIES IN COMPENSATED AND NONCOMPENSATED DIABETES MELLITUSPsychic disorders in patients with diabetes mellitus depending on the degree of its compensation are studied. The current methods of determining the level of glycemia and glucosuria and the classification of psychopathologic manifestations are used. The structure of the study performed is simple. The psychopatholoc manifestations are correlated with the diabetes mellitus compensation degree. The results of the study will make it possible to determine the diabetes mellitus compensation degree on the basis of the clinical picture and dynamics of psychopathologic symptoms. USE OF MICROCRYSTALLINE CELLULOSE IN THE TRĊATMENT OF THYROID GLAND HYPERPLASIA IN CHILDRENThe children living in Kazan were examined to estimate the state of thyroid gland. The level of iodine saturation of the organism was evaluated by the cerium - arsenite method. The discrepancy between the incidence of thyroid gland hyperplasia and the amount of urinary excretion of iodine was revealed. The general health state of the children under study, peculiarities of their diet, and drugs being taken at the moment were analyzed. Taking into account the great incidence of gastro-intestinal tract injuries and allergic manifestations, the use of enterosorbent - microcrystalline cellulose in the treatment of children with thyroid gland hyperplasia was suggested. Two types of changes of urinary excretion of iodine proving the participation of enterosorbents in the correction of iodine content in the organism were revealed in the course of the treatment. ARTERIAL HYPERTENSION IN PATIENTS WITH ACTIVE CRYSTAL FORMATIONThe results of examination of 70 patients with urinary syndrome as oxalic-calcic and uratic crystalluria and in the projection of pelvic system by ultrasonic examination data were analyzed. The study of partial functions of kidneys, purine and oxalic metabolism was performed to estimate hypertension syndrome in patients with dysmetabolic disorders. The comparison of patients with arterial hypertension (15) and normotonia (55) showed the changes in the first group as fast development of dysmetabolic disorders and significant disorder of purine metabolism. The data obtained show the relation between hypertension and interstitial nephritis activity. EXPERIENCE OF THE COMPLEX TRĊATMENT OF CHRONIC ATROPHIC GASTRITIS USING RIBOXINÒhe results of the complex treatment of 60 patients with chronic atrophic gastritis using riboxin are presented. The favourable effect of riboxin on the dynamics of the clinical manifestations of the disease, collagen metabolism in gastric juice, acid -forming function parameters and ultrastructure organization of gastric mucosa is shown. These positive effects of riboxin justify its use in complex treatment of patients with chronic atrophic gastritis. VARIATION OF HOMEOSTASIS IN PERITONITIS OF APPENDICULAR ORIGIN BY THE INDICATORS OF VASCULAR REACTIONS AND MICROCIRCULATIONVariations of homeostasis in peritonitis of appendicular origin by the indicators of vascular reactions and microcirculation are studied in dynamics early in the development. The account of the revealed variations of homeostasis makes it possible to carry out the dosed infusion therapy directed to the elimination of the functional hypovolemia in the preoperative period of preparation. For the elimination of the functional and organic insufficiency of the gastroenteric tract the endonasal intubation of the stomach and small intestine with obligatory drainage placing on the Treitz hernia and the intubation of the large intestine are necessary. The use of laparoscopic equipment with concurrent active sanation of the abdominal cavity is advisable. ULTRASOUND COLOR DOPPLEROGRAPHY IN THE DIAGNOSIS OF TUMORS OF THE MAMMARY GLANDAs many as 181 patients with volumetric diseases of the mammary gland are examined using the current method of radiation diagnosis - the ultrasound color dopplerography with blood flow charting. The value of this method in the differential diagnosis of malignant and benign tumors of the mammary gland is proved. SKELETAL EXTENSION IN METASTATIC INJURIES OF THE VERTEBRAL COLUMNThe experience of using the skeletal extension in patients with metastatic injuries of the vertebral column with the danger of squeezing the spinal cord or with the developed squeezing in combination with disorders of pelvic organ functions is shown. On the basis of the given clinical observations it is concluded that the skeletal extension is one of the methods of palliative therapy. The method makes it possible to decrease the doses of narcotic and innarcotic analgetics or to abolish them, improves the quality of life, does not require additional economic expense. CLINICODIAGNOSTIC PECULIARITIES OF PARENTERAL VIRAL HEPATITES IN THE PRESENCE OF NARCOTIC INTOXICATIONThe patients entered the viral hepatitis department among which were the persins taking naerotic agents intravenously are examined. It is established that accompanying use narcotic agents has a definite negative effect on the clinical course, laboratory and instrumental, immunologic indices in viral hapatitis. STUDY OF VEGETATIVE DISORDERS IN USERS OF VIDEODISPLAY TERMINALSThe incidence of paroxysmal vegetative disorders in users of videodisplay terminals, as well as the dependence of the disorders on some individual peculiarities of workers: sex, age, a series of social demographic, family and behaviour characteristics and general physical training are studied. The incidence of vegetative paroxysms in women - users of videodisplay terminals was higher than in women not working with videodisplay terminals. It is shown that women - users of videodisplay terminals aged 30 and older are a group of increased risk from the standpoint of paroxysmal vegetative disorders. TOPICAL PROBLEMS OF FINANCING MEDICAL INSTITUTIONS IN MARKET ECONOMYThe system of budget financing health protection institutions establishing on a level of the concrete region with respect to the used account forms is studied. Under unchecked rise of prices in commodity - bill - interpayment accounts in the true process of market economy formation the health protection authorities should reserve the control functions in prices and tariff of medical products. The mechanisms of increasing the efficiency of using resources should be laid in the health protection system, the necessity of increasing financial resources of health protection will demand the rise of the efficiency of using the provided means. LIFE WAY AND HEALTH STATE OF CHILDREN BRINGIN UP IN THE FAMILIES WITH A FATHER ABUSING ALCOHOLThe data of medicosocial study of the families having a father abusing alcohol are presented. The disease incidence of children in sociopathic families was studied by the data of taking medical advice and medical examination. The complex estimation of their health state showed that one third of the sociopathic group (33,2%) refers to III-IV health groups, that is they have various chronic diseases. The social and medical care for them can be considered as the priority direction in maternity and child protection. MEDICOSOCIAL CHARACTERISTIC OF THE ACTIVITY OF CHILDREN'S DENTIST IN A LARGE CITYThe anonymous scheme is developed to study the effect of medicosocial factors on labour activity and work quality of children's dentist. The causal relationships between them and work quality are revealed. A series of unfavourale medicosocial factors of life of children's dentists has influence on qualitative indices of their activity. CHILDREN DEATH RATE AS A RESULT OF EXTERNAL CAUSESThe social and hygienic aspects of the reath rate of children and teenagers as a result of accidents, traumas and intoxication are studied. Higher level of the death rate of children living in rural regions, especially of males is revealed. The basic cause of unfavourable incomes in unnatural death in children aged up to one was asphyxia as a result of aspiration of food and vomiting, older than one were drowning and road-transport accidents, from 10 to 14 - suicides, from 15 to 17 - suicides and road-transport accidents. The coordinated and interdisciplinary measures are necessary to solve the problem connected with accidents and injuries in children. DYNAMICS OF THE INCIDENCE OF INTERNAL ORGAN DISEASES IN ADULT POPULATION IN KAZANThe dynamics of the disease incidence indices in adult population for 1992 to 1997 is analyzed. The growth of the incidence of internal organs diseases and the tendency to increasing the rate of hypertension, ischemic heart disease, diseases of stomach and respiratory organs are noted, the demand for specialized services, diagnostic and medical provision increases. The necessity to form complex medicosocial and economic measures directed to decreasing negative tendencies in health of the population in Kazan is noted. ADAPTIVE COMPUTER EXAMINATION SYSTEM IN PROPHYLACTIC MEDICAL EXAMINATION OF PREGNANTSThe experience of using in obstetric practice the adaptive computer technologies which make it possible to come to the true management decision is shown. The quality of diagnosis and prediction of pathologic states of pregnants increases, the risk groups are revealed more operative in using the examination system. © 1995-2008 Kazan State University |