Vol 79, No 3 (1998)
Current principles of the clinical diagnosis and classification of children's infectious discases
Abstract
The basic problems of the formulation of the children's infectious disease diagnosis are noted. Taking into account the current notions of the infectious disease the basic principles of the clinical diagnosis and classification of children's infectious diseases are given. The infectious diseases are divided by type, gravity and course. The atypical and complicated variants are described.
Clinicoimmunologic characteristic of tropical malaria in russians and aboriginals of guinean republic
Abstract
The clinical course of tropical malaria in 265 Russians and in 672 aboriginals is compared. The course of tropical malaria in Russians was more serious than in aboriginals of Guinea and was characterized by great duration and height of fever, higher level of parasitemia and great frequency of complications. Anemia, neutropenia, relative lymphocytosis, high ESR and hemoglobinosis S were revealed in aboriginals of Guinea in contrast to Russians; the course of malaria was without temperature in some of aboriginals.
Efficiency of endonasal specific immunotherapy by domestic allergens in bronchial asthma
Abstract
It is shown that the clinical efficiency of endonasal specific immunotherapy is extended to all the children with bronchial asthma though it is expressed unequally depending on the mono- or polyetiology of the disease. Higher efficiency of endonasal specific immunotherapy is revealed in mild course of the disease, in monoetiology of bronchial asthma and with pillow allergen. The decrease of intensity of allergologic tests and antivaccinal tests, more pronounced with pillow feather allergen and in repeated courses of the treatment is found at the same time with clinical improvement after endonasal specific immunotherapy.
New methods of organopreservation surgery of gastric and duoden ulcer
Abstract
A new original operation — pyloroplasty by the resected stomach is described. In surgery of peptic ulcer the change of basic principles is necessary: from the formation of draining anastomoses to the methods allowing to preserve pylorus mechanism, from radical suppression of acid formation to its correction up to the safe level. The results of 597 operations are given, of these in 521 duodenoplasty and pyloroplasty by the resected stomach which are characterized by more favourable results are performed.
Current methods of radial diagnosis of hepatopancreatoduodenal zone diseases
Abstract
The diagnosis possibilities of roentgenoradionu-cleid and current radial investigation methods individually and in combination when revealing hepatopancreatoduodenal zone diseases are studied. The radial diagnosis algorythm of the diseases and tumor injuries of the hepatobiliary zone is developed. The examination time is reduced and revealing of the pathology takes a purposeful nature.
Peculiarities of pathology and causes of death in homeless
Abstract
The analysis of causes of death among definite contingent named tramps is carried out for the first time in home literature. It is shown that among forced causes of death supercooling prevails, and among somatic diseases ischemic heart disease and tuberculosis prevail. The difficulties in medicolegal diagnosis are noted in connection with polypathology observed in persons of no fixed address.
Basic anesthesia by deprivan in oncologic practice
Abstract
Deprivan was applied during various operative interventions in 48 oncologic patients. Fast sleep and awakening after anesthesia, possibility of its use for all age groups and with various accompanying diseases, stability of hemodynamics, possibility to use the laryngeal mask instead of trachea intubation, absence of postanesthesia depression of consciousness and respiration, possibility of combination with other anesthetics are revealed.
On the participation of the anterior hyaloid membrane of the vitreous body in the eye pathology
Abstract
The mechanism and anatomic substrate of permeability disorder of the hyalolenticozonular barrier on account of displacement of the iridolenticular diaphragm laterally are studied and the role of these changes in etiology of postoperational ciliochoroidal amotio is determined. The displacement of the iridolenticular diaphragm on acco- unt of anterior chamber emptying results in damage of the antenor hyaloid membrane.
Chronobiology of labor activity
Abstract
Circadian biologic rhythms are studied and the coefficient of their partici pation in labor is revealed. By means of cosinor — analysis of labor histories of 6572 women the polar acrophases of labor activity and their relativity to photoperiods of twenty—four hours in discrete ages are established.
Production factors in the thermal processing of polyethylene and the problem of assessing their damaging effect on the body of workers
Abstract
Large-scale production and polyethylene processing enterprises in our country have been developing since the 60s. Since the early 1990s, the industry of polyolefins, including high and low pressure polyethylene (LDPE and HDPE) and polypropylene, has been ranked first in terms of production among other plastics.
Neural tissue reactions to low-intensity laser radiation
Abstract
Over the past 25 years, laser radiation has found wide application in various fields of medicine, including neurology, mainly as a means of pain relief [17]. A high degree of specificity of the photobiological action is determined by its unique properties: monochromaticity, selective focus and coherence.
The effect of prednisolone on morphological changes in the gastric mucosa in patients with gastritis with secretory insufficiency
Abstract
We conducted histological and histochemical studies of biopsies of the gastric mucosa in 60 patients with gastritis with secretory insufficiency before and after the course of treatment with prednisolone. In 20 patients, gastritis with secretory insufficiency of the I degree was diagnosed, in 17 - the II degree, in 23 - the III degree.
Childbirth after acute fatty hepatosis of pregnant women
Abstract
Acute fatty hepatosis (AFS) in pregnant women is a rare but formidable complication of pregnancy. Mortality in this pathology reaches 60-100%, but significantly decreases in the case of delivery in the pre-icterus period. We did not find in the available literature a description of childbirth after suffering from OZHH, in this regard, we present our own observation.
The use of monopolar electrosurgery for laparoscopic supravaginal uterine amputation
Abstract
Currently, the method of choice of surgical treatment for adenomyosis, submucous fibromatous nodes and necrosis of fibromatous nodes is laparoscopic uterine amputation. In our practice, we use the method of monopolar electrosurgery of supravaginal amputation of the uterus developed by us.
About Behcet's syndrome
Abstract
More than half a century ago, the Turkish dermatologist Huluzi Behcet first described a kind of symptom complex, consisting of a combination of ulcerative lesions of the oral cavity, genitals and the choroid. Further study of the disease showed that its clinical manifestations are much more diverse.
Some medicoclimatic characteristics of Kazan
Abstract
The basic meteorologic quantities are analyzed. The data bank is produced: a) for air temperature from 1828 to 1991; b) amounts of clouds; c) wind velocity; d) air humidity; e) amounts of precipitation. Moreover from april 1990 to 1992 there are average daily data on temperature, humidity, velocity and pressure of air. It turned out that the number of myocardial infarctions and air temperature had nagative correlation (r=-0,22; p> 0,99%). When air humidity increases, the number of myocardial infarctions increases. The dependence of the disease on air pressure and wind velocty is less. The study of medicoclimatic state of kazan allows to reveal fluctuations of meteorologic parameters and to estimate the associations which are the basis of statistical prediction of meteorologic factors affecting population health in kazan.
Incidence of skin diseases of motor transport workers
Abstract
Among 1882 motor transport workers examined 164 patients with dermatoses are revealed. The incidence and structure of skin diseases and the influence of work conditions are studied. The most important factors for drivers are: vibration, cabin microclimate, nervous and emotional stress, dirtying of skin; for repair workers: dirtying of skin and clothes. It is established that eczema and pyodermia are revealed in repair workers, mycosis of the foot and skin pruritus are revealed in drivers.
Morbidity with temporary disability among railway trasport workers
Abstract
Morbidity with temporary disability among railroaders of the Kazan department of the Gorky Railroad calculating the basic indices in cases and days from 1994 to 1996 is analyzed. The tendency to the increase of the level of diseases and the increase of the average duration of disability on separate railway junctions and as a whole in Kazan are studied. The recommendations are as follows: provision of working places with lighter conditions of work for placement of persons with temporary disability, improvement of control of temporary disability examination; qualitative improvement of prophylactic medical examination of persons with ischemia heart disease, hypertension, gastric ulcer and rheumatism.
Time test
Abstract
The data on standardization of the activated partial thromboplastin time test all over the world and in Russia are given. The method is used as a screening one and it is of importance for revealing disorders in the first coagulation phase (hemophilia diagnosis) and heparinotherapy control. Two lyophilized forms of partial thromboplastin made of cadaverine raw materials are developed. Their specificity in revealing hemophilia, therapy control by heparin fit for a year is confirmed. The diagnosticum of one of them is a basis of the kit for determining the activated partial thromboplastin time. The possibility of its use not only in performing the test by test tube methods but as well by semiautomatic and automatic machines.
Angiotensin II antagonist valsartan in the treatment of arterial hypertension
Abstract
20 years of experience with the use of angiotensin-converting enzyme (ACE) inhibitors in the clinic has shown that in some patients with arterial hypertension (AH) drugs of this group are ineffective. In addition, during treatment with ACE inhibitors, the following fact is also observed: after a certain period of lowering blood pressure (BP) against the background of their intake, its increase is again noted, despite an increase in the dose of the drug
Professor Mars Konstantinovich Mikhailov
Abstract
On June 17, 1998, one of the famous radiographers of Russian medicine, Doctor of Medical Sciences, Professor, Honored Scientist of the Russian Federation and the Republic of Tatarstan, Academician of the Academy of Sciences of the Republic of Tatarstan, full member of the Petrovskaya Academy of Science and Arts, Honorary Professor of the Faculty of Medicine of the University of Belgrade, Rector and Head Department of Radiation Diagnostics of the Kazan State Medical Academy to Mars Konstantinovich Mikhailov.
First Dolly, now Polly!
Abstract
The whole world was bypassed by a sensation - the birth of a cloned sheep Dolly. December 19, 1997 in the issue of the journal "Scaence" (1997, Vol. 278, P. 2130-2133) A. Schnikei et al. described the process of reproduction of transgenic sheep using the nuclear transfer method, which was previously developed for the reproduction of Dolly sheep