bluuebunny/crossref_metadata_2025 huggingface dataset:
The impact of alcohol admixture with gasoline on carbon build-up and fuel injectors performance
Authors: Stępień Zbigniew , Pielecha Ireneusz , Cieslik Wojciech , Szwajca Filip
Published: March 2022

The operating conditions of injectors in spark ignition engines with direct fuel injection make them susceptible to coking, which leads to a reduced quality of fuel atomization. This can be observed by a drop in performance and an increase in exhaust emissions, especially
particulate matter. One effective method of reducing injector coking is by using detergentdispersing gasoline additives. The article describes the effect of using an admixture with a varied alcohol content on the quantitative and qualitative fuel atomization indicators. The research consisted of a 48-hour engine test, done in accordance with the CEC F-113-KC procedure (CEC-F-113 test). After each test cycle, the injectors underwent optical tests with the use of an isochoric chamber. The spray penetration and surface area were analyzed at a set of different fuel injection parameter values. The research performed resulted in determining the influence of each tested admixture on the change of injection time and on the geometric indicators of the fuel spray. The obtained characteristics of the engine in operation and conducted stationary tests enabled the operational evaluation of the impact an alcohol admixture with gasoline fuels had on key engine parameters.
Persuasão como instrumento de ação política na Atenas do século V a.C.: o caso de Péricles
Authors: Neves dos Santos Ricardo
Published: March 2022

Na obra História da Guerra do Peloponeso, Tucídides afirma que Péricles, o eminente político ateniense, “podia conter a multidão sem lhe ameaçar a liberdade, e conduzi-la ao invés de ser conduzido por ela, pois não recorria à adulação com o intuito de obter a força por meios menos dignos” (Thucydides, 2, 65, 8). Se Péricles não utilizava a imposição ou a adulação para governar seus concidadãos, qual era então seu principal instrumento de ação política? No presente artigo, trabalhar-se-á com a tese de que a persuasão foi o instrumento supremo utilizado por Péricles na condução de sua política entre os atenienses. Em meio à análise de trechos do terceiro discurso de Péricles, reportado por Tucídides (Thuc., 2, 60-4), serão apresentados quatro aspectos centrais de como isso se configurava.
Itinerário extramuros de Lúcio-Asno nas 'Metamorphoses', de Apuleio: topofobias na África romana (séc. II d.C.)
Authors: Lima Neto Belchior Monteiro
Published: March 2022

As topofobias associadas à África romana identificam-se diretamente aos espaços extramuros das cidades existentes na região. Tal percepção evidencia-se quando se toma como documentação de análise as Metamorphoses, de Apuleio. Escrita em meados do século II, na obra há uma clara designação das localidades fora da ingerência das elites citadinas como espaços abertos às ações belicosas, bárbaras e assustadoras praticadas por bandidos, feras selvagens e entidades sobrenaturais. Nesta região erma e insalubre, Lúcio, metamorfoseado em asno, vaga por um itinerário sombrio, perigoso e hostil, presenciando uma série de assaltos, raptos, assassinatos e atos mágico-fantasmagóricos, configurando uma evidente paisagem do medo.
A proposta de um novo itinerário de leitura para as obras prudentianas
Authors: Santos Monteiro Oliveira Rodrigo
Published: March 2022

Resenha de: GONÇALVES, A. T. M. A arte poética a serviço do proselitismo cristão: relendo os poemas de Aurélio Prudêncio Clemente (séculos IV/V). Jundiaí: Paco, 2020. 276 p.
Impressões de um viajante estoico: o simbolismo da morte na 'Ad Lucilium Epistola' LXX, de Sêneca (1-4 a.C. – 65 d.C.)
Authors: Omena Luciane Munhoz de , Carvalho Dyeenmes Procópio de
Published: March 2022

Viajar é uma atividade constante no cotidiano social. Com frequência, ela envolve diversos elementos, como logística, deslocamento, alimentação, etc. Ao se considerar a Antiguidade, pode-se observar imagens sobre viagens e viajantes em obras de autores como Sêneca e Élio Aristides e, em diálogo com a cultura material, tem-se testemunhos acerca das inscrições de trechos, pontes, itinerários, pavimentações, entre outros elementos. O objetivo deste estudo consiste em analisar dois aspectos da viagem na sociedade romana: primeiro, produzir reflexões sobre as estradas, pois converteram-se em fontes de comunicação e base do poder imperial. Para tanto, o estudo de caso se volta para a Via Appia, que conectava Roma a Cápua. A partir daí o segundo aspecto se envereda rumo às viagens filosóficas presentes na Epístola LXX, de Sêneca.
Társadalmi részvétel a városfejlesztésben: változó szerepek Budapest tereinek alakításában
Authors: Bródy Luca Sára
Published: March 2022

A társadalmi részvétel mindig is a kortárs városkutatások népszerű témája volt. A városfejlesztési beavatkozásokban a társadalmi részvételt általában a városi színtéren folyó konszenzuson vagy konfliktuson alapuló véleménynyilvánítási folyamatnak tekintik; a hazai vizsgálatok változatos megközelítési módokat alkalmaztak e mechanizmusok feltérképezésére. Jelen tanulmány a társadalmi részvételt a városi szintnél tágabb folyamatok eredményeként értelmezi. Az elemzés előterébe a társadalmi részvételt alakító strukturális és narratív tényezők kerülnek: a politikai-gazdasági fordulópontok és helyi hatalmi dinamikák alakulása, valamint a döntéshozói és szakmai elképzelések a társadalmi részvétel szerepéről. Az elméleti megközelítés két elemzési szempontot alkalmaz: (1) hogyan változott az állami döntéshozatal léptékeinek hierarchiája, és (2) ez hogyan hatott az állam és a civil szféra viszonyrendszerére.
A tanulmány ezek alapján három városfejlesztési korszakot különböztet meg. Az első időszakot a rendszerváltást követő tömeges privatizáció évei definiálják, amit leginkább a fizikai beavatkozások jellemeznek. A második korszak a 2000-es évek közepétől kezdve a városfejlesztés partnerségi modelljével való kísérletezés időszaka, ahol a civil csoportok bevonása az egyenlőtlenségek csökkentését és a városfejlesztés szociális oldalának erősítését szolgálta. Az utolsó, a 2008-as gazdasági és világválság kibontakozását követő korszakot a recentralizáció és a nemzeti lépték megerősödése teszi jellegzetessé. A cikk bevezetésként áttekintést nyújt a társadalmi részvétel témájának relevanciájáról és a tanulmány felépítéséről. Ezt követően a felhasznált fogalmi és elméleti keretet mutatja be a szakirodalom áttekintésének segítségével. A továbbiakban a tanulmány a három korszak néhány jellegzetességét tárja fel budapesti példákon keresztül. Végezetül, a cikk összegző részében az elemzés következtetései kiemelik a gazdasági szerkezetátalakítás hatásait, az állam meghatározó szerepét a civil társadalmi igények becsatornázásában, valamint az társadalmi részvétel lehetőségeit a változó strukturális feltételek összefüggésében.
MİNİMALİST SANAT AKIMININ 2010 SONRASINDA TÜRK MODASINA YANSIMASI: NİHAN PEKER ÖRNEĞİ
Authors: Aykanat M.zuhal , Coruh Ebru , Demir Özcan
Published: March 2022

İnsanoğlunun varlık gösterdiği milattan önceki yıllarda örtünme, soğuktan korunma amacıyla önce yaprak, dal gibi aksesuarlar ve ardından giysiler kullanılmaya başlanmıştır. O günlerden günümüze uzanan giyinme, temel ihtiyaç olmasıyla beraber insanların kendini bir nevi ifade ediş biçimi, statü belirtisi olarak hayatlarında yer bulmuştur.İnsanlar sanatı; içinde bulundukları zaman dilimi, yaşadıkları coğrafya, ekonomik ve siyasi koşullar gibi çeşitli değişkenlere bağlı yorumlamışlardır. İnsanoğlunun sosyal ve etkileşimli bir varlık olması nedeniyle bir sürü bakış açısı ile ortaya farklı sanat yorumlamaları çıkmıştır. Sanat akımlarının temelini oluşturan bu sanat yorumlamaları sanatçılara ilham olup onların yaratıcılıklarıyla birleşip edebiyat, resim, heykel, mimari ve moda gibi alanlarda eserler olarak ortaya çıkmıştır. Bu akımlardan biri olan minimalizm 1960’larda başlayıp günümüze kadar ulaşmıştır. Pop Art akımına tepki olarak doğmuş; sadeliği, yalınlığı ve tek noktaya dikkat çekmeyi vurgulayan bir akımdır. Minimalizmde siyah, beyaz ve pastel renkler ön plandadır. Modada yansıması ise kalıpların, insan siluetine uygunluğuyla yakalanan rahatlık, kumaş, dikiş kalitesi ve minimum detaylı giysiler şeklinde yer almaktadır. Bu çalışmada literatür taraması yapılarak alan yazın araştırması ve metin analizi yapılmıştır.Minimalizm sanat akımını benimseyip tasarımlarında vurgulayan bir Türk Moda Tasarımcısı Nihan Peker koleksiyonları incelenmiştir.
Physical exercise test in the diagnosis of coronary heart disease and arterial hypertension in locomotive engineers
Authors: Panfilov Yu. A. , Slobodyanyuk A. L. , Kryukov N. N.
Published: March 2022

Coronary heart disease and arterial hypertension occupy an important place in the structure of therapeutic pathology in locomotive engineers. It is known that physical activity increases myocardial oxygen demand. Normally, it is compensated by the increase of coronary vessels flow rate. In pathological conditions, coronary circulation reserves are reduced, which leads to myocardial hypoxia and decreased tolerance to physical load. The use of these stress tests in medical examination, in particular bicycle ergometry, allows not only to estimate the state of cardiovascular system, but also to increase the efficiency of detection of the mentioned diseases.

The aim of the present work was to study the level of tolerance to physical load, diagnose coronary heart disease and arterial hypertension in locomotive engineers by bicycle ergometry test data.
Vasorenal hypertension
Authors: Galeev R. Kh. , Zaripov R. A. , Nagornykh B. P. , Kazakov I. M. , Malinovsky M. N.
Published: March 2022

The term "vasorenal hypertension" combines all cases of high persistent arterial hypertension based on some variant of renal artery lesion or its branches. According to statistics, vasorenal genesis of hypertension is confirmed in 1.5-5% of patients with hypertension.

Here is our five-year experience of examination and treatment of patients with vasorenal hypertension. From 1983 to 1987 we examined 342 patients admitted to the Republican Clinical Hospital for arterial hypertension of unclear cause.
Dynamics of kininogenesis in patients with peptic ulcer disease against the background of drug therapy
Authors: Rodionov A. V. , Orlov V. A. , Surovikina M. S.
Published: March 2022

Many aspects of pathogenesis, diagnostics and treatment of peptic ulcer disease continue to attract the attention of researchers. In pathogenesis of this disease a great role is given to biologically active substances, among which the most powerful are kinins. The revealed increase of kinin system activity in the acute period and its decrease in the remission period of peptic ulcer disease began to be considered as participation of this system in pathogenesis of the disease. There were developed recommendations on the use of antienzyme drugs (trasylol, contrical, etc.) in order to inhibit the activity of kallikrein-kinin system of blood in patients with this pathology.
Pathogenetic prerequisites for prescribing antioxidants to pregnant women with diabetes mellitus
Authors: Voronin K. V. , Konopkina L. I.
Published: March 2022

Excessive formation and accumulation of lipid peroxides are found in cardiovascular diseases, diseases of the gastrointestinal tract and bronchopulmonary system, endocrine pathology. Of particular interest is the study of lipoperoxidation processes in diabetes mellitus, a disease accompanied by a pronounced disturbance of fat metabolism and changes in membrane function. A large number of obstetric complications, high maternal and perinatal morbidity and mortality, adverse health consequences for mother and child associated with diabetes mellitus require new approaches to early diagnosis and treatment of detectable disorders in the mother.
Carbohydrate metabolism in diabetic patients with hypertension treatment
Authors: Morugova T. V. , Lazareva D. N.
Published: March 2022

For the purpose of rational therapy of diabetes mellitus, it is important to consider the effect of medications on carbohydrate metabolism, which may change ambiguously in diabetic patients compared to healthy individuals under the influence of drug treatment. In recent years, interest in this issue has undoubtedly increased and has prompted numerous publications containing disparate, unsystematized data on various drugs, mainly on the results of studies of insulin content and glucose levels.
Surgery of cutaneous anomalies of the sacrococcygeal region
Authors: Slesarenko S. S. , Katsia V. G.
Published: March 2022

There are very few articles on the treatment of epithelial coccygeal passages in the periodical literature. Therefore, it is not surprising that these diseases are not recognized in a timely manner, and serious mistakes are made in their treatment. It is believed that in the acute period of the disease there are all conditions for radical surgery, but a number of authors suggest performing radical surgery after signs of acute inflammation subside in a period of 5 days to 6 months.
Use of Σ-aminocaproic acid and magnesium in psoriasis therapy
Authors: Suvorov A. P.
Published: March 2022

Due to the insufficient effectiveness of the existing therapy for psoriasis, the development of new promising ways to treat this widespread chronic relapsing disease is one of the most urgent tasks of practical dermatology. High protease activity, especially in the acute phase of the disease, leads to the disturbance of metabolic regulatory systems, changes protein and nucleic acid metabolism and serves as a trigger mechanism, provoking the manifestation of psoriasis. It becomes obvious that during the progression of dermatosis, proteolysis enzyme inhibitors and medications that help restore the activity of protease inhibitors in the patient's body are justified.
Errors in clinical diagnosis of benign neoplasms of the tongue
Authors: Yamashev I. G.
Published: March 2022

The publications devoted to tongue diseases do not analyze errors in cyanic diagnostics of its benign tumors and tumor-like neoplasms. At the same time this question is of undoubted practical interest. We have analyzed the frequency of clinical errors in diagnosing benign neoplasms of the tongue in the conditions of specialized hospital.
Radioisotopic assessment of renal function in early puerperium in women with severe late gestosis of pregnancy
Authors: Yeremkina V. I. , Yusupova A. N. , Menkevich A. I.
Published: March 2022

It is known that late gestosis of pregnant women does not go away, but leaves more or less pronounced changes, particularly in the kidneys. In previous studies we showed that in almost half of women who had severe late gestosis of pregnancy, renal function remains impaired one year after delivery. These abnormalities were detected by radioisotope renography; other diagnostic methods (biochemical, clinical) failed to detect changes in renal function. Unfortunately, radioisotope studies were not performed in early puerperium, so it was not possible to perform dynamic monitoring of the state of renal function immediately after delivery. At the present stage, pregnant women with severe late gestosis are discharged after intensive therapy of gestosis in the postpartum period.
Combined treatment of a patient with Hilajditis syndrome
Authors: Gorlov A. K. , Kashin M. B. , Goyerbarg M. Ya.
Published: March 2022

In recent years, sporadic clinical observations of Hilajditi syndrome in children (topographic anomaly of the large intestine) have been reported in the literature. We present our observation.
Hemorrhagic form of hemolytic disease of newborns
Authors: Subkhankulova A. F. , Khakimova R. N.
Published: March 2022

In modern obstetrics, there is a rare form of hemolytic disease of newborns, defined as hemorrhagic. We present our observation.
Economic efficiency of detection, treatment and rehabilitation of patients with gastric cancer
Authors: Stranadko E. F. , Alexandrova L. A. , Khadzhiev M. A.
Published: March 2022

Assessing the role and place of different aspects of the fight against malignant neoplasms, it should be recognized that in the general complex of measures aimed at solving this complex problem, the organization of cancer care for the population has an indisputable leading role. The anti-cancer fight includes 4 main aspects: prevention, diagnostic, treatment and rehabilitation. All of them are interconnected and are equally important in the fate of each individual patient. The public health system should determine which of these directions is the main one, which of them should be given preference, i.e. to concentrate the society's resources for the maximum medical and economic effect.
Socio-economic analysis based on the definition of lost life potential due to mortality from malignant neoplasms
Authors: Saprykina A. G.
Published: March 2022

The urgent task of public health is to combat those diseases that cause the main losses of public health, namely the study and ranking of malignant tumors according to their significance in relation to the socio-economic damage they cause. The socio-economic significance of malignant neoplasms is due not only to the fact that they occupy one of the leading places among the causes of death, but also to the fact that they affect the average life expectancy and the extent of irreplaceable losses of the population. In addition, they cause significant economic damage, which is determined by both direct costs for prevention, diagnosis, treatment and rehabilitation of patients, and indirect costs - reduction in the production of public product due to loss of ability to work or premature death of the patient in the working age and childhood. According to E. M. Axel and V. V. Dvoirin, social and economic losses from malignant neoplasms are determined mainly (up to 70%) by losses from premature death.
Some Problems of Organizing Residential Treatment for Single Elderly People in Rural Areas
Authors: Hecht I. A.
Published: March 2022

In spite of a large number of works on gerontology and geriatrics interrogation, medico-social aspects of loneliness of elderly and old people are insufficiently studied. The purpose of the study carried out in Volga district of Kuybyshev region was to make medical and demographic and socio-hygienic characteristics of elderly persons living alone in rural areas.
Organization of surgical care for children with chronic nonspecific lung diseases
Authors: Mavlutova M. G. , Klimanov V. V. , Gamirov O. F.
Published: March 2022

During the last decades all over the world there has been an increase in disability and mortality associated with the growing number of chronic nonspecific lung diseases. The development of the mentioned diseases, in particular bronchiectasis, is dominated by dysontogenetic causes. However, some authors emphasize that the progression of chronic nonspecific lung diseases depends on the organization of specialized sections of pulmonological care for children.
Medieval Doctors in the Volga Bulgars and their Danube-Bulgarian Parallels
Authors: Khalikov A. Kh.
Published: March 2022

In the ninth and thirteenth centuries, two states with the same name Bulgars or Bilgars, that is, Volga Bulgaria in the Volga-Kama region and Danube Bulgaria in the Danube basin, were formed and developed in Europe. Despite the considerable distance of these countries from each other, different historical destinies and ethno-cultural environment, many features of the culture and life of the peoples, also called Bulgars, or Bilgars, were similar.
Treatment of patients with benign tumors and tumor-like diseases of the skeleton
Authors: Akberdina D. L. , Takhavieva D. G.
Published: March 2022

The experience of treatment of 203 patients with benign tumors and tumor-like diseases of the skeleton is generalized. The largest group consisted of patients with osteoblastoclastomas (47.8%). The analysis of the results of 221 operations is given. Some so-called benign skeletal tumors (osteoblastoclastomas, chondromas) are capable of recurrence and malignancy even after the use of rather radical methods of treatment, and therefore the observation of such patients should be as long and regular as for patients with malignant tumors. The greatest number of osteoblastoclastoma recurrences was observed during exocleation.
Blood groups in patients with respiratory tuberculosis
Authors: Slepova R. I. , Kryeva X. G.
Published: March 2022

The distribution of blood groups of the ABO system was studied in 455 patients with various forms of tuberculosis and 3321 healthy donors. It was found that blood type B (III) was more common in patients (27.9%) than in healthy (21.3%). The severe course of the tuberculosis process in the lungs was observed mainly in patients with blood group B (III), while in those with blood group AB (IV), the disease was productive.
Thromboplastinemia in patients with acute traumatic brain injury
Authors: Andrushko I. A. , Evseev E. M.
Published: March 2022

The dynamics of blood 5'-nucleotidase activity and the state of the hemocoagulation system were studied in 47 patients with acute traumatic brain injury. An increase in the activity of blood 5'-nucleotidase was found in all observations, directly correlating with the degree of intravascular activation of the blood coagulation system. It is assumed that the main cause of these shifts is the arrival of thromboplastin from the foci of destruction of brain tissue, an indicator of which is the increased activity of 5'-nucleotidase of blood.
The use of thymalin for the treatment of thermal injury
Authors: Kuznik B. I. , Havinson V. H. , Morozov V. G. , Budazhabon G. B. , Sizonenko V. A. , Kuzmin V. N.
Published: March 2022

It has been shown that the use of a low-molecular polypeptide from thymus cells - thymalin - in patients with burns shortens the time of the first autoplasty, improves the results of engraftment of autografts, increases the number of T-lymphocytes, "active" T-lymphocytes, B-lymphocytes and the concentration of Ig A, reduces complement activity. At the same time, the intensity of intravascular coagulation decreases and fibrinolysis is activated. The most favorable time for the use of thymalin is 6-15 days after thermal injury.
On violations of the germinative function of men in certain pathological conditions
Authors: Petrov S. B.
Published: March 2022

Morphometric and morphohistochemical changes of the gonads of 83 men who died of cancer, tuberculosis, and chronic pneumonia were studied.
The clinical course of chronic subdural hematomas
Authors: Tokmakov G. V. , Likhterman L. B. , Fraerman A. P. , Khitrin L. K. , Arzhanov N. I.
Published: March 2022

The study of the dynamics of the manifestations of chronic (verified 2 weeks or more after the injury) traumatic subdural hematomas in 14S patients revealed a phasic character in the clinical course of the disease. Five clinical phases were identified: compensation, subcompensation, moderate decompensation, gross decompensation, and terminal phase. The approach to the peculiarities of the clinic of chronic subdural hematomas from the point of view of phase currents facilitates the solution of differential diagnostic, operational-tactical and prognostic problems.
Population profile of lymphocytes of patients with obstructive jaundice
Authors: Kharitonov G. I.
Published: March 2022

The rosette formation method determined the content of T- and B-lymphocytes of venous blood in 16 patients with extrahepatic cholestasis. The number of T-lymphocytes in extrahepatic cholestasis is reduced, and B-lymphocytes are increased. The proportional dependence of this decrease on the increase in the level of direct bilirubin in the blood has not been established.
Surgical treatment of rupture of both kidneys in hemorrhagic fever with renal syndrome
Authors: Shakirov F. Z. , Valiakhmetov R. Z. , Zagidullin I. M. , Mavlyutov V. I.
Published: March 2022

Spontaneous rupture of the kidneys is a formidable complication of hemorrhagic fever with renal syndrome, usually occurs against the background of severe acute renal failure, sharply aggravates the already serious condition of patients, being a frequent cause of their death. Surgical treatment of such patients was previously considered contraindicated.
Diagnosis of postinfarction heart aneurysms
Authors: Barbakova A. A.
Published: March 2022

The results of clinical and instrumental examination of 300 patients with myocardial infarction are presented. The leading role of complexes of diagnostic signs in the recognition of postinfarction heart aneurysms in the absence of classical symptoms is shown.
Measures to reduce oncogynecological morbidity in the Udmurt ASSR
Authors: Bashkov Y. A . , Dudina T. B. , Kochurin E. A. , Chumareva I. S.
Published: March 2022

The UASSR is actively working on the early detection of cervical cancer and precancerous diseases of the female genital area with the use of a cytological examination method during preventive examinations. The number of cytological studies increased from 29 thousand in 1969 to 430 thousand in 1980, as a result, the proportion of actively identified patients with cervical cancer among newly registered increased from 23.3 to 89.1%- Over the same period, the incidence of this localization of cancer per 100 thousand. the population decreased by 2 times, and the number of neglected cases among women newly registered decreased by 6 times.
Combination of uterine fibroids with malignant granulocellular ovarian tumor
Authors: Biktimirova N. F.
Published: March 2022

Granulocellular ovarian tumor is often combined with uterine fibroids. The presence of fibroids makes it difficult to detect ovarian tumors, and patients are not hospitalized for a long time. In some cases, they receive conservative treatment contraindicated to them, which promotes tumor growth.
To the method of removing foreign bodies from the respiratory tract
Authors: Nikolaev S. N. , Savaderov V. P.
Published: March 2022

The ingestion, localization of foreign bodies and subsequent changes in tissues and various complications in childhood have certain features, and sometimes it seems "obvious-incredible". Often therapeutic tactics require an individual approach. Of interest is the case of extraction of a foreign body from the right interstitial bronchus.
Clinical and diagnostic value of determining the total protein and polarographic activity of bile in chronic cholecystitis
Authors: Pozdnyak N. D. , Garifdzhanova A. F.
Published: March 2022

In 80 patients with cholecystitis, the total protein and polarographic activity of bile were determined. In cholecystitis in the polarograms of the gallbladder and hepatic bile, significant changes were revealed, expressed in an increase in the total height of the polarographic wave, an increase in the first and second stages and a decrease in the polarographic index, most pronounced in calculous cholecystitis. A high degree of correlation was found between the total height of the polarographic wave and the level of proteinocholia.
Pathogenetic therapy of acne vulgaris
Authors: Andreeva V. N.
Published: March 2022

The pathogenetic substantiation of the effectiveness of the inclusion of zinc preparations in the complex of treatment of acne vulgaris is given. An original methodology for an objective assessment of the severity of skin manifestations of the process at the stages of treatment is presented. Based on the materials of examination and treatment of 34 patients with acne vulgaris, the initial change in the indicators of the activity of cellular alkaline phosphatase was proved, which stabilized during the course of treatment. The inclusion in the complex of therapy of the preparation of zinc sulfate in a dose of 110-220 mg contributed to the rapid disappearance of inflammation, a progressive decrease in the index of severity of skin manifestations and improvement of the immediate results of therapy.
To substantiate the tactics of immunoprophylaxis of infectious diseases in modern conditions
Authors: Khisamutdinov A. G. , Kolpachikhin F. B. , Grigoriev V. E. , Khromova L. I.
Published: March 2022

The basic principles of the work of offices (receptions) for the immunoprophylaxis of infectious diseases in modern conditions are highlighted. For the immunization of children with altered reactivity, gentle methods of immunization of DPT, DS, AS anatoxin and the appointment of hyposensitizing agents are proposed. The purpose of the offices is to reduce the number of non-immunized children.
175th anniversary of the Department of Human Anatomy of Kazan Medical Institute
Authors: Korotkov A. G. , Valishin E. S.
Published: March 2022

For about a century and a half, on the territory of Kazan University, among its monumental structures, a building with a colonnade stands out for its stately simplicity, on the pediment of which the Latin dictum "Hic locus est, ubi mors gaudet succurrere vitae" is inscribed in golden letters. The rector of the university, H. I. Lobachevsky, who headed the construction committee, reported to the trustee of the Kazan educational district that in this place. ... ". Since 1837, this purpose-built building houses the Department of Human Anatomy, which was transferred to the Medical Institute in 1930.
On the work of the antenatal clinic in the conditions of the obstetric-therapeutic-pediatric complex
Authors: Gorodkov V. N. , Motylev V. D. , Vasilieva T. P. , Posiseeva L. V.
Published: March 2022

In recent years, an increase in stillbirth and early neonatal mortality has been recorded in the city of Ivanovo. In order to identify the reserves and ways to improve the work of medical institutions for the prevention of perinatal pathology, a detailed analysis of each case of perinatal mortality in maternity hospitals in Ivanov was carried out. The study by an expert method made it possible to find out the reasons and conditions for the formation of perinatal pathology, to trace the organization of medical care at all stages of women's health protection. As a result of this analysis, violations were revealed not only in the work of individual medical institutions, but also in the process of mutual information exchange. Diagnostic and tactical errors of doctors of various medical institutions in the implementation of measures to protect the health of women and newborns were especially evident when transferring information from antenatal clinics to maternity hospitals, from general network polyclinics to antenatal clinics, from an ambulance station to maternity hospitals, etc. Elimination These organizational deficiencies could be one of the significant reserves for increasing the effectiveness of health care for women, fetuses and newborns. The search for forms and methods of work that would ensure close interaction of various medical institutions in the improvement of women and children led to the idea of ​​a functional integration of treatment and prevention institutions for obstetrics, children's and adult networks and to the creation on this basis of an experimental obstetric-therapeutic-pediatric complex (ATPC).
Laparoscopic hypothermic lavage of the omental bursa in the treatment of acute pancreatitis
Authors: Evdokimov N. P.
Published: March 2022

In 63 patients with acute pancreatitis, laparoscopic hypothermic lavage of the omental bursa was performed in complex treatment without prescribing antienzymes and cytostatics. In 42 patients in the control group, omental bursa lavage was not used, but antienzyme and cytostatic drugs were used. The terms of treatment in the main group compared with the control group were reduced by 1.6-2.5 times.
The state of the concentration function of the kidneys after cystectomy
Authors: Sitdykov E. N. , Akhmetova S. M. , Rumyantsev Y. V. , Sitdykova M. E. , Maryina O. S.
Published: March 2022

The state of the osmoregulatory function of the kidneys was studied in patients with malignant neoplasms of the urinary bladder, as well as in those who had undergone cystectomy with various methods of urine diversion. The most pronounced disorders of the components of the osmoregulatory function of the kidneys were established after ureterocoloanastomosis: hypoosmia, decreased osmotic concentration of urine and osmolar clearance. After urethrocutaneostomy, hypoosmia occurs, a decrease in the osmotic concentration of urine. The greatest threat to the body in both cases is hypoosmia. After replacing the bladder with a segment of the intestine, the osmotic pressure of the plasma does not change. From a functional point of view, a rational way of urine diversion is the formation of an artificial bladder from the intestinal segment.
Reconstructive surgery for multiple renal arteries
Authors: Nikoshin L. I. , Galeev R. K.
Published: March 2022

Renal artery occlusions occur in patients with severe aortic atherosclerosis, panarteritis, as well as as a result of previous operations and are severe vascular pathology. It is very difficult to restore renal blood circulation in such patients, since this often affects the areas of bifurcation or trifurcation of the renal arteries. Cases of multiple renal arteries are especially difficult. It is known that surgical treatment for occlusions consists in creating bypass anastomoses, in particular the anastomosis of the superior mesenteric artery with the renal artery using the great saphenous vein [5]. However, the formation of this anastomosis is feasible only when treating a single renal artery, while its multiplicity is observed in 1538% of cases [13].
The state of the microcircular bed in patients with severe traumatic brain damage
Authors: Ivanov V. S. , E. K. Valeev E. K. , Krylov V. E. , Ibatullin I. A.
Published: March 2022

The course and outcome of severe traumatic brain injury (TBI) is more influenced by the degree and nature of cerebral blood flow disorders. Changes in blood circulation, in turn, depend on the state of the microvasculature, which ensures the transcapillary metabolism between blood and tissues. The most convenient object in the study of the microcirculatory network of the brain in patients is the vessels of the bulbar conjunctiva. This is due, on the one hand, to the fact that the vascular network of the outer and inner shell of the eyeball belongs to those few structures of the body that can be directly observed and photographed, on the other hand, the vessels of the bulboconjunctiva have the same source of blood circulation and innervation as the head brain.
Current problems of diagnosis and treatment of rheumatic diseases
Authors: Abdrakhmanova R. Sh.
Published: March 2022

In recent years, rheumatology has clearly defined itself as an independent field of medicine, which studies a large group of diseases of the musculoskeletal system and connective tissue with the most characteristic inflammatory or degenerative joint involvement. Despite the advances in treatment, rheumatic diseases remain an extremely urgent problem of medical science. Their significant prevalence, frequent development in persons of mature working age, a clear tendency to a chronic course also determine the socio-economic significance of these diseases.
Traumatic chyloperitoneum
Authors: Voitsekhovich V. N. , Dobrokvashin S. V. , Mustafin A. A. , Gerasimov N. A. , Bondarev Yu. V. , Lustina N. N.
Published: March 2022

Chyloperitoneum is an understudied and rare pathology. Lymphoedema in the abdominal cavity may be the result of traumatic damage to the main lymphatic vessels of the mesentery, or may not be directly related to the trauma. The clinical picture of chyloperitoneum is varied and depends on the etiological factor and the rate of lymphoedema.
Liver condition in pyloroduodenal ulcerative stenosis and its changes after vagotomy with drainage operations
Authors: Volkov A. N. , Mizurov N. A. , Sokolov S. S.
Published: March 2022

Complex clinical and morphological study of the liver in 102 patients with pyloroduodenal stenosis of ulcerous etiology was carried out. Decrease in the level of total protein in blood serum and changes of sediment samples were observed only in extremely decompensated stenosis. Study of absorption, excretory function of hepatocytes using Bengal pink-labeled131I test showed that in pyloroduodenal stenosis there was a tendency to slow down the processes of dye absorption by liver, in 66% of patients dye excretion was delayed. Rheographic studies revealed decreased hepatic arterial blood flow, apparently, caused by obstruction of portal blood inflow, as evidenced by increased pulse wave propagation time, decreased rheographic index value and changes of curve shape.
Effect of retabolil on hyperuricemia in chronic heart failure
Authors: Bakhteev R. R.
Published: March 2022

Anabolic steroid drugs are widely used in the complex therapy of chronic heart failure. The positive effect of drugs of this group, in particular retabolol, is associated with the normalization of protein metabolism. Therefore, it is of interest to determine the possible effect of retabolol on purine metabolism as a component of protein metabolism, especially at the stage of uric acid formation. The development of hyperuricemic condition in heart failure against the background of treatment with cardiac glycosides and diuretics are reported by V. Е. Anisimov et al.
Significance of the pineal gland in female neuroendocrine homeostasis
Authors: Fattakhova F. A.
Published: March 2022

Numerous experimental studies have proved the suppressive effect of epiphysis on sex gland secretion, which is explained by the primary influence of the pineal gland on gonadotropin formation. Intraventricular administration of the epiphysis hormone melatonin leads to the accumulation of neurosecretin in the hypothalamic nuclei and blocks its release into the posterior pituitary lobe. The central effect of melatonin is manifested in the suppression of secretion of luteotropic hormone (LH) and follicle stimulating hormone (FSH) by the pituitary gland. Studies conducted by E.I. Chazov and V.A. Isachenkov testify to a high degree of dependence of luteotropic hormone formation on the pineal gland. Additionally, the authors demonstrated that the involvement of the epiphysis in the regulation of luteotropic hormone synthesis is not lost after puberty, but persists for a long period of the reproductive stage. The amplitude of the effect of the epiphysis on the level of luteotropic hormone formation depends on its functional state, determined by the degree of ambient light. It was found that luteotropic hormone synthesis peaks at certain times of the day, depending on the season of the year: at 15 h in spring and at 3 h in other seasons.
Peculiarities of immunoregulation in patients with hepatitis B
Authors: Malysheva E. B. , Zaitseva G. A.
Published: March 2022

In recent years, immunological and immunogenetic examinations have been given much attention in the system of mass medical check-ups and population dispensaries. Program of immunogenetic screening and knowledge about the immune status of the population, the specific weight in its structure of persons with certain genotypes and immunological disorders will allow to approach one of the urgent tasks of public health - assessment of health status and risk of certain diseases in representatives of different HLA genotypes. Recent studies have demonstrated the fundamental role of the human histocompatibility system (HLA) in the regulation of immune response to allo- and autoantigens, recognition of "own" and "alien", immune killing of target cells infected with a virus, maintenance of immunological homeostasis. HLA antigens are used as the most informative genetic markers in assessing susceptibility to many diseases. More than 100 HLA-associated diseases are known to date.
Changes in fibronectin levels in the blood of patients with viral hepatitis A and B
Authors: Samerkhanova L. Ch. , Voloschuk O. M.
Published: March 2022

Currently, the attention of researchers is attracted by fibronectin protein, which is present in all human organs, tissues and biological fluids, performing adhesive and opsonic functions. Fibronectin is most closely related to the liver: firstly, liver cells - hepatocytes - are the main site of blood fibronectin synthesis; secondly, numerous experimental and clinical studies have revealed a direct functional relationship between fibronectin levels and the uptake capacity of RES, in particular the relationship with the function of endothelial kupffer cells.
Surgical treatment of transverse plantar deformity of the foot with valgus deviation of the first toe
Authors: Voronchikhin V. A. , Baranova T. S.
Published: March 2022

Transverse flatfoot accounts for 55.2% of all static deformities in women and 38.1% in men. Valgus deviation of the I toe is the most frequent secondary component of transverse plantar foot deformity (in 96.2%). The disappointing results of conservative treatment of transverse-plastic foot deformity with valgus deviation of the I toe encourage many doctors to seek new surgical interventions, but even the latter are not always effective.
Correction of immunity disorders in the complex treatment of patients with severe diphtheria polyradiculoneuritis
Authors: Gavrilova K. I. , Lebenzon S. S. , Kolesnikova A. F.
Published: March 2022

X., 39 years old, was referred to the clinic of children's infectious diseases of Novosibirsk Medical Institute on 14.02.84 with the diagnosis: diphtheria polyneuritis with bulbar syndrome. Her husband and children were healthy. She denied any contacts with infectious diseases. Never had any previous illnesses. Has no recollection of vaccinations.
Evaluation of invasive and noninvasive methods of investigation of the lower limb trunk veins
Authors: Latypova A. A. , Malinovsky M. N.
Published: March 2022

We have analyzed angiomorphological changes of the venous system of the lower limbs in varicose veins revealed by simultaneous catheterization of the femoral, popliteal veins, marginal vein of the foot and compared the obtained data on the deep vein valve system status by invasive method with the results of percutaneous Doppler sonography.
International Symposium "Results and Prospects of Modern Resuscitation Development"
Authors: Minnebaev M. M.
Published: March 2022

The symposium was attended by scientists from the USSR, USA, Italy, Hungary, Poland, Yugoslavia, GDR, Czechoslovakia, Finland, France. Prof. V.A. Negovsky, Director of the Institute of General Resuscitation of the USSR Academy of Medical Sciences, USSR State Prize laureate, Academician of the USSR Academy of Medical Sciences, made a keynote address. The report analyzed the formation of the science of resuscitation, its current achievements and prospects for development.
Multiple fractures and combined injuries
Authors: Bogdanovich U. Ya.
Published: March 2022

Treatment of patients with multiple fractures and concomitant injuries remains the most pressing problem of modern traumatology. The number of patients admitted to specialized hospitals with such traumas increases every year: if in 1976, their share among all patients treated in the specialized trauma hospital of the Institute was 7%, then in 1985 it reached 20.1%. This is also confirmed by the data of other authors.
Three-probe management of patients after Bilroth-II gastric resection
Authors: Weisman L. A. , Lapshin A. S. , Zhabenko B. D. , Kravchinsky I. V.
Published: March 2022

Early complications after Bilroth-II gastric resection for peptic ulcer disease are duodenal stump failure, anastomosis, postoperative pancreatitis, anastomosis stitch failure, etc. First of all duodenostasis underlies these complications, and it appears as a result of duodenum atony and accumulation of bile, pancreatic juice and gastrointestinal contents in it. The resultant increase in hydrostatic pressure in the duodenal cavity can lead to residual limb failure. In addition, increased hydrostatic pressure contributes to inflammatory phenomena in the area of the junction, supports intestinal paresis and, preventing further secretion of pancreatic juice, leads to pancreatitis. Lack of enteral nutrition in the postoperative period disturbs metabolism and reduces plastic capabilities of the body. Stagnation of intestinal contents also has a toxic effect.
Upper gastrointestinal endoscopy in patients with Gilbert syndrome
Authors: Eselev M. M. , Stsepuro P. G. , Korzhinsky F. P.
Published: March 2022

The majority of patients with Gilbert's syndrome experience pain and heaviness in the upper abdomen; they have anorexia and other dyspeptic phenomena. In this regard, the study of the gastrointestinal tract by endoscopy is of particular interest, as it enriches the knowledge of pathological manifestations characteristic of this enzymopathy and allows the identification of concomitant diseases of the digestive organs.
Perineal stage of surgery for rectal cancer
Authors: Blinnichev N. M. , Adrianov A. V.
Published: March 2022

We analyzed the results of abdominoanal rectal resections in 210 patients. Of them, 190 patients had various parts of the left colon lowered into the anal canal, and 20 patients underwent abdominoanal resection of the rectum with creation of a single-bore anus.
Activity of key dehydrogenases in polymorphonuclear leukocytes and blood monocytes of patients with viral hepatitis
Authors: Vishnevetskaya I. F. , Vetlugina K. F.
Published: March 2022

The aim of the work was to find out peculiarities of energy metabolism in polymorphonuclear leukocytes and blood monocytes of patients with viral hepatitis. We studied cytochemical activity of succinate dehydrogenase, lactate dehydrogenase and glucose-6-phosphate dehydrogenase.We examined 95 patients with viral hepatitis aged 17-42, 23 of them had viral hepatitis B. As our study did not reveal any significant differences of cytochemical parameters in patients with viral hepatitis A and B, hereinafter we will use the term "viral hepatitis" without mentioning the type of the disease.
Hygienic assessment of living conditions in field camps
Authors: Vasiliev V. V.
Published: March 2022

A socio-hygienic study of the actual state of field camps in the farms of 16 districts of Penza Oblast has shown that the field camp is built separately for each brigade. Of the 404 mills, 395 were permanent and represented capital structures, but none of them was built according to any standard design. More than a half of them (215) have an area of 0,3-0,5 ha. The areas of 187 camps were planted with trees or bushes, and 207 of them were fenced. The territory of the majority of field camps is not clearly zoned, let alone fenced and landscaped between the economic and household zones. Therefore, the planning structure does not maintain a sanitary gap between the various objects of industrial purpose and recreation room, catering facility. For example, grounds and sheds for parking agricultural machinery in 77 field camps and warehouses for storing fuel and lubricants in 13 remote from the rest room for only 25-50 m. The location of these production facilities does not take into account the possibility of their harmful effects on the human body in the rest room, red corner or canteen. Various smells, and less often noise, emanating from the nearby parking area for agricultural machinery, interfere with the rest of mechanics.
Ya. С. Zimmerman (ed.). Classification of the most important internal diseases. Vols. I (56 pp.) and 2 (47 pp.). Ed. 3, revised. Perm Medical Institute, 1985.
Authors: Leshchinsky L. A.
Published: March 2022

This peer-reviewed publication contains up-to-date classifications of 30 major internal diseases. It not only reproduces the classifications themselves, recommended by famous clinicians or put forward and approved by various scientific forums, congresses, congresses, but, most importantly, these classifications are supplemented by interesting and well-argued comments of the editor of the publication - an experienced and erudite clinician. In addition, there are examples of specific formulations of diagnoses within these classifications, and, as a rule, the most frequent variants of various diagnostic situations and, consequently, formulations, are provided in practice. This very interesting and highly responsible, truly scientific and clinical part of the publication makes it especially useful both for the student at the level of his clinical education, training and formation as a future diagnostician and clinician, and for the mature and experienced internist.