bluuebunny/crossref_metadata_2025 huggingface dataset:
On the use of R. Voll’s galvanopuncture in patients with erysipelas
Authors: Erovichenkov A. A. , Mezentsev B. B.
Published: April 2022

The possibilities of the use of Volls galvanopun- cture to estimate clinical manifestations of the infectious process in patients with erysipelas are studied. As many as 15 patients with erysipelas are observed in the disease dynamics. The possibility of the galvano- puncture use to estimate clinical manifestations of ery- si pelas in the disease dynamics and the efficacy of the performed treatment is shown.
Angiologic analysis of abdomino-anal resection variants of the rectum
Authors: Magomedov I. U.
Published: April 2022

The angiotensiometry of inferior mesenterial artery, its branches, marginal arterial arch and intramural vessels of the rectum in supposed reduction zone in abdomino-anal resection variants during 66 operations is performed. The occlusion variants all may result in such arterial pressure value when the necrosis develops. The optimal variant of extraorganic vessels ligation may be determined and the resection level of the rectum with adequate intraorganic hemodynamics may be chosen to prevent the ischemic necrosis of the reduced rectum in all cases using angiotensiometry data.
Immunological disorders and their correction in the complex treatment of gastric and duodenal ulcers
Authors: Abelevich A. I. , Gimranov F. F.
Published: April 2022

Peptic ulcer of the stomach and duodenum is a disease, the etiology of which has not been precisely established. Taking into account the chronic recurrent course of the disease, seasonality, connection with a violation of the diet, increased sensitivity to parenteral administration of protein preparations, an immunoallergic hypothesis of the pathogenesis of peptic ulcer disease was put forward [46]. In our country, it was supported by S.M. Ryss. In the modern literature, the issue of changes in the general immune status in peptic ulcer disease is widely covered.
Medical expert system "Doctor"
Authors: Grishina A. V. , Latfullin I. A. , Terzi V. F. , Khabriev R. U.
Published: April 2022

To build a medical diagnostic expert system (ES), we considered the general decision-making procedure in medicine based on the operation of certain knowledge. This knowledge is taken from various fields of medicine and can formally be presented in the form of a database, knowledge base and decision-making rules.
Report on the work of the Scientific Medical Society of Surgeons of the Republic of Tatarstan for 1994-1995.
Authors: Anisimov A. Y.
Published: April 2022

Over the past two years, the activities of the Board of the Scientific Medical Society of Surgeons of the Republic of Tatarstan were aimed at the further development of surgery, improving the quality of the provision of surgical care to the population, improving the qualifications of surgeons, especially young ones, strengthening the traditions of the Kazan medical school. The society owes its successful work in many respects to the firm position and confident leadership of the chairman of the board of the NMOH RT, head of the department of clinical anatomy and operative surgery of the Kazan State Medical Academy, prof. I.A. Ibatullina. Taking this opportunity, the Board expresses its sincere gratitude to him for this.
Decree of the President of the Republic of Tatarstan on the awarding of the 1995 State Prizes of the Republic of Tatarstan in the field of science and technology
Authors: Shaimiev M. S.
Published: April 2022

Having considered the proposals of the Commission under the President of the Republic of Tatarstan on State Prizes of the Republic of Tatarstan in the field of science and technology, I decide: For a significant contribution to the development of the humanities, natural and technical sciences, the development and implementation of fundamentally new technologies, outstanding production results obtained on the basis of the widespread introduction of scientific achievements and technology, to award the 1995 State Prize of the Republic of Tatarstan in the field of science and technology and to confer the title Laureate of the State Prize of the Republic of Tatarstan in the field of science and technology.
The state of humoral immunity in dusty lung diseases
Authors: Zhestkov A. V.
Published: April 2022

The estimation of diagnostic value of humoral immunity indices in dust lung diseases is given and the tests for determining the individual sensitivity of persons to the effect of industrial aerosols of various fibrogenity degree are chosen. It is established that disorders of humoral immunity and inspecific resistance of the organism in dust lung pathology depend on the disease type and are determining for developing infectious complications. It is recommended to determine the factors of humoral immunity and inspecific resistance in workers being in contact with high concentrations of industrial aerosols and in patients with dust lung diseases for the exact estimation of risk of developing infectious complications.
Endotoxinemia and its role in immune disorders in bronchial asthma in children
Authors: Shamova A. G. , Malanicheva T. G.
Published: April 2022

The importance of endotoxinemia and its role in immune disorders in bronchial asthma in children are studied. The pronounced correlation of the plasma endotoxin level with the attack rate, the increasse of the attack duration and remission prolongation is revealed. The immunologic indices change differently. The data obtained confirm the pathogenetic importance of endotoxinemia in bronchial asthma in children requiring new approaches to the therapy taking into account the revealed disorders.
Complex beam diagnostics of nephroptosis in adults
Authors: Akberov R. F. , Khairullova Z. I.
Published: April 2022

The informativity of the ultrasonic examination, intravenous excretory urography, radioisotopic renography in the diagnosis of nephroptosis is studied. It is shown that the combined use of radiation methods makes it possible to establish the nephroptosis degree, to reveal the disorders of uro- and hemodynamics and to determine the choice of treatment tactics.
Ultrasonic diagnosis of hypermobility of the cervical part of vertebral column and myofascial pain syndrome
Authors: Novikov Yu. O. , Ivanichev G. A.
Published: April 2022

The functional echospondylography method which makes it possible without the use of the x-ray method to diagnose in patients the hypermobility in the cervical part of vertebral column is suggested. The examination can be repeated in process treatment and after it. The ultrasonic histographic study of the myofascial trigger points makes it possible using the numerical indices to estimate the degree of their activity in comparison with the histogram data of the unchanged muscle part and to estimate the treatment results by the histogram change.
Epidemiological study of headache in students
Authors: Batyasov Yu. I. , Batyasov V. Yu. , Gabdrakhmanova D. F.
Published: April 2022

Prevalence and causes of cephalgia among students depending on gender, course of studies, institute profile, life conditions are studied. The scheme of the pathogenetic cephalgia type by the smiologie characteristic is used. The close correlation between the noted factors and the cephalgia character is shown.
Remote lithotripsy in the treatment of urolithiasis
Authors: Sitdykova M. E. , Aitova E. R.
Published: April 2022

Treatment of patients with urolithiasis (Urolithiasis) in modern urology is an important task associated with both medical and social and labor rehabilitation. According to NK Dzeranov's forecasts [5], in 2000 the number of patients with ICD will increase 1.8-2.0 times. The annual rate of primary morbidity of KSD is 0.1% [25]. Surgical intervention, being for several decades the leading method of treating KSD. fraught with serious complications. NK Dzeranov [5] indicates a high percentage of relapses of a more severe form of ICD, in which the number of nephrectomies increases to 11.5%. Poor surgical outcomes prompted clinicians to seek alternatives to open surgery.
On the book: V.V. Pokrovsky, T.N. Ermak, V.V. Belyaeva, O. G. Yurin "HIV infection: clinic, diagnosis and treatment"
Authors: Bashirova D. K.
Published: April 2022

In connection with the epidemic rise in our country of HIV infection, the new guidance dedicated to this most pressing problem is very timely and necessary for a wide range of doctors. The monograph was written by the staff of the All-Russian Center for the Prevention and Control of HIV Infection under the general editorship of Academician V.V. Pokrovsky, who heads this center. This work is one of the first guidelines on the clinical aspects of this infection in such detail. The book contains 5 chapters, a bibliography, an appendix, a list of abbreviations. It is based on the materials of our own observations of more than 1000 patients with HIV infection, carried out by the authors for 15 years, and this is its great advantage.
Treatment of damage to the extensors of the fingers
Authors: Nettov G. G. , Safin R. D.
Published: April 2022

The nature of operative and treatment methods depending on the terms of trauma and injury levels in 134 patients with injuries of hand finger extensors is established. The treatment method stereotype of injuries of hand finger extensors is developed. The internal splinting is typical and the most adequate treatment method for the 1st injury zone; the buried tendon sutures with temporal (to three weeks) fixation of the joint by the wire to accretion of the sutured ends of the injuried tendons are typical for the 2d zone; the primary and secondary tendon sutures with the palmar plaster bandage to accretion of tendons are typical for the 3d zone, the most favourable zone for recovery; the primary or secondary tendon sutures with the absence of defect butween tendon ends are typical for the 4th zone, and with defect more than 35 sm the free bridge-like plasty by autotransplant is typical. In chronic injuries of one two finger extensors when defect is more than 5 sm the transposition is advisable, that is switching the distal extensor end over to the new motor muscle.
The effectiveness of grandaxin in post-castration syndrome
Authors: Fattakhova F. A.
Published: April 2022

The results obtained in the treatment of 14 women (45,61,6 years) with postcastration syndrome confirmed the vegetostabilizing properties of grandaxin. It is advisable to include grandaxin (0,1 x twice daily) into the complex therapy of postcastration syndrome.
The experience of healing frequently ill children
Authors: Miftakhova M. Z. , Miftakhova G. V. , Gizatullina M. K.
Published: April 2022

The role of frequent morbidity in the early formation of chronic pathology in children is known. The risk of chronicity is due to the influence of a complex of factors that give antigenic loads, the prevalence of the contingent of frequently and long-term ill children. During their clinical examination, the maximum shift in allergic changes in reactivity falls on the age period from 4 to 6 years. The formation of foci of chronic infection is observed mainly at the age of 7-10 years.
Sarcoidosis: etiology, pathogenesis, clinical picture, diagnosis and treatment
Authors: Wiesel A. A.
Published: April 2022

The relative rarity of sarcoidosis, most often the chance of detection, but at the same time the possibility of affecting all systems of the human body (only adrenal gland lesions are not described) require a reminder of sarcoidosis to doctors of all specialties. This lecture is based on a review of more than 1000 publications (their citation would exceed the volume of the article, and in the Medline information system in August 1999, 13175 works on sarcoidosis were available). In addition, it outlines the author's modest experience in this area over the past 20 years.
Formulary system of drug supply and its formation in the republic of tatarstan
Authors: Ziganshina L. E. , Galiullin N. I. , Safiullin R. S. , Gazizova N. T. , Ziganshin A. U.
Published: April 2022

Currently, according to WHO, at least 70% of drugs on the world market are duplicates or are not vital drugs. A number of drugs have an unfavorable balance of risk and effect. According to indications, many new drugs do not meet the basic needs of the majority of the population; they are much more expensive than existing drugs. A stable trend in recent years on a global scale is an increase in the cost of drugs, according to WHO experts, by an average of 20% per year, and those that are most often used by the majority of the population (antiulcer, antihypertensive drugs and antibiotics) [1]. In such conditions, the problem of rational use of drugs becomes extremely urgent. In daily practice, doctors need to make the choice of a drug for a particular patient, thereby ensuring the maximum therapeutic effect at a reasonable cost. This choice of medicinal product must be scientifically based.
"Kazan Medical Journal" -100 years: past and present
Authors: Zubairov D. M. , Davydov V. S. , Zakirova A. Sh. , Fatkullin F. Kh.
Published: April 2022

The centenary is a worthy milestone for every periodical. To set such a high bar in conditions far from favorable - against the background of historical cataclysms, the most severe breakdown of political worldviews and economic structures that radically influenced the development of all areas of science, and in particular medicine - fell to a few scientific journals. An attempt to impartially assess the contribution of the "Kazan Medical Journal" to the development of science, the training of medical personnel from the height of the years he lived in this article will hardly succeed. The chronological presentation of events will inevitably be warmed by a feeling of deep respect for the memory of those outstanding scientists who in different years led the journal or collaborated with it, and will require a lot of warm words about them.
Health and work: the search and achievements of occupational medicine at the turn of the two centuries
Authors: Amirov N. Kh.
Published: April 2022

In the 1948 UN Declaration of Human Rights, the rights to work and health are considered fundamental. The history of human society has convincingly and long ago proved that labor and health, their relationship and place in the scale of human values are among the priority problems of life. The area of scientific knowledge and practical human activity that unites these two most important values is, first of all, occupational medicine.
Structural studies of fibrinolysis: how to disassemble a clot
Authors: Weisel John W.
Published: April 2022

Fibrin is degraded by the fibrinolytic system wich a plasminogen activator converts plasminogen to plasmin, a serine protease that cleaves specific bonds in fibrin leading to solubilization. To elucidate the biophysical processes involved in conversion of insoluble fibers to soluble fragments, fibrin was treared with either plasmin or the combination of plasminogen and its activator, and morphologic changes were observed using scanning electron microscopy. Initial changes in the fibrin matrix included creation of many free fiber ends and gaps in the continuity of fibers. With more extensive digestion, free fiber segments associated laterally, resulting in formation of thick fiber handles. Supernatants of digesting clots, containing soluble derivatives, were negatively contrasted and examined by transmission electron microscopy large complex fragments containing portions of multiple fibers were observed, as were piaces of individual fibers and smaller fragments. Some large fragments had sharply defined ends, indicating that they had been cleaved perpendicularly to the fiber direction. Other fibers showed splayed ends or a lacy meshwork of surrounding protofibrils. Fibrinolysis was also followed by confocal microscopy of plasma clots labeled with colloidal gold, so that changes at the lysis front of hydrated clots could be examined in real time. Clots made up of thin fibers were cleaved more slowly than clots made up of thick fibers, even though individual thin fibers were cleaved more rapidly. These results indicate that fibrinolytic degradation results in larger pieces than previously identified, and that plasmin digestion proceeds locally by transverse cutting across fibers rather than by progressive cleavage uniformly around the fiber. A model is proposed for the crawling of plasmin across fibrin fibers.
Optimal structure of the pharmaceutical market in the context of the privatization of pharmacies
Authors: Muslimov N. N. , Latypova G. R.
Published: April 2022

The socialogic studies among pharmaceutic institutions managers, chemists and pharmacists are carried out. The positive attitude of these employees to privatization was revealed by questionnaire. However, as for now the pharmacetic managers prefer transition of the property in the form closed joint- stock company as more gradual way of reforms.
Dynamics of psychovegetative disorders in participants in modern wars
Authors: Sherman M. A.
Published: April 2022

Twenty modem war participants who have had a mild brain trauma in Afganistan war were engaged in 7,000,30 year follow-up study. The basic vegetative state, regulatory brain system function, emotional state (MMPY, Scmiscek-Litman test, Spilberger questionnaire) were investigated in the follow-up study. The increase of nonspecific brain structure dysfunction clinical characteristics: suchas vegetative dysfunction with elevation of sympathetic activity and emotional shift to depressive and hypochondric disturbances was found.
Hepatobiliscintigraphy in the diagnosis of bile leakage in the early postoperative period in patients with cholelithiasis
Authors: Farrakhov A. Z. , Yusupova A. F. , Valiullina P. M.
Published: April 2022

The importance of hepatobiliar scintigraphy in the diagnosis of complications in early postoperative period in patients operated for cholelithiasis is considered. The high efficiency of this noninvasive method as compared with ultrasonography is shown.
Intensive therapy and anesthesia for diffuse phlegmon of the neck and maxillofacial region, complicated by respiratory disorders and mediastinitis
Authors: Nazipov A. A. , Surinov M. A.
Published: April 2022

The peculiarities of intensive therapy in 5 patients with Dupuytrens phlegmons complicated by mediastinitis and respiratory distresses are considered. The prolonged artificial pulmonary ventilation in the positive pressure regime in the expiration end of prevents not only respiratory insufficiency but phlegmon propagation from lower neck parts into the chest, as well as improves mediastinum drainage.
The level of antibodies to Chlamydia pneumoniae and Mycoplasma pneumoniae among patients with bronchial asthma
Authors: Khamitov R. F. , Novozhenov V. G. , Mustafin I. G. , Sergeev V. A. , Kharrasova R. M. , Mansurova N. Sh. , Sulbaeva T. N. , Palmova L. Yu. , Bogorodskaya I. Yu.
Published: April 2022

The level of antibodies to chlamydia pneumoniae (Cp) and Micoplasma pneumoniae (Mp) in 65 patients with bronchial asthma in the clinical remission phase is studied. To reveal antibodies to Cp the indirect immunofluorescence reaction was used, to reveal antibodies to Mp the indirect immunoenzymic analysis method was used. In diagnostic titer the antibodies to Cp were found in 23 patients and antibodies to Mp were found in 25 patients (38%) of 65. In 6 (9,2%) of them the antibodies to Cp were also determined. In patients of seropositive and seronegative groups the differences on some anamnestic and laboratory data, accompanying somatic pathology in medical complex were revealed. |
Modern advances in the development of neurotropic drugs
Authors: Nasibullina N. M.
Published: April 2022

Among the drugs that prevent the development of mental illness, the consequences of epilepsy and cerebral palsy, the use of neurotropic drugs in various dosage forms (DF) is considered promising and expedient [1, 49, 18]. Over the past 10-15 years, a large number of publications have been accumulated on the achievements in the development of highly active neurotropic drugs, which served as an impetus for the study of their pharmacological activity and mechanism of action. Nevertheless, among specialists involved in the search and development of nootropics, there is no single point of view regarding the classification of this group of drugs, which makes it very difficult to assess the drug market [5]. So, along with antidepressants, tranquilizers, anxiolytics and neuroleptics, in France, nootropics are referred to as psychotropic drugs, in Japan - to CNS stimulants, in Italy - to analeptics [6]. About 60 leading pharmaceutical companies in various countries of the world are engaged in the search and research of nootropic drugs [6].
The role of brachytherapy in the treatment of tumors of the trachea and bronchi
Authors: Boyko A. V. , Chernichenko A. V. , Meshcheryakova I. A. , Sokolov V. V. , Telegina L. V. , Kvasov V. A.
Published: April 2022

The original methods of the radical and palliative endobronchial and combined radiation treatment of patients with primary and relapsing cancer of trachea and bronchi and the approaches to the calculation of dosimetric radiation plans are developed and suggested. The possibility of combining endobronchial radiation therapy, distance radiation therapy and laser destructionof the tumor, is studied. The indications to endobronchial radiation therapy are formulated. The suggested method of the endobronchial and combined radiation treatment significantly extended the possibilities of organsaving treatment of patients with primarily multiple metachronous and synchronous cancer and made it possible to formulate the new approaches to the radical treatment of patients with locally spread cancer of trachea.
Влияние эфорана на сократительную активность миометрия
Authors: Ziganshin A. U. , Garayev R. S. , Katamay G. A. , Zaitsev A. P. , Zaitseva I. P. , Wiesel A. O.
Published: April 2022

Eforan - tributyl ester of 2-carboxypropylphosphonic acid - is a representative of low-toxic organophosphorus compounds. Currently, it is undergoing preclinical testing as an anti-inflammatory and antiseptic agent for gynecological purposes. As part of these studies, we studied the effect of eforan on the contractile activity of the uterus in experimental animals.
The phenomenon of acceleration of the conduction of excitation through the CNS in patients with tick-borne encephalitis
Authors: Remnev A. G. , Nazarenko N. V. , Schumacher G. I.
Published: April 2022

We have previously established that in the acute period of tick-borne encephalitis (TBE), which occurs with damage to the membranes and substance of the brain, the latent periods of recorded responses are increased. In dynamics, in the period of convalescence, these same patients showed an improvement in the conduction of excitation in the form of a decrease in the latent periods of the recorded responses. Due to the continued long-term disability (8-10 months after the acute period), 19 patients were referred for a consultation at the Bureau of Medical and Social Expertise to study the conduction pathways of the CNS. In 3 patients, signs of acceleration of the conduction of excitation were registered in comparison with the normal values ​​obtained in neurologically healthy patients.
Silver jubilee of the Faculty of Pharmacy of Kazan State Medical University
Authors: Amirov N. Kh. , Ziganshin A. U. , Potselueva L. A.
Published: April 2022

At the turn of the century, 25 years have passed since that significant day, when in 1975 the first admission of students to the Faculty of Pharmacy of the Kazan State Medical University (then - the Institute) was carried out. The need to create such a faculty was dictated by the fact that the pharmaceutical faculties and institutes of the Soviet Union that existed by that time could not meet the needs of the Republic of Tatarstan and neighboring regions in highly qualified pharmaceutical specialists. Its opening in Kazan was associated with the presence of a higher medical educational institution with an established pharmacological school, an internationally recognized scientific school of organic chemists headed by academicians A.E. Arbuzov and B.A. Arbuzov, a developed chemical industry, as well as a large chemical and pharmaceutical enterprise. However, no matter how favorable these factors were, by themselves they could not lead to a positive outcome in the creation of the Faculty of Pharmacy. This event was destined to come true thanks to the initiative of several specific people, supported by the entire emerging teaching staff of the faculty.
Clinic of staphylococcal intestinal dysbacteriosis in children
Authors: Nikolaeva I. V. , Anokhin V. A. , Malysheva L. M. , Nikolaev A. M. , Vasenin B. N.
Published: April 2022

The variants of the course of staphylococcic intestine dysbacteriosis in 264 children aged one month to 7 years are studied. In babies with decreased colonizational resistance the pathogenic staphylococcus contamination in 79 92,3% of the cases is accompanied by the clinical infection symptomatology of gastroenteric tract and various extraenteric manifestations. In children over one year the given microbiocenosis disorder variant in 45 59,5% of the cases takes the course of asymptomatic bacteria carrier Saureus in intestine. Subcompensated forms are characterized by moderately pronounced clinical symptomatology. The infants infected by pathogenic staphylococcus in the first months of life are subjected to the development of allergodermatoses, staphylococcic infection, hypotrophy and anemia.
Surgical tactics for closed injuries intestines
Authors: Krasilnikov D. M. , Fatkhutdinov I. M. , Shaikhutdinov R. R.
Published: April 2022

The results of surgical treatment of 64 patients with closed intestine injuries: duodenum traumas (17), small intestine traumas (39) and closed large intestine traumas (8) are presented. During operative interventions in patients with duodenum injuries after the defect suture it is obligatory to carry out the prolonged nasoduodenal intubation and decompression, wide drainage of the retroperitoneal space, abdominal cavity. In the cases of injuring more than 1 /3 of the circumference it is necessary to form duodenojejunoanastomosis or to take duodenum out of the passage. In large intestine injuries the operative intervention is carried out in two stages.
Case-conduction novocaine blockades in the complex treatment of patients with fractures of the leg bones
Authors: Ibatullin I. A. , Hannan N. I.
Published: April 2022

In experiments on rats and in examination of two groups of 31 patients the use of novocaine blockades of lumbar sympathetic nodes in the combined treatment of patients with shin fractures on so-called unfavourable levels on the boundary of the middle and lower third is well-grounded. Their use normalizes the drainage function of veins and lymphatic vessels decreases the pulse blood flow deficit on the fracture side, improves microcirculation.
Purulent-inflammatory complications after surgical operations for bladder cancer
Authors: Sitdykov M. E. , Zubkov A. Yu. , Sitdykov E. N. , Perchatkin V. A.
Published: April 2022

Incidence of suppurative-inflammatory comlica- tions after surgical treatment in 618 patients with invasive urinary bladder cancer is studied. The urinary bladder resection is carried out in 306 of them, the cystectomy with various methods of urine removal in 312 of them. The basic suppurative-inflammatory complications in the postoperative period are acute pyelonephritis and peritonitis. After the urinary bladder resection without ureterocystoneostomy the seirous pyelonephritis is found in 8% of the patients, with ureterocysto-neostomy in 37,8% of the patients, the purulent pyelonephritis in 10,1% of the patients. The pyelonephritis and peritonitis complicated the course of cystectomy in 19,3% and 22,7% of the cases, respectively.
Clinical significance of determining the ion-transport functions of cell membranes in hypertension and its cerebral complications
Authors: Oslopov V. N. , Zabbarova A. T. , Bogdanov E. I.
Published: April 2022

Development of methods for early diagnosis of diseases, prediction of the course of pathological processes are among the priority areas in medicine. Studies of cellular ion-transport systems turned out to be promising for solving these problems. Thus, it was established [46] that for a number of diseases some types of epilepsy, migraine, episodic ataxia, periodic paralysis channelopathies are the primary link in pathogenesis, and in the treatment of these diseases, agents stabilizing the operation of ion channels are effective.
The prevalence of cerebrovascular pathology
Authors: Ismagilov M. F. , Shapoval I. S.
Published: April 2022

In recent years, the prevalence of cerebrovascular pathology has increased among both elderly and younger people. Among the causes of death, it ranks second (after acute heart disease), and in terms of disability, it ranks first (3.2 per 10,000 population) [6].
Glomus tumor of the nail phalanx of the fingers and its treatment
Authors: Nettov G. G.
Published: April 2022

In medical practice, patients are quite rare, mostly women, who complain of pain in the nail phalanx of the fingers. Gradually intensifying, the pains are localized in the area of ​​the nail plate, drag on for years, reaching great intensity. In our opinion, such patients are unreasonably long and unsuccessfully observed and treated by various specialists under different diagnoses. While a correct diagnosis and timely surgical intervention relieve the patient of all suffering and lead to a full recovery.
Peptic ulcer as a surgical problem
Authors: Kuznetsov V. A.
Published: April 2022

Peptic ulcer (PU) of the stomach (PU) and duodenum (DU) remains an urgent medical, biological and social problem today. In reality, there are relative and absolute increases in incidence. The relative increase is explained by improved diagnostics. According to the gastroenterological hospitals of Tatarstan, the number of endoscopically confirmed diagnoses of PU is almost 2 times higher than the number of clinical and radiological findings. The absolute growth is alarming, which is largely facilitated by the social tension syndrome as a companion of the political and economic crises.
Diagnosis and treatment of patients with chronic cor pulmonale
Authors: Andreev V. M.
Published: April 2022

Cor pulmonale refers to hypertrophy and (or) dilatation of the right ventricle due to diseases that affect the structure or function of the lungs, or both at the same time. Chronic cor pulmonale occurs with lesions of the bronchopulmonary system (chronic bronchitis, bronchial asthma, pulmonary emphysema, pulmonary tuberculosis, etc.), impaired mobility of the chest (kyphoscoliosis, Bechterew's disease, pleural folds, obesity, etc.) and diseases of the pulmonary artery system (repeated thromboembolism, primary pulmonary hypertension, lung resection, etc.). Right ventricular hypertrophy and insufficiency also occur with secondary changes in the lungs in patients with diseases of the left heart (cardiosclerosis of various etiologies, mitral stenosis) and congenital heart defects, but these cases do not apply to cor pulmonale. Most often, cor pulmonale develops in diseases of the bronchopulmonary system.
Emergency care for coma in diabetic patients
Authors: Anchikov L. I.
Published: April 2022

In diabetes mellitus, acute complications are possible in the form of diabetic ketoacidosis, hyperosmolar, non-ketotic, non-acidotic states of hypoglycemia, which can cause coma if patients are not provided with timely assistance. Treatment of patients with ketoacidotic coma, which is more common than other complications, includes the administration of rapid-acting insulin, fluid replacement, gastric drainage, electrolyte replacement, and management of comorbidities. With ketoacidosis, table number 9 is shown with fat restriction; once a day, sweet tea is allowed until the disappearance of acetone in the urine.
Health insurance as an organizational and economic model of healthcare
Authors: Kiselev S. V. , Tsalikova E. M.
Published: April 2022

The practice of forming budget allocations for health care, which was in force in the recent past, contributed to the fact that the share of health care expenditures in the total amount of budgetary funds was constantly declining. The principle of residual financing of such a socially significant industry as healthcare has become decisive. All these circumstances contributed to the formation of a number of negative trends, which manifested themselves quite clearly in the mid-80s with a shortage of medical personnel, hospital beds, medicines, a slowdown in the introduction of new medical technologies and modern medical equipment, etc. As a result, by the end of the 80s years, the quality indicators of public health protection in the country have sharply decreased.
Markers of tumor cell proliferation in cancerous tumors of the larynx
Authors: Petrov S. V. , Kulagin R. N. , Tsyplakov D. E. , Nefedov O. V. , Saveliev V. V. , Utkuzov A. R. , Raikhlin N. T.
Published: April 2022

The cell proliferative process in the larynx cancer is studied. Contrary to the classical mitotic index the Ki-67 and PCNA indices are reliable and reproducible on the clinical material by the proliferative cell activity indices of the larynx tumors. There is a reverse connection between the proliferation index in cells of the squamous larynx cancer and the tumor differentiation. The direct correlation of the cell proliferation index of the squamous laxynx cancer with the disease stage is revealed. The preoperative radiation therapy significantly decreases the cell proliferation rates of the squamous larynx cancer.
Possibilities of immunocytochemistry in differential cytogenetic diagnosis of thyroid cancer and its metastases
Authors: Afanas'yeva Z. A. , Petrov S. V. , Khairutdinova G. N. , Balatenko I. V. , Guryanova T. V.
Published: April 2022

To determine the diagnostic value of immunocytochemistry in the thyroid cancer the immunomorphological examinations (immunocytochemical and immunohistochemical) are carried out in 61 patients with the thyroid cancer, thyroid lymphoma and cancer metastases without the primary focus. Immunocytochemistry is combined with fine needle aspiration biopsy under ultrasonic control in some patients with nonpalpable tumors to receive representative material. The true diagnosis of the thyroid cancer is determined in 92% and 100% of the cases with the help of immunocytochemistry and postoperative immunohistochemistry, respectively. The high information value of immunochemistry is proved in the diagnosis of the thyroid cancer, thyroid lymphosarcomas and in searching the primary focus in metastatic carcinoma without the primary focus.
The use of radiomodification to expand the indications for radical radiation treatment of patients with locally advanced forms of cervical cancer
Authors: Boyko A. V. , Demidova L. V. , Teleus T. A. , Dunaeva E. A. , Yakubovskaya R. I. , Nemtsova E. R. , Sergeeva T. V.
Published: April 2022

The experience of the treatment of cervical cancer with the use of the dynamic fractioning scheme is given. The higher five-year survival rate in the third disease stage compared with the classical functioning regime is noted. The original chemicoradiation treatment method improving the treatment results and improving the survival rate and life quality is suggested.
How Has the COVID-19 Pandemic Affected Sexual Health of Partnered Men?
Authors: CANİKLİOĞLU Mehmet , IŞIKAY Levent , SELMİ Volkan , SARI Sercan , ÖZTEKİN Ünal , ÖZKAYA Muharrem
Published: April 2022

Objective: Mental health and human psychology have been negatively affected during the COVID-19 pandemic. Since psychomental status and sexual health are related, it is possible that the sexual health of couples may be affected along with their mental health. We aimed to perform a quantitative evaluation of male partners’ sexual lives during the COVID-19 pandemic.

Methods: A hundred-sixteen men filled out our online survey in which International Erectile Index Score (IIEF) was embedded. The relationship between COVID-19 pandemic and stress, economical concerns, workload, etc. was questioned.

Results: Twenty-nine people had not had intercourse for more than 1 month. Twenty-one of them (72.4%) showed pandemic-related relationship sexual avoidance behaviour. 55.2% of survey respondents who also filled IIEF questionnaire were economically affected by the pandemic, 66.7% were psychologically affected and 71.2% were significantly or somewhat sexually affected. the total average of the erectile function score was 25.95±5.4. These scores indicate a slight predominance of ED.

Conclusion: It is clear the COVID-19 pandemic affects people’s sex lives in myriad of negative ways. We believe that many the domestic problems likely to develop as a result of lockdowns and other measures intended to prevent virus spread can be prevented or reduced by facilitating healthy sex lives between couples.
Akut Koroner Sendrom ile Başvuran Hastalarda Daha Önceden Düzenli Asetilsalisilik Asit Kullanımının TIMI Akımı ve Miyokardiyal Hasar Üzerine Etkileri
Authors: AKTAŞ Halil
Published: April 2022

Amaç: Kardiyovasküler hastalıklar, dünya çapında önde gelen en önemli ölüm nedenidir. Kardiyovasküler hastalıkların sekonder korumasında antiagregan tedaviler önemli bir yer tutmaktadır. Bu çalışma ile; akut koroner sendrom ile başvuran hastalarda, daha önceden düzenli asetilsalisilik asit kullanımının TIMI akımı ve miyokardiyal hasar üzerine olan etkileri araştırılacaktır.

Yöntem: Çalışmaya retrospektif olarak akut koroner sendrom kliniği ile başvurmuş ve koroner anjiyografi yapılmış hastalar alındı. Hastalar daha önceden düzenli asetilsalisilik asit kullanan (grup 1) ve hiç asetilsalisilik asit kullanmayanlar olarak (grup 2) iki gruba ayrıldı. Gruplar arasında demografik veriler, laboratuvar verileri, TIMI akımları ve miyokardial hasar belirteci olarak troponin I değerleri karşılaştırıldı.

Bulgular: Çalışmaya 440 hasta alındı. Grup 1’de 122 hasta (yaş ortalaması 64.9±1 yıl; 25 (%20.5) kadın) ve grup 2’de 318 hasta (yaş ortalaması 61±0.7 yıl; 83 (%26.1) kadın) yer aldı. Grup 1’de ileri yaş, hipertansiyon, diyabetes mellitus, hiperlipidemi ve koroner arter hastalığı öyküsü daha yüksek oranda gözlendi. Grup 1’deki hastalarda TIMI-0 akım grup 2’ye göre anlamlı olarak daha düşük oranda gözlendi (%30.3’e karşın, %47.8; p=0.004). Bunun yanı sıra; grup 1’deki hastaların maksimum ölçülen troponin I değerleri grup 2’deki hastalara göre anlamlı olarak daha düşük düzeyde bulundu (median 5486 pg/ml’ye karşın 15740 pg/ml; p
Asociación del umbral de ciclos (Ct) en prueba RT-PCR para SARS-CoV-2 y severidad de la COVID-19 en pacientes de un hospital de referencia en Paraguay
Authors: Montiel Dora , Torres Estela , Samudio Margarita , López Miguel , Duarte Luis , Sobarzo Vysokolán Patricia María , Zárate Diana , Duarte Paola Elizabeth , Dávalos Ortiz José Carlos , Torres Margaret , Gómez Páez Lilian Leticia
Published: April 2022

Algunos estudios han encontrado que la severidad de la COVID-19 se asocia con una alta carga viral determinada por los números de ciclos (Ct) de amplificación de ADN de SARS-CoV-2. El objetivo fue determinar la relación entre el umbral de ciclos de PCR de SARS-CoV-2 y la severidad de la infección por el virus SARS-COV-2 en pacientes internados y ambulatorios en un hospital de referencia entre marzo a junio del 2021. Estudio retrospectivo observacional analítico de corte trasverso de pacientes adultos con COVID-19, ambulatorios e internados en el Hospital Nacional. Se incluyeron los pacientes cuya infección fue confirmada por RT-PCR para SARS-CoV-2, se consideró un punto de corte para Ct<25. Se estudiaron 517 pacientes entre 16 a 98 años de edad (media ± DE: 51,5±17,5), 268 varones (51,8%), edad >60 años (36,6%), estuvieron hospitalizados (69,8%), internados en sala (57,1%), y admitidos en cuidados intensivos (12,8%), tiempo medio de enfermedad 8,48 ± 4,2 días. La mortalidad fue de 22,2%. Se encontró mayor riesgo de fallecer para los pacientes con Ct <25 tanto para el gen E (OR: 1.61; IC95%: 1,06-2,44) como para el N2 (OR: 1.83; IC95%: 1,19-2,80) y con edad >60 años (OR: 3,69; IC95%: 2,39-5,68). Estos dos factores permanecieron asociados con el óbito en el análisis multivariado. Hubo mayor riesgo de hospitalizarse y fallecer en los pacientes con Ct<25. El valor Ct podría ser útil para la predicción del curso clínico y el pronóstico de los pacientes con COVID-19.
Uso y abuso de substancias en adultos mayores atendidos en Servicios de Salud Mental
Authors: Pacheco Ferreira Aldo , Telles Nichele Cíntia da Silva , Dezordi Wermuth Maiquel Ângelo , Dias Wermelinger Eduardo
Published: April 2022

El uso de drogas por los ancianos se caracteriza por ser un grave problema de salud pública. El número de usuarios de mayor edad ha aumentado a nivel internacional durante los últimos 40 años, pero el tema sigue siendo descuidado. Este estudio se centra en pacientes ancianos con síntomas de enfermedades mentales concomitantes. Así, se investigó el tiempo de uso, patrones de consumo de sustancias de abuso y el perfil sociodemográfico de los pacientes atendidos en los Centros de Atención Psicosocial por Alcohol y Drogas (CAPS-AD), ubicados en la ciudad de Río de Janeiro. Se trata de un estudio observacional descriptivo con un diseño cuantitativo transversal sobre la frecuencia de abuso de sustancias en la población mencionada. Las prevalencias obtenidas en este estudio son inferiores a las encontradas en la población general y a las reportadas en estudios internacionales. Esta diferencia puede estar relacionada con las características socioculturales de la muestra y el hecho de que los pacientes ya están en contacto con un servicio de salud mental, lo que puede indicar la importancia del contacto regular con los servicios de salud como factor protector y espacio de ayuda.
Errors in IOL Power Calculation in Rare Clinical Cases. Literature Review
Authors: Manaenkova G. E.
Published: April 2022

The postoperative result is determined not only by technique of a surgeon, the availability of modern innovative equipment, but also due to the accurate diagnostics and skilled interpretation of biometric, keratometric parameters; the use of modern formulas of IV, V generations to calculate the optical power of the intraocular lens (IOL), allowing to predict the correct position of the IOL, through the use of predictive variables that determine the postoperative lens position. The variety of modern research methods and continuous improvement of formulas for lens calculation allows us to get the closest results to emmetropia.
Popüler Türk Sinemasında Milli Kimliğin Kolektif Narsisizm ve Aşağılanma Üzerinden Yeniden Üretimi
Authors: TAPAN Aysel
Published: April 2022

Neoliberalizm, küreselleşme ve çokkültürlülük gibi kavram ve olguların toplumsal iletişimi bulanıklaştırarak kolektif belleği gevşek bağlarla biçimlendirmesi, milli kimliğin gündelik hayatta özellikle popüler kültür ürünleri aracılığıyla yeniden üretilmesini zorunlu bir hâle getirmektedir. “Cep Herkülü Naim Süleymanoğlu” filmi, Naim Süleymanoğlu’nun “Bulgaristan’da zulüm gören Türklerin sesi” olmak için anavatan Türkiye’ye kaçışı etrafında örülmüş öyküsüyle gündelik hayatta söylemsel olarak yeniden üretilen milliyetçilik ve milli kimlik meselelerini sınırlı da olsa çözümleyebileceğimiz kültürel bir zemin sunmaktadır. Çünkü, kolektif narsisizmi ve aşağılanmayı güçlendiren göç ve asimilasyon olguları, ben-öteki karşıtlığı üzerinden milli kimliği yeniden üreten çileli, ıstıraplı ortak geçmişin ve toplumsal derin yaraların dayanak noktalarıdır. Bu varsayımlardan hareketle, “Cep Herkülü Naim Süleymanoğlu” filmi eleştirel söylem analizi yöntemiyle incelenmiştir. Filmde toplumsal dürtüleri ve kolektif dayanışmayı harekete geçirmek amacıyla kolektif narsisizmin ağırlıklı olarak soy, seçilmişlik ve kahramanlık mitleri, kutsal anavatan, şehitlik, memleket sevgisi, merhamet, azim, meydan okuma, fedakârlık duygu ve değerleriyle; kolektif aşağılanmanın ise din, dil gibi kültürel pratikler ve acı, korku ve zulüm olguları üzerinden güçlendirildiği tespit edilmiştir. Ayrıca filmde, Türk milli kimliğini güçlendirmek amacıyla etnik unsurlara ve milli kültürün yüceltilmesine başvuran muhafazakâr milliyetçiliğin ve etnik bileşenlerin yanı sıra mülki unsura ve cumhuriyetin simgelerine dayanan Kemalist milliyetçiliğin eklektik bir yaklaşımla yeniden üretildiği saptanmıştır.
Evolution of the beach-dune systems in the Balearic Islands from their geomorphological management (2000-2021)
Authors: Roig-Munar Francesc Xavier , Garcia-Lozano Carla , Rodríguez-Perea Antonio , Martín-Prieto José Ángel , Gelabert Bernadi
Published: April 2022

In order to restore, maintain and protect the beach-dune systems of the Balearic Islands different management techniques have been applied. They have been based on the artificial emulation of natural processes to favour the recovery of the system, on the installation of elements that prevent the frequenting and on trampling of the dune systems. Some techniques are positive while others have aggravated erosive processes due to a lack of geomorphological criteria. This work analyses good and bad practices on beach-dune systems of the Balearic Islands between 2000-2021.
Short Communication Economy of Russia – Mining Means Sustainability
Authors: Belyaev M. K.
Published: April 2022

The main point of presented publication is to illuminate the role of modern mining industry as an engine of the economy. Such changes are explained not only by the growing demand on raw materials but reconstruction the technology of the branch on the modernized basis, primarily information products. It is argued that the country dispose the prerequisite for the success in IT-technology. So to say the economy of Russia has the potential for development regardless sanctions under the effective economic policy.
The Importance of Corporate Culture for the Sustainability of Companies in the Context of Crisis Phenomena
Authors: Izmailova M. A.
Published: April 2022

Purpose: the purpose of the article is to study the role of corporate culture in the sustainability of companies in the conditions of crisis phenomena, as well as to analyze methodological approaches to corporate culture as a tool for the competitive success of the company.

Methods: the methodology of the work is based on the use of the concepts of organizational culture and sustainable development, as well as the theory of modernization, integrating economic growth and the culture of companies within a single process of sustainable development. A group of scientific methods has been applied, including: inductive-deductive method, method of comparative analysis and retrospective method, method of expert analysis, rating assessment and others.

Results: the analysis of the role of corporate culture in the conditions of crisis phenomena caused by the instability of the external environment is carried out. It is noted that the influence of corporate culture on the stable development of companies can have a dual character: a strong corporate culture has a stimulating effect on the economic growth of the company, and its weakness becomes an obstacle to sustainable development. The analysis of methodological approaches to corporate culture, which is considered as a tool for competitive success and sustainable development of the company, is carried out. Modern aspects of the formation of new behavioral models and tools for their introduction into corporate culture are revealed in order to maximize the compliance of companies with the conditions of extreme instability of the external environment.

Conclusions and Relevance: the phenomenon of corporate culture is a rather complex area of research – this follows from the interpretation of this concept, the definition of the methodology of formation and the search for tools for its development. But it becomes obvious that the growth of knowledge about corporate culture, produced in the academic environment and highly demanded by the management of companies, has had a significant impact on managerial thinking and management practice. This is due to the understanding of the high role of corporate culture in the processes of internal integration and adaptation of the company to the external environment, in achieving competitive success and strategic development goals, which creates the basis for sustainable development of the economic system.