The assessment of infusion therapy in the treatment of hypovolemia, conditions accompanied by severe intoxication and requiring long-term parenteral nutrition. Practical recommendations on the tactics of replenishing the volume of circulating blood in operated patients, the choice of infusion-transfusion media for detoxification therapy and parenteral nutrition are presented.

Changes in the concentration of plasma proteins were studied in 45 patients with thyrotoxic goiter, who were injected with autologous blood during the operation. Exfusion of 250 ml of blood in patients before surgery and its reinfusion during surgery did not cause protein metabolism disorders. On the contrary, after hemexfusion, the production of plasma proteins increased. As a result of this, as well as reinfusion of autologous blood, the concentration of albumin increased; the content of G-globulins returned to normal.

In 63 children with acute pneumonia, changes in the cellular composition of blood, proteinogram, indices of nonspecific immunological reactivity and fibrinolytic activity of blood were studied under the influence of fibrinolytic plasma transfusions. The data obtained confirm the expediency of using the indicated transfusion medium in the system of complex treatment of young children with acute pneumonia.

The solubility of tooth enamel and the mineral composition of mixed saliva were studied in 124 children subject to caries. It was found that the content of inorganic phosphate in mixed saliva in children with an unfavorable state of nonspecific resistance of the organism is significantly lower than in children with a favorable state of it.

Reposition and fixation of fragments in case of combined injuries of the face and brain areas should be classified as anti-shock measures and should be carried out, taking into account the general condition of the victim, at the earliest possible date.

In patients who have weak manifestations of epileptiform activity on the electroencephalogram, it can be stopped by painful stimulation of the receptors of the patient's hand. The zones of reflex initiation of epileptic discharges on the electroencephalogram from the periphery can be actively identified by palpation of various parts of the body.

Clinical data and the results of electrophysiological examination of 50 patients with sleep disorders treated with various methods of acupuncture therapy indicate its high efficiency and targeted effect on nonspecific (synchronizing and desynchronizing) and emotional-motivational systems of the limbic-reticular complex.

The results of clinical observations of 19 patients with initial manifestations of insufficient blood supply to the spinal cord are presented. Clinical symptoms manifested themselves only with an increased need for the spinal cord for blood flow, while additional research methods revealed changes outside of exacerbation.

The study of obstetric anamnesis in 488 women and clinical observation of their children during the neonatal period showed that isoantigenic incompatibility of blood negatively affects the fetus, complicating the course of the neonatal period. With isoantigenic incompatibility, toxicosis of pregnancy and the pathological course of childbirth are more often observed.

The experience of using exercise therapy and physiotherapy in 112 patients who were operated on for fractures of the femoral and tibial condyles is generalized. Therapeutic exercises and physiotherapy contribute to the normalization of the functional state of the neuromuscular and ligamentous apparatus of the knee joint, as evidenced by the achievement of limb stability after treatment.

In the district hospital since 1975, we have performed blood reinfusion to 22 patients, including 11 with closed abdominal trauma, 4 with a penetrating abdominal injury, 4 with a ruptured fallopian tube during an ectopic pregnancy and 3 with rupture of the ovary.

Carcinoid, which belongs to the group of hormonally active tumors, does not belong to the number of frequently occurring neoplasms of the stomach; therefore, each report about it is of practical interest. If it is complicated by occult bleeding, it can cause hypochromic anemia, incomprehensible at first glance, and the existing carcinoid syndrome creates even greater diagnostic difficulties. The doubts of even experienced pathohistologists in determining the histogenetic affiliation of a removed tumor are quite understandable, because the diversity and diversity of the cell structure of the carcinoid sometimes pose a difficult task for them.

We studied the effectiveness of prophylactic medical examination of patients according to a five-group system by shop therapists of one of the factories of Ufa in 1975-1977. The methodology proposed by G.A. Popov and P.P. Petrov (1976) was used in the work.

The prevalence and intensity of dental diseases were studied in 669 children (356 boys and 313 girls aged 1 to 3 years) in 7 nurseries in Ufa. The analysis of dental morbidity in children living in four populated areas of the city, located on the border of the sanitary protection zone (zone I), at a distance of 3 km (zone II), 10 km (zone III) and 15 km (zone IV) from petrochemical complexes. Of the surveyed children, 102 (15.2%) showed good physical development, 412 (61.6%) - satisfactory and 155 (23.2%) - deteriorated. The prevalence of dental caries was 18.6 ± 3.5%, 24.0 ± 2.1% and 30.3 ± 3.7%, respectively. The difference is statistically significant between the indicators of groups of children with good and impaired physical development (P <0.05). Accordingly, the intensity of caries lesions was 3.1 ± 0.4; 3.7 ± 0.1 and 4.9 ± 0.6 among children with carious teeth.

In the children's department of the dental clinic of the Privolzhsky district of Kazan, the registration of children with clefts of the lip and palate and dispensary observation of them is organized. In accordance with the order of the head doctors of maternity hospitals, in the event of a child born with cleft lip or palate, the doctors of the maternity wards send special sheets to the polyclinic to be accepted for dispensary registration. For each registered child, an individual medical history is started.

The study of the causes of intolerance to dental prostheses made of steel showed that the development of pathological changes in the oral cavity is associated with the allergenic effect of chromium contained in such dental prostheses. The signs of chromium sensitization revealed in persons using dental prostheses made of steel fall within the framework of three syndromes. The first is characterized by various painful sensations in the mouth without objective signs of damage to the oral mucosa, the second is a combination of pain and discomfort in the mouth with objectively detectable morphological changes in the oral mucosa, the third is the same manifestations as the second, and in addition - damage to the skin.

Analysis of our observations of 37 patients with various forms of sinusitis and 76 case histories for 2 years made it possible to identify a number of features in the clinic and the course of sinusitis. Patients with a rhinogenic form of the disease (65 people) more often complained of headache (43), nasal breathing difficulties (27), nasal discharge (43). The inflammatory process was often bilateral (37), and the sinus disease was preceded by respiratory infections (influenza, acute respiratory infections). Rhinoscopy revealed a curvature of the nasal septum, polyps in the nose, hypertrophy of the turbinates. Conservative treatment gave good results.

Operational processing of teeth when restoring their destroyed crowns and when replacing defects in the dentition with fixed prostheses injures the pulp. Compliance with the rules of the preparation technique of hard dental tissues, as well as cooling the prepared tooth with water and air, to a certain extent, allow avoiding an undesirable reaction from the tooth pulp. However, these methods are effective only for teeth to be restored with stamped metal crowns and plastic crowns. When replacing crown defects of non-pulped teeth and dentition with fixed prostheses made of porcelain and metal-ceramic, when a significant layer of enamel and dentine has to be excised, these preventive measures are no longer able to prevent traumatic damage to the tooth pulp. The preparation of teeth in such cases is accompanied by severe pain. Application anesthesia, as a rule, does not achieve the goal, and injection or general anesthesia, eliminating only pain, does not prevent traumatic damage to the dental pulp, its inflammation or necrosis.

The aim of this work was to elucidate the dependence of the development and nature of the clinical course of dental caries on the serotonin content in the blood. 65 students aged 18-20 years were examined: 9 with acute (rapid) dental caries (group 1), 26 with chronic caries (group 2) and 30 people with intact teeth (group 3, control). Recorded the values ​​of KPU (caries - filling - extracted tooth), the average number of carious cavities per person, as well as the depth of the lesion. Blood serotonin was determined by the biological method of Chernov and Lipats (1962).

Orthopedic treatment of periodontal disease with simultaneous replacement of dentition defects was carried out in 14 patients. Six of them made 6 prostheses for the lower jaw using the Rumpel method, including 5 prostheses with frontal stabilization of supporting teeth. In 4 patients, the bar was soldered to the crowns, in 1 to the crown and to the root coping, and in 1 to two root copings. One prosthesis was made with sagittal stabilization.

We use plastic inlays that allow you to fill a tooth defect in one visit. For this purpose, plastic set teeth are used, from which the desired area corresponding to the tooth defect is cut. For reliable fixation of the plastic in the cavity of the tooth, a stainless steel wire reinforcement with a diameter of 0.6 mm is fixed. The inlay, connected to the reinforcement with a quick-hardening plastic, fills well the contours of the prepared cavity.

A method of sclerotherapy has been developed to eliminate pathological periodontal pockets, based on the introduction of hypertonic solutions that cause aseptic inflammation of the connective tissue. The outcome of the inflammatory process is fibrotization of the gingival wall, which leads to compaction and reduction of the gums in volume.

In 40 patients (26 females and 14 males aged 7 to 47 years), barium sulfate powder with a particle size of 0.063 to 0.1 mm was used to paint flat hemangiomas. The localization of hemangiomas is diverse: in the infraorbital, buccal, temporal, parotid regions, on the lips, eyelids, neck, etc.

Serum proteins of blood were determined by electrophoresis on paper, total protein was determined by refractometry.

A comparative assessment of two methods of anesthetic injection during tooth extraction in 60 patients with chronic periodontitis was carried out.

The pathogenic role of dental foci of infection in the emergence of a very wide range of diseases of various localization is generally recognized. In accordance with modern ideas, the dental focus is considered as a source of hetero- (microbial, medicinal) and autosensitization of the body. The realization of the pathogenic effect of the dental focus is to a large extent connected with its depressing effect on the nonspecific resistance of the organism.

Many years of experience in prosthetics for defects in dentition and teeth showed a number of shortcomings of stamped metal crowns, brazed bridges, fenestrated crowns and bridges with plastic veneers, removable plastic plate prostheses with defective retaining clasps. At the department, modern prostheses have been developed and are successfully applied, which make it possible to eliminate deficiencies and replace defects in teeth and dentition with a high functional and aesthetic effect.

The effect of three-year artificial fluoridation of drinking water on the frequency of dental caries among 1955 children aged 7-11 years in Zelenodolsk was studied. A significant decrease in the incidence of tooth decay was revealed in all age groups of children living in the zone of fluoridation of drinking water.

A drainage device is proposed, consisting of two parts: a corrugated porous tube, immersed in the abdominal or chest cavity, and a one-piece tube, led out.

Among domestic and foreign guidelines on acupuncture, the new book of the famous specialist associate professor D. M. Tabeeva is distinguished by the originality of both form and content. Although the book is called "Atlas of acupuncture", in fact it is a very capacious and interesting written manual, illustrated with colorful large-format drawings, provided with detailed descriptions. Thus, it is both a guide and an atlas - a form that has no analogue either in our country or abroad. The author's extensive pedagogical experience is reflected in the layout of the book. It is convenient for self-study while learning this ancient healing method.

The lectures are structured in a typical hospital clinic style of presentation with clinical illustrations of various variants of the course of the disease. At the beginning of each lecture, the patient is analyzed with extensive use of the data of modern laboratory-functional research. The assessment of functional tests corresponds to modern concepts, in particular, the interpretation of pathophysiological changes in the respiratory system.

The monograph is devoted to the topical problem of neurology. The authors comprehensively consider the least studied, perhaps, but the most important aspect of neuroangiology from a practical point of view and in terms of social significance - early and initial manifestations of cerebrovascular pathology. When solving the set tasks, a modern methodological approach with multifactor analysis is used. The authors identified the basic principles of systematization of cerebrovascular pathology and, based on the concept of the stage-by-stage formation of vascular diseases, proposed their classification. Methodological aspects of early diagnosis of cerebrovascular pathology are considered in the light of the development of programs for mass preventive examinations of the population. At the same time, the need for widespread use of computer technology is correctly pointed out and the experience of creating functional diagnostic systems is described.

The book of prominent organizers and leaders of domestic health care and higher medical education shows the influence of higher medical school on the development of health care, emphasizes the organic connection of medical institutions with practical health care, in contrast to the disunity of universities and health authorities that existed in pre-revolutionary Russia.

On December 20, 1979, after a serious, prolonged illness, at the age of 84, Honored Scientist of the RSFSR, Doctor of Medical Sciences, Professor Yuri Alexandrovich Ratner, died.

2/XII 1980, after a serious and prolonged illness, the Honored Scientist of the TASSR, Doctor of Medical Sciences, Professor Zalman Izrailevich Malkin, who for more than 35 years headed the department of faculty therapy of the Kazan Order of the Red Banner of Labor of the Medical Institute named after S. V. Kurashova

In the country as a whole, diseases of the nerves and peripheral ganglia (according to the reporting form No. 16) in 1977 ranked fifth in terms of cases and seventh in terms of days of incapacity for work. In 1974-1977, there was a trend towards a decrease in the incidence - in cases by 7.7% and in days by 6.5%. At the same time, there was a slight (by 1.8%) increase in the average duration of incapacity for work (in 1974 it was 11.4 days, in 1975 - 11.7, in 1976 - 11.6 and in 1977 — 11.6 days). An increase in the average duration of a case with a downward trend in morbidity seems to us to be a positive factor, indirectly indicating an improvement in the quality of treatment of patients. The most important condition for a further decrease in the number of vertebrogenic diseases, obviously, can be hospitalization in a wider range of these patient populations. Treatment of patients with clinical manifestations of lumbar osteochondrosis in the hospital allows, according to our data, to reduce the period of temporary disability by 2-4 times.

Dear Editor-in-Chief!
I am sincerely grateful to you for the opportunity to get acquainted with the letter of Academician DF Chebotarev regarding our note "On the organization of geriatric sites" (Kazan Medical Journal, 1980, No. 3, pp. 78-79). In this letter, Academician DF Chebotarev notes that the idea of organizing geriatric sites contradicts the principles of building a geriatric service in our country, with which it is rather difficult to agree.

Dear editor-in-chief, on the pages of your journal (1980, No. 3, pp. 78-79) in the section "Letters to the Editor", an article by Sh. M. Vakhitov on the organization of geriatric sites has been published. It expresses considerations about the prospects for geriatric services in the country that are difficult to agree with.