The clinical description of HIV-infection with Aids development in the child aged 5 is given. The peculiarity of the development of the acquired form of HIV- infection in children is shown: quickness and dynamics of the development of the basic process with general duration of the disease less than 5 years (from the moment of initiation of first symptoms up to fatal outcome), relatively short incubation and asymptomatic phase of the disease, the development sequence obliteration of discrete phases of the disease with the development of clinically manifestative Aids in second year of observation, rather prominent "bacterial component" of opportunist diseases, the presence of a great quantity of AIDS-assotiated infections.

The observation being of interest to infectionists and to therapeutists is given. The necessity of caution concerning malaria in persons with fever returning from regions unfavourable in malaria is stressed. Similar complications involve appropriate diagnosis and intensive combined therapy.

As many as 8 autologic transplantations of the bone marow are performed: 5 patients with hemoblastoses, 1 patient with lymphogranulomatosis and 2 patients with great tumors. The bone marrow is preserved in liquid nitrogen using the programmed freezer with home cryoconservator "Gekmolit". All patients are discharged. One patient with myelogenetic disease died in 70 days after transplantation and disease relapse. The state of the other 7 patients is satisfactory in 9—27 months.

The efficiency of sublingual specific immunotherapy with everyday allergens of 112 children with respiratory allergoses — bronchial asthma and preasthma is studied. Its high efficiency is shown: persistant clinical remission of the disease is achieved in 88,4% of the children accompanied by the decrease of sensitization and hypersensitivity of the organ pertaining to shock to allergens and normalization of bronchial permeability.

The peculiarities of the health state of 90 children being bom premature of I—II degree are studied. The control group involved 90 children being mature in birth, of the same age, selected on the para-copy principle (sex and age). From the data of improved examination the high sickness rate, frequent psychical and behaviour disorders, retardation of physical development are revealed among children aged up to 14 with prematurity of I—II degree in birth.

The hypothesis of the lymphatic system participation in enzymes transport from organs to blood is experimentally tested. The permeability changes of the external cell membrane of dogs muscular cells are achieved under the influence of the dosed physical load. Absolute and relative increase of the activity of lactate dehydrogenase, glutamate and alanin transaminase in lymph of the thoracal lymphatic duct is ahead of the same in blood. It is concluded that eriginally enzymes get to lymph and then to blood.

The reasons of hearing disorder in children are studied. The neurologic and rheoencephalographic examination of 37 girls from the Medical and Pedagogical Center for children with hearing pathology aged 10—11 is performed. The signs of unheavy lesion of the cervical part of vertebral column and brain are revealed in 18 children. The signs of circulatory insufficiency in vertebrobasilar basin are revealed on rheoencephalograms in these children. It is proposed that the reason of deafness in many children is the natal trauma of the cervical part of vertebral column and vertebral arteries.

It is established that according to the efficiency the effect on external respiration function in shot-term treatment of patients with chronic cardiac insufficiency the drugs are ordered like: strophantin with capoten, strophantin, cordipin, capoten prazozin. In the treatment with isosorbide dinitrate the positive dynamics of external respiration function is not observed or its aggravation begins in most patients.

The experimental and psychologic examination of 150 patients with the vibratory disease with mental disorders is performed. The predominant types of mental response to the given disease are revealed. Eigopatic (32%) and sensitive (22%) types of response or their combination (16%) are more often found in persons with boundary mental disorders, and ergopatic (42%) and harmonious (34%) types are more often found in persons without mental disorders. A number of social and psychologic and production factors such as conflicts, education in childhood, age, length of service affect the formation of one or other variant of the internal picture of the disease. The internal picture of the disease affects immediately social-labour adaptation of patients.

The most often used method for the radiation diagnosis of labor traumas including traumas of the cervical part of vertebral column is roentgenography despite different current radiation diagnosis methods. The use of electroroentgenography and ultrasonic examination allows to reveal changes in osteal, disko- ligamentous and soft tissue structures in traumas of the cervical part of vertebral column. The original models of the trauma allow to realize the traumas initiation mechanism of the cervical part of vertebral column in different stages of labor, in obstetrical supplies and provide their prevention.

The methods and results of the first treatment experience of 18 cases of female infertility by extracorporeal fertilization and transfer of embryos are described. The onset of four pregnancies is established, one of which is making progress and the other pregnancy ended with the child birth.

The reversible changes of cerebral cortex vessels prevail in cerebrovascular ischemia caused by unilateral ligation of the common carotid artery in rats. In bilateral ligation of the common carotid arteries, vertebral arteries, stenosis of ascending aorta the dystrophic vascular changes are manifested significantly. In postepileptic period in the presence of cerebrovascular disorders the dystrophic changes of cerebral cortex vessels prevail. In audiogenic epilepsies in the presence of renal hypertension and alimentary atherosclerosis the dystrophic changes of the vessels increase.

The aim of this work was to study the peculiarities of course and outcomes of viral hepatitis A (VHA) in children with acute dysentery Flexner's disease. The results of the study are based on clinical and laboratory examination data of Nizhny Novgorod Children's Hepatitis Center at Infectious Diseases Hospital No. 23 in 1989. 18 children at the age from 3 to 14 years old, who had and had recovered from VGA and acute dysentery Flexner's disease. Mild jaundice form of the disease was found in 2/3 of the children, and moderate - in 1/3 of the children. More than 2/3 of patients were boys of school age.

In hernioplasty various grafts are used to close muscular-aponeurotic defects of the abdominal wall of various sizes, as well as to strengthen and replace weak and damaged anatomical gashes. The use of foreign materials for plasty of herniotomy gates often results in infiltrates, suppuration, and ligature fistulas. Extensive suppuration necessitates the removal of grafts (especially synthetic ones), which, as a rule, is complicated by hernia recurrence. In this regard, the advantages of using autografts, especially autodermal flaps due to their great strength, elasticity, resistance to infection are undeniable.

Over the last 10 years, 118 patients with chronic calculous cholecystitis have been operated on in the surgical department of our medical unit. Of them one patient was found to have left-sided location of the liver and gallbladder.

The urgency of the problem of treatment of unformed external intestinal fistulas (UIE) is beyond doubt, since the overall mortality ranges from 2.8% to 34%, and postoperative mortality reaches 72%. The necessity of a complex therapy, the choice of elements of which is determined in each specific case, has been substantiated. An important component of this complex is measures to create and maintain hyperalimentation by combining various options of enteral and parenteral nutrition, which is the most acceptable in difficult economic conditions. Closure of large defects of the anterior abdominal wall seems to be no less important problem of NSCLC treatment and requires searching for new approaches in its solution.

When performing X-ray endovascular studies (REI) under local anesthesia, patients often experience pain, which against the background of emotional stress leads to significant stress reactions. Concomitant arterial hypertension in patients with vascular pathology significantly increases the risk of angiographic examination (AI). In addition, patients are often in a forced position, with the chest compressed or in a supine position with a roller placed under the abdomen. Patients with low threshold of pain sensitivity and concomitant cardiovascular pathology cannot stay in such position for a long time. The choice of an adequate and low-toxic method of anesthesia is an important and urgent task in AI. This issue is practically not covered in the literature. In this summary, we describe our first experience with potentiated anesthesia in AI.

Closed abdominal and retroperitoneal injuries occur in 1.5-4% of peacetime injuries. Many issues of their diagnostics require further development. In this article we describe only clinical diagnosis of this pathology, without focusing on the use of instrumental methods (invasive and noninvasive). In our opinion, the clinical picture is of decisive importance in the diagnosis of any urgent abdominal pathology. Our observations are based on the analysis of 100 case histories of patients treated in the emergency surgery department of Kazan Emergency Hospital, as well as on the literature data.

In psychiatry, as it is known, the diagnosis is based mainly on results of conversations and observations of behavior of patients and the course of the disease. During more than 45 years of work as a psychiatrist I have observed many patients with disorders accompanied by pyramidal insufficiency on the basis of cerebral circulatory disorders. When examining them, there was a sign of weakness of adduction of the little finger due to paresis of its adductor muscle - segment C8.

The liver morphology in intoxication by 2-(a-fluor-a-trifhiormethoxymethyl) benzimidazol, 2-a- hydrotetrafluorethy) benzimidazol and 5 (6)-(2-oxy-hexafluorisopropil)-2-(a-fluor-a-trifluormethoxymethyl) benzimidazol is studied experimentally on rats. Vaseline oil in large doses manifests hepatoprotector property early in intoxication.

The method of possible estimation of HL parameter according to the standard test data of tolerance to glucose or sugar curves as well as possible effect of environment is described.

The use of computer medical information technology is one of the important factors of a rise of medical service quality in medical institutions. The formation of electronical maps of examination and treatment of patients will allow to improve the documents quality, to teach young specialists fast, to provide the high level of examination organization and to create the data base of all patients. The data base of patients is the basis for fast and thorough scientific research due to full and objective information about patients. The functions of subsystems promoted into the cardiology department of the city many profile hospital are described.

The purpose of the lecture is to encourage the general practitioner to act justifiably when choosing (means of treatment of pneumonia. It is necessary to abandon such a vicious scheme, when the patient is recommended to have injections of gentamicin or (!) lincomycin (antibiotics of different groups with significantly different antibacterial spectrum of action) only because they do not need to be done every 4 hours. Experience of advanced clinics of the world shows that gentamicin is used in the treatment of pneumonias not more often than 6% of cases, that tablet antibiotics are no less effective, that not all vitamin preparations can be prescribed during antibiotic therapy.

The treatment of patients with upper extremity bones fracture by external wiring apparatus mounted from Elizarov's apparatus parts without through layed wires is proposed. The choice of such rational arranging of the apparatus allows to avoid the complications connected with layed wires through neurovascular formations and major massive of soft tissue.

The original composite thread including polyfilament central base with smooth polymer coating is proposed. The thread is of high strength and slip improving the approach of wound edges with minimum physical efforts of surgeon's hands, eliminating saw effect and excess traumatism of tissue.

In the formation and development of the medical faculty of Kazan University in its first twenty years (1814-1833) the prominent role belongs to the German scientist Carl Fuchs. In the charter of 1804, under which Kazan University, and its medical faculty as of 1814, began to function, it was emphasized that "natural Russians" with the necessary knowledge and qualities should be preferred to "foreigners" when transferring vacancies.

The monograph of Professor G.A. Trubnikov, Astrakhan Medical Academy, as well as his act speech, which was pronounced at the ceremonial meeting of the Academy on 20.11.1996 on the occasion of the 78th anniversary of the famous medical institution, reveals the basis of the new direction of the clinic of internal diseases - pulmonology ecology.

Prof. R.G. Oganov, Director of the Center for Preventive Medicine, RF Ministry of Health (Moscow), touched upon epidemiological aspects of hypertension. High prevalence of arterial hypertension (AH) was found among men and women, and it increases with age, reaching 20-25% by the age of 50. Long-term prospective observations have shown that AH depends on age, body weight and alcohol consumption.

Prospects of development of the Department of Radiation Diagnostics and Radiation Therapy of Kazan Medical University, which celebrated its 60th anniversary, was devoted to the report of Prof. I.I. Kamalov (Kazan).