![]() |
![]() |
![]() |
![]() |
![]() |
![]() | ||
|
|
![]() http://www.irex.org
|
|||||||||||||||||||||||||||||
|
SCIENTIFIC PUBLICATIONS Page 1 , 2 , 3 , 4 , 5 , 6 , 7 , 8 , 9 , 10 , 11
TACTICAL AND PROGNOSTICAL PRINCIPLES OF SURGICAL TREATMENT OF CHILDREN'S
INTESTINES INTUSSUSCEPTION Ch.B.Kuliyev, N.A.Pashayev Azerbaijan Medical University, Department of Pediatric Surgery The aim of research is improving results of the surgical treatment of the children's intussusception and elaborating the tactics of the organs saving operations by revealing the condition of intestines blood current and microcirculation. 20 children with normal blood current and 145 with intestines intussusception were examined during their treatment in Clinical Hospital of First Emergency Medical Aid after N. Nagiyev, Baku for 1994-98. Intestines blood current was studied according to data of transilluminational occlusion angiotensometrym and microcirculation according to data of conjunctival biomicroscopy. The correlation between broken microcirculation and intramural of intestine haemodynamics during intestines intussusception was in depence of the duration of the disease. There wasn't observed the breaking of blood current on up to 24 hours was disease duration. But the blood pressure in intestine vessels was increased average by for 12 – 14 %. On the illness duration from 24 to 48 hours they had the compensatory feature, while lowing on 7 – 14 mm. Hg, breaking was liquidated by founding directed blood current in the place of ischemia. When the disease duration was more than 48 hours, the reduce of systolic and vein pressure on 51 % in the average and diastolic on 47 % and more than the norm were observed. This is the prove of intestines viability loss and it was considered as a fact to it's reaction. The children who had more complicated duration intestines intussusception (necrosis of intestines) had heavier and longer damages of microcirculation in compare with children who had uncomplicated course of disease. This circumstance let us to consider conunctioval biomicroscopy as a test of early diagnostics of developing intoabdominal complication and prognosis of the duration of post operational period. Due to inculcation of upper mentioned methods in clinical practice, we didn't watch any case of relaparotomy, connected with wrong definition of intestines viability and in the average continuation of intestine intussusception, its curing is reduced up to 1,4 times.
For more information please contact with following address: Ch.B.Kuliyev, Azerbaijan Medical University, Department of Pediatric Surgery Home adress: Baku, Bakikhanov str., 23, Tel.: (99412) 952878 (99412) 955422
PERMEABILITY OF ENDONEVRAL MIKROVESSELS OF ISHIAl NEVRE OF WHITE RABIT UNDER THE ENDOTOXIN EXPOSURE TO ENDOTOXINE OF E.COLI
E.K.Kasimov Azerbaijan State Medical University named after N.Narimanov, depertment of normal Anatomy.
Experimental edema of ishial nerve was moderated by intravenous injection of E.Coli endotoxinent dosage 0.01 mg per 100g. Of weight of the animal. 2 hours after the animals received intravenous injection of horseradish peroxides (HRP) (25mg per 100g. Of weight). Exogenous horse –radish peroxides has been revealed by the aid of reaction to 3,3 diaminobenzidinetecta hydrochloride. Fourthly the peace of nerves were prepared by the common for electronic microscopy. Results of the data obtained show that when compared control animals, in whom HRP is revealing only incised of endoneural microfossils, during the experimental endotoxomia is observed deep sorder of hematoneural barrier. It's sign is the fact that even on loght-optical level the product of reaction with HRP is determined as on perivosal areas, so on peripheral, parts (supperineural) of endoneural area. On Electronic microscopy flakes of the reaction product are found as in basic substance, so in fagosomesof local macrophages. One more typical peculiarities of endotoxemia is that on different ports of endoneural area is found a number of in ravenously injected only HRP. Analyzing the data obtained, we can suggest that one of the factors, to breing to disorder of hematoneural boreer during experimental endotoxemia. T-lymph exposure to endothelial lager of endeneural microfossils. For more information please contact with following address: E.K.Kasimov Azerbaijan State Medical University named after N.Narimanov, depertment of normal Anatomy. Òåë: +99412 952565 +99412 726921
IMMUNOREHABILITATION OUT OF PRESNANCY OF THE WOMEN-WOKERS OF OIL-REFINERY WITH USUAL MISCARRIAGE IN ANAMNESIS
Shamsaddinskaya N.M., Guseynov S.G., Bagirova S.K., Dzabrailzadeh Sh.M., Sarieva E.G.. Azerbaijan State Medical University named after N.Narimanov, department of Normal Physiology.
In women with usual miscarriage (UMC) in anamnesis the decrease of amount of T-lymphocytes out of pregnancy being observed. Activity of T-suppressors is deactivating, what is one of the possible reasons of rejection of fetoplacental complex during pregnancy. Taking this into concideration, the role of thymalin on the unpregnont women-workers of oil-refinery was studied with an aim to prepare them for pregnancy planning. Clinical-immunological studies revealed in the most of the women with UMC deficiency of immunities T-system. Absolute and relative amount of T-lymphocytes, T-suppressors in them were reliably decreased, increase of T-helpers, B-lymphocytes, IgM and CIC level in blood was also observed. Conducted pathogenically based treatment in women-workers of oil-refinery. Who received thimalin inside of complex rehabilitation therapy helped to prolong pregnancy duration in 71, 9% of cases. For more information please contact with following address: Guseynov Shahin Guseyn Ogli, Azerbaijan State Medical University named after N.Narimanov, department of Normal Physiology. Tel.: 99412 315636 (w) 99412 698466 (h)
CYTOMEGALOVIRAL INFECTION IN NEWBORNS
N.D.Guliyev, M.Z.Efendiyeva, R.S.Isayeva, S.F.Ali-zadeh Scientific-Research Pediatric Institute named after K.Faradjova, Baku
57 newborn children with complicated obstetric anamnesis were examined for cytomegaloviral infection. The diagnosis was confirmed by immunofermental analysis for detection of specific IgM in peripheral blood, cytological examination of urine and saliva for specific "owl eyes". The research resulted in detection of high frequency of CMV infection and appropriate clinical features in postnatal period of newborns.
THE EFFECT OF "AL-110" FORMULA IN TRETMENT OF ROTAVIRAL DIARRHOEA
N.D.Guliyev, M.Z.Efendiyeva, N.M.Mamedova, L.I.Roostamova, Z.R.Makhmudova Scientific-Research Pediatric Institute named after K.Faradjova, Baku
The objective of this study was to determine and investigate the clinical peculiarities of Rotaviral infection in breastfed infants as well as to estimate the treatment effect. All the children in the group designated for the study were characterized with intoxication, long-term diarroea and II to III degree of dehydratıon. "Al-110" formula was included in treatment and proved highly effective in rotaviral diarroea.
THE COMBINATORY EVENTS OF INHERENT TOXOPLASMOSIAS AND CHLAMIDIASIAS OF PREMATURBORN CHILDREN
N.D.Guliyev, A.Z.Aliyev, M.Z.Efendiyeva, F.A.Abooshev Scientific-Research Pediatric Institute named after K.Faradjova, Baku
70 premature newborns has been examined with suspection of intanatal infection, who was born from women who had weich somatic, and obstectrics anamnasis. By the methods of straight and anstraight IF, and also AKR eight (11,4) children were described as ill with inborn toxolasmosias and inborn chlamidiosias at the same time. The clinical peculiarity of combinatory current of inborn toxolasmosias and chlamidiosias at premature children were revealed, it dictates the necessary differential approach to the treatment of these children.
For more information please contact with following address:
Abulfaz Aliev, Scientific-Research Pediatric Institute named after K.Faradjova, Baku Òå l.: 99412 94 74 34 (work.)
SIGNIFICANCY OF COMPUTER BASED TOMOGRAPHY IN DIAGNOSTICS OF OTOGENIC BRAIN ABSCESS
Mustafaev O.R., Talishinski A.M Azerbaijan State Medical University named after N.Narimanov, Department of Otolaryngology Aim of the present work is to study comparison results of computer based tomography data about brain abscess localization with topical brain damage symptoms and identification of computer tomography possibilities in determination of abscess via punction through ear trepanation wound, To achieve the goals we studied case histories of 94 patients with otogenic cerebra and cerebella abscess in age form 1- till 59 . In 92 patients brain abscess developed as a result of chronical supurative epitimpanitis, in 1- due to acutization of chronic mezotimpanitis and in 1 patient due to activation of acute supurative otitis media . In 33 patients brain abscess localization place was left hemisphere, in 28- right hemisphere , in 33 - cerebellum. Comparative analysis of focal symptoms showed that amnesic and sensor aphasia are typical for left temporal, temporo-cranial lobe, while vestibule disorders, apractognostic symptom, memory and mental disorders are typical for right hemisphere abscess. Aphasia noticed rarely. Motion disorders Apraksia, amnesia, agnosia, asomatognosia, were noticed in all patients. Common computer based tomography sign of abscess formulation is round and ellipse-shaped low-density formations presence in center according to purulent content and ring-shaped high-density shadows appearance in peripheral part concerning to abscess capsule. Computer based tomography helped to reveal changes in brain tissue after pus elimination . Comparision results of clinical- rentgenological data gave us the reason to devide 2 kinds of abscess localization in cerebellum: frontointernal and dorsolateral ones. Focal symptoms of cerebellar injury were revealed during abscess localization in it's frontointernal part. On dorsolateral cerebellar abscess locatoion topical symptoms were absent. Otogenic abscess diagnosis was finally established by brain punction and proved by getting of pus during operative invasion. But punction of necessary brain area via ear trapanative wound process conducted traditionally was oftenly difficult, even after focal symptoms and computer based tomography method's data obtain about the process localization. Case history analysis showed that the method of brain abscess investigation and definition of brain abscess localization through punction conducted on base of computer tomography method data , proposed by prof.A.T. Talishinsky, makes possible exact definition of brain abscess , helps to prevent ventricle and brain vessels injury and to sanate abscess more effectively. Use of this method made possible find the process from 1 st trial in more than 60 patients.
Mustafaev Orkhan , Azerbaijan State Medical University named after N.Narimanov, Department of Otolaryngology Tel.: 99412 95 94 58 E-mail: mustafayevor@hotmail.com
© 2000 Azerbaijan Medical Association. Webmaster: Aynur Gurbanova |
|||||||||||||||||||||||||||||