[Bronchoscopic study of broncho-pulmonary system among workers of fiberglass production industry].
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Biomedical subjects
Publications and source records attributed to A S Gadzhiev.
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Computer air flow rate proved occupational hazards in glass fiber production to result in various respiratory disorders. The workers with obstructive or dust bronchitis demonstrate persistent bronchial obstruction of bronchitis type, whereas pneumoconiosis patients present mixed type of respiratory disorders. Computer air flow rate provides precise diagnosis and better treatment of occupational respiratory diseases.
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The article presents materials obtained in experimental study of respiratory symptoms in white rats exposed to glass fiber dust. Intratracheal administration of the dust resulted in acute obstructive bronchitis by the end of third week of exposure. Fibroplastic processes being possible initial signs of pneumofibrosis form by the end of the 4th month.
The article represents results of genetic screening among workers engaged into fiber glass production. Propensity and resistance to occupational pulmonary diseases were believed to depend on genotype. Applied methods of genetic screening enabled to improve primary prophylaxis of respiratory diseases.
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Disturbed function of the pancreas, as a consequence of its morphological changes, dominates in the pathogenesis of the dumping syndrome. Operations performed with the object of delaying passage of food from the stomach into the intestine, also delay the process of carbohydrate absorption and, consequently, provide the possibility for the "functionally defective" pancreas to cope with the increased load for its endocrine function.
The characteristic feature of the suggested device is the presence of a safety lock limiting a forward motion of the de-epithelializer into the depth of the epidermis; this rules out injuries of small vessels and provides the necessary depth of the epithelium removal. The device is recommended for skin allergic scarification tests and for Rebuck's skin fenestra test.
The authors studied the causes of the recurrence of peptic ulcer in 142 patients after various types of operations on the stomach for peptic ulcer. They came to the conclusion that operations which are characterized by alkalization of the gastrointestinal anastomosis, on condition that free hydrochloric acid is maintained in the gastric juice after the operation, may be a factor predisposing the development of peptic ulcer of the anastomosis and jejunum. Hofmeister-Finsterer gastroenterostomy must be performed in resection of the stomach for duodenal ulcers which are characterized by high acidity. Balfour's anastomosis is preferable in achlorhydria or marked hypoacidity of the gastric juice before the operation.
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Disturbances of the urinary system were revealed in 59,3% of patients with acute pancreatitis. The timely treatment of renal insufficiency has favourable influence on the outcome of the disease. Patients with the history of acute pancreatitis should be subjected to follow-up observations in the urological unit.
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The authors report some peculiar features in the diagnosis and surgical treatment for cancer of the gastric stump and gastroenteroanastomosis in 13 patients, previously subjected to gastric resection and gastroenterostomy for duodenal ulcerous disease (4--34 years ago). The radical operation (subtotal or extensive gastrectomy) was performed in 9 patients, 3 of them died in the immediate postoperative period. Of 6 radically operated patients with a favourable outcome, late results were studied in 3. No tumor recurrence was noted. Histologically, there were adenocarcinoma--in 8, solid cancer--in 1, hemangioma--in 1, benign polyps--in 2 cases.
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