Asymptomatic infections of the genital tract and infertility

Diagnosis of male genital tract inflammations plays a significant role in andrology. Although genital infections are often silent they can severely impair male infertility. In seminal plasma of 100 patients were determined IgG and SigA (radial immunodiffusion) the number of peroxydase-positive cells in addition to conventional semen parameters and microbiological investigations. There was carried out quantitative determination of alpha-amylase in connection with semen liquefaction. The results showed that exact quantitation of above mentioned parameters distinguish inflammatory male adnexal affections, which is appropriate for control of anti-inflammatory treatment and facilitates the diagnosis of inflammatory process in andrology.     

The course and outcome of tuberculous meningitis in cases of detection of Mycobacterium tuberculosis in the cerebrospinal fluid

The cases of M. tuberculosis detected in cerebrospinal fluid of the patients with tuberculous meningitis being under observation during 1968-1987, are analysed. The second decade (1978-1987) witnessed a greater percentage of M. tuberculosis found in the cerebrospinal fluid of the patients (including children, adolescents and adults). Children and adolescents constituted the majority of the cases. M. tuberculosis agents were detected by means of bacterioscopy and inoculation in 33.3 and 66.7% of the patients, respectively. In 15.5% of the cases, primary resistance to antibacterial drugs was revealed. The detection of M. tuberculosis in the cerebrospinal fluid is now considered to be an unfavourable factor indicating the severity of the disease and entailing, to a certain extent, its adverse outcome. Antibacillary drug resistance of the M. tuberculosis strains isolated from cerebrospinal fluid may serve as an aggravating condition. As a rule, the disease in these cases has a serious course, making the treatment much more difficult and causing unfavourable outcomes.     

Pathogenetic factors in thrombosis of the central retinal vein

Studies of the hemorheologic parameters and the hemostasis system components in the blood and lacrimal fluid of 130 patients with thrombosis of a branch of the central retinal vein (CRV) and calibrometry of the CRV have lead the authors to a conclusion that the major factors contributing to the pathogenesis of CRV thrombosis are (1) disordered blood rheology; (2) changes in the local hemostatic potential; (3) impaired blood stream in the corresponding CRV branches. Rationale for the use of drugs normalizing the blood rheology in CRV thrombosis is given.     

Initial experiences in the use of the ASKIS automated system for detecting patients with ischemic heart disease. Automated System for Population Health Tracking and Follow-up

The paper is concerned with the first experience gained in the use of the automated system ASKIS in the work of a district polyclinic of Moscow. The results of the questionnaire of 569 persons are provided. Analysis of the ambulatory cards was made immediately after the questionnaire and additional examination. It has been discovered that the system proposed can be used in the work of a polyclinic, since at allows one to identify persons afflicted with cardiovascular diseases.