Mandatory Weeks

January 15th, 2012

childbirth, the second (in term of 12 – 28 weeks) – about the late miscarriage (spontaneous abortion). If the miscarriage ended on 2 or more pregnancies, this is called habitual miscarriage. Data on the frequency miscarriage vary widely – from 10% to 20% due to the difficulty of diagnosis of spontaneous abortion in early pregnancy (up to 5 weeks of gestation). Thus it appears that spontaneously aborted infectious, immunologic, uterine. Successful treatment of miscarriage is possible only when a cause of the incident. Therefore, if the pregnancy ended in failure, it is important to survey women Identification of factors that led to the termination of pregnancy and their removal (at the planning stage of a subsequent pregnancy or from the very beginning of its occurrence). Genetic causes of miscarriage.

In this case there are congenital malformations of the fetus and the pregnancy is usually terminated at a very early period – up to 5 weeks (as obstetric gestation is measured from the first day of last menstruation, delayed menstruation is only a week). That should be alerted: * if you already have abortions in the early stages, the early appearance of symptoms * of threatened abortion – with minimal delay menstruation – for a few days and ineffectiveness of the treatment; What to do: * ultrasound at term 10 -11, 17 – 22, 30 – 32 weeks. * Mandatory biochemical screening (11-13, 16-17 weeks) * genetic counseling women at risk * if necessary – additional methods (eg, amniocentesis – amniotic fluid sampling for genetic studies). Hormonal causes of miscarriage Here to abortion can lead to both failure or improper sexual relationship effective medications to treat this type of violation. After 12 weeks of hormonal regulation of pregnancy the placenta begins to be included and to 15 – 20 weeks, the need for additional hormonal support, as a rule, disappears.

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Igor Ivanov

January 9th, 2012

In any case, they usually do not appear "hung" in the middle of the road when you need more money, which the patients can not be. – Sad to know what happens to the money if rest of the money is fully returned to where they were listed, with no options. – Igor Ivanov, can I ask an ethical question? Often you take patients who are in the CIS to help could not or did not count. Find out detailed opinions from leaders such as Dr. Robert Brannon by clicking through. You also take the bad? – You know, in our case is very rare to talk about completely hopeless, especially when it comes to children who are usually much more stable than adults and may suffer a more aggressive to inform about our experiences, I'd rather do it setting off the negative side, discussing in detail the complications and the chances that the patient will not survive treatment, may die, and the likelihood that the disease may return after transplantation, the potential for further treatment, if they exist. I do not like it, but it is sometimes necessary to discuss and funding sources. Only after a thorough 'chewing' particular situation, I invite patients to treatment.

If a person has at least a minimal chance, it usually wants to use, and probably rightly so. There have been cases where people have survived, the survival of which we have not hoped for. So, try to be. – I I understand that you know the fate of their foreign patients after discharge? – Of course. We follow their lives for many years, often people are willingly continue to communicate for a long time writing letters, telling about his personal life, appearing children. Some I recognize from their Russian colleagues with whom I communicate closely all the time. – Many foreigners complain that the brokerage firms with which they come, take a lot of money for services.

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Ventral Series

January 6th, 2012

Seam welded to the stomach granulomas observed in 3 cases (50%), and commit them to the ventral surface of the wall have been identified. When used for hemostasis of spleen lavsan seams as well as in animals in series with catgut noted Wrapping the poles of the greater omentum. In animals, the third series of pronounced massive adhesions in the upper floor of the abdomen. Left and right lobe of the liver, wall of stomach, small and large intestines spayanny each other. The poles are wrapped in caul spleen. The animals in the implementation of hemostasis by means of hemostatic "BIATRAVM" (fourth edition) at the top half of the abdomen also occurs massive adhesions. Adhesions formed between the lobes of the liver, stomach, duodenum and form a single conglomerate with a large gland.

Pole of spleen as well as in other series wrapped omentum. The severity of adhesions in the first series was 3,3 0,3 points in the second series of 3,2 0,2 points in the third series of 3,2 0,2 points, and in the fourth series of 3,3 0, a score that does not involve a statistically significant difference (P = 0,97). Histologically, catgut fiber is oxyphilic fragmented mass, filament yarns are compact lavsan have a flat surface, homogeneous structure and does not look histological dyes. Collagen, which is the remnants of the hemostatic sponge has the form of a homogeneous mass, and the implantation means "Biatravm" found chaotic polyester filament located no signs of degradation. Environment gut connective tissue capsule with unclear boundaries and extends beyond the several fields of view, consists of loose convoluted malouporyadochennyh collagen fibers with a massive lymphocyte-macrophage infiltration. Connective tissue capsule that surrounds the polyester yarn has clear boundaries, consists of circularly arranged located long, thin collagen fibers, tightly adjacent to each other. Cellular composition is scanty, is represented by the fibroblasts, fibrocytes, macrophages, and isolated leukocytes.

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