Second Hemostatic

December 22nd, 2019

"BIATRAVM" is a two-layer medium consisting of hemostatic collagen sponge and non-woven material lavsan, proven itself as a wound cover, stimulating regenerative processes and has good drainage properties. Experimental studies were conducted on 24 mongrel dogs of both sexes. All the animals were divided into 4 experimental series (6 animals in each group). In the first series after the injury was carried out modeling standard hemostasis by suture catgut, in the second – lavsan in the third for the application and plugging hemostatic sponge was used in the fourth – the biological atraumatic wound covering "BIATRAVM." The choice of means of comparison groups due to the fact that the literature is the most gut common suture in injuries of parenchymal organs, polyester is part of the "BIATRAVMA" as a basis and a hemostatic sponge and a component of "BIATRAVMA" and frequently used hemostatic tool. Animals were derived from the experiment at 14 days. During the autopsy was evaluated pathological changes, severity of adhesions by the semantic differential in points (Lipatov, VA, 2001). For histological examination were taken of tissue surrounding the area and haemostatic suturing of (liver and spleen with soldered to the field of surgical intervention authorities).

Micromorphological study paintings done by light microscopy, digital fotoprotokolirovaniya using the method of morphometrics. The data obtained by standard methods of variation statistics. At autopsy in the field trauma of adhesions observed in all cases. In animals, the first series of pointed podpaivanie right lobe of the liver to the ventral wall. Liver injury in her place was fixed to the extensive fusion of planar bottom wall of the stomach. Pole of spleen were shrouded in place suturing tissue of the greater omentum. Spleen capsule coated with organizing fibrin. In all cases, the implementation of the hemostatic lavsan (second series) to the seams of the liver were fixed strands of the greater omentum.

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Alcoholic Psychoses

September 24th, 2019

Alcoholic psychoses – a psychosis, occurring against the backdrop of long-term excessive alcohol consumption. They are usually observed in patients during the acute abstinence period after long drinking sessions or at the end of a long binge amid falling daily doses of alcohol (which is associated with the depletion of the patient). The development of alcoholic psychoses are influenced by additional factors that worsen the patient's condition, – injuries, acute poisoning (eg, surrogate alcohol, drugs, etc.), comorbidities. Currently accepted that the development of alcoholic psychosis plays a big role a combination of several factors: the endo-and exogenous intoxication, metabolic disorders, primarily central nervous system neurotransmitters, immune disorders. Psychoses are the signs of alcoholism, the second and third stages, which are characterized by pronounced disturbances of homeostasis (Relative constancy of the dynamic composition and properties of the internal environment and ustoychivostiosnovnyh physiological functions of man). Each transferred accompanied by a persistent psychosis, and often irreversible changes in the central nervous system, manifesting as a chronic encephalopathy, residual delirium, etc. From a clinical point of view, isolated severe, protracted and chronic psychoses.

Alcoholic psychoses divided into the following types: * Alcoholic delirium (delirium tremens). Acute course. * Alcoholic hallucinosis. Acute, protracted and chronic types of flow. * Alcoholic delusional psychosis (paranoid alcoholic, alcoholic delusions of jealousy). Acute, protracted and chronic types of flow. * Alcoholic encephalopathy (acute encephalopathy, chronic encephalopathy, Wernicke encephalopathy, Gaye, alcoholic psevdoparalich.) Alcohol paranoid (delusions prosecution) alcohol delusions of persecution (paranoid alcoholic) – is one form of alcohol psychosis.

Occurs in the second stage of alcoholism, after years of the existence of alcohol withdrawal syndrome. Develops paranoid, usually on the first day after the end of many days of alcohol abuse. Often the appearance of alcoholic delusions of persecution precedes a longer soak, or increasing doses of alcohol. First noted sleep disturbances, mood becomes depressed patients, increased irritability.

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Ventral Series

June 13th, 2019

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. Idan ofer may find it difficult to be quoted properly. 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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Ivannikov SV Fracture

April 21st, 2018

the most severe damage to the ankle and up 7% of all skeletal injuries 4. Results: Ankle previously regarded as a cylindrical helical hinge. Bending foot, as it were come unscrewed from the plug with simultaneous ankle supination her, and bringing a small rotation inside. When straightening foot, on the contrary, as if the plug is screwed into the joint, at the same time it is pronation, abduction and slight external rotation. It is known that the ankle is shaped like a truncated cone with the base directed toward the fibula. The imaginary axis of the cone is rotated by about 10 degrees relative to the proximal articular surface of the talus, and 25 degrees relative to the frontal plane. For practice, it is important that the imaginary axis of the ankle goes from the lower edge of the inner ankle to the lower edge of the outer ankle 1. Pylons fractures called fractures of the distal tibia metaepiphysis arising from the effects of axial forces of high-energy, which leads to position of the foot during the injury, the direction and magnitude of traumatic force.

Also, damage to the ankle depends on the direction of traumatic force which may be of 3 types: adduction, abduction, rotation. During supination external Ligamental structures are strained. With a gap of enhanced external adduction ligament tear or fracture podsindesmozny outer ankle, and the talus clicks the inner ankle, resulting in a fracture occurs and the vertical plane. If supinate stop the load is rotated outward, in addition to the external voltage lateral ligaments stretched anterior ligament syndesmosis. If the force continues its impact, then there is an oblique or spiral fracture nadsindesmozny chrezsindesmozny or outer ankle. Rotating astragalus may pull back a bunch of syndesmosis, breaking it, or removing a bone fragment posterior margin of the tibia.

Its destructive effect of the rotating talus fracture completes the inner ankle or torn deltoid ligament. When pronatsionnom position of the foot stretched internal structures. If there is a rigid abduction, can be torn deltoid ligament tear or inner ankle (with the horizontal fracture). Then continuing Violence breaks both syndesmosis ligament tears or bone fragments in them. Then the autopsy results in a fracture of the fibula at or above the syndesmosis. If at the initial position of the foot she pronatsionnom rotated laterally, there is a gap deltoid ligament or transverse fracture of the inner ankle. With the continuing rotation of the outer talus anterior ligament rupture occurs tibiofibular syndesmosis or separation of the bone attachment 2, 3. Conclusions: The mechanism of the pylon fractures depends on the direction of the damaging efforts and position of the foot at the time of injury. References 1. Oganesyan OV, Ivannikov SV, Korshunov AV Recovery form and function of the ankle joint hinge-distraction apparatus. – Moscow: BINOM. Laboratory knowledge. – Medicine. – 2003. – S. 12-13 2. Shabanov AN, Kay I., Sartan VA Atlas fractures ankle and their treatment. – M.: Medicine. – 1972. – S. 44-67. 3. Kao KF, Huang PJ, Chen YC, et al. Postero-medial-anterior approach of the ankle for the pilon fracture / / Injury. – 2000. – Vol. 31. – P. 71-74. 4. Topliss CJ, Jackson M., Atkins RM: Anatomy of pilon fractures of the distal tibia / / JBJS. – 2005. – Vol. 87 – P.692-697. Tekt article is copyrighted

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Swine Flu: Frequently Asked Questions

February 14th, 2014

What is the swine flu? Like humans, pigs exposed to influenza, but the swine flu virus is different from human influenza viruses. Swine flu affects people very often. In the past, there were only body, chills and weakness. Some people have reported diarrhea and nausea. These symptoms may be caused by many other factors, so you and your doctor can determine whether you are infected with swine flu on the basis of symptoms.

should stay home. In the case of coughing or sneezing should cover their mouth and nose with a tissue dressing. Subsequently discard the bandage and wash your hands. This will help prevent the spread of infection. If you have recently been in high risk, you still need to consult a physician.

Remember that your doctor can determine if you are ill with swine flu, so your sample will be sent to a lab to test control drugs. Whether the swine flu virus airborne? New swine flu virus apparently spreads the same way as an ordinary flu. The pathogen can be transmitted to you regular hand-washing must log in to your habit, even if you are healthy. According to the Centers for Disease Control and Prevention, infected people are starting to spread infectious agents the day before air. U.S. residents infected with the flu, had no direct contact with pigs. According to experts of Centre for Prevention and Control of swine flu, the virus is widely distanced Disease Control and Prevention recommend taking these drugs for prevention and treatment of flu. The drugs most effective when administered within 48 hours after onset of symptoms disease. However, not all patients need to use them, many U.S. residents with laboratory-confirmed flu symptoms have fully recovered without the need for these drugs. Ministry Homeland Security has allocated 25% of the stockpile Tamiflu and Relenza.

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Stalin Hogweed

March 2nd, 2012

fleshy leaves of this plant. The speed of its spread is truly unbelievable. After all, as cow parsnip reproduces by seeds and root layers. A seed on one stem can form up to six thousand! Therefore, if on site in the spring appeared 3.2 plants, you can safely say that next year there will be ten times more. Latin for cow parsnip is gerakleum after the famous character of Greek mythology, which is very suited to the gigantic size of this plant. During flowering hogweed stem height is 3-4 meters.

When the origin of hogweed in the late 40s Stalin was aware that cow parsnip in the U.S. and Canada is the aft plant and provides greater biomass, was instructed to begin to cultivate their culture and ours. But despite the high yield of green mass, a new fodder crop showed some disadvantages. Milk cows became bitter, and the very grass before eating it was necessary to expose the heat treatment. The use of cow-parsnip as fodder crop declined, but it was too late. Gigantic plant has spread to vast areas and became dangerous weed. Danger hogweed hogweed leaves and fruits are rich in essential oils. Touching the plants of some species of this genus can cause irritation and burns to the skin due to the fact that all plant parts contain and short enough and not much sun exposure skin area contaminated with the juice of the plant.

Typically, the affected area of skin occurs second-degree burn (blisters filled with fluid). Time allergen and a strong smell that there is already five meters from the plant. The leaves, stems and fruits of hogweed contains special substances – furokumariny. Their danger lies in the fact that they are many times the increase lighter fluid. The bubble can grow for several days, all otslaivaya large areas of skin. In extensive burns, and overall health is deteriorating. Given the mechanism of hogweed, we can conclude that is especially dangerous contact with him in the sun. To get burned sometimes enough even to go to the site overgrown with hogweed in the bright sun. How to treat burns hogweed small bubbles is better not to touch, one can impose aseptic bandage. If the bubble continues to grow, ootslaivaya top layers of skin, you should consult your doctor so that he in sterile bladder exposed. After opening the bladder and a discharge of fluid does not have to take your tire bladder, and better wound-healing bandage with an antibacterial agent. In general, the treatment of burn injuries from hogweed is the same as ordinary burns. Protect the children from this plant, do not mow it in the sun. If need be mow cow parsnip, wear tight clothing, rubber boots, and keep the juice from the spray face and eyes. If the burns were extensive cow-parsnip, be sure to contact the hospital (as in boiling water burns). If you feel the force handle yourself, use Polimedel.

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Beer Family

February 24th, 2012

At a time when advertising is bottled domestic beer nightingale, praising the virtues of beer, the chief psychiatrist Eugene Brune of the Health Ministry, says that 'the beer that is brewed in Russia, to drink called the 'drink beer. " He said that most large companies do not even bother to cook different varieties of beer. Instead, a cook – very strong, probably the one that Mr. Bruno called the 'battle CEO 'Ochakovo' support and vice-president of the Association of Beer Lovers Starukhin Oleg, who said that the biggest Russian brewers produce truly the worst beer in the world. The fact that they produce breweries, including a Western brands, the taste is hard to call 'a beer.'' But despite the quality of its products, the state is heavily plagued by brewers inspection: The last large-scale However, the government gives green light to the brewing industry: today the production and sale of beer is not licensed, is not subject to the prohibitions on advertising. As a result, consumption of such a policy 'worst in world' use of substandard products have lost their shame brewers. 'Life Saving – the handiwork of drowning! " – This slogan is relevant today as ever before.

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Alcohol Paranoid Brad Chase

February 17th, 2012

Alcoholic delirium occurs in the second stage of alcoholism, after years of the existence of alcohol withdrawal syndrome. Develops paranoid, usually on the first day after the end of many days alcohol abuse. Often the appearance of alcoholic delusions of persecution precedes a longer soak, or an increase in daily doses of alcohol. First noted sleep disturbances, mood is ill depressed, increased irritability. There is confusion, anxiety, fear, and in some cases – hallucinations. The interval from the emergence of more vague fears before the full confidence to the top harassment can take from several hours to several days.

The patient begins all deeds of the surrounding people, their gestures, facial expressions, individual words and whole phrases interpreted as a manifestation of actions and intentions towards against him. He feels that others are going to kill him or out of revenge or for the purpose of mastering his property, or by some yet unknown to him motives. Of these patients can guess the motives of phrases and gestures pursuers. One word spoken in their presence, may become the basis for the profound confidence not only in the character of the impending massacre, but the details of its implementation. Typically, patients are quite firmly know the motives the ongoing persecution against them. A particular variant of alcoholic paranoia is delusion of jealousy (usually they are suffering men over forty years). Such patients feel that their wife is wrong, that it changes with numerous lovers, even to their relatives, for example, brother, uncle, etc.

The patient's wife threatened with death for treason. Any conviction that is all it just seems to not be sick, but rather argues that it still wants to present fool. Under the influence of delusions such person may have committed a serious crime, it is extremely dangerous and socially. Alcoholic delusions of persecution may last from several days to several weeks. Help in alcoholic paranoid: a challenge to the psychiatrist, if necessary – hospitalization. After the first phase of treatment (relief of withdrawal or acute intoxication in a hospital outpatient or home) patients voluntarily offered to go to the second and third phase (respectively: postabstinentnyh correction of mental disorders and anti-therapy).

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Allergies – Genes Or Environment ?

February 3rd, 2012

Allergy usually affects people living in large cities, especially those who care about clean excessively, regularly vaccinated and often take antibiotics. In Russia, the allergy is almost in every third family. 67% of patients are women. The majority (38%) are young people aged 15-19 and three-quarters of Allergy residents of large cities. Every third child has symptoms of allergy. There is concern that in 20 years, every second person will suffer from allergies. Genes or environment? Both. It turns out that allergy depends on both genetic factors and by environmental.

If one parent is allergic, then 30-40% chance that there is also problem of allergy in children. If both parents are allergolikami, the risk increases to 50-70%. If none of the parents, the likelihood of allergy in children is not more than 10-15%. How to determine allergies? Allergies can start at any time and at any age. The most common allergic diseases are manifested in the skin, respiratory and gastro-intestinal tract. The most common allergic disease in the world For example amidopirin (headache tablets), phenylbutazone, barbiturates, chloral hydrate, digitalis preparations, morphine, quinine, sulfa drugs, antibiotics and other allergens enter the body from the external environment – ekzoallergeny can be infectious (disease-causing microbes and neboleznetvornye, their metabolic products, viruses, and products of their interaction with the tissue) and noninfectious (house dust, animal dander, pollen, drugs, chemicals such as gasoline, chloramine, ursol and others, as well as meat, fish, fruits, vegetables, berries, milk, etc.) origin.

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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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