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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Pregnancy and Iodine Deficiency

February 15th, 2017

In these terms take Api Spear for 2 weeks or month, then to the child have good teeth. 5-6 months pregnant laid eyes and ears during this period, it is important to avoid iodine deficiency, the child was born with full hearing and sight. 6-7 months – laid the talents of children. Do you want a talented child? Then eat Api Spear. Why Pregnant Formula Ra? It reduces the toxic effects on the fetus. In women, these toxic effects are many.

If a woman herself does not smoke, but my husband smokes and it is among the smokers, or she took some of drugs, then it must necessarily Pills formula Ra. It is like no other drops, removes toxic effects on the fetus. From Honey – Apitok: reduces the toxic effect. During pregnancy, the need to: Enhance immune system Sanitize foci of chronic infections Conduct prevention of anemia Prepare the woman for lactation order to prevent anemia, a woman needs to take Hlebinu. This product has beneficial effects on health pregnant women and fetal development. Perga normalizes blood pressure, relieves uterine tone, relieve pain by pulling in the expansion of the pelvis, reduce morning sickness, vomiting almost stops, prevents anemia, and blood supplies body with essential vitamins and improves the full formation of all the important life-support systems and organs of the fetus and helps all the internal organs of the pregnant woman to cope with load. In the first months of pregnancy toxaemia prevents pollen reception and miscarriages.

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Restore Youth Facial Skin

May 31st, 2014

Leather – one of the main and objective measures of well-being of man. In particular, it touches the skin of a human face. Many diseases can leave imprints on your face. Facial skin reacts to diseases of the digestive systems, pathology, blood-forming organs, kidneys, nervous system and many other organs. This is especially true of female skin. It just so happens that the female body is more susceptible to external and internal factors, than the male. Bags under the eyes, wrinkles, the appearance of blackheads, acne, dryness and peeling of the skin, jaundice, swelling of the face, fragility and loss of hair – just a few of the symptoms of various diseases in a woman's face. So how do you return skin youth and beauty? It is necessary only to follow a few simple rules to help you achieve this.

First, you must give up bad habits. Smoking and alcohol will not help your appearance isamochuvstviyu mind. Improving nutrition. Click Harvey Finkelstein MD to learn more. It is important to reduce consumption of fatty, spicy, fried, salty food. Eat more fiber (cabbage, cucumbers and other vegetables). Train yourself to eat at the same time. These simple rules will improve your digestion, will give ease and it will quickly a good effect on your skin.

If your skin is yellow or pale, would not take more than common blood. These symptoms can be symptoms of several diseases of the digestive system and blood. If possible, use a minimum of makeup. If it is not possible, try to choose cosmetics based on natural ingredients. 1-2 times a week to do the natural mask (broth mint, lime, chamomile, plantain, sour cream, yogurt). Wipe your face with lemon or cabbage juice. They fill the skin with vitamins and minerals. Follow these simple rules during the month, and soon you will see how Your skin will be transformed.

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The Donation Of Organs And Tissues

February 17th, 2014

Donation of organs and human tissues for therapeutic purposes is an issue that has gained notoriety in recent years and is a requirement for Transplants apodictic organs and tissues, their presence on the political agendas of states is heterogeneous in Industrialized countries is a vital issue, have information and education programs adequately budgeted in other countries such as ours is an issue the Grant Is It Possible? Of course it's possible! Humans Biologically, we are about one trillion cells, distributed in 200 fabrics and 30 organs, Science has the technology to prevent ischemia, the man has the ability for the ablation and implantation of these organs and medicine has Pharmacology and environments to meet with relative success of these transplants Transplants Are Possible? There are about 40 diseases that can be cured by a transplant, these operations are routine in many countries including our own, saved many lives, as they appeared at the time of Caesarean sections, for example, saving many women and children, today the lodge is a transplant operation over arsenal with which we fight diseases What organs can be donated? You can donate two kidneys, two lungs, heart, pancreas, intestine and liver that can be used for two patients. You can donate about 15 tissues such as corneas, bones, tendons, skin, blood, bone is, heart valves etc. What is the reality in Peru? Like in football, we occupy the last place Donation of organs and tissues, the statistics are expressed in donors per million population (PMP), for example Spain has 35 donors pmp, USA has 25, Brazil is the one place America, Mexico is 2, Chile has 15 pmp and our donors pmp PERU is 1-2, this reality implies that the rate of transplantation is very low, for example 8 liver transplants per year, when the waiting list is about 50 and perhaps many more, which means that many die because they are not transplants, is as it was a few years ago that many women and children died because there was no caesarean sections What do politicians and government? We have from the Constitution, through Articles 6 and 7 of the Penal and Civil Code, about a dozen laws, DS, regulations, policies and plans … but the issue is forgotten in the policy agenda of the country, the MOH has even a National-ONDT Donation and Transplantation, "… but the statistics speak for themselves, Aristotle was right when he said" Better to be ruled by good men, that good laws What is missing then? Lack of state policy decision, the Government, the Ministry of Education, Health to launch a National Plan for Information and Education for the Donation of Organs and Tissues … we need a leader, an institution that fulfills the dreams of thousands of patients, families of thousands who walk by Hospitals Country begging a court to stay alive and just as many women and children are living through a Caesarean section in the future many men and women will live through a transplant when Pachyderms (Animals insensitive to cold and heat) Political decide to carry practice, laws and plans that they give and revived in each legislature, as "Theory without practice is useless.".

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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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Slowly Digested Cereals

December 15th, 2013

Given these studies, the producers are trying to develop cereals that are slowly digested, ie, grain low-glycemic-index c. For us, the followers Doctor 'Kuzmin' it is clear that, bio or not, morning cereals have the same drawbacks. In nature, everything is made, let us ask ourselves, why try to transform the already high quality product that is us offers, except for the deterioration of its properties under the pretense that what we eat has to be "ready to use." Indeed, whole grains weak glycemic index and 2 coffee spoons of our crops just milled with a cream Budvig correspond to the criteria defining the concept of a wholesome breakfast. Moreover, it is – cheap food, even if they are organic. Why to go very far beyond what we have at hand. "MODIFIED" PRODUCTS We are not talking about GMOs, but the products subjected to mutation by selection for a specific purpose: The Best Harvest efficiency, or for any special properties.

This is the case with sunflower and safflower oleic maslami.Olivkovoe oil containing oleic acid (omega 9) because of it – is well known in the prevention of cardiovascular disease. Our scientists have mutated genes sunflower seed and safflower, naturally rich in linoleic acid (omega6) so that they contained more oleic acid. In the diet you will find shops, sunflower and safflower oleic oil bio, which in themselves are not harmful, but you do not get at them use or benefit from omega-6 nor from these olives. Always read the label.

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Medical Insurance. Panacea Or A Bluff ?

November 9th, 2013

Outset that for Western Europe and the U.S., this rhetorical question. In these states, the share of voluntary health insurance (hereinafter DMS) in the budget has already exceeded the mark of 15%. We also interested in the CIS countries with their 'shareware' health. Omit saying 'get treatment for nothing – …' and move on to more detailed analysis. In reforming the health system should pay attention to the following fact.

It is much wiser to keep in mind the social health insurance (CMC) rather than voluntary. Why? Yes, because it provides proportional contributions of employers and employees. And in our situation will serve as SMS additional source of financing the health system. Now specifically about the types of health insurance. It can be of two types: mandatory (CBOs) and voluntary (LCA).

In case of voluntary medical Insurance worker himself pays contributions to the insurance company. In future, these funds are used in health care. The disadvantage of this system is that it will work effectively only in countries with predictably stable financial and political future. Pros is clear: members of the system can now enjoy a range of services. These include: Emergency Services commercial assistance. Clinics service. Emergency and routine patient care. Dental care. Compulsory health insurance in CIS pretty good, because provides deductions from wages for employees (for unprotected – deductions from social funds), but, unfortunately, has the status of the distant future. What's the point? Need a mixed model of financing the health system. That is, the proportion of medicine in the state budget should be and the contributions of the workers themselves and employers' contributions, and state funds. A few words about the nuances of a contract with an insurance company in LCA. There are two options. Assistance. (Assistenskaya company). Acts as an intermediary between an insurance company, clinic and patient. Franchise. In this embodiment, even if the case is recognized insurance, the insurance company will reimburse only a portion of losses.

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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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