Some aspects of training at English-speaking students

Export of educational services is a powerful factor of stimulation of economic growth and one of the conditions of overcoming an economic crisis. Many of students face the problems of communication compatibility with people of different cultures. Learning efficiency of foreign students depends on their adaptation to educational, social environment and cultural traditions. English communication is a positive factor for students of various countries. Prevention of conflicts between students because of different national features and different religion depends on professionalism of the teacher

Treatment of acute complicated pancreatic pseudocysts

The results of surgery in 70 patients with acute complicated pancreatic pseudocysts in age from 21 to 79 years were analyzed. For patients using an individualized medical – diagnostic campaign, which primarily was aimed at the elimination of complications following treatment with most of the pseudocyst in the long-term. In most cases, using percutaneous drainage for the purpose of the stabilization patient's general well-being, the possibility of the influence on the development the sepsis and severe organ dysfunction. If found impossible using this minimally invasive methods, and only when it is impossible to use them, or the development of complications after surgery, or results are unsatisfactory, performed "open" surgery. Mortality in complicated acute pseudocysts was 3.4 %

Застосування відкритих операційних втручань у хворих на ускладнені псевдокісти підшлункової залози першого типу

Results of surgical treatment of 32 patients with complicated acute pancreatic pseudocyst using open surgery were analyzed. Infectionof content of acute pseudocyst was observed in 49.4 %, bleeding into the cavity of pseudocysts – 16 %, compression of adjacentorgans – 16 %, pseudocyst perforation – 11.1 %, jaundice – 5 %, panсreatic fi stulas – 2.5 %. For the treatment of patients withorgan dysfunction (SOFA >8) in patients with mini-invasive methods used for the purpose pseudocyst decompression to expec tanttactics. Open surgery used as the primary method of surgical treatment (32 patients), and after mini-invasive procedures andstabilization of the general condition of the patient (9 patients). Patients with SOFA 3 to 8 underwent laparotomy with surgicaltreatment pseudocyst cavity, and subsequently, the formation of its walls – forming cystoenterostomy. Patients with pseudocystwith thin walls served their external drainage cavity. Complications occurred in 28.1 % of patients after the laparotomy, in thefi rst stage.Проаналізовано результати хірургічного лікування 32 хворих з ускладненими гострими псевдокістами підшлункової залозиіз застосуванням відкритих втручань. Інфікування вмісту гострих псевдокіст спостерігали у 49,4 % пацієнтів, кровотечув їх порожнину – у 16 %, компресію суміжних органів – у 16 % хворих, перфорацію псевдокісти – у 11,1 % пацієнтів,механічну жовтяницю – у 5 % осіб, панкреатогастральні нориці у – 2,5 % пацієнтів. Для лікування хворих із дисфункцієюоргана (SOFA >8) застосовували міні-інвазивні методики з метою декомпресії псевдокісти з метою вичікувальної тактики.Відкриті операційні втручання застосовували як основний метод хірургічного лікування (32 пацієнти) і після виконанняміні-інвазивних методик та стабілізації загального стану хворого (9 пацієнтів). Хворим із SOFA від 3 до 8 виконувалилапаротомію з хірургічною обробкою порожнини псевдокісти, а в подальшому, при сформуванні її стінок – формуванняцистоентероанастомозу. Пацієнтам із псевдокістами з тонкими стінками виконували зовнішнє дренування їх порожнини.Ускладнення виникли у 28,1 % хворих після виконання лапаротомії як першого етапу

Abdominal Compartment Syndrome in Patients with Abdominal Sepsis

Kryvoruchko I. A., Antonova M. S., Tonkoglas O. A., Goni S.-K. T. Abdominal Compartment Syndrome in Patients with Abdominal Sepsis. Journal of Education, Health and Sport. 2017;7(3):449-456. eISSN 2391-8306. DOI http://dx.doi.org/10.5281/zenodo.399313 http://ojs.ukw.edu.pl/index.php/johs/article/view/4362 The journal has had 7 points in Ministry of Science and Higher Education parametric evaluation. Part B item 1223 (26.01.2017). 1223 Journal of Education, Health and Sport eISSN 2391-8306 7 © The Author (s) 2017; This article is published with open access at Licensee Open Journal Systems of Kazimierz Wielki University in Bydgoszcz, Poland Open Access. This article is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium, provided the original author(s) and source are credited. This is an open access article licensed under the terms of the Creative Commons Attribution Non Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited. This is an open access article licensed under the terms of the Creative Commons Attribution Non Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited. The authors declare that there is no conflict of interests regarding the publication of this paper. Received: 21.03.2017. Revised 22.03.2017. Accepted: 23.03.2017. Abdominal Compartment Syndrome in Patients with Abdominal Sepsis I. A. Kryvoruchko, M. S. Antonova, O. A. Tonkoglas, S.-K. T. Goni Kharkov National Medical University Ministry of Health of Ukraine Abstract Investigations were carried out in 53 patients who were operated on in 2015 about abdominal sepsis (AS). All patients were assigned according the severity of the condition, which was determined depending on the severity of the systemic inflammatory response and multiple organ failure: I group - patients with AS (28); II group - patients with severe AS (14); III group - patients with septic shock (11). Surgical management of all patients included two major components: control source of infection (source control) and control of organ damaged and the protective mechanisms system (damage control). In the first group, the laparotomy ended by suturing the wounds tightly with traditional drainage; in groups II and III surgical treatment were supplemented by the use of techniques aimed at the prevention and reduction of elevated intra-abdominal pressure. Studies have shown that 100 % of patients with AS showed an increase in intra-abdominal pressure and the development of intra-abdominal hypertension. While ACS developed in 18.9 % of cases (4 patients with severe sepsis and 6 - with septic shock). The highest mortality rate was observed among patients with grade III and IV intra-abdominal hypertension (11 of 25 patients). Key words: intra-abdominal pressure, abdominal sepsis, abdominal compartment syndrome, treatment

Laparoscopic plastic of inguinal hernias

The problem of surgical treatment of inguinal hernias over the last 25 years has gone through global changing. Tension free correction of defects of the anterior abdominal wall with using of synthetic prostheses are now the undisputed favorites in the treatment of inguinal hernias. After Lichtenstein operation, Laparoscopic hernia repair now occupies the second place in the structure of operations for inguinal hernias. During the period from 2011 performed 149 laparoscopic hernia repair TAPP, of which 19 patients with recurrent hernias, after autoplasty (10) and alloplasty by Liechtenstein (9) and 11 with bilateral hernias. The authors did not mention severe intra-or postoperative complications, as well as the conversion to open surgery at failure during laparoscopic surgery. From intraoperative complications they met more often bleeding (4). The greatest technical difficulties arose in damage of inferior epigastric vessels. In the postoperative period they met next complication: most frequent groin hematoma (4), neuralgia (2) and paresthesias (5), pain in humeroscapular area (4). The laparoscopic techniques of hernia repair are effective, pathogenetically substantiated, provides a comfortable postoperative period and the possibility of early rehabilitation

Investigation Of Technological Properties Of Powder Of Eggplants

The aim of the article is to study and to generalize technological properties of eggplant powder, produced by infrared drying at temperatures 50-60 ºС. The results of the conducted complex of studies reflect main technological and consumption properties of the received puree that plays an important role at creating new culinary products.So, for studying technological properties of food eggplant powder, there was considered the complex of base functional-technological properties of powder, produced by infrared drying.For finding optimal conditions of rehydration of eggplant powders, there was studied the influence of such technological factors as: swelling ability; liquid; powder ratio; influence of the solvent temperature on renovation; renovation duration; degree of comminution of powders.Main parameters that influence the renovation ability of dried eggplants are investigated and studied in the article. The results of the studies of technological properties of eggplant powders prove their high rehydration properties. It gives a possibility to use powders at producing different culinary products not only for enriching them with functional ingredients, but also for giving them new technological properties.Based on the obtained results, there was elaborated and presented the new technological scheme of using renewed powders in food compositions

Modern aspects of diagnosis and surgical treatment of the duodenum trauma

Modern aspects of diagnosis and surgical treatment of the duodenum traum

Surgical treatment of patients with abdominal sepsis taking into account the prediction of the implementation of re-operations

Objective. The investigation objective was improvement of the surgical treatment results in patients, suffering аbdominal sepsis, using individualized tactics of treatment, taking into account a possibility for the postoperative complications occurrence and the treatment results prognostication. Маterials and methods. The results of treatment of the adult patients, suffering abdominal sepsis in 2009 – 2019 yrs, excluding an acute cholecystitis cases, were analyzed. The patients were divided retrospectively and prospectively in accordance to the Sepsis–3 classification. Of them 130 have suffered peritoneal sepsis, 33 – intestinal one, and 38 – pancreatogenic abdominal. The results estimation was compared with application of modern systems: APACHE–II, Mannheim іndex of peritonitis (MPI), MODS and SOFA. The indices were estimated on the 1st, 2nd, 3rd and 4th postoperative days before subsequent outcomes of a primary operation. Results. The prognosis systems with a square under the ROC–curve (AUC) > 0.8 have included MPI only for determination of indications for reoperations: the ROC–curves value for the first subgroup (the closed treatment) have constituted 0.73, for the second subgroup (reoperations in accordance to indications) – 0.91, and for the third – 0.84 (the programmed reoperations). But in the patients of first subgroup this index have constituted 0,73, indicating its application restricting the decision making process, concerning the reoperations efficacy in patients with absence of the septic shock signs. Conclusion. Calculations of the occurrence possibility for postoperative complications and mortality in patients, depending on their preoperative state severity permits to select a most rational tactics of treatment. Most optimal approach for the rate reduction of postoperative complications occurrence and mortality in patients with abdominal sepsis and septic shock is performance of reoperations in accordance to indications to control the infection source, if it is possible

Modern methods of stimulation of angiogenesis in patients with critical limb ischemia (review)

The term "critical ischemia of extremities" (critical limb ischemia) was first introduced by P.R.F. Bell in 1982 to refer to a group of diseases accompanied by pain in the legs at rest, trophic ulcers and distal necroses of the lower limbs. Critical ischemia of the lower limbs is a condition of almost complete cessation of arterial blood flow to the tissues of the lower limbs. If the arterial blood supply is not improved, limb amputation becomes inevitable for all patients. Treatment of ischemia of the lower extremities should be complex and differentiated depending on the stage and features of the course of the disease. Modern approaches to the therapy of lower limb ischemia include conservative and surgical methods of treatment, all of which are aimed at improving blood flow in the affected limbs. In the article modern methods of stimulating angiogenesis in patients with lower limb ischemia and results are shown

Зміни оксидантно-антиоксидантного гомеостазу та окремих цитокінів у хворих з бластоматозною жовтяницею різної тяжкості

Мета. Дослідження стану вільнорадикальних процесів, перекисного окислення ліпідів, антирадикального захисту та вмісту цитокінів у сироватці крові хворих з бластоматозною жовтяницею. Матеріали і методи. Дослідження проведено щодо 80 хворих у віці від 38 до 83 років, які мали бластоматозну жовтяницю до оперативних втручань. Всі пацієнти були розподілені на три групи в залежності від тяжкості жовтяниці, визначеної за класифікацією Е. І. Гальперіна (2012), для оцінки та прогнозування післяопераційних результатів. До 1-ї групи включили 18 (22,5%) пацієнтів з жовтяницею класу А, до 2-ї групи - 32 (40%) пацієнти з жовтяницею класу В, до 3-ї групи - 30 (37,5%) пацієнтів з жовтяницею класу С. У 68 (85%) пацієнтів діагностовані III і IV стадії захворювання. Результати. В умовах клінічного перебігу бластоматозної жовтяниці всіх трьох класів тяжкості у сироватці крові хворих значно збільшувався вміст середньомолекулярних пептидів і аміаку; антиоксидантний гомеостаз характеризувався збільшенням вмісту в сироватці крові малонового діальдегіду, дієнових кон’югатів, підвищенням активності церулоплазміну і зниженням активності каталази (р < 0,05); вміст у сироватці крові цитокінів IL-1β, IL-6 і ІL-8 значно підвищувався (р < 0,05), водночас динаміка змін вмісту цитокінів ІL-4 і ІL-10 була зворотною (р < 0,05). Порівняння середніх міжгрупових відмінностей за критерієм Спірмана показало, що показники рівня васкулоендотеліального фактора росту були вірогідними у хворих з жовтяницею класів A і B (r = -0,90, p = 0,000), класів B і C (r = 0,726, p = 0,000) та класів A і C (r = 0,489, p = 0,041). Встановлено, що рівень васкулоендотеліального фактора росту, який у середньому становив 346 пг/мл, був єдиним показником, що мав більшу точність у разі порівняння хворих з раком і умовно здорових людей (площа під RОС-кривою становила 0,943, чутливість - 86,8%, специфічність - 82,4%, загальна точність - 82,3%). Висновки. Порушення функції ендотеліальних клітин і клітин гладких м’язів судин, індуковане вільнорадикальними процесами і антирадикальною захисною системою, призводить до розвитку ендотеліальної та судинної дисфункції, яка, ймовірно, ініціює та індукує гіпоактивність судин і вазодилатацію, а рівень васкулоендотеліального фактора росту має більшу точність у разі порівняння хворих з раком і умовно здорових людей