31 research outputs found

    Influence of soy flour and its processed products on the essential amino acids content in the bees body

    Get PDF
    Providing bees with benign and sufficient protein feeds is the key to successful beekeeping. Protein feed significantly affects on certain functions of individuals and the vital activity and productivity of the bee colonies. So, as a result of increased consumption of protein feed during the first days of life the supply of proteins in the body significantly increases in young bees, hypopharyngeal glands and other organs become developed, which provides the ability to perform various tasks depending on age and living conditions. Older bees consume protein for tissue renewal with new cells and metabolic processes. Bees raised on low protein feeds become physiologically defective and do not live long. In conditions of protein starvation, brood rearing stops and bees throw larvae out of their cells. The article presents the results of studying the effect of using soy flour and its processed products in bee feeding on the essential amino acids content in their body. It was found that the use of soy peptone in bee feeding contributes to a greater accumulation of essential amino acids in the bees body in different periods of their development, in compared to soy milk, defatted soy flour and roasted soy flour which indicates a higher efficiency of its use as partial substitutes for protein feeds

    НСкоторыС диагностичСскиС ΠΈ Π»Π΅Ρ‡Π΅Π±Π½Ρ‹Π΅ аспСкты ΠΏΡ€ΠΈ аппСндикулярных ΠΈΠ½Ρ„ΠΈΠ»ΡŒΡ‚Ρ€Π°Ρ‚Π°Ρ…

    Get PDF
    Introduction. Appendicular infiltration is currently considered as a complication of acute appendicitis. The incidence rate of this disorder ranges between 0.2 and 5.8%. Despite a large number of studies dedicated to the issue of acute appendicitis and its complications, including appendicular infiltration, surgeons’ interest to this issue remains undiminished.Materials and methods. The paper presents the results of a retrospective analysis of diagnosis and treatment of 57 patients admitted to MI CTH No. 8, Ufa, with a diagnosis of acute appendicitis complicated with appendicular infiltration in 2012-1017.Results and discussion. In 32 (56.1%) patients, the infiltration was diagnosed during the surgery or diagnostic laparoscopy as an incidental find, the so-called β€˜find-infiltration’. Of these, in 19 (33.3%) patients, the intraoperative find was evaluated as hard infiltration, in 13 (22.8%)Β β€” as soft. In 25 (43.9%) of patients admitted to the clinic with acute appendicitis, it was suspected that the infiltration had developed prior to surgery. Dynamic clinical and ultrasound examination in 11Β  patients left no doubt regarding the presence of infiltration. These patients were treated conservatively. In the remaining 14 patients, it was impossible to exclude acute appendicitis or infiltration and it was decided that diagnostic laparoscopy was indicated.Conclusion. Diagnostic laparoscopy is the leading method for diagnosis of this complication that helps determine aΒ treatment strategy. Surgical strategy was strictly differentiatedΒ  β€” at the infiltration stageΒ  β€” conservative, at the abscess stageΒ β€” surgical; abscess cavity dissection and draining was recommended. Appendectomy was considered acceptable in technically uncomplicated situations. All the patients following the resolution of appendicular infiltration and dissection of periappendicular abscess should receive the recommendation to have appendectomy 3–4 months after dischargeΠ’Π²Π΅Π΄Π΅Π½ΠΈΠ΅. Π’ настоящСС врСмя аппСндикулярный ΠΈΠ½Ρ„ΠΈΠ»ΡŒΡ‚Ρ€Π°Ρ‚ ΠΌΠ½ΠΎΠ³ΠΈΠΌΠΈ Π°Π²Ρ‚ΠΎΡ€Π°ΠΌΠΈ трактуСтся ΠΊΠ°ΠΊ ослоТнСниС острого Π°ΠΏΠΏΠ΅Π½Π΄ΠΈΡ†ΠΈΡ‚Π° ΠΈ встрСчаСтся ΠΏΡ€Π΅Π΄Π΅Π»Π°Ρ… ΠΎΡ‚ 0,2 Π΄ΠΎ 5,8Β %. НСсмотря Π½Π° большоС количСство Π½Π°ΡƒΡ‡Π½Ρ‹Ρ… исслСдований, посвящСнных ΠΏΡ€ΠΎΠ±Π»Π΅ΠΌΠ΅ острого Π°ΠΏΠΏΠ΅Π½Π΄ΠΈΡ†ΠΈΡ‚Π° Π² Ρ†Π΅Π»ΠΎΠΌ ΠΈ Π΅Π³ΠΎ ослоТнСний, Ρ‚Π°ΠΊΠΈΡ… ΠΊΠ°ΠΊ аппСндикулярный ΠΈΠ½Ρ„ΠΈΠ»ΡŒΡ‚Ρ€Π°Ρ‚, интСрСс Ρ…ΠΈΡ€ΡƒΡ€Π³ΠΎΠ² ΠΊ Π΄Π°Π½Π½ΠΎΠΉ ΠΏΡ€ΠΎΠ±Π»Π΅ΠΌΠ΅ Π½Π΅ ΡƒΠΌΠ΅Π½ΡŒΡˆΠ°Π΅Ρ‚ΡΡ.ΠœΠ°Ρ‚Π΅Ρ€ΠΈΠ°Π» ΠΈ ΠΌΠ΅Ρ‚ΠΎΠ΄Ρ‹. Π’ ΡΡ‚Π°Ρ‚ΡŒΠ΅ ΠΏΡ€ΠΈΠ²Π΅Π΄Π΅Π½Ρ‹ Ρ€Π΅Π·ΡƒΠ»ΡŒΡ‚Π°Ρ‚Ρ‹ рСтроспСктивного Π°Π½Π°Π»ΠΈΠ·Π° диагностики ΠΈ лСчСния 57 ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚ΠΎΠ², ΠΏΠΎΡΡ‚ΡƒΠΏΠΈΠ²ΡˆΠΈΡ… Π² хирургичСскиС отдСлСния МУ Π“ΠšΠ‘ β„– 8 Π³. Π£Ρ„Ρ‹ ΠΏΠΎ ΠΏΠΎΠ²ΠΎΠ΄Ρƒ острого Π°ΠΏΠΏΠ΅Π½Π΄ΠΈΡ†ΠΈΡ‚Π°, ослоТнСнного аппСндикулярным ΠΈΠ½Ρ„ΠΈΠ»ΡŒΡ‚Ρ€Π°Ρ‚ΠΎΠΌ, Π² ΠΏΠ΅Ρ€ΠΈΠΎΠ΄ 2012–2017 Π³Π³.Π Π΅Π·ΡƒΠ»ΡŒΡ‚Π°Ρ‚Ρ‹ ΠΈ обсуТдСниС. Π£ 32 ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚ΠΎΠ² (56,1Β  %) ΠΈΠ½Ρ„ΠΈΠ»ΡŒΡ‚Ρ€Π°Ρ‚ Π±Ρ‹Π» выявлСн ΠΈΠ½Ρ‚Ρ€Π°ΠΎΠΏΠ΅Ρ€Π°Ρ†ΠΈΠΎΠ½Π½ΠΎ ΠΈΠ»ΠΈ ΠΏΡ€ΠΈ диагностичСской лапароскопии ΠΊΠ°ΠΊ опСрационная Π½Π°Ρ…ΠΎΠ΄ΠΊΠ°, Ρ‚Π°ΠΊ Π½Π°Π·Ρ‹Π²Π°Π΅ΠΌΡ‹ΠΉ Ρ„Π°ΠΉΠ½Π΄-ΠΈΠ½Ρ„ΠΈΠ»ΡŒΡ‚Ρ€Π°Ρ‚. Из Π½ΠΈΡ… Ρƒ 19 (33,3Β %) Π±ΠΎΠ»ΡŒΠ½Ρ‹Ρ… интраопСрационная Π½Π°Ρ…ΠΎΠ΄ΠΊΠ° расцСнСна ΠΊΠ°ΠΊ ΠΏΠ»ΠΎΡ‚Π½Ρ‹ΠΉ ΠΈΠ½Ρ„ΠΈΠ»ΡŒΡ‚Ρ€Π°Ρ‚, Ρƒ 13 (22,8Β %) ΠΊΠ°ΠΊ Ρ€Ρ‹Ρ…Π»Ρ‹ΠΉ. Π£ 25 (43,9Β %) Π±ΠΎΠ»ΡŒΠ½Ρ‹Ρ…, ΠΏΠΎΡΡ‚ΡƒΠΏΠΈΠ²ΡˆΠΈΡ… Π² ΠΊΠ»ΠΈΠ½ΠΈΠΊΡƒ ΠΏΠΎ ΠΏΠΎΠ²ΠΎΠ΄Ρƒ острого Π°ΠΏΠΏΠ΅Π½Π΄ΠΈΡ†ΠΈΡ‚Π°, учитывая сроки заболСвания, ΠΏΡ€Π΅Π΄ΠΏΠΎΠ»Π°Π³Π°Π»ΠΎΡΡŒ Ρ€Π°Π·Π²ΠΈΡ‚ΠΈΠ΅ ΠΈΠ½Ρ„ΠΈΠ»ΡŒΡ‚Ρ€Π°Ρ‚Π° Π΄ΠΎ ΠΎΠΏΠ΅Ρ€Π°Ρ†ΠΈΠΈ. ΠŸΡ€ΠΈ динамичСском клиничСском ΠΈ ΡƒΠ»ΡŒΡ‚Ρ€Π°Π·Π²ΡƒΠΊΠΎΠ²ΠΎΠΌ исслСдовании Ρƒ 11 Π±ΠΎΠ»ΡŒΠ½Ρ‹Ρ… Π½Π°Π»ΠΈΡ‡ΠΈΠ΅ ΠΈΠ½Ρ„ΠΈΠ»ΡŒΡ‚Ρ€Π°Ρ‚Π° Π½Π΅ Π²Ρ‹Π·Ρ‹Π²Π°Π»ΠΎ сомнСния. Π­Ρ‚ΠΈΠΌ Π±ΠΎΠ»ΡŒΠ½Ρ‹ΠΌ Π½Π°Π·Π½Π°Ρ‡Π΅Π½ΠΎ консСрвативноС Π»Π΅Ρ‡Π΅Π½ΠΈΠ΅. Π£ ΠΎΡΡ‚Π°Π»ΡŒΠ½Ρ‹Ρ… Π±ΠΎΠ»ΡŒΠ½Ρ‹Ρ… (n = 14) ΠΈΡΠΊΠ»ΡŽΡ‡ΠΈΡ‚ΡŒ Π½Π°Π»ΠΈΡ‡ΠΈΠ΅ острого Π°ΠΏΠΏΠ΅Π½Π΄ΠΈΡ†ΠΈΡ‚Π° ΠΈΠ»ΠΈ ΠΈΠ½Ρ„ΠΈΠ»ΡŒΡ‚Ρ€Π°Ρ‚Π° Π½Π΅ ΠΏΡ€Π΅Π΄ΡΡ‚Π°Π²Π»ΡΠ»ΠΎΡΡŒ Π²ΠΎΠ·ΠΌΠΎΠΆΠ½Ρ‹ΠΌ ΠΈΒ ΠΎΠΏΡ€Π΅Π΄Π΅Π»Π΅Π½Ρ‹ показания для диагностичСской лапароскопии.Π—Π°ΠΊΠ»ΡŽΡ‡Π΅Π½ΠΈΠ΅. Π’Π΅Π΄ΡƒΡ‰ΠΈΠΌ ΠΌΠ΅Ρ‚ΠΎΠ΄ΠΎΠΌ диагностики являСтся диагностичСская лапароскопия, которая позволяСт Π΄ΠΈΠ°Π³Π½ΠΎΡΡ‚ΠΈΡ€ΠΎΠ²Π°Ρ‚ΡŒ Π΄Π°Π½Π½ΠΎΠ΅ ослоТнСниС ΠΈ ΠΎΠΏΡ€Π΅Π΄Π΅Π»ΠΈΡ‚ΡŒ Ρ‚Π°ΠΊΡ‚ΠΈΠΊΡƒ лСчСния. Π₯ирургичСская Ρ‚Π°ΠΊΡ‚ΠΈΠΊΠ° Π±Ρ‹Π»Π° строго Π΄ΠΈΡ„Ρ„Π΅Ρ€Π΅Π½Ρ†ΠΈΡ€ΠΎΠ²Π°Π½Π½ΠΎΠΉ: Π² стадии ΠΈΠ½Ρ„ΠΈΠ»ΡŒΡ‚Ρ€Π°Ρ‚Π°Β β€” консСрвативной, Π² стадии абсцСдирования — ΠΎΠΏΠ΅Ρ€Π°Ρ‚ΠΈΠ²Π½ΠΎΠΉ, Ρ€Π΅ΠΊΠΎΠΌΠ΅Π½Π΄ΠΎΠ²Π°Π»ΠΈ вскрытиС ΠΈ Π΄Ρ€Π΅Π½ΠΈΡ€ΠΎΠ²Π°Π½ΠΈΠ΅ полости Π³Π½ΠΎΠΉΠ½ΠΈΠΊΠ°. АппСндэктомия допустима лишь ΠΏΡ€ΠΈ тСхничСски Π½Π΅ слоТных ситуациях. ВсСм Π±ΠΎΠ»ΡŒΠ½Ρ‹ΠΌ послС рассасывания аппСндикулярного ΠΈΠ½Ρ„ΠΈΠ»ΡŒΡ‚Ρ€Π°Ρ‚Π° ΠΈ вскрытия пСриаппСндикулярного абсцСсса слСдуСт Ρ€Π΅ΠΊΠΎΠΌΠ΅Π½Π΄ΠΎΠ²Π°Ρ‚ΡŒ Π°ΠΏΠΏΠ΅Π½Π΄ΡΠΊΡ‚ΠΎΠΌΠΈΡŽ Ρ‡Π΅Ρ€Π΅Π· 3–4 мСсяца послС выписки ΠΈΠ· стационара

    Роль ΠΏΠ΅Ρ€Ρ„ΡƒΠ·ΠΈΠΎΠ½Π½ΠΎΠΉ ΠΊΠΎΠΌΠΏΡŒΡŽΡ‚Π΅Ρ€Π½ΠΎΠΉ Ρ‚ΠΎΠΌΠΎΠ³Ρ€Π°Ρ„ΠΈΠΈ Π² диагностикС дивСртикулярной Π±ΠΎΠ»Π΅Π·Π½ΠΈ ΠΎΠ±ΠΎΠ΄ΠΎΡ‡Π½ΠΎΠΉ кишки ΠΈ Π΅Π΅ ослоТнСний

    Get PDF
    Introduction. Colonic diverticular disease (colonic diverticulitis) is considered to be a serious medical and social problem of modern society, marked by a persistent decrease in the quality of life of patients and a steady growth in morbidity with a tendency to increase complications of the underlying disease in the form of inflammatory destructive changes in the intestinal wall.Materials and methods. The study involved 63 patients with colonic diverticulitis, males and females, aged 34 through 79 years. All participants were divided into 3 groups, depending on the damage to the intestinal wall. The first group included 11 patients with intact intestinal wall, the second group included 43 patients with diverticulitis, and the third group β€” 9 patients with adenocarcinoma of the large intestine.Results and discussion. When performing perfusion computed tomography (PCT) of the intestinal wall, it was found that BF values in acute diverticulitis, compared to the intact intestinal wall, increased on average by 1.7 times, while in malignancies β€” by 5.3 times. BV values in acute diverticulitis, as compared to the intact intestinal wall, increased by 9.2, and in malignancies β€” 13.6 times. MRI values in acute diverticulitis, as compared to the intact intestinal wall, increased by 2.5 times, and in malignancies β€” 3.9 times. PS values in acute diverticulitis, as compared to the intact intestinal wall, increased by 1.7 times, and in malignancies β€” 3.8 times.Conclusion. Since PCT is able to detect the difference of microcirculation parameters in inflammatory and malignant processes, it can be used in the diagnostic algorithm to determine further treatment strategy.Π’Π²Π΅Π΄Π΅Π½ΠΈΠ΅. ДивСртикулярная болСзнь ΠΎΠ±ΠΎΠ΄ΠΎΡ‡Π½ΠΎΠΉ кишки (Π”Π‘ΠžΠš) являСтся Π·Π½Π°Ρ‡ΠΈΠΌΠΎΠΉ ΠΌΠ΅Π΄ΠΈΠΊΠΎ-ΡΠΎΡ†ΠΈΠ°Π»ΡŒΠ½ΠΎΠΉ ΠΏΡ€ΠΎΠ±Π»Π΅ΠΌΠΎΠΉ соврСмСнного общСства, Ρ…Π°Ρ€Π°ΠΊΡ‚Π΅Ρ€ΠΈΠ·ΡƒΡŽΡ‰Π΅ΠΉΡΡ стойким сниТСниСм качСства ΠΆΠΈΠ·Π½ΠΈ ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚ΠΎΠ² ΠΈ Π½Π΅ΡƒΠΊΠ»ΠΎΠ½Π½Ρ‹ΠΌ ростом заболСваСмости Π² популяции Π² Ρ†Π΅Π»ΠΎΠΌ с Ρ‚Π΅Π½Π΄Π΅Π½Ρ†ΠΈΠ΅ΠΉ ΠΊ ΡƒΠ²Π΅Π»ΠΈΡ‡Π΅Π½ΠΈΡŽ ослоТнСний основного заболСвания Π² Π²ΠΈΠ΄Π΅ Π²ΠΎΡΠΏΠ°Π»ΠΈΡ‚Π΅Π»ΡŒΠ½Ρ‹Ρ… дСструктивных ΠΈΠ·ΠΌΠ΅Π½Π΅Π½ΠΈΠΉ со стороны стСнки кишки.ΠœΠ°Ρ‚Π΅Ρ€ΠΈΠ°Π»Ρ‹ ΠΈ ΠΌΠ΅Ρ‚ΠΎΠ΄Ρ‹. Π’ исслСдовании приняли участиС 63 ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚Π° с Π”Π‘ΠžΠš ΠΎΠ±ΠΎΠ΅Π³ΠΎ ΠΏΠΎΠ»Π° Π² возрастС ΠΎΡ‚ 34 Π΄ΠΎ 79 Π»Π΅Ρ‚ Π²ΠΊΠ»ΡŽΡ‡ΠΈΡ‚Π΅Π»ΡŒΠ½ΠΎ. ВсС обслСдуСмыС Π±Ρ‹Π»ΠΈ Ρ€Π°Π·Π΄Π΅Π»Π΅Π½Ρ‹ Π½Π° 3 Π³Ρ€ΡƒΠΏΠΏΡ‹ Π² зависимости ΠΎΡ‚ пораТСния стСнки ΠΎΠ±ΠΎΠ΄ΠΎΡ‡Π½ΠΎΠΉ кишки. Π’ ΠΏΠ΅Ρ€Π²ΡƒΡŽ Π³Ρ€ΡƒΠΏΠΏΡƒ вошли 11 ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚ΠΎΠ² с Π½Π΅ΠΈΠ·ΠΌΠ΅Π½Π΅Π½Π½ΠΎΠΉ стСнкой кишки, Π²ΠΎ Π²Ρ‚ΠΎΡ€ΡƒΡŽ Π³Ρ€ΡƒΠΏΠΏΡƒ β€” 43 ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚Π° с Π΄ΠΈΠ²Π΅Ρ€Ρ‚ΠΈΠΊΡƒΠ»ΠΈΡ‚ΠΎΠΌ, Ρ‚Ρ€Π΅Ρ‚ΡŒΡŽ Π³Ρ€ΡƒΠΏΠΏΡƒ составили 9 ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚ΠΎΠ² с Π°Π΄Π΅Π½ΠΎΠΊΠ°Ρ€Ρ†ΠΈΠ½ΠΎΠΌΠΎΠΉ ΠΎΠ±ΠΎΠ΄ΠΎΡ‡Π½ΠΎΠΉ кишки.Π Π΅Π·ΡƒΠ»ΡŒΡ‚Π°Ρ‚Ρ‹ ΠΈ обсуТдСниС. ΠŸΡ€ΠΈ ΠΏΡ€ΠΎΠ²Π΅Π΄Π΅Π½ΠΈΠΈ ΠΏΠ΅Ρ€Ρ„ΡƒΠ·ΠΈΠΎΠ½Π½ΠΎΠΉ ΠΊΠΎΠΌΠΏΡŒΡŽΡ‚Π΅Ρ€Π½ΠΎΠΉ Ρ‚ΠΎΠΌΠΎΠ³Ρ€Π°Ρ„ΠΈΠΈ (ПКВ) стСнки ΠΎΠ±ΠΎΠ΄ΠΎΡ‡Π½ΠΎΠΉ кишки Π±Ρ‹Π»ΠΎ установлСно, Ρ‡Ρ‚ΠΎ ΠΏΠΎΠΊΠ°Π·Π°Ρ‚Π΅Π»ΠΈ BF ΠΏΡ€ΠΈ остром Π΄ΠΈΠ²Π΅Ρ€Ρ‚ΠΈΠΊΡƒΠ»ΠΈΡ‚Π΅ ΠΏΠΎ ΡΡ€Π°Π²Π½Π΅Π½ΠΈΡŽ с Π½Π΅ΠΈΠ·ΠΌΠ΅Π½Π΅Π½Π½ΠΎΠΉ стСнкой кишки ΡƒΠ²Π΅Π»ΠΈΡ‡ΠΈΠ»ΠΈΡΡŒ Π² срСднСм Π² 1,7 Ρ€Π°Π·Π°, Ρ‚ΠΎΠ³Π΄Π° ΠΊΠ°ΠΊ ΠΏΡ€ΠΈ злокачСствСнных образованиях β€” ΡƒΠΆΠ΅ Π² 5,3 Ρ€Π°Π·Π°. Π”Π°Π½Π½Ρ‹Π΅ BV ΠΏΡ€ΠΈ остром Π΄ΠΈΠ²Π΅Ρ€Ρ‚ΠΈΠΊΡƒΠ»ΠΈΡ‚Π΅ ΠΏΠΎ ΡΡ€Π°Π²Π½Π΅Π½ΠΈΡŽ с Π½Π΅ΠΈΠ·ΠΌΠ΅Π½Π΅Π½Π½ΠΎΠΉ стСнкой кишки ΡƒΠ²Π΅Π»ΠΈΡ‡ΠΈΠ»ΠΈΡΡŒ Π² 9,2 Ρ€Π°Π·Π°, ΠΏΡ€ΠΈ злокачСствСнных образованиях β€” Π² 13,6 Ρ€Π°Π·Π°. ΠŸΠΎΠΊΠ°Π·Π°Ρ‚Π΅Π»ΠΈ МРВ ΠΏΡ€ΠΈ остром Π΄ΠΈΠ²Π΅Ρ€Ρ‚ΠΈΠΊΡƒΠ»ΠΈΡ‚Π΅ ΠΏΠΎ ΡΡ€Π°Π²Π½Π΅Π½ΠΈΡŽ с Π½Π΅ΠΈΠ·ΠΌΠ΅Π½Π΅Π½Π½ΠΎΠΉ стСнкой кишки ΡƒΠ²Π΅Π»ΠΈΡ‡ΠΈΠ»ΠΈΡΡŒ Π² 2,5 Ρ€Π°Π·Π°, ΠΏΡ€ΠΈ злокачСствСнных образованиях β€” Π² 3,9 Ρ€Π°Π·Π°. ΠŸΠΎΠΊΠ°Π·Π°Ρ‚Π΅Π»ΠΈ PS ΠΏΡ€ΠΈ остром Π΄ΠΈΠ²Π΅Ρ€Ρ‚ΠΈΠΊΡƒΠ»ΠΈΡ‚Π΅ ΠΏΠΎ ΡΡ€Π°Π²Π½Π΅Π½ΠΈΡŽ с Π½Π΅ΠΈΠ·ΠΌΠ΅Π½Π΅Π½Π½ΠΎΠΉ стСнкой кишки ΡƒΠ²Π΅Π»ΠΈΡ‡ΠΈΠ»ΠΈΡΡŒ Π² 1,7 Ρ€Π°Π·Π°, ΠΏΡ€ΠΈ злокачСствСнных образованиях β€” Π² 3,8 Ρ€Π°Π·Π°.Π—Π°ΠΊΠ»ΡŽΡ‡Π΅Π½ΠΈΠ΅. ΠŸΠ΅Ρ€Ρ„ΡƒΠ·ΠΈΠΎΠ½Π½Π°Ρ ΠΊΠΎΠΌΠΏΡŒΡŽΡ‚Π΅Ρ€Π½Π°Ρ томография способна Π²Ρ‹ΡΠ²ΠΈΡ‚ΡŒ Ρ€Π°Π·Π½ΠΈΡ†Ρƒ ΠΏΠΎΠΊΠ°Π·Π°Ρ‚Π΅Π»Π΅ΠΉ микроциркуляции ΠΏΡ€ΠΈ Π²ΠΎΡΠΏΠ°Π»ΠΈΡ‚Π΅Π»ΡŒΠ½Ρ‹Ρ… ΠΈ злокачСствСнных процСссах ΠΈ ΠΌΠΎΠΆΠ΅Ρ‚ ΠΏΡ€ΠΈΠΌΠ΅Π½ΡΡ‚ΡŒΡΡ Π² ΠΎΠ±Ρ‰Π΅ΠΌ диагностичСском Π°Π»Π³ΠΎΡ€ΠΈΡ‚ΠΌΠ΅ для опрСдСлСния дальнСйшСй Ρ‚Π°ΠΊΡ‚ΠΈΠΊΠΈ лСчСния

    Some Aspects of Diagnosis and Treatment of Appendicular Infiltration

    Get PDF
    Introduction. Appendicular infiltration is currently considered as a complication of acute appendicitis. The incidence rate of this disorder ranges between 0.2 and 5.8%. Despite a large number of studies dedicated to the issue of acute appendicitis and its complications, including appendicular infiltration, surgeons’ interest to this issue remains undiminished.Materials and methods. The paper presents the results of a retrospective analysis of diagnosis and treatment of 57 patients admitted to MI CTH No. 8, Ufa, with a diagnosis of acute appendicitis complicated with appendicular infiltration in 2012-1017.Results and discussion. In 32 (56.1%) patients, the infiltration was diagnosed during the surgery or diagnostic laparoscopy as an incidental find, the so-called β€˜find-infiltration’. Of these, in 19 (33.3%) patients, the intraoperative find was evaluated as hard infiltration, in 13 (22.8%)Β β€” as soft. In 25 (43.9%) of patients admitted to the clinic with acute appendicitis, it was suspected that the infiltration had developed prior to surgery. Dynamic clinical and ultrasound examination in 11Β  patients left no doubt regarding the presence of infiltration. These patients were treated conservatively. In the remaining 14 patients, it was impossible to exclude acute appendicitis or infiltration and it was decided that diagnostic laparoscopy was indicated.Conclusion. Diagnostic laparoscopy is the leading method for diagnosis of this complication that helps determine aΒ treatment strategy. Surgical strategy was strictly differentiatedΒ  β€” at the infiltration stageΒ  β€” conservative, at the abscess stageΒ β€” surgical; abscess cavity dissection and draining was recommended. Appendectomy was considered acceptable in technically uncomplicated situations. All the patients following the resolution of appendicular infiltration and dissection of periappendicular abscess should receive the recommendation to have appendectomy 3–4 months after discharg

    Dispersion of the Thermodynamically Immiscible Polypropylene and Ethylene—Propylene Triple Synthetic Rubber Polymer Blends Using Supercritical SEDS Process: Effect of Operating Parameters

    No full text
    In this paper, we present the results of dispersion of thermodynamically immiscible polypropylene (PP) and ethylene-propylene triple synthetic rubber (EPTSR) polymer blends using the Solution-Enhanced Dispersion by Supercritical Fluid (SEDS) technique at operation conditions in the pressure range of (8 to 25) MPa and at temperatures t = 40 °C and 60 °C. The kinetics of crystallization and phase transformation in polymer blends obtained by conventional method (melt blending) and by mixing in the SEDS process have been studied using the DSC technique. The effects of the SEDS operation process on the physical—chemical (melting temperature, heat of fusion) and mechanical (microparticle size) characteristics of the SEDS-produced polymer blends were studied

    Optimizing the rate and timing of phosphogypsum application to magnesium-affected soils for crop yield and water productivity enhancement

    No full text
    The levels of magnesium (Mg2+) in irrigation waters and soils are increasing in several irrigation schemes worldwide. Excess levels of Mg2+ in irrigation waters and/or in soils negatively affect soil physical properties (infiltration rate and hydraulic conductivity) and ultimately crop growth and yield. Although few studies have been undertaken on productivity enhancement of magnesium-affected soils by adding a source of calcium (Ca2+) to mitigate the effects of excess Mg2+, there is no information available on optimizing the rate and time of the Ca2+-amendments. A 2-year field study was undertaken in southern Kazakhstan by applying phosphogypsum (PG), a source of Ca2+ and a byproduct of the phosphorous fertilizer industry, to a magnesium-affected soil. There were five treatments with four replications: (1) control (without PG application); (2) PG application in January (before snowfall) equivalent to PG requirement for 0.3m soil depth (3.3tha-1); (3) PG application in January equivalent to PG requirement for 0.6m soil depth (8.0tha-1); (4) PG application in April (after snowmelt) at 3.3tha-1; and (5) PG application in April (after snowmelt) at 8.0tha-1. All treatment plots were grown with cotton (Gossypium hirsutum L.), which is the most important summer crop in the region. The PG treatments performed significantly better than the control in terms of (1) improved soil quality with a reduction in exchangeable magnesium percentage (EMP) levels; (2) enhanced water movement into and through the soil vis-Γ -vis increased moisture storage in the root zone for use by the plant roots; (3) increased irrigation efficiency; (4) increased cotton yield and water productivity; and (5) greater financial benefits. In terms of the best rate and time of application, PG applied before the snowfall improved the soil properties to a greater extent than its application in spring after snowmelt. The economic benefits from the amendment application at 3.3tha-1 were double those from the treatments where it was applied at 8.0tha-1, suggesting that the lower rate was economically optimal. In addition to improving crop productivity, the study demonstrated the beneficial use of an industrial waste material in agriculture.Magnesium to calcium ratio Exchangeable magnesium percentage Salt-affected soils Phosphogypsum Water quality Central Asia Kazakhstan Cotton
    corecore