12 research outputs found
Diverticular disease of the sigmoid colon, complicated by a tubular intestinal fistula of the anterior abdominal wall and cicatricial stricture of the sigmoid colon (case report)
Aim of the study was to consider a clinical example of diverticular disease of the sigmoid colon, complicated by a tubular intestinal fistula of the anterior abdominal wall and cicatricial stricture of the sigmoid colon. Material and methods. Patient B., 76 years old, was admitted to the proctology department with complaints of the presence of a fistula with purulent discharge in the area of the surgical scar. Preoperative examination with MRI, colonoscopy, fistulography revealed diverticular disease of the sigmoid colon, complicated by a tubular intestinal fistula of the anterior abdominalwall and stricture of the sigmoid colon at the level of the internal opening of the fistula. Results. The operation was performed in the following volume - excision of the fistula, resection of the sigmoid colon bearing the fistula, with endto-end anastomosis in the area without diverticula
Π‘ΡΠ°Π²Π½ΠΈΡΠ΅Π»ΡΠ½Π°Ρ Ρ Π°ΡΠ°ΠΊΡΠ΅ΡΠΈΡΡΠΈΠΊΠ° ΡΠΈΠΏΠΈΡΠ½ΠΎΠΉ ΠΈ Π°ΡΠΈΠΏΠΈΡΠ½ΠΎΠΉ (ΠΌΠΈΠΊΠΎΠΏΠ»Π°Π·ΠΌΠ΅Π½Π½ΠΎΠΉ) ΠΏΠ½Π΅Π²ΠΌΠΎΠ½ΠΈΠΈ Ρ Π΄Π΅ΡΠ΅ΠΉ
Aim: To compare the features of clinical-anamnestic and laboratory-instrumental data and treatment of children with typical and atypical (Mycoplasma) forms of pneumonia.Materials and methods. A comparative analysis was carried out of 1 70 case histories of children in hospital with a verified diagnosis of pneumonia in 2020. The basis for the diagnosis of Mycoplasma pneumonia was a positive PCR result of a smear of the posterior pharyngeal wall. The resulting data was constructed using Microsoft Excel 2007.Results. Mycoplasma pneumonia is specific for older schoolchildren; characterized by: prolonged course (73.5%), long-term preservation of an unproductive cough (75.7%), mild intoxication (68.6%) and catarrhal syndromes (54.3%), gradual onset (76.6%), severe lymphocytosis up to 55%, segmental or polysegmental damage to the lung tissue (92.7%).Π¦Π΅Π»Ρ: ΡΡΠ°Π²Π½ΠΈΡΡ ΠΎΡΠΎΠ±Π΅Π½Π½ΠΎΡΡΠΈ ΠΊΠ»ΠΈΠ½ΠΈΠΊΠΎ-Π°Π½Π°ΠΌΠ½Π΅ΡΡΠΈΡΠ΅ΡΠΊΠΈΡ
ΠΈ Π»Π°Π±ΠΎΡΠ°ΡΠΎΡΠ½ΠΎ-ΠΈΠ½ΡΡΡΡΠΌΠ΅Π½ΡΠ°Π»ΡΠ½ΡΡ
Π΄Π°Π½Π½ΡΡ
Ρ Π΄Π΅ΡΠ΅ΠΉ Ρ ΡΠΈΠΏΠΈΡΠ½ΠΎΠΉ ΠΈ Π°ΡΠΈΠΏΠΈΡΠ½ΠΎΠΉ (ΠΌΠΈΠΊΠΎΠΏΠ»Π°Π·ΠΌΠ΅Π½Π½ΠΎΠΉ) ΠΏΠ½Π΅Π²ΠΌΠΎΠ½ΠΈΠ΅ΠΉ.ΠΠ°ΡΠ΅ΡΠΈΠ°Π»Ρ ΠΈ ΠΌΠ΅ΡΠΎΠ΄Ρ. ΠΡΠ» ΠΏΡΠΎΠ²Π΅Π΄Π΅Π½ ΡΡΠ°Π²Π½ΠΈΡΠ΅Π»ΡΠ½ΡΠΉ Π°Π½Π°Π»ΠΈΠ· 170 ΠΈΡΡΠΎΡΠΈΠΉ Π±ΠΎΠ»Π΅Π·Π½ΠΈ Π΄Π΅ΡΠ΅ΠΉ, Π½Π°Ρ
ΠΎΠ΄ΡΡΠΈΡ
ΡΡ Π½Π° ΡΡΠ°ΡΠΈΠΎΠ½Π°ΡΠ½ΠΎΠΌ Π»Π΅ΡΠ΅Π½ΠΈΠΈ Ρ Π²Π΅ΡΠΈΡΠΈΡΠΈΡΠΎΠ²Π°Π½Π½ΡΠΌ Π΄ΠΈΠ°Π³Π½ΠΎΠ·ΠΎΠΌ ΠΏΠ½Π΅Π²ΠΌΠΎΠ½ΠΈΡ Π² ΠΠΠΠ ΠΠ£Π Π£Π Β«ΠΠΠ β7 ΠΠ Π£Π Β» Π² 2020 Π³. ΠΡΠ½ΠΎΠ²Π°Π½ΠΈΠ΅ΠΌ Π΄Π»Ρ ΠΏΠΎΡΡΠ°Π½ΠΎΠ²ΠΊΠΈ Π΄ΠΈΠ°Π³Π½ΠΎΠ·Π° ΠΌΠΈΠΊΠΎΠΏΠ»Π°Π·ΠΌΠ΅Π½Π½ΠΎΠΉ ΠΏΠ½Π΅Π²ΠΌΠΎΠ½ΠΈΠΈ ΡΠ²Π»ΡΠ»ΡΡ ΠΏΠΎΠ»ΠΎΠΆΠΈΡΠ΅Π»ΡΠ½ΡΠΉ ΡΠ΅Π·ΡΠ»ΡΡΠ°Ρ ΠΠ¦Π ΠΌΠ°Π·ΠΊΠ° Π·Π°Π΄Π½Π΅ΠΉ ΡΡΠ΅Π½ΠΊΠΈ Π³Π»ΠΎΡΠΊΠΈ. ΠΠΎΠ»ΡΡΠ΅Π½Π½ΡΠ΅ Π΄Π°Π½Π½ΡΠ΅ Π±ΡΠ»ΠΈ ΡΠΊΠΎΠ½ΡΡΡΡΠΈΡΠΎΠ²Π°Π½Ρ Ρ ΠΏΠΎΠΌΠΎΡΡΡ Microsoft Excel 2007.Π Π΅Π·ΡΠ»ΡΡΠ°ΡΡ. ΠΠΈΠΊΠΎΠΏΠ»Π°Π·ΠΌΠ΅Π½Π½Π°Ρ ΠΏΠ½Π΅Π²ΠΌΠΎΠ½ΠΈΡ ΡΠΏΠ΅ΡΠΈΡΠΈΡΠ½Π° Π΄Π»Ρ Π΄Π΅ΡΠ΅ΠΉ ΡΡΠ°ΡΡΠ΅Π³ΠΎ ΡΠΊΠΎΠ»ΡΠ½ΠΎΠ³ΠΎ Π²ΠΎΠ·ΡΠ°ΡΡΠ° ΠΈ Ρ
Π°ΡΠ°ΠΊΡΠ΅ΡΠΈΠ·ΡΠ΅ΡΡΡ Π·Π°ΡΡΠΆΠ½ΡΠΌ ΡΠ΅ΡΠ΅Π½ΠΈΠ΅ΠΌ (73,5%), Π΄Π»ΠΈΡΠ΅Π»ΡΠ½ΡΠΌ ΡΠΎΡ
ΡΠ°Π½Π΅Π½ΠΈΠ΅ΠΌ ΠΌΠ°Π»ΠΎΠΏΡΠΎΠ΄ΡΠΊΡΠΈΠ²Π½ΠΎΠ³ΠΎ ΠΊΠ°ΡΠ»Ρ (75,7%), ΡΠ»Π°Π±ΠΎ Π²ΡΡΠ°ΠΆΠ΅Π½Π½ΡΠΌΠΈ ΠΈΠ½ΡΠΎΠΊΡΠΈΠΊΠ°ΡΠΈΠΎΠ½Π½ΡΠΌ (68,6%) ΠΈ ΠΊΠ°ΡΠ°ΡΠ°Π»ΡΠ½ΡΠΌ ΡΠΈΠ½Π΄ΡΠΎΠΌΠ°ΠΌΠΈ (54,3%), ΠΏΠΎΡΡΠ΅ΠΏΠ΅Π½Π½ΡΠΌ Π½Π°ΡΠ°Π»ΠΎΠΌ (76,6%), Π²ΡΡΠ°ΠΆΠ΅Π½Π½ΡΠΌ Π»ΠΈΠΌΡΠΎΡΠΈΡΠΎΠ·ΠΎΠΌ Π΄ΠΎ 55%, ΡΠ΅Π³ΠΌΠ΅Π½ΡΠ°ΡΠ½ΡΠΌ ΠΈΠ»ΠΈ ΠΏΠΎΠ»ΠΈΡΠ΅Π³ΠΌΠ΅Π½ΡΠ°ΡΠ½ΡΠΌ ΠΏΠΎΡΠ°ΠΆΠ΅Π½ΠΈΠ΅ΠΌ Π»Π΅Π³ΠΎΡΠ½ΠΎΠΉ ΡΠΊΠ°Π½ΠΈ (92,7%)
Results of experimental infection of vaccinated and non-vaccinated ducklings with duck hepatitis virus
Duck virus hepatitis, a highly contagious disease occurring in ducklings, is currently reported in all countries with duck breeding industry. This infection is included in the list of notifiable diseases of the World Organization for Animal Health, restrictive measures are established and the regionalization of the countryβs territory is carried out in case of its occurrence. Timely vaccination of parent flocks in order to obtain immune offspring takes a priority place in the system of anti-epidemic measures. Due to active development of duck breeding industry and increasing number of backyard farms, the need for high-quality and effective prevention tools for this infectious disease is growing. To date, one domestic native vaccine produced by FGBI Β«ARRIAHΒ» and registered in the Russian Federation is available in native form and is intended for parenteral use. In order to extend the vaccineβs shelf life and for storage and transportation convenience, a live freeze-dried vaccine against duck virus hepatitis is being developed. The paper presents results of studying the pathogenesis of duck virus hepatitis and evaluating the efficacy and safety of the vaccine under development. Pathomorphological studies carried out post experimental infection indicate that duck hepatitis virus induces pathogenic effect not only in birdsβ digestive organs (the liver, in particular) but also causes degenerative changes in central and peripheral immune organs: in cloacal bursa, thymus and third eyelid gland, that may be manifested as deficiency of B- and T-cell immunity and requires further studies. It has been shown that in case of immunization of 3-day-old ducklings, the experimental vaccine induces antibody-mediated immune response, no harmful effect is produced on poultry if a tenfold dose is adminΒistered which indicates its safety, and the vaccine ensures protection against infection with a control virulent strain of hepatitis virus
Hyades Star Cluster and a New Comets
The Gaia DR2 data revealed that the Hyades star cluster is stretched along the spatial orbit for tens of parsecs. According to our estimates, 0.85 million years ago there was an approach of the cluster with the Sun up to 24.8 pc. The displacements of the perihelions of small bodies orbits in the outer Oort cloud turned them into observable comets.ΠΠ·Π²Π΅ΡΡΠ½ΠΎ, ΡΡΠΎ ΡΠΊΠΎΠΏΠ»Π΅Π½ΠΈΠ΅ ΠΠΈΠ°Π΄Ρ ΡΠ°ΡΡΡΠ½ΡΡΠΎ Π²Π΄ΠΎΠ»Ρ ΠΏΡΠΎΡΡΡΠ°Π½ΡΡΠ²Π΅Π½Π½ΠΎΠΉ ΠΎΡΠ±ΠΈΡΡ Π½Π° Π΄Π΅ΡΡΡΠΊΠΈ ΠΏΠ°ΡΡΠ΅ΠΊ. ΠΠΎ Π½Π°ΡΠΈΠΌ ΠΎΡΠ΅Π½ΠΊΠ°ΠΌ, 0.85 ΠΌΠ»Π½ Π»Π΅Ρ Π½Π°Π·Π°Π΄ Π±ΡΠ»ΠΎ ΡΠ±Π»ΠΈΠΆΠ΅Π½ΠΈΠ΅ ΡΠΊΠΎΠΏΠ»Π΅Π½ΠΈΡ Ρ Π‘ΠΎΠ»Π½ΡΠ΅ΠΌ Π΄ΠΎ 24.8 ΠΏΠΊ. ΠΠΎΠ·ΠΌΠΎΠΆΠ½ΡΠ΅ ΡΠΌΠ΅ΡΠ΅Π½ΠΈΡ ΠΏΠ΅ΡΠΈΠ³Π΅Π»ΠΈΡ ΠΎΡΠ±ΠΈΡ ΠΌΠ°Π»ΡΡ
ΡΠ΅Π» Π² ΠΎΠ±Π»Π°ΠΊΠ΅ ΠΠΎΡΡΠ° Π΄Π΅Π»Π°ΡΡ ΡΠ°ΡΡΡ ΠΈΠ· Π½ΠΈΡ
Π½Π°Π±Π»ΡΠ΄Π°Π΅ΠΌΡΠΌΠΈ ΠΊΠΎΠΌΠ΅ΡΠ°ΠΌΠΈ.Π Π°Π±ΠΎΡΠ°Π. Π. Π‘ΠΈΠ·ΠΎΠ²ΠΎΠΉ ΡΠ°ΡΡΠΈΡΠ½ΠΎ ΠΏΠΎΠ΄Π΄Π΅ΡΠΆΠ°Π½Π° Π ΠΎΡΡΠΈΠΉΡΠΊΠΈΠΌ Π½Π°ΡΡΠ½ΡΠΌ ΡΠΎΠ½Π΄ΠΎΠΌ (Π ΠΠ€, 17-12-01441)