At the beginning of the third millennium, for mankind, which overcame the epidemic of life-threatening infections during its centuries-old history, the problem of cardiovascular diseases (CVD) came to the fore in relevance among all causes of morbidity and mortality. A significant role in this was played by lifestyle modification associated with limiting physical activity, increasing the calorie content of food, and a steady increase in emotional stress. All of this potentiates the main risk factors for CVD, which are a “negative asset of progress,” namely increased blood pressure (BP), dyslipidemia, diabetes mellitus (DM) and obesity. Since 1988, after G. Reaven's Banting lecture, it is customary to designate the interconnected combination of these pathologies by the single term "metabolic syndrome X".
В связи с особенностями реактивности организма у лиц пожилого и старческого возраста диагностика перитонита нередко затруднена, а диагностические ошибки, особенно при остром аппендиците, встречаются довольно часто (40,9%, по данным Ф.М. Данович и соавт.).
Background: The present study attempted to clarify the typical anatomical variants of Thyroglossal cysts (TGC). Patients and methods: Clinically and epidemiologically 67 previously non-experienced patients with TGC 1.5 to 73.0 years old were examined. Results: Based on clinical and ultrasound examinations of 121 patients with 67 thyroglossal cysts, the most typical cyst of anatomical variations was specified. It was noted that, concerning the hyoid bone, thyroglossal cysts may be suprahyoid (located at the root of the tongue), parahyoid (broadly adjoining the hyoid), prelingual (located in the front of the hyoid in the hypo lingual region), postlingual (located behind the hyoid bone in the prenatal and peri-laryngeal spaces), or sublingual (located the book from the hyoid bone). An ultrasound examination facilitated the identification of thyroglossal cysts with-out clinical manifestations (23 sublingual cysts among 37 [62.2%] were incidentally revealed by the ultrasound examination), which is important when selecting the most appropriate surgical treatment. Conclusion: Ultrasound studies facilitate the identification of TGCs located at the root of the tongue without any clinical manifestations, which is important when determining the degree of surgical treatment to perform.
The article presents the results of distance study of patients with diabetes mellitus with the basic rules of specific rational nutrition. The innovation is individual work with each patient remotely, rejecting a routine “strict diet” and choosing a free but proper diet, taking into consideration not only the weight, age of the patient, type of diabetes, but also the nature, national habits, work and other criteria.