The article deals with the need to revive philosophical culture in society and, first of all, in the youth’s intellectual environment. This aspect is actualized at the critical stages of society since the development of society directly depends on the spiritual and cultural state of society. The authors consider philosophy as a synthesis of intellectual, value and practical development of reality.
To improve the result of surgical treatment of locally advanced gastric cancer y using palliative resection and gastrectomy.
This article presents a clinical case of a patient diagnosed with right-sided breast cancer T3N1M0, a condition after 6 courses of NPCP. Simultaneous radical subcutaneous mastectomy (PME) was performed with reconstruction by moving the TRAM flap. The following are the stages of the operation of simultaneous plastic surgery with the reconstruction of the TRAM flap in a schematic form and the results of this operation.
В последние годы все большее внимание врачей кардиологов привлекают различные виды аритмии сердца. В ряде научных исследований касающихся проблем аритмией сердца, очень часто обсуждаются преходящих (транзисторных) аритмий. Так как прогноз таких аритмий, также не совсем благоприятен как и прогноз постоянных форм. Кроме того транзиторную аритмию не всегда удается зарегистрировать при обычном ЭКГ обследовании или клиническом обследовании больного.
The work is based on the results of the diagnosis, treatment and medical examination of 13 patients with adrenal aldosteroma (Conn's syndrome) (SC).
The average age of the patients was 36.4±3.1 years, the duration of arterial hypertension was 7.4±2.8 years. There were 4 males (30.8%) and 9 females (69.2%). Right – sided localization was observed in 6 (46.2%) patients, left-sided localization-in 7 (53.8%).
Arterial hypertension was a constant symptom in all the examined patients (n=13). Grade 1 hypertension was observed in 2 (15.4%) patients (BP≤140 – 159/90 – 99 mmHg), 2 degrees – in 5 (38.5%) (BP≤160 – 179/100 – 109 mmHg). The malignant course of the disease (AH 3 st.) was observed in 6 (46.1%) patients (BP≥180/≥110 mm Hg).
The article studies to clarify the indications for resection of the pancreas during operations for gastric cancer, to substantiate the proposed methods of resection of the pancreas and the results of surgical treatment of 79 patients with gastric cancer with invasion of the pancreas. On the basis of diagnostic data, patients with gastric cancer were divided into groups based on the depth of invasion into the pancreas. In 39 (49.4%) patients, the depth of germination is more than 5 mm, in 18 (22.8%) patients from 3 to 5 mm, and in the remaining 22 (27.9) patients, the depth of germination is up to 3 mm. Of these, after planar resection of the pancreas R1 resection in 3 (16.6%) patients. Postoperative complications were observed in 11 (13.9%) patients. Of these, mortality is 2 (2.5%). The one-year survival rate was 79.5%, and the three-year survival rate was 39.4%, and the five-year survival rate was 18.4%.
Our results confirm the hypothesis that the presence of an unfavorable genotypic variant of the IL4 gene can lead to a violation of the synthesis (expression) of anti-inflammatory cytokines-interleukins, a decrease in the body's resistance to infectious diseases, and an increase in the risk of developing CPRS. In addition, these data emphasize the prognostic significance of the C/C genotype of the IL4 gene polymorphism in the development of CPRS. The relative risk of developing CPRS in carriers of these genotypes is more than 3 times higher than in carriers of other genotypic variants of IL4 gene polymorphism.