Нарушение двигательной функции желчных протоков, проявляющееся нарушением отведения желчи из печени или желчного пузыря в 12- перстную кишку ведет к развитию различных типов дискенезии желчевыводящих путей, которые могут осложниться желчнокаменной болезнью. Самым первым симптомом будет боль, так как области протока сосредоточено множество нервных окончаний.
Данная статья посвящена раскрытию таких понятий как медиа, современные тенденции в сферах технологии, СМИ, их взаимосвязь в современном мире, а также некоторые положительные и отрицательные факторы, влияющие на жизнь человека.
This article shows that through attitude to work, it is required to achieve youthualual and physical perfection, to be fully aware of the scientific, technical and economic foundations of the production processes, and to put in place enormous demands on the organization of vocational training and training in the system of continuous education.
In this article, the author focusses on such an important issue as the fertility of the land and its impact on social reality. The issues of land degradation in Central Asia are considered.
The methodological recommendation presents a comparative characteristic of surgical methods of treatment of deviation of the nasal septum. Deviation of the nasal septum occurs in the cartilaginous and bone regions, both separately and in both simultaneously. Deformations can be of different nature (bend, crest, spike) and localization. They are one and two-sided. Spines and ridges are more often localized at the junction of the quadrangular cartilage and the perpendicular plate, ploughshare, and the crest of the upper jaw (“growth zone”). Less often, the upper sections of the perpendicular plate and the rear section of the ploughshare are deformed. For traumatic deformities, characteristic bends with acute angles. Often, after injury, there is a displacement of the anterior edge of the quadrangular cartilage in the form of its subluxation. The deformation of the cartilaginous part of the external nose in patients under our supervision was caused by the deviation of the nasal septum. There were no patients with deformity of the nose who would have been indicated for surgical intervention on the cartilage of the external nose. When correcting the deformity of the external nose in patients, we used an exclusively closed technique of intervention with a transseptal access, and, if necessary, access under the upper lip, which allowed us to obtain a good cosmetic effect and minimize traumatic complications after surgery.
This article analyzes the approaches to the formation of students' skills of struggle against "popular culture" and their influence on the teacher's work, and it is discussed how to harmonize the views of our ancestors in the field of spiritual education with the pedagogical approaches being promoted today.
The problem of treatment of pyoinflammatory diseases (PID) of the face and neck is relevant for both dentists of polyclinics and maxillofacial surgeons in hospitals. About 50% of those in maxillofacial hospitals, and about 20% of those who seek help from a dentist and a surgeon of polyclinics, are patients with inflammatory diseases of the maxillofacial region (MFO), among them - 60-80% of patients with abscesses and phlegmons, the frequency of which has increased by 1.5–2.0 times over the past decade. There has been a steady growth of atypical and severely flowing progressive phlegmon, spreading simultaneously in several cellular spaces, with the development of such formidable complications as sepsis, contact mediastinitis, and thrombosis of the cavernous sinus of the dura mater. Low-symptom “erased” forms of phlegmon are found among 13.4–22% of patients, are characterized by a long course and are difficult to diagnose, which contributes to late hospitalization and untimely treatment started. Microbial etiology of HVZ CLO is due to the localization of the primary process (connection with the oral cavity, teeth).
Metastases to the peritoneum occur in 55-60% of patients with gastric cancer and are associated with a 5-year overall survival of 2%. Treatment options for these patients are limited, and targeted therapy or immunotherapy is not available. Rational therapeutic targets have yet to be found.In this review, we present the published literature and our own recent experience in molecular biology to identify important molecules and signalling pathways as well as cellular immunity involved in GC peritoneal metastases.
Bitumen emulsion is a widely used material in various industries, particularly in road construction and maintenance. The production of bitumen emulsion involves the careful selection and incorporation of additives to enhance its stability and performance. This article focuses on the role of additives in bitumen emulsion production and their impact on improving the stability and performance of the emulsion. It discusses the different types of additives used, including emulsifiers, stabilizers, and modifiers, and their specific functions. Emulsifiers help in achieving a stable dispersion of bitumen in water, while stabilizers prevent coalescence and sedimentation of the emulsion. Modifiers are employed to enhance specific properties of the emulsion, such as adhesion, flexibility, and resistance to aging. Furthermore, this article highlights the importance of selecting appropriate additives based on the desired application and the desired performance characteristics. By understanding the role and proper utilization of additives, manufacturers can produce high-quality and durable bitumen emulsions with improved stability and performance, leading to more sustainable and long-lasting infrastructure solutions.
The aim of the work is to systematize the data of special literature for the clearest definition of the directions of studying the modern approach to the diagnosis, prognosis and treatment of pyoinflammatory processes in the maxillofacial region and neck. As a result of the analysis of the data of special literature, it becomes obvious that in recent decades the idea of the etiology and pathogenesis of pyoinflammatory processes in the maxillofacial region and neck has changed, which determines the need for further search for new informative methods of diagnosis, prognosis, as well as the most effective methods of treatment and prevention of complications for this pathology.
I made some suggestions and the issues regarding the legal reforms implemented in our republic. Also, the problems on implementation of justice, the rights and freedoms of citizens, the protection of the interests of society and the state, the status of judges, their rights and obligations, the issues related to the strengthening of ensuring the true independence of judges and their inviolability are scientifically analyzed in the article.
The article covers results of research of drying process of apricot fruits by the method of three-stage energy supply. The main stages of drying have been defined, including: pulsed infrared heating, instantaneous pressure impact, convective drying. Optimal technological parameters of energy supply in the process of drying apricot fruits at each stage have been developed. The choice of the method for the experimental determination of the drying speed by the parameters of the drying agent for the capillary-porous material is substantiated. The sequence of changes in moisture content in a given material under the influence of a three-stage energy supply is described. The conditions for drying fruits are established and the values of the drying speed in the first period for various methods of energy supply have been selected.
In this article, we can see different methods of killing the live cocoon in order to preserve the quality of the silk, and the methods of killing them are divided into different groups. We will also have information about the initial processing of the cocoon. Therefore, from the cocoon to the New Year season, raw silk is produced non-stop throughout the year. As a result of our research, we can see that deadening the living cocoon, reducing the high moisture content in it, is a pre-treatment process of the cocoon.
The high growth of injuries, the absence in the country of a unified approach to the treatment of victims with pathology of the bones of the face and skull leads to a sharp increase in the number of patients with post-traumatic deformities, defects, often to their disability and death. This problem has recently acquired the greatest importance in connection with the increase in the number of victims in areas of natural disasters and road traffic accidents. Severe multiple fractures of the bones of the middle zone of the facial skeleton, accompanied by craniocerebral trauma of varying degrees, bleeding and liquorrhea, are often outwardly unnoticeable, since they are hidden by pronounced edema, hemorrhages in soft tissues, and can only be determined with a targeted specialized examination. These types of examinations and the provision of specialized medical care are possible only in multidisciplinary centers. Therefore, these types of injuries are not always diagnosed in a timely manner, especially in severely injured with the presence of pronounced injuries of other localizations.
Diagnosis and management of pregnant women with cervical cancer is a difficult problem for clinicians. There is still no consensus on the need for a biopsy or conization in pregnant women, especially with suspected CIN III and cancer in situ. The issues of diagnosis, treatment, delivery and monitoring in pregnant women with cervical cancer are practically not covered in textbooks and scientific and practical publications. This article analyzes the recommendations of the international scientific community and the results of large-scale clinical studies on the management of pregnant women with abnormal cytological smears during pregnancy. Summarized current knowledge about the diagnosis and treatment of CIN during pregnancy. Also reviewed and analyzed more than 40 works of domestic and foreign authors on this issue
The article studies the physical properties of rare earth metals, pays special attention to their unique properties, studies the main aspects of the application of rare earth metals in industry.
Also, the structure and stability of various forms of sesquioxides of rare earth elements, in particular, europium, as well as the effect of the method of oxide preparation on its structure and properties are considered. The analysis of the ongoing phase transformations of rare earth metals is made. The article emphasizes the use of correct choices to achieve a large technical and economic effect when using rare earth metals in industry.
The article is intended for teachers working in the field of physics and chemistry, as well as for students of the specialty "physics and chemistry".
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).
Improving the effectiveness of treatment of chronic rhinosinusitis (CRS) is a priority task of modern otorhinolaryngology, not only domestic, but also foreign. This interest in the problem is due to the widespread prevalence of this pathology. In different countries, the criteria for accounting for the incidence, algorithms for the diagnosis and treatment of rhinosinusitis differ significantly, and for CRS these differences are more pronounced than for acute. A retrospective analysis of the structure and prevalence of ENT diseases according to inpatient observations for 5 years showed that chronic diseases of the nose and paranasal sinuses (SNP) occupied a priority place among hospitalized patients (45.8 ± 0.9% and 55.5 ± 1,0%). In the structure of the main diseases of SNP, the largest share in the adult population is occupied by inflammation of the maxillary sinus (HPP), in which there is an annual increase in the incidence of 1-1.5%, the second most frequent is inflammation of the ethmoid labyrinth cells, then the frontal and sphenoid sinuses.
This article examines the future of packaging with a focus on biodegradable cellophane in the consumer market. It explores the current state of biodegradable cellophane, including its production methods, environmental benefits, and challenges in market adoption. The discussion extends to consumer perception, regulatory frameworks, and the role of innovation in driving its growth. The analysis underscores biodegradable cellophane's potential as a sustainable packaging alternative, highlighting its significance in the context of global environmental concerns.
The article describes modern methods for presenting and analyzing socio-economic data using spatial OLAP, BI, GIS systems. State-of-the-art innovative class-based solutions based on widely used and proven software have been explored by major software developers for end-to-end "real-time" comprehensive analysis of socio-economic data associated with geographic features.