В статье освещены материалы исследований в направлении изучения особенностей проявления у ягнят некоторых показателей расцветок и завитков в зависимости от разных вариантов подбора родителей по расцветкам. Установленысходстваиразличиявпроявленииизученныхпоказателей
The monograph presents data on the level of stress hormones in dynamics before, during the main surgical intervention and on the 3rd day after it, depending on the selected operative access according to the developed program for choosing surgical tactics for the treatment of patients with acute destructive cholecystitis, taking into account the individual characteristics of the body. There are also data on the use of an improved surgical instrument - a "Wound Expander" for safe cholecystectomy from a minilaparotomy access, which allows to level the risk of intraoperative bleeding and iatrogenic damage to the biliary tract and an optimized specific scale for assessing the quality of life of patients who have undergone cholecystectomy, taking into account the verification of factors affecting the course of the postoperative period and the likelihood of postcholecystectomy syndrome. The monograph is intended for surgeons, anesthesiologists, resuscitators, as well as doctors of all specialties and students of medical institutes.
The article provides information on the severity of color and its meaning in Karakul lambs of sur colors of various colors
Purpose: to determine the effect of unilateral spinal anesthesia on systemic and central hemodynamics, to identify its side effects in the elderly and senile, with total hip replacement.
Materials and methods: 60 patients of geriatric age operated on under unilateral spinal anesthesia were examined. 44 patients underwent total hip arthroplasty (THA), 16 - total knee arthroplasty (TKA). Inclusion criteria: elderly (from 60 to 75 years). For continuous monitoring of the vital functions of the patient, they used the "resuscitation and surgical" monitor UM 300 (LLC UTAS Company Ukraine).
Conclusion: Unilateral spinal anesthesia is a safe and highly effective technique that can provide full intraoperative pain management for patients with total hip replacement in a high-risk group of patients.
Objective: To evaluate the efficacy and safety of patient-controlled analgesia through prolonged epidural analgesia after joint replacement of the lower extremities.
Material and methods. We analyzed the postoperative period of 213 elderly and senile patients who were operated on for degenerative-dystrophic and traumatic injuries of the joints of the lower extremities. All patients underwent total joint replacement (164 - THA and 49 - TKA). The age of patients is from 65 to 90 years (average age was 78 ± 8 years) with a physical status of ASA 3 and above. All examined patients were divided into 2 groups. 63 patients comprised the main group, which in the postoperative period underwent patient-controlled analgesia (PCA) through prolonged epidural analgesia. The control group consisted of 150 patients, for the anesthesia of which in the postoperative period only standard systemic multimodal analgesia was used
Conclusion. Patient-controlled analgesia is an alternative to traditional analgesic regimens. This method should be one of the main methods after surgical anesthesia for joint replacement of the lower limb in elderly and senile patients.
Вросший ноготь занимает 3-10% в структуре общей заболеваемости,являясь одной из наиболее частых причин обращения к хирургам в амбулаторных условиях (от0,5% до 10% пациентов). Данная патология встречается чаще, чем остеомиелит, флегмона или абсцесс, локализованные на нижней конечности. Являясь следствием незначительной («скрытой») микротравмы, вросший ноготь, тем не менее, часто приводит к утратетрудоспособности. В отличие от острых гнойных заболеваний с достаточно хорошо разработанными этиологией, патогенезом и тактикой лечения, вросший ноготь как полиэтиологическая хроническая болезнь патогенетически недостаточно обоснован и потому в большинстве случаев диагностируется с определенными сложностями.
Results of research of modern problems of the system of strategic management are given in this. We in detail studied the organizational structure of the enterprise. In this work concepts of strategic management having a wide scope of application in administrative practice are stated. The main directions, tasks and approaches to design and implementation of organizational strategy are considered, the anti-recessionary strategy of the organizations, strategic management and the profitless organizations, basic provisions of the theory of stakeholders as the most important component of an organizational environment.
This article is devoted to the scientific study of some issues of the national - historical development of social protection of military personnel in Uzbekistan. In this regard, specific historical facts and theoretical foundations of the reforms carried out today in this area are given in more detail
This paper presents the results of a study of modern problems of the material resource needs management system at SP LLC Eurasia TAPO-Disk. We have studied in detail the organizational structure of the enterprise. Based on a comprehensive analysis and methodological approaches of the theory of planning and management, the content and the main components of the planning techniques are proposed that allow you to adjust the process of enterprise management in accordance with changing external conditions.
To Evaluate the effectiveness and safety of neuroaxial anesthesia for lower limb joint replacement in elderly and senile patients with a high comorbidity index and ASA class III and IV physical status.
Materials and Methods: The studies were carried out in a multidisciplinary TMA clinic in 40 geriatric patients with a comorbid background who were operated on under conditions of combined spinal-epidural anesthesia. 29 patients underwent total hip arthroplasty (THA), 11 - total knee arthroplasty (TKA). Inclusion criteria: elderly (65 to 75 years) and senile (76-90 years) age, and over 90 - long-livers, pain syndrome for more than one year, no contraindications for regional methods of anesthesia. For continuous monitoring of the vital functions of the patient, we used the "resuscitation-surgical" monitor YUM 300 (LLC "Company UTAS" Ukraine).
Conclusion: For elderly and senile patients with a high risk of comorbidity, the technique of unilateral spinal and epidural anesthesia with low doses of intrathecal local anesthetic (5 mg 0.5% hyperbaric solution of bupivacaine with 20 μg fentanyl) and additional administration of low doses of bupivacaine into the epidural space 7, 5 mg is a safe method of anesthesia and allows you to achieve the proper sensory - motor block, which is necessary for the replacement of the joints of the lower extremities.