RESUMO
The data of the literature and our own research of clinical and epidemiological features of hantavirus infection the North-West region of Russia, showing the loss of endemicity of hemorrhagic fever with renal syndrome. It is noted mostly airborne infection in young and middle-aged men, year-round nature of the disease with seasonal peaks. The clinical picture is moderately prevalent the disease with no or minimal systemic manifestation of hemorrhagic syndrome, often marked by thrombocytopenia, moderate dysfunction and kidney damage in half the time without reducing urine output. The introduction of acute kidney damage concept allows significantly improve the diagnostic efficiency and stratification of renal dvsfunction severity in Datients with hantavirus infection.
Assuntos
Febre Hemorrágica com Síndrome Renal , Febre Hemorrágica com Síndrome Renal/diagnóstico , Febre Hemorrágica com Síndrome Renal/epidemiologia , Humanos , Federação RussaRESUMO
Pneumonia is one of the common complications of wounds of any localization. Therapists are involved into the treatment of lung lesions in wounded in the ICU, in the surgical and if the patient arrives "on follow-up care,"--in the medical ward. The article analyzes the main statistical indicators reflecting the prevalence and clinical and pathogenetic characteristics of lung pathology in wounded during the Great Patriotic War, during the fighting Soviet troops in the Republic of Afghanistan, the 1st and 2nd Chechen campaign. Pneumonia as a manifestation of traumatic disease can occur in two ways. Primary pneumonia is in close connection with the pathogenetic traumatic injury. Secondary lung lesions complicate the injury at a later date and are due to the introduction of a nosocomial infection process flora. We describe the clinical picture of pneumonia in the affected, the basic pathogenesis, principles of therapy. Successful treatment of lung pathology in wounded depends on the performance of a complex of activities involving a wide range of doctors of various specialties.
Assuntos
Medicina Militar , Pneumonia Bacteriana/etiologia , Ferimentos e Lesões/complicações , Afeganistão , História do Século XX , História do Século XXI , Humanos , Medicina Militar/história , Medicina Militar/métodos , Militares , Pneumonia Bacteriana/diagnóstico , Pneumonia Bacteriana/história , Pneumonia Bacteriana/terapia , Guerra , II Guerra Mundial , Ferimentos e Lesões/diagnóstico , Ferimentos e Lesões/história , Ferimentos e Lesões/terapiaRESUMO
Main approaches to intravital diagnosis of alcaptonuria are described. Attention is focused on damages determining invalidisation of patients. A clinical case is presented which demonstrates success of surgical treatment of aortic stenosis of alkaptonuric genesis.
Assuntos
Alcaptonúria/complicações , Estenose da Valva Aórtica/etiologia , Estenose da Valva Aórtica/cirurgia , Adulto , Fatores Etários , Idoso , Alcaptonúria/diagnóstico , Feminino , Hospitalização , Humanos , Pessoa de Meia-Idade , Cuidados Pós-Operatórios , Resultado do TratamentoRESUMO
Measurements of the polar Kerr effect using a zero-area-loop Sagnac magnetometer on Pb/Ni and Al/(Co-Pd) proximity-effect bilayers show unambiguous evidence for the "inverse proximity effect," in which the ferromagnet induces a finite magnetization in the superconducting layer. To avoid probing the magnetic effects in the ferromagnet, the superconducting layer was prepared much thicker than the light's optical-penetration depth. The sign and size of the effect, as well as its temperature dependence agree with recent predictions by Bergeret et al. [Phys. Rev. B 69, 174504 (2004)]10.1103/PhysRevB.69.174504.
RESUMO
The article is based on the data obtained in the result of examination of 53 wounded with closed cranial injuries (slight and middle gravity cases), and 34 wounded with spine injuries, but without spinal marrow traumas. The activity of fibroblasts of spinal marrow was studied, as well as the functional activity of peripheral blood monocytes during a ten-day posttraumatic period. It was found out that patients had refractory anemia with a diminishing number of erythroid cells, and also initial infectious complications, such as pneumonia or wound suppuration.
Assuntos
Militares , Crânio/lesões , Traumatismos da Coluna Vertebral/cirurgia , Medula Óssea/imunologia , Concussão Encefálica/complicações , Concussão Encefálica/reabilitação , Concussão Encefálica/cirurgia , Fibroblastos/imunologia , Humanos , Monócitos/imunologia , Federação Russa , Crânio/cirurgia , Traumatismos da Coluna Vertebral/complicações , Traumatismos da Coluna Vertebral/reabilitação , Fatores de TempoRESUMO
Thirty-five RA patients with the disease history from 3 months to 15 years were examined. Seropositive RA was diagnosed in 19 patients, seronegative in 16 ones. A control group comprised 14 subjects aged 18-29. The marrow cells culturing occurred in the system agar drop-liquid. Compared to the reference group, in RA patients' precursor cells of granulomonocytopoiesis there was inhibited capacity for colony and cluster formation and predominance of small-size cell colonies. Colony-formation of marrow cells from seropositive RA patients was less active than in seronegative RA variant. Morphologic evaluation of the agar cultures showed prevalence of neutrophil colonies in the marrow cultures, though RA samples differed from those of healthy controls by a trend to a decline in the number of monocyte-macrophage cellular aggregates against similar proportions of eosinophilic colonies and clusters.
Assuntos
Artrite Reumatoide/patologia , Medula Óssea/patologia , Hematopoese , Fagócitos/patologia , Adulto , Idoso , Artrite Reumatoide/fisiopatologia , Ensaio de Unidades Formadoras de Colônias , Feminino , Homeostase , Humanos , Masculino , Pessoa de Meia-Idade , Valores de ReferênciaRESUMO
A study of 425 patients demonstrated that a pyodestructive process, located anywhere, affects platelet functional properties, resulting in the first place, in disorders of spontaneous cell disaggregation. Impaired platelet functional properties are conducive to the development of postoperative purulent and thromboembolic complications.
Assuntos
Plaquetas/fisiologia , Hemostasia , Supuração/sangue , Infecção da Ferida Cirúrgica/etiologia , HumanosRESUMO
The authors have shown hyporegeneratory character of anemia developing after operations on the lungs followed by massive blood loss which was adequately compensated by conserved homologous blood. The transfusion of the autologous bone marrow prepared before operation results in a pronounced stimulation of production of erythrocytes, contributing to the quickest recovery of the circulating erythron.