Texas Journal of Medical Science
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Indicators and effectiveness of sensory and motor blocking unilateral spinal anesthesia combined with unilateral epidural analgesia
Get PDFThe relevance of this issue is due to the intensive development and introduction of the latest technologies in modern surgical interventions, including joint replacement, and a significant expansion of indications for surgical treatment. We have already pointed out that in the vast majority of patients of these operations, elderly and senile people with various comorbidities and, in some cases, severely disabled, burdened with severe pain for many months and years, which leads to whole complexes of somatic reactions. and deviations in the clinical status of patients. All this greatly complicates the choice of the method of anesthesia and postoperative analgesia. After all, postoperative pain is the result of surgery, but its treatment is not just a humane requirement, but a key aspect of postoperative therapy. Endoprosthetics of the joints of the lower limb is also a very traumatic intervention and, in some cases, is accompanied by significant blood loss. In the postoperative period, venous thrombosis and PE are the most dangerous [152; pp.101-106, 151; pp. 1018-1025, 72; pp.455-461]. In connection with the above, anesthesia should correspond to the nature of this intervention: completely block nociceptive impulses, maximally reduce perioperative blood loss and the need for donor blood components, the likelihood of developing thrombotic complications in the postoperative period, and the severity of postoperative pain syndrome [18; pp.210-212]. All these requirements are met to the maximum extent by the methods of central segmental blockades [92; pp. 810-814, 188; pp.193-199]
Influence of atopic dermatitis on the quality of life of young children
Get PDFThe study of QoL in pediatrics is of undoubted interest, as this opens up the possibility of a comprehensive analysis and study of the child's health. The use of indicators of the quality of life in the practice of a doctor can become an additional criterion for assessing the state of health and development of the child, the effect of the disease on the well-being of the child, as well as assessing the effectiveness of therap
Contemporary Perspectives On The Impact Of Enzymatic Dysfunction In The Pathogenesis Of Female Infertility And Innovative Approaches To Its Treatment (Literature Review)
Get PDFTo conduct a comprehensive analysis of modern aspects of enzymatic dysfunction in female infertility and to explore innovative methods for its correctio
Specificity of blood clotting parameters in hemorrhagic stroke
Get PDFThe article describes the specificity of blood clotting parameters such as hematocrit number, thrombin time, fibrinogen, standard test, thrombotest in hemorrhagic stroke, and these values depend on various co-morbid conditions and age and sex of patients. Hemorrhagic stroke is becoming more prevalent and is one of the most pressing medical and social problems. Cardiovascular and endocrine diseases are in creasing the incidence of hemorrhagic stroke as a background, and the effects on the vascular walls as well as the rheological properties of the blood are known. As a result, patients have varying degrees of neurological disorders and premature death
Projection of HIV prevalence among individuals aged 15-49 years in Cambodia using Holt’s double exponential smoothing technique
Get PDFThis study uses annual time series data of HIV prevalence among individuals aged 15-49 years for Cambodia from 1990 to 2020 to predict future trends of HIV prevalence over the period 2021 to 2030. The study utilizes Holt’s double exponential smoothing model. The optimal values of smoothing constants α and β are 0.9 and 0.6 respectively based on minimum MSE. The results of the study indicate that annual HIV prevalence among people aged 15-49 years will continue to decline significantly over the out of sample period. Therefore, we encourage authorities to strengthen preventive measures among key populations who are experiencing an increase in HIV seroprevalenc
Utilizing Holt’s double exponential smoothing model to explain the epidemiology of HIV in Botswana
Get PDFThis study uses annual time series data of HIV prevalence among individuals aged 15-49 years for Botswana from 1990 to 2020 to predict future trends of HIV prevalence over the period 2021 to 2030. The study utilizes Holt’s linear method (HLM). The optimal values of smoothing constants α and β are 0.9 and 0.1 respectively based on minimum MSE. The results of the study indicate that annual HIV prevalence among individuals aged 15-49 years will continue to decline over the out of sample period but still remain high. Therefore, policymakers must scale up HIV case detection, increase ART coverage among people living with HIV and improve coverage of HIV prevention interventions particularly among key populations
Implementing Methods Of Promotion Of Healthy Lifestyle Among Adolescents
Get PDFModern society faces numerous challenges related to the physical and mental health of adolescents. One of the most important factors influencing the formation of a healthy lifestyle is its effective promotion among young people. This article discusses strategies and methods aimed at introducing a healthy lifestyle culture among adolescents. The focus is on the need for an integrated approach to promoting healthy eating, physical activity, preventing bad habits and developing emotional intelligence. International programs and national initiatives in this area are also reviewed, and prospects for further research and improvement are discussed
Evaluating The Effectiveness Of Laparoscopic Longitudinal Gastric Resection Surgery On Early Postoperative Complications And Obesity-Related Comorbidities
Get PDFStudying of the corrective effect of longitudinal gastrectomy on concomitant diseases in patients with morbid obesity. This scientific work is based on the results of a comprehensive examination and treatment of 187 patients with MO who were treated in the our clinical bases from 2021 to 2023. The analysis of comorbidities in the compared groups showed that one or more comorbidities were detected in 72% of the control group, 77% of the main group. The main part of these patients was made up of patients with obesity of the III degree. The proposed modification of SG in morbidly obese patients improved the cardioesophageal function and the strength of the gastroduodenal staple line, eliminating the observed complication of staple line failure of 2.2%. It also led to a decrease in the symptoms of gastroesophageal reflux disease from 14% to 6.1%. In the longitudinal gastric resection procedure, the use of local hemostatic powder "HEMOBEN" along the gastric staple line reduced the bleeding complication from 3.2% to 1.1% and the duration of the procedure by an average of 15±3 minutes.In particular, if in the control and main groups, arterial hypertension was detected in 50 and 59.3% of patients before the surgical procedure, then 3 months after the surgical procedure, an increase in blood pressure was observed in 45.4 and 37% of the patients. After surgery, the clinical signs of arterial hypertension and arthralgia in patients with morbid obesity gradually disappeared with the elimination of obesity. In conclusion, these clinical signs were caused by obesity, and its elimination led to the disappearance of these clinical signs
The bariatric patient: basic aspects preparation for surgical treatment of obesity and conducting after it.
Get PDFOver the past years and decades, in the world in general and particularly in Russia, bariatric surgery is becoming more widespread for the treatment of severe forms of obesity. There is an increase in the number of operations performed along with the effectiveness and minimising risks of the operations held due to the improvement of surgical techniques. In this lecture, there are clearly stated indications and contraindications for the surgical treatment of obesity. Here are presented various types of bariatric surgeries and their pathophysiological mechanisms which affect on body weight, carbohydrate and lipid metabolism. There is also presented their effectiveness in comorbid obesity pathology, primarily among patients with type 2 diabetes. Here was held an analysis of possible negative effects after surgical treatment for obesity, including secondary hyperparathyroidism, post-bariatric hypoglycemia, etc., as well as predictors of postoperative prognosis in relation on metabolic control among patients with obesity and type 2 diabete
Analysis Of the Elderly and Young People, Food Ration, Hygienic Materials (Republic of Uzbekistan)
Get PDFa healthy diet is essential at any age, but in old age, it is especially important to avoid the risks associated with heart disease, diabetes, obesity and other chronic ailments. The quantity and quality of food are determined by age, sex and the nature of the work performed.The diet of the elderly differs significantly from that of the young. But a reduced calorie diet should contain a sufficient amount of mineral salts, vitamins, and proteins. The total caloric intake of the daily diet for the elderly should be reduced mainly by animal fats and simple carbohydrates