Current state of heart surgery in relation to some views on modern surgical science

1927 ◽  
Vol 23 (3) ◽  
pp. 340-347
Author(s):  
V. L. Bogolyubov
Keyword(s):  
Internal Medicine ◽  
Gastrointestinal Tract ◽  
Biliary Tract ◽  
Heart Surgery ◽  
Surgical Intervention ◽  
Progressive Movement ◽  
Current State ◽  
Long Time ◽  
Sphere Of Influence

Modern surgery is taking over more and more organs, recapturing more and more areas of internal medicine. We see that in its great progressive movement surgery gradually involves within its sphere of influence a whole range of diseases that previously belonged exclusively to the sphere of internal medicine, such as some diseases of the gastrointestinal tract, biliary tract, lungs, etc. We see that even those organs, which until so recently were considered inaccessible to the art of the surgeon, are beginning to be subject to surgical intervention. Such last inviolable organ, on which the hand of the surgeon has not encroached for a long time, is the heart.

Current state of heart surgery in relation to some views on modern surgical science

1927 ◽  
Vol 23 (4) ◽  
pp. 450-458
Author(s):  
V. L. Bogolyubov
Keyword(s):  
Cardiac Arrest ◽  
Cardiac Tamponade ◽  
Cardiac Dysfunction ◽  
Heart Surgery ◽  
Surgical Intervention ◽  
Significant Progress ◽  
Pericardial Cavity ◽  
Current State

Surgery is currently making quite significant progress in pericardial pouch diseases. First of all, surgical intervention is required in case of various fluid accumulations in the pericardial cavity (inflammatory exudates, stagnant and bloody effusions). The danger of such changes lies in the aforementioned cardiac tamponade, leading to heart distress and cardiac arrest due to compression of large veins flowing into the heart. Cardiac dysfunction with cardiac tamponade can occur with the accumulation of 150-300 cc of fluid in the pericardial cavity. The sooner the fluid accumulates, the sooner the danger is created.

scholarly journals Isolated Duodenal Crohn's Disease: A Case Report and a Review of the Surgical Management

2013 ◽  
Vol 2013 ◽  
pp. 1-3 ◽  
Author(s):  
Faruk Karateke ◽  
Ebru Menekşe ◽  
Koray Das ◽  
Sefa Ozyazici ◽  
Pelin Demirtürk
Keyword(s):  
Crohn’S Disease ◽  
Case Report ◽  
Gastrointestinal Tract ◽  
Crohn's Disease ◽  
Medical Treatment ◽  
Immunosuppressive Therapy ◽  
Surgical Management ◽  
Surgical Intervention ◽  
Surgical Options ◽  
Crohn’S Diseases

Crohn's disease may affect any segment of the gastrointestinal tract; however, isolated duodenal involvement is rather rare. It still remains a complex clinical entity with a controversial management of the disease. Initially, patients with duodenal Crohn' s disease (DCD) are managed with a combination of antiacid and immunosuppressive therapy. However, medical treatment fails in the majority of DCD patients, and surgical intervention is required in case of complicated disease. Options for surgical management of complicated DCD include bypass, resection, or stricturoplasty procedures. In this paper, we reported a 33-year-old male patient, who was diagnosed with isolated duodenal Crohn’s diseases, and reviewed the surgical options in the literature.

Morbidity of in-hospital purulent-septic infections of adults patients after different types of endovascular cardiosurgical operations

2020 ◽  
pp. 13-19
Author(s):  
Viktor Ivanovich Sergevnin ◽  
Larisa Gennadievna Kudryavtseva ◽  
Anna Igorevna Zolotukhina
Keyword(s):  
Medical Records ◽  
Heart Surgery ◽  
Surgical Intervention ◽  
Heart Rhythm ◽  
Community Acquired Pneumonia ◽  
Short Term ◽  
Intervention Community ◽  
Duration Of Surgery ◽  
Different Types ◽  
Low Incidence

An estimate of the incidence of nosocomial purulent-septic infections (GSI) of adult patients after various types of closed heart surgery according to the results of a study of medical records of 3275 patients is presented. It was established that the incidence rate of typical GSI after endovascular cardiac surgery was 3.1, with prenosological forms — 3.9 per 1000 operations. The main clinical options for postoperative GSI were infections in the field of surgical intervention, community-acquired pneumonia, urinary tract infection and bloodstream infection. There were no statistically significant differences between the incidence of GSI after stenting of the coronary arteries, operations for heart rhythm disturbances, stenosis of the carotid artery and other operations. The low incidence of GSI after closed heart surgery is due to the short duration of surgery, as well as the absence or short-term resuscitation of patients.

scholarly journals Detecting hotspots of atmosphere–vegetation interaction via slowing down – Part 1: A stochastic approach

2013 ◽  
Vol 4 (1) ◽  
pp. 63-78 ◽  
Author(s):  
S. Bathiany ◽  
M. Claussen ◽  
K. Fraedrich
Keyword(s):  
Climate Models ◽  
Stochastic Approach ◽  
General Context ◽  
Grid Cells ◽  
Climate System Model ◽  
Local Loss ◽  
Slowing Down ◽  
Current State ◽  
Long Time ◽  
Sudden Transition

Abstract. An analysis of so-called early warning signals (EWS) is proposed to identify the spatial origin of a sudden transition that results from a loss in stability of a current state. EWS, such as rising variance and autocorrelation, can be indicators of an increased relaxation time (slowing down). One particular problem of EWS-based predictions is the requirement of sufficiently long time series. Spatial EWS have been suggested to alleviate this problem by combining different observations from the same time. However, the benefit of EWS has only been shown in idealised systems of predefined spatial extent. In a more general context like a complex climate system model, the critical subsystem that exhibits a loss in stability (hotspot) and the critical mode of the transition may be unknown. In this study we document this problem with a simple stochastic model of atmosphere–vegetation interaction where EWS at individual grid cells are not always detectable before a vegetation collapse as the local loss in stability can be small. However, we suggest that EWS can be applied as a diagnostic tool to find the hotspot of a sudden transition and to distinguish this hotspot from regions experiencing an induced tipping. For this purpose we present a scheme which identifies a hotspot as a certain combination of grid cells which maximise an EWS. The method can provide information on the causality of sudden transitions and may help to improve the knowledge on the susceptibility of climate models and other systems.

scholarly journals A Review of Hybrid Electric Architectures in Construction, Handling and Agriculture Machines

2021 ◽  
Author(s):  
Francesco Mocera ◽  
Aurelio Somà
Keyword(s):  
Pollutant Emissions ◽  
Valuable Alternative ◽  
Specific Field ◽  
Current State ◽  
Long Time ◽  
Hybrid Electric ◽  
Application Fields ◽  
Work Done ◽  
Aftertreatment Systems ◽  
Alternative Solutions

Recent regulations on pollutant emissions have pushed working machines manufacturers towards research and development efforts to meet the strict limits imposed. For a long time, the use of gas aftertreatment systems have been the most widely accepted solution to reduce the amount of pollutants produced per unit of work done. However, lower emissions limits lead to larger systems and consequently higher difficulties in vehicle integration. Thus, alternative solutions have been studied in the last years to solve the emissions problem using wisely the on-board space. Hybrid electric technologies represent a valuable alternative in this direction. In this work, a review of the current state of the art in the adoption of hybrid and electric technologies on working vehicles is proposed. Due to the high amount of application fields and concepts for special applications, the analysis focused on the three major fields which however includes most of the working machines: Construction, Handling and Agriculture. This work highlights how the requirements of each specific field, strongly affects the design of an optimal hybrid electric architectures.

scholarly journals Study of clinical and demographic profile of patients diagnosed with secretory otitis media

2017 ◽  
Vol 3 (3) ◽  
pp. 715
Author(s):  
Ajeet Kumar Khilnani ◽  
Viral Prajapati
Keyword(s):  
Tympanic Membrane ◽  
Otitis Media ◽  
Surgical Intervention ◽  
Tertiary Care ◽  
Complete Recovery ◽  
Treatment Modalities ◽  
Common Symptom ◽  
Secretory Otitis Media ◽  
Long Time ◽  
Bilateral Deafness

<p class="abstract"><strong><span lang="EN-US">Background:</span></strong>Secretory Otitis Media (SOM) is a common otological condition in children presenting most commonly with hearing loss. If untreated for long time, it can affect the language development of child. Its causes are multifactorial and treatment depends on the etiology. Various treatment modalities (medical and surgical) are available and they are administered in isolation or in combination. The objectives of the study were the present study was conducted with the objectives of knowing the most common age group affected by SOM, the common etiological factors of SOM and the outcome of various modalities of treatment of SOM.</p><p class="abstract"><strong><span lang="EN-US">Methods:</span></strong>This prospective study was conducted at a tertiary care teaching hospital of North Gujarat. IEC approval and consent from the patients were taken. 40 patients diagnosed with SOM were included in the study and their clinical and demographic details and treatment outcomes were studied.  </p><p class="abstract"><strong><span lang="EN-US">Results:</span></strong>Of the 40 patients, 65% were males. SOM was common in young children. Most of the cases (55%) were below 10 years of age. In 80% of cases SOM was bilateral. Deafness was the most common symptom (95%) with which patients presented with, followed by URTI and pain. All patients had impaired tympanic membrane mobility. Retraction of tympanic membrane was the next common otoscopic finding (85%). Initial management was medical and 18 patients required surgical intervention.</p><p class="abstract"><strong><span lang="EN-US">Conclusions:</span></strong>SOM is a common ear disorder in children. Initial medical treatment has a definitive role and should be tried in all cases before surgical intervention is contemplated. A variety of surgical procedures are available which can be used depending on the indication. Complete recovery is expected to occur in most of the cases by a period of 3-6 months.</p>

scholarly journals Experience of using hypnosis in eye surgery

1929 ◽  
Vol 25 (1) ◽  
pp. 57-64
Author(s):  
T. Krylov
Keyword(s):  
Surgical Intervention ◽  
Eye Surgery ◽  
Long Time

Achieving painlessness and numbness is a very essential moment in any surgical intervention, which is why for a long time the minds of many surgeons have been intensely occupied with this issue, and even to this day, research in this area continues at an unabated pace.

Legislative Politics

2017 ◽  
Author(s):  
Olivier Costa
Keyword(s):  
Comparative Literature ◽  
Political Regime ◽  
Legislative Politics ◽  
New Work ◽  
Legislative Studies ◽  
Current State ◽  
French Case ◽  
Long Time ◽  
French Political Science ◽  
Over Time

This chapter proposes an assessment of the state of the study of legislative politics in France. It starts with a review of how the study of legislative politics has developed comparatively over time and identifies the major current debates in the comparative literature. Then it turns to the French case, explaining its weaknesses and peculiarities, and assessing the current state of legislative studies in France. We see that, for a long time, legislative studies were rare in the landscape of French political science. Things, though, have evolved since the end of the 1990s, when there was a renewed scholarly interest in central institutions and actors of the French political regime as well as the emergence of new work that was better connected with the methods, theories, and topics of mainstream legislative studies. Finally, we underline some dimensions of the agenda for the future study of legislative politics in France.

To the effect of salt-alkali mineral waters. S.A. Barnava - Troitskaya (Kur. Delo, 1926, No. 2)

1926 ◽  
Vol 22 (12) ◽  
pp. 1395-1395
Author(s):  
Yu. Dubrovina
Keyword(s):  
Gastrointestinal Tract ◽  
Biliary Tract ◽  
Mineral Waters

The author conducted a series of observations on the effects of Essentuki water No. 17 and Batalinskaya. Observations concerned 75 patients with various kinds of disorders of the gastrointestinal tract, biliary tract, liver and other organs.

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