scholarly journals Experience of surgical treatment of vertebral artery injuries

2020 ◽  
Vol 12 (2) ◽  
pp. 45-50
Author(s):  
Nikolay I. Glushkov ◽  
Vladimir F. Rylkov ◽  
Konstantin V. Sementsov ◽  
Anatoliy V. Skorodumov ◽  
Alexey A. Moiseev ◽  
...  
Keyword(s):  
Vertebral Artery ◽  
High Tech ◽  
City Hospital ◽  
Neck Injuries ◽  
Endovascular Interventions ◽  
Urgent Surgery ◽  
Contrast Angiography ◽  
Injured Patients ◽  
The City ◽  
Spiral Computer Tomography

The aim of the study was to analyze the results of spinal artery damage treatment of the injured. Materials and methods. An 2-year analysis of treating 7 patients with vertebral artery injuries admitted to the City Hospital (GB) No. 26 of St. Petersburg was carried out. The problems of diagnosing and treating these injuries have been identified. The solutions to these problems have been suggested. Two clinical cases of successful treatment of injured patients with spinal artery damage have been presented. Results. Theres a possibility of damaging vertebral arteries in neck injuries thus defining the need for introducing high-informative methods of inspection (a spiral computer tomography contrast angiography, a Magnetic Resonance Imaging) and low-invasive (X-ray endovascular) interventions in urgent surgery. The implementation of complex instrumental examinations, their nature, the number of them and urgency should be determined by a surgeon individually considering the recommendations of related specialists. Conclusions. Regardless of the wound size and the patients condition, examination and treatment of patients with neck injuries should be carried out in large hospitals with angiosurgeon and other narrow specialists in the panel of doctors with the 24-hour surveillance, as well as access to full examination and high-tech urgent operational interventions.

Research on Enterprises Resettlement in the Second Urban Land Resource Development - Taking High-Tech Zone in Suzhou for Example

2013 ◽  
Vol 357-360 ◽  
pp. 1465-1469
Author(s):  
Yong Du ◽  
Wen Xue Yu
Keyword(s):  
Resource Development ◽  
Urban Land ◽  
Space Distribution ◽  
Secondary Development ◽  
High Tech ◽  
Land Resource ◽  
Construction Land ◽  
Second Development ◽  
Industrial Enterprises ◽  
The City

As cities are expanding of China, many industrial enterprises have been surrounded in the center of the, which have a big effect on the environment of the city. As a result, its necessary to remove these enterprises. The second urban land resource development is an efficient solution to the problem. This article takes the secondary development of land in High-tech Zone of SuZhou for example and defines second development of land. In addition, puts forward suitable type of settling down the moving enterprises because of urban land second development. The study aims at promoting the rational use of land, adjusting space distribution of construction land, disposing land resource reasonably, increasing using rate of the construction land and makeing ecological environment of the city be better.

Differentiation of Cocaine Toxicity: Role of the Toxicology Drug Screen

1988 ◽  
Vol 22 (7-8) ◽  
pp. 582-587 ◽  
Author(s):  
Christine M. Quandt ◽  
Roger W. Sommi ◽  
Travis Pipkin ◽  
M.H. McCallum
Keyword(s):  
Violent Behavior ◽  
Signs And Symptoms ◽  
Drug Analysis ◽  
Gas Liquid Chromatography ◽  
City Hospital ◽  
Street Address ◽  
Similar Area ◽  
Cocaine Toxicity ◽  
The City

Fifteen cases of presumed cocaine intoxication were evaluated in the emergency room (ER) at a city hospital over a four-day period. This series is unique in that many of these patients were from a similar area of the city, in some cases had the same street address, were regular abusers of cocaine, and presented to the ER with similar symptoms of tachycardia, dilated pupils, marked confusion, bizarre and sometimes violent behavior, psychosis, and hallucinations. Many of these symptoms were present several hours after drug use. Samples of a white powder presumed by the patients to be cocaine were obtained from two patients and analyzed by gas-liquid chromatography. Neither sample contained cocaine, but rather revealed atropine, benzocaine, and procaine. The signs and symptoms of cocaine, amphetamine, and atropine intoxication are reviewed and the problems of drug analysis and differential diagnosis of drug intoxication are discussed.

Surgery of Petroclival Meningiomas: Report of 24 Cases

Neurosurgery ◽  
1989 ◽  
Vol 24 (1) ◽  
pp. 12-17 ◽  
Author(s):  
Madjid Samii ◽  
Mario Ammirati ◽  
Ahmed Mahran ◽  
Walter Bini ◽  
Abholgasse Sepehrnia
Keyword(s):  
Cranial Nerve ◽  
Transverse Sinus ◽  
Surgical Approaches ◽  
Common Symptom ◽  
City Hospital ◽  
Petroclival Meningiomas ◽  
Number Of Patients ◽  
Microsurgical Techniques ◽  
Total Tumor Removal ◽  
The City

Abstract Twenty-four patients with petroclival meningiomas were operated upon at the neurosurgical clinic of the City Hospital of Hannover between 1978 and 1987. Seventeen were women and seven men; the mean age was 45 years. Symptoms were usually present for more than 2 years before the diagnosis was made. The most common symptom was disturbance of gait; the most common preoperative sign was cranial nerve deficit, mainly of the 7th and 8th nerves. Preoperative neuroradiological evaluation included computed tomography and four-vessel cerebral angiography. Fifteen patients (62%) had a tumor larger than 2.5 cm in its major diameter. The surgical approaches used were the retromastoid, pterional, subtemporal, and combined retromastoid-subtemporal. We developed a modification of the retromastoid-subtemporal approach with preservation of the transverse sinus and used this in the last 2 patients. There was no postoperative death; 11 patients (46%) suffered postoperative complications, mainly in the form of cranial nerve deficits, often reversible. “Total” tumor removal was achieved in 17 patients (71%). Twenty patients (83%) were independent at the time of discharge from the hospital. With accurate neuroradiological evaluation, careful choice of the surgical approach, and sound application of microsurgical techniques, petroclival meningiomas may be “totally” and safely resected in a significant number of patients.

Editorial

2011 ◽  
Vol 36 (2) ◽  
pp. 5-6
Author(s):  
Yurdanur Dulgeroglu-Yuksel
Keyword(s):  
Developing Countries ◽  
Critical Evaluation ◽  
Developed Countries ◽  
Natural Phenomenon ◽  
High Tech ◽  
Sustainable Cities ◽  
Social Scientists ◽  
Settlement Policies ◽  
Existing Housing ◽  
The City

This editorial deals with the issue of sustainability in relation to the development of the city in the 21st century. The main goal is to make an inquiry into Piecemeal vs Grand Planning Approaches to generating sustainable cities. The focus of the city is the human settlements. The issue of sustainability has been a concern for many planners, architects, urban geographers and social scientists. “Sustainability” is an old concept but has become a new solution criteria for generating liveable cities. The role of the professional is crucial in the development of cities to become more sustainable. It seems that development of cities, especially those in developing countries, in the post-modern age require a critical evaluation and updating of their existing housing and settlement policies and practices. They seem to neglect the development dynamics in fast-growing metropoles sometimes. While the natural phenomenon of urbanisation require piecemeal approach to spatial planning and development in Developing countries, their governments tend to adopt Grand policies of developed countries. Implementation of such policies with fujrthern use of high-tech often results in large wipe-outs in the city and social disintegration, following the replacement of existing neighborhoods. Physical and social integrity, as well as slow growth of settlements is a crucial start towards sustainable cities.

scholarly journals THE DYNAMICS OF CHANGES IN STRUCTURE INDICES OF INFANT MORTALITY IN ST. PETERSBURG DURING 2005-2017 YEARS

2019 ◽  
Vol 21 (3) ◽  
pp. 157-160
Author(s):  
A. S. Simakhodsky ◽  
L. D. Sevostianova ◽  
U. V. Gorelik ◽  
N. P. Akincheva ◽  
U. V. Kolechko
Keyword(s):  
Mortality Rate ◽  
Infant Mortality ◽  
Infant Mortality Rate ◽  
High Tech ◽  
Structural Components ◽  
Long Period ◽  
The Russian Federation ◽  
Structure Indices ◽  
The Individual ◽  
The City

The review presents the literature data and, revealed by authors, the patterns of changes in the dynamics of the infant mortality rate and its structure over a long period (2005-2017) in St. Petersburg. This index is one of the lowest in the Russian Federation. There are analyzed changes in the individual components of the structure of the infant mortality rate, related both to objective and subjective factors. In the city of St. Petersburg there was shown a persistent decline in the infant mortality rate due to the implementation of federal and city programs, closely correlated with structural components. The authors believe the positive dynamics of structural components in St. Petersburg to indicate the organization of all types of specialized and high-tech medical care for newborns.

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