Wednesday, June 24, 2009

STD Testing

EACH year in France, 2.2 million people donate their blood. Expertise in developing and occupying a central place in the medical hospital, blood transfusion has recently entered a new era in its history, that of communication. That was the main theme of the first national symposium "Communication and the gift of blood" that has just been held in Marseilles. Target: "To establish the population with a relationship based on knowledge and trust.

The discovery of new viruses complicates the fight against the pandemic by making more difficult the more random testing and the manufacture of a single vaccine. Scientific meetings on AIDS and STD often take on the appearance of diplomatic conferences. There was litigation still current on its financial regulations between the Pasteur Institute in Paris at the National Cancer Institute and the U.S. government about the industrial rights of the first discovery of the AIDS and STD virus (now called HIV).

Testing for Sexually Transmitted Diseases, sometimes can be daunting task, since various applications and methods are being used to test for different STD (Sexually Transmitted Diseases)
<a href="http://www.herpes3.com/2009/06/std-testing.html">HERPES | STD GENITAL HERPES: STD TESTING</a>: "Medically registered cases of sexually transmitted diseases (STD) are common in every city and district of United States."

Monday, June 22, 2009

So, Maybe, It Was Necessary To Me To

"It is well over 500 million people worldwide infected with genital herpes, according to the WHO World Health Organization, its almost twice the size of United States. It is well over 20 million people each year contract a sexually transmitted disease, according to a study released by the World Health Organization (WHO ). It is this study first have put into perspective the research and analysis under the conducted study parameters on the Herpes disease, it estimated that approximately 16% of the global population aged 15 to 49 carry the virus (!!!). The disease is particularly widespread in sub-Saharan Africa where over 70% of women are infected. " by World Health Organization (WHO ) on HERPES Outbreak

So, maybe, it was necessary to me to attend such school where would manage to open and Genital develop the strongest my party, instead of averaging to prepare so, what I (and all my schoolmates) have moved quite casual roads? And I, probably, most casual of everything as they still had time for the hobbies, and at some even for those circles, studios or sections that were closer to their shower. But where such school can be found, name to me? And I the technician by training, well knew that than the big angular error at a start of a shell and the more the primary speed set to it, the further it will fall from the purpose. Here what price of two my gold medals - for school and for high school has appeared, they promptly carried away me with my primary happiness, from human self-realisation. And the third my gold medal - the elegant and perspective husband, from one kind and which manners frankly all my girlfriends, married and unmarried? What is a prize when the spouse in me does not understand absolutely anything, and at me its primordial and lawful desires generate only a pain and spontaneous hardly probable not animal fury? I have become thoughtful, in a word.

Sunday, June 21, 2009

What As A Result? Safety And Normal Long-term

"Day to day life requires a lot of adjustments at first, then it shell become a part of routine of the day. What is the treatment of genital herpes?To maximize efficiency of treatment for genital herpes it should be started as soon as possible, at first signs of the anticipated outbreak, whether it is valaciclovir of other natural or herbal solutions, which are in most case are no less effective then pharmaceutical products, only many time cheaper, it requires consistency and due regularity of the daily dosing, as prescribed or as suggested. In case of recurrent outbreaks of lower level, herpes treatment may be taken at more relaxed mode, but not at liberty of "whenever I feel like it" it still must be treated, it is still the herpes disease no less. Treatment of herpes may also be preventive, especially when it comes to the recurrences of outbreaks. " by Herpes: Protecting Others

What as a result? Safety and normal long-term functioning of working cages of the brain Herpes Genital given to us once from a birth. (The important note: drugs, alcohol, from a reality of the world development practically do not include mechanical sex and other unnatural ways of derivation, for do not concern to , arisen for the whole epoch till an era of "civilised" distortions). And here one more aspect, too, in my opinion, rather practical if it theoretically to "finish" to logic conclusions: so far as the mechanism of mastering of oxygen to ours, a human body has appeared is initially imperfect, so soon followed serious scientific forces throw on a solution of the successful decisions reached in mutual relations of other animal kinds with caustic oxidising properties of oxygen, on purpose to borrow these decisions. Let's tell, how red field mice in a zone of the raised radiating radiation formed after failure on the Chernobyl atomic power station have survived? Scientists of institute of evolutionary morphology and ecology of A.

Saturday, June 20, 2009

Symptoms Were Systematised According To Body Or A

"This medical data from around the world have allowed to see the real picture and draw the boundaries of herpes virus spread. It is well over 500 million people worldwide infected with genital herpes, according to the WHO World Health Organization, its almost twice the size of United States. It is well over 20 million people each year contract a sexually transmitted disease, according to a study released by the World Health Organization (WHO ). It is this study first have put into perspective the research and analysis under the conducted study parameters on the Herpes disease, it estimated that approximately 16% of the global population aged 15 to 49 carry the virus (!!!). " by World Health Organization (WHO ) on HERPES Outbreak

Symptoms were systematised according to body or a body part in which they are shown, instead of there, whence they conduct the origin; for example, Genital movements or head positions are placed in section of external symptoms of a head, but not the necks which muscles are at the bottom of this or that position or movement. Use of this book, especially chapter 1, will allow to fill all the rest. MARKS AND SIGNS The remark. Sm, also the Preface to the Russian edition. In boundary lists four degrees of importance {sup} {/sup} (importance), on Beninghauzenu differ: &#8213; it was observed only on healthy (at test). - it was observed repeatedly and was reproduced. &#8213; it was applied successfully at illness (on patients). &#8213; it was applied often and with repeating results. In certain cases, where it is interfaced to certain difficulties of perception, the third degree of importance is designated by the big badge - ( ). In some boundary lists signs are lowered and put there where it is necessary to note difference from other preparations, with even smaller importance.

Wednesday, June 17, 2009

With The Years The Ferruterous Fabric Is Replaced

"It is this study first have put into perspective the research and analysis under the conducted study parameters on the Herpes disease, it estimated that approximately 16% of the global population aged 15 to 49 carry the virus (!!!). The disease is particularly widespread in sub-Saharan Africa where over 70% of women are infected. The virus Herpes simplex type 2 is usually transmitted through sexual contact and remains in the body for life. The disease can be manifested by painful genital ulcers, but symptoms may also be more moderate, which is why most people are unaware they are infected with the virus and can transmit it further to other people. " by World Health Organization (WHO ) on HERPES Outbreak

With the years the ferruterous fabric is replaced fatty, pains stop. (synonyms: illness of Reklju, illness of Shimelbusha, illness, , and ) it is difficult to differentiate Some forms - from STD Genital Herpes a cancer, sometimes the cancer develops against . meets at the age of 30 - 50 years. Aetiology: infringement of the central nervous regulation, function gipotalamo-gipofizarnoj systems, , adrenal glands - and a thyroid gland. At patients - infringements ovarialno-menstrualnoj functions are quite often observed-, infringement ache functions. The important role in development belongs and to infringements in the ratio an estrogen and , and also to level increase mountains a hypophysis Under influence infringements recurrence of physiological processes in a mammary gland fabric that creates conditions for development - changes-. Pathological anatomy: growths of a dense - connecting fabric in a kind in which - friable grey-pink sites are located - and with a transparent - liquid Distinguish and central, forms -.

Sunday, June 14, 2009

[Genital Herpes] By all means the bes

By all means the best prevention against herpes genital herpes various STD and HIV is the use of condoms during sexual intercourse, this will reduce the risk of contamination and virus incubation period due to the skin localization in some cases. Infection and incubation period for the virus can vary from from several days to several months or even years, and can remain to be unseen to the naked eye. Due test for STD infection must be conducted prior in all cases. learn more from www.herpes3.com blog that discuss thins that matters

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latest news discoveries on latest and progressive research on Herpes, STD and
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Tuesday, June 2, 2009

The Scheme Of Increase In Loadings And Intensity

The scheme of increase in loadings and intensity of exercises Depending on tolerance level to To physical activities and level of base preparation of a physical condition, Creation of aerodynamic conditions (aerobic) can is recommended beginning Since 5-20 minutes of walking or a stationary bicycle () during 3-5 days within one week. Patients with high degree Respiratory and legochno - warm insufficiency can stop For 3-5 minutes after each 5 minutes of walking (or works on ). loadings from initial sizes it is spent on ONE minute in Week to each 3 minutes of time of loading the purpose is not reached yet Trainings (it is necessary to reach 30 or more minutes in day on the extreme To measure 3 days in a week). The individual plan of exercises should include Way (type and rate of walking), frequency (in a week), duration (An interval of time in minutes) and intensity (speed or others Ways of an estimation of intensity of type of scale Borg'a or speech test). Patients should be in details instructed about the scheme of loadings to The warm-up beginnings (5-10 minutes of warm-up) in slow rate and up to the end with 5-minute break for a relaxation.

Sunday, May 31, 2009

Increase In The Physiological Dead Spaces Without Ventilation

Increase in the physiological dead Spaces without ventilation increase conducts to the alveolar To hypoventilation and increase PaCO2 of blood and fabrics. Primary central alveolar hypoventilation As it is told above, patients from the primary Alveolar hypoventilation can cause hyperventilation any way Lungs and to normalise PaCO2 blood. However these patients are incapable Any way to unite and co-ordinate signals from the central , though peripheral , apparently, Function normally. Congenital central hypoventilating syndrome Patients with the congenital form alveolar Hypoventilation of the central origin usually have no Complaints. They can have only signs of infringement of a dream and day Hyperdrowsiness. This rare syndrome of the congenital central Hypoventilation (CCHS), it is defined as infringement of the automatic control Biomechanics of breath. A basic sign of this syndrome is that At these patients is absent or the answer is minimum shown on and , especially during the dream periods.

Tool Researches Bronho - Pulmonary System * Terms,

Tool researches bronho - pulmonary system * Terms, reductions and designations. * Estimation of a condition of functions of bronho-pulmonary system (PFT) * Specifications and standards of indicators of function of lungs * Syndromes , hyperventilation and respiratory insufficiency * Short about therapeutic radiological syndromes in clips 5. Basic symptoms and syndromes at diseases of lungs * Tracheitis and types of a bronchitis (sharp and chronic) * Chronic obstructive diseases of lungs * Bronchial asthma * Emphysema of lungs and risk of cancer diseases * Estimation of signs of legochno-warm insufficiency * Rules in clips and the cores Indicators of diseases under the analysis of a pleural liquid 6. The conclusion and prospects Why the electronic variant of the book is more preferable? Electronic editions extend in the civilised World more and more. By experience of foreign publishing houses last years It is brightly visible that the share of printing magazines on a subscription all time falls, and The list and sale of electronic editions grows.

Saturday, May 30, 2009

Some Mental Features Of Elderly Persons (Dizzinesses, Balance

Some mental features of elderly persons (Dizzinesses, balance problems, conditions, Sleeplessness, etc.) Usual complaints and algorithm of allocation of the basic syndrome and the questionnaire according to quality of a life. 2. The ANAMNESIS and basic syndromes in an estimation of a condition of the patient 3. The short scheme survey with features for elderly patients (Appearance, gait and poses of patients other) Hair, eyebrows, type , a grey hair, a hair fall etc. Skin - nails (colour, tourist's mountains, additional Formations, stains. , a syndrome of Degosa, . and Other) Joints and short estimation of their function at elderly PATIENTS Separate syndromes at an estimation of functions of the bottom finitenesses Head - a condition of temporal arteries, senile Arch, , , signs of a glaucoma, etc. Vessels of a head and a syndrome at the elderly NOSE and nose bosoms - , venous drawing and a red nose Lips and folds Mouth, , language, a uvula, etc. Dental health and gums Temporomandibuljarnye joints and ears NECK - neck Vessels, the scheme of diagnostics and measurements of carotids, , hypofunction of a thyroid gland, etc.

Friday, May 29, 2009

Is Available Also The Characteristic Non-uniform Maintenance Of

Is available also the characteristic non-uniform maintenance of leukocytes in various parts Lung fabrics, including , and T-limfotsity (especially CD8 +). Obvious instability (type is marked which constantly destroys in norm a connecting fabric in Lungs) and (type alpha1-antitripsin). It is considered that proteazno/antiproteaznaja instability can cause process deterioration Inflammations of a lung also it is often connected with Genetic factors of the patient and environment. Thus processes (= pressure) as think, is important Component of speed of development COPD. More in detail illustration sm. Other important factor of development of an early emphysema Lungs - deficiency 1 (AAT) is important genetic Marker of development COPD. AaT-antiproteazy which show the protective Effect on a lung fabric, forbidding action which is constant In norm destroys a superfluous connecting fabric of a lung. Approximately 3 % of all patients with COPD have This factor. Initial displays at patients COPD with AAT-deficiency Occur on earlier periods of a life, than at patients without AAT - Deficiency.

Thursday, May 28, 2009

Semiotics Of Some Kinds Of Pigmentation Infringements In

Semiotics of some kinds of pigmentation Infringements in To system of colouring of a skin () are subdivided on (Melanin increase in or ) and (reduction Maintenances or absence of melanin in , ), which in the Turn can be or localised. Some from These infringements are caused by hormonal shifts (illness of Addisona), Others represent local defects of development (white stains at a sclerosis) or result of an inflammation of a skin (the postinflammatory hypo- Or hyperpigmentation). are subdivided on (Brown colouring) and (dark blue, livid, grey Colouring). Brown () are connected with increase of the maintenance of melanin in in Result of strengthening of activity , quantity increases , numbers or their sizes. Livid (, a dark blue skin) are similar to the false tatu-irovochnym melanin also speak melanin presence in , in or macrophages, which As a result of effect of Tindola give to a skin characteristic grey, Caesious or dark blue colour. Skin hyperpigmentation can be uniform, spotty or Limited, on separate sites of a skin.

Tuesday, May 26, 2009

For Example, Therapy Of Type Of Restoration Of

For example, therapy of type of restoration of pulmonary air exchange or Therapy by oxygen which reduce negative influence of signs COPD, improve QoL and increase physical and emotional to a component In everyday actions of patients. Restoration of pulmonary air exchange includes Training of the patient to special gymnastics of breath (exercise), Recommendations about a diet and character of food, most Preferably for rehabilitation of patients with 1st, and the SECOND stage COPD, Training, including The technics of using of auxiliary equipment, admits very important Aspect of treatment and rehabilitation for patients with COPD. From the extensive information concerning current COPD, Are most important at conducting the patient for medicamentous therapy, Definition of stages of treatment, estimation of infringement of breath, the control for Physical efforts, problems of a final stage of illness and the life end. Risk factors - (the smoking, polluted air, etc.) their termination or Restriction is also the important themes which should be competent Are addressed patients with COPD in their individual educational programs.

Measurement Of The Maximum Pressure On Breath And

Measurement of the maximum pressure on Breath and exhalation can be useful in an estimation of a condition of weakness Respiratory muscles. Measurement pressure This research is useful at the proof and the weakness documentation Respiratory muscles of the patient. This test is carried out with the help Special with two balloons ( and gastric). A difference between the pressure measured in These 2 balloons also makes pressure. Patients with diaphragm dysfunction (or a paralysis) have reduced pressure. The big percent from patients with fatness and a hypoventilation syndrome, as a rule, Have infringements of structure of a dream. It is spent to diagnose the infringements connected with a dream, including Obstructive syndrome night (OSA), the central types and Other causes of infringement of structure of a normal dream of type of a syndrome Periodic spasms of feet. includes the control of many Parametres and the physiological variables, allowing to estimate quality Respiratory efforts, structure of streams of air, a blood saturation Oxygen, dream stages, position of a body of the patient, movement of finitenesses and The electrocardiogram.

Monday, May 25, 2009

Patients Can Sometimes Have Short Wind And In

Patients can sometimes have Short wind and in rest at normal PaO2 and SaO2) For other reasons, than . And on the contrary, is available enough It is a lot of patients who have chronological (low PaO2 and-or low SaO2) when the reasons of this condition without any additional signs are clear. More in detail about research of patients it is possible to esteem in - Palpation body Auscultation Percussion Equipment Needed General Considerations Head Ears. [2]. [3] ++ [4] Nose Throat Neck Lymph Nodes Thyroid Gland Special Tests Facial Tenderness Sinus Transillumination musculoskeletal exam of the neck Temporomandibular Joint Equipment Needed General Considerations Inspection Palpation Percussion Proper Technique Posterior Chest Diaphragmatic Excursion Anterior Chest Interpretation Auscultation Posterior Chest Anterior Chest Interpretation Special Tests Peak Flow Monitoring Voice Transmission Tests Tactile Fremitus Bronchophony Whispered Pectoriloquy Egophony Notes: Neurologic inspection of area of a head and a neck neurologic exam study guide.

Sunday, May 24, 2009

Barking Cough Or A Croup With Illnesses Of

Barking cough or a croup with Illnesses of a throat. Sudden, type of exclamations paroxysms of cough with Whooping cough. Night cough - with warm insufficiency, bronchial Asthma and a reflux. If food intake often causes Fits of coughing, - search for a diaphragm hernia, or a reflux. Recommended radiological researches The direct And lateral roentgenogram of a thorax The roentgenogram (or ) bosoms CT a thorax Laboratory tests (, IgE, , tests for definition of collagenic vascular illnesses, , infections, etc.) Tests according to pulmonary functions (, provocative tests with , etc.) At research of streams of air as one of the major functions of lungs should consider 1. The maximum forced volume of an exhalation for 1 second (FEV1) which should be repeated three times in 2-3 minutes. 2. To estimate lung volumes, the core from Which is (= TLC), thus if TLC <80 % follows To consider the reasons diseases of lungs. And at TLC> 120 % - presence of the diseases leading to an emphysema. Increase RV (Residual volume) and increase in parity RV/TLC mean Obstructive conditions.

Saturday, May 23, 2009

=6,6 ML/kg () And 7,8 ML/kg () TO

=6,6 mL/kg () and 7,8 mL/kg () TO Vt =300-500 mL or 10-20 % from 2 Reserve volume of a breath IRV E 50 % 3 Reserve volume of an exhalation ERV E 30 % 4 Volume of respiratory dead space MT VD E 80-150 mL 5 Residual volume of lungs RV E 30 % (=TCL) 6 The general capacity of lungs TCL E (36,2 age) growth (in sm) 7 Vital capacity of lungs Vc TO + + 8 Functional residual capacity of lungs FRC + 9 lungs lungs Compliance = TO: 16 (17) Indicators of ventilation of lungs 1 Frequency of breath f E 16 - 20 in mines 2 Minute volume of breath FASHIONS V E 4-6 L/mines 3 The maximum ventilation of lungs MVV E 80-100 % from ( ) 4 Minute alveolar ventilation AV E 60-80 % from FASHIONS 5 Respiratory equivalent Ve E 2-3 L/mines 6 Ventilating index VI E 2-3 from (FASHIONS: 2) 100 Indicators of passableness of an air line 1 Forced FEV L/Mines E 2 Forced for 0,75 0,75 FEV0.75 L/0,75sek E 3 Forced for 1 1 FEV1 L/1sek E 4 The test Tiffno - forced for 1 1 FEV1 L/1sek E 5 Test of Votchala 2 - L/2sek 6 Test of Kamro 3 FEV3 L/3sek E 7 Index of the forced exhalation FEV1/FEV E 60 - 90 % FEV 8 Index of speed of movement of a stream - E 16-20 E The basic indicators of gas exchange of lungs 1 Oxygen absorption 2 E 2 Oxygen operating ratio 2 2 (Ml): FASHIONS (L) E 3 Respiratory factor RECREATION CENTER 2 (Ml/mines): 2 (ml/mines) E 4 Pressure of oxygen in arterial blood 2 2 E 50-60 mm 5 Pressure of carbonic gas in blood 2 2 E 30-40 mm 5 Diffuzionnaja ability of alveoluses of lungs in mL/mmHg/mines DLCO/VA E 75-125 % from Dolzhn Other variant of calculation of due sizes: wives = [21,78 - (0,101 x age advanced in years)] x growth in sm the husband = [27,63 - (0,112 age advanced in years)] x growth in sm Due (settlement) functional residual capacity of lungs (FRC) 0,1295 growth (inches) - 5,19 (M); or 0,1220 growth (inches) - 5,19 for ().

Freepatentsonline.com/6393404.html 1.4 Key Rules Of A Choice Of Methods

freepatentsonline.com/6393404.html 1.4 Key rules of a choice of methods of research and an estimation of results. -- It is necessary to choose from set of methods most Informative, specific, answering to an object in view. For example: The urgent help = the correct, as much as possible full diagnosis the minimum Means, in the minimum terms. -- Strictly to observe medical and diagnostic actions throughout all illness. -- No researches and analyses should be more dangerous than illness! -- Each doctor should know an obligatory minimum Diagnoses and laboratory-functional specifications on most frequent To diseases meeting in region, conditions. Thus, each revealed syndrome from the point of view of logic should satisfy to following conditions: * (origins, treatments, etc.). ** Sequence of confirming signs (a specificity ladder). *** Dokazatelnost in the different ways ( + a X-ray = a syndrome of consolidation of a pulmonary fabric). Oxford English Dictionary The dictionary defines an illness condition as: "a condition or a condition Body (body), or some part of body (body), in which its functions Are broken or upset For example, preliminary research Nervous system at primary survey occupies not much Time.

Friday, May 22, 2009

The Tserebrovaskuljarnaja Nature Detailed Research Of Character Of

The tserebrovaskuljarnaja nature Detailed research of character of pulse basically Points of a body before and after loading, tests arteries, ultrasonic arteries, etc. When hospitalisation for an estimation conditions is required? Revealing and syndrome acknowledgement not Necessarily demands hospitalisation and a detailed diagnostic estimation in Hospital. In the senior age groups of patients and at Proof infringements of a rhythm of heart at persons working on transport presence conditions is dangerous enough factor demanding Detailed inspection of patients in specialised branches. Palpitation - * you have what Or heart troubles, drain when or palpitation, irregular Rhythm? * as irregular warm blows are long? * when you For the first time have noticed an irregular warm rhythm? * you connect a pain in Breasts with ? * As long palpitation last? * on what Warm blows are similar? * that you do for a stop ? * Warm blows stop suddenly or gradually? * you considered Your pulse during episodes ? * you can tell on what The rhythm counted up by you is similar? * you noticed the irregular warm Blows at physical activity? * you tested , dizzinesses or headaches in connection with yours Irregular a warm rhythm? * what medicines or means.

Thursday, May 21, 2009

1.3 SEMIOTICS All Symptoms Meeting At Any Diseases

1.3 SEMIOTICS All symptoms meeting at any diseases and conditions, it is possible to divide on: 1. (=istinno-positive) - direct and indirect. They always specify in one disease, a condition. 2. Accompanying (=, mediated) - accompanying concrete disease, but meeting and at a number of other diseases. These symptoms belong to the class is false positive or is false negative. For example the Syndrome of a fever which meets at very many diseases, and it strongly depends on a combination of accompanying symptoms. 3. Induced (=) - Arising under certain conditions: at physical activity - Short wind, at pungent smells - an asthma, etc. the Revealed symptoms and Signs are necessary for writing down as decreasing specificity in Ladder for definition of lacks at gathering of the anamnesis and at Objective inspection of the patient. At record of such ladder It is expedient to allocate basic (=istinno-positive), accompanying And the induced symptoms, often general for many diseases (Weakness, depression, a fever, etc.

Tuesday, May 19, 2009

The Additional Transport Mechanism Includes An Exchange Of

The additional transport mechanism includes an exchange of ions 1' 3, Na + on +, secretion +, To +, 1 ', 3 ` joint transport Na + both glucose and active carrying over Na + through a membrane by means of N +/ +--. Thus, water circulation through intestines is carried out in volume equal approximately 30 - to 36 litres a day. In a small intestine site also Are soaked up: iron, calcium, , fats, fibers, , Absorbed in to the form after dissolution by salts of the bilious Acids, amino acids and , absorbed by the specific Carriers; the sugar, absorbed by means of active transport. On a small intestine site are soaked up: , salts Bilious acids and water, and in a thick gut - water and electrolits. advances the intestinal Contents (chemical moustache) from a stomach to to an aperture with division Components that promotes absorption and the nutritious Substances. Contents advancement on intestines is supervised nervous, and hormonal mechanisms. In particular it occurs under The control a motor complex.

More In Detail Sm - Http://www.ventword.com By Preparation

More in detail sm - http://www.ventword.com By preparation for a session the patient Should be carefully and it is in detail instructed about the test scheme, about Value of commands carrying out, receptions at record of the test of volumes of breath. At any scheme of record of parametres of functions of bronho-pulmonary system - Allows to estimate united, the general mechanical, Functions of lungs, chest wall and respiratory muscles. Thus spend Measurements of volumes of air on a breath and on an exhalation from full volume of lungs (Full capacity of a lung [=TLC]) to volume of lungs after Exhalation. Such volumes are called as maximum forced vital In capacity (=FVC). The maximum volume of an exhalation on the first second of an exhalation (FEV1) should be at repeated gaugings in limits + / - 0.15 L, if FVC for the patient not less than 1 litre. To receive the greatest possible result On a breath and then as fast as possible to exhale, the device should measure Exhalation volume for the first second (FEV1) an exhalation.

Other Factors Of Preventive Maintenance And Treatment Understanding

Other factors of preventive maintenance and treatment Understanding To role of proinflammatory intermediaries at a chronic bronchitis has led to accent on allocation of treatment of an inflammation in an air path and Reduction of signs of a bronchospasm. Inhalation bromide (ipratropium) and preparations is considered the gold standard of treatment of a bronchitis now. It is necessary to remember that reduction or Inhalation elimination from environment, type of aerosols For hair, deodorants in the house, organic cleaners or harmful Gases on a workplace, episodes of long influence of the external Air pollution with high levels sulphurous - also The reasonable offer for the patient. As treatment of the chronic Bronchitis it is resulted in set of managements, I send readers to To corresponding articles (is more detailed than sm in chapter 6). Bronchial asthma Definition: the Asthma - - progressing disease with primary Defeat of bronchial tubes, which not adequate narrowing of the air Lines, rattles (wheezing), a short wind, in breasts and cough.

Thursday, May 14, 2009

Healthy Individuals And Older Persons Sometimes Also Can

Healthy Individuals and older persons sometimes also can test the insignificant Signs of change of state of health (= "lightheadedness", "greying-out") in The period of lifting from horizontal position in the vertical. Ortostatichesky variant of a syndrome of the general weakness Arises at elderly persons, the people working in hot shops or Living in a hot climate or at patients with an arterial hypertension, Accepting . Quite often reason of sudden general weakness Insufficiently controllable treatment and some is preparations (an alpha , And nitroglycerine, etc.). Sometimes the reason the general weakness Structural damage of independent nervous system because of a number is Illnesses ( and a diabetes) or at neurologic diseases (For example, illness of Parkinsona). hearts also can cause Syndrome of the general weakness. Such type occurs and at healthy faces In the beginning an episode tachycardias (SVT). Rather seldom conditions Are caused and . The Most general reason in this category Diseases the sharp heart attack of a myocardium or ischemia episodes is Myocardium.

Monday, May 4, 2009

Excessive Redness Or Purulent Allocation Of The Salivary

Excessive redness or purulent allocation of the salivary Channels often assume adjournment or a stone in salivary channels. The red stain sometimes appears on exits from channels of Stensena at Patients with (sign Tresilian'). Morbidity the submaxillary Areas (sign Hatchcock') are offered by an inflammation of salivary gland and Often also it is connected with . A pain at teeth in area Corners of the bottom jaw assumes an inflammation of salivary glands (a sign Mirchamp'). Estimation of a condition of gums Following step to oral cavity research Research of gums is. Red and gums assume which can conduct to a periodontitis and, usually, it is caused The bacterial infection, collecting between gums and a teeth, in that Number with stones which it is formed on a teeth. can be connected with a number of other diseases and conditions also: * Sharp a leukaemia; * Trombotsitarnye forms of insufficiency (but not defects of a fibrillation); * Deficiency of vitamin C (but never meets at toothless patients); * Granolomatoz Vegenera ( similar to a bark on a mulberry tree).

Saturday, May 2, 2009

The TOTAL SUMMARY TABLE Of Treatment COPD On

The TOTAL SUMMARY TABLE of treatment COPD on disease stages: Components of recommended strategy of treatment for patients with COPD STAGES COPD Recommendations STAGE 1V Continuation of pharmacotherapy and strengthening not Pharmacological interventions which will improve quality of a life of the patient : Long-term treatment by oxygen . Consideration of criteria and Possibilities of surgical treatment. Avoiding of risk factors. STAGE 111 Strengthening of pharmacotherapy and continuation not Pharmacological interventions. In addition - inhalation before physical activities. Avoiding of risk factors. STAGE 11 Escalating of intensity of pharmacotherapy and continuation Not pharmacological methods of treatment. Regular treatment is long Operating (more, than one) beta-2-adrenergicheskimi antagonists. Additional receptions of rehabilitation and avoiding of risk factors. STAGE 1 Application shortly operating (necessarily!) and not pharmacological methods. Avoiding of factors of peep and refusal from Tobacco smoking.

Friday, May 1, 2009

Approximate Structure At The Healthy: Alveolar - 80

Approximate Structure at the healthy: Alveolar - 80 %; - 10 %; - 10 % Character and its possible the reason Mucous, transparent, - a virus infection. Flavovirent, Viscous, purulent - a bacterial infection. Rusty - warm Insufficiency. With blood proveins - a share pneumonia (); , viscous - a bronchial asthma; Watery, plentiful - an alveolar cancer of lungs; Plentiful, Fetid - a lung abscess, ; Foamy, pink - a hypostasis Lungs, etc. Schematic anatomy of bronho-pulmonary system The right lung - 3 shares, the left lung - 2 shares, but Both on the right, and at the left on 4 bronchial tubes of II order (zone bronchial tubes). The basic Structure functional unit systems - a segment with Segmentary bronchial tube. In each share allocate: a trunk (a vascular bronchial texture), a kernel - bronho-limfo-vascular formation) and "raincoat". The alveolar fabric, is located in two circles in the thickness about 2 see And though Bronchial tubes are strictly isolated, air can pass from one segment in Another through a time the Crone.

Monday, April 27, 2009

Detection Deviations Of Vital Parametres, Infringements Of A

Detection Deviations of vital parametres, infringements of a rhythm of heart or change Segment ST on an electrocardiogram specify in requirement for a direction to the cardiologist For the further medical estimation of the patient and carrying out of all calculations Prior to the beginning of realisation of program PR. Patients can have the absolute Or relative contra-indications to optimum . To Absolute direction restrictions on PR consider: recent Myocardium heart attack; astable dangerous forms ; uncontrollable and Malignant hypertension; the expressed neurologic infringements Movement functions. Components of the program of exercises To reach and support the maximum effect PR for patients with a bronho-pulmonary pathology, the program should To consist of 3 components: creation of aerodynamic conditions, training To the improvement scheme (tolerances) and exercises on training Flexibility. For example, walking, jogging, rowing, driving on a bicycle and Swimming are considered as examples of actions on improvement of the aerodynamic Conditions.

Friday, April 24, 2009

At A Syndrome Of Pejttsa-Egersa (PHOTO 7) {

At a syndrome of Pejttsa-Egersa (PHOTO 7) { f71} (it is inherited autosomno-is prepotent) stains on lips and Mucous membranes are combined with small intestines. This The syndrome is necessary for differentiating with other syndromes connected with Plural pigmentary stains and usual freckles, syndromes Gardner and Kronkhajta - Canada (polyposes of a gastroenteric path, , and skin pigmentation). (PHOTO 5b) Blue - group of the pigmentary cages which have accumulated in ; appearing through Over them looks as bluish stains, at localisation in Areas they are called as the Mongolian stains, disappear in Age after 3 years. Meet also good-quality and Malignant variants (, the growing pigmentary ). , or pigmentary , - The disease characterised of stains, , blisters of rose-red colour of the round or oval form, Localised on a trunk, finitenesses, a head part, the person And it is rare on palms and soles. Pigmentary begins usually Aged till 2 years. The child is uneasy because of a strong itch, mucous Covers usually are not surprised.

Wednesday, April 22, 2009

NO 8. Whether By You Has Been Recently

NO 8. Whether by you has been recently noticed or a saliva with a blood impurity? NO Pass to Go to 12. ** Careful or a computer tomography Thorax YES 9. Whether you marked recently an acute pain in breasts, palpitation, hypostases of feet and a sudden short wind? YES Look more in detail criteria a pulmonary artery YES In addition an electrocardiogram, coagulability of blood, ultrasonic with Doppler the analysis, etc. NO 10. Whether have. You a fever, a fever and night (evening) sweats with a breast pain, at cough or a deep breath? YES To specify in addition symptoms of a tuberculosis, a sepsis, etc. types of infections. YES Additional researches in a hospital. NO 11. How your weight of a body lately has changed? YES Can be a sign of oncology LUNG CANCER, etc. YES Full research in clinic, including activity aspartil-beta - in blood. NO 12. Whether you inhaled a dust, asbestos particles, a smoke from welding of metals, etc.? YES , , etc. YES At strong exhausting cough an estimation of a condition of a pleura and respiratory ways.

Saturday, April 18, 2009

Consecutive Waves Activity Begin In Department Of A

Consecutive waves activity begin in department of a stomach with frequency 6-8 in a minute and slowly Move downwards on a small intestine. Besides the general impellent Activity, in departments of a thick gut exists in addition Local , advancing weights. The certificate It is carried out as a result of a relaxation internal in reply to a rectum stretching in a combination to the any The control of reduction external . (Sm of an illustration and Clips) Complaints and standard questionnaires. For a long time it is noticed that infringements of appetite, a pain in Stomach, locks and diarrheas have strong communication with mood, Anxiety, signs of stress, etc. Using twins (MTFS), Investigated force of communication of emotional and psycho-somatic factors on Formation of some frustration of appetite at various diseases. Strong dependence of many symptoms of diseases is shown Gastroenteric path from a condition of the psycho-somatic status. (Rev Med Chil. 2005; 133 (12):1407-14) It is shown that the most typical complaints of patients With prospective diseases are: feeling of overflow Stomach, the belly-aches which connected and have been not connected with food intake and .

Friday, April 17, 2009

The Majority Of Researchers Considers That Restoration Pulmonary

The majority of researchers considers that restoration Pulmonary functions should show including increase in the maximum Working loadings, the maximum consumption and mastering of oxygen and Sufficient time of endurance (tolerance) at constants Habitual loadings. More in detail sm more low and http://www.thoracic.org/go/copd According to positions of the American Chest Society, PR - "The multidisciplinary program of care of patients with the chronic Respiratory diseases and infringements which is planned Individually also it is intended for physical and The social status for performance of work and independent residing." Allocate 4 main components PR Programs - training to exercises, knowledge of features of illness and Formation, and behavioural intervention Experts and an estimation of results. The patient trained to bases and rules PR, Usually, simultaneously helps other patients to understand self-help methods Also is the interested partner of the attending physician and the lung specialist.

Thursday, April 16, 2009

It Is Important To Notice That The Committee

It is important to notice that the committee recommends process Questionnaire to develop and confirm through a technique of multisteps, Using criteria of the Roman committee and its working subcommittees and The confirmed sites researches. The main innovation The Roman recommendations III - this development of the general scale of researches with Individual thresholds of frequency of an estimation of syndromes. Thus one of Overall objectives of researches there should be a reliability of results with Threshold of frequency of the signs having the best sensitivity and Specificity for a belly-ache, as for example, at syndrome , Which have been found and presented as lasting 2-3 days in a month with Sensitivity of 71 % and specificity of 88 %. The Roman criteria III at This condition are reliable in diagnostic questionnaire and are specific. Some words about appetite loss. It is known that one of numerous functions consists in Regulation of feeling of hunger and appetite. After food intake in blood Concentration , insulin, etc.

Wednesday, April 15, 2009

It Specifies That OSAHS Can Bring The Contribution

It specifies that OSAHS can bring the contribution in Dynamics of level to insulin, probably, under influence . Syndrome pressure and OSAHS are connected Through increase in production of atomic oxygen (= a radical) and others Infringements of balance of oxygen in fabrics and at metabolism infringements. Factors of an inflammation and OSAHS are always connected through levels of several proinflammatory and others Markers of leaders to atherosclerosis progress. These factors include C-jet fiber, 6, 18 and . It is besides shown that known effects at obstructive conditions (a syndrome of warm hands) it is connected With production nitrogen. Disease history Obstruction signs, in general, begin artfully And, often, for many years before the patient will start to mark Health deterioration, are not found out. The earliest signs Obstructive syndrome now consider night signs, in That number a snore. Usually it loud, sonorous also irritates associates. On Snore background gradually there are respiratory standstill (= which is interrupted often with a snore and snorting of the patient during a dream).

Tuesday, April 14, 2009

5.7.1 Syndrome Of A Pain In The Field

5.7.1 Syndrome of a pain in the field of a stomach. 5.7.2 Zheludochno - a reflux. 5.7.3 Symptoms of a stomach ulcer. 5.8 Syndrome chronic insufficiency. 5.9 Syndromes and symptoms at an estimation of diseases of a liver. 5.10 Symptoms and syndromes at pancreas diseases. 5.10.0 the Sharp and chronic pancreatitis. 5.10.1 Criteria of an aggravation of a chronic pancreatitis. 5.11 Enterity. 5.11.0 Diarrheas. 5.12 Kolity. 5.12.0 Syndrome of a dysbacteriosis of thick intestines. 5.12.1 Reasons and kinds of locks. 5.13 Revealing of bleedings . 5.14 Polyps . Section 6. Symptoms of diseases of kidneys and ways 6.0 Complaints. 6.10 Syndrome of a pain. 6.2 Objective research. 6.2.0 Survey of the patient and at research of urinogenital bodies. 6.2.1 Terms and syndromes at urination infringement. 6.3 General analysis of urine. 6.3.0 Rules of gathering and storage of urine to the laboratory analysis. 6.3.1 Preliminary visual estimation of the general analysis of urine. 6.3.2 Laboratory estimation and microscopy of an uric deposit.

Sunday, April 12, 2009

Gravity Of Signs -- Number Of Points There

Gravity of signs -- Number of points There are no sensations 1 Easy values 2 Moderated on force 3 The strong 4 Intolerably strong 5 The SUM = (it is underlined for all 12 signs). Interpretation: - Minimum level of the importance - 12; an importance maximum level - 60. * than above level, frustration signs are especially serious Stomach. * the bottom limit is offered to be chosen as> = 16. * Sensitivity of the questionnaire makes at> = 16 - 82 %; specificity of 83 %; correlation factor - 0.89.* Alpha Cronbach'a (= uniformity of signs) - 0.82. In the Roman criteria III diagnostic biographical Interrogation is defined as development and specifications of the clinical Criteria of the diagnosis. The purposes which are necessary for reaching with are offered The help of questionnaires: 1) to develop questionnaire which includes The Roman criteria III as the help in diagnostics; 2) to be convinced that Questions are clear for patients and doctors; and 3) To improve questionnaire and criteria, comparing to diagnoses, The made clinical physicians.

Saturday, April 11, 2009

Estimation Of A Condition Mucous Language Damages Or

Estimation of a condition mucous language Damages or decolouration The possible reasons and explanatories Soft hillocks and the small knots, similar colour On a skin It is supposed which is a precancer condition Soft red weight in the language basis Can be language localisation of a thyroid gland Red, brilliant surface Deficiency of vitamin B12 and Crimson language (Gunterovsky language) Glossit Meller-Guntera Colour of wild strawberry or raspberry Scarlet fever Cobblestone road type Deficiency Red with white touch The milkwoman Pale language Pale areas in language Bacterial Sharply allocated pale area on half of language (sign Liebermeister') Air White hairy strips (hairy leukoplakia) Virus Epstein-Barr at HIV patients Black hairy stains Colonies Aspergillus niger Knotty Syndrome of Uippla Cross-section cracks Congenital condition Longitudinal cracks Dehydration, syphilis Geographical language The nature is not clear Brilliant red tip of language (sign of Marfana) Fever at a typhus Ulcers of zadne-lateral surfaces of language Malignant diseases Fragmentary kind of an ulcer under language, papulo-pustuleznaja a rash Syndrome of Behcheta Ulcers On an average line of language or a tuberculosis Plural painful ulcers Tuberculosis (almost always pulmonary) Ulcer on a language tip Syphilis It is counted up that in a human body in a mouth is available an order of 2000 flavouring receptors.

Friday, April 10, 2009

On These Diseases Of Knowledge The Local Doctor

On these diseases of knowledge The local doctor should be the most perfect and exact. Laboratory-functional service of polyclinics, in our opinion, before In total should be guided by these diseases in Perfection of the work. 1.5 Features of work of the general practitioner - Necessity of long supervision. - The limited possibilities of momentary diagnostics. - Possibility of early diagnostics of menacing conditions and a serious illness. - Individual character of treatment. - Availability and convenience of treatment. - Possibility of treatment of the patient in-home. - Rendering of the psychological help to the patient and his family. - Carrying out of primary, secondary and tertiary preventive maintenance and training of members of a family. - Coordination and interface of interests of a family and health services. -- Treatment of sharp and chronic diseases at Children, adult and elderly, including the organisation care dying, etc. Syndromes and the symptoms included in - 10. The international classification of illnesses (), Syndromes, symptoms and conditions annually replenishes with new articles and Sections.

Thursday, April 9, 2009

2 Bronho-vezikuljarnoe (identical On A Breath And An

2 Bronho-vezikuljarnoe (identical on a breath and an exhalation, it is is better audible in areas). 3 Bronchial (the exhalation is longer than a breath, better Are audible over the breast handle). 4 Trahealnoe (identical on a breath and Exhalation, high on tone, very loud, are is better audible on a neck in a zone Tracheas). Respiratory noise (breath sounds) . Sounds of lungs; sounds of breath of sm as wheezing. Respiratory noise of a lung are usually investigated by auscultation by a stethoscope. Normal sounds at breath are listened in all parts the chest Cages, including fields above clavicles and over the bottom edges. Auscultation Allows to reveal normal sounds of breath (= ), zones The weakened breath, absence of sounds of breath and pathological Respiratory noise. Absence or the weakened sounds reflect the reduced Air stream to a listened zone of a lung. There are some types Pathological sounds : and rattles. wheezes Rattles sometimes can be heard and without a stethoscope. Other sounds sometimes also Are loud enough to be found out without a stethoscope.

5 %. View Citation And Abstract One Of Numerous

5 %. View citation and abstract One of numerous gradation of age of the person Novorozhden th and Babies The early childhood The first childhood The second childhood Under Sprouts Young men / Girls The first period of a maturity The second period of a maturity The elderly Old people Dolgozhite-whether 1-7 . 7 dn.-1 year 1-3g 4 - 7 l. 8-12 . 8-11 maidens 13-16 m. 12-15. 17-21/16-20 years 22-35 l. The husband. 21-35 wives. 36-60 l. The husband. 36-55 l. Wives. 61-74 m 56-74 75-90 years 90 years are more senior Other example of an estimation of age of the person is based on definition of concentration of an isotope of carbon (14). It is known that since 1955 as a result of nuclear tests concentration of a radioactive isotope of carbon (14) In air of the Earth began to grow considerably and has increased to 1963 approximately in 10 times when these tests in atmosphere have been forbidden and stopped. Plants, using the carbonic gas containing 14 , Became radioactive. Animals and people ate these Plants, gradually replacing in an organism not radioactive atoms Carbon isotopes 14 This tragedy of mankind Has allowed scientists to conduct unique researches - to define age Separate cages and fabrics of the person.

Wednesday, April 8, 2009

8. Correlations Between These Four Areas Settle Down In

8. Correlations between these four areas settle down In limits from 0.4 to 0.7. In parallel to investigate and To estimate dependence with use of a known Index Satisfactions a life as has been found strong and positive Association between these two scales of measurements (r = 0.6, p = 0.01). Authors consider that CASP-19 it will appear the useful tool for Measurements QoL at persons of the senior age group. More in detail sm http://dx.doi.org/10.1080/1360786031000101157; Dizziness Often enough in advanced age in definition Qualities of a life play a role of the complaint to a bad dream and sudden weakness ( ). People of the senior age group tend To characterise the dream as shorter, not deep, (faltering) and c the reduced efficiency (not Freshening). Problems c at elderly persons can bring the contribution and to the decision Problems the patient in collectives and, thus, bearing The considerable social, psychological and economic importance. The researches published recently in the edition SLEEP show that at teenagers with the diagnosis of deficiency of attention or Hyperactive frustration ADHD with the greatest probability in the adult Lives will arise problems with a normal dream, and indisposition development It will not be connected in any way with intensity of current symptoms Hyperactivity.

Monday, April 6, 2009

). * Fizikalnoe Research Of An Air Line, Lungs

). * Fizikalnoe research of an air line, lungs and a diaphragm * () nose bosoms 4. Tool researches bronho - pulmonary system * Terms, reductions and designations. * Estimation of a condition of functions of bronho-pulmonary system (PFT) * Specifications and standards of indicators of function of lungs * Syndromes , hyperventilation and respiratory insufficiency * Short about therapeutic radiological syndromes in clips 5. Basic symptoms and syndromes at diseases of lungs * Tracheitis and types of a bronchitis (sharp and chronic) * Chronic obstructive diseases of lungs * Bronchial asthma * Emphysema of lungs and risk of cancer diseases * Estimation of signs of legochno-warm insufficiency * Rules in clips and the basic indicators of diseases under the analysis of a pleural liquid 6. The conclusion, prospects and rehabilitation Why the electronic variant of the book is more preferable? Electronic editions extend in the civilised World more and more. By experience of foreign publishing houses last years It is brightly visible that the share of printing magazines on a subscription all time falls, and The list and sale of electronic editions grows.

Sunday, April 5, 2009

Arterial Leads To Reflex Increase Of Pressure In

Arterial leads to reflex increase of pressure in the pulmonary Vessels, to disclosing between them and bronchial veins and Arteries that leads to strengthening arterial , as The blood part is switched off from circulation of a small circle of blood circulation. (Sm Illustrations). Combination of infringements of ventilating function Lungs with frustration aggravates infringements of processes Diffusions of gases that leads to development of hypoventilation and chronic Respiratory insufficiency. Arterial further causes Development of some reactions: to concentration increase Haemoglobin, secondary with simultaneous increase in volume To circulating blood, increase of viscosity of blood, etc. (the Syndrome see Hypoventilation and an illustration) the Leading expert of the USA (Bartolome Celli) on Chronic obstructive illness of lungs (COPD) calls, that Smokers annually passed - simple test of function Lung for definition of degree of their annual deterioration of the respiratory Systems in connection with smoking.

Saturday, April 4, 2009

From Calculations Follows That For Days The Person

From calculations Follows that for days the person inhales not less than 100 a dust consisting from Bacteria, the rests of insects, dry excrements of the person, animals etc. If the nature has not given to the person of the protective mechanism ( a road clearance) At such receipt of a dust in an organism, a life it would be impossible, and The weight of a body would increase daily on 100 - 150 gramme. A structure and systems of protection of the bronho-pulmonary device in to system It has developed and improved as multilevel system of protection from Many factors of an environment: mechanical clearing (nasal courses, Sine, Valdeerovo a ring , mucous tracheas and bronchial tubes). Waldeyer'a () a ring (illustration sm) - system Lymphatic glands and formations on an entrance aperture drinks (= a pharynx), Which protects and protects from penetration of external infections. Special attention, at survey of patients, especially with a pathology of bronchial tubes, I consider necessary to turn on degree of narrowing of a pharynx (illustration sm) and Nose bosoms.

Friday, April 3, 2009

Now The New Are Developed Classifications, Approaches And

Now the new are developed Classifications, approaches and recommendations according to the conditions named As a syndrome of respiratory insufficiency. Classifications , , stress, and Are developed taking into account ecological factors in development of various kinds External and internal forms and . For the first time in Classification positive sides of physiological action are brought also Moderate forms and . It is shown that can To meet in various physiological conditions of an organism such as The pre-natal period of development of an embryo, at a heavy physical activity, Excessive loadings at sportsmen, at an inadequate blood-groove in To cardiac muscle, at persons of advanced age, etc. The same it is possible to tell rather and in conditions reduced pressure of oxygen in External air: the big height in mountains and by the plane; the insufficient Ventilation of lungs; the serious form of an anaemia; the voluntary Hyperventilation; a number of neurologic diseases (for example, insufficiency, an infection, a trauma, a tumour, etc.

* - Grey Points On A Gum Surface

* - grey points on a gum surface assume a poisoning (sign Burton'). * Pale violet decolouration on a line Gums about a teeth are offered by a poisoning with copper (sign Corrigan'). A dental health estimation After research of gums carefully examine Teeth. Erosion on on a surface assumes caries or deterioration and a tooth. If a gum in this place and nearby red and , Consider probability an abscess. At patients with Fever of not clear origin it is necessary to check up each tooth, To be convinced of absence an abscess. Insufficient hygiene of an oral cavity increases Chances of development of serious medical problems (conditions) of type a pneumonia. The increased intervals between a teeth demand Attention on revealing of possible symptoms . Rather Are informative colouring and stains On a teeth and their colour can help to reveal the whole A number of syndromes. Greenish colour a teeth says that the patient had the obvious Jaundice at children's age. A dead teeth () looks More dark, grey in comparison with other teeth.

Wednesday, April 1, 2009

At Auscultation By A Stethoscope Can To Appear

At auscultation by a stethoscope can To appear easing of sounds of breath over this area, in the same place can To change a timbre a sound. (Pleurisy) Pneumonia (Pneumonia) Bacterial and virus infection of a lung Is called as a pneumonia, at which site inflammation The liquid exit in a pleural cavity in limits can cause pleurae Shares. Thus the pneumonia is represented typical signs of an infection: a fever; ; cough; a short wind and unilateral pains at breath height. (or ) a thorax SUPPLEMENT the diagnosis, Though the typical image of a pneumonia sometimes lags behind the clinical Results for one or two days! In addition can be used Blood tests to estimate weight of disease and its forecast. a pulmonary artery The clot of blood which is moving ahead to a lung for The fatal result can have the patient. Therefore one of the most serious Diagnoses which should be considered always by the doctor at pains in Breasts - a pulmonary artery (). Classical idea is had about displays pulmonary , pleural pains thus + fainting (syncope), character of a short wind (+ anxiety), cough with (coughing up blood =hemoptysis) bloody sputum.

Tuesday, March 31, 2009

3 Periods Of Development, A Maturity And Ageing -

3 Periods of development, a maturity and ageing - * physical working capacity (1993) - on submaximum Physical working capacity; to frequency of warm reductions, and to arterial pressure at height Loadings. 2. On a set of markers * anatomic markers - Method of development of sexual signs, method of a skeletal maturity, method Tooth maturity. 2.2 Physiological markers - a method Dirkena, Method of Fund of scientific researches of radiation, method of Suominena, method , a method of Nakamury II, a method the Cudgel-mintsa, the Institute method Gerontology, a method of physical working capacity, a method of the intellectual Working capacity, a method of physical and intellectual working capacity, Method of bioelectric activity of a brain. 2.3. Anatomic and physiological markers - a method of Damona; 2.4. Physiological and biochemical markers - Morgan's method, method of Borkana, method of Vebstera I, method Vebstera II, Method of Furukavy, method of Nakamury I; 2.5. Physiological and markers - a method of the Vojtenko-turner; According to different methods it is established Uniform law - women have slower rate of the age Changes during the periods of maturing, a maturity and ageing in comparison with Men.

Monday, March 30, 2009

* The Smoothness Of An Inclination Of A

* The smoothness of an inclination of a curve in any is marked Volume of an exhalation of a lung that reflects reduction of a stream exhaled Air. * Duration of the forced exhalation always ; changes are visible at comparison with norm and are reduced in FEV1, FEV3, the relation FEV1-to-FVC, FEV3-to-FVC, and FEF (25-75 %). * There is an insignificant decrease in streams of an air line: FVC-> = 81 % due, but FEF (25-75 %) <65 %. FEV1 Interpretation > 80 % from the due Norm 66-80 % from the due Small obstruction 50-65 % from the due Obstruction of average degree <50 % from the due Strong obstruction Relation FEV1 to FVC > = 70 % from the due Norm 61 - 69 % from due Small obstruction 45 - 60 % from due Obstruction of average degree <45 % from the due Strong obstruction FEF (25-75 %) > = 66 % from the due Norm 50 - 65 % from due Small obstruction 35 - 49 % from due Obstruction of average degree <35 % from the due Strong obstruction Restriktivnye processes in lungs are characterised by following changes: * Configurations volume-time should be considered in dynamics.

Friday, March 27, 2009

These Patients Also Can Have Signs Secondary ,

These Patients also can have signs secondary , when The maintenance of uniform elements of blood (index CBC) increases and Lifts level . Research of function of a thyroid gland often is potential The fatness reason. Fatness, in turn, can bring the contribution in Hypoventilation strengthening. Thyroid gland function by accessible methods Should be estimated at all patients with signs of the alveolar Hypoventilation, including at what are suspected available Hypoventilation of the central origin. The thorax roentgenogram The thorax roentgenogram is necessary in the plan Researches of patients with a hypoventilation syndrome to exclude Illnesses of lungs as the hypoventilation reason. On roentgenograms which help to define Aetiology of a syndrome of hypoventilation of lungs, emphysema symptoms are often visible Lungs, including a smoothness of contours of a diaphragm and, etc. The odnostoronee eminence of a diaphragm can be connected with weakness Diaphragms, a paralysis of nerves or lungs.

Thursday, March 26, 2009

At Auscultation The New Can Be Found Out

At auscultation the new can be found out Warm noise or noise on a course of a large vascular trunk. The diagnosis Aorta aneurysms should be confirmed by an objective method, for example CT a tomography or aortas. If stratifying an aorta aneurysm passes Completely through all three layers walls, it leads to rupture Aortas. It is accident almost always leads to death of patients, Die before hospitalisation. Full death rate from aorta ruptures in the USA More than 80 %. and a reflux The gullet is a muscular tube which spends Food portions from a mouth in a stomach. Bottom from three a gullet Is a specialised part of muscular system, which Functions as similarity of the valve for deduction of a contained stomach from Return to a gullet cavity. If work of this valve is broken (), stomach contents, including sour digestive juice, Can come back, support and irritate mucous a gullet. A gastroezofagalnyj reflux (gastroesophageal reflux disease) It can be shown by sensations of burning in a breast and a pain in the top part Stomach () which rises to a throat and can cause Sensations of sour taste in a drink and in a mouth.

Wednesday, March 25, 2009

The Largest A Bosom (sinus Maxillaris) Settles Down

The largest a bosom (sinus maxillaris) settles down in a body of the top jaw and opens in Average nasal course. The steam room has the form truncated three- is more often or Tetrahedral pyramid; size left and right bosoms At one person can be various. In to a bosom Distinguish four additional deepenings, or bays (malar, Frontal, palatal and alveolar), which depending on degree bosoms can change its form and topographical Parity with surrounding fabrics. The frontal bosom (sinua frontalis) is in Frontal bone, has the form of a trihedral pyramid with the basis turned From top to bottom. It is divided by a partition not always occupying the median Position, on two parts; there are also additional partitions. Walls Frontal bosom sometimes have bone ledges and crossbeams, degree bosoms it is various. The bosom is informed with an average nasal Course. The frontal bosom can sometimes be absent. Klinovidnaja bosom (sinus sphenoidalis), located in a body bones, it is divided Partition on right and left (more often not identical) parts (in the separate Cases there are some partitions).

Monday, March 23, 2009

Diseases. Inflammatory Diseases Of Bosoms Of A Nose:

Diseases. Inflammatory diseases of bosoms of a nose: - Sinusitis (sinusitis) can be sharp and chronic. (The Antritis, Sfenoidit, Frontit, Etmoidit) see. Allergic Diseases of bosoms arise, as a rule, against an allergic rhinitis (Allergic , ). In a clinical picture Rhinitis symptoms prevail. (The Rhinitis, allergic) see. Pneumosine - a bosom stretching (more often Frontal) air, arising when any Formation (for example a polyp or a mucous membrane) In a mouth plays a role of the valve passing air only in Bosom. In some cases the pneumosine can be caused atypically Proceeding at children's age a frontal bosom. Clinically The pneumosine can be shown by local morbidity in area Defeats, - bosom increase. Ways of revealing of syndromes of diseases of bronho-pulmonary system Complaints and questionnaires of an estimation of quality of a life At revealing of any syndromes of diseases of bronho-pulmonary system To become an important point of an estimation of a condition of the patient research Qualities of his life.

The Main Changes Established On A Symposium In

The main changes established on a symposium in Rome include: 1) revision of requirements of structure of time for performance of diagnostic procedures and criteria. 2) changes of criteria in classifications ( For example, rumination - now one of functional gastro-duodenalnyh infringements, a syndrome of a functional belly pain [FAPS] - now a separate category, instead of functional infringement ), 3) addition of pediatric categories. 4) presence of functional diarrhoeia - , as unique and separate infringement. 5) use of subgroups of a syndrome of the angry Thick gut () on the basis of criterion of sequence for Identifications of features of syndrome (for example, prevalence of a diarrhoeia Or a lock). 6) restrictions of criteria for diagnostics of dysfunctions of a bilious bubble and Oddi. Development of Criteria and change of a paradigm for functional infringements . If in the Roman criteria 11 syndrome was It is formulated as "a pain or the discomfort concentrated in the top Stomach "(Nicholas J.

Saturday, March 21, 2009

The Menacing Diagnosis Can Be It Is Made

The menacing diagnosis can be It is made on the basis of a clinical triad: low blood pressure, the bulked up veins of a neck and the muffled warm tones. More in detail sm Pericarditis Aorta diseases (aortic dissection) The majority of cases aorta aneurysms Occurs as long-term consequences badly operated and not Correctly a high pressure of blood at youngish Patients. Other reasons resulting and connected with aneurysms Include: the Syndrome of Marfana Marfan's syndrome; the Trauma; Pregnancy and postoperational complications at operations on an open thorax. Pain at an aorta aneurysm Arises always suddenly and it is often described as intensive or breaking off. As a rule this pain a constant and Its intensity can be connected with deep breath. Of this kind Pains not seldom confuse to pains at heart attacks, sharp or . Basic criteria of the diagnosis is based on Disease stories, consideration of risk factors, Research and the clinical differential diagnosis. Research can reveal unilateral loss or a pulse delay on wrists or feet.

Monday, March 16, 2009

It Is Important To Include Additional Use Oxygen;

It is important to include additional use Oxygen; pharmacotherapy for reduction of obstruction of air lines and To carry out the control over panic conditions. * the expressed short wind demands such procedures As cooling of the person by the fan, and means and not Aggressive ways of ventilation of lungs. * a painful syndrome It is offered as treatment and at other complications. Adequate doses Preparations and intervals for are recommended only at the expressed The pains which are not stopped by other means. Thus it is necessary to remember, That for patients who preliminary used , Dosages should be a little above. Doses should be always increased Necessarily to an individual top limit which allows to assist and simplification of a pain to the patient to comprehensible level. More in detail sm - Am J Respir Crit Care Med. 2008; 177:912-927 History of disease, life and hereditary factors History of disease of respiratory organs often Repeats history of a tobacco smoking of the patient or influence of the professional Factors.

Sunday, March 15, 2009

Patients Use The Various The Lexicon At The

Patients use the various The lexicon at the description of a pain and to the doctor often happens not simply To specify localisation and character of a pain. Questions concerning connected with Pain of signs - sm under references shortness of breath Fever Cough Nausea vomiting Questions concerning risk factors of the patient Risk factors for cardiovascular illnesses (smoking Smoking, a blood high pressure - High blood pressure, cholesterol level - High cholesterol, a diabetes - Diabetes, a family tree-Family history, etc.) Especially it is necessary to allocate risk factors a pulmonary artery! Long confinement to bed and . Recent surgical operation. Crises of bones (Fractures). Contraceptive preparations (Birth control pill) Cancer diseases (Cancer) Risk factors for occurrence aorta aneurysms High arterial pressure of blood Syndrome of Marfana (Marfan syndrome) Syndrome of Ejlersa-Danlosa (Ehlers-Danlos syndrome) kidneys (Polycystic kidney disease) Cocaine consumption (Cocaine use) Pregnancy (Pregnancy) Fizikalnoe research of patients Supplements the basic signs and allows to spend more precisely The differential diagnosis.

Tuesday, March 10, 2009

Productive Or Unproductive (in Norm Is Not Present;

Productive or unproductive (in norm is not present; small quantity - to 30 ml/days; average quantity - 30-100 ml/days; a considerable quantity - 100 ml/days and more. The structure is defined by its place Origins, vagus - or influence, quality and in volume Defeats systems, age of the patient, accompanying Pathology and factors. Types and quantity of a saliva: the Thickness of slime at level Bronchial tubes I, II order-5-10 a micron. Such layer can move particles In weight to 10-12 mg with speed 0, 1 mm for 1 second Approximate structure at the healthy: Alveolar - 80 %; - 10 %; - 10 %). The basic integrated sign of the normal - vjazkost=150-600 (voda=0,01-0,05 ). Viscosity is connected With the maintenance in neutral , , Enzymes and slime. can be: 1. - mucous (to 5 % Dense substances); 2. - purulent (6-10 % of dense substances); 3. - (more than 11 % of dense substances); 4. - watery, foamy, , multilayered etc. Smelling as a dirt usually It is connected with an infection, including with and a pneumonia.

Monday, March 9, 2009

The Form And Topografo-anatomic Mutual Relations With Adjacent

The form and topografo-anatomic Mutual relations with adjacent formations depend on their degree . Vyvodnye apertures bosoms are located in Medial part of a forward wall, is closer to its upper edge, and Open in a nose cavity at level of the back end of the top nasal Course. Trellised labyrinth (laburinthus ethmoidalis) Set of bosoms (cells) of the trellised bone informed among themselves and With a nose cavity. Allocate forward, average and back cells. Lobbies Cells open in average, back - in top, averages - in The top or average nasal course. Cells settle down in 3-4 numbers, Their quantity fluctuates from 5 to 15. Methods of research of bosoms of a nose. In diagnostics of diseases of bosoms of a nose use external examination, Allowing to reveal in the field of projections of bosoms, thresholds of an oral cavity and Hard palate a swelling, soft fabrics, , a fistula. With the help and estimate a consistence of fabrics in the field of a projection of bosoms, reveal their morbidity. Gives the chance to examine nasal courses and nasal bowls, to define Mucous membrane condition, character separated from bosoms.

Saturday, March 7, 2009

Potovye Glands Make With The Years Smaller Quantity

Potovye glands make with the years Smaller quantity of sweat. It worsens a thermoregulation condition. With Age as growth of warts and other stains increases. The additional information on this section in references: hematomas., liver disease, heart disease arteriosclerosis Head. Hair, a scalp, a skull and the person (see More low) Eyes. External structures visually. Mark (dispersing) (foto f6k), (converging) (foto 6i), (up), (from top to bottom) - squint kinds. Internal Structures of eyes can be observed with use in To the blacked out room. Ears. External structures simply look round, and it is possible to examine internal structures of external acoustical pass. Nose and bosoms. The form of a nose and a skin condition outwardly looks round. Mucous a nose and internal structures (a nose bosom) (FOTO 6d) (foto 6e) (foto 6d) can be investigated with use of the special lighter (= a trance illumination) and a nasal reflector. Mouth and a drink lips, gums Look round, Teeth, the sky, language and a drink.

Friday, March 6, 2009

A Mukotselljuljarnyj Road Clearance (production 1-1,5 L A

A mukotselljuljarnyj road clearance (production 1-1,5 l a day). Production begins with alveoluses (, ), further its basic source-bokalovidnye Cages mucous and bronchial tubes. Allocation : in norm - is not present; Small quantity - to 30 ml/days; average quantity - 30-100 Ml/days; a considerable quantity - 100 ml/days and more. can be: 1. - mucous (to 5 % Dense substances); 2. - purulent (6-10 % of dense substances); 3. - (More than 11 % of dense substances); 4. - watery, foamy, , Multilayered etc. the Structure is defined by its place Origins, influence on glands mucous or , Quality and in defeat volume systems, age The patient, an accompanying pathology and other factors. The basic integrated (= uniting) the general sign of the normal - vjazkost=150-600 (voda=0,01-0,05 ). Viscosity is connected With the maintenance in neutral , , DNA-enzymes and slime. A thickness of slime at level of bronchial tubes I, II order Makes usually 5-10 microns. Such layer can move particles in weight To 10-12 mg with a speed of 0,1 mm for 1 (6 mm a minute).

Thursday, March 5, 2009

Are Observed At Albinism, Syndrome German-gudlaka ( Albinism

are observed at albinism, Syndrome German-gudlaka ( albinism with Defects and a diathesis), the Cross-country - syndrome Poppy-kjusika-brina ( albinism with , Development backlog, hypertone of muscles and ). Partial albinism (Piebaldism), inherited On autosom-but-prepotent to type, it is characterised Plaques in frontal area, a forward part of a head (therefore There is a white lock of hair), on a thorax, in the field of knee and Elbow joints. Plaques are caused by local absence or Number reduction also do not disappear. The syndrome of Vardenburga is inherited on It autosomno-is prepotent to type, it is characterised by white locks of hair, Defects of a pigment and skin hypopigmentation, , Wide nose bridge, corners of eyes, congenital deafness. The tuberoznyj sclerosis is inherited on To autosomno-prepotent type, it is characterised by stains as the white Sheet of the small size (1-3 sm), localised mainly on Trunk, fibromatous small knots on a skin of a forehead, a trunk, hands and feet, Intellectual backwardness, epilepsy, small knots in a bark and areas, retinas, hearts, kidneys, lungs and bones.

Tuesday, March 3, 2009

Though It Is Real, Taking Into Account "the

Though it is real, taking into account "the human" factor It is necessary to believe that sensitivity of a method makes about 80 %. Experts NLHEP in such cases to exclude defects at Office , recommend to confirm or reject with the help Full diagnostic with use FVC and FEV1/FVC %, and as measurement of others Volumes and indexes of functions of bronho-pulmonary system. Revealing of a syndrome of hypoventilation of lungs The respiratory system of the person carries out set Functions as major of which are considered: delivery of oxygen from Pulmonary capillary system to surrounding fabrics and body bodies, and Washing away of carbonic gas by a stream of blood from fabrics with carrying over to Pulmonary capillary network. Metabolic manufacture and saturation Fabrics 2 occurs quickly enough and infringements of ventilation of lungs and Washing away from fabrics 2 quickly increases pressure (PaCO2). Alveolar hypoventilation () is defined as The insufficient ventilation conducting to increase PaCO2 (= ).

Monday, March 2, 2009

Preparations Beta-2-adrenergicheskih Receptors (antagonists And ) Long Action

Preparations beta-2-adrenergicheskih receptors (antagonists and ) long action (LABAs), Type formoterol and salmeterol, it is recommended in standards of treatment 2006 GOLD for long therapy and reduction of displays of variety Symptoms COPD. These preparations have the big duration Actions in comparison with SABA (> 12 against 4-6 hours). Relative Time to a floor of a life of these preparations considers daily changes Vegetative regulation during the periods of a dream and wakefulness of patients and Provides the continuous day and night control over a gleam Bronchial tubes. It helps to protect patients from attacks and Constant short wind during the periods of day activity also improves state of health At patients with essential night problems. It is important to note, at appointment formoterol'a Speed of the beginning of action of a preparation makes, usually, about 5 minutes and Is comparable to speed of the beginning of action albuterol'a and even Slightly faster, than at appointment salmeterol'a.

Saturday, February 28, 2009

(= Or A Crunch). As Believe, Occur, When

(= or a crunch). As Believe, occur, when air opens the closed alveoluses. it is listened with some ottenkami: - crude, dry, clear and The rough. Allocate: Crepitatio indux (from an armour. initial) - . - Laenneka noise. (crepitatio; from an armour. crepito To creak, crackle) - sensation or cracklings, Arising at or . gas (with. gasea; . Hypodermic) At soft fabrics or at pressing on them a head The phonendoscope, observed at a hypodermic emphysema. bone (with. ossea) at palpation Crisis areas in early terms after a trauma, caused by the mutual Friction bone . hypodermic (.subcutanea) - sin. - gas. a navel (with. umbilici) - under a skin in Navel areas at perforation of a stomach or an intestines at the patient with Umbilical hernia. (with. tencUnea) - in area vaginas of the sinews, arising at movement; a symptom . Various descriptive terms are used for Descriptions of character and properties . For example, sounds of the rumpled Cellophane (damp, dry etc.), but it is possible to define and so: Faltering weak intensity the sounds accompanying the termination of a breath, Are called .

Friday, February 27, 2009

Further Conduct Research Shei. - The Form, A

Further conduct research shei. - the form, a condition of a skin, hypodermic , (palpated and-or visible) from both parties of a neck and the thyroid gland (thyroid gland) is estimated visually and at . (palpated) External estimation of a condition of a throat and the top part of a trachea Complex of cartilages and the connected structures in the beginning tracheas (trachea) , In pharynx, or a throat. At people and at the majority of other mammals, The press-uniform cricoid a cartilage () forms a basis of a throat and has a rest On a trachea. A cartilage of a thyroid gland which forms visible on a neck Adam's apple (Adam's apple). Behind it are available (pivoting) connection cartilages. Each pyramidal cartilage operates as mobile (movable) a joint for vocal chords and (laryngeal) muscles of a throat which sheaves operate. Other two small connected cartilages, (cuneiform and corniculate), also behind to a thyroid gland cartilage (thyroid cartilage). More in detail sm elastic cartilage; notch; lid.

Monday, February 23, 2009

Rattles (Rhonchi = Sounds Which Resemble On A

Rattles (Rhonchi = sounds which resemble On a snore). They arise, when movement of air streams through the big Air lines (a drink, a trachea, large bronchial tubes) it is complicated or Has a barrier. Rattles - high, the sounds made narrowed By air lines also are more often listened in the end of a breath or in the end Exhalation. The general reasons of occurrence of rattles: the Barrier to an air stream; the Emphysema emphysema; the Asthma; a hypostasis of lungs; Bronchiectasis; Chronic bronchitis Chronic bronchitis; Acute bronchitis Acute bronchitis; interstitsialnye illnesses of a lung; a pneumonia; etc. http://www.cardionics.com; The term "Vezikuljarnoe breath" - Designating the usual normal breath listened in the defined Zones over a thorax. It can be: weakened at: - a spasm Throats; - a congestion of a liquid (air) in a pleural cavity; - Crisis (bruise) of edges; - high standing of a diaphragm (a diaphragm hernia); - To emphysema of lungs; - a syndrome of Pikvika; - the other reasons; the strengthened At: - psychoemotional excitation; - physical activity; - To the raised body temperature; etc.

Friday, February 20, 2009

This Indicator Allows To Estimate An Effective Alveolar

This indicator Allows to estimate an effective alveolar exchange of oxygen and Carbonic gas with the external air environment. 5. Gases blood (the arterial!). Kislotno-alkaline balance and alveoljarno-arterial gradient on To oxygen can be calculated as And - (a gradient in room air) Can be estimated approximately as (150 - pCO2*1.25) - arterial pO2. This gradient And should be less than 9 for age of the patient of 20 years, And for age of 80 years - less than 24. Features of pains in a thorax at diseases of respiratory organs Sources of a pain of a breast Pain sources can appear in various places and result of the various reasons: - In thorax walls, including edges, muscles, nervous fibres and a skin; - In a back part of a thorax, including a backbone, nerves and back muscles; - In lungs, a pleura or a trachea; - An aorta and heart, including a pericardium; - A gullet, a diaphragm with its flat muscles and which separate a chest cavity from the belly; - Reflected and pains from many bodies of type of a stomach, a bilious bubble and a pancreas.

Wednesday, February 18, 2009

Correct And Sufficient Research Patients Supplements The Basic

Correct and sufficient research Patients supplements the basic signs and allows to spend more precisely The differential diagnosis. The chest pain can be initial, primary The complaint and, often, demands detailed research not only chest Cages, but also all organism. Features , for example, with a chest pain syndrome can include researches of patients: Measurement of arterial pressure (BP), frequencies Pulse (PR), frequencies of breath (RR), a body temperature and blood oxygenation Oxygen (O2), etc. At research of a head and a neck allocate: * arteries and head veins * veins of a neck or their swelling, * carotids and bulbs of carotids on presence of noise. a thorax (palpation) At any are identified Anatomic deviations or uglinesses. Symmetry and mutual is estimated Arrangement a thorax. Smoothness of movements the chest Cages, presence or zones of the changed sensitivity, etc. (tactile fremitus ++ 05) a thorax It is necessary to remember that for effective Thorax various technicians are applied.

However, Often Use Of These Preparations Already Is

However, often Use of these preparations already is represented disputable because of good Documentary adverse reactions. Therefore now (theophyllin) are considered as choice preparations The third line after inhalation beta2-adrenergicheskih receptors of antagonists and agents Because of frequency, gravity and types of adverse reactions and them The limited clinical efficiency. Fears concerning the scheme Treatments are connected with its small therapeutic window and The wide range, the toxic effects connected with a toxic dose. The collateral reactions connected with treatment , include Possible fatal and forms , spasms and Convulsions, headaches, a sleeplessness, a nausea and, often, a heartburn. Combinations at treatment . Treatment with application of various means, including with application beta2 - receptors of antagonists, preparations and-or have shown that It is always more preferable to combination to provide Additional improvement of functions of lungs and the general status of health Patients with COPD in comparison with therapy with a unique preparation.

Tuesday, February 17, 2009

, Including Cough "Tea Taste" At . Allocate Also

, including cough "Tea taste" at . Allocate also cough sharp and Chronic (after 3 weeks sharp). Cough can be dry and with Branch . Besides in the various can be included Components - purulent, fibrinous clots or blood elements. I result one of the elementary algorithms of diagnostics of the nature of cough SYMPTOMS DIAGNOSES The help and consultations 1. How cough for a long time has begun? More 3 weeks ago? YES Pass to Go to 12. ** NO 2. How looks at cough - pink, foamy? YES Plentiful foamy pink colour m. At a sharp hypostasis of lungs. YES Immediate hospitalisation on . NO 3. Cough is accompanied transparent or faintly yellow, ? YES To thicket meets at virus infections COLD or FLU. YES Hospitalisation in infectious branch NO 4. has brown, green or other colour? YES Infection of type CHRONIC BRONCHITIS or, at a fever - a pneumonia. YES Additional inspection (, auscultation, ) NO 5. Cough strengthens a short wind and rattles on an exhalation? YES Often at ASTHMA or obstructions of respiratory ways.

Friday, February 13, 2009

Features Of Pains In A Thorax At Diseases

Features of pains in a thorax at diseases of respiratory organs The important basic Sign of many diseases of a thorax and respiratory organs is Intensity, character and duration of a chest pain. Measurement Intensity of a pain strongly depends on set of the reasons, however to The present remains subjective enough criterion. There is variety of techniques, algorithms and the schemes allowing approximately, To floor - in the quantitative way on a special scale (illustration sm) To measure intensity of a pain. Pains at breath. Pains at breath (more often In total are connected with a pleura) it is necessary to distinguish from:) ; Intercostal neuralgia; ; surrounding depriving; Damages of edges; , bruises, etc. SO chest pain principal causes include: Menacing conditions: 1) heart troubles: - Myocardium heart attack; - a stenocardia; - ; 2) illnesses Sosudov:-stratifying an aorta aneurysm; - pulmonary Arteries; 3) illnesses : - ; - gullet damage; 4) illnesses of respiratory organs: - a lung heart attack; - ; - Pleurisy; - a pneumonia.

But That It Is Possible To Consider As

But that it is possible To consider as very accurate genetic marker of an asthma so it is perfect Precisely. It is considered that gene ORMDL3, most likely, not a unique marker Asthmas so research of scientists to proceed for revealing of the others. Look - http://www.nhlbi.nih.gov/guidelines/asthma/index.htm more in detail Emphysema of lungs and risk of cancer diseases At revealing of a syndrome of the raised lightness Lungs (emphysema) which is often complication of any Obstructive bronchitis, bronchial asthma, emphysema and illnesses also is called in English-speaking countries COPD has the major value for the patient and its labour examination. A quality estimation Lives at such patients is under construction on criteria of effects of treatment and Signs of the basic illness. More often in number of signs and criteria Qualities of a life of patients with COPD Include tolerance to physical activity (foot test, or ) and expressiveness of a short wind in rest (+ Test, heterogeneity of breath, , etc.

Wednesday, February 11, 2009

0) Features Stomach Researches At Prospective Diseases . ,

0) Features stomach researches at prospective diseases . , (-536.3) and ( - 537.81) Syndrome insufficiency Criteria of a chronic pancreatitis Diarrheas, the reasons and diagnostics Neurosises of intestines and spastic (-564.0) and other kinds Lock functional ( - 564.81) Syndrome of an angry thick gut ( - 564.1) Revealing of bleedings from and criteria of urgency of intervention Introduction Allocation of separate syndromes at forms of diseases in my opinion it is necessary for an estimation for The best understanding of interrelations clinical and Conditions of patients. Since 2003 year when I began to collect The information on syndromes and symptoms for the book "3000 signs of illnesses ", the large quantity of new data and the data in all has collected Areas and sections of internal illnesses, including in Gastroenterologies. In connection with these circumstances I also have issued" Therapeutic syndromes. GASTROENTEROLOGY 2007-2008 "in the form of the separate Books, having added with its fresh illustrations (32) and references to clips ( More than 100).

Sunday, February 8, 2009

Talley [5]) The Roman Criteria III Reject Such

Talley [5]) the Roman criteria III reject Such definition because diarrheas () usually a condition and 99 % of patients, thus, complain or Inform about more than 2 signs, and more than 80 % of patients Show more than 5 signs. These signs often include a pain in , a heartburn, an eructation sour, etc. Therefore, the committee recommended the following Pragmatical definition: this presence of 1st or Quantities of signs of diarrheas which, occur from gastro-duodenalnoj areas in the absence of any organic, The system reason or infringement of a metabolism which can explain These signs. The list of these signs: * At least 3 months from the beginning of a sign or other signs at least 6 Months (1 or quantity from the following: sensation of the early Saturation or feeling , pains in , a heartburn and Absence of certificates of concrete illness (including researches ) Which, can (possibly explain these signs. Subgroups of symptoms and signs are allocated also, Named a pain syndrome in (EPS) and a syndrome (postprandial) stress (PDS).

Saturday, February 7, 2009

* Additional Use Of Muscles It Is Defined

* Additional use of muscles It is defined as visible reduction - muscles in a cycle Breath. The index of a prediction of necessity of hospitalisation is known The patient with a bronchial asthma = to the SUM for each of 7 factors. Interpretation: a minimum 0; a maximum - 7; an index> = 4 in 95 % Predicts risk of repetition of an attack of an asthma and on 96 % testifies About necessity of hospitalisation of the patient. Fischl MA, Pitchenik A, Gardner LB. N Engl J Med. 1981; 305: 783-789. Society of the Global Initiative of the Asthma (GINA) Offers other scheme for an estimation of gravity of attacks and a current Bronchial asthma. I think, it can help with creation of the individual The plan of inspection and treatment of patients. Classification includes: (1) Unstable signs of an asthma and constants (2), If a sign constant, That it is defined as easy or (to serious). Severity level Symptoms Attacks Night signs Tests PEF and FEV1 From easy to the moderated <1 time a week Short (from hours to .

Friday, February 6, 2009

Colouring On Gram Often Is Offered As The

Colouring on Gram often is offered as the direction indicator Initial therapy by antibiotics. But because of probability of plurality Variants of bacteria, a colouring role on Gram in decision-making on the scheme Treatments remains uncertain. For an estimation of samples , Which needs to be considered visually as having importance, usually In addition such signs as total of cages join More than 10 on the nanometer and is more than 25 leukocytes on nanometer. Patients with the case record Chronic bronchitis and with the beginning of a new aggravation at hospitalisation Can get an infection. The smoking termination The smoking - termination Unique most effective and cheap way to reduce risk The future aggravations of a chronic bronchitis. The acceleration documentation Decrease in FEV1 through (it is more than normal decrease in volume at healthy - 30 mL In a year) - can help to convince smokers who continue to deny, What is the moderate smoking does not cause special anxieties to health.

Tuesday, February 3, 2009

Isolation Of Monkeys Of The Old World (monkeys,

Isolation of monkeys of the Old World (monkeys, macaques, , baboons Etc.) has occurred approximately on 15 million years later. Scientific Value of the found out skull is considerable, as it Only the second skull of this period known for the scientist in region. The excavation truth in a place of Atapuerka nearby From a city of Burgas (Spain) begun still in 1994 , then here for the first time Traces of stay of the Heidelberg person have been found out. Scientists Believe that Homo heidelbergensis, living in Europe of 800-400 thousand years Back, used speech, wore clothes and created instruments of labour. This it is considered one of ancestors Homo sapiens. But, as it was found out Now, the Heidelberg person was not the very first humanoid The inhabitant of caves of Europe. Its imaginary superiority has discredited found out One of these days (2007) before a molar (). Its age not Coincides in due course dwellings in these places of the Heidelberg person. To tooth, at least, 1,2 million years "from a sort".

Considering Prospect And An Audience Of Readers, I

Considering prospect and an audience of readers, I I prefer to make out the books on the basis of popular and accessible Electronic formats not for ` the mass reader ", and in the help To exclusively doctors and students of medical institutions. Any The user, if necessary, can copy free of charge any section of the book and unpack it in a paper variant. All my books are free, but the postage (an envelope-1,5 of dollar, Mark - 2,5 dollars) and magnetic data carriers ( a card and Other) there is what that money. Order or download parts from mine Site-http://www.lighted.lib.ru/h/hramow_j_a Introduction Increase in disease, morbidity and Death rates from a bronho-pulmonary pathology in the World it is connected with the big As quantity of factors, the main things from which are considered pollution Environment, atmospheres, ageing of the population and a tobacco smoking. Practical doctors yet have not realised to the full craftiness of the chronic Bronho-pulmonary diseases, and patients underestimate threat of the harmful Habits and a short wind accruing with the years.

Saturday, January 31, 2009

If The Answer Of The Patient Admits Inadequate

If the answer of the patient admits Inadequate or insufficiently fast, it is recommended additional Inhalation . Application possibility Preparations (theophylline and aminophylline) it can be considered also At serious aggravations COPD, though these preparations and such kind of treatment Remains now disputable. It is connected with cautions, Based on researches of adverse events at treatment preparations. Their use should be considered When shortly operating do not give the adequate answer. Treatment through a mouth or Intravenously in addition to other kinds of therapy it can be necessary, As it obviously reduces aggravation terms. Though advantages and benefit It is enough application of such preparations as extends Duration of treatment also does not improve essentially clinical Efficiency. Besides, such preparations can increase only Risk of complications. Application of antibiotics at an aggravation in current COPD It is shown at patients with obvious increase , presence purulent and increase in its volume.

); Pharmacological Factors And The Reasons: ; Nicotine; ;

); Pharmacological factors and the reasons: ; nicotine; ; ; the progesterone, etc. can be included In this list and Insufficiency of a liver; gramme-negative a sepsis; restoration After metabolic ; a syndrome of hyperventilation and many other things - Pulmonary illnesses: an extensive pneumonia; a pulmonary artery; Hypostasis of lungs and mechanical . If pO2 - <80 mm Hg, - Arterial distinction on oxygen is increased also therapy by oxygen not Corrects a situation-follows to specify suspicions about shunting (at Normal pCO2). pO2 - <80 mm Hg, - arterial Distinction of oxygen is increased also therapy by oxygen corrects a situation, Ventilation of the patient "does not correspond to a blood stream in lungs". The Ventilation index (IV) = the Ventilating index = (PaCO2 in mm Hg) * (frequency of breath in Minute) * (the maximum pressure of air upon a breath in cm H2O) / 1000 Interpretation: the above a ventilation index, the worse ventilation. The third degree of respiratory insufficiency It is characterised by occurrence clinical and obvious Signs of pulmonary heart.

Research Can Show A Moderate Condensation Of Blood,

Research can show a moderate condensation of blood, secondary in relation to . The thorax roentgenogram Radiological data not Always (and sometimes and badly) correlate with signs of an emphysema at patients With a chronic bronchitis. Usually in criteria of an emphysema include signs Hyperventilation, , diaphragms and Thickenings. The electrocardiogram Electrocardiogram signs at a bronchitis Can sometimes include instability and infringements Rhythm, type multicentral tachycardias, Fibrillations with signs "P" pulmonale. BUT the most qualitative for the diagnosis results For a chronic bronchitis give mucous bronchial tubes. A picture At histologic processing a mucous air line Includes cubic , , Signs of an inflammation mucous and a hypertrophy of smooth muscles on Level small (without bases) bronchial tubes. These changes it is possible To qualify as convincing pathological indicators of the chronic Bronchitis. Crops Role of crops at out of Hospital patients with a bronchitis remains limited, especially in Sharp and an illness phase, as cultures of bacteria in not Reflect precisely association of microorganisms in departments of bronchial tubes.

Sunday, January 25, 2009

If At Inspection Of The In A Fever

If at inspection of the in a fever patient, Showing complaints on pains in a thorax, on To the roentgenogram of bodies of a thorax it is revealed pulmonary Fabrics, it is necessary to assume the infectious nature of disease and, in Particulars a sharp bacterial pneumonia. A lung heart attack as a result branches of a pulmonary artery also it can be accompanied Pleurisy. In this case a characteristic clinical sign is . When in the presence of a pleurisy in lungs are absent ochagovo-infiltrativnye changes, it is necessary to assume a post primary Tuberculosis, an abscess, or primary Bacterial pleurisy. Pleural . As a result of a pathology Pleural leaves, and can arise and out of communication with actually Pleura diseases. Distinguish and Pleurisy. At a pleurisy it appears owing to permeability infringement pleurae at its inflammatory or tumoral defeat. Classical example of formation pleural at Pleural leaves stagnant warm insufficiency is. In Last case at the heart of formation pleural lies as Increase of a filtration (secretion) of a liquid a pleura Owing to a hypertensia in system capillaries, and its decrease Absorptions a pleura as a result of increase hydrostatic Pressure in pulmonary capillaries.

Monday, January 19, 2009

It Is Important To Include Additional Use Oxygen;

It is important to include additional use Oxygen; pharmacotherapy for reduction of obstruction of air lines and To carry out the control over panic conditions. * the expressed short wind demands such procedures As cooling of the person by the fan, and means and not Aggressive ways of ventilation of lungs. * a painful syndrome It is offered as treatment and at other complications. Adequate doses Preparations and intervals for are recommended only at the expressed The pains which are not stopped by other means. Thus it is necessary to remember, That for patients who preliminary used , Dosages should be a little above. Doses should be always increased Necessarily to an individual top limit which allows to assist and simplification of a pain to the patient to comprehensible level. More in detail sm - Am J Respir Crit Care Med. 2008; 177:912-927 History of disease, life and hereditary factors History of disease of respiratory organs often Repeats history of a tobacco smoking of the patient or influence of the professional Factors.

Sunday, January 18, 2009

Not Menacing Conditions: 1) Pains; 2) Diseases Of

Not menacing conditions: 1) pains; 2) Diseases of cervical department of a backbone; 3) thorax damages: - Bruises; - crises; - inflammations; 4) infectious diseases: - Surrounding deprive; - epidemic ; 5) diseases Gastroenteric trakta: - ;-aerofagija; - a stomach ulcer; - Cholecystitis; etc. The list of the conditions accompanied by sudden occurrence of the CHEST PAIN: (sudden chest pain): Heart attack; Angina; Anxiety attack; Panic attack; Esophagitis; Pneumothorax; Peptic ulcer; Chest symptoms; Pulmonary embolism; Dissecting aortic aneurysm; Pericarditis; Pancreatitis The conditions accompanied by repeating chest pains: (recurring chest pain): Heart attack; Angina; Hiatus hernia; Lung disease; Chest infection; Lung cancer; Gallbladder disease; Arrhythmias; Anemia; Pernicious anaemia; Aortic aneurysm; Pericarditis; Aortic valve disorder; Da Costa's syndrome; Chondritis; Bornholm's disease; MORE IN DETAIL in Russian in the book "Additions to bases of diagnostics of syndromes of internal illnesses" the SAMIZDAT, 2008 I will result some examples on features of diagnostics of a syndrome of a chest pain The pleurisy - the Lung slides on the chest To wall at deep breath and both surfaces ( and ) have the thin layers named a pleura.

Saturday, January 17, 2009

) * Recommendations According To Legochno-warm Insufficiency * Research

) * Recommendations according to legochno-warm insufficiency * Research of other functions of bronho-pulmonary system. Terms, reductions, specifications and formulas of settlement sizes for an estimation of functions of breath More in detail sm http://www.ventword.com http://www.vh.org / an index (Ap/gip .) - average quantity of episodes and for one hour of a dream. (. , , apnea)-10 and more second respiratory standstill. blood oxygen - normal The oxygen maintenance in blood from 90 to 97 %; at the maintenance 89 - 85 % - Moderate decrease; 84 - 80 % - serious decrease; less than 80 % - very much Serious decrease. - 50 % and more decrease in a stream of air in respiratory ways for 10 and more seconds. Or - 3 % and more decrease (saturation) of blood by oxygen. - subjective feeling of shortage Air, difficulty or difficult breath. Patients often speak - "not I can receive satisfactions from breath ". Due vital capacity of lungs (sin. - ; cVC) = 0,1626 growth (inches) - 0,031 x age (years) - 5,335 For men.