The treatment in ulcerative hemorrhages in patients with liver cirrhosis and portal hypertension

Treatment of 34 patients with bleedings from chronic gastroduodenal ulcers associated with cirrhosis of the liver and portal hypertension was analysed. Overall lethality was 41.2%, postoperative lethality was 41.7%. Temporary hemostasis due to a solution of Caprofen used during fibrogastroduodenoscopy allows the operation to be delayed and complex intensive therapy can be performed in patients with hepatic insufficiency. Control medical endoscopic investigations should be performed 4 and 12 hours after admission to the hospital of patients with sub- and decompensated cirrhosis of the liver with portal hypertension and symptoms of unstable hemostasis. The emergency and delayed operative treatment of patients with subcompensated hepatic insufficiency should include organ-saving operations such as vagotomy with pyloroplasty and/or dissection of the ulcer. Operation is indicated to patients with cirrhosis of the liver at the stage of decompensation but if they have evident reappearance of bleeding and in minimal volume. The attainment of final endoscopic hemostasis will allow to avoid surgical interventions intolerable for this category of patients.     

The use of adaptive-repositioning apparatus for the closing of granulating soft-tissue wounds

The authors propose a new method of closing granulating wounds by attaching its edges with the help of an adaptation-reposition apparatus. This method was used in treatment of 53 patients with granulating wounds of different localization. Good results were noted in 88.7% and satisfactory ones in 11.3%. The method was shown to be highly efficient as compared with the control group.     

A "neuromyo-test-response 01" device for neuromuscular function control during anesthesia

The paper outlines the technical data and procedure of using a new "neuromyotest-response-01" device designed by the Novye Pribory (New Devices) Medical Engineering Center (Samara) for estimation of the level of neuromuscular block.     

The measurement of the dynamic range of digital systems for visualizing x-ray images

The paper presents a procedure to measure the dynamic range of digital X-ray image visualization systems, which is used for acceptance and certification tests of this class of equipment. The procedure is based on the use of experimental dependences of transmission of a narrow X-ray beam on the thickness of an aluminium or copper absorber (filter).     

Effects of water use conditions on cancer morbidity

The study demonstrated that the cancer situation is tense in the Tsimlyansk area and it can be referred to a high malignant tumor morbidity and mortality zone. The sources of water supply of populated localities may be involved in the formation of malignant tumor morbidity rates.     

Diagnosis of formaldehyde allergy

Exposure to small-dose environmental agents is a risk factor of immunopathological reactions. The levels of formaldehyde-specific IgE were comparatively analyzed in 50 children of whom 25 live in the area exposed to formaldehyde. Children with varying respiratory allergic reactions comprised a study group. To identify allergen-specific IgE, the authors used a method that determined formaldehyde antibodies by using the tested allergen (formaldehyde on the paper). There were significant group-specific differences in the levels of formaldehyde antibodies (3.8 times higher in the study group than in the controls). Combined therapy substantially reduced specific IgE whose levels returned to the levels observed in the controls. The findings may recommend the use of this test for the diagnosis of immune-depended abnormalities and the evaluation of their effective treatment.