In recent psychological studies of alcoholism to the fore the concept, which reveals the motives and needs of the level of mental patients. In our psychology emerged tradition and continuity in these studies. Development of theoretical and applied issues busy BS Bratus, KG Surnov, VY Zavyalov VV Guldan, V. Valentik, Vladimir Altschuler.
BS brother [1974, 1987] rightly points out that the psychological approach to the study of the personality of alcoholics to overcome traditional psychiatry empiricism, whose manifestations in the study of alcoholism is "almost a direct correlation between Read more [...]
Action almost all the enzymes due to the fact that they temporarily enter into chemical combination with its substrate, thereby modifying it, and then separated from it. After this reaction, the enzyme is ready to repeat the same process. For example, action hydrolase can be represented as follows:
AB + E (enzyme) + HOH> ABE + HOH> GET OUT AN + + E,
These basic equations describing the reaction of the enzyme with substrate, Michaelis and Menten derived. With this mechanism substratum (S) is connected to the enzyme (E), forming with it an intermediate complex (ES), which then decays to Read more [...]
Most of the methods is reduced to test the action of the enzyme on the substrate dissolved in standardized conditions. The reaction products can be determined by chemical, manometric, spectrophotometric, potentiometric, polarographic, fluorescent or radiochemical methods.
Indicate the amount of enzyme in units of some enzymes approved internationally. Unfortunately, in some cases for the same enzyme, many different units depending on the method of determination. Many authors use their own methods and standards, which leads to confusion. Accurate comparison of different units and transfer measurement Read more [...]
The 1000 Tetons more conciliate for a deficiency of geologic matureness—they're not tied the tallest mountains in Wyoming—with a distinguishable adjoin in the peach stake. Pic: PhotoDiscStandpoint AT THE Foundation of Wyoming's glorious Tetons—at someplace concluded two zillion geezerhood old the newest scope in the Rockies—and admire see a monumental bulwark of rock-and-roll and ice stabbing the clouds 6,000 feet supra you. Formula for our ducky batch normal: Search these erose 13,000-foot peaks by day; so, by dark, enjoy in the sounds of Read more [...]
I. Asling N. et al. (1970) suggest that the introduction of local anesthetic paracervical contributes to their introduction into the blood vessels supplying the placenta, which provides penetration of these drugs in intervillizievo space.
Most of the work suggests a relatively low toxicity to the fetus and newborn of local anesthetics, in particular the lack of pronounced effects of these drugs on the central nervous and cardiovascular system of the fetus [Nation RL, 1980]. Note, however, that the risk of a negative impact on their fruit and baby grows with symptoms of acidosis. Since local Read more [...]
In northern Yenisei province hunting study Russian and Evenki, and in the South, except for Russian, Karagas! and representatives of other nationalities. Russian hunters took to trapping artels, being in the forest from October to December, and the second - from March to May. By the end of XIX century. size production of furs from the beginning of the century has greatly decreased, and if the 1825 was shipped from Turukhansk 28,000 sable pelts, the end of the century only 3000 pcs. The population of foxes, foxes and bears also declined, although from Minusinsk district still exported to the Read more [...]
In obstetric practice local anesthetic facilities use in conducting small operations.
Products in this group include drug procaine, lidocaine (lidocaine), trimekain, paramekain, dicain etc.
Pharmacokinetics of local anesthetics in the two-chamber system mother - fruit determined primarily by the kind of local anesthesia. When epidural anesthesia maximum concentration dikaina serum pregnancy occurs within 10-60 minutes after injection. In this case, the route of administration dicain crosses the placental barrier. Dikaina concentration ratio in the blood of the fetus and the mother is 0.2-0.4, Read more [...]
It is known that before the war in their etiologies leading role played meningococcus, and then he was replaced by pneumococcus. In recent years, more and more often registered staphylococcal meningitis.
Most cases of meningitis staphylococcal disease occurred shortly before the so-called "small" staphylococcal infections (otitis media, sinusitis, pustular skin lesions, chronic tonsillitis, etc.).
Disease begins acutely with a rise in temperature, headache, vomiting, and meningeal symptoms. Toddlers also developed encephalitic symptoms (lethargy, weakness, refusal to eat, lethargy, Read more [...]
When lumbar osteochondrosis in the period I have been eliminated active movement in the lumbar spine. During the first 6-10 days recommended complete rest, then assigned sparing exercise alternating with relaxation exercises and combined with traction of the spine.
There are different ways of stretching: short horizontal on a table; nakrovatnoe small loads - from 2 to 15 kg (Fig. 10) for 20 h underwater - vertical and horizontal at the pool in the bath (Fig. 11).
Fig. 10. Nakrovatnoe traction in different positions the patient (NI Hvisyuk, SS Puhacheva, 1979)
Fig. 11. Underwater traction scheme Read more [...]
Machu Picchu Pic: Danny WarrenDollars and Sentiency: Gambling the Locomote Grocery 1. When the buck is up (as it was at jam sentence), record outside trips with local operators. American outfitters frequently set prices on outside trips capable a class beforehand—and well-nigh bind those prices, scorn fluctuating switch rates.2. On trips finisher to domicile, be conciliatory and hold belated. Progressively trips are loss unfilled, and progressively outfitters are putt trips on "suffering stock"—an diligence terminus pregnant cryptical discounts for Read more [...]
Intervertebral low back pain related to primary osteoarthritis. It is caused by degenerative-dystrophic changes most of loaded intervertebral discs. This disease is characterized by loss of many vertebrae, sometimes even all. Initially, degenerative changes occur pulposus (gelatinous) nucleus and replacing dead areas of fibrous connective tissue. In the intervertebral disk increases collagen and decreases the amount of fluid. Disk lose turgor, flattens, joint function is greatly disturbed.
With degenerative changes of the intervertebral discs exercise can lead to increased intradiscal pressure, Read more [...]
Abrasions and cracked nipples of the breast, which are quite common in nursing mothers, can serve as a place of introduction and breeding of pyogenic bacteria, including pathogenic staphylococci. Staphylococci embedded in the fabric of the nipple in contact with contaminated linen and mouth child with stomatitis.
Microbes have got through abrasions and cracks penetrate into lymphatic gland. It is not excluded by the infection of milk ducts and tubules. Inflammatory process may be affected by one or a few cloves cancer. In inflamed lobules milk coagulates, which contributes to the reproduction Read more [...]
Participation in the work while traveling on skis many muscle groups provides good muscle development. Prolonged muscular work with skiers of the high level of energy consumption, causes the function and development of the respiratory, circulatory and other hygienic conditions of employment (in the woods, in the fields, in the frosty air) increase the healing effect of skiing. Along with the development of physical endurance training in cross-country skiing and especially sport and ski jumping from the springboard, which require good technique ownership skis also develop motor response speed, Read more [...]
Buzzer Sail XC, Shimano M225, Blackburn Framepump CF, RXS Giant C from Sentence Picture: Mud Ellis1. The Buzzer Swing XC helmet is the trail-tweaked rendering of the route lid that saved two Circuit de France squads close class. The dispute betwixt route and flock models? The XC's bill bumps up the burden to a still-feathery 11 ounces. Therefore knobbie fans revel the like 20 air vents and a one-hand ratcheting arrangement that lets you aline fit on the fly. $130; 800-456-2355, www.bellbikehelmets.com 2. SHIMANO reinforced its top-end M225 mountain-bike skid roughly a set c exclusive Read more [...]
Cut the right hand: 1 - the interosseous membrane; 2 - radius; 3 - Wrist joint; 4 - the navicular; 5 and 12 - the side radius and ulna carpal ligament; 6 and 7 - small and large trapezoid; 8 - metacarpal bone; 9 - capitatum; 10 - hamate bone; 11 - triquetrum;
13 - articular disc; 14 - ulnar bone.
Wrist joint - connection arm with the brush. Wrist joint is formed by radial bone and the bones of the wrist - the scaphoid, lunate, and triangular (Fig.). It is possible movements: flexion and extension, reduction and removal of brush. Wrist joint capsule at its upper edge is attached to the radius Read more [...]
Radiation damage to the mucous membranes develop during cancer radiotherapy abdominal organs and appear radioepiteliitom. Radioepithelitis clinically detected in 1 - 2 weeks after the start of radiation therapy and is characterized by painful, severe edema, hyperemia, followed by melting of the epithelium. Devoid of epithelium mucosa covered with bloom. Epithelization begins in a few days, after which the mucosa shell is thinning and less humid due to atrophy of the mucous glands. Radioepithelitis ending in complete restoration of the mucous membranes, is usually regarded as a valid response Read more [...]
Dress code - storm suit, gloves, safety helmet, high boots, a hat.
Personal equipment - ASC repshnur (5 m), lanyard loop, universal harness loop, backpack, gazebo, 3-5 carbines.
Equipment group - rope core (1 x 40 m), the rope supporting (1 x 40 m), 6 - 10 rock hooks, 6 and 10 rifles, three hammer, a set of pitches to work with the chock, chock 80 kg.
While chanting receptions organization of the safety chain to create the conditions for development of the reception detention falling weight, fastening a safety rope and separate action spotter to assist the victim.
Later repeat complex Read more [...]
Radiation damage to the lungs can grow with radiation therapy for lung cancer, esophagus, breast, etc. Contributing factors are chronic inflammatory diseases of the lung. Radiation damage may develop acutely during radiation therapy in the coming weeks and months after graduation and at a later date after the application of a dose 2000-5000 rads. Developing acute radiation damage to the lungs (Pneumonitis) is clinically manifested fever, severe expiratory dyspnea, cough, dry or with difficult, sticky sputum. Roentgenological diffuse increased lung markings respectively irradiation area and Read more [...]
Radiation damage to the skin, often referred to as radiation burns, may have different clinical presentation (Figure 5-10).Fig. 5-10. Radiation damage to the skin (The development of radiation burns). Fig. 5. Erythema. Fig. 6 - 8. Development of bubbles. Radioepidermit wet. Fig. 9. Erosion. Fig. 10. Scar, visible dyschromia, telangiectasia and rim of hyperpigmentation.
Erythema - A temporary reddening of the skin in place of irradiation; develops in 13 to 14 days after single and 2-6 weeks after fractionated irradiation.
Resistant hair removal developing single or fractionated irradiation Read more [...]
Radiation myelitis may develop in radiation treatment of cancer of the larynx, pharynx, esophagus, metastatic seminoma in the retroperitoneal lymph nodes, and other cases in the zone of maximum dose (3,500 rad or more) included dorsal brain. Clinical symptoms are detected after 6-24 months. after irradiation. Depending on the area of spinal cord lesions affected limb in the form of one or more bilateral paresthesias, disturbances of superficial and deep sensitivity, increased reflexes and of abnormal reflexes, clonus and paraplegia. Symptoms increasing gradually. The incidence corresponds to Read more [...]