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The 3rd place had been clinically determined to have open fractures. They accounted for 15% in 2018; in 2017 – 9.1% and in 2016 – 4.7%, correspondingly. We now have examined the characteristics of the incident of accidents with time. Through the dynamics we realize that the top of damage takes place from 6.00 am to 12.00 pm. The dynamics associated with the incident of accidents by the seasons of the year had been additionally assessed. Frequently, folks are injured in springtime.Acute thrombophlebitis regarding the shallow veins is an urgent issue as it can spread to the deep veins with all the subsequent development of pulmonary embolism. The social ramifications of varicotrombophlebitis would be the lasting disability of most clients as much as full disability, therefore finding the least invasive ways of modification associated with discussed condition is a pressing issue of modern-day phlebology. The study goal would be to perform a comparative evaluation regarding the quality of life of patients with severe ascending thrombophlebitis regarding the great sapheneous vein after therapy with high-frequency endovenous welding and standard phlebectomy. The results of remedy for 63 customers with acute ascending thrombophlebitis of great saphenous vein (GSV) with III and IV class of thrombophlebitis, who had been hospitalized into the surgical wards of the Municipal Clinical Hospital No. 8 of Kyiv from 2017 to 2018, were examined. Welding of this thrombotic vein section had been performed utilizing an endovenous welding catheter (WC). Quality of life (QOL) outcomes were assessed using CIVIQ2 (Chronic Venous Insufficiency Questionnaire). According to ultrasound duplex scanning, total vein ablation took place 97.22% of customers after endovenous welding (EW) of thrombotic GSV. In all clients of Group We already on time 2, the total rate of QOL by all factors (pain, actual, social, psychological) dramatically (p less then 0.05) surpassed the presurgery values and had been 79.3%, when before treatment this signal was 4.3% greater. At follow-up, QOL values carried on to boost over all observance periods set alongside the previous term (p less then 0.05). Standard of living constraint in connection with discomfort, social and emotional factors after EW reduced 2.1 times(p less then 0.05), when in charge group patients – just 1.2 times. The disclosed features of the method of high-frequency endovenous welding by all signs of standard of living over standard phlebectomy allow recommending this method for large useful application.The purpose of the study would be to determine the indicator when it comes to method of open abdomen-open necroseqtomy when you look at the complex treatment of acute pancreatitis. 74 patients aided by the analysis of acute pancreatitis were chosen for the treatment. Patients were divided by extent of disease mild intense pancreatitis – 29 clients were addressed by conservative strategy; moderate acute pancreatitis – 29 customers were treated by using techniques 17 clients – by conventional technique; 4 customers by conservative treatment with fasciotomy; 8 patients – by open abdomen strategy without fasciotomy after traditional treatment. Serious acute pancreatitis – 16 customers had been treated by using practices 2 customers by open abdomen method with single necroseqtomy and sanitation after fasciotomy, 8 patients – because of the way of available abdomen from which 3 clients required an individual necroseqtomy and sanitation, 3 clients had a double necroseqtomy and sanitation and 2 clients three and four times the necreseqtomy and sanitation were utilized with a fastener, 6 patient had been addressed conservatively. We identified sign and contraindication for treatment of extreme acute pancreatic necrosis by available necroseqtomy. Indications 1) Pancreatic and/or peripancreatic necrosis (considering contrast-enhanced powerful CT scan) difficult by documented illness (guided FNA culture or extraluminal retroperitoneal gasoline). 2) Sterile necrosis with progressive clinical deterioration despite maximal treatment. Contraindications 1) Pancreatic and/or peripancreatic necrosis without evidence of disease or clinical deterioration. 2) Early procedure (within a week from start of intense pancreatitis) before the systemic inflammatory response problem (SIRS) is stopped and intensive traditional treatment solutions are however required.BACKGROUND Diabetes poses hefty economic and personal burdens worldwide. Cellphone applications show great possibility of diabetes self-management education. But, there clearly was minimal evidence for the effectiveness of supplying general diabetes education through mobile apps. OBJECTIVE The aim for this research would be to make clear the potency of Lilly associated Care system (LCCP) app-based diabetes education for glycemic control. METHODS This retrospective cohort research included customers with diabetes recruited towards the LCCP system from September 1, 2018, to might 31, 2019. Each patient ended up being followed for 12 weeks. In accordance with the amount of diabetic issues knowledge courses they had finished, the customers were divided into the following three teams team A (0-4 classes), group B (5-29 courses), and team C (≥30 courses). The primary effects were the change in blood glucose during the 12th week compared with baseline tubastatina inhibitor plus the differences in blood sugar at the 12th few days among the list of three teams.