#31
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Öèòàòà:
È òåì íå ìåíåå, â ýòîé êëàññèôèêàöèè ïðèñòóòñòâóþò: Öèòàòà:
À åñëè ïîïûòàòüñÿ ïîíÿòü ñìûñë ñëåäóþùåé ôðàçû: Öèòàòà:
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#32
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Àëåêñàíäð! Âîïðîñ, ÷òî íàçûâàåòñÿ íå â áðîâü.... Óâåðåí, ÷òî Âàì èçâåñòíà ñóøåñòâóþøàÿ äèõîòîìèÿ â "öåõó âîäîïðîâîä÷èêîâ", êàê çäåñü íàçûâàþò ñîñóäèñòûõ õèðóðãîâ. Íåêîòîðûå ìíåíèÿ î öåëåñîîáðàçíîñòè õèðóðãèè âàðèêîçà âûñêàçûâàþòñÿ ø¸ïîòîì, ïðè îáøåì ïðèçíàíèè ôàêòà, ÷òî áîëüøàÿ ÷àñòü âåíîçíîé ïàòîëîãèè - óäåë (äîáû÷à) ÷àñòíîé "åñòåòè÷åñêîé" õèðóðãèè - ïîëÿ, ïðèíîñÿøåãî ôàíòàñòè÷åñêèå äîõîäû âñåì ó÷àñòíèêàì, íà÷èíàÿ ñ ôàðìàöåôòè÷åñêèõ êîìïàíèé.
Âñ¸ åòî íà ôîíå îòñóòñòâèÿ ìîøíîé äîêàçàòåëüíîé áàçû â îáîèõ ëàãåðÿõ è ìíîæåñòâà ëè÷íûõ èíòåðåñîâ. Ñòðîãî ÈÌÕÎ, ïðîõîäÿò äâà ïðîòèâîïîëîæíûõ ïî íàïðàâëåíèþ ïðîöåññà: óâåëè÷åíèå îáü¸ìà â åñòåòè÷åñêîì ñåêòîðå è îáðàòíîå â êëèíè÷åñêîì.  ïðèíöèïå, âñÿ ñîñóäèñòàÿ õèðóðãèÿ â íàñòîÿøèé ìîìåíò íàõîäèòñÿ â ñòàäèè ìåòîäîëîãè÷åñêîé (è èäåîëîãè÷åñêîé) òðàíñôîðìàöèè. |
#33
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Ñëîæíîñòè ñõåì, ñâÿçàííûõ ñ âíåäðåíèåì ïðåïàðàòîâ íà åñòåòè÷åñêèé ðûíîê ÷àñòè÷íî îáîáøåíû àíàëèòèêîì:
BTG manufacture nothing, not even Varisolve, they created a 100% owned company called Provensis to do that for them. What they do is take promising tech from universities etc, wrap it in IP then license it out to whoever wants to take it up. Take up can take some time. In return they get 10-15% in royalties on marketed products (some don't make it) of which approx. 42% is shared back to source (ie the universities). In addition, milestone payments as the tech develops are often negotiated to cover BTG costs in case of failure. Finally, as IP experts, BTG sometimes persue via litigation for 'back pay' with patents they obtain. The idea is that the strongly IP'd tech will generate consistent royalties over the patent life, so of course the more tech that reaches the market the more royalties BTG get. Hence in theory BTG is essentialy a company looking to grow as a bridge between the source and the market on the back of IP expertise broadly ensuring royalty streams |
#34
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"Ðàñøèôðóéòå, ïëèç, "ñîâåòû ïî êîíñåðâàòèâíîé òåðàïèè"?"
Sheffield Vascular Institute Advice to patients about CONSERVATIVE TREATMENT OF VARICOSE VEINS Why treat varicose veins conservatively? Varicose veins are usually harmless and seldom cause serious medical problems. Following the advice below may be quite enough to alleviate your symptoms. Although varicose veins can get worse over the years, this happens very slowly. Worry that they might get worse is not a good reason for treatment if the veins are not causing symptoms. It is best to avoid other treatment if you can avoid it. Weight: Being overweight increases symptoms from varicose veins and may make the veins get worse more quickly. When you attend the clinic, we will tell you your ideal body weight. If you are heavier than this, then you are advised to lose weight, aiming at your ideal figure. Exercise: Regular exercise of any kind is a good idea. Walking is excellent, but any leg exercise is beneficial (jogging, cycling, swimming, etc.). Long hikes (e.g. “walk three miles”) are not necessary as shorter, yet frequent, exercise is quite adequate. Work: Jobs that involve prolonged standing make varicose veins worse. If you have to stand for long periods, then wear support stockings. Going for short walk during breaks during the working day will also help. Pregnancy: Varicose veins often first appear in pregnancy and further pregnancies tend to make them worse. Make sure that you wear support stockings, especially in the later stages of pregnancy, and after delivery. Elevation: Putting your feet up helps to relieve symptoms, especially at the end of the day. You should aim to get your feet at least the same level as your hips e.g. up on the end of a sofa or another chair. Drugs: Some people find that soothing creams containing peppermint, menthol or horse chestnut provide relief from itching and aching. Quinine tablets can help relieve night cramps. Support stockings or tights: Support hosiery helps to counteract the high pressure in the veins and relieve symptoms, but they must be well fitted and comfortable. Support stockings are available either on prescription at the hospital orthotic department, or on sale at chemists and surgical appliance stores. Below knee graduated compression stockings are usually adequate, but full length ones are available. For men, below knee support stockings are made in a variety of colours, which look like ordinary long socks. Open toe versions are also available which can be worn under socks or tights. Support hosiery is graded as Class 1 (often enough to control aching from varicose veins), Class 2 (medium strength, and most often prescribed by specialists), and Class 3 (very supportive, and generally for people with serious symptoms such as ulcers). What is the Sheffield Vascular Institute? The Sheffield Vascular Institute is one of the largest vascular centres in Europe. We specialise in the treatment of all circulatory conditions affecting the arteries, veins and lymphatics. If you wish to find out more about the Sheffield Vascular Institute then look under the Guide to Services of the Sheffield Teaching Hospitals NHS Foundation Trust website ( [Ññûëêè äîñòóïíû òîëüêî çàðåãèñòðèðîâàííûì ïîëüçîâàòåëÿì ] ) |
#35
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Ìíå áû î÷åíü õîòåëîñü îçíàêîìèòüñÿ ñ ìåòîäîëîãè÷åñêèìè ðåêîìåíäàöèÿìè, îïðåäåëÿøèìè òàêòèêó âåäåíèÿ á-õ ñ âàðèêîçîì íà Óêðàèíå - áóäó áëàãîäàðåí çà èíôîðìàöèþ.
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#36
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Îãëóøèòåëüíîå ìîë÷àíèå. Î ïðè÷èíàõ ìîæíî òîëüêî äîãàäûâàòüñÿ:
- Íèêàêèõ óêàçiâîê íåò. Ñòðàíà â æ...å, à âû î âàðèêîçå. - Îíè èìåþòñÿ, íî íàñòîëüêî ïëîõè, ÷òî èñòèííûé îäåññèò èõ íå îáíàðîäóåò. - Âîïðîñ áûë çàäàí íå ïî ôîðìå - Åñëè Âàì äåéñòâèòåëüíî íóæåí ìîé ñîâåò, ñîáëþäàéòå "Ïðàâèëà êîíñóëüòàöèé" - Îòìå÷åííàÿ ðàíåå "Êóëüòóðà ïðèâîçà". |
#37
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Åâãåíèé Àðêàäüåâè÷! Ïèòåðöû òðàäèöèîííî îòëè÷àëèñü âåæëèâîñòüþ, òàêòîì, èçûñêîì â îáøåíèè (çàáûâàþ ðåìàðêó Â.Èíáåð) è íàäåþñü ïîëó÷èòü îòâåò îò Âàñ.
Áóäåòå ëè Âû íà ëåòíåé êîíôåðåíöèè â Ñàìàðå, êàêèå îæèäàåòå äîïîëíåíèÿ/èçìåíåíèÿ ê ñóøåñòâóþøèì ðåêîìåíäàöèÿì ïî ëå÷åíèþ âåíîçíîé ïàòîëîãèè, ïðèçíàåò ëè èõ åñòåòè÷åñêèé ñåêòîð? Ñïàñèáî. |
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#38
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 Ñàìàðå, êîíå÷íî, áóäó. Íîâûå Ðîññèéñêèå ñòàíäàðòû âûïîëíåíû â íîâîì äëÿ íàñ ôîðìàòå è ðàçðàáàòûâàþòñÿ ñ ó÷åòîì íàîïëåííîãî â ìèðå îïûòà, â òîì ÷èñëå ñ ó÷åòîì ïîñëåäíèõ Åâðîïåéñêèõ ñòàíäàðòîâ è èõ íàó÷íîé áàçû. Ýòî ñîâåðøåííî íîâûé äîêóìåíò, òàê ÷òî îá "èçìåíåíèÿõ" ãîâîðèòü íåâîçìîæíî. Èñõîäíûé ìàòåðèàë ñîñòàâëÿë îêîëî 250 ñòðàíèö òåêñòà.
Íà îáñóæäåíèè â äåêàáðå 2008 ãîäà áûëè äîâîëüíî æàðêèå äèñêóññèè ïî ðÿäó âîïðîñîâ. Îáçîð - îò÷åò ïî ýòîìó ïðåäâàðèòåëüíîìó îáñóæäåíèþ äîëæåí âûéòè â îäíîì èç ïðîôèëüíûõ æóðíàëîâ â áëèæàéøåå âðåìÿ. Íå óâåðåí, ÷òî íîâûå ñòàíäàðòû ïðèäóòñÿ ïî äóøå âñåì, íî èõ ðàçðàáîòêà è ïðèíÿòèå - áåçóñëîâíûé øàã âïåðåä. Çà ýñòåòè÷åñêèé ñåêòîð îòâåòèòü Âàì íå ìîãó. |
#39
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Ñïàñèáî. Äóìàþ, áóäåò èíòåðåñíî (ìíå âî âñÿêîì ñëó÷àå) ïðîäîëæèòü íàøó óâëåêàòåëüíóþ äèñêóññèþ ïîñëå "Ñàìàðñêîãî ïåðåâîðîòà".
Íàäåþñü, ÷òî òîãäà ìîÿ åðåñü "...÷åì òîò âîðîõ áåñïîëåçíûõ öèòàò, êîòîðûé Âû ïðåäñòàâèëè" (ñ), áóäåò êàêèì-òî îáðàçîì èíäóëüãèðîâàíà. Óñïåõîâ. |
#40
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Öèòàòà èç ïðåäûäóùåãî ñîîáùåíèÿ - "...Quinine tablets can help relieve night cramps. ...". ß ïðî ýòî íèêîãäà íå ñëûøàë/íå ÷èòàë!!
Êòî-íèáóäü ðåàëüíî ñòàëêèâàëñÿ ñ óïîòðåáëåíèåì õèíèíà äëÿ îáëåã÷åíèÿ íî÷íûõ ñóäîðîã ïðè ÕÂÍ?, íàçíà÷àë-ëè? Åñëè - äà, òî ïîäñêàæèòå - â êîêîì âèäå, â êàêèõ äîçàõ åãî ïðè ýòîì ìîæíî èñïîëüçîâàòü? |
#41
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 ðåàëå íå âñòðå÷àëñÿ ñ òàêèì ëå÷åíèåì. Ïîèñê â PubMed ïî êëþ÷åâûì ñëîâàì "quinine leg cramps" äàåò äîâîëüíî ìíîãî ïóáëèêàöèé, â òîì ÷èñëå ïîëíîòåêñòîâûõ, â òîì ÷èñëå ñ äîçèðîâêàìè. Êàê ÿ ïîíÿë ïðè áåãëîì ïðîñìîòðå - äàåòñÿ â òàáëåòêàõ.
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