Сергій Дубров - Academia.edu (original) (raw)
Сергій Дубров
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UNIVERSITY OF MEDICINE AND PHARMACY CAROL DAVILA BUCHAREST
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Papers by Сергій Дубров
ScienceRise, 2015
Aim of study: To describe the basic principles of polytrauma patients' care at the stages of trau... more Aim of study: To describe the basic principles of polytrauma patients' care at the stages of traumatic disease. Materials and methods: An analysis of the treatment of fractures of 1285 patients with combined and multiple musculoskeletal injuries for the period from 2012 to 2017 was carried out. The studied population consisted of men-874 (68%) and women-411 (32%). The average age of patients was 42.7. The number of road accidents prevailed (53.6%) over catatrauma (32.5%). Results: In order to follow damage control low invasive osteosynthesis techniques have been preferred. Such methods provided reliable bony fragments stabilization with the possibility of avoiding additional external fixation. At the same time early range of motion exercises had been allowed. In order to prevent traumatic disease reposition and osteosynthesis had been performed as soon as it was possible. The osteosynthesis for the medial femoral neck fractures was rational only in the acute period of trauma. Conclusions: When correcting the lesions of bone structures in victims with polytrauma, operational benefits differ little from those in isolated trauma.
Aim : the evaluation of antiemetic effect of bilateral blockage of superficial cervical plexus at... more Aim : the evaluation of antiemetic effect of bilateral blockage of superficial cervical plexus at the background of general anesthesia by sevoflurane or propofol in the complex of anesthesiology management of patients, who undergo thyroidectomy under conditions of specialized endocrinology center. Materials and methods . Patients are divided in 2 groups: the group of balanced analgesia (BA) -88 patients, control group 87 ones. Depending on the type of general anesthesia – inhalational by sevoflurane (S) or TIVA by propofol (P) patients were divided in subgroups BA –S-44 patients, BA-P – 44, C-S – 46 patients and C-P – 41 patients. In subgroups BA-S and BA-P was used the complex of balanced multimodal analgesia (BMMA) that included administration of dexamethasone, dekxketropofen and bilateral blockage of superficial cervical plexus (BBSCP) by 0,5 % solution of bupicavaine. The assessment of pain was carried out according to VAS, consumption of narcotic and non-narcotic analgetics, fr...
ScienceRise: Medical Science, 2016
The essay attends to a paradox found in some crucial poetic efforts by Wallace Stevens and John A... more The essay attends to a paradox found in some crucial poetic efforts by Wallace Stevens and John Ashbery. In some of their most important poetic works Stevens and Ashbery take on the task of positioning the poem toward the plurality of reality, the plurality that is concentrated in the phenomenon of change. As they do so, they invariably encounter a tension within the poem itself: as the poem merges with the flow of changes in the external world-the physical changes in time and space-it also calls up permanent forms of imaginative purposive capability of attending to change, envisioning it, or, indeed, of installing it. These forms must be more permanent than it is postulated by some theories of the poetics of transitiveness, which are polemically discussed in the text. The tension between the element of change and permanence is what allows the poems of Stevens and Ashbery-each poet finding his own aesthetic and epistemic strategy-to put the poem forward not as an external "representation" of change, but as the very source of the abundant possibilities of producing world descriptions in which the notion of change may be meaningful. Such positioning of the poem is what I am calling "the poetics of plenitude." This poetic strategy makes the poem an aesthetic counterpart to the epistemic action of developing an inquiry, and I am building a definition of this term by reference to the classical pragmatist theory of inquiry. This move is related to my treating Stevens and Ashbery as the poets belonging to the Emersonian-pragmatist intellectual and aesthetic tradition. The paradoxes of change and permanence discussed in the text are treated as inherent in this tradition.
Pain, anesthesia and intensive care, Jul 15, 2016
Journal of Obstetrics & Gynaecology, 2009
... INIST Diffusion. 2, Allée du Parc de Brabois F-54514 Vandoeuvre-lès-Nancy Cedex France Phone:... more ... INIST Diffusion. 2, Allée du Parc de Brabois F-54514 Vandoeuvre-lès-Nancy Cedex France Phone: +33 (0)3 83 50 46 64 Fax: +33 (0)3 83 50 46 66. ... Auteur(s) / Author(s). MAINA WC ; CROCKER SG ; SCOTT D. ; ALI A. ; Revue / Journal Title. ...
ScienceRise, 2015
Aim of study: To describe the basic principles of polytrauma patients' care at the stages of trau... more Aim of study: To describe the basic principles of polytrauma patients' care at the stages of traumatic disease. Materials and methods: An analysis of the treatment of fractures of 1285 patients with combined and multiple musculoskeletal injuries for the period from 2012 to 2017 was carried out. The studied population consisted of men-874 (68%) and women-411 (32%). The average age of patients was 42.7. The number of road accidents prevailed (53.6%) over catatrauma (32.5%). Results: In order to follow damage control low invasive osteosynthesis techniques have been preferred. Such methods provided reliable bony fragments stabilization with the possibility of avoiding additional external fixation. At the same time early range of motion exercises had been allowed. In order to prevent traumatic disease reposition and osteosynthesis had been performed as soon as it was possible. The osteosynthesis for the medial femoral neck fractures was rational only in the acute period of trauma. Conclusions: When correcting the lesions of bone structures in victims with polytrauma, operational benefits differ little from those in isolated trauma.
Aim : the evaluation of antiemetic effect of bilateral blockage of superficial cervical plexus at... more Aim : the evaluation of antiemetic effect of bilateral blockage of superficial cervical plexus at the background of general anesthesia by sevoflurane or propofol in the complex of anesthesiology management of patients, who undergo thyroidectomy under conditions of specialized endocrinology center. Materials and methods . Patients are divided in 2 groups: the group of balanced analgesia (BA) -88 patients, control group 87 ones. Depending on the type of general anesthesia – inhalational by sevoflurane (S) or TIVA by propofol (P) patients were divided in subgroups BA –S-44 patients, BA-P – 44, C-S – 46 patients and C-P – 41 patients. In subgroups BA-S and BA-P was used the complex of balanced multimodal analgesia (BMMA) that included administration of dexamethasone, dekxketropofen and bilateral blockage of superficial cervical plexus (BBSCP) by 0,5 % solution of bupicavaine. The assessment of pain was carried out according to VAS, consumption of narcotic and non-narcotic analgetics, fr...
ScienceRise: Medical Science, 2016
The essay attends to a paradox found in some crucial poetic efforts by Wallace Stevens and John A... more The essay attends to a paradox found in some crucial poetic efforts by Wallace Stevens and John Ashbery. In some of their most important poetic works Stevens and Ashbery take on the task of positioning the poem toward the plurality of reality, the plurality that is concentrated in the phenomenon of change. As they do so, they invariably encounter a tension within the poem itself: as the poem merges with the flow of changes in the external world-the physical changes in time and space-it also calls up permanent forms of imaginative purposive capability of attending to change, envisioning it, or, indeed, of installing it. These forms must be more permanent than it is postulated by some theories of the poetics of transitiveness, which are polemically discussed in the text. The tension between the element of change and permanence is what allows the poems of Stevens and Ashbery-each poet finding his own aesthetic and epistemic strategy-to put the poem forward not as an external "representation" of change, but as the very source of the abundant possibilities of producing world descriptions in which the notion of change may be meaningful. Such positioning of the poem is what I am calling "the poetics of plenitude." This poetic strategy makes the poem an aesthetic counterpart to the epistemic action of developing an inquiry, and I am building a definition of this term by reference to the classical pragmatist theory of inquiry. This move is related to my treating Stevens and Ashbery as the poets belonging to the Emersonian-pragmatist intellectual and aesthetic tradition. The paradoxes of change and permanence discussed in the text are treated as inherent in this tradition.
Pain, anesthesia and intensive care, Jul 15, 2016
Journal of Obstetrics & Gynaecology, 2009
... INIST Diffusion. 2, Allée du Parc de Brabois F-54514 Vandoeuvre-lès-Nancy Cedex France Phone:... more ... INIST Diffusion. 2, Allée du Parc de Brabois F-54514 Vandoeuvre-lès-Nancy Cedex France Phone: +33 (0)3 83 50 46 64 Fax: +33 (0)3 83 50 46 66. ... Auteur(s) / Author(s). MAINA WC ; CROCKER SG ; SCOTT D. ; ALI A. ; Revue / Journal Title. ...