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Показан случай сочетания инвазивной аденокарциномы и фиброзно-кавернозного туберкулеза легких. Для своевременной диагностики рака легкого у больных активным туберкулезом органов дыхания необходим тщательный анализ клинико-лабораторных и рентгенологических данных, а также незамедлительное проведение бронхологического обследования.

Research objective: development of a new technique of physiotherapy exercises in rehabilitation of children with orthopedic and neurologic diseases. Materials and methods: the technique is applied more than at 467 patients with various disturbances of a musculoskeletal system. The technique is based on use of proprioceptive proofreaders as “Propriofoot”. Advantages of this way of therapy are: purposeful correction of certain orthopedic disturbances, increase in efficiency parallel to the carried-out rehabilitation therapy; simplicity of implementation of the method connected with use of simple technical means and a variety of the technical and methodical approaches changed depending on severity of post-urological disturbances at the patient. Results: new approach to correction of various post-urological disturbances accompanying many neurologic and orthopedic diseases of the lower extremities, a pelvic girdle, a backbone is developed. Conclusions: use of a method of proprioceptive proofreaders leads to the pronounced improvement of results of rehabilitation, receiving earlier affirmative answers of treatment during the work with various pathologies, to turning on of additional mechanisms of post-urological regulation.

Rock breaking by detachment is the method most economical in energy consumption because the tensile strengths of rocks are lower than their compressive and shear strengths by factors of ten or more. Thus it might be advantageous to develop methods for fragmenting rocks by breaking them apart [-1].In this article we describe a hydraulic pulse machine for investigating the breaking of concrete or rock by water-pressure pulses. The machine forms a water-pressure pulse and transmits it through a metal tube, which is filled with water before the pulse, to the interior wall of a hole in the specimen or a borehole in the solid rock. The machine differs from present water jets in that we do not create a high-pressure water jet but a water-pressure pulse in a metal tube and in the borehole. When a high-pressure hydromonitor (water-cannon) jet moves in air, the energy losses over eight meters from the nozzle amount to about 80% [2]. On the other hand, pressure pulses in a waterfilled metal tube can be transmitted over great distances with negligible losses [3].The hydraulic pulse machine froms the water-pressure pulse by a blow, from the piston of a pneumatic reservoir, on the water in the metal tube and in the hole in the specimen.The machine consists of the following main parts: I) a frame to which all the other parts are attached; II) a metal tube which transmits the water-pressure pulse from the machine to the fracture site; III) a packing system for regulating water losses from the hole in the specimen; IV) a piston-type pneumatic reservoir (consisting of a cylinder and a piston with rod); v) a high-pressure chamber with a junction cone and plunger. The junction cone comaects the high-pressure chamber with the metal pulse-guide tube and has a side tube with a reverse valve for filling the pulse-guide tube with water before the pressure pulse is passed. The plunger transmits the force from the pneumatic-reservoir piston to the water in the high-pressure chamber, the tube, and the hole in the specimen, at the moment of the pulse. A force cylinder with built-in piston compressor serves to create the force required to compress the air in the pneumatic reservoir. The built-in piston compressor raises the air pressure in the pneumatic reservoir before compression so as to increase the amplitude and energy of the water-pressure pulse. A catch is provided to transmit the force from the force cylinder to the pneumatic reservoir when the air is compressed and automatically releases their rods at the end of compression.The machine is driven from an oil set with a 2.8 kW motor.When the tribe is packed in the hole in the specimen or in a borehoIe, low-pressure water arrives in the highpressure chamber, the tube, and the borehole via the reverse valve. Pressure of the liquid, obtained from the oil set, is attained by reciprocating motion of the piston in the force cylinder. In operation, the piston of the force Cylinder, with the aid of the catch, moves the piston of the pneumatic reservoir, which compresses the air in the reservoi...