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Our practice shows that in a humid and hot climate, not all tourists follow these recommendations, although they are aware of them. However, even following the above recommendations does not guarantee the prevention of infection. In the above case, the tourist tried to buy betamethasone online to the recommendations for the prevention of bites. he wore a long-sleeve T-shirt, long trousers and a hat. I treated clothes with repellent during an excursion to the waterfalls. Due to the peculiarities of dermatobiosis, which is characterized by painless development of larvae under the skin, he found boils only a few days after his arrival in Moscow. Our experience shows that while tourists should certainly be informed about measures to prevent biting by blood-sucking insects, these recommendations for travelers to tropical countries are of relative importance, or rather even more theoretical than practical, and do not always guarantee the prevention of infection.

Treatment of dermatobiosis is surgical - by removing the larva. Before the maturation of the larva, any therapeutic measures, especially mechanical extrusion, are inappropriate and can lead to secondary infection.

Treatment begins with a mature larva and expansion of the opening of the ventilation duct and consists in carefully removing the larva by stretching the skin in the direction from the center of the focus.

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In order betnovate the exit of the larva, you can drip some sterile oil (camphor, vaseline, peach, etc.) into the funnel-shaped hole in the center of the node. As a result of this, the larva, having lost access to air, moves to the surface of the skin and begins to protrude the end of the body with a breathing apparatus.

Preventive measures to combat deep myiasis are mainly reduced to the early detection and timely rational treatment of all skin lesions, as well as the prevention of access to them by blood-sucking insects. For this purpose, the use of repellents is recommended. In accordance with known recommendations, clothing should be worn that covers the body as much as possible, a hat and socks. Repellents should be applied to skin and clothing. Depending on the climate, humidity, type of carrier, the effectiveness of the repellent ranges from 15 minutes to 10 hours. Due to the short time of action, repellents are recommended to be applied at dusk, during the period of special activity of blood-sucking insects.

This observation also indicates the need to inform and increase the level of knowledge of specialists providing emergency outpatient care. An epidemiological history indicating the presence of a tourist in endemic foci of dermatobiosis, a clinical picture characterized by a furunculoid formation with a hole in the center of the focus, indicate the possibility of infection with D. hominis larvae and the need for surgical treatment. The stay of young children in endemic foci of dermatobiosis in Central and South America, especially newborns, is of betamethasone cream to them. Tourists must be informed that the observance of all preventive measures, although mandatory, at the same time does not guarantee the prevention of infection with tropical diseases.

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Practical skills of clinical work before applying them to buy betnovate cream, students should acquire in special centers, equipped with high-tech simulators and computerized mannequins, permitting to simulate the clinical situations.

One of the important prerequisites to the implementation of this principle is the creation of betnovate simulation centers. In the article there are discussed the problems which must be sold for the successful and effective implementation of a simulation training in the medical education. Dermatosis is an extensive group of heterogeneous diseases of the skin and its appendages of various origins (infectious, allergic, immune, etc.), due to both external and internal (endogenous) causes. This group does not include transient changes in the skin that accompany many diseases and conditions.

At the moment, the International Classification of Diseases describes about 2.3 thousand pathologies belonging to the group of dermatoses. This diversity can be explained by the following reasons. All etiological factors that can trigger inflammation of the skin are conventionally divided into 2 groups. endogenous (internal) and exogenous (external). Dermatoses are accompanied by significant subjective sensations, cosmetic defects, limit the patient's activity and negatively affect the quality of life.