Modern diagnosis of VSD in adults and children. How to determine VSD: symptoms and diagnosis

Talked about upcoming changes registration of veterinary documentsfor food companies. Starting from 2016, it is planned to switch to electronic veterinary certificates. Changes in the legislation provide for the introduction of batch accounting for the movement of raw materials and products within Russia. In this regard, in accounting for the movement of goods in 1C, it is necessary to additionally track a new dimension - the Veterinary Accompanying Document (VSD).

The purpose of the Mercury system: to ensure end-to-end accounting of the movement of raw materials and products in the context of batches (in terms of Mercury in the context of VSD and Production Dates) between all entities in Russia and the United Customs Union(ETS).

To handle all necessary operations systems are used for enterprises Argus, Mercury and Vesta. When conducting inspections and monitoring the work of enterprises, systems are used Cerberus and Cyrano. The system is indirectly involved Icarus(directory of companies).

All systems are built on a process approach - once entered information in one system is then used in another system. Duplication of information input is excluded.

Now we will consider only the work of the Mercury system, which is divided into several parts. Veterinarians work with the Mercury.GVE system. Enterprises operate in the Mercury.XC system. If the enterprise will independently draw up Veterinary Accompanying Documents (VSD), then RosSelkhozNadzor will provide access to the Mercury.GVE system to the employees of the enterprise.

difference Mercury.GVE (State Veterinary Expertise) fromMercury.HS (Business Entity):

in Mercury.GVE it is possible to cancel (receive) veterinary certificates and Incoming VSD

sending information about Outgoing VSD to Mercury.

Mercury.XC is needed only for viewing data, active operations with Incoming and Outgoing VSD (except internal operations) are impossible.

Certified specialists can work in the Mercury.GVE system at manufacturing enterprises, who can either be hired or turn to the services of a third-party company.

It should also be emphasized that the Mercury system ensures the maintenance of residuals in the context of measurements:

Products (corresponds to the entry from the classifier of TNVED codes),
Date of manufacture (represented as a specific date; interval; period description string)
VVD (link to veterinary document)

Mercury Accounting Principles:

Only some of the measurements cannot be entered
Minus shipping is not allowed

Scheme of work of a factory and a trading company in the Mercury system

Work with the Mercury system in production

List of operations:

1. Arrival of raw materials

Mercury displays purchases of only raw materials controlled by veterinary medicine.

Import clearance

1. Open list veterinary certificates

2. Find a Veterinary Certificate

3. Cancellation of the veterinary certificate

The cancellation procedure essentially means the receipt of goods. If discrepancies are found in the vet certificate and the actual acceptance, it is possible to correct the date of manufacture, expiration dates, quantity.

Purchase of raw materials on the territory of the ETS

The purchase operation is carried out through Transactions.

Laboratory research

Incoming raw materials to the plant must undergo laboratory tests. Based on the results of the study, a decision will be made on the use of raw materials for the production of products or on their return to the supplier.

After sampling for laboratory research if the raw material is not returned to the warehouse or is not put into production, it must be written off. To do this, the capitalized quantity of raw materials is adjusted using Inventory.

The system provides for the possibility of combining several parishes into one batch. This may be necessary to simplify the write-off of raw materials for production. For example, it is possible to combine several goods receipts into one batch. As a result, in the accounting, several Incoming VSDs will be combined into one VSD, in the name of which all the VSDs will be listed as a line. This operation is irreversible. It is already possible to operate with only one party.

2. Production of products

As a result of cancellation of veterinary certificates and incoming VVD raw materials input products.

After the production operation is completed, all produced products will accumulate in the log Manufactured products.

As a result, a situation may arise when out of 5 tons of controlled raw materials 20 tons of controlled products will be produced.

To register the release of products, you need to create a new transaction.

The Transaction header indicates the manufacturer.

The Transaction Operation lists detailed list raw materials, indicating the quantity that went into the production of a specific quantity of products.

My opinion. Factories may have questions:

observance of trade secrets, tk. in fact, in Mercury, the recipe for the production of products will be indicated
determining the cost of raw materials immediately after production, because in some cases, raw materials can be distributed after the fact of production in a few days
the problem of correct determination of the Decommissioning Party before the fact of the restoration of the sequence.

3. Shipment of products

The shipment operation is processed using Transactions.

How to "recognize" the disease

VSD (short for vegeto vascular dystonia) is a disruption in the functioning of almost all body systems, which is provoked by malfunctions in the autonomous nervous system person. The main part of the violations concerns problems in work. of cardio-vascular system. Vegetative vascular dystonia is caused internal factors- these are problems in the work of the heart, heredity, various diseases, incl. allergic, internal organs, endocrine and infectious, hormonal changes in the body and so on. promote disease and external factors- constant stress, overwork, viral infections, physical influences such as electromagnetic fields, chemical substances, daily used in everyday life, our bad habits. And although the diagnosis of vegetative vascular dystonia is often spoken about, many people are unaware that they have this disease. The symptoms are written off simply bad feeling, and instead of treatment, a person hopes for "it will pass by itself."

The signs of the manifestation of VVD differ from other diseases in that there are many symptoms, and they are very different. Doctors number about one hundred and fifty such symptoms. However, most often people with vegetative dystonia syndrome complain of problems with the work of the heart, bad dream, inability to work for a long time, breathing problems. They have headaches, a decrease in the temperature of the hands and feet, and there are fainting spells. Although, of course, headaches are considered the most frequently mentioned manifestation of VVD.

In order to determine whether you have VSD or not, your doctor must first check to see if you have an illness whose symptoms overlap with VVD. A variety of analyzes and studies, both basic and additional, are being carried out. Only by their results can one be confident in the diagnosis and prescribe treatment.

Also remember that self-medication is dangerous. Only your doctor should prescribe the medicines you need, because. their uncontrolled intake can lead to health problems.

What are the symptoms of VSD

If vegetative vascular dystonia proceeds according to the sympathicotonic type, a person's skin turns pale, his blood pressure rises, there are failures in the rhythm of heart contractions. Notice signs such as causeless fear feeling of anxiety. When an attack occurs, the limbs go numb, become cold, pains in the heart begin. Headache becomes much stronger, and the face turns pale. Along with this, the pressure rises, the pulse reaches one hundred and forty beats per minute. A person feels restless, he is agitated, cannot sit still. Body temperature may rise to threshold values.

With more pronounced vagotonic symptoms, the patient has breathing problems, he sweats too much, and the skin becomes red. The number of contractions of the heart decreases, blood pressure falls. There are problems with the stomach. During attacks, a person experiences sensations of suffocation, he is dizzy, he is sick, he is weak and sweats. Many people say that they feel heat and heaviness in the head area.

If a person is having a seizure mixed type, this may be accompanied by either the joint manifestation of several symptoms of both types, or their alternate appearance.

The main syndromes in VVD

In those who are sick with VVD, habitual behavior and motivation are disturbed. Their emotions are more unstable, a constant companion is a feeling of fear. Are celebrated various violations sleep.

Such people are too anxious, they constantly blame themselves for something, they are afraid to make decisions. Many show over-concern about their own health, turning into hypochondria.

Characteristic features patient VVD include the syndrome of adjustment disorders. It manifests itself in complaints of weakness, inability to withstand physical and / or mental stress. for a long time. Such people are dependent on weather conditions.

Another commonly reported symptom is hyperventilation. At the same time, the patient feels that he, as it were, has nothing to breathe, there is not enough air. It seems to him that the chest is squeezed by something, and at the same time he wants to inhale as deeply and as much as possible. If the patient has an attack, which looks very much like suffocation. What influences the development of such a syndrome? According to doctors, it is provoked by physical overload, the patient being in a stuffy, poorly ventilated room. Certainly plays a role nervous strain. An attack can occur with a sharp change in temperature or if a person feels discomfort from traveling in transport.

Another of the many manifestations that vegetative vascular dystonia causes are problems with the stomach and intestines - such patients complain of persistent constipation feeling of heartburn or flatulence.

The most alarming for the patient are symptoms such as recurrent pain in the left side of the chest. They appear when a person experiences some kind of emotional, and not physical exercise. Taking medication does not stop such pain, which only frightens the patient more. All this happens against the background of complaints about fluctuations in blood pressure, uneven pulse and interruptions heart rate. Examinations do not reveal any problems with the heart muscle. It is not surprising that all this causes hypochondriacal disorders in a person.

And, finally, the "calling card" of the VVD - headaches. Often doctors hear from patients complaints of tinnitus, problems due to constant dizziness and frequent fainting. All these symptoms appear due to a violation of tone. blood vessels brain.

If vegetative vascular dystonia is diagnosed early, this syndrome can be completely cured. The doctor will pick up necessary procedures to help remove painful symptoms. Treatment of an advanced disease is slower and requires integrated approach. This is physiotherapy, and physical education, and medicines. However, doctors consider medications only the second most important component in the treatment of VVD. They give priority to disease prevention and general strengthening organism.

Like the treatment of any other disease, VSD treatment first of all, the cause of the ailment should be eliminated. Non-drug methods are considered preferred - physiotherapy, psychotherapy, spa treatment And so on.

However, if the disease is running, doctors still prescribe various pharmacological preparations. Treatment is based mainly on the use of general stimulants. Securine and caffeine are considered effective. In some cases, they prescribe hormonal preparations. positive impact may also provide strong coffee or tea. Caffeine stimulates human psyche, improves the work of the mind, makes you feel a surge of strength, cheerfulness, drives away the desire to sleep.

If a person with vegetative vascular dystonia is too tormented by neuroses, the attending physician may resort to tranquilizers. Usually they drink no longer than two weeks. This is due to unwanted side effects- a person may have a headache, he will become lethargic and apathetic, in addition, one should not forget about the addictive effect. Self-treatment Tranquilizers are extremely dangerous, their doses should be prescribed only by a doctor.

Sleeping pills for VVD are recommended only if absolutely necessary, and only for a short time. Sleeping pills cannot replace natural sleep. It is also highly undesirable to take barbiturates - these are too potent drugs.

And, finally, painkillers are the least requested, because symptoms of the disease are based on psychological reasons, and the treatment of symptoms with their help is ineffective.

Self-massage will help

Excellent auxiliary means in the treatment of symptoms that manifest vegetative vascular dystonia, it can become acupressure. Its basic rules are quite simple. First, massage active points carried out with the index, or if more convenient, with the thumb or middle fingers. You can use a round object of a suitable size, such as a bead. Having found the point you need, press on it and gradually increase the pressure. When will appear slight pain start the massage.

Point massage should be continued for no more than three minutes. You can do it several times a day. Self-massage begins no earlier than an hour after eating. If you are going to have a massage, do not drink alcohol.

Mercury 2018 system: what is it, for whom and the timing of the transition

What is FGIS "Mercury"?

FSIS Mercury is a federal state Information system for retail on the registration of electronic veterinary certificates (eVSD - electronic veterinary accompanying documents) of which the State Information System in the field of veterinary medicine (VetIS) consists. "Mercury" is designed to conduct electronic certification of goods controlled by the State veterinary supervision, as well as tracking their movements on the territory of our country. the main objective introduction of new requirements are:

creation of a unified information environment for veterinary medicine,
increasing biological safety,
food safety control.

Specially for grocery stores - accounting and cash program Business.Ru Retail. Automated cashier's place, support for 54-FZ and EGAIS, work with weighted goods, warehouse accounting and sales analytics.

How does FGIS “Mercury” work?

Which organizations are required to connect to Mercury?

All organizations whose economic activities are related to the circulation of goods of animal origin should be connected to the FSIS. Such companies include enterprises - farms, dairies, poultry farms, meat processing plants, seafood producers.

Logistic centers, wholesale bases, retail chains and Retail Stores, public catering outlets must also keep records of electronic VSD through FSIS. In other words, all those who, by the nature of their activities, are associated with controlled goods of animal origin, are required to work under the new requirements.

What are the terms of transition to work with "Mercury"?

The terms for connecting to the system are prescribed in the Federal Law of July 13, 2015 No. 243 “On Amendments to the Law of the Russian Federation “On Veterinary Medicine”. According to federal law, all VSD must be issued electronically using the Mercury system starting July 1, 2018.

Can they postpone the transition to Mercury?

The transition to work with the Mercury system has already been postponed for six months, from January 1, 2018 to July 1, 2018. But we do not recommend counting on a further delay in the entry into force of the new requirements. Instead, we advise you to prepare in advance for new work standards and think about how to organize this process with the least effort on the part of your employees.

Training video on working in FSIS "Mercury"

How to connect to FSIS Mercury: VetIS.API

What do you need to connect to "Mercury"?

In general, the procedure for connecting to Mercury is quite simple.

To register in the system, you must:

fill in the application form. The template is published on the official website of Rosselkhoznadzor. Download application template for registration in FSIS "Mercury" for individual entrepreneurs >>
choose the option of submitting the application that suits you - a paper version, when visiting any territorial department of Rosselkhoznadzor, or an electronic version sent by email. Applications sent to e-mail, must be certified by an electronic signature. Individual entrepreneurs can use a simple electronic signature, and LLC - an enhanced qualified electronic signature (QES);
send an application to the Rosselkhoznadzor;
choose the most convenient form of working with the system for your company - through a browser or API-interface (VetIS.API). The second option involves the use of specialized solutions that provide convenient operation of other accounting systems of your company along with Mercury.

After connecting to the "Mercury" system, we recommend paying attention to the volume and complexity of the work of your staff when interacting with the FSIS. At this stage, it is important to reduce the complexity of interaction with the system so that the emergence of new requirements does not affect previously debugged business processes.

Today there is a sufficient choice of offers on the market for integrating GIS with systems already used in your company. Thus, the Columbus solution for integrating the Mercury system with 1C allows you to set up work with eVSD within the framework of the standards adopted by the regulator, improve the quality of accounting for controlled products and automate the entire distribution chain with minimal labor costs on the part of the staff.

Complex automation of a grocery store from 500 rubles/month! Control revenue, inventory balances, purchases, reporting and employees.

For which products do you need to issue electronic VSD?

The general list of products requiring registration of the VSD is given in the Order of the Ministry of Agriculture of Russia No. 648 of December 18, 2015. From this document it follows that the Mercury system should take into account all goods subject to veterinary control.

List of products requiring registration of VSD:

meat, offal and fats;
sausages, ready and canned food from meat;
fish in any form, including canned;
crustaceans, molluscs, aquatic invertebrates;
bird eggs;
all types of dairy products;
cottage cheese and cheeses, including processed cheeses;
butter and other fats and oils made from milk, milk spreads;
pasta stuffed with meat, sausage, fish or seafood;
yeast is inactive;
soups and broths, as well as blanks for making soups and broths;
ice cream, except for ice cream on a fruit and berry basis, fruit and food ice;
feed grain: durum and soft wheat, rye, barley, oats, corn;
natural honey;
propolis, beeswax and waxes of other insects, spermaceti;
compound feed;
fertilizers of plant and animal origin;
stuffed animals, raw skins, hunting trophies.

Thus, we see that the list of controlled products covers almost all groups of food products. This, in turn, means that the number of companies working with Mercury will grow steadily.

Veterinary certificates in retail

Why "Mercury" retail stores?

With electronic VSD, you can perform the following operations: only form, only “quench”, or both form and “quench”. VSD in this case can be of a production or transport type.

As for retail companies, stores are required to work with incoming VSD. That is, your task will be to “redeem” the incoming certificates for each transport lot.

What should I pay attention to when receiving products from suppliers?

If you have accepted the goods partially, then these discrepancies must be indicated at the time of repayment - in this case, the returnable IRR will be issued automatically.

Another important point- operations with VSD must be carried out within 1 working day after receiving the batch. Let's imagine that you have been brought a cargo for which the VSD is not registered in the Mercury system.

Only right action in this case, you will refuse to accept the goods. The only exception here are deliveries accepted by paper VSD. In this case, you are required to pay off the paper VSD and capitalize the balance with inventory.

What to do if there is no Internet access? What are the penalties for missing Mercury?

Is it possible to continue working with paper VSDs if we do not have Internet access?

If you do not have technical restrictions for connecting to the Internet, then you cannot use paper VSDs. The list of places where there is no access to the Internet is approved at the level of each subject of the Russian Federation. If there are no such restrictions, then by July 1, 2018 you need to connect to the network and start working in the Mercury retail system.

If you absolutely do not want to connect to the Internet, then the only possible variant compliance with the requirements of the regulator in this case– provide access to the system to your supplier or a third party who will be “authorized” to work with the system “on behalf of your company”.

Organizations that do not have the technical ability to connect to the Internet, such as stores in countryside in some regions of the country, may continue to work with paper VSD.

What penalties await the entrepreneur for the lack of "Mercury"?

Article 10.8 of the Code of Administrative Offenses provides for a fine for non-compliance with the requirements federal law dated 07/13/2015 No. 243 - a fine follows for the absence of an IRR. The measure of responsibility can be from 3,000 rubles. up to 10,000-20,000 rubles, while the amount of the fine depends on who it is issued to: a legal entity or an official.

Legal entities that do not comply with the requirements of the regulator may also face a suspension of activities for 90 days. Currently, there are a number of legislative initiatives that propose changes in the penalties for non-compliance.

Read articles on food retail:

What actions should be taken if you are diagnosed with VSD. What examinations are necessary for vegetative-vascular dystonia. What diseases must be excluded to make sure the diagnosis is correct?

Let's start with the fact that the vast majority of people who have caught up with this bug called vegetative-vascular dystonia at its first manifestations do not yet know what is happening to them. We already know that VSD disguises itself as a mass of diseases, or rather, causes similar symptoms. Therefore, when the discomfort or pain, patients most often turn to either a cardiologist or a neurologist, often a general practitioner or a gastroenterologist - it all depends on which symptoms appear first.

About the fact that many after the first attack quite quickly “forget” that they planned an urgent visit to the doctor, as was the case in my case, some advanced patients begin to look for mention of similar symptoms on the Internet and make assumptions about the disease that has manifested itself in advance - and the first and the second ERROR!

First of all, you need to without fail get tested! In my opinion (and this is verified from my own experience), the mandatory diagnostic program should include:

Complete Analysis blood, including a TSH test (function thyroid gland)
Examination on the cardiological line: ECG, ultrasound of the heart and necessarily Holter (daily) monitoring!
X-ray (CT is preferred) of the lungs and chest cavity for a hernia esophageal opening diaphragm
Ultrasound of organs abdominal cavity and of course the thyroid
It is highly recommended to do duplex scanning neck vessels
It will not be superfluous to check gastrointestinal tract(examination will be prescribed by a gastroenterologist)
And it is very desirable, even necessary, to examine the spine, including the cervical region.

If, after examinations, specialists do not find any obvious serious illnesses and you still feel bad. If you are told that with your heart “everything is within the normal range”, and you are tormented by palpitations, pressure jumps and there is not enough air - know that you have VVD! If the neurologist says that with the head and with cervical region your spine is not so bad, but headaches, dizziness and even fainting do not leave you - you have 99.9% vegetative-vascular dystonia. The same can be said about the gastrointestinal tract.

Of course, not everything is so simple, and at first glance it turns out that VVD is a universal diagnosis for all occasions. If the doctor does not know what is wrong with you, it means dystonia. Many people do not believe that after numerous examinations they do not find any serious disease (the symptoms do not go anywhere and continue to torment), they begin to look for diseases in a circle, go through all the most advanced, even experimental, and, accordingly, the most expensive examinations. As a result, again, doctors do not find anything serious and incurable. But there are symptoms ... Maybe it's time to think about it?

So it was with me: I “turned inside out” our provincial medicine. If our doctors couldn’t (didn’t want to) do something, they did it! :) I went through all the examinations that were possible in our clinics, I went to the nearest tomography center and did an MRI examination of the neck, spine and brain. I even got to the CT of the organs chest and abdominal cavity. About ultrasound, etc. I won't even speak. I went to the capital to a fashionable clinic and once again checked with a cardiologist. In addition to hernia of the esophageal opening of the diaphragm, osteochondrosis of the cervical and thoracic spine, sinus bradycardia on the part of the heart, no deviations from age norm not found.

My examinations lasted two months, or even longer. Before the treatment, during the treatment, after the treatment… Because my condition did not improve much, the symptoms did not go away, except that they became a little softer and “smeared”, so to speak.

Especially got a lump in the throat and a violation of swallowing. Here I will even tell you a little more about these two misfortunes.