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ORGANIZATION OF SURGICAL CARE FOR UKRAINIAN MILITARY IN CIVIL MEDICAL FACILITIES: DNIPRO EXPERIENCE 乌克兰军队在民用医疗设施中的外科护理组织:DNIPRO经验
IF 0.6 Pub Date : 2023-03-10 DOI: 10.35630/2022/12/sp.iss.4
Yevgeni Borodin, Olena Havva
The article deals with the organizational and legal aspects of providing surgical care to Ukrainian military in the conditions of a full-scale war in Ukraine. It also analyzes organizational and legal management aspects of providing surgical care to wounded soldiers on the example of the activities run at the Mechnikov Regional Hospital of the Dnipropetrovsk Regional Council (or the Mechnikov Hospital for short) in Dnipro, Ukraine. The research object was selected due to the fact that this specialized civilian medical institution is the closest to the front line and is not directly subordinated to the Ministry of Defense of Ukraine. At the regional administration level, this medical institution belongs to the local self-government body, namely the Dnipropetrovsk Regional Council, and is financed by the local budget. During the period from 2014 until present, the medical staff of the hospital have saved the lives of tens of thousands of servicemen. Therefore, this experience is unique in the field of public relations in the system of civil health care institutions and requires the study of management and medical rescue techniques.
这篇文章涉及在乌克兰全面战争的条件下为乌克兰军队提供外科护理的组织和法律方面。它还分析了为受伤士兵提供外科护理的组织和法律管理方面,例如在乌克兰第聂伯罗的第聂伯罗彼得罗夫斯克地区委员会梅奇尼科夫地区医院(简称梅奇尼科夫医院)开展的活动。之所以选择研究对象,是因为这家专业的民用医疗机构距离前线最近,不直接隶属于乌克兰国防部。在地区行政一级,该医疗机构属于地方自治机构,即第聂伯罗彼得罗夫斯克地区委员会,由地方预算提供资金。从2014年到现在,医院的医护人员已经挽救了数万名军人的生命。因此,这种经验在民间医疗机构系统的公共关系领域是独一无二的,需要学习管理和医疗救援技术。
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引用次数: 1
THE INFLUENCE OF ELECTROMAGNETIC RADIATION OF THE EHF BAND ON BLOOD OXIDATIVE METABOLISM UNDER MODELING THE ENGRAFTMENT OF A SKIN FLAP EHF带电磁辐射对皮瓣移植模型下血液氧化代谢的影响
IF 0.6 Pub Date : 2023-02-27 DOI: 10.35630/2023/13/1.206
I. Sazonova, A. Soloveva, A. Martusevich, Elena Stepanova
The aim of the study was to evaluate the effect of electromagnetic radiation of the EHF band on the intensity of free radical oxidation processes and the activity of antioxidant enzymes in the blood of rats when modeling ischemia of the dorsal skin flap in vivo. The results of the experimental study showed that electromagnetic radiation inhibits lipid peroxidation in blood plasma due to activation of the overall antioxidant activity. In erythrocytes, the regulatory effect of irradiation on the prooxidant system was revealed by stimulating the enzymatic link of antioxidant protection.
本研究旨在探讨EHF波段电磁辐射对大鼠体内背侧皮瓣缺血模型血液中自由基氧化过程强度及抗氧化酶活性的影响。实验研究结果表明,电磁辐射通过激活整体抗氧化活性抑制血浆脂质过氧化。在红细胞中,辐照对促氧化系统的调节作用是通过刺激抗氧化保护的酶链来揭示的。
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引用次数: 0
A DIFFERENTIATED APPROACH TO PRIMARY KNEE ARTHROPLASTY IN GONARTHROSIS PATIENTS 骨关节病患者原发性膝关节置换术的鉴别方法
IF 0.6 Pub Date : 2023-02-27 DOI: 10.35630/2023/13/1.214
T. Osadchuk, Georgii V. Gayko, A. Kalashnikov, V. Protsenko, Y. Stavinskyi, Y. Solonitsyn
Gonarthrosis is one of the topical orthopedic problems. One out of three all orthopedic patients are affected by knee osteoarthritis. Multiple studies demonstrate that this condition occurs most frequently in working-age population. Having studied the results of surgical treatment in 324 gonarthrosis patients, we have elaborated a differentiated approach to knee arthroplasties. A unicondylar arthroplasty is expedient for young patients; if flexion contracture of a knee exceeds 15°, we recommend a PLC non-preserving prosthesis; if a lesion of a tibial process exceeds 10 mm, we used a prosthesis with a tibial extensor; for total instability of knee, we used hinge-type constrained modifications of prostheses.
骨关节病是骨科的一个热点问题。三分之一的骨科患者患有膝骨关节炎。多项研究表明,这种情况在劳动年龄人群中最为常见。在研究了324例膝关节病患者的手术治疗结果后,我们详细阐述了膝关节置换术的差异化方法。单髁关节成形术对年轻患者是有利的;如果膝关节屈曲挛缩超过15°,我们建议使用PLC非保留性假体;如果胫骨突的损伤超过10mm,我们使用带胫骨伸肌的假体;对于完全不稳定的膝关节,我们使用铰链类型的限制性修改假体。
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引用次数: 0
BIOCHEMICAL AND IMMUNOHISTOCHEMICAL STUDIES OF MATRIX METALLOPROTEINASES IN PERIODONTAL DISEASE PATHOGENESIS AFFECTING CHILDREN WITH CONNECTIVE TISSUE DYSPLASIA SYNDROME 基质金属蛋白酶在儿童结缔组织发育不良综合征牙周病发病机制中的生化和免疫组织化学研究
IF 0.6 Pub Date : 2023-02-27 DOI: 10.35630/2023/13/1.219
D. Domenyuk, F. Gil'miyarova, V. Shkarin, S. Dmitrienko, T. Kochkonyan, O. Ivanyuta, S. Domenyuk
The interest taken in studying pathomorphological and pathophysiological mechanisms behind periodontal inflammation affecting children with undifferentiated connective tissue dysplasia (UCTD) can be accounted for by the disease high prevalence, risk of its progression, as well as morphological and functional immaturity of tissues and low effectiveness of the available treatment options. The study into the matrix metalloproteinases (MMPs) expression in the gum and oral fluid biopsy material in children with UCTD is of both scientific and practical value in terms of diagnostic identification, disease course assessment, and the design of individualized treatment modes for periodontal diseases. In order to determine the specific features of MMP-2, MMP-8, MMP-9 expression, our study involved 61 children with periodontal diseases and various degrees of UCTD, as well as 27 healthy children with intact periodontium. The study implied analyzing the participants’ immune-histochemical studies of gum biopsy material and oral fluid enzyme immunoassay results. The enzyme immunoassay of MMP concentration in the oral fluid revealed that children with a prominent degree of UCTD, had their MMP-2, MMP-8, MMP-9 expression (medians 5.49 ng/ml, 478.4 ng/ml, 921.6 ng/ml, respectively) exceeding significantly the concentration of these enzymes in children whose degree of UCTD could be described as mild (medians 2.76 ng/ml, 317.1 ng/ml, 584.3 ng/ml, respectively). An analysis of the MMP expression in the gum biopsy material showed that MMP-2 is not a reliable indicator to offer data required to assess the clinical status of periodontal tissues, since it is detected both in healthy children with intact periodontium and in children with periodontal disease and the UCTD syndrome. MMP-8 and MMP-9 can provide an objective description of the active phase of periodontium inflammation, which means these enzymes should be considered as reliable biomarkers of inflammation activity at the disease manifestation stage. Biochemical and immunohistochemical studies of MMP-2, MMP-8, MMP-9 the expression in oral fluid and gum biopsy material in children with UCTD syndrome should be used to identify the periodontium structural and functional status, the nature of inflammation, to detect potential risk groups vulnerable to the development of periodontal diseases, as well as to evaluate the effectiveness of various schemes for comprehensive treatment of periodontal issues.
对研究影响未分化结缔组织发育不良(UCTD)儿童的牙周炎症背后的病理形态学和病理生理机制的兴趣可以归因于该疾病的高患病率、进展风险、组织的形态和功能不成熟以及可用治疗方案的低效性。基质金属蛋白酶(MMPs)在儿童UCTD牙龈和口腔液活检材料中的表达研究,对牙周病的诊断、病程评估和个性化治疗模式的设计具有科学和实用价值。为了确定MMP-2、MMP-8、MMP-9表达的特异性特征,我们的研究涉及61名患有牙周病和不同程度UCTD的儿童,以及27名患有完整牙周组织的健康儿童。该研究意味着分析参与者对牙龈活检材料的免疫组织化学研究和口腔液酶免疫测定结果。口腔液中MMP浓度的酶免疫分析显示,UCTD程度显著的儿童,MMP-9的表达(分别为5.49ng/ml、478.4ng/ml、921.6ng/ml)显著超过了UCTD程度可被描述为轻度的儿童中这些酶的浓度(分别为2.76ng/ml、317.1ng/ml、584.3ng/ml)。对牙龈活检材料中MMP表达的分析表明,MMP-2不是提供评估牙周组织临床状态所需数据的可靠指标,因为它在患有完整牙周组织的健康儿童以及患有牙周病和UCTD综合征的儿童中都有检测到。MMP-8和MMP-9可以提供对牙周组织炎症活动期的客观描述,这意味着这些酶应被认为是疾病表现阶段炎症活动的可靠生物标志物。MMP-2、MMP-8、MMP-9在儿童UCTD综合征口腔液和牙龈活检材料中的表达的生化和免疫组织化学研究应用于确定牙周组织的结构和功能状态、炎症性质,以检测易患牙周病的潜在风险群体,以及评估各种牙周问题综合治疗方案的有效性。
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引用次数: 1
INFLUENCE OF A HIGHLY POROUS CERAMIC IMPLANT BASED ON ZIRCONIUM OXIDE (ZRO2) ON BONE TISSUE REGENERATION 基于氧化锆(zro2)的高多孔陶瓷植入物对骨组织再生的影响
IF 0.6 Pub Date : 2023-02-27 DOI: 10.35630/2023/13/1.212
I. Evdokimov, E. Papynov, O. Shichalin, I. Afonin, V. Apanasevich, V. Tolmachev, Y. Krasnikov, Y. Gainullina, G. Reva, I. Reva, V. Usov
The purpose of this experimental work was to determine the regeneration ability of bone tissue due to modern bioceramics synthesized and obtained using the previously developed method of reactive spark plasma sintering (Spark Plasma Sintering-Reactive Synthesis, SPS-RS). The study was performed on 26 laboratory rabbits - females of the New Zealand White breed, divided into two groups. The evaluation of the regeneration of the burr hole after covering the defect with a bioceramic implant was performed by the method - (BMD) X-ray densitometry on days 7, 40, 210 after surgery. As a result of the study, there was a tight fixation of the implant in the area of ​​the bone tissue defect without its dislocation. There were no signs of osteoporosis and osteolysis in the surrounding bone tissues. And on the 210th day after the operation, according to densitometric data, the formation of dense bone tissue was observed. The use of a bioceramic implant makes it possible to immediately close large bone defects and to stimulate the formation of dense bone structures around them.
本实验工作的目的是确定使用先前开发的反应放电等离子烧结(spark plasma sintering - reactive Synthesis, SPS-RS)方法合成和获得的现代生物陶瓷对骨组织的再生能力。这项研究是在26只实验兔身上进行的——新西兰白兔的雌性,分为两组。在手术后7,40,210天,采用BMD x线密度法评估生物陶瓷种植体覆盖缺陷后毛刺孔的再生情况。研究结果表明,植体在骨组织缺损区域内牢固固定,无脱位。周围骨组织未见骨质疏松和骨溶解的迹象。术后第210天,根据密度测量数据,观察致密骨组织的形成。使用生物陶瓷植入物可以立即闭合较大的骨缺损,并刺激其周围致密骨结构的形成。
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引用次数: 0
MANIFESTATIONS OF RESILIENCE IN MEDICAL RESIDENTS AS A FACTOR OF PROFESSIONAL ADAPTATION 住院医师的适应力表现作为职业适应的一个因素
IF 0.6 Pub Date : 2023-02-27 DOI: 10.35630/2023/13/1.202
Aelita Evloeva
The article reveals the manifestations of hardiness in medical residents as a factor of the professional adaptation. Medical workers are a risk group in terms of emotional burnout and other emotional disorders, since they directly interact with patients’ various somatic profiles, as well as a high professional responsibility. The formation and strengthening of resilience in medical personnel is an important task, since resilience is a psychological factor that enables people to successfully cope with stressful situations and reduces internal tension. The study was conducted by clinical psychologists at the Astrakhan State Medical University Astrakhan, Russia) in October 2022. It included clinical residents of the specialties Obstetrics and Gynecology (30 people) and Surgery (28 people). Our study has found that young medical residents have rather high levels of hardiness. This may be attributed to the age of the respondents, since they are at the first stages of their professional activities. A high indicator of "Engagement" was recorded for clinical residents, reflecting their determination and resilience. However, indicators of hardiness and satisfaction in the specialty "Obstetrics and Gynecology" were significantly lower than in the specialty "Surgery". On the basis of the study, a program of psychological support was developed facilitating stress prevention and formation of coping resources and self-regulation in young professionals.
本文揭示了作为职业适应因素的住院医生的适应力表现。医务工作者是情绪倦怠和其他情绪障碍的风险群体,因为他们直接与患者的各种身体状况互动,并且具有很高的职业责任。医务人员心理弹性的形成和加强是一项重要的任务,因为心理弹性是一种心理因素,使人们能够成功地应对压力情况,减少内部紧张。这项研究是由阿斯特拉罕国立医科大学(俄罗斯阿斯特拉罕)的临床心理学家于2022年10月进行的。包括妇产科(30人)和外科(28人)的临床住院医师。我们的研究发现,年轻的住院医师有相当高的耐寒水平。这可能归因于受访者的年龄,因为他们处于职业活动的第一阶段。临床住院医师的“敬业度”指标较高,反映了他们的决心和韧性。然而,“妇产科”专业的耐寒性和满意度指标明显低于“外科”专业。在此基础上,制定了心理支持方案,促进青年专业人员的压力预防和应对资源的形成和自我调节。
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引用次数: 0
SUSPECTED FUCHS’ ENDOTHELIAL CORNEAL DYSTROPHY IN A NEONATE WITH MYOTONIC DYSTROPHY TYPE 1 1型肌强直性营养不良患儿疑似fuchs角膜内皮营养不良
IF 0.6 Pub Date : 2023-02-27 DOI: 10.35630/2023/13/1.225
J. Akambase, Shaheen Shah
Purpose: To report a novel case of FECD in a neonate with myotonic dystrophy type 1. Observations: A 32-week neonate admitted to the NICU (Neonatal Intensive Care Unit). Patient was suspected to have myotonic dystrophy, which was confirmed with DMPK PCR (Polymerase Chain Reaction) and Southern Blot Analysis. Ocular evaluation revealed iris transillumination, bilateral hazy cornea, intraocular pressure (IOP) of 18mmHg for right eye and 22mmHg for left eye, and the centre cornea thickness (CCT) was 862 microns and 887 microns for right and left eye, respectively. The thick and hazy corneas were suggestive of Fuchs’ endothelial corneal dystrophy (FECD). Conclusions: This may be the first reported case of FECD in neonate with DM1. Knowledge that FECD may present in neonates with DM1 allows for earlier identification and treatment, resulting in decreased vision loss from FECD.
目的:报告一例1型强直性肌营养不良新生儿FECD的新病例。观察:一名32周新生儿入住新生儿重症监护室。患者被怀疑患有强直性肌营养不良,经DMPK-PCR(聚合酶链式反应)和Southern印迹分析证实。眼部评估显示,虹膜透照、双侧角膜模糊、右眼眼压(IOP)为18mmHg,左眼眼压为22mmHg,右眼和左眼中心角膜厚度(CCT)分别为862微米和887微米。厚而模糊的角膜提示Fuchs内皮性角膜营养不良(FECD)。结论:这可能是首次报道DM1新生儿FECD病例。知道患有DM1的新生儿可能存在FECD,可以更早地进行识别和治疗,从而减少FECD引起的视力损失。
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引用次数: 0
CEREBROVASCULAR NEUROSYPHILIS AGAINST THE BACKDROP OF CONGENITAL CEREBRAL ARTERY DEFICIENCY 先天性脑动脉缺乏症背景下的脑血管神经梅毒
IF 0.6 Pub Date : 2023-02-27 DOI: 10.35630/2023/13/1.210
A. Gorbunov, DMITRY PARSHIN, M. Kalugina, Zhanna Shishkina, Alexey Loktev, Svetlana Shirokova
The authors analyzed the case histories of 3 954 patients aged 15–86 years with varying degrees of neurological deficit who had received treatment from 2010 to 2020 in the city neurology department. All patients underwent general clinical and neurological examinations, electrocardiography, clinical laboratory and biochemical tests and, of course, the classical Wasserman test. In addition, ophthalmological, immunological, neurophysiological, neuropsychological and radiological studies were performed. We present a clinical example of early meningovascular neurosyphilis against the backdrop of right hemispheric cerebrovascular accident (CVA). Difficult diagnosing due to the bias of data on CVA, the peculiarities of the disease course and the cumulative neuroimaging data allow the authors to assume a clear dependence of meningovascular syphilis of the nervous system on constitutional variations and/or anomalies of the arteries of the circle of Willis. Constitutional variations and/or anomalies in the development of human cerebral arteries are considered as an additional risk factor for CVA syndrome during infectious processes of the brain with other things being equal.
对2010 ~ 2020年在市神经内科接受治疗的3 954例15 ~ 86岁不同程度神经功能缺损患者的病历进行分析。所有患者都接受了一般临床和神经学检查、心电图、临床实验室和生化检查,当然还有经典的沃瑟曼试验。此外,还进行了眼科、免疫学、神经生理学、神经心理学和放射学研究。我们报告一例以右半脑脑血管意外(CVA)为背景的早期脑膜炎血管性神经梅毒的临床病例。由于CVA数据的偏倚、病程的特殊性和累积的神经影像学数据,使得诊断困难,作者认为神经系统的脑膜血管性梅毒明显依赖于威利斯圈动脉的结构变化和/或异常。在其他条件相同的情况下,人类大脑动脉发育中的体质变异和/或异常被认为是大脑感染过程中CVA综合征的另一个危险因素。
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引用次数: 0
MODELING SEPTOPLASTY AND SENSORY DEPRIVATION IN RAT OLFACTORY ANALYZER AND ITS IMPACT ON THE RESPONSES OF THE AUTONOMIC NERVOUS SYSTEM 大鼠嗅觉分析仪建立鼻中隔成形术和感觉剥夺模型及其对自主神经系统反应的影响
IF 0.6 Pub Date : 2023-02-27 DOI: 10.35630/2023/13/1.205
A. Mnatsakanyan, Alexey Korolev, A. Inozemtsev, S. Shilin, Margarita Kostyaeva, I. Ganshin, Valentin Popadyuk, I. Kastyro, P. Mikhalskaya, A. Dergachev, Abir Zanan
Experimental septoplasty and sensory deprivation in rat olfactory analyzer was conducted to study changes in the frequency domain of heart rate variability. Bulbectomy provokes more pronounced changes in heart rate variability in rats, compared with septoplasty simulation. After bulbectomy, there is an increase in the high frequencies, low frequencies, very low frequencies, and the LF/HF ratio.
在大鼠嗅觉分析仪上进行实验性鼻中隔成形术和感觉剥夺,研究心率变异性的频域变化。与模拟鼻中隔成形术相比,球管切除术引起大鼠心率变异性更明显的变化。球茎切除后,高频、低频、甚低频及LF/HF比值均增加。
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引用次数: 0
HEMOPHAGOCYTOSIS IN THE RED BONE MARROW OF PATIENTS WITH COVID-19 WITH SARS-COV-2 INFECTION COVID-19合并sars-cov-2感染患者红细胞吞噬功能的研究
IF 0.6 Pub Date : 2023-02-27 DOI: 10.35630/2023/13/1.203
I. Reva, Tatsuo Yamamoto, E. Slabenko, M. Fleishman, O. Lebedko, M. Tuchina, Viktoriya Semiglasova, Y. Krasnikov, V. Tolmachev, Y. Gainullina, G. Reva
Red bone marrow samples investigation in deceased COVID-19 patients enabled to identify the phenomena of secondary hemophagocytosis. Analysis of the data showed that phagocytic reactions during infection of patients with SARS-CoV-2 are manifested both in relation to erythrocytes and leukocytes. The data obtained make it possible to expand the strategy of therapeutic measures, taking into account the new data on the mechanisms of the pathogenesis of COVID-19 in severe viral infection based on morphological findings and additional information on the involvement of young erythrocytes and lymphocytes in the structure of the red bone marrow in the cascade of pathological reactions. The results obtained confirm a wide range of aggressive damaging effects of SARS-CoV-2 in the development of multiple organ failure against the background of COVID-19 and the involvement of the red bone marrow in the pathological process. The authors supplemented information about the mechanisms of hypoxia in COVID-19, which is not only a consequence of damage to the respiratory epithelium, but also the result of damage to erythrocyte differons both at the level of red bone marrow and in peripheral blood. This fact must be taken into account in the development of a treatment strategy and in the creation of new drugs for the treatment of infected patients with various strains of SARS-CoV-2.
通过对COVID-19死亡患者的红骨髓样本调查,发现继发性噬血现象。数据分析表明,SARS-CoV-2患者感染过程中的吞噬反应既表现在红细胞方面,也表现在白细胞方面。所获得的数据使扩大治疗措施的策略成为可能,考虑到基于形态学发现的COVID-19在严重病毒感染中的发病机制的新数据,以及在病理反应级联中红骨髓结构中年轻红细胞和淋巴细胞参与的额外信息。这些结果证实了SARS-CoV-2在COVID-19背景下多器官衰竭的发展中具有广泛的侵袭性损伤作用,并且在病理过程中参与了红骨髓。作者补充了关于COVID-19缺氧机制的信息,这不仅是呼吸上皮损伤的结果,也是红骨髓和外周血水平红细胞差异损伤的结果。在制定治疗战略和开发治疗各种SARS-CoV-2病毒株感染患者的新药时,必须考虑到这一事实。
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引用次数: 0
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