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Evaluation of the Effectiveness of VEGF Effect on the Regeneration of the Anterior Tracheal Surface in the Early Postoperative Period 血管内皮生长因子对术后早期气管前表面再生的影响
Pub Date : 2021-01-20 DOI: 10.29413/abs.2020-5.6.37
I. Kurganskiy, S. Lepekhova, O. A. Goldberg, L. Korobeynikova, E. Inozemtsev, Y. Pivovarov, E. Grigoryev
Background. Violation of the regeneration of the tracheal wall after undergoing reconstructive surgeries remains an urgent problem of modern surgery. One of the reasons for the violation of the regeneration processes is insufficient blood supply to the organ. Finding new ways to improve blood flow is a promising area of research. Aim. To evaluate the effectiveness of VEGF effect on the regeneration of the anterior tracheal surface in the early postoperative period. Materials and methods. The study included 60 male Wistar rats at the age of 10 months. All animals underwent tracheal reconstructive surgery; the animals were divided into three groups: group 1 – without medicinal film, group 2 – with prolonged-release medicinal film, group 3 – with prolonged-release medicinal film containing VEGF. The sampling of histological material was carried out on days 3, 7 and 21 of the study, using morphometry to determine the thickness of the tracheal wall, the thickness of the postoperative scar, the area of the surgical intervention zone, the area of the vessels, the ratio of the thickness of the postoperative scar to the wall thickness trachea and the ratio of the area of the vessels to the area of the surgical intervention zone. Results . It was revealed that when exposed to a long-acting medicinal film containing VEGF, significant histological changes occurred on day 7 of the study. In groups 1 and 2, healing occurred by day 21 and was accompanied by defects of the mucous membrane and cartilage. On day 7 in group 3, there was a complete epithelialization of the tracheal wall, an increase in the number of newly formed vessels and glands in the area of surgical intervention. Healing was carried out with a thin postoperative scar without defects in all layers of the tracheal wall. Conclusion . The results obtained indicate the stimulating effect of VEGF on the regeneration of the tracheal wall in the early postoperative period after undergoing reconstructive surgery. The use of VEGF reduces the time of postoperative wound healing and preserves the anatomical structure of the tracheal wall.
背景。气管重建手术后破坏气管壁的再生仍然是现代外科亟待解决的问题。破坏再生过程的原因之一是器官供血不足。寻找改善血液流动的新方法是一个很有前途的研究领域。的目标。目的探讨血管内皮生长因子对术后早期气管前表面再生的影响。材料的方法。这项研究选取了60只10个月大的雄性Wistar大鼠。所有动物均行气管重建手术;将动物分为3组:1组-无药膜,2组-有药膜缓释,3组-含VEGF药膜缓释。在研究的第3天、第7天和第21天进行组织学材料取样,使用形态测量法确定气管壁厚度、术后瘢痕厚度、手术干预区面积、血管面积、术后瘢痕厚度与气管壁厚度之比、血管面积与手术干预区面积之比。结果。结果显示,当暴露于含有VEGF的长效药膜时,在研究的第7天发生了明显的组织学变化。第1组和第2组在第21天愈合,并伴有粘膜和软骨缺损。第7天,第3组气管壁上皮化完全,手术干预区新形成的血管和腺体数量增加。术后瘢痕薄,气管壁各层无缺损。结论。结果提示,在气管重建术后早期,VEGF对气管壁再生具有刺激作用。VEGF的使用减少了术后伤口愈合的时间,并保留了气管壁的解剖结构。血管内皮生长因子对术后早期气管前表面再生的影响。
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引用次数: 0
Molecular Genetic Studies of Intraoperative Ligamentum Flavum Bioptates of Patients with Spinal Canal Stenosis 椎管狭窄患者术中黄韧带生物酸酯的分子遗传学研究
Pub Date : 2021-01-20 DOI: 10.29413/abs.2020-5.6.16
L. Rodionova, L. G. Samoilova, S. Bogorodskaya, V. Gorokhova, V. Sorokovikov
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引用次数: 0
The Development of Coping Strategies: Main Approaches 应对策略的发展:主要途径
Pub Date : 2021-01-20 DOI: 10.29413/abs.2020-5.6.22
M. Kuzmin, L. Suturina
The article analyzes the problem of development of coping strategies as one of the factors of correction of psychoemotional disorders in women with hyperandrogenia. The nature of coping strategies is analyzed. Two approaches to the development of coping strategies – the concept of mindfulness, proposed by John Kabat-Zinn, and the concept of hardiness, proposed by S. Maddi. In conception of Kabat-Zinn mindfulness involves a feeling of full involvement in the events “here and now”, as well as the obligation to be curious about the flow of consciousness: all thoughts and feelings that arise in the person should be perceived by it without criticism, as relevant to the current state and therefore do not require condemnation. At the same time, by S. Muddy hardiness is a combination of inclusion in the surrounding reality (commitment), control, denoting the belief of the individual in their own abilities to influence the stressful situation, although without certain guarantees of the result, and the challenge, representing the belief that any changes are fundamentally positive for the individual and contribute to its development. It is shown that the content of the category of mindfulness – the management of attention and the adoption of the position “here and now” – as well as the methods of its development, are similar in each of the concepts. It is concluded that mindfulness, which is the core of productive coping strategies, is a set of concentration skills and a certain attitude.
本文分析了应对策略发展问题作为高雄激素症女性心理情绪障碍矫正的因素之一。分析了应对策略的性质。发展应对策略的两种方法——约翰·卡巴金提出的正念概念和s·麦迪提出的坚韧概念。在Kabat-Zinn的概念中,正念包括一种完全参与“此时此地”事件的感觉,以及对意识流动感到好奇的义务:在人身上产生的所有想法和感觉都应该被它不加批评地感知,因为与当前状态相关,因此不需要谴责。同时,根据S. Muddy的观点,坚韧是对周围现实的包容(承诺)、控制(表示个人相信自己有能力影响压力情况,尽管没有一定的结果保证)和挑战(表示相信任何变化对个人都是积极的,并有助于其发展)的结合。研究表明,正念范畴的内容——对注意力的管理和对“此时此地”位置的采用——以及其发展的方法,在每个概念中都是相似的。结果表明,正念是一套专注技能和一种态度,是有效应对策略的核心。
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引用次数: 0
Features of Chronic Endometritis in Women of Reproductive Age with Polycystic Ovary Syndrome 多囊卵巢综合征育龄妇女慢性子宫内膜炎的特点
Pub Date : 2021-01-20 DOI: 10.29413/abs.2020-5.6.3
E. Sharifulin, I. A. Igumnov, O. Krusko, A. Atalyan, L. Suturina
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引用次数: 0
An Hourglass-Type Spinal Schwannoma Spreading to the Chest Treated with One-Stage Total Removal through Posterior Paravertebral Approach without Opening the Pleural Cavity (Clinical Observation) 经椎旁后路不开胸膜腔一期全切除治疗沙漏型脊柱神经鞘瘤1例临床观察
Pub Date : 2021-01-20 DOI: 10.29413/abs.2020-5.6.18
I. Vasilyev, I. Pendyurin, A. Buzunov, S. V. Tsvetkovskiy, E. V. Stupak, V. Stupak
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引用次数: 0
Using an Autograft from the Fibula Diaphysis in the Surgical Treatment of Patients with Fractures of the Proximal Humerus on the Background of Critical Osteoporosis 应用自体腓骨骨干移植治疗肱骨近端骨折伴严重骨质疏松的手术治疗
Pub Date : 2021-01-20 DOI: 10.29413/abs.2020-5.6.25
V. Monastyrev, N. Ponomarenko, N. Tishkov
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引用次数: 0
Modern Concepts of Clinical and Diagnostic Criteria for Premature Ovarian Failure (Literature Review) 卵巢早衰的现代临床概念及诊断标准(文献回顾)
Pub Date : 2021-01-20 DOI: 10.29413/abs.2020-5.6.5
M. Salimova, Ya. G. Nadelyaeva, I. Danusevich
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引用次数: 2
Surgical Treatment of Andersson’s Lesion in Ankylosing Spondylitis after Corrective Vertebrotomy in the Long Term (Clinical Observation) 矫正椎体切开术后强直性脊柱炎Andersson病变的长期外科治疗(临床观察)
Pub Date : 2021-01-20 DOI: 10.29413/abs.2020-5.6.19
V. Rerikh, E. V. Dubinin
Using a clinical example, the authors set the goal of elucidating the result of a two-stage surgical treatment of An- derson’s lesion, carried out in the long-term period after a one-stage correction of flexion deformity of the ankylosed spine without fixation. Results. The analysis of the results of treatment three years after decompression-corrective stabilizing surgery performed for Anderson’s lesion at the Th X –Th XI level, which developed 10 years after the correction of flexion deformity of the ankylosed spine by “open” vertebrotomy L IV –L V . No progression of Anderson’s lesion in all previously identified vertebral segments was noted. The existing neurological deficit regressed from ASIA C to ASIA E. Normalization of the SVA sagittal balance parameter was revealed, with preserved local kyphosis at the Th X –Th XI level of 15° (initial – 30°). The indicator ODI (Oswestry Disability Index), VAS and FIM (Functional Independence Measure) were, respectively, before surgery 67, 6 and 82, 3 years after surgery – 10, 0 and 126. Conclusion. In the presented case, the surgical correction of the deformity, carried out taking into account the param-eters of the sagittal balance, with the stabilization of the ventral and dorsal columns, and decompression, made it possible to prevent the progression of Andersson’s lesion, achieve regression of neurological symptoms, and improve the patient’s quality of life.
通过一个临床例子,作者设定了一个目标,阐明在一期矫正无固定的强直脊柱屈曲畸形后长期进行An- derson病变的两期手术治疗的结果。结果。在所有先前确定的椎节中,没有发现安德森病变的进展。ODI (Oswestry Disability Index)、VAS和FIM (Functional Independence Measure)分别为术前67、6和82,术后3年分别为10、0和126。结论。在本病例中,考虑到矢状面平衡参数,通过稳定腹侧柱和背侧柱以及减压,对畸形进行手术矫正,可以防止Andersson病变的进展,实现神经症状的恢复,并提高患者的生活质量。
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引用次数: 1
Using an Algorithm to Choose the Surgical Tactics for the Treatment of Periprosthetic Infection of Large Joints 大关节假体周围感染手术策略选择的算法研究
Pub Date : 2021-01-20 DOI: 10.29413/abs.2020-5.6.24
A. N. Grishchuk, S. Leonova, A. Kameka
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引用次数: 1
Features of the Composition of the Colon Microbiota in Children of the First Year of Life with Functional Gastrointestinal Disorders 1岁功能性胃肠疾病患儿结肠菌群组成特征
Pub Date : 2021-01-20 DOI: 10.29413/abs.2020-5.6.12
E. Grigorova, L. Rychkova, L. Sholokhov, N. Belkova, U. Nemchenko, E. Kungurtseva, N. Voropaeva, M. V. Savelkayeva
Background. The development of functional gastrointestinal disorders (FGID) in children, especially in the first year of life, is a key factor in the formation of an altered colon microbiota and its formation in older age. The article presents both clinical-detailed anamnesis, symptoms of FGID, and bacteriological characteristics – qualitative and quantitative composition of the colon microbiota in children of the first year of life. Aim: to determine the features of the colon microbiota in children of the first year of life with FGID. Materials and methods. The objects of the study were children of the first year of life (n = 28) with a diagnosis of FGID established by a gastroenterologist. The material was divided into two comparison groups, depending on the age of the subjects: the first group included stool sample cultures of children aged from birth to 6 months (n = 17), the second – from 6 to 12 months (n = 11). The bacteriological study of the quantitative and qualitative composition of the contents of the colon was performed using standard methods. Results. According to the anamnesis, colic and flatulence were the key symptoms of FGID (p < 0.05). The results show that the formation of FGID in children from birth to 6 months and from 6 to 12 months may be associated with altered colon microbiota. There was a decrease in the quantitative indicators of the indigenous microbiota: bifidobacteria, E. coli with normal sensitivity and Enterococcus spp., and an increase in the degree of contamination of Klebsiella spp., S. aureus, Clostridium spp. Conclusion. It is shown that the determining factor in reducing the risk of developing FGID in children of the first year of life is a high concentration and diversity of indigenous microbiota.
背景。儿童的功能性胃肠道疾病(FGID)的发展,特别是在生命的第一年,是改变结肠微生物群形成及其在老年形成的关键因素。本文介绍了临床详细的记忆,FGID的症状和细菌学特征-一岁儿童结肠微生物群的定性和定量组成。目的:了解1岁FGID患儿的结肠菌群特征。材料和方法。该研究的对象是由胃肠病学家诊断为FGID的一岁儿童(n = 28)。根据受试者的年龄,这些材料被分为两个比较组:第一组包括从出生到6个月的儿童(n = 17)的粪便样本培养,第二组-从6到12个月(n = 11)。采用标准方法对大肠内容物的定量和定性组成进行细菌学研究。结果。根据记忆,绞痛和胀气是FGID的主要症状(p < 0.05)。结果表明,出生至6个月和6至12个月儿童FGID的形成可能与结肠微生物群的改变有关。本地微生物群双歧杆菌、正常敏感性大肠杆菌和肠球菌的定量指标下降,克雷伯氏菌、金黄色葡萄球菌、梭状芽孢杆菌的污染程度增加。研究表明,降低一岁儿童发生FGID风险的决定性因素是本地微生物群的高度集中和多样性。
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Acta Biomedica Scientifica (East Siberian Biomedical Journal)
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