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PEDIATRIC POSTTRAUMATIC ENDOPHTHALMITIS IN TAJIKISTAN 塔吉克斯坦儿童创伤后眼内炎
Pub Date : 2021-09-11 DOI: 10.25005/2074-0581-2021-23-2-184-200
K. Karim-Zade
Study the clinical and epidemiological patterns of posttraumatic endophthalmitis (PTE) in children in Tajikistan.
研究塔吉克斯坦儿童创伤后眼内炎(PTE)的临床和流行病学模式。
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引用次数: 0
PARASITOLOGICAL INDICATORS OF FOOD SAFETY 食品安全的寄生虫学指标
Pub Date : 2021-09-11 DOI: 10.25005/2074-0581-2021-23-2-166-173
S. A. Shemetova, N. V. Polyanskaya, G. L. Shendo
Study and assess food safety by parasitological indicators for 2010-2019.
2010-2019年通过寄生虫学指标研究和评估食品安全。
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引用次数: 0
ANATOMICAL EVIDENCE OF ACUPUNCTURE POINTS AND THE MERIDIANS IN CHINESE TRADITIONAL MEDICINE 中医穴位与经络的解剖学证据
Pub Date : 2021-09-11 DOI: 10.25005/2074-0581-2021-23-2-291-299
F. Shukurov, S. Lee, I. D. Karomatov
The review summarizes studies related to current issues and concepts of the neuroanatomic basis of the meridian system and acupuncture points. The proponents of their existence have not yet come to any consensus on how they might work or be tested in a scientific context. Kim Bonghan, a professor at Pyongyang Medical University of the Democratic People’s Republic of Korea, discovered the anatomical structure of meridian collaterals, which he called the Bonghan corpuscles (now known as primo nodes) and the the Bonghan ducts (primo vessels), and called it the Bonghan (Kyungrak) system. In 2010, it was renamed into the primo vascular system (PVS), which exists throughout the organism, including blood and lymph vessels. PVS is an anatomical structure being a network of ducts with fluid flowing in them. This system consists of primo-vessels and primo-nodes, corresponding to acupuncture meridians, and acupuncture points, respectively. Thus, the PVS can serve as a morphological substrate for acupuncture points and meridians of traditional Chinese medicine; however, since there is no scientific consensus on the neuroanatomical basis of acupuncture, further morphological, physiological, and clinical studies are needed to promote a broader mutual understanding of this issue in the research community and beyond.
综述了经络系统和穴位的神经解剖学基础的相关研究现状和概念。它们存在的支持者尚未就如何在科学背景下发挥作用或进行测试达成任何共识。朝鲜平壤医科大学教授金凤汉发现了被称为“奉汉体”(现称“首节”)和“奉汉管”(现称“首脉”)的经络解剖结构,并将其命名为“奉汉系”。2010年,它被重新命名为第一血管系统(PVS),它存在于整个生物体中,包括血液和淋巴管。PVS是一种解剖结构,是一种流体在其中流动的管道网络。该系统由原血管和原淋巴结组成,分别对应针灸经络和穴位。因此,PVS可以作为中医穴位和经络的形态学基础;然而,由于针灸的神经解剖学基础尚未达成科学共识,因此需要进一步的形态学、生理学和临床研究来促进研究界内外对这一问题的更广泛的相互理解。
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引用次数: 0
THE EFFECT OF THE MENSTRUAL CYCLE PHASE ON THE OUTCOME OF AUGMENTATION MAMMOPLASTY 月经周期对隆乳术效果的影响
Pub Date : 2021-09-11 DOI: 10.25005/2074-0581-2021-23-2-208-215
T. Fayzullin
To determine the optimal timing for augmentation mammoplasty (AM) relative to the menstrual cycle phase.
确定隆乳术(AM)相对于月经周期阶段的最佳时机。
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引用次数: 1
Uncertainty Quantification of the Effects of Segmentation Variability in ECGI. 心电图成像中分割变异性影响的不确定性量化。
Pub Date : 2021-06-01 Epub Date: 2021-06-18 DOI: 10.1007/978-3-030-78710-3_49
Jess D Tate, Wilson Good, Nejib Zemzemi, Machteld Boonstra, Peter van Dam, Dana H Brooks, Akil Narayan, Rob S MacLeod

Despite advances in many of the techniques used in Electrocardiographic Imaging (ECGI), uncertainty remains insufficiently quantified for many aspects of the pipeline. The effect of geometric uncertainty, particularly due to segmentation variability, may be the least explored to date. We use statistical shape modeling and uncertainty quantification (UQ) to compute the effect of segmentation variability on ECGI solutions. The shape model was made with Shapeworks from nine segmentations of the same patient and incorporated into an ECGI pipeline. We computed uncertainty of the pericardial potentials and local activation times (LATs) using polynomial chaos expansion (PCE) implemented in UncertainSCI. Uncertainty in pericardial potentials from segmentation variation mirrored areas of high variability in the shape model, near the base of the heart and the right ventricular outflow tract, and that ECGI was less sensitive to uncertainty in the posterior region of the heart. Subsequently LAT calculations could vary dramatically due to segmentation variability, with a standard deviation as high as 126ms, yet mainly in regions with low conduction velocity. Our shape modeling and UQ pipeline presented possible uncertainty in ECGI due to segmentation variability and can be used by researchers to reduce said uncertainty or mitigate its effects. The demonstrated use of statistical shape modeling and UQ can also be extended to other types of modeling pipelines.

尽管心电图成像(ECGI)中使用的许多技术都在不断进步,但在管道的许多方面,不确定性仍未得到充分量化。迄今为止,几何不确定性的影响,尤其是由于分割变异造成的不确定性,可能是探索最少的。我们使用统计形状建模和不确定性量化(UQ)来计算分割可变性对心电图成像解决方案的影响。形状模型是用 Shapeworks 根据同一患者的九次分割建立的,并纳入心电图成像管道。我们使用 UncertainSCI 中的多项式混沌扩展 (PCE) 计算了心包电位和局部激活时间 (LAT) 的不确定性。心包电位因分割变化而产生的不确定性反映了形状模型中的高变化区域,即心脏底部和右心室流出道附近,ECGI 对心脏后部区域的不确定性不太敏感。随后,LAT 的计算结果会因分割变异而发生巨大变化,标准偏差高达 126 毫秒,但主要是在传导速度较低的区域。我们的形状建模和 UQ 管道展示了心电图成像中可能存在的因分割变异而导致的不确定性,研究人员可利用它们来减少上述不确定性或减轻其影响。统计形状建模和 UQ 的示范应用也可扩展到其他类型的建模管道。
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引用次数: 0
ANALYSIS OF THE EFFICIENCY OF APPLICATION OF THE TWO SURGERY METHODS OF TREATMENT OF THE URETHRAL INJURY CONSEQUENCES 分析应用两种手术方法治疗尿道损伤后果的效果
Pub Date : 2021-01-01 DOI: 10.25005/2074-0581-2021-23-3-443-449
G. Khodzhamuradov, S. S. Ziyozoda, K. Rizoev, M. Ismoilov, M. B. Sharipova, A.KH. Tolibov
Objective: To analyze the results of application of the two surgical techniques in the treatment of the consequences of urethral injuries (CUI). Methods: 38 patients aged 16.4±1.9 years with CUI were examined. CUI were localized in the area of the scaphoid fossa (n=3), the penile part (n=9), the bulbous region (n=6). Multi-site and panurethral lesions were noted in 8 and 12 cases, respectively. Additional research methods included ultrasound examination of the bladder, uroflowmetry, residual urine measurement, and, if necessary, retrograde and voiding urethrography. The patients underwent two types of surgical intervention: one-stage (16 patients, 1st group) and two-stage (22 patients, 2nd group) urethroplasty using a buccal mucosal flap. The results of surgery were assessed by ascending urethrography and uroflowmetry. The follow-up period ranged from 6 to 24 months. Results: The immediate and long-term results between the two groups showed significant difference. According to uroflowmetry data, the main indicator of the effectiveness of surgical intervention was a stable retention of maximum urine flow rate at least 15 ml/sec. In the 1st group, there was one case of early wound dehiscence with the formation of a fistula. In the 2nd group, early divergence was observed in 8 cases, it was also accompanied by formation of fistulas. These complications required additional surgical intervention; their correction was deferred. Conclusion: One-stage urethroplasty using a buccal mucosal flap for CUI proved to be safer and more effective compared to the two-stage technique Keywords: Consequences of urethral injury, urethrography, uroflowmetry, buccal flap.
目的:分析两种手术技术在尿道损伤后遗症治疗中的应用效果。方法:对38例年龄16.4±1.9岁的崔氏综合征患者进行分析。CUI定位于舟骨窝(n=3),阴茎部分(n=9),球根区(n=6)。多尿道病变8例,全尿道病变12例。其他研究方法包括膀胱超声检查、尿流测定、残余尿量测定,必要时还包括逆行和排尿尿道造影。采用口腔黏膜瓣进行一期(16例,第一组)和二期(22例,第二组)尿道成形术。通过上行尿道造影和尿流术评估手术结果。随访时间为6 ~ 24个月。结果:两组近期疗效和远期疗效均有显著性差异。根据尿流测量数据,手术干预有效性的主要指标是最大尿流率稳定保持至少15ml /sec。第一组有1例早期创面裂开伴瘘道形成。第二组8例出现早期分化,并伴有瘘管形成。这些并发症需要额外的手术干预;他们的纠正被推迟了。结论:口腔黏膜瓣一期尿道成形术治疗崔氏综合征比二期手术更安全、更有效。关键词:尿道损伤后果、尿道造影、尿流测量、口腔瓣。
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引用次数: 0
STIMULATION OF EXTRACARDIAL REVASCULARIZATION DURING CORONARY BYPASS SURGERY IN PATIENTS WITH DIFFUSE CORONARY ARTERY DISEASE 弥漫性冠状动脉疾病患者冠状动脉搭桥术中心外血运重建的刺激
Pub Date : 2021-01-01 DOI: 10.25005/2074-0581-2021-23-3-462-472
Y. Shevchenko, F. Zayniddinov, D. Ulbashev
Objective: Clinical observations of the use of complex myocardial revascularization (YurLeon III technique) and traditional coronary artery bypass graft (CABG) in patients with diffuse atherosclerotic lesions of the coronary network are presented. A year after CABG+YurLeon III surgery, left ventricular ejection fraction (LVEF) increased from 45% to 57%, the perfusion defect according to synchro-single-photon emission computed tomography (synchro-SPECT) decreased from 30% to 5%, the overall index of total physical well-being increased from 23.81 to 53.97 and general mental well-being elevated from 46.97 to 47.57 points. With isolated CABG, the patient had an improvement in contractility, perfusion, and key indicators of quality of life (QoL) in the early stages after surgery. However, the dynamics after a year revealed a slight decrease in LVEF, and an increase of the zone of myocardial perfusion defect. Keywords: Atherosclerosis, coronary artery disease, coronary artery bypass graft, diffuse coronary artery disease, YurLeon technique.
目的:介绍复杂心肌血运重建术(YurLeon III技术)与传统冠状动脉旁路移植术(CABG)在冠状动脉网络弥漫性动脉粥样硬化病变患者中的应用临床观察。CABG+YurLeon III术后1年左室射血分数(LVEF)由45%上升至57%,同步单光子发射计算机断层扫描(同步- spect)灌注缺损由30%下降至5%,总体身体健康指数由23.81上升至53.97,总体心理健康指数由46.97上升至47.57。孤立性冠脉搭桥治疗后,患者术后早期的收缩力、血流灌注和主要生活质量指标(QoL)均有改善。但1年后动态显示LVEF略有下降,心肌灌注缺损区增大。关键词:动脉粥样硬化,冠状动脉疾病,冠状动脉搭桥术,弥漫性冠状动脉疾病,尤利恩技术
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引用次数: 1
TITANIUM CLAMPS WITH MODIFIED SURFACE AND THEIR APPLICATION FOR MANDIBLE OSTEOSYNTHESIS 改良表面钛钳及其在下颌骨内固定中的应用
Pub Date : 2021-01-01 DOI: 10.25005/2074-0581-2021-23-1-53-59
A. Yaryomenko, K. Starkovskiy, A. L. Rubezhov
To develop titanium clamps with a biologically modified surface, and estimate its biocompatibility and probability of its application in clinical practice for patients with mandibular fractures.
目的:研制生物改性表面钛钳,评估其生物相容性及应用于下颌骨折临床的可能性。
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引用次数: 0
HISTORY OF APPLICATION OF LOCAL ANESTHETICS FOR NEUROAXIAL BLOCKS 局麻药在神经轴阻滞中的应用历史
Pub Date : 2021-01-01 DOI: 10.25005/2074-0581-2021-23-3-432-442
O. N. Yamshchikov, A. P. Marchenko, S. Emelyanov, A. Cherkaeva, M. A. Ignatova
Modern anesthesia is a very complex process, in which an important role is played not only by a highly qualified specialist, making quick and deliberate decisions in emergency and planned situations, but also a set of ways to solve the problems faced by him. This review provides information on pharmacological drugs – anesthetics, used to perform spinal and epidural anesthesia, which are described in chronological order. The origin of anesthetics is considered; as well as their inventors and promoters, positive and negative effects; indications and contraindications; choices of local anesthetics for various surgical interventions; methods of their application; dose and volume; and physiological effects of neuraxial blocks. In recent years, there have been global changes in the pharmacological arsenal of anesthesiologists. New pain management drugs with significant benefits have emerged. Modern anesthetics provide a longer analgesic effect than their precursors, lack significant toxic effect, do not cause significant hemodynamic changes during surgery, and have a short latency period, which allows them to be recommended for spinal, epidural and spinal-epidural anesthesia. Keywords: Local anesthetics, spinal anesthesia, epidural anesthesia, spinal-epidural anesthesia.
现代麻醉是一个非常复杂的过程,在这个过程中,不仅要有一个高素质的专家,在紧急情况和计划情况下做出迅速而深思熟虑的决定,而且要有一套解决他所面临的问题的方法。本综述按时间顺序提供了用于脊髓和硬膜外麻醉的药理学药物-麻醉药的信息。麻醉药的起源被考虑;以及它们的发明者和推动者,积极和消极的影响;适应症和禁忌症;不同手术干预中局麻药的选择应用方法;剂量和体积;以及神经轴传导阻滞的生理效应。近年来,麻醉师的药理学知识库发生了全球性的变化。具有显著疗效的新型疼痛管理药物已经出现。现代麻醉药的镇痛效果比其前身更持久,没有明显的毒性作用,术中不会引起明显的血流动力学变化,潜伏期短,因此推荐用于脊髓、硬膜外和脊髓-硬膜外麻醉。关键词:局麻,脊髓麻醉,硬膜外麻醉,脊髓-硬膜外麻醉。
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引用次数: 2
DEVELOPMENT AND PRACTICAL APPLICATION OF AN ORIGINAL METHOD OF MONITORING THE PATENCY OF THE SPINAL SPACES DURING THE REMOVAL OF LUMBOSACRAL LIPOMA 腰骶部脂肪瘤切除过程中监测脊柱间隙通畅的原始方法的发展和实际应用
Pub Date : 2021-01-01 DOI: 10.25005/2074-0581-2021-23-1-39-45
A. Sufianov, I. S. Shelyagin, M. R. Gizatullin
To assess the effectiveness of reconstructive plasty of the dura mater in patients with lumbosacral lipomas (LSL) using an original method for controlling the patency of the spinal spaces.
目的:评价硬脑膜重建成形术在腰骶部脂肪瘤(LSL)患者中的效果,采用一种新颖的方法来控制脊柱间隙的通畅。
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引用次数: 0
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Paemi Sino
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