333 research outputs found

    First records of six species of Lepidoptera from Kunashir Island (Russia)

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    This article presents the first records of six species of moths and butterflies from Kunashir Island. We report on the first records of Aemene obscura (Leech, 1889) from Russia (Kunashir Island), as well as Catocala dula Bremer, 1861, C. lara Bremer, 1861, C. dissimilis Bremer, 1861, Sphragifera sigillata (Menetries, 1859), and Argynnis sagana Doubleday, [1847] from Kunashir Island. Additionally, we provide commentary on distribution of Aberrasine aberrans (Butler, 1877)

    ΠŸΡ€Π΅Π΄ΠΈΠΊΡ‚ΠΎΡ€Ρ‹ морбидности Ρ€Π°Π΄ΠΈΠΊΠ°Π»ΡŒΠ½ΠΎΠΉ цистэктомии ΠΈ Ρ€Π°Π·Π»ΠΈΡ‡Π½Ρ‹Ρ… Π²Π°Ρ€ΠΈΠ°Π½Ρ‚ΠΎΠ² ΡƒΡ€ΠΎΠ΄Π΅Ρ€ΠΈΠ²Π°Ρ†ΠΈΠΈ: 20-Π»Π΅Ρ‚Π½ΠΈΠΉ ΠΎΠΏΡ‹Ρ‚ ΠΎΠ΄Π½ΠΎΠ³ΠΎ хирургичСского Ρ†Π΅Π½Ρ‚Ρ€Π°

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    Background. Most of serious complications of radical cystectomy (RCE) should be associated with the comorbidity of patients and the interintestinal anastomoses designed with urinary reservoirs rather than with RCE. It is relevant to identify and assess the role of predictors for morbidity of RCE and urine derivation.Objective: to search for risk factors for complications after RCE with different types of urine derivation.Subjects and methods. The immediate and late results of RCE and urine derivation were studied in 350 patients with bladder cancer. Sequential postoperative complications were additionally analyzed in chronological order in all the patients, including non-cancer ones (n = 43).Results. 43.9% of the patients had postoperative complications, if a surgeon had sufficient surgical experience; there was a preponderance of patients with mild-to-moderate complications (Clavien-Dindo grade I-II, 37.8%) unassociated with urine derivation. The patients with severe postoperative complications were 16.3%; mortality was 3.1%, which significantly correlated with surgical experience. Late (3-18 month) postoperative complications were detected in 21.4% of the patients with a preponderance of those with urine derivation-related complications (19.4). The frequency of complications due to extraintestinal versus intestinal urine derivations was significantly higher (68.1 and 49.8% (p < 0.05). During two-step surgical treatment, the patients demonstrated higher morbidity and worse survival. Extraintestinal urine derivations, continuous urinary intestinal diversion determine a less favorable prognosis compared with one-stage ortho- and heterotopic procedures. The type of urine derivation and the experience of a surgeon performing RCE are valid predictors for postoperative morbidity and independent prognostic factors of overall and cancer-specific survival, respectively. 150 operations are needed for achieving optimal surgical experience. Discussion. It is appropriate to increase the time of research reports on the results of urine derivation up to 12-18 months of a postoperative follow-up.In practice, the routine use of two-step RCE and final urine derivation and internal and/or external urine ones should be abandoned; preference should be, when possible, given to single-stage ortho- and/or heterotopic urine derivations rather than to the former.Conclusion. Extraintestinal (percutaneous puncture nephrostomy, ureterocutaneostomy), and internal (ureterosigmoanastomosis, ureterosigmorectoanastomosis, Mainz pouch II) urine derivations, two-step surgical treatment, and a surgeon’s insufficient experience are predictors for high morbidity and poor prognostic factors for survival after RCE and urine derivation.Π’Π²Π΅Π΄Π΅Π½ΠΈΠ΅. Π‘Γ³Π»ΡŒΡˆΡƒΡŽ Ρ‡Π°ΡΡ‚ΡŒ ΡΠ΅Ρ€ΡŒΠ΅Π·Π½Ρ‹Ρ… ослоТнСний Ρ€Π°Π΄ΠΈΠΊΠ°Π»ΡŒΠ½ΠΎΠΉ цистэктомии (Π Π¦Π­) слСдуСт ΡΠ²ΡΠ·Ρ‹Π²Π°Ρ‚ΡŒ с ΠΊΠΎΠΌΠΎΡ€Π±ΠΈΠ΄Π½ΠΎΡΡ‚ΡŒΡŽ ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚ΠΎΠ², ΠΌΠ΅ΠΆΠΊΠΈΡˆΠ΅Ρ‡Π½Ρ‹ΠΌΠΈ анастомозами, конструируСмыми ΠΌΠΎΡ‡Π΅Π²Ρ‹ΠΌΠΈ Ρ€Π΅Π·Π΅Ρ€Π²ΡƒΠ°Ρ€Π°ΠΌΠΈ, Π° Π½Π΅ с Π Π¦Π­. ΠΠΊΡ‚ΡƒΠ°Π»ΡŒΠ½ΠΎ выявлСниС ΠΈ ΠΎΡ†Π΅Π½ΠΊΠ° Ρ€ΠΎΠ»ΠΈ прогностичСских Ρ„Π°ΠΊΡ‚ΠΎΡ€ΠΎΠ² морбидности Π Π¦Π­ ΠΈ ΡƒΡ€ΠΎΠ΄Π΅Ρ€ΠΈΠ²Π°Ρ†ΠΈΠΈ.ΠœΠ°Ρ‚Π΅Ρ€ΠΈΠ°Π»Ρ‹ ΠΈ ΠΌΠ΅Ρ‚ΠΎΠ΄Ρ‹. Π˜Π·ΡƒΡ‡Π΅Π½Ρ‹ нСпосрСдствСнныС ΠΈ ΠΎΡ‚Π΄Π°Π»Π΅Π½Π½Ρ‹Π΅ Ρ€Π΅Π·ΡƒΠ»ΡŒΡ‚Π°Ρ‚Ρ‹ Π Π¦Π­ ΠΈ ΡƒΡ€ΠΎΠ΄Π΅Ρ€ΠΈΠ²Π°Ρ†ΠΈΠΈ ΠΏΡ€ΠΈ РМП (n = 350). Π’Ρ‹ΠΏΠΎΠ»Π½Π΅Π½ Π΄ΠΎΠΏΠΎΠ»Π½ΠΈΡ‚Π΅Π»ΡŒΠ½Ρ‹ΠΉ Π°Π½Π°Π»ΠΈΠ· ΠΏΠΎΡΠ»Π΅Π΄ΠΎΠ²Π°Ρ‚Π΅Π»ΡŒΠ½ΠΎ Π²ΠΎΠ·Π½ΠΈΠΊΡˆΠΈΡ… послСопСрационных ослоТнСний Π² хронологичСском порядкС Ρƒ всСх ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚ΠΎΠ², Π²ΠΊΠ»ΡŽΡ‡Π°Ρ ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚ΠΎΠ² с нСонкологичСской ΠΏΠ°Ρ‚ΠΎΠ»ΠΎΠ³ΠΈΠ΅ΠΉ (n = 43).ЦСль исслСдования – поиск Ρ„Π°ΠΊΡ‚ΠΎΡ€ΠΎΠ² риска развития ослоТнСний послС Π Π¦Π­ с Ρ€Π°Π·Π»ΠΈΡ‡Π½Ρ‹ΠΌΠΈ Π²Π°Ρ€ΠΈΠ°Π½Ρ‚Π°ΠΌΠΈ отвСдСния ΠΌΠΎΡ‡ΠΈ.Π Π΅Π·ΡƒΠ»ΡŒΡ‚Π°Ρ‚Ρ‹ исслСдования. ΠŸΠΎΡΠ»Π΅ΠΎΠΏΠ΅Ρ€Π°Ρ†ΠΈΠΎΠ½Π½Ρ‹Π΅ ослоТнСния ΠΏΡ€ΠΈ достаточном хирургичСском ΠΎΠΏΡ‹Ρ‚Π΅ ΠΈΠΌΠ΅ΡŽΡ‚ 43,9 % Π±ΠΎΠ»ΡŒΠ½Ρ‹Ρ…, ΠΏΡ€Π΅ΠΎΠ±Π»Π°Π΄Π°ΡŽΡ‚ ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚Ρ‹ с Π»Π΅Π³ΠΊΠΈΠΌΠΈ ΠΈ ΡƒΠΌΠ΅Ρ€Π΅Π½Π½Ρ‹ΠΌΠΈ (I–II стСпСни ΠΏΠΎ Clavien – Dindo) ослоТнСниями Π½Π΅ связанными с ΡƒΡ€ΠΎΠ΄Π΅Ρ€ΠΈΠ²Π°Ρ†ΠΈΠ΅ΠΉ – 37,8 %. ΠŸΠ°Ρ†ΠΈΠ΅Π½Ρ‚ΠΎΠ² с тяТСлыми послСопСрационными ослоТнСниями – 16,3 %, Π»Π΅Ρ‚Π°Π»ΡŒΠ½ΠΎΡΡ‚ΡŒ составила 3,1 %, Ρ‡Ρ‚ΠΎ достовСрно ΠΊΠΎΡ€Ρ€Π΅Π»ΠΈΡ€ΡƒΠ΅Ρ‚ с хирургичСским ΠΎΠΏΡ‹Ρ‚ΠΎΠΌ. ΠžΡ‚ΡΡ€ΠΎΡ‡Π΅Π½Π½Ρ‹Π΅ послСопСрационныС ослоТнСния (3–18 мСс) выявлСны Ρƒ 21,4 % Π±ΠΎΠ»ΡŒΠ½Ρ‹Ρ…, срСди ΠΊΠΎΡ‚ΠΎΡ€Ρ‹Ρ… ΠΏΡ€Π΅ΠΎΠ±Π»Π°Π΄Π°ΡŽΡ‚ ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚Ρ‹ со связанными с ΡƒΡ€ΠΎΠ΄Π΅Ρ€ΠΈΠ²Π°Ρ†ΠΈΠ΅ΠΉ ослоТнСниями – 19,4 %. Частота ослоТнСний ΠΏΡ€ΠΈ Π²Π½Π΅ΠΊΠΈΡˆΠ΅Ρ‡Π½Ρ‹Ρ… Ρ„ΠΎΡ€ΠΌΠ°Ρ… ΡƒΡ€ΠΎΠ΄Π΅Ρ€ΠΈΠ²Π°Ρ†ΠΈΠΈ достовСрно Π²Ρ‹ΡˆΠ΅ Π² сравнСнии ΠΊΠΈΡˆΠ΅Ρ‡Π½Ρ‹ΠΌΠΈ уродСривациями – 68,1 % ΠΏΡ€ΠΎΡ‚ΠΈΠ² 49,8 % (p < 0,05). ΠŸΡ€ΠΈ двухэтапном хирургичСском Π»Π΅Ρ‡Π΅Π½ΠΈΠΈ ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚Ρ‹ Π΄Π΅ΠΌΠΎΠ½ΡΡ‚Ρ€ΠΈΡ€ΡƒΡŽΡ‚ Π±ΠΎΠ»Π΅Π΅ Π²Ρ‹ΡΠΎΠΊΡƒΡŽ ΠΌΠΎΡ€Π±ΠΈΠ΄Π½ΠΎΡΡ‚ΡŒ ΠΈ Ρ…ΡƒΠ΄ΡˆΡƒΡŽ Π²Ρ‹ΠΆΠΈΠ²Π°Π΅ΠΌΠΎΡΡ‚ΡŒ. Π’Π½Π΅ΠΊΠΈΡˆΠ΅Ρ‡Π½Ρ‹Π΅ Ρ„ΠΎΡ€ΠΌΡ‹ ΡƒΡ€ΠΎΠ΄Π΅Ρ€ΠΈΠ²Π°Ρ†ΠΈΠΈ ΠΈ ΠΎΡ‚Π²Π΅Π΄Π΅Π½ΠΈΠ΅ ΠΌΠΎΡ‡ΠΈ Π² Π½Π΅ΠΏΡ€Π΅Ρ€Ρ‹Π²Π½Ρ‹ΠΉ ΠΊΠΈΡˆΠ΅Ρ‡Π½ΠΈΠΊ ΠΎΠ±ΡƒΡΠ»ΠΎΠ²Π»ΠΈΠ²Π°ΡŽΡ‚ ΠΌΠ΅Π½Π΅Π΅ благоприятный ΠΏΡ€ΠΎΠ³Π½ΠΎΠ· Π² сравнСнии с ΠΎΠ΄Π½ΠΎΠΌΠΎΠΌΠ΅Π½Ρ‚Π½Ρ‹ΠΌΠΈ ΠΎΡ€Ρ‚ΠΎ- ΠΈ гСтСротопичСскими ΠΌΠ΅Ρ‚ΠΎΠ΄ΠΈΠΊΠ°ΠΌΠΈ. Π’ΠΈΠΏ ΡƒΡ€ΠΎΠ΄Π΅Ρ€ΠΈΠ²Π°Ρ†ΠΈΠΈ ΠΈ ΠΎΠΏΡ‹Ρ‚ Ρ…ΠΈΡ€ΡƒΡ€Π³Π°, Π²Ρ‹ΠΏΠΎΠ»Π½ΡΡŽΡ‰Π΅Π³ΠΎ Π Π¦Π­, ΡΠ²Π»ΡΡŽΡ‚ΡΡ достовСрными ΠΏΡ€Π΅Π΄ΠΈΠΊΡ‚ΠΎΡ€Π°ΠΌΠΈ послСопСрационной морбидности ΠΈ нСзависимыми Ρ„Π°ΠΊΡ‚ΠΎΡ€Π°ΠΌΠΈ ΠΏΡ€ΠΎΠ³Π½ΠΎΠ·Π° ΠΎΠ±Ρ‰Π΅ΠΉ ΠΈ канцСрспСцифичСской выТиваСмости соотвСтствСнно. ΠžΠΏΡ‚ΠΈΠΌΠ°Π»ΡŒΠ½Ρ‹ΠΉ хирургичСский ΠΎΠΏΡ‹Ρ‚ достигаСтся послС выполнСния 150 ΠΎΠΏΠ΅Ρ€Π°Ρ†ΠΈΠΉ.ΠžΠ±ΡΡƒΠΆΠ΄Π΅Π½ΠΈΠ΅. ЦСлСсообразно ΡƒΠ²Π΅Π»ΠΈΡ‡Π΅Π½ΠΈΠ΅ сроков ΠΈΡΡΠ»Π΅Π΄ΠΎΠ²Π°Ρ‚Π΅Π»ΡŒΡΠΊΠΈΡ… ΠΎΡ‚Ρ‡Π΅Ρ‚ΠΎΠ² ΠΏΡ€ΠΈΠΌΠ΅Π½ΠΈΡ‚Π΅Π»ΡŒΠ½ΠΎ ΠΊ Ρ€Π΅Π·ΡƒΠ»ΡŒΡ‚Π°Ρ‚Π°ΠΌ ΡƒΡ€ΠΎΠ΄Π΅Ρ€ΠΈΠ²Π°Ρ†ΠΈΠΈ Π΄ΠΎ 12– 18 мСс послСопСрационного наблюдСния. Π’ практичСской Ρ€Π°Π±ΠΎΡ‚Π΅ слСдуСт ΠΎΡ‚ΠΊΠ°Π·Π°Ρ‚ΡŒΡΡ ΠΎΡ‚ Ρ€ΡƒΡ‚ΠΈΠ½Π½ΠΎΠ³ΠΎ примСнСния двухэтапного выполнСния Π Π¦Π­ ΠΈ ΠΎΠΊΠΎΠ½Ρ‡Π°Ρ‚Π΅Π»ΡŒΠ½ΠΎΠΉ ΡƒΡ€ΠΎΠ΄Π΅Ρ€ΠΈΠ²Π°Ρ†ΠΈΠΈ, ΠΎΡ‚ Π²Π°Ρ€ΠΈΠ°Π½Ρ‚ΠΎΠ² Π²Π½ΡƒΡ‚Ρ€Π΅Π½Π½Π΅ΠΉ ΠΈ / ΠΈΠ»ΠΈ Π½Π°Ρ€ΡƒΠΆΠ½ΠΎΠΉ ΡƒΡ€ΠΎΠ΄Π΅Ρ€ΠΈΠ²Π°Ρ†ΠΈΠΈ, Π° ΠΈΡ… использованию ΠΏΡ€Π΅Π΄ΠΏΠΎΡ‡Π΅ΡΡ‚ΡŒ, ΠΊΠΎΠ³Π΄Π° это Π²ΠΎΠ·ΠΌΠΎΠΆΠ½ΠΎ, ΠΎΠ΄Π½ΠΎΠΌΠΎΠΌΠ΅Π½Ρ‚Π½Ρ‹Π΅ ΠΎΡ€Ρ‚ΠΎ- ΠΈ / ΠΈΠ»ΠΈ гСтСротипичСскиС ΡƒΡ€ΠΎΠ΄Π΅Ρ€ΠΈΠ²Π°Ρ†ΠΈΠΈ.Π—Π°ΠΊΠ»ΡŽΡ‡Π΅Π½ΠΈΠ΅. ΠŸΡ€Π΅Π΄ΠΈΠΊΡ‚ΠΎΡ€Π°ΠΌΠΈ высокой морбидности ΠΈ Ρ„Π°ΠΊΡ‚ΠΎΡ€Π°ΠΌΠΈ нСблагоприятного ΠΏΡ€ΠΎΠ³Π½ΠΎΠ·Π° выТиваСмости послС Π Π¦Π­ ΠΈ ΡƒΡ€ΠΎΠ΄Π΅Ρ€ΠΈΠ²Π°Ρ†ΠΈΠΈ ΡΠ²Π»ΡΡŽΡ‚ΡΡ Π²Π½Π΅ΠΊΠΈΡˆΠ΅Ρ‡Π½Ρ‹Π΅ Ρ„ΠΎΡ€ΠΌΡ‹ ΡƒΡ€ΠΎΠ΄Π΅Ρ€ΠΈΠ²Π°Ρ†ΠΈΠΈ (чрСскоТная пункционная нСфростомия, урСтСрокутанСостомы), внутрСнняя уродСривация (урСтСросигмоанастомоз, урСтСросигморСктоанастомоз, Mainz pouch II), двухэтапноС хирургичСскоС Π»Π΅Ρ‡Π΅Π½ΠΈΠ΅ ΠΈ нСдостаточный ΠΎΠΏΡ‹Ρ‚ Ρ…ΠΈΡ€ΡƒΡ€Π³Π°.

    AWAKE, the advanced proton driven plasma wakefield acceleration experiment at CERN

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    The Advanced Proton Driven Plasma Wakefield Acceleration Experiment (AWAKE) aims at studying plasma wakefield generation and electron acceleration driven by proton bunches. It is a proof-of-principle R&D experiment at CERN and the worldΧ³s first proton driven plasma wakefield acceleration experiment. The AWAKE experiment will be installed in the former CNGS facility and uses the 400 GeV/c proton beam bunches from the SPS. The first experiments will focus on the self-modulation instability of the long (rms ~12 cm) proton bunch in the plasma. These experiments are planned for the end of 2016. Later, in 2017/2018, low energy (~15 MeV) electrons will be externally injected into the sample wakefields and be accelerated beyond 1 GeV. The main goals of the experiment will be summarized. A summary of the AWAKE design and construction status will be presented

    Experimental Observation of Plasma Wakefield Growth Driven by the Seeded Self-Modulation of a Proton Bunch

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    We measure the effects of transverse wakefields driven by a relativistic proton bunch in plasma with densities of 2.1 x 10(14) and 7.7 x 10(14) electrons/cm(3). We show that these wakefields periodically defocus the proton bunch itself, consistently with the development of the seeded self-modulation process. We show that the defocusing increases both along the bunch and along the plasma by using time resolved and time-integrated measurements of the proton bunch transverse distribution. We evaluate the transverse wakefield amplitudes and show that they exceed their seed value (< 15 MV/m) and reach over 300 MV/m. All these results confirm the development of the seeded self-modulation process, a necessary condition for external injection of low energy and acceleration of electrons to multi-GeV energy levels

    Experimental study of extended timescale dynamics of a plasma wakefield driven by a self-modulated proton bunch

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    Plasma wakefield dynamics over timescales up to 800 ps, approximately 100 plasma periods, are studied experimentally at the Advanced Wakefield Experiment (AWAKE). The development of the longitudinal wakefield amplitude driven by a self-modulated proton bunch is measured using the external injection of witness electrons that sample the fields. In simulation, resonant excitation of the wakefield causes plasma electron trajectory crossing, resulting in the development of a potential outside the plasma boundary as electrons are transversely ejected. Trends consistent with the presence of this potential are experimentally measured and their dependence on wakefield amplitude are studied via seed laser timing scans and electron injection delay scan
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