Change of approach to using intra-aortic balloon counterpulsation in combined cardiac surgery

Perioperative acute myocardial dysfunction is an actual problem of cardiac surgery. Rational use of inotropes and mechanical circulatory support in the postoperative period remains a subject of debate. The outcomes of the combined coronary artery bypass grafting and heart valve prosthesis were analyzed in Irkutsk Cardiac Surgery Center after 80 patients were operated on. As a result of the conducted research, authors proposed a method of differentiated approach to the treatment of acute heart failure in the early postoperative period. Failure to escalate therapy beta agonists in the absence of adequate response hemodynamics and the transition to a mechanical circulatory support improves performance of the cardiovascular system and clinical outcomes, reduces hospitalization duration in the department of intensive therapy. The study showed the superiority of an early beginning of an intra-aortic balloon counterpulsation before traditional inotropic therapy in the treatment of postcardiotomy heartfailure at combined cardiac surgery

The level of Brain natriuretic Peptide as a Predictor of the Postoperative Period at Operations with Artificial Blood circulation

The level of natriuretic peptide is regarded as a prognostic predictor of postoperative heart failure in modern cardiac surgery, and moreover, this hormone is included in the standards of its early diagnosis around the world. This study was conducted at the Irkutsk Cardiac Surgery Center. The results of treatment of 78 patients were analyzed in order to determine the relationship between the dynamics of brain natriuretic peptides and the course of the early postoperative period in operations with artificial cardiopulmonary bypass. Patients were divided into three groups according to the level of natriuretic peptide elevation in the postoperative period. The study proved the dependence of the postoperative period on the multiplicity of the increase in the level of natriuretic peptide B-type.It was found that the higher the rate of increase in the hormone, the lower the numbers of the cardiac index in the postoperative period, longer duration of inotropic support (p > 0.05) and higher doses of adrenomimetics (p > 0.05). The duration of mechanical ventilation was also longer in the groups where a high level of natriuretic peptide was recorded (p > 0.05). Thus, the multiplicity of natriuretic peptide elevation can be a prognostic criterion for the postoperative period in cardiac patients. It is important to note that a single determination of the level of natriuretic peptide should not be used as a marker of postoperative heart failure and this study confirmed the necessity to monitor the dynamics of brain natriuretic peptide’s level in the perioperative period in patients operated with extracorporeal cardiopulmonary bypass

ИССЛЕДОВАНИЕ ДИНАМИКИ ТЕРРИТОРИАЛЬНОГО РАСПРОСТРАНЕНИЯ И ЭКОЛОГИИ РЕДКИХ МЛЕКОПИТАЮЩИХ ТАЕЖНОЙ ЕВРАЗИИ (НА ПРИМЕРЕ ЛЕТЯГИ PTEROMYS VOLANS, RODENTIA, PTEROMYIDAE) in English INVESTIGATION OF THE DYNAMICS OF REGIONAL DISTRIBUTION AND ECOLOGY OF RARE MAMMALS TAIGA EURASIA (FOR EXAMPLE Letyago PTEROMYS VOLANS, RODENTIA, PTEROMYIDAE)

This study of the spatial distribution and ecology of the flying squirrel during the turn of the 20th century provides a description of new methods and techniques for detecting and accounting flying squirrels in the forest zone of Eurasia. The flying squirrel population area covers the territory of 61 regions of Russia, including Kamchatsky Krai and Chukotka Autonomous District. The number of flying squirrels in Karelia especially to the east – in the Arkhangelsk region and Western Siberia – significantly exceeds that of Finland, but considerable spatial variability in the number is obvious through all the regions: there are areas where this animal is quite abundant, or inhabits all the territory rather evenly, and there are areas where it is completely absent in vast territories even with seemingly favourable conditions. The flying squirrel is quite difficult to study and the reasons of its absence in obviously favourable areas are still to be explained. Some reasons are: the specificity of favourable landscape, forest coverage pattern, trophic relationships with predators and genetic aspect. A number of hypotheses are supposed to be tested in the nearest future. Key words: accounting, flying squirrel, forest zone, home range, spatial distribution.Peer reviewe

Diffuse Reflectance Spectroscopy of the Oral Mucosa: In Vivo Experimental Validation of the Precancerous Lesions Early Detection Possibility

This article is devoted to the experimental validation of the possibility of early detection of precancerous lesions in the oral mucosa in vivo using diffuse reflectance spectroscopy in the wavelength range from 360 to 1000 nm. During the study, a sample of 119 patients with precancerous lesions has been collected and analyzed. As a result of the analysis, the most informative wavelength ranges were determined, in which the maximum differences in the backscattering spectra of lesions and intact tissues were observed, methods for automatic classification of backscattering spectra of the oral mucosa were studied, sensitivity and specificity values, achievable using diffuse reflectance spectroscopy for detecting hyperkeratosis on the tongue ventrolateral mucosa surface and buccal mucosa, were evaluated. As a result of preliminary experimental studies in vivo, the possibility of automatic detection of precancerous lesions of the oral mucosa surface using diffuse reflectance spectroscopy in the wavelength range from 500 to 900 nm with an accuracy of at least 75 percent has been shown

Dynamics of regional distribution and ecology investigation of rare mammals of taiga Eurasia (case study of flying squirrel Pteromys volans, Rodentia, Pteromyidae)

This study of the spatial distribution and ecology of the flying squirrel during the turn of the 20th century provides a description of new methods and techniques for detecting and accounting flying squirrels in the forest zone of Eurasia. The flying squirrel population area covers the territory of 61 regions of Russia, including Kamchatsky Krai and Chukotka Autonomous District. The number of flying squirrels in Karelia especially to the east – in the Arkhangelsk region and Western Siberia – significantly exceeds that of Finland, but considerable spatial variability in the number is obvious through all the regions: there are areas where this animal is quite abundant, or inhabits all the territory rather evenly, and there are areas where it is completely absent in vast territories even with seemingly favourable conditions. The flying squirrel is quite difficult to study and the reasons of its absence in obviously favourable areas are still to be explained. Some reasons are: the specificity of favourable landscape, forest coverage pattern, trophic relationships with predators and genetic aspect. A number of hypotheses are supposed to be tested in the nearest future