Реконструктивно-пластическая операция на мочевыводящих путях трансплантированной почки

We present a clinical case of urolithiasis. A patient diagnosed with stage 5 chronic kidney disease due to autosomal dominant polycystic kidney disease after bilateral nephrectomy underwent kidney transplantation with ureteral graft stenting. Two months after the operation, a stone was found in the upper third of the ureteral graft, complicated by necrosis in this area. Reconstructive plastic surgery on the ureter of the transplanted kidney with removal of the ureteral stone achieved the desired clinical effect.Представлен клинический случай мочекаменной болезни трансплантированной почки. Пациенту с диагнозом «хроническая болезнь почек 5-й стадии» в исходе аутосомно-доминантной поликистозной болезни почек после билатеральной нефрэктомии выполнена трансплантация почки со стентированием мочеточника трансплантата. Через 2 месяца после операции был выявлен камень в верхней трети мочеточника трансплантата, осложненный некрозом этого участка. Реконструктивно-пластическая операция на мочеточнике трансплантированной почки с удалением конкремента позволила добиться желаемого клинического эффекта

Body, biomechanics of rowing technique. assessment of health state and assessment of competitive activity of athletes engaged in rowing

The article is devoted to the results of examinations of the strongest, young athletes specializing in rowing. An analysis of the special strength training of young athletes showed the need to improve the quality of this work, which requires equipping training bases with training equipment and technical means of control. The proportion of female athletes effectively working on the improvement of technical and tactical skills is 15 %, and the assessment of the health status of young rowers showed that 19.2 % of female athletes have disorders of the cardiovascular system after performing a specific load.Статья посвящена результатам обследований сильнейших юных спортсменок, специализирующихся в академической гребле. Анализ специальной силовой подготовки юных спортсменок показал необходимость повышения качества этой работы, что требует оснащения тренировочных баз тренажерными средствами и техническими средствами контроля. Доля спортсменок, эффективно работающих над совершенствованием технико-тактического мастерства, составляет 15 %, а оценка состояния здоровья юных гребчих показала, что у 19,2 % спортсменок имеются нарушения сердечно-сосудистой системы после выполнения специфической нагрузки

COVID-19 in solid organ transplant recipients: initial report from national multicenter observational study «ROKKOR-recipient»

We herein present our initial report from «ROKKOR-recipient», a national multicenter observational study. The prevalence, risk factors, clinical manifestations and outcomes of the novel coronavirus disease 2019 (COVID-19) in solid organ transplant recipients receiving immunosuppressive therapy were investigated. The study enrolled 251 COVID-19 patients (220 kidney recipients, 7 liver recipients, 1 liver-kidney recipient, and 23 heart recipients). The subjects came from 20 regions in Russia. The symptoms, clinical presentation, imaging and lab test results, therapy and outcomes of COVID-19 were described. It was established that solid organ transplant recipients with COVID-19 have a higher risk of developing adverse events. Predictors of adverse events include associated cardiovascular diseases, pulmonary diseases, diabetes, and kidney failure. Symptoms of the disease include dyspnea, rash and catarrhal signs, as well as initial low blood oxygen saturation (SpO2 <92%), leukocytosis (white blood cell count >10 × 109/L), elevated creatinine levels (>130 μmol/L) and a marked decrease in glomerular filtration rate, requiring hemodialysis. Performing organ transplant surgery in COVID-19 does not increase the risk of adverse events but could save the lives of waitlisted terminally ill patients

Tropospheric Aqueous-Phase Chemistry: Kinetics, Mechanisms, and Its Coupling to a Changing Gas Phase

[no abstract available