Restoration tailings and recultivation of soil fertility

In the mining industry place, tailing dumps remain, which contain toxic substances. For their rehabilitation, it is proposed to use local zeolite-containing clays of North and South Ossetia Eredvit and Dialbekulit containing a complex of minerals with an alkaline reaction of the environment. In addition to clays, peat with a high content of humic substances is introduced into the substrate. The prepared substrate is irrigated with mineral sulfur-containing water of the Tamisk spring. Accumulating toxic substances and herbs are sown on the surface of the densified area: annual and perennial herbs, for example, amaranth, legumes, winter camelina. Before sowing, grass seeds are mixed with the husk of winter camelina. Such remediation of contaminated sites reduces the toxicity of tailings to 90 % and restores soil fertility

Modern non - medicamental technologies of the pregravidar preparation of women

The results of pregravidar preparation of women with the use of physiotherapeutic and local natural factors are examined in the article. The women with infertility, endometriosis, premature pregnancy and women suffered from obstetric and gynecologic operations were examined. The influence of the used methods of treatment on the central and peripheral links of reproductive system was estimated. It was proved the high therapeutic effect of the developed system of the reproductive function rehabilitation while pregravidar preparation of women, which allowed to reach the restoration of fertility and the improvement of patients' standard of living

Functional results of partial nephrectomy in solitary functioning kidney tumors

Objective: to assess the early and late functional results of partial nephrectomy in patients with solitary functioning kidney tumors.Materials and methods. Medical data of 131 consecutive patients with solitary kidney parenchymal tumor, who had undergone partial nephrectomy at the N. N. Blokhin Russian Cancer Research Center, were analyzed. The median age was 57 (26–75) years. All the patients were diagnosed with solitary kidney tumor (median RENAL score was 7.0 ± 2.4 and median PADUA score was 9.0 ± 2.2). The median baseline glomerular filtration rate (GFR) was 74 (33–159) ml/min/1.73 m2 (30 (22.9 %) – stage III chronic kidney disease (CKD) and 0 (0 %) – stages IV–V CKD). All the patients underwent partial nephrectomy (with ischemia in 98 (74.8 %) patients, including cold ischemia in 59 (45.1 %)). The median time of ischemia was 24 (7–80) min. The median blood loss was 800 (20–4500) ml.Results. Acute renal injury was recorded in 69 (52.7 %) cases; 6 patients (4.6 %) had indications for acute dialysis. The independent risk factors of acute renal injury were sinus invasion (hazard ratio (HR) 0.08; 95 % confidence interval (CI) 0.03–0.22; p = 0.051), baseline GFR <80 ml/min/1.73 m2 (HR 0.45; 95 % CI 0.22–0.92; p = 0.021), parenchymal ischemia (HR 0.13; 95 % CI 0.05–0.33; p = 0.032), and >500-ml blood loss (HR 0.24; 95 % CI 0.12–0.51; p = 0.005). Progression of previously diagnosed CKD was recorded in 58 (44.6 %) patients; chronical dialysis was required in 2 (1.5 %) patients. The independent risk factors of CKD progression were sinus invasion (HR 0.38; 95 % CI 0.18–0.81; p = 0.002), medial location of the tumor (HR 0.19; 95 % CI 0.09–0.41; p = 0.001), baseline GFR, <60 ml/min/1.73 m2 (HR 0.24; 95 % CI 0.10–0.56; p <0.0001), warm ischemia (HR 0.41; 95 % CI 0.17–1.00; p = 0.052).Conclusion. Solitary kidney resection is associated with a low risk for renal function loss. To achieve optimal functional results, it is desirable to follow the balance between the indications for renal vessel ligation and the need to avoid >500-ml blood loss and cold ischemia