2,009 research outputs found

    Specific heat and magnetocaloric effect in Pr1-xAgxMnO3 manganites

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    The magnetocaloric effect in alternating magnetic fields has been investigated in Pr1-xAgxMnO3 manganites with x=0.05-0.25. The stepwise reversal of the sign of the magnetocaloric effect has been revealed in a weakly doped sample (x=0.05) at low temperatures (~80 K). This reversal is attributed to the coexistence of the ferromagnetic and canted antiferromagnetic phases with different critical temperatures.Comment: 4 pages, 4 figure

    Argon plasma coagulation in coloproctology: clinical experience with and prospects for the technique

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    Background. Rectal laterally spreading tumors (LSTs) are macroscopically divided into granular (LST-G) and non-granular (LST-NG).Β LST-Gs have in turn two types: homogeneous and nodular mixed.Subjects and methods. The retrospective study analyzed the data of 20 patients (11 men and 9 women) in whom homogenous LSTs wereΒ removed by argon plasma coagulation (APC). The patientsΒ» mean age was 65.8 Β± 6 years. Therapeutic effectiveness was evaluated by Ki-67Β proliferation index and the frequency of complications and recurrences.Results. The average size of removed homogeneous LST-Gs was 12.3 Β± 3.8 cm2. The average number of APC sessions to achieve a LST-GΒ reduction was 4.4 Β± 0.9. Three days before APC, Ki-67 in the neoplasia biopsy specimens amounted to as much as 67.8 Β± 4.4 % on average;Β it reduced to an average of 33.0 Β± 3.0 % at 14 days of APC initiation, 16.5 Β± 1.8 and 4.2 Β± 0.4 % after 21 and 180 days, respectively.Discussion. Inability to receive complete histological data on removed LST-Gs is a main pitfall in APC.Conclusion. Stepwise tumor APC may be the method of choice in elderly and senile patients with a family history of comorbidity. APCΒ can precisely remove LSTs along the boundary of the dentate line. This technique requires no single-use tools

    Social function of taxes as a toolkit for income differentiation reduction among population of the depressed republics of the North Caucasus Federal District

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    In the conditions of a difficult political situation, economic uncertainty and increasing unemployment in the land-poor manpower-surplus, depressive republics of the North Caucasus Federal District, the need to implement the entrepreneurial opportunities of the population is clearly manifested. It seems that small business can manifest itself in these conditions as a separate element of the economy decentralized sector. Of course, the success of small business in a depressed region depends on the state position to a large extent. And this is natural, because only the state is capable of creating the necessary conditions in market relations and various preference provision for the development of entrepreneurship, especially in the mountainous territories of the country.It should be noted that the next economic crisis and pandemic (coronavirus) not only led to the depletion of the state budget, but also collapsed the production activity of small diversified enterprises in the region. Most of the entrepreneurs of the North Caucasus Federal District declare that they are not able to independently solve the complex of this phenomenon negative consequences

    Critical sound attenuation in a diluted Ising system

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    The field-theoretic description of dynamical critical effects of the influence of disorder on acoustic anomalies near the temperature of the second-order phase transition is considered for three-dimensional Ising-like systems. Calculations of the sound attenuation in pure and dilute Ising-like systems near the critical point are presented. The dynamical scaling function for the critical attenuation coefficient is calculated. The influence of quenched disorder on the asymptotic behaviour of the critical ultrasonic anomalies is discussed.Comment: 12 RevTeX pages, 4 figure

    АргоноплазмСнная коагуляция Π² ΠΊΠΎΠ»ΠΎΠΏΡ€ΠΎΠΊΡ‚ΠΎΠ»ΠΎΠ³ΠΈΠΈ: клиничСский ΠΎΠΏΡ‹Ρ‚ ΠΈ пСрспСктивы ΠΌΠ΅Ρ‚ΠΎΠ΄Π°

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    Background. Rectal laterally spreading tumors (LSTs) are macroscopically divided into granular (LST-G) and non-granular (LST-NG).Β LST-Gs have in turn two types: homogeneous and nodular mixed.Subjects and methods. The retrospective study analyzed the data of 20 patients (11 men and 9 women) in whom homogenous LSTs wereΒ removed by argon plasma coagulation (APC). The patientsΒ» mean age was 65.8 Β± 6 years. Therapeutic effectiveness was evaluated by Ki-67Β proliferation index and the frequency of complications and recurrences.Results. The average size of removed homogeneous LST-Gs was 12.3 Β± 3.8 cm2. The average number of APC sessions to achieve a LST-GΒ reduction was 4.4 Β± 0.9. Three days before APC, Ki-67 in the neoplasia biopsy specimens amounted to as much as 67.8 Β± 4.4 % on average;Β it reduced to an average of 33.0 Β± 3.0 % at 14 days of APC initiation, 16.5 Β± 1.8 and 4.2 Β± 0.4 % after 21 and 180 days, respectively.Discussion. Inability to receive complete histological data on removed LST-Gs is a main pitfall in APC.Conclusion. Stepwise tumor APC may be the method of choice in elderly and senile patients with a family history of comorbidity. APCΒ can precisely remove LSTs along the boundary of the dentate line. This technique requires no single-use tools.Π’Π²Π΅Π΄Π΅Π½ΠΈΠ΅. Π“ΠΎΡ€ΠΈΠ·ΠΎΠ½Ρ‚Π°Π»ΡŒΠ½ΠΎ Ρ€Π°ΡΠΏΡ€ΠΎΡΡ‚Ρ€Π°Π½ΡΡŽΡ‰ΠΈΠ΅ΡΡ ΡΡ‚Π΅Π»ΡŽΡ‰ΠΈΠ΅ΡΡ образования (laterally spreading tumor, LST) прямой кишки макроскопичСски ΠΏΠΎΠ΄Ρ€Π°Π·Π΄Π΅Π»ΡΡŽΡ‚ΡΡ Π½Π° Π³Ρ€Π°Π½ΡƒΠ»ΠΈΡ€ΠΎΠ²Π°Π½Π½Ρ‹Π΅ (LST granular, LST-G) ΠΈ Π½Π΅Π³Ρ€Π°Π½ΡƒΠ»ΠΈΡ€ΠΎΠ²Π°Π½Π½Ρ‹Π΅ (LST non-granular, LST-NG). LST-G,Β Π² свою ΠΎΡ‡Π΅Ρ€Π΅Π΄ΡŒ, Π±Ρ‹Π²Π°ΡŽΡ‚ 2 Ρ‚ΠΈΠΏΠΎΠ²: ΠΎΠ΄Π½ΠΎΡ€ΠΎΠ΄Π½Ρ‹Π΅ (homogeneous type) ΠΈ ΠΎΠ΄Π½ΠΎΡ€ΠΎΠ΄Π½Ρ‹Π΅ с ΡƒΠ·Π»Π°ΠΌΠΈ (nodular mixed type).ΠœΠ°Ρ‚Π΅Ρ€ΠΈΠ°Π»Ρ‹ ΠΈ ΠΌΠ΅Ρ‚ΠΎΠ΄Ρ‹. Π’Ρ‹ΠΏΠΎΠ»Π½Π΅Π½ΠΎ рСтроспСктивноС исслСдованиС Π΄Π°Π½Π½Ρ‹Ρ… 20 ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚ΠΎΠ² (11 ΠΌΡƒΠΆΡ‡ΠΈΠ½ ΠΈ 9 ΠΆΠ΅Π½Ρ‰ΠΈΠ½), ΠΊΠΎΡ‚ΠΎΡ€Ρ‹ΠΌΒ Π·Π° ΠΏΠ΅Ρ€ΠΈΠΎΠ΄ с 2006 ΠΏΠΎ 2011 Π³. ΡƒΠ΄Π°Π»ΠΈΠ»ΠΈ ΠΌΠ΅Ρ‚ΠΎΠ΄ΠΎΠΌ Π°Ρ€Π³ΠΎΠ½ΠΎΠΏΠ»Π°Π·ΠΌΠ΅Π½Π½ΠΎΠΉ коагуляции (АПК, argon plasma coagulation) LST-G ΠΎΠ΄Π½ΠΎΡ€ΠΎΠ΄Π½ΠΎΠ³ΠΎΒ Ρ‚ΠΈΠΏΠ°. Π‘Ρ€Π΅Π΄Π½ΠΈΠΉ возраст Π±ΠΎΠ»ΡŒΠ½Ρ‹Ρ… составил 65,8 Β± 6 Π»Π΅Ρ‚. Π­Ρ„Ρ„Π΅ΠΊΡ‚ΠΈΠ²Π½ΠΎΡΡ‚ΡŒ лСчСния ΠΎΡ†Π΅Π½ΠΈΠ²Π°Π»ΠΈ ΠΏΠΎ индСксу ΠΏΡ€ΠΎΠ»ΠΈΡ„Π΅Ρ€Π°Ρ†ΠΈΠΈ Ki-67, частотС ослоТнСний ΠΈ Ρ€Π΅Ρ†ΠΈΠ΄ΠΈΠ²ΠΎΠ².Π Π΅Π·ΡƒΠ»ΡŒΡ‚Π°Ρ‚Ρ‹. Π‘Ρ€Π΅Π΄Π½ΠΈΠΉ Ρ€Π°Π·ΠΌΠ΅Ρ€ ΡƒΠ΄Π°Π»Π΅Π½Π½Ρ‹Ρ… LST-G ΠΎΠ΄Π½ΠΎΡ€ΠΎΠ΄Π½ΠΎΠ³ΠΎ Ρ‚ΠΈΠΏΠ° Π±Ρ‹Π» 12,3 Β± 3,8 см2. Π‘Ρ€Π΅Π΄Π½Π΅Π΅ количСство этапов АПК для достиТСния Ρ€Π΅Π΄ΡƒΠΊΡ†ΠΈΠΈ Π½Π΅ΠΎΠΏΠ»Π°Π·ΠΈΠΈ Ρ‚ΠΈΠΏΠ° LST-G составило 4,4 Β± 0,9. ИндСкс ΠΏΡ€ΠΎΠ»ΠΈΡ„Π΅Ρ€Π°Ρ†ΠΈΠΈ Ki-67 Π² Π±ΠΈΠΎΠΏΡ‚Π°Ρ‚Π°Ρ… Π½Π΅ΠΎΠΏΠ»Π°Π·ΠΈΠΉ Π·Π° 3 сут Π΄ΠΎ ΠΠŸΠšΒ Π΄ΠΎΡΡ‚ΠΈΠ³Π°Π» Π² срСднСм 67,8 Β± 4,4 %, Π½Π° 14-Π΅ сутки послС Π½Π°Ρ‡Π°Π»Π° АПК сниТался Π² срСднСм Π΄ΠΎ 33,0 Β± 3,0 %, Ρ‡Π΅Ρ€Π΅Π· 21 сут – Π΄ΠΎ 16,5 Β±Β 1,8 %, Ρ‡Π΅Ρ€Π΅Π· 180 сут – Π΄ΠΎ 4,2 Β± 0,4 %.ΠžΠ±ΡΡƒΠΆΠ΄Π΅Π½ΠΈΠ΅. ΠžΡΠ½ΠΎΠ²Π½Ρ‹ΠΌ нСдостатком АПК являСтся Π½Π΅Π²ΠΎΠ·ΠΌΠΎΠΆΠ½ΠΎΡΡ‚ΡŒ получСния ΠΏΠΎΠ»Π½ΠΎΠΉ гистологичСской ΠΈΠ½Ρ„ΠΎΡ€ΠΌΠ°Ρ†ΠΈΠΈ ΡƒΠ΄Π°Π»Π΅Π½Π½Ρ‹Ρ…Β LST-G.Π—Π°ΠΊΠ»ΡŽΡ‡Π΅Π½ΠΈΠ΅. Этапная АПК ΠΎΠ±Ρ€Π°Π·ΠΎΠ²Π°Π½ΠΈΠΉ ΠΌΠΎΠΆΠ΅Ρ‚ Π±Ρ‹Ρ‚ΡŒ ΠΌΠ΅Ρ‚ΠΎΠ΄ΠΎΠΌ Π²Ρ‹Π±ΠΎΡ€Π° Ρƒ ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚ΠΎΠ² ΠΏΠΎΠΆΠΈΠ»ΠΎΠ³ΠΎ ΠΈ старчСского возраста с Π½Π°Π»ΠΈΡ‡ΠΈΠ΅ΠΌ ΠΎΡ‚ΡΠ³ΠΎΡ‰Π°ΡŽΡ‰Π΅ΠΉ ΡΠΎΠΏΡƒΡ‚ΡΡ‚Π²ΡƒΡŽΡ‰Π΅ΠΉ ΠΏΠ°Ρ‚ΠΎΠ»ΠΎΠ³ΠΈΠΈ. АПК позволяСт ΠΏΡ€Π΅Ρ†ΠΈΠ·ΠΈΠΎΠ½Π½ΠΎ ΡƒΠ΄Π°Π»ΡΡ‚ΡŒ LST, Ρ€Π°ΡΠΏΡ€ΠΎΡΡ‚Ρ€Π°Π½ΡΡŽΡ‰ΠΈΠ΅ΡΡ ΠΏΠΎ Π³Ρ€Π°Π½ΠΈΡ†Π΅ Π·ΡƒΠ±Ρ‡Π°Ρ‚ΠΎΠΉ Π»ΠΈΠ½ΠΈΠΈ. ΠŸΡ€ΠΈΠΌΠ΅Π½Π΅Π½ΠΈΠ΅ ΠΌΠ΅Ρ‚ΠΎΠ΄Π° Π½Π΅ Ρ‚Ρ€Π΅Π±ΡƒΠ΅Ρ‚ приобрСтСния ΠΎΠ΄Π½ΠΎΡ€Π°Π·ΠΎΠ²Ρ‹Ρ… инструмСнтов

    Compression method of anastomosis of large intestines by implants with memory of shape: alternative to traditional sutures

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    Research objective. To prove experimentally the possibility of forming a compression colonic anastomoses using nickel-titanium devices in comparison with traditional methods of anastomosis. Materials and methods. In experimental studies the quality of the compression anastomosis of the colon in comparison with sutured and stapled anastomoses was performed. There were three experimental groups in mongrel dogs formed: in the 1st series (n = 30) compression anastomoses nickel-titanium implants were formed; in the 2nd (n = 25) – circular stapling anastomoses; in the 3rd (n = 25) – ligature way to Mateshuk– Lambert. In the experiment the physical durability, elasticity, and biological tightness, morphogenesis colonic anastomoses were studied. Results. Optimal sizes of compression devices are 32 Γ— 18 and 28 Γ— 15 mm with a wire diameter of 2.2 mm, the force of winding compression was 740 Β± 180 g/mm2. Compression suture has a higher physical durability compared to stapled (W = –33.0; p < 0.05) and sutured (W = –28.0; p < 0.05), higher elasticity (p < 0.05) in all terms of tests and biological tightness since 3 days (p < 0.001) after surgery. The regularities of morphogenesis colonic anastomoses allocated by 4 periods of the regeneration of intestinal suture.Β Conclusion. Obtained experimental data of the use of compression anastomosis of the colon by the nickel-titanium devices are the convincing arguments for their clinical application

    Morphotropic Phase Boundary Enhanced Photocatalysis in Sm Doped BiFeO3

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    This paper presents the results of the synthesis of samarium-doped bismuth ferrite (BFO) nanoparticles by the solution combustion method. The dependence of BFO properties on the amount of the samarium (Sm) in the composition was studied. The synthesized nanocomposites were characterized by scanning electron microscopy SEM), X-ray diffractometry (XRD), Raman, Electron Diffuse Reflectance Spectroscopy (EDRS) and Electron Magnetic Resonance (EMR). The photocatalytic (PC) measurements showed the absence of a strict correlation between the PC activity and the crystallite size and band gap. An increase in the PC activity of BFO samples with 10 and 15% doping was observed and it was concluded that in controlling the PC properties in doped BFO, the processes of interfacial polarization at the boundaries of the morphotropic phase transition are of decisive importance. It was supposed that the internal electric field formed at these boundaries contributes to the efficient separation of photogenerated charge carriers

    Роль консСрвативной Ρ‚Π΅Ρ€Π°ΠΏΠΈΠΈ Π² Π»Π΅Ρ‡Π΅Π½ΠΈΠΈ ослоТнСнного ΠΊΠΎΠ»ΠΎΡ€Π΅ΠΊΡ‚Π°Π»ΡŒΠ½ΠΎΠ³ΠΎ Ρ€Π°ΠΊΠ°

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    Objective: to evaluate the possibilities of conservative treatment of patients with complications of colorectal cancer.Materials and methods. The study included the results of treatment of 105 patients with complications of colorectal cancer treated on the basis of the District Clinical Hospital of Surgut for the period 2012β€”2017. Of these, 86 (81.9 %) patients with acute obstructive intestinal obstruction, 11 (10.5 %) patients with bleeding from colon tumors, and 8 (7.6 %) patients with purulent-septic complications of colon cancer.Results. The complex of conservative measures, including colon stenting, provides restoration of the passage through the digestive tract in 79.1 % of patients, which allows preparing the patient to perform surgery, thereby reducing the risk of complications. Twenty-eight (27.6 %) patients were operated on an emergency basis: due to the lack of effect from conservative therapy for acute intestinal obstruction β€” 18 (17.1 %) patients, due to peritonitis β€” 8 (7.6 %), due to recurrent colonic bleeding β€” 3 (2.9 %) patients. The death rate was 13.8 % (n = 4). In the delayed order after successful conservative therapy, 70 (66.7 %) patients underwent surgical treatment in the surgical and oncology departments. Postoperative mortality was 1.4 % (n = 1).Conclusion. The complex of conservative measures, which allows avoiding emergency surgical intervention at the urgent stage of treatment, is the basis for carrying out a full-fledged surgical intervention in a delayed procedure in a specialized hospital, observing the principles of oncological radicalism.ЦСль исслСдования β€” ΠΎΡ†Π΅Π½ΠΊΠ° возмоТности консСрвативного лСчСния Π±ΠΎΠ»ΡŒΠ½Ρ‹Ρ… с ослоТнСниями ΠΊΠΎΠ»ΠΎΡ€Π΅ΠΊΡ‚Π°Π»ΡŒΠ½ΠΎΠ³ΠΎ Ρ€Π°ΠΊΠ°. ΠœΠ°Ρ‚Π΅Ρ€ΠΈΠ°Π»Ρ‹ ΠΈ ΠΌΠ΅Ρ‚ΠΎΠ΄Ρ‹. ИсслСдованиС ΠΎΠ±ΠΎΠ±Ρ‰Π°Π΅Ρ‚ Ρ€Π΅Π·ΡƒΠ»ΡŒΡ‚Π°Ρ‚Ρ‹ лСчСния 105 Π±ΠΎΠ»ΡŒΠ½Ρ‹Ρ… с ослоТнСниями ΠΊΠΎΠ»ΠΎΡ€Π΅ΠΊΡ‚Π°Π»ΡŒΠ½ΠΎΠ³ΠΎ Ρ€Π°ΠΊΠ°, ΠΏΡ€ΠΎΠ»Π΅Ρ‡Π΅Π½Π½Ρ‹Ρ… Π½Π° Π±Π°Π·Π΅ ΠžΠΊΡ€ΡƒΠΆΠ½ΠΎΠΉ клиничСской Π±ΠΎΠ»ΡŒΠ½ΠΈΡ†Ρ‹ Π³. Π‘ΡƒΡ€Π³ΡƒΡ‚Π° Π·Π° ΠΏΠ΅Ρ€ΠΈΠΎΠ΄ 2012β€”2017 Π³Π³. Π’ ΠΈΡ… числС 86 (81,9 %) ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚ΠΎΠ² с острой ΠΎΠ±Ρ‚ΡƒΡ€Π°Ρ†ΠΈΠΎΠ½Π½ΠΎΠΉ ΠΊΠΈΡˆΠ΅Ρ‡Π½ΠΎΠΉ Π½Π΅ΠΏΡ€ΠΎΡ…ΠΎΠ΄ΠΈΠΌΠΎΡΡ‚ΡŒΡŽ, 11 (10,5 %) β€” с ΠΊΡ€ΠΎΠ²ΠΎΡ‚Π΅Ρ‡Π΅Π½ΠΈΠ΅ΠΌ ΠΈΠ· ΠΎΠΏΡƒΡ…ΠΎΠ»ΠΈ толстой кишки, 8 (7,6 %) β€” с Π³Π½ΠΎΠΉΠ½ΠΎ-сСптичСскими ослоТнСниями Ρ€Π°ΠΊΠ° толстой кишки.Π Π΅Π·ΡƒΠ»ΡŒΡ‚Π°Ρ‚Ρ‹. КомплСкс консСрвативных мСроприятий, Π²ΠΊΠ»ΡŽΡ‡Π°ΡŽΡ‰ΠΈΡ… стСнтированиС толстой кишки, обСспСчил восстановлСниС пассаТа ΠΏΠΎ ΠΏΠΈΡ‰Π΅Π²Π°Ρ€ΠΈΡ‚Π΅Π»ΡŒΠ½ΠΎΠΌΡƒ Ρ‚Ρ€Π°ΠΊΡ‚Ρƒ Ρƒ 79,1 % ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚ΠΎΠ², Ρ‡Ρ‚ΠΎ ΠΏΠΎΠ·Π²ΠΎΠ»ΠΈΠ»ΠΎ ΠΏΠΎΠ΄Π³ΠΎΡ‚ΠΎΠ²ΠΈΡ‚ΡŒ ΠΈΡ… ΠΊ Π²Ρ‹ΠΏΠΎΠ»Π½Π΅Π½ΠΈΡŽ хирургичСского Π²ΠΌΠ΅ΡˆΠ°Ρ‚Π΅Π»ΡŒΡΡ‚Π²Π°, Ρ‚Π΅ΠΌ самым ΡƒΠΌΠ΅Π½ΡŒΡˆΠΈΠ² риск развития ослоТнСний. Π’ экстрСнном порядкС Π±Ρ‹Π»ΠΈ ΠΎΠΏΠ΅Ρ€ΠΈΡ€ΠΎΠ²Π°Π½Ρ‹ 29 (27,6 %) ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚ΠΎΠ²: Π² связи с отсутствиСм эффСкта ΠΎΡ‚ консСрвативной Ρ‚Π΅Ρ€Π°ΠΏΠΈΠΈ ΠΏΡ€ΠΈ острой ΠΊΠΈΡˆΠ΅Ρ‡Π½ΠΎΠΉ нСпроходимости β€” 18 (17,1 %), Π² связи с ΠΏΠ΅Ρ€ΠΈΡ‚ΠΎΠ½ΠΈΡ‚ΠΎΠΌ β€” 8 (7,6 %), Π² связи с Ρ€Π΅Ρ†ΠΈΠ΄ΠΈΠ²ΠΎΠΌ Ρ‚ΠΎΠ»ΡΡ‚ΠΎΠΊΠΈΡˆΠ΅Ρ‡Π½ΠΎΠ³ΠΎ кровотСчСния β€” 3 (2,9 %). Частота Π»Π΅Ρ‚Π°Π»ΡŒΠ½Ρ‹Ρ… исходов составила 13,8 % (ΠΏ = 4). Π’ отсрочСнном порядкС послС ΡƒΡΠΏΠ΅ΡˆΠ½ΠΎΠΉ консСрвативной Ρ‚Π΅Ρ€Π°ΠΏΠΈΠΈ 70 (66,7 %) Π±ΠΎΠ»ΡŒΠ½Ρ‹Ρ… ΠΏΠΎΠ΄Π²Π΅Ρ€Π³Π½ΡƒΡ‚Ρ‹ хирургичСскому Π»Π΅Ρ‡Π΅Π½ΠΈΡŽ Π² условиях хирургичСского ΠΈ онкологичСского ΠΎΡ‚Π΄Π΅Π»Π΅Π½ΠΈΠΉ. ΠŸΠΎΡΠ»Π΅ΠΎΠΏΠ΅Ρ€Π°Ρ†ΠΈΠΎΠ½Π½Π°Ρ Π»Π΅Ρ‚Π°Π»ΡŒΠ½ΠΎΡΡ‚ΡŒ составила 1,4% (ΠΏ = 1).Π’Ρ‹Π²ΠΎΠ΄Ρ‹. КомплСкс консСрвативных мСроприятий, ΠΏΠΎΠ·Π²ΠΎΠ»ΡΡŽΡ‰ΠΈΠΉ ΠΈΠ·Π±Π΅ΠΆΠ°Ρ‚ΡŒ экстрСнного хирургичСского Π²ΠΌΠ΅ΡˆΠ°Ρ‚Π΅Π»ΡŒΡΡ‚Π²Π° Π½Π° ΡƒΡ€Π³Π΅Π½Ρ‚Π½ΠΎΠΌ этапС лСчСния, обСспСчиваСт Π²ΠΎΠ·ΠΌΠΎΠΆΠ½ΠΎΡΡ‚ΡŒ провСдСния ΠΏΠΎΠ»Π½ΠΎΡ†Π΅Π½Π½ΠΎΠ³ΠΎ хирургичСского Π²ΠΌΠ΅ΡˆΠ°Ρ‚Π΅Π»ΡŒΡΡ‚Π²Π° Π² отсрочСнном порядкС Π² спСциализированном стационарС с соблюдСниСм ΠΏΡ€ΠΈΠ½Ρ†ΠΈΠΏΠΎΠ² онкологичСского Ρ€Π°Π΄ΠΈΠΊΠ°Π»ΠΈΠ·ΠΌΠ°

    ΠšΠΎΠΌΠΏΡ€Π΅ΡΡΠΈΠΎΠ½Π½Ρ‹ΠΈΜ† способ анастомозирования толстой кишки ΠΈΠΌΠΏΠ»Π°Π½Ρ‚Π°Ρ‚Π°ΠΌΠΈ с ΠΏΠ°ΠΌΡΡ‚ΡŒΡŽ Ρ„ΠΎΡ€ΠΌΡ‹ - Π°Π»ΡŒΡ‚Π΅Ρ€Π½Π°Ρ‚ΠΈΠ²Π° Ρ‚Ρ€Π°Π΄ΠΈΡ†ΠΈΠΎΠ½Π½Ρ‹ΠΌ швам

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    Research objective. To prove experimentally the possibility of forming a compression colonic anastomoses using nickel-titanium devices in comparison with traditional methods of anastomosis. Materials and methods. In experimental studies the quality of the compression anastomosis of the colon in comparison with sutured and stapled anastomoses was performed. There were three experimental groups in mongrel dogs formed: in the 1st series (n = 30) compression anastomoses nickel-titanium implants were formed; in the 2nd (n = 25) – circular stapling anastomoses; in the 3rd (n = 25) – ligature way to Mateshuk– Lambert. In the experiment the physical durability, elasticity, and biological tightness, morphogenesis colonic anastomoses were studied. Results. Optimal sizes of compression devices are 32 Γ— 18 and 28 Γ— 15 mm with a wire diameter of 2.2 mm, the force of winding compression was 740 Β± 180 g/mm2. Compression suture has a higher physical durability compared to stapled (W = –33.0; p < 0.05) and sutured (W = –28.0; p < 0.05), higher elasticity (p < 0.05) in all terms of tests and biological tightness since 3 days (p < 0.001) after surgery. The regularities of morphogenesis colonic anastomoses allocated by 4 periods of the regeneration of intestinal suture.Β Conclusion. Obtained experimental data of the use of compression anastomosis of the colon by the nickel-titanium devices are the convincing arguments for their clinical application. ЦСль исслСдования – ΠΏΡƒΡ‚Π΅ΠΌ провСдСния экспСримСнта ΠΎΠ±ΠΎΡΠ½ΠΎΠ²Π°Ρ‚ΡŒ прСимущСства компрСссионных Ρ‚ΠΎΠ»ΡΡ‚ΠΎΠΊΠΈΡˆΠ΅Ρ‡Π½Ρ‹Ρ… анастомозов, сформированных с ΠΏΠΎΠΌΠΎΡ‰ΡŒΡŽ Π½ΠΈΠΊΠ΅Π»ΠΈΠ΄-Ρ‚ΠΈΡ‚Π°Π½ΠΎΠ²Ρ‹Ρ… (TiNi) ΠΏΡ€ΠΎΠ²ΠΎΠ»ΠΎΡ‡Π½Ρ‹Ρ… устройств, ΠΎΡ‚Π½ΠΎΡΠΈΡ‚Π΅Π»ΡŒΠ½ΠΎ Ρ‚Ρ€Π°Π΄ΠΈΡ†ΠΈΠΎΠ½Π½Ρ‹Ρ… способов анастомозирования. ΠœΠ°Ρ‚Π΅Ρ€ΠΈΠ°Π»Ρ‹ ΠΈ ΠΌΠ΅Ρ‚ΠΎΠ΄Ρ‹. Π’ Ρ…ΠΎΠ΄Π΅ ΠΏΡ€ΠΎΠ²Π΅Π΄Π΅Π½Π½ΠΎΠ³ΠΎ ΡΠΊΡΠΏΠ΅Ρ€ΠΈΠΌΠ΅Π½Ρ‚Π°Π»ΡŒΠ½ΠΎΠ³ΠΎ исслСдования ΠΌΡ‹ ΠΎΡ†Π΅Π½ΠΈΠ»ΠΈ качСство компрСссионного анастомоза толстой кишки ΠΏΠΎ ΡΡ€Π°Π²Π½Π΅Π½ΠΈΡŽ с Π»ΠΈΠ³Π°Ρ‚ΡƒΡ€Π½Ρ‹ΠΌ ΠΈ мСханичСским способами формирования ΡΠΎΡƒΡΡ‚ΡŒΡ. Π‘Ρ‹Π»ΠΈ созданы 3 ΡΠΊΡΠΏΠ΅Ρ€ΠΈΠΌΠ΅Π½Ρ‚Π°Π»ΡŒΠ½Ρ‹Π΅ Π³Ρ€ΡƒΠΏΠΏΡ‹, Π²ΠΊΠ»ΡŽΡ‡Π°ΡŽΡ‰ΠΈΠ΅ бСспородных собак: Π² 1-ΠΈΜ† Π³Ρ€ΡƒΠΏΠΏΠ΅ (n = 30) компрСссионныС анастомозы Ρ„ΠΎΡ€ΠΌΠΈΡ€ΠΎΠ²Π°Π»ΠΈΡΡŒ TiNi-ΠΈΠΌΠΏΠ»Π°Π½Ρ‚Π°Ρ‚Π°ΠΌΠΈ; Π²ΠΎ 2-ΠΈΜ† (n = 25) – циркулярными ΡΡˆΠΈΠ²Π°ΡŽΡ‰ΠΈΠΌΠΈ Π°ΠΏΠΏΠ°Ρ€Π°Ρ‚Π°ΠΌΠΈ; Π² 3-ΠΈΜ† (n = 25) – Π»ΠΈΠ³Π°Ρ‚ΡƒΡ€Π½Ρ‹ΠΌ способом ΠΏΠΎ ΠœΠ°Ρ‚Π΅ΡˆΡƒΠΊΡƒβ€“Π›Π°ΠΌΠ±Π΅Ρ€Ρƒ. Π’ процСссС исслСдования Π±Ρ‹Π»ΠΈ ΠΈΠ·ΡƒΡ‡Π΅Π½Ρ‹ мСханичСская ΠΏΡ€ΠΎΡ‡Π½ΠΎΡΡ‚ΡŒ, ΡΠ»Π°ΡΡ‚ΠΈΡ‡Π½ΠΎΡΡ‚ΡŒ ΠΈ биологичСская Π³Π΅Ρ€ΠΌΠ΅Ρ‚ΠΈΡ‡Π½ΠΎΡΡ‚ΡŒ Ρ‚ΠΎΠ»ΡΡ‚ΠΎΠΊΠΈΡˆΠ΅Ρ‡Π½Ρ‹Ρ… анастомозов, ΠΌΠΎΡ€Ρ„ΠΎΠ³Π΅Π½Π΅Π· анастомозов.Β Π Π΅Π·ΡƒΠ»ΡŒΡ‚Π°Ρ‚Ρ‹. ΠžΠΏΡ‚ΠΈΠΌΠ°Π»ΡŒΠ½Ρ‹ΠΌΠΈ считаСм устройства для компрСссионного создания анастомозов Ρ€Π°Π·ΠΌΠ΅Ρ€Π°ΠΌΠΈ 32 Γ— 18 ΠΈ 28 Γ— 15 ΠΌΠΌ с Π΄ΠΈΠ°ΠΌΠ΅Ρ‚Ρ€ΠΎΠΌ ΠΏΡ€ΠΎΠ²ΠΎΠ΄Π° 2,2 ΠΌΠΌ, силой ΠΌΠ΅ΠΆΠ²ΠΈΡ‚ΠΊΠΎΠ²ΠΎΠ³ΠΎ сдавлСния Ρ‚ΠΊΠ°Π½Π΅ΠΈΜ† 740 Β± 180 Π³/ΠΌΠΌ2. ΠšΠΎΠΌΠΏΡ€Π΅ΡΡΠΈΠΎΠ½Π½Ρ‹ΠΈΜ† шов ΠΎΠ±Π»Π°Π΄Π°Π΅Ρ‚ Π±ΠΎΠ»Π΅Π΅ высокой физичСской Π³Π΅Ρ€ΠΌΠ΅Ρ‚ΠΈΡ‡Π½ΠΎΡΡ‚ΡŒΡŽ ΠΏΠΎ ΡΡ€Π°Π²Π½Π΅Π½ΠΈΡŽ с мСханичСским (W = –33,0; p < 0,05) ΠΈ Ρ€ΡƒΡ‡Π½Ρ‹ΠΌ швами (W = –28,0; p < 0,05), Π° Ρ‚Π°ΠΊΠΆΠ΅ Π±ΠΎΠ»Π΅Π΅ высокой ΡΠ»Π°ΡΡ‚ΠΈΡ‡Π½ΠΎΡΡ‚ΡŒΡŽ (Ρ€ < 0,05) Π½Π° протяТСнии всСго срока исслСдования ΠΈ Π±ΠΎΠ»Π΅Π΅ высокой биологичСской Π³Π΅Ρ€ΠΌΠ΅Ρ‚ΠΈΡ‡Π½ΠΎΡΡ‚ΡŒΡŽ (Ρ€ < 0,001) с 3-Ρ… суток послС ΠΎΠΏΠ΅Ρ€Π°Ρ†ΠΈΠΈ. УстановлСны закономСрности ΠΌΠΎΡ€Ρ„ΠΎΠ³Π΅Π½Π΅Π·Π° Ρ‚ΠΎΠ»ΡΡ‚ΠΎΠΊΠΈΡˆΠ΅Ρ‡Π½Ρ‹Ρ… анастомозов, Π²Ρ‹Π΄Π΅Π»Π΅Π½Ρ‹ 4 ΠΏΠ΅Ρ€ΠΈΠΎΠ΄Π° Ρ€Π΅Π³Π΅Π½Π΅Ρ€Π°Ρ†ΠΈΠΈ ΠΊΠΈΡˆΠ΅Ρ‡Π½ΠΎΠ³ΠΎ шва.Β Π—Π°ΠΊΠ»ΡŽΡ‡Π΅Π½ΠΈΠ΅. Π Π΅Π·ΡƒΠ»ΡŒΡ‚Π°Ρ‚Ρ‹ ΡΠΊΡΠΏΠ΅Ρ€ΠΈΠΌΠ΅Π½Ρ‚Π°Π»ΡŒΠ½ΠΎΠ³ΠΎ исслСдования ΠΏΠΎ ΠΈΠ·ΡƒΡ‡Π΅Π½ΠΈΡŽ компрСссионного анастомоза толстой кишки TiNi-ΠΏΡ€ΠΎΠ²ΠΎΠ»ΠΎΡ‡Π½Ρ‹ΠΌΠΈ устройствами считаСм ΡΠ΅Ρ€ΡŒΠ΅Π·Π½Ρ‹ΠΌ основаниСм для внСдрСния этого способа анастомозирования Π² ΠΊΠ»ΠΈΠ½ΠΈΡ‡Π΅ΡΠΊΡƒΡŽ ΠΏΡ€Π°ΠΊΡ‚ΠΈΠΊΡƒ.
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