PANCREATODUODENAL RESECTION IN THE TREATMENT OF CHRONIC PANCREATITIS AND PANCREATIC CANCER

A clinical analysis of 51 patient treated, in surgical ward of Republican. Clinical Hospital named, after N.A. Semashko during the period, of 1993—2011. All patients had. pancreatoduodenal resection for chronic pancreatitis (7) and pancreatic cancer (44). In the nearest postoperative period, mortality was 7,8 %. In the remote postoperative period, terms of survivability in 8 patients with cancer were 18—34 months. One patient lived 10 years

ECOLOGICAL AND MICROBIOLOGICAL EXAMINATION OF TERRITORIES NON-WELFARE FOR ANTHRAX IN THE REPUBLIC OF BURYATIA

Aim. Analysis of results of ecological and microbiological examination of territories nonwelfare for anthrax in territories of Barguzinsky and Kurumkansky districts of the Republic of Buryatia for justification of prophylaxis measures. Materials and methods. Space photographs were used and area and landscape signs of cattle grave sites were established. 174 samples of soil and 6 samples of bone remains of agricultural animals were obtained and studied. Results. Examination of 15 objects in 12 non-welfare for anthrax stationary points of the Republic of Buryatia was carried out in August 2014. A novel approach to detection of abandoned cattle grave sites, where DNA of Bacillus anthracis had been detected in samples, was developed and proposed. Conclusion. Ecological properties of soils 2 districts of the Republic facilitate prolonged conservation of B.anthracis in the environment. Measures of sanitary clean-up of non-welfare territories, utilization of biological waste and decision on legal status of abandoned objects are recommended

Atmospheric Air Pollution by Stationary Sources in Ulan-Ude (Buryatia, Russia) and Its Impact on Public Health

For the first time in the territory of the Russian Far East, a study related to the establishment of correlations between air quality and public health in Ulan-Ude (Buryatia, Russia) was carried out. This study is based on the analysis of official medical statistics on morbidity over several years, the data on the composition and volume of emissions of harmful substances into the air from various stationary sources, and laboratory measurements of air pollutants in different locations in Ulan-Ude. This study confirmed that the morbidity of the population in Ulan-Ude has been increasing every year and it is largely influenced by air pollutants, the main of which are benzo(a)pyrene, suspended solids, PM2.5, PM10, and nitrogen dioxide. It was found that the greatest contribution to the unfavorable environmental situation is made by three types of stationary sources: large heating networks, autonomous sources (enterprises and small businesses), and individual households. The main air pollutants whose concentrations exceed the limits are benzo(a)pyrene, formaldehyde, suspended particles PM2.5, PM10, and nitrogen dioxide. A comprehensive assessment of the content of various pollutants in the atmospheric air showed that levels of carcinogenic and non-carcinogenic risks to public health exceeded allowable levels. Priority pollutants in the atmosphere of Ulan-Ude whose concentrations create unacceptable levels of risk to public health are benzo(a)pyrene, suspended solids, nitrogen dioxide, PM2.5, PM10, formaldehyde, and black carbon. The levels of morbidity in Ulan-Ude were higher than the average for Buryatia by the main disease classes: respiratory organs—by 1.19 times, endocrine system—by 1.25 times, circulatory system—by 1.11 times, eye diseases—by 1.06 times, neoplasms—by 1.47 times, congenital anomalies, and deformations and chromosomal aberrations—by 1.63 times. There is an increase in the incidence of risk-related diseases of respiratory organs and the circulatory system. A strong correlation was found between this growth of morbidity and atmospheric air pollution in Ulan-Ude