Combination of active stage of diabetic Charcot neuroosteoarthropathy and diabetic lower limb macroangiopathy

Combination of active stage of diabetic Charcot neuroosteoarthropathy and diabetic lower limb macroangiopathy is the rare condition. In the present paper we describe two cases of development of acute Charcot foot in the non-critically ischemic foot. The first case is the patient with previously diagnosed intermitted claudication and the second case is patient who developed the Charcot foot 5 months later after successful endovascular treatment of arterial occlusions of his left lower limb. In both cases the absence of redness in the early stage, the mild-to-moderate pain and mild temperature gradient between affected and non-affected feet were noticed. The clinical course of the Charcot disease in the first patient was favourable. He used walker for 9 months and his foot shape was preserved and deformity was considered as mild. The second patient had more active and profound destructions due to delay of the treatment. He was casted, however his deformity progressed and the treatment continues up to date. In both patients the MRI revealed more affected bones compared with X-ray. These cases emphasize the importance of keeping in mind the Charcot disease even in patients with diabetic peripheral vascular disease

Short-term outcomes of treatment of active stage of Charcot foot in outpatient setting

Background: Treatment options in patients with an acute Charcot foot is not well standardized and still challenging.Aims: To evaluate the results of the non-operative treatment of patients with active stage of diabetic charcot arthropathy in outpatient foot clinic and to identify factors influenced on treatment results.Materials and methods: Medical files of 141 patients with unilateral ulcer-free active charcot arthropathy were reviewed. 78 patients agreed for treatment (total contact cast or walker), 63 patients refused of treatment (follow-up only). The time of resolution of the acute stage, severity of final deformities and foot-related complications were evaluated. Refusers were asked about the cause of their decision.Results: Mean delay of the diagnosis was 3,2±2,8 months. Main causes of the refuse were: mistrust to doctor - 38%, problems with employment - 33%, home/family problems - 18%, medical reasons - 11%. Median healing times (months) in the treatment group vs controls: 9 (6 - 19) 15 (13 - 25) (p=0,001) and progression of the initial deformity: 14% and 35%, respectively (p=0,01). Foot-related complications: 17,5% in the treatment group and in 55,6% of controls (including 6 amputations) (p=0,001). Frequency of breaking the cast/walker - 32%/16,6%. Foot lesions due to cast/walker: 13,6%/41,7% (p<0,01). Median healing times (months) with walkers - 13 (11 - 19), with casts - 9 (6 - 15) months (р=0,02). The use of crutches shortened healing time.Conclusions: The significant delay of diagnosis was revealed. The refuse rate in our cohort was high and main causes of the refuse were social and psychological. Neglect of treatment leads to high frequency and severity of foot-related complications. We noticed high rate of breaking of walkers and casts and device-related foot lesions. Total contact casts were more effective and safe compared with walkers

Developing the accounting concept in the public sector

The main goal of this study is to develop an accounting concept for the public administration sector of the Russian Federation with state (municipal) institutions as an example. To fulfill this task, the specifics of the state (municipal) institutions were explored, the international practice of arranging accounting in the public sector was analyzed, and the current state of the information and administration function of accounting in the institutions under study was examined. Because of the analysis, specific proposals for the development of the information function of accounting were developed through the application of the accounting policy template and the development of management accounting for obtaining information for internal users. Regarding the development of the control function of accounting in state (municipal) institutions, the use of a risk map, a register of risks and other administration tools and procedures was justified. The scientific novelty of the study is in systematization of the problems existing in the formation of the accounting system in state (municipal) institutions and in the development of proposals to improve its efficiency.peer-reviewe

Changes in loading distribution in patients with Charcot foot during long-term follow-up

Background. The inactive stage of the diabetic Charcot arthropathy foot (CA) is characterised by fixed foot deformities and an absence of inflammation. However, it remains unclear if the shape of the foot and its biomechanics change during long-term follow-up. Aim. To evaluate changes in loading distribution of the affected foot, in patients with inactive CA, during long-term follow-up. Materials and methods. Twenty seven patients with unilateral inactive CA (19 females, 8 males) were studied. Computer pedography (emed AT, novel gmbh) was performed and baseline and the last studies were analysed. Maximal peak pressures (PP) were obtained for the first and the last studies and the percentage of the PP change was calculated for the total follow-up period and for periods: 24 months, 2448 months, 48 months. Results. PP increased: under the hallux 50%; 1st metatarsal30.7%; 2nd toe20%; 2nd toe6%; midfoot9%. PP decreased under 35 toes up to 67%. Significant changes at the first period were found under 35 toes only (62%). The increase in loading under the other parts of the foot appeared at 24 months; however, these changes became significant between 24 and 48 months and peaked after 48 months of follow-up. The maximal increase of PP was noticed under the hallux, the 2nd toe, metatarsals 13 and the midfoot. Conclusions. We revealed the gradual redistribution of PP, under the different parts of the foot, in patients with inactive CA. This redistribution reflects changes in the shape of the affected foot. The loading increased under the hallux, the 2nd toe and the corresponding metatarsals, 3rd metatarsal and midfoot, and decreased under the 35 toes. These changes increased during the follow-up, becoming more pronounced after 4 or more years. Our data may be useful for constructing custom-made footwear for patients with CA

Accumulation of and Response to Auxins in Roots and Nodules of the Actinorhizal Plant Datisca glomerata Compared to the Model Legume Medicago truncatula

Actinorhizal nodules are structurally different from legume nodules and show a greater similarity to lateral roots. Because of the important role of auxins in lateral root and nodule formation, auxin profiles were examined in roots and nodules of the actinorhizal species Datisca glomerata and the model legume Medicago truncatula. The auxin response in roots and nodules of both species was analyzed in transgenic root systems expressing a beta-glucuronidase gene under control of the synthetic auxin-responsive promoter DR5. The effects of two different auxin on root development were compared for both species. The auxin present in nodules at the highest levels was phenylacetic acid (PAA). No differences were found between the concentrations of active auxins of roots vs. nodules, while levels of the auxin conjugate indole-3-acetic acid-alanine were increased in nodules compared to roots of both species. Because auxins typically act in concert with cytokinins, cytokinins were also quantified. Concentrations of cis-zeatin and some glycosylated cytokinins were dramatically increased in nodules compared to roots of D. glomerata, but not of M. truncatula. The ratio of active auxins to cytokinins remained similar in nodules compared to roots in both species. The auxin response, as shown by the activation of the DR5 promoter, seemed significantly reduced in nodules compared to roots of both species, suggesting the accumulation of auxins in cell types that do not express the signal transduction pathway leading to DR5 activation. Effects on root development were analyzed for the synthetic auxin naphthaleneacetic acid (NAA) and PAA, the dominant auxin in nodules. Both auxins had similar effects, except that the sensitivity of roots to PAA was lower than to NAA. However, while the effects of both auxins on primary root growth were similar for both species, effects on root branching were different: both auxins had the classical positive effect on root branching in M. truncatula, but a negative effect in D. glomerata. Such a negative effect of exogenous auxin on root branching has previously been found for a cucurbit that forms lateral root primordia in the meristem of the parental root; however, root branching in D. glomerata does not follow that pattern.This study was supported by two grants from the Swedish Research Council Vetenskapsrådet (VR 2007-17840-52674-16 and VR 2012-03061) and by a grant from Carl Tryggers Stiftelse för Vetenskaplig Forskning (CTS 13:354) to KP, by a grant from the Russian Science Foundation (analyses of auxin response pattern, grant no. 16-16-00089) to KND, and by a grant from the Ministry of Education, Youth and Sports of CR within the National Sustainability Program I (NPUI, grant number LO1415) to TR. UM was supported by the Australian Research Council (DP150102002)

Pedographic assessment of the impact of off-the-shelf orthopedic shoes on the load distribution under the feet in patients with a high risk of developing diabetic foot syndrome

BACKGROUND: It is known that the so-called “rocker” outsole helps to reduce the load on the forefoot and toes. Such an outsole is available in ready-made orthopedic shoes of some Russian manufacturers, however, an objective assessment of their impact on the load distribution under the foot during walking has not been carried out.AIMS: To study the pressure distribution inside the off-the-shelf orthopedic shoes“Sursil-Ortho” in comparison with the load inside the shoes used by patients on a daily basis.METHODS: We studied 20 patients (40 feet) with a high risk of diabetic foot syndrome. According to clinical data, a risk regions were determined on the plantar surface of the feet. In-shoe pedography (pedar, novel,Germany) was performed in shoes usually worn by the patients, and in orthopedic shoes“Sursil-Orto”(Moscow). The maximum peak pressure (MPP) was calculated. Criterion of efficiency: MPP in the risk region<200 kPa or reducing it by 25% or more.RESULTS: There was a significant decrease of the median MPP in the forefoot and in the risk region. The percentage of feet with MPP >200 kPa in the risk region decreased from 58% to 30% (p=0,014), in any area of the forefoot — from 63% to 30% (p=0,04). The increase in MPP under the midfoot and hindfoot did not exceed +14% (ns). Tested footwear was effective in 71% of cases. Predictors of the insufficient effect were: higher initial MPP in the risk region, risk region on the hallux or in the lateral part of the forefoot.CONCLUSIONS: Shoes with a rigid rocker outsole significantly reduce the pressure under the forefoot and under the toes during walking. The degree of load reduction varies: the lateral part of the forefoot and 2-5 toes are most unloaded, and the hallux and medial forefoot are slightly less

Инвестиции в основной капитал и амортизация основных средств: теоретические и практические аспекты изучения и анализа

It is indicated that domestic economy is experiencing a shortage of investment.The acceleration of the processes of import substitution is one of the most important challenges facing the domestic economy at present.Investments, especially capital investments and related investment relations constitute the basis for the development of the national economy and improving the efficiency of social production as a whole. A problem of formation of the amortization fundremains actual at the moment. In the modern scientific and educational literature amortization fund means the fund, including the use of funds to complete the restoration and repair of the fixed assets. This paper makesthe analysis of the situation in the area of investment in the fixed capital, which has developed in Russia for the past severalyears. The aim of this paper is to study the investment climate in the country based on the analysis of investments in the fixed capital by the sources of financing and types of the economic activity. The work is based on dynamic and structural analysis of analytical and statistical information on the processes occurring in this field.As a result, it can be noted that in spite of a number of efforts being made, in general, there are low growth rates in industry, there is a deficit of investments in the fixed assets. Most of the investments in fixed assets are carried out at the expense of the organizations’ own funds. A significant number of economic entities do not have the means, necessary for the technological renewal. Unfortunately, the regulatory framework in the field of accounting for the fixed assets and accrual of depreciation does not imply the use of a special account for the accumulation, and, most importantly, for the purposeful control of the use of the depreciation fund.First of all, it is necessary for companies with state participation and monopoly organizations. The lack of control over the targeted use of the depreciation fund led to a deterioration in the dynamics of indexes, characterizing the state and movement of the fixed assets, as evidenced by data on relevant indexes. Accelerated depreciation, used in tax accounting, should be monitored. However, at present, this only leads to an increase in costs. The article proposes accounting entries for the formation of an amortization fund and information on its intended use. In IFRS standards, information on the amount of accrued depreciation on fixed assets is generated in the reporting, which should also be shown in the financial statements of domestic organizations (especially with the state participation). Ambiguity in the interpretation of legislative and regulatory acts in the field of accounting for the fixed assets, accrual of depreciation and the formation of an amortization fund does not contribute to improving the investment climate in the country and leads to significant wear and tear in virtually all sectors of the economy. The article concludes that there is a significant underinvestment of the domestic economy, especially for manufacturing organizations.Ускорение процессов импортозамещения является одной из важнейших задач, стоящих перед отечественной экономикой в настоящее время. Инвестиции, особенно капитальные вложения и связанные с ними инвестиционные отношения представляют собой основу для развития национальной экономики и повышения эффективности общественного производства в целом. Остается в настоящее время актуальной и проблема формирования амортизационного фонда. В современной научной и учебной литературе под амортизационным фондом понимается фонд, предполагающий целевое использование средств на полное восстановление и ремонт основных средств. В работе осуществлен анализ ситуации в области инвестиций в основной капитал, сложившейся в России за ряд последних лет. Целью работы является изучение инвестиционного климата в стране на основе анализа инвестиций в основной капитал по источникам финансирования и видам экономической деятельности. В основу работы положен динамический и структурный анализ аналитической и статистической информации о происходящих в этой области процессах. В результате можно отметить, что несмотря на ряд предпринимаемых усилий в целом отмечаются невысокие темпы роста в промышленности, сохраняется дефицит инвестиций в основной капитал. Большая часть инвестиций в основной капитал осуществляется за счет собственных средств организаций. Значительное количество хозяйствующих субъектов не обладает средствами, необходимыми для технологического обновления. К сожалению нормативная база в области бухгалтерского учета основных средств и начисления амортизации не предполагает использование специального счета для накопления, а, главное, для контроля для целевым назначением использования амортизационного фонда. В первую очередь это необходимо для компаний с государственным участием и организаций-монополистов. Отсутствие контроля за целевым использованием амортизационного фонда привело к ухудшению динамики показателей, характеризующих состояние и движение основных средств, о чем свидетельствуют данные по соответствующим показателям. Ускоренная амортизация, используемая в налоговом учете, должна контролироваться. Однако в настоящее время это приводит только к росту затрат. В статье предложены бухгалтерские проводки по формированию амортизационного фонда и информации по целевому его использованию. В МСФО в отчетности формируется информация о сумме начисленной амортизации по основным средствам, что также необходимо показывать в финансовой (бухгалтерской) отчетности отечественных организаций (особенно с государственным участием). Неоднозначность толкования законодательных и нормативных актов в области учета основных средств, начисления амортизации и формирования амортизационного фонда не способствует улучшению инвестиционного климата в стране и ведет к их значительному износу практически во всех отраслях экономики. В статье сделан вывод о значительной недоинвестированности отечественной экономики, особенно это касается организаций обрабатывающей промышленности

Characterization of Zoobenthos and Export of Biomass and Polyunsaturated Fatty Acids due to Emergence of Midges (Diptera, Chironomidae) from Three Saline Lakes of South Siberia

В течение двух вегетационных сезонов определяли таксономический состав, численность, биомассу зообентоса трех соленых озер: Шира, Шунет и Учум, расположенных в аридных степях Южной Сибири. Мы также оценили продукцию, потенциальный экспорт биомассы и физиологически ценных омега‑3 полиненасыщенных жирных кислот (ПНЖК) на сушу при вылете комаров-звонцов (Diptera, Chironomidae). Зообентосные сообщества изученных водоемов характеризовались низким таксономическим разнообразием и были представлены в основном личинками насекомых сем. Chironomidae и Ceratopogonidae, а также рачками Gammarus lacustris в озерах Шира и Шунет. В целом таксономический состав, численность и продуктивность изученных сообществ амфибионтных насекомых существенно различались. В оз. Шира доминантами являлись личинки Polypedilum bicrenatum, Сhironomus nigrifrons и Glyptotendipes salinus. В оз. Шунет основную часть численности сообщества обеспечивали личинки рода Procladius и Chironomus salinarius, наряду с P. bicrenatum. Бентос оз. Учум был представлен личинками рода Procladius, подсем. Orthocladiinae и сем. Ceratopogonidae. Продукция хирономид озер Шира, Шунет и Учум за период 30 дней составила в среднем 16,1 ± 4,1, 45,6 ± 13,6 и 9,6 ± 4,6 г сырой массы / м2, соответственно, увеличиваясь с ростом индекса Е. В. Балушкиной, оценивающего степень загрязненности воды. Потенциальный экспорт биомассы имаго хирономид из озер колебался от 0,6 до 3,1 г сырой массы / м2 акватории в год. Величина продуктивности и экспорта биомассы на сушу, вероятно, определялась количеством пищи (органического вещества) в донных отложениях. Имаго Glyptotendipes, вылетающие из озер Шунет и Шира, и имаго Orthocladiinae, роившиеся близ озера Учум, имели близкие величины содержания ПНЖК на единицу сырой массы. Таким образом, продуктивность, а не таксономический состав хирономидного сообщества, может быть более важным фактором при экспорте ПНЖК из соленых озерDuring two growing seasons, we studied the biomass, the number, and the species composition of zoobenthos in three saline lakes, Shira, Shunet, and Uchum, located in arid steppe of South Siberia, Russia. We also estimated productivity and export of biomass and physiologically significant omega‑3 polyunsaturated fatty acids (PUFAs) associated with the emergence of amphibiotic insects from these lakes. All zoobenthic communities had low taxonomic diversity with insect larvae of Chironomidae and Ceratopogonidae families and amphipod Gammarus lacustris constituting their major portion. Overall taxonomic composition and productivity of the lakes differed considerably. Among amphibiotic insects, larvae of Polypedilum bicrenatum, Сhironomus nigrifrons, and Glyptotendipes salinus were the most abundant in Lake Shira. In Lake Shunet, in addition to the dominant P. bicrenatum, zoobenthos was mainly represented by larvae of Chironomus salinarius and two Procladius species. Benthos of Lake Uchum was distinctly dominated by the Procladius genus, Orthocladiinae subfamily, and Ceratopogonidae family larvae. Production of chironomids in Shira, Shunet, and Uchum was 16.1 ± 4.1, 45.6 ± 13.6, and 9.6±4.6 g wet weight / m2 for 30 days, respectively, increasing with an increase in E. V. Balushkina’s index, which estimates water quality. Potential export of chironomid biomass ranged from 0.6 to 3.1 g wet weight / m2 of aquatic area per year. We suggested that productivity and biomass export were related with the quantity of food (organic matter) in the sediments. Glyptotendipes adults, which emerged from Lakes Shunet and Shira, and Orthocladiinae adults, which emerged from Lake Uchum, had similar contents of omega‑3 PUFAs per unit of wet weight. Thus, productivity rather than taxonomic composition of chironomid communities might be a more important factor for export of PUFAs from saline lake

Core Proteome of the Minimal Cell: Comparative Proteomics of Three Mollicute Species

Mollicutes (mycoplasmas) have been recognized as highly evolved prokaryotes with an extremely small genome size and very limited coding capacity. Thus, they may serve as a model of a ‘minimal cell’: a cell with the lowest possible number of genes yet capable of autonomous self-replication. We present the results of a comparative analysis of proteomes of three mycoplasma species: A. laidlawii, M. gallisepticum, and M. mobile. The core proteome components found in the three mycoplasma species are involved in fundamental cellular processes which are necessary for the free living of cells. They include replication, transcription, translation, and minimal metabolism. The members of the proteome core seem to be tightly interconnected with a number of interactions forming core interactome whether or not additional species-specific proteins are located on the periphery. We also obtained a genome core of the respective organisms and compared it with the proteome core. It was found that the genome core encodes 73 more proteins than the proteome core. Apart of proteins which may not be identified due to technical limitations, there are 24 proteins that seem to not be expressed under the optimal conditions