Professional liability insurance of dentists as the form of social-legal defense

The article is devoted to the problems of the Medical professional liability insurance in Russia. Medical organizations or government are responsible for medical professional liability insurance

87Sr/86Sr ISOTOPE RATIOS IN THE RIVER WATERS OF THE SOUTHERN URALS

87Sr/86Sr isotopic ratios are widely used to identify strontium sources and study strontium behaviour in (bio)geochemical cycles. 87Sr/86Sr in surface waters can reflect the average composition of bioavailable (i.e. available for further absorption by plants and animals) strontium in the catchment specific area. Based on those 87Sr/86Sr ratios, the regional maps of the bioavailable strontium distribution (strontium isoscapes) can be compiled. A complex block structure characterizes the Ural mountain system. Individual parts (blocks) are composed of rocks of various ages, genesis and geochemical characteristics, which can radically change at a distance of several tens of kilometres. Such variability would be reflected in strontium isotopic ratios, thus making it possible to determine the local isotopic signatures of bioavailable strontium. This work aimed to study 87Sr/86Sr in the water in the rivers of the Southern Urals. We determined the contents and isotopic ratios of strontium in river water samples collected from the territories of the Orenburg and Chelyabinsk regions and the Republic of Bashkortostan in 2019-2020. For the first time in the surface water of the rivers in the Southern Urals (Ural, Belaya, Tobol, Karagaily-Ayat, Sim, and others), the 87Sr/86Sr isotopic ratios have been determined, and their variations have been analyzed. 87Sr/86Sr values vary in the range 0.70666-0.71063 (average 0.70908) for the rivers of the Urals basin, 0.70749-0.71058 (average 0.70924) for the Kama-Volga basin, 0.70946-0.71176 (average 0.71071) for the Tobol basin. Such features of the strontium isotopic composition may be due to the influence of underlying rocks of the catchment area drained by river water. The data obtained can be used to identify the sources of strontium input into the water system during hydrological and environmental studies; to confirm the authenticity of food products of plant and animal origin; to carry out comparisons in the studies of the migration of ancient people and animals, as well as to determine the raw material areas for the production of vegetable and woollen textiles and wooden products in antiquity. © 2022 Institute of the Earth's Crust. All rights reserved.Russian Foundation for Basic Research, РФФИ: 20-09-00194; Ministry of Education and Science of the Russian Federation, Minobrnauka: 075-15-2021-680The study is supported by the Russian Foundation for Basic Research (project 20-09-00194) and performed within the state task of the IGG UB RAS АААА-А18-118053090045-8 at the "Geoanalitik" shared research facilities of the IGG UB RAS. The re-equipment and comprehensive development of the "Geoanalitik" shared research facilities of the IGG UB RAS is financially supported by the grant of the Ministry of Science and Higher Education of the Russian Federation (Agreement 075-15-2021-680).FUNDING: The study is supported by the Russian Foundation for Basic Research (project 20-09-00194) and performedwithin the state task of the IGG UB RAS АААА-А 猃稁猃猃稃爃眃甃爃? 爃爃瘃省稀 at the 㘀Geoana?itik 㘀 shared research faci?ities of the IGG UB RAS. The re-equipment and comprehensive deve?opment of the 㘀Geoana?itik 㘀 shared research faci?ities of the IGG UB RAS is 퀀inancia??y supported by the grant of the Ministry of Science and Higher Education of the Russian Federation (Agreement 075-15-2021-680)

LAPAROSCOPIC SURGERY IN TREATMENT OF ENDOMETRIAL CANCER (RESULTS OF 7-YEAR CLINICAL EXPERIENCE AT THE N.N. PETROV NATIONAL MEDICAL RESEARCH ONCOLOGY CENTER)

Introduction. The main method of treatment of endometrial cancer, the most common oncological disease, is surgery. Introduction of high-tech operations into gynecological practice promoted active use of laparoscopy in treatment of malignant tumors of the endometrium.Objective. To evaluate effectiveness of video endoscopic surgery in treatment of endometrial cancer.Materials and methods. In the period from 2010 to 2016, 1127 patients with endometrial cancer underwent surgery using video endoscopic complex with high resolution cameras at the N.N. Petrov National Medical Research Oncology Center, Ministry of Health of Russia.Results.  Using video endoscopic technology, excision of the uterus with appendages was performed in 588 (52.3 %) patients, excision of the uterus with appendages and pelvic lymph node dissection was performed in 523 (46.4 %) patients including 16 (1.4 %) patients with serous and papillary serous forms of endometrial cancer who also underwent omentectomy. No intraoperative complications were observed. In the majority of patients, postoperative period was characterized by early activization, satisfactory intestinal peristalsis on day 1, minimal complications, absence of contraindications for adjuvant beam therapy.Conclusion. Video endoscopic technology is a modern method of surgical treatment allowing to perform the full scope of planned radical surgical intervention in patients with endometrial cancer irrespectively of age and concomitant disorders with minimal traumatization, risk of intraand postoperative complications as well as favorable and fast rehabilitation period

Assessment of Heavy Metal Contamination of Surface Waters, Soils and Plants in the Orenburg Region

Microelement analysis of surface waters, soils and plants from the Orenburg region was carried out. For V, Cr, Co, Ni, Cu, Zn, As, Se, Mo, Cd, Sn, Sb, and Pb a comparison was made with the threshold limit values in drinking water, and the enrichment factors were calculated.Работа поддержана РФФИ (проект № 20-09-00194) и выполнена в ЦКП «Геоаналитик» ИГГ УрО РАН в рамках темы № АААА-А18-118053090045-8 государственного задания ИГГ УрО РАН. Дооснащение и комплексное развитие ЦКП «Геоаналитик» ИГГ УрО РАН осуществляется при финансовой поддержке гранта Министерства науки и высшего образования Российской Федерации, Соглашение № 075-15-2021-680

Морфологические аспекты кровоизлияний в опухоли гипофиза

Morphological features of pituitary adenomas, into which stroma haemorrhages take place, have been established by authors of the article. Tinctorial, macro- and microscopic characteristics have been researched. By an immunohistochemical research a level of expression of VEGF, EGFR, cyclin D1, protein p53 had been determine, that allowed to suppose an immediate reason and pathogenesis of haemorrhages into pituitary adenomas.Авторами статьи установлены морфологические особенности аденом гипофиза, в строму которых происходят кровоизлияния. Исследованы тинкториальные свойства, макро- и микроскопические характеристики. С помощью иммуногистохимического исследования определён уровень экспрессии VEGF, EGFR, циклина D1, белка p53, что позволило предположить непосредственную причину и патогенез питуитарных кровоизлияний

ИЗОТОПНЫЕ ОТНОШЕНИЯ СТРОНЦИЯ 87Sr/86Sr В ВОДЕ РЯДА РЕК ЮЖНОГО УРАЛА

87Sr/86Sr isotopic ratios are widely used to identify strontium sources and study strontium behaviour in(bio)geochemical cycles. 87Sr/86Sr in surface waters can reflect the average composition of bioavailable (i.e. available forfurther absorption by plants and animals) strontium in the catchment specific area. Based on those 87Sr/86Sr ratios, theregional maps of the bioavailable strontium distribution (strontium isoscapes) can be compiled. A complex block structurecharacterizes the Ural mountain system. Individual parts (blocks) are composed of rocks of various ages, genesis andgeochemical characteristics, which can radically change at a distance of several tens of kilometres. Such variability wouldbe reflected in strontium isotopic ratios, thus making it possible to determine the local isotopic signatures of bioavailablestrontium.This work aimed to study 87Sr/86Sr in the water in the rivers of the Southern Urals. We determined the contents andisotopic ratios of strontium in river water samples collected from the territories of the Orenburg and Chelyabinsk regionsand the Republic of Bashkortostan in 2019–2020.For the first time in the surface water of the rivers in the Southern Urals (Ural, Belaya, Tobol, Karagaily-Ayat, Sim, andothers), the 87Sr/86Sr isotopic ratios have been determined, and their variations have been analyzed. 87Sr/86Sr values varyin the range 0.70666–0.71063 (average 0.70908) for the rivers of the Urals basin, 0.70749–0.71058 (average 0.70924)for the Kama-Volga basin, 0.70946–0.71176 (average 0.71071) for the Tobol basin. Such features of the strontium isotopiccomposition may be due to the influence of underlying rocks of the catchment area drained by river water. The dataobtained can be used to identify the sources of strontium input into the water system during hydrological and environmentalstudies; to confirm the authenticity of food products of plant and animal origin; to carry out comparisons in thestudies of the migration of ancient people and animals, as well as to determine the raw material areas for the productionof vegetable and woollen textiles and wooden products in antiquity.Изотопные отношения стронция 87Sr/86Sr широко используются для выявления источниковстронция и исследования его поведения в (био)геохимических циклах, а в поверхностных водах они могут отражатьусредненный состав биодоступного (доступного для дальнейшего поглощения растениями и животными)стронция на конкретной территории водосбора, на основании чего могут быть составлены региональные картыраспределения биодоступного стронция (Sr изоскейпы). Уральская горная система характеризуется блочнойструктурой, отдельные части (блоки) которой сложены разнообразными по возрасту, генезису и геохимическимособенностям горными породами, которые могут радикально изменяться на расстоянии нескольких десятковкилометров. Такая вариативность будет отражаться и в изотопных отношениях стронция, что позволит с достаточновысокой точностью определить локальные метки биодоступного стронция.Целью работы являлось исследование изотопных отношений стронция 87Sr/86Srв воде ряда рек Южного Урала.В образцах речной воды, отобранных в 2019–2020 гг. с территорий Оренбургской и Челябинской областей и РеспубликиБашкортостан, определены содержания (квадрупольная масс-спектрометрия с индуктивно связаннойплазмой) и изотопные отношения стронция (мультиколлекторная масс-спектрометрия с индуктивно связаннойплазмой и термоионизационная масс-спектрометрия после хроматографического выделения стронция).Впервые в поверхностной воде ряда рек Южного Урала (Урал, Белая, Тобол, Карагайлы-Аят, Сим и др.) определеныизотопные отношения 87Sr/86Sr и проанализированы их вариации. Для рек бассейна р. Урал значения87Sr/86Sr варьируются в диапазоне 0.70666–0.71063 (среднее 0.70908), для бассейна р. Кама – 0.70749–0.71058(среднее 0.70924), для бассейна р. Тобол – 0.70946–0.71176 (среднее 0.71071). Подобные особенности изотопногосостава стронция могут быть обусловлены типом подстилающих горных пород водосбора, дренируемых речнойводой. Полученные данные могут быть использованы для выявления источников поступления стронция в воднуюсистему при гидрологических и экологических исследованиях, для подтверждения аутентичности пищевыхпродуктов растительного и животного происхождения, для проведения сопоставлений при исследованияхмиграций древних людей и животных, а также для определения сырьевых ареалов для производства растительногои шерстяного текстиля, деревянных изделий в древности

New Carboxylate Anionic Sm-MOF: Synthesis, Structure and Effect of the Isomorphic Substitution of Sm³⁺ with Gd³⁺ and Tb³⁺ Ions on the Luminescent Properties

Two new compounds, namely {(NMe2H2)}[Ln(TDA)(HCOO)] 0.5H2O, Ln = Sm3+ (Sm-TDA) and Gd3+ (Gd-TDA), where TDA3− is the anion of 1H-1,2,3-triazole-4,5-dicarboxylic acid (H3TDA), were synthesized by the solvothermal method in a DMF:H2O mixture. According to single-crystal X-ray diffraction data, the compounds are 3d-MOFs with an anionic lattice and dimethylammonium cations occupying part of the cavities. Based on these compounds, two series of mixed-metal complexes, [NMe2H2][SmxLn1-x(TDA)(HCOO)], (x = 0.9 (Sm0.9Ln0.1-TDA), x = 0.8 (Sm0.8-Ln0.2-TDA)…Sm0.02Ln0.98-TDA, Ln = Tb, Gd), were also obtained and characterized by powder XRD. The luminescent properties of the compounds were studied and it was shown that the resulting compounds are two- or three-component emitters with the possibility of fine color tuning by changing the intensities of fluorescence and phosphorescence of the ligand, as well as the luminescence of Sm3+ and Tb3+ f-ions

⁸⁷Sr/⁸⁶Sr ISOTOPE RATIOS IN THE RIVER WATERS OF THE SOUTHERN URALS

87Sr/86Sr isotopic ratios are widely used to identify strontium sources and study strontium behaviour in(bio)geochemical cycles. 87Sr/86Sr in surface waters can reflect the average composition of bioavailable (i.e. available forfurther absorption by plants and animals) strontium in the catchment specific area. Based on those 87Sr/86Sr ratios, theregional maps of the bioavailable strontium distribution (strontium isoscapes) can be compiled. A complex block structurecharacterizes the Ural mountain system. Individual parts (blocks) are composed of rocks of various ages, genesis andgeochemical characteristics, which can radically change at a distance of several tens of kilometres. Such variability wouldbe reflected in strontium isotopic ratios, thus making it possible to determine the local isotopic signatures of bioavailablestrontium.This work aimed to study 87Sr/86Sr in the water in the rivers of the Southern Urals. We determined the contents andisotopic ratios of strontium in river water samples collected from the territories of the Orenburg and Chelyabinsk regionsand the Republic of Bashkortostan in 2019–2020.For the first time in the surface water of the rivers in the Southern Urals (Ural, Belaya, Tobol, Karagaily-Ayat, Sim, andothers), the 87Sr/86Sr isotopic ratios have been determined, and their variations have been analyzed. 87Sr/86Sr values varyin the range 0.70666–0.71063 (average 0.70908) for the rivers of the Urals basin, 0.70749–0.71058 (average 0.70924)for the Kama-Volga basin, 0.70946–0.71176 (average 0.71071) for the Tobol basin. Such features of the strontium isotopiccomposition may be due to the influence of underlying rocks of the catchment area drained by river water. The dataobtained can be used to identify the sources of strontium input into the water system during hydrological and environmentalstudies; to confirm the authenticity of food products of plant and animal origin; to carry out comparisons in thestudies of the migration of ancient people and animals, as well as to determine the raw material areas for the productionof vegetable and woollen textiles and wooden products in antiquity

Melanoma of the lower female genital tract (vulva, vagina, and cervix): literature review and own cases

The article covers various aspects of clinical manifestations, diagnosis, and treatment of vulvar, vaginal, and cervical melanomas