STUDY OF STRESSED-DEFORMED STATE OF THE POLYGONAL ARCH COVERINGS OF WOOD

In this work the use of wooden I-beams with OSB wall as the load bearing elements for polygonal arch coverings of buildings of various spans are considered. Special steel connecting pieces can shape the polygonal arch coverings. Calculations of the constructions with a span of 12 and 18 meters and an analysis of their stress-strain state are given.In this work the use of wooden I-beams with OSB wall as the load bearing elements for polygonal arch coverings of buildings of various spans are considered. Special steel connecting pieces can shape the polygonal arch coverings. Calculations of the constructions with a span of 12 and 18 meters and an analysis of their stress-strain state are given

Quasi-One-Dimensional Quantum Ferrimagnets

We present an exact diagonalization study of the half-filled Hubbard model on bipartite quasi-one-dimensional lattices. In particular, we emphasize the dependence of the ferrimagnetic ground state properties, and its associated magnetic excitations, on the Coulomb repulsion U.Comment: 6 pages, 12 figures, to be published in Physica A: special issue in honor of Prof. Bernard Sapova

Surgical treatment of biliary ducts confluence cholangiocarcinoma

Institutul Național de Chirurgie și Transplantologie “А.Shalimov”, Kiev, Ucraina, Al XII-lea Congres al Asociației Chirurgilor „Nicolae Anestiadi” din Republica Moldova cu participare internațională 23-25 septembrie 2015Introducere: Tratamentul chirurgical al colangiocarcinomului parahilar rămîne a fi una dintre cele mai complicate și nerezolvate probleme a chirurgiei hepatice contemporane. În pofida succesului semnificativ privind diagnosticul, implementarea tehnologiilor inovative în pregătirea preoperatorie, aplicarea tehnicilor actuale de transecție a parenchimului și transplant hepatic – rezultatele tratamentului chirurgical rămîn nesatisfăcătoare. O dificultate deosebită o prezintă cazurile de invazie tumorală a venei porte și a arterei hepatice. Scopul: Studierea rezultatelor tratamentului chirurgical la pacienții cu tumora Klatskin și invazie tumorală în vasele magistrale. Material și metode: În perioada anilor 2002-2015 în secția de Chirurgie și transplant hepatic au fost efectuate rezecții hepatice extinse la 160 pacienți cu tumori ale confluenței ducturilor biliare hepatice. Rezultate: Vîrsta medie a pacienților a constituit 60±12 ani. Pentru aprecierea caracterului implicării tumorale a arborelui biliar s-a utilizat clasificarea anatomică a colangiocarcinomului hilar după Bismuth–Corlette. În toate cazurile, preoperator era efectuată decompresia biliară prin drenare transparieto-transhepatică sau stentarea căilor biliare. Ca criteriu de apreciere a decompresiei biliare adecvate a fost scăderea valorii bilirubinei <50μmol/l și absența tabloului clinic de colangită. În 86 cazuri sa efectuat rezecția venei porte cu reconstrucția ulterioară a acesteia, în 7 cazuri – hepatoduodenal-ligamentectomia cu rezecția unimomentană și reconstrucția venei porte și a arterei hepatice. În 1 caz a fost efectuată hepatectomia stîngă cu lobectomie caudată totală în asociere cu hepatoduodenal-ligamentectomie și arterializarea fluxului portal. În 4 cazuri rezecția hepatică a fost suplinită cu rezecția pancreatoduodenală. Rata supraviețuirii la 1, 3 și 5 ani în cazul pacienților cu rezecție a venei porte a fost 77,8%, 66,7% și 39%, respectiv. Concluzii: Tactica chirurgicală agresivă în tratamentul pacienților cu tumori Klatskin oferă un caracter radical maxim, permite creșterea rezecabilității tumorilor cu invazia venei porte și arterei hepatice cu o rată acceptabilă a mortalității și supraviețuirii la distanță.Introduction: Surgical treatment of perihilar cholangiocarcinoma is one of the most complicated and not finally solved problems of contemporary hepatic surgery. Despite of significant progress in diagnostics, the implementation of innovative technologies for preoperative prepare, contemporary methods of parenchimal dissection and liver transplantation, the results of surgical treatment remain unsatisfactory. Especial difficulties represent the cases with tumor invasion of portal vein and hepatic artery. Aim: the current study surveys the results of surgical treatment of patients with Klatskin tumor with major vessels invasion. Material and methods: Between 2002 – 2015 in the Transplantology and Liver Surgery Unit were performed large liver resections of 160 patients with malignant tumors of biliary ducts confluence.Results: Mean age was 60±12 years. Description of biliary tree injury was done according to Bismuth–Corlette anatomical classification of hilar cholangiocarcinoma. In all cases patients undergone preoperative decompression of biliary ducts by mean of transcutaneous transhepatic drainage or biliary stenting. The criterion of adequate biliary decompression served decreasing serum bilirubin level under 50 mcmol/l, and the absence of segmentary colangitis clinical signs. From 160 patients, in 86 cases portal vein resection with following reconstruction has been performed. In 7 patients hepatoduodenoligamentectomy was performed, with simultaneous resection and reconstruction of the portal vein and hepatic artery. In one case left-sided hemihepatectomy with total caudate lobectomy associated with hepaticoduodenoligamentectomy and arterialization of portal axis hase been done. In 4 cases liver resection was completed with pancreatduodenectomy. 1, 3 and 5-years survival in the portal vein resection group constituted 77,8%, 66,7% and 39%, respectively. Conclusions: Aggressive tactics of biliary ducts confluence surgical treatment ensure maximal radicalism, provide increase of resecability in portal vein and hepatic artery tumor invasion, with acceptable lethality and distant survival rate

15-years experience of living donor liver transplantation in Ukraine

Institutul Național de Chirurgie și Transplantologie “А.Shalimov”, Kiev, Ucraina, Al XII-lea Congres al Asociației Chirurgilor „Nicolae Anestiadi” din Republica Moldova cu participare internațională 23-25 septembrie 2015Introducere: Transplantul hepatic (TH) reprezintă unica opțiune de tratament radical în cazul patologiilor hepatice terminale. Din 2001 Institutul de Chirurgie și Transplantologie din Ucraina a realizat programul de TH de la donator viu. Scopul lucrării: Evaluarea rezultatelor TH pe perioada anilor 2001-2015. Material și metode: Au fost studiate rezultatele a 142 TH alogene de la donator viu, efectuate pe perioada anilor 2001-2015. Toți recipienții s-au aflat pe lista de așteptare în baza criteriilor UNOS. Indicațiile au fost: ciroza secundară diferitelor maladii (hepatita virală – 23,2%, hepatita autoimună – 9,15%, alte etiologii – 11,3%), ciroza criptogenă – 13,4%, atrezia biliară – 31,7% și tumorile hepatice – 11,3%. Investigarea donatorului a fost efectuată în conformitate cu protocolul prestabilit. Volumul grefei de transplant a fost calculat în baza datelor CT și RMN. Rezultate: Din 142 TH de la un donator viu în 73 cazuri s-a transplantat lobul hepatic drept, 14 – lobul stîng și 54 – secțiunea laterală stângă. Într-un caz, a fost realizat transplantul unimomentan de la 2 donatori vii. Vârsta medie a recipienților a fost – 22,3±8,2 ani (7 luni – 58 ani), 75 dintre aceștia au fost de sex masculin. Toți recipienții au prezentat ciroză decompensată clasa C după Child-Pugh. Valoarea medie a stării funcționale integrale hepatice a fost de 12,5±1,2 puncte. Ascita refractară preoperator a fost observată la 47 pacienți, 8 pacienți au prezentat episoade recurente de peritonită bacteriană spontană, 6 pacienți – sindrom hepatorenal de tip II. Pierderea de sînge intraoperator a fost 2400±900 ml, durata operației – 16±3 ore. Durata ischemiei la rece: 45±17 min, la cald – 48±12 min. Durata medie a spitalizării recipienților a constituit – 32±8 zile. Mortalitatea postoperatorie precoce a fost în 23 cazuri – 16,1%. Rata de supraviețuire la 1 an – 73,9% și la 5 ani – 66,9%. Concluzii: TH alogen de la donator viu reduce semnificativ timpul de aflare a recipientului în lista de așteptare și îmbunătățește supraviețuirea. Rezultatele TH sunt comparabile cu rezultatele studiilor străine, ceea ce face posibilă recomandarea efectuării pe larg a TH, ca metodă de tratament radical a pacienților cu patologii hepatice terminale.Introduction: Liver transplantation is the only radical treatment method of terminal liver diseases. From 2001, Institute of Surgery and Transplantology of Ukraine has been performing allogenic transplantation program from the living donor. Aim: the current study is oriented on the survey of transplantation results for 2001-2015. Material and methods: The study surveyed 142 patients’ transplantations from living donors, performed from 2001 to 2015. All recipients were on the waiting list for transplantation from a relative, according to UNOS Criteria. The indications for inclusion in the waiting-list were: liver cirrhosis as a consequence of different diseases (viral hepatitis – 23.2%; autoimmune hepatitis – 9.15%, other etiology – 11.3%), cryptogenic cirrhosis – 13.4%, biliary atresia – 31.7% and liver cirrhosis – 11.3%. Donor investigations have been done according to the created protocol. Transplant’s volume was calculated with CT and MRI. Results: From 142 patients who supported living donor transplantation, in 73 cases has been performed right hemi-liver transplantation, in 14 – of the left hemi-liver, and in 54 – of the left lateral section. In one case has been performed simultaneous transplantation from 2 living donors. The average recipient’s age was 22.3±8.2 years (7 months – 58 years), 75 recipients were males. All patients with cirrhosis were of C-class according to Child-Pugh. The average index of integral liver functionality has been 12.5±1.2 points. Resistant ascitis in preoperative period was detected in 47 patients, in 8 – recurrent episodes of spontaneous bacterial peritonitis, in 6 – II type hepatorenal syndrome. Intraoperative bleeding was 2400±900mL, time of operation – 16±3 hours. The lasting of cold-ischemia was 45±17 min, warm ischemia – 48±12 min. The average duration of postoperative period for recipients was 32±8 days. Early postoperative lethality was noted in 23 cases – 16.1%. Yearly survival – 73.9%, and the actual 5-year survival rate was 66,9%. Conclusions: Living donor transplantation significantly reduces the patient time from waiting-list and increases patient survival rate. The obtained transplantation results are comparable with the results of international studies, and allow us to recommend transplantation for a large group of indications, as a method of selecting treatment for terminal liver pathology patients

Polyfuran Conducting Polymers: Synthesis, Properties, and Applications.

In this review, polyfuran (PFu) synthesis methods and the nucleation mechanism; the electrochemical, structural, morphological, and magnetic properties of PFu; thermal behavior; theoretical calculations on PFu, as well as its applications reported to date, have been compiled. Not only PFu homopolymers have been reviewed, but also PFu co-polymers, PFu bipolymers, and PFu composites. The results are listed, discussed, and compared. It is hoped that this assembly of all the relevant data might enhance knowledge about this conducting polymer and lead to new research fields

Late results of embolization of a portal hepatic vein branches in patients, suffering extended hepatic tumors

Objective. To analyze late results of preoperative  embolization of the portal hepatic vein branches (EPHVB) in patients, suffering extended hepatic tumors and extremely border-like small calculated residual hepatic volume(CRHV). Маterials and methods. From 2004 to 2014 yr the extended hepatic resection (HER) was performed in 285 patients, to whom EPHVB was applied (the main group), аnd in 353 patients as well, but without endovascular preparation (control group). In both groups dynamics of laboratory indices, structure of complications and lethality, late survival were studied. Results. In the main group a trustworthily lower rate of an acute hepatic insufficiency and connected with a lower postoperative lethality - accordingly 2.3 and 4.6%, comparing with a control group - 9.3 and 8.8%, were suggested. The laboratory data dynamics have witnessed a lesser intensiveness of postoperative hepatocytolysis and lesser degree of the hepatic synthetic function lowering in the main group, what have confirmed a better functional adaptation of hepatic residual in patients, to whom preoperative EPHVB was applied. Conclusion. Preoperative EPHVB permits to lower the postoperative complications and lethality rate in patients, suffering hepatic tumors, due to better functional adaptation of hepatic residual