Geoecological validation of mechanisms and parameters of physical-chemical processes facilitating the in-depth processing of complex suphide ores and mining wastes

Abstract. The advisability of processing copper-nickel ore dressing tailings of current production has been substantiated. The optimal parameters of metal leaching with sulphuric acid have been determined. In laboratory experiments the geotechnological extraction of non-ferrous metals from a leaching layer representing a tailing material of fraction +0.063 mm has been studied. When investigating the geotechnological processes of nonferrous metal extraction on the basis of two copper-zinc ore deposits located in the Urals, the authors have come to the conclusion that heap leaching is of little use for the ores of the Letneye deposit. Leaching results for the Yaman-Kasy ore have shown more promise. Аннотация. Показана целесообразность переработки хвостов обогащения медно-никелевых руд текущего производства. Определены оптимальные параметры сернокислотного выщелачивания металлов. В лабораторных условиях исследовано геотехнологическое извлечение цветных металлов из выщелачиваемого слоя, подготовленного из хвостов фракции +0.063 мм. Изучение геотехнологических процессов извлечения цветных металлов из медно-цинковых руд двух месторождений Урала показало, что руды месторождения Летнего малоприемлемы для кучного выщелачивания. Существенно лучшие результаты получены при выщелачивании руды месторождения Яман-Касы

Neuroendocrine Tumours: a Literature Review

Neuroendocrine tumours (NETs) are a heterogeneous group of malignant neoplasms with diverse morphology and nomenclature. Well-differentiated NETs were historically termed carcinoid tumours, which entailed abundant confusion and misclassification. Cross body-localised NETs have been described from the central nervous system, respiratory and gastrointestinal tracts, larynx, thyroid, skin, breast and urogenital system. The evidence on NET prevalence is diverse, with selected sources estimating a 0.5% rate among total malignancies diagnosed. Carcinoid syndrome is a known important associate of NETs. Its presence resulting from the amine and peptide hypersecretion often facilitates the NET diagnosis, and curative surgery becomes a treatment of choice, if technically feasible. Adjuvant therapy is ambiguous. When surgery is impractical due to a usually advanced NET at diagnosis, drug therapy is adopted to relief symptoms and control the disease

Super-Radiant Dynamics, Doorways, and Resonances in Nuclei and Other Open Mesoscopic Systems

The phenomenon of super-radiance (Dicke effect, coherent spontaneous radiation by a gas of atoms coupled through the common radiation field) is well known in quantum optics. The review discusses similar physics that emerges in open and marginally stable quantum many-body systems. In the presence of open decay channels, the intrinsic states are coupled through the continuum. At sufficiently strong continuum coupling, the spectrum of resonances undergoes the restructuring with segregation of very broad super-radiant states and trapping of remaining long-lived compound states. The appropriate formalism describing this phenomenon is based on the Feshbach projection method and effective non-Hermitian Hamiltonian. A broader generalization is related to the idea of doorway states connecting quantum states of different structure. The method is explained in detail and the examples of applications are given to nuclear, atomic and particle physics. The interrelation of the collective dynamics through continuum and possible intrinsic many-body chaos is studied, including universal mesoscopic conductance fluctuations. The theory serves as a natural framework for general description of a quantum signal transmission through an open mesoscopic system.Comment: 85 pages, 10 figure

Hepatocellular Carcinoma: Aetiology and Mechanisms of Development. A Literature Review

Liver cancer remains a global challenge of healthcare, with the incidence growing worldwide. According to various authors, over 1 million patients will be diagnosed with liver cancer each year by 2025. The molecular pathogenesis of HCC varies with respect to genotoxic lesions and aetiologies. Although our understanding of the HCC pathophysiology and drivers tends to improve, it is still distant from translation into clinical practice. About 25 % of HCC cases are associated with variant mutations. HCC pathophysiology is a complex multi-step process. The interaction of various factors underlies the early stages of malignant hepatocyte transformation towards the development of HCC. Overall, about 20–25 % of HCC patients have at least one potential driver mutation. Obesity should also be noted as being associated with a higher risk of HCC and various other cancers. Despite many issues in the HCC pathogenesis being already known, the unresolved questions remain. Modern molecular genetic diagnostics and animal modelling of malignant tumours are expanding our horizons of knowledge in this field

THE CLINICAL CASE OF SUCCESSFUL OSTEOSYNTHESIS OF COMMINUTED FRACTURED RIBS IN THE PATIENT WITH SEVERE CHEST INJURY

Despite certain achievements in care provision to those with severe chest injury the problem of managing flail chest is far from being resolved. Traditional management includes forced continuous artificial pulmonary ventilation in order to provide internal pneumatic stabilization of the chest. However the results of this approach can not be recognized as satisfactory due to high frequency of complications, need for tracheostomy, long-term stay of such patients in the intensive care department, development of nosocomial infections.Early restoration of the chest carcass with the help of costal valve fixation by the plate with angular stability allows reducing the duration of the artificial pulmonary ventilation and decreasing the frequency of potential respiratory and pleural complications

The interactions between inflammation and insulin resistance: molecular mechanisms in insulin-producing and insulin-dependent tissues

In the modern world the prevalence of obesity and type 2 diabetes mellitus (T2DM) significantly increases. In this light the risks of obesity-associated complications also grow up. The crucial linkage between obesity and its metabolic and cardiovascular complications is inflammatory process. The mechanism of this linkage is similar in pancreas and insulin-dependent tissues both on cells, cell-to-cell communication and signaling pathway levels: the catalysts are different lipids (cholesterol, free fatty acids, triglycerides), which are able to activate Toll-like receptors of innate immunity and inflammation. Nextly, IKK- and JNK-dependent cascades activate the secretion of inflammatory cytokines TNFa, IL-1b, IL-6 and others, which act by paracrine and autocrine manner and support inflammation both in local and systemic levels. Thus, insulin-producing and insulin-dependent tissues, which are involved in T2DM pathogenesis, through the inflammatory process integrate in pathogenic and self-maintaining cycle, which leads to the suppression of insulin secretion, pancreatic β-cell failure and the development of insulin-dependent tissues insulin resistance

The interactions between inflammation and insulin resistance: prospects of immunoregulation as a potential approach for the type 2 diabetes mellitus treatment

In the modern world the prevalence of obesity and type 2 diabetes mellitus (T2DM) significantly increases. In this light the risks of obesity-associated complications also grow up. The crucial linkage between obesity and its complications is inflammation, which is a convenient target for potential anti-diabetic therapy. There are some anti-inflammatory therapy strategies: action on secreted cytokines, circulating lipids or intracellular signaling cascades. Canakinumab (antibody to IL-1b receptor) and colchicine (IL-6 secretion blocker) have the most balanced anti-diabetic and cardioprotective action among cytokine anti-inflammatory therapy. Lipid-lowering therapy is very diverse, but bempedoic acid nowadays has the best combination of anti-inflammatory and cardioprotective effects. Salicylate is an inhibitor of IKK-dependent inflammatory signaling cascade and significantly lowers glycated hemoglobin and C-reactive protein levels among obese patients. The future of anti-inflammatory T2DM therapy can be related with anti-inflammatory cytokines (IL-4, IL-37), chimeric engineered cytokines (IC7Fc), novel inhibitors of inflammatory and cytokines signaling cascades (imatinib, CC90001) and cell-based therapy (mesenchymal stem cells). In summary, despite on the limitations of current clinical trials, anti-inflammatory drugs have a potential to become a part of modern combined T2DM therapy with anti-diabetic and cardioprotective properties. Novel findings in potential anti-inflammatory T2DM therapy have great perspectives in protection against T2DM and related complication prevention

Радиоиндуцированная ангиосаркома влагалища: клинический случай

Background. Vaginal sarcomas are rare malignant mesenchymal neoplasms. Incidence rate of vulvar and vaginal sarcomas ranges from 1 to 3%. Vaginal sarcomas are usually represented by leiomyosarcomas in reproductive-age women. More seldom are soft tissue fibrosarcomas, angiosarcomas, malignant fi brous histiocytomas and alveolar soft tissue sarcomas. Tumours induced by prior radiation therapy deserve special concern. In oncogynaecology, radiation therapy is commonly applied in cervical and endometrial cancer therapy. According to some evidence, average development time of a secondary tumour after completion of radiation therapy is 10.8 years. The relative risk of vaginal cancer increases by a factor of 300 after radiation therapy.Materials and methods. The reported clinical case represents a rare vaginal tumour, angiosarcoma, developed 26 years after radiation therapy for gynaecological cancer.Results and discussion. A 78 years-old patient underwent combined tumourectomy of the posterior vaginal wall with resection of the anterior rectal wall and application of preventive transversostoma. No postoperative complications were observed.Conclusion. Surgical treatment is a method of choice with patients of such kind and allows local containment of the disease.Введение. Саркомы влагалища — редкие злокачественные мезенхимальные опухоли. Частота возникновения сарком вульвы и влагалища колеблется от 1 до 3 %. В репродуктивном возрасте саркомы влагалища обычно представлены лейомиосаркомами. Реже наблюдаются такие мягкотканные опухоли, как фибросаркомы, ангиосаркомы, злокачественные фиброзные гистиоцитомы и альвеолярные мягкотканные саркомы. Отдельного внимания заслуживают опухоли, индуцированные ранее проведенной лучевой терапией. В онкогинекологии лучевая терапия чаще всего проводится при раке шейки матки и раке эндометрия. По данным некоторых авто- ров средний срок развития вторичной опухоли после завершения лучевой терапии составляет в среднем 10,8 года. Относительный риск возникновения рака влагалища возрастает в 300 раз после проведенной лучевой терапии.Материалы и методы. Представленный клинический случай демонстрирует редкую опухоль влагалища — ангиосаркому, развившуюся через 26 лет после проведенной лучевой терапии по поводу гинекологического рака.Результаты и обсуждение. Пациентка 78 лет перенесла операцию — комбинированное удаление опухоли задней стенки влагалища с резекцией передней стенки прямой кишки, наложение превентивной трансверзостомы. Послеоперационный период без осложнений.Заключение. Хирургическое лечение данной категории больных является методом выбора и позволяет достичь контроля за локальным проявлением заболевания