Methods of predicting relapsing hemorrhage.

In this article the authors presented their own original methods for predicting ulcerous gastroduodenal bleeding defended by Patent of Ukraine. The implementation of these procedures led to substantial lowing of recurrent hamorrhage rate – more than twice. All methods have pathogenetic foundation and are based on ulcerogenesis mechanisms revealed during the longlasting complex clinical and experimental research. In such a way surgeons obtain some possibilities of early diagnostics of bleeding relapses and adequate treatment and effective hemorrhage prevention accordingly.

Methods of predicting relapsing hemorrhage.

In this article the authors presented their own original methods for predicting ulcerous gastroduodenal bleeding defended by Patent of Ukraine. The implementation of these procedures led to substantial lowing of recurrent hamorrhage rate – more than twice. All methods have pathogenetic foundation and are based on ulcerogenesis mechanisms revealed during the longlasting complex clinical and experimental research. In such a way surgeons obtain some possibilities of early diagnostics of bleeding relapses and adequate treatment and effective hemorrhage prevention accordingly

Успішний випадок використання радикальних операцій на пізніх стадіях раку товстої кишки

The results of treatment of 31 patients with malignant tumors of the colon, complicated by acute intestinal obstruction and colon perforation, peritonitis during 2018 were collected, processed and analyzed in the work. The ratio of surgical interventions was determined depending on the location of the tumor and anatomical features. To illustrate the material, a personal clinical case of radical surgery usage in the colon cancer late stages was presented.В работе представлены собранные, обработанные и проанализированные результаты лечения 31 больного со злокачественными опухолями толстой кишки на поздних стадиях, осложненными острой кишечной непроходимостью и перфорацией кишки, перитонитом за 2018 год. Было определено соотношение оперативных вмешательств в зависимости от локализации опухоли и анатомических особенностей. Для иллюстрации материала представили личный клинический случай использования радикальных операций на поздних стадиях рака толстой кишки.У статті представлено зібрані, оброблені і проаналізовані результати лікування 31 хворого зі злоякісними пухлинами товстої кишки на пізніх стадіях, ускладненими гострою кишковою непрохідністю та перфорацією кишки, перитонітом за 2018 рік. Було визначено співвідношення оперативних втручань залежно від локалізації пухлини та анатомічних особливостей. Для ілюстрації матеріалу представили особистий клінічний випадок використання радикальних операцій на пізніх стадіях раку товстої кишки

Indicators of immunity during transmembrane dialysis

All patients with common peritonitis were divided into two groups: оbserver group - 58 patients with common peritonitis, who received intra-abdominal sorption-transmembrane dialysis in the postoperative period

Clinical and statistical aspects of gastrointestinal bleeding course in patients with cardiovascular system pathology.

We have collected, processed and analyzed the results of treatment of 329 patients with gastrointestinal bleedings in which the course of the underlying disease is aggravated by the pathology of the cardiovascular system, in Communal institution "Dnipro Clinical Emergency Care Association" of Dnipro City Council» in the period for 2017. First, the frequency of background diseases was determined, chronic pathology being 93.4%. Ischemic heart disease (IHD): cardiosclerosis of various origins (post-infarction, diffuse, atherosclerotic), hypertonic disease (HD) - HD-I, HD-II, HD-III are the most common, while acute disorders of cerebral circulation, the state after coronary artery bypass surgery, renal artery bypass, arrhythmias, acute myocardial infarction made up 16 (5%), 1 (0.3%), 3 (1%), 1 (0.3%), respectively. Secondly, the quality of endoscopic hemostasis in case of ulcerative bleeding from the stomach, duodenum, gastroenteroanastomosis, was assessed by Forrest classification, connecting the results with the accompanying pathology of the cardiovascular system. We found that active bleeding F I was determined in 24 people (7.3%), of which F Ia – in 14 (4.3%), F Ib – in 10 (3%). Unstable hemostasis with a high risk of recurrent F II bleeding, was observed in 251 patients, which makes up 76.2%, and F III – in 54 (16.5%). The degree of blood loss was directly influenced by drug – anticoagulants, antiplatelet agents, hypotensive drugs, as well as their combinations, aimed at correcting the rheological properties of blood. Depending on the degree of blood loss, the quality of hemostasis, the general condition of the patient, the treatment tactics for this cohort of patients was determined. 313 patients received conservative treatment, which made up 95.1%. 16 patients were operated. Postoperative mortality is 12,5%. The overall mortality of the above cohort is 10%

Site types revisited : comparison of traditional Russian and Finnish classification systems for European Boreal forests

doi: 10.1111/avsc.12525Questions Forest classifications are tools used in research, monitoring, and management. In Finland, the Cajanderian forest site type classification is based on the composition of understorey vegetation with the assumption that it reflects in a predictable way the site's productive value. In Russia, the Sukachevian forest classification is similarly based on understorey vegetation but also accounts for tree species, soil wetness, and paludification. Here we ask whether Cajander's and Sukachev's forest types are effectively the same in terms of species composition, site productivity, and biodiversity. Location Boreal forests on mineral soils in Finland and the Russian part of Fennoscandia. Methods We use vegetation and soil survey data to compare the Cajanderian and the Sukachevian systems in terms of the understorey community composition (that is supposed to define them), soil fertility and tree productivity (that they are expected to indicate), and biodiversity (that is of interest for conservation purposes). We create and employ class prediction models to divide Russian and Finnish sites into Cajander's and Sukachev's types, respectively, based on vegetation composition. We perform cross-comparisons between the two systems by non-metric multidimensional scaling ordination and statistical tests. Results Within both systems, the site types formed similar, meaningful gradients in terms of the studied variables. Certain site types from the two systems were largely overlapping in community composition and arranged similarly along the fertility gradient and may thus be considered comparable. Conclusions The Cajanderian and the Sukachevian systems were both developed in the European boreal zone but differ in terms of the exact rules by which site types are determined. Our results show that analogous types between the systems can be identified. These findings aid in endeavours of technology and information transfer between Finnish and Russian forests for the purposes of basic or applied ecological research and forest management.Peer reviewe

Current issues of teaching general surgery.

Analysis of the results of teaching general surgery in a credit-modular system showed that there are issues that need to be solved at different levels. They concern educational and methodological and logistical support of education, the proper methodology of teaching practical skills, the distribution of modular control of mastering level of practical and theoretical knowledge as well as the increase of academic hours a on the discipline in the total and restructuring clinical practice

Current issues of teaching general surgery.

Analysis of the results of teaching general surgery in a credit-modular system showed that there are issues that need to be solved at different levels. They concern educational and methodological and logistical support of education, the proper methodology of teaching practical skills, the distribution of modular control of mastering level of practical and theoretical knowledge as well as the increase of academic hours a on the discipline in the total and restructuring clinical practice

Challenges in QCD matter physics - The Compressed Baryonic Matter experiment at FAIR

Substantial experimental and theoretical efforts worldwide are devoted to explore the phase diagram of strongly interacting matter. At LHC and top RHIC energies, QCD matter is studied at very high temperatures and nearly vanishing net-baryon densities. There is evidence that a Quark-Gluon-Plasma (QGP) was created at experiments at RHIC and LHC. The transition from the QGP back to the hadron gas is found to be a smooth cross over. For larger net-baryon densities and lower temperatures, it is expected that the QCD phase diagram exhibits a rich structure, such as a first-order phase transition between hadronic and partonic matter which terminates in a critical point, or exotic phases like quarkyonic matter. The discovery of these landmarks would be a breakthrough in our understanding of the strong interaction and is therefore in the focus of various high-energy heavy-ion research programs. The Compressed Baryonic Matter (CBM) experiment at FAIR will play a unique role in the exploration of the QCD phase diagram in the region of high net-baryon densities, because it is designed to run at unprecedented interaction rates. High-rate operation is the key prerequisite for high-precision measurements of multi-differential observables and of rare diagnostic probes which are sensitive to the dense phase of the nuclear fireball. The goal of the CBM experiment at SIS100 (sqrt(s_NN) = 2.7 - 4.9 GeV) is to discover fundamental properties of QCD matter: the phase structure at large baryon-chemical potentials (mu_B > 500 MeV), effects of chiral symmetry, and the equation-of-state at high density as it is expected to occur in the core of neutron stars. In this article, we review the motivation for and the physics programme of CBM, including activities before the start of data taking in 2022, in the context of the worldwide efforts to explore high-density QCD matter.Comment: 15 pages, 11 figures. Published in European Physical Journal