RESULTS OF TREATMENT OF OPEN FRACTURES IN PATIENTS WITH POLYTRAUMA IN A REGIONAL TRAUMA SYSTEM

Aim. To analyze options for treatment tactics for open fractures of bones, implemented in a regional trauma system in theKrasnodar Territory.Materials and methods. Retrospective analysis includes the results of treatment of 82 patients with polytrauma and severe open fractures of the shin bones aged from 18 to 60 years, of whom 23 in unstable or critical condition, hospitalized in 2016-2017 in the Scientific Research Institution – S.V. Ochapovsky Regional Clinical Hospital № 1.Results. Treatment tactics for patients with severe polytrauma and open fractures type IIIA and B according to the classification of Gustilo-Andersen adopted in trauma center of level I, reduces the total number of infectious complications to 9,09% for fractures of type III A and 53,84% of IIIB fractures compared to option treatment strategies adopted in trauma centres II, III where the level of infection reaches 58,06% fractures type III A and 93,75% of IIIB fractures. The typical mistakes made in primary surgical treatment in patients with polytrauma and severe open fractures were revealed: incomplete revision of the wound with leaving foreign bodies, non-viable soft tissues, unstable fixation of the fracture with the help of a skeletal traction system, incomplete external fixation of the fracture with a device or plaster bandage, suturing of the wound with relaxing skin incisions during soft tissue swelling, absence of drains or passive drainage of the open fracture.Conclusion. The usage of primary surgical treatment in a reduced volume, with the application of VAC-dressings, in patients with polytrauma and severe open fractures of the limb bones can reduce the overall incidence of infectious complications

DATA NETWORKING SUPPORT SERVICES OF PUSHCHINO RADIOASTRONOMY OBSERVATORY, ASTROSPACE CENTER OF LEBEDEV PHYSICAL INSTITUTE

Growth of local area network Observatory associated with employee needs to access network resources has led to an increase in the number of computing and network devices. Until recently, we tested performance of these systems excellent manual and most of the problems and faults detected already on the fact the accident occurred. For a small number of network nodes, manual monitoring is not a significant problem, but with increasing the number of nodes troubles hooting becomes a very difficult task for network and system administrators and outage in work of network services Observatory may becomes critical. There fore there was a need to automate the monitoring service network resources and servers. Growth of local area network Observatory associated with employee needs to access network resources has led to an increase in the number of computing and network devices. Until recently, we tested performance of these systems excellent manual and most of the problems and faults detected already on the fact the accident occurred. For a small number of network nodes, manual monitoring is not a significant problem, but with increasing the number of nodes troubles hooting becomes a very difficult task for network and system administrators and outage in work of network services Observatory may becomes critical. There fore there was a need to automate the monitoring service network resources and servers

INFORMATION TELECOMMUNICATIONS OF PUSHCHINO RADIO ASTRONOMY OBSERVATORY, ASTRO SPACE CENTER OF LEBEDEV PHYSICAL INSTITUTE

Buffer data center was created in the territory of the Pushchino Radio Astronomy Observatory three years ago. The necessity of its creation was caused by the high requirements to the speed and quality of the transmission large amounts of scientific and telemetry data received by tracking station RT-22 from the space radio telescope of the international project “Radioastron”. The transfer of this data is carried out over a long distance over100 kmfrom the Pushchino toMoscowcenter of processing and storage ASC FIAN. And now we use the data center as a center of local network of the Observatory.