bluuebunny/crossref_metadata_2025 huggingface dataset:
Muscle activation in pelvic anteversion and retroversion
Authors: Pereira Bibiana Melher , Castro Marcelo Peduzzi de , Sanchotene Cristiano Gomes , Ruschel Caroline , Santos Gilmar Moraes
Published: July 2021

Abstract Introduction: The inability to maintain good pelvic stability has been attributed to inefficient muscle coordination and deconditioning of the stabilizing muscles. Despite this, little is known about the role of the pelvic muscles in anteversion and retroversion movements. Objective: To compare the neuromuscular activity of the tensor fascia lata, gluteus medius, upper and lower portions of the gluteus maximus, and multifidus in pelvic anteversion and retroversion. Methods: The neuromuscular activity of 17 healthy young adults (aged 25.3 ± 4.6 years) was assessed during five repetitions of the pelvic anteversion and retroversion movements. The Vicon-Nexus system (10 cameras) was used for the kinematic analysis of the pelvis in the sagittal plane (anteversion and retroversion), and the TeleMyo DTS Desk Receiver electromyograph and the Myomuscle v. 3.8 software to measure neuromuscular activity. The paired samples t-test was used to compare muscle activity between pelvic anteversion and retroversion movements using the Statistica v.8 software with a significance level of p < 0.05. Results: The comparison of the movements showed greater muscle activity in the inferior gluteus maximus in retroversion and greater activity in the multifidus in pelvic anteversion. The upper portion of the gluteus maximus showed relevant activation in both movements. Conclusion: There was more pronounced activity of the lower portion of the gluteus maximus in retroversion, while the upper gluteus maximus showed relevant activation level in both movements. The multifidi were more active in retroversion.
Conceptual Modeling of Explainable Recommender Systems: An Ontological Formalization to Guide Their Design and Development
Authors: Caro-Martínez Marta , Jiménez-Díaz Guillermo , Recio-García Juan A.
Published: July 2021

With the increasing importance of e-commerce and the immense variety of products, users need help to decide which ones are the most interesting to them. This is one of the main goals of recommender systems. However, users’ trust may be compromised if they do not understand how or why the recommendation was achieved. Here, explanations are essential to improve user confidence in recommender systems and to make the recommendation useful.

Providing explanation capabilities into recommender systems is not an easy task as their success depends on several aspects such as the explanation’s goal, the user’s expectation, the knowledge available, or the presentation method. Therefore, this work proposes a conceptual model to alleviate this problem by defining the requirements of explanations for recommender systems. Our goal is to provide a model that guides the development of effective explanations for recommender systems as they are correctly designed and suited to the user’s needs. Although earlier explanation taxonomies sustain this work, our model includes new concepts not considered in previous works. Moreover, we make a novel contribution regarding the formalization of this model as an ontology that can be integrated into the development of proper explanations for recommender systems.
Türkçe Ders Kitaplarında Modernizm Eleştirisi
Authors: ŞİMŞEK Ramazan
Published: July 2021

Eğitim, örgün ve yaygın ağlarda toplumun değerleri, anlam-değer dünyası, refleksleri gözetilerek yürütülen bir süreçtir. Toplumsal değişim ve dönüşümler etkiledikleri tüm diğer faktörler gibi eğitimi de etkilemektedir. Eğitim surecinde hem öğreticiler hem öğrenciler açısından temel kaynak ders kitabıdır. Ders kitapları akademik içerikler kadar sosyal, kültürel içerikleri de bünyesinde barındırmaktadır. 19. yüzyıldan bu tarafa sosyal bilimlerin neredeyse tüm alanlarında gündem olan modernizm eğitimin de gündeminde yer almaktadır. 20. yüzyılda zirvesine ulaşan modernizm, yeniliklerle beraber maddi, manevî çözülmeleri de getirmiştir. Bu bağlamda eğitimin kurumsal politika belirleyicileri bu çözülmelere önlemler almıştır. Bu araştırmada kod çözme, yüzey yapının arkasındaki semantik katmanlara ulaşma olarak tarif edilen eleştirel söylem analizi yöntemi kullanılmış; MEB onaylı Türkçe ders kitaplarında modernizmin çözücü, bozucu etkilerine yönelik inşa edilen söylemler analiz edilmiştir. Araştırma bünyesinde modernizmle ilişkili yabancılaşmanın, popüler kültürün ve popüler kültür etkisindeki dil pratiklerinin, kapitalizmin inşa ettiği ben merkezli insan tipinin eleştirildiği; hedef kitlenin davranış ve tutumlarının metin söylemiyle manipüle edilmeye çalışıldığı; hedef kitlenin zihinsel şemalarının şekillendirilmeye çalışıldığı tespit edilmiştir.
A la mesa del tirano: Poder y gastronomía en la novela de la dictadura
Authors: Mächler Tobar Ernesto
Published: July 2021

Reseña de A la mesa del tirano: Poder y gastronomía en la novela de la dictadura
ENALLTerm: hacia una base de datos al servicio de la traducción especializada
Authors: Cornea Ioana
Published: July 2021

El objetivo de este artículo es describir el proceso de creación y diseño de la base de datos termino­lógica para la traducción enallterm. Este recurso terminológico, de libre acceso, está dirigido a los estudiantes de traducción de la Escuela Nacional de Lenguas, Lingüística y Traducción (enallt) de la Universidad Nacional Autónoma de México, pero también a usuarios externos interesados en la actividad de traducción. Este estudio interdisciplinario, basado en la teoría comunicativa de la ter­minología, de María Teresa Cabré, y en la lexicografía funcional, de Sven Tarp, se plantea suplir las deficiencias terminológicas que puede tener un traductor durante el proceso traductor. La metodo­logía integra los trabajos de terminología de los estudiantes del Diplomado en Traducción de Textos Especializados de la enallt y de la Licenciatura en Traducción de la misma escuela. A través de la plataforma de enallterm, los alumnos pueden rellenar los diferentes campos de las fichas, en una combinación lingüística inglés, francés o alemán al español. Luego, las fichas pasan por un proceso de revisión externo, efectuado por un especialista en el ámbito temático en cuestión, y por una revi­sión interna, de tipo lingüístico, que la hacer el equipo de enallterm. Las fichas se centran en recopi­lar información traductológica como, por ejemplo, tipos de equivalentes, contextos de uso y contextos multimedia (fotos, audios, videos), opciones de traducción no recomendadas y comentarios para la traducción.
Aspects culturels de la traduction juridique : le cas des actes de naissance en français et en portugais
Authors: De Paula Molinari Milena , Curti-Contessoto Beatriz , Deângeli Maria Angélica
Published: July 2021

L’acte de naissance est un document extrêmement important dans la vie d’un sujet, car il s’agit du premier document du citoyen à avoir une valeur juridique et à être utilisé en tant que preuve de l’âge, de la nationalité et de la filiation, garantissant ainsi certains droits au citoyen. Dans le but d’explorer les implications linguistiques, culturelles et juridiques d’un tel document, nous partons d’un corpus de Traduction Assermentée d’actes de naissance du français de France (ff) vers le portugais du Brésil (pb) et vice-versa, afin d’analyser les termes et les expressions présents dans ce corpus et la façon dont ils se portent dans ce mouvement de traduction. Nous nous situons donc dans un champ qui englobe des perspectives distinctes par rapport à la traduction spécialisée. Ainsi, notre étude s’appuie sur les recherches de Crépon et de Rodrigues, en ce qui concerne le champ théorique de la traductologie, et des travaux de Gémar, de Peron Guedes et Mozzilo et de Harvey pour ce qui est du rapport de la Traduction et du Droit. Nous avons vérifié que les spécificités du Droit brésilien et français sont soit explicitement marquées soit effacées, performant un mouvement qui est à la fois « cibliste » et « sourcier » en matière de traduction. Cette étude est d’une importance majeure étant donné qu’elle propose de discuter les relations culturelles et linguistiques qui sont intrinsèques aux pratiques traductives et dont les contours peuvent être plus ou moins visibles selon les contextes où elles se présentent.
Formación de traductores universitarios: experiencias interdisciplinarias en el campo de la traducción de las ciencias sociales y humanas
Authors: Cagnolati Beatriz Emilce
Published: July 2021

Este trabajo se inscribe en la formación universitaria de traductores en el par de lenguas francés-español, y se fundamenta en nuestra experiencia de docencia e investigación. Presenta los requisitos del último nivel de traducción científico-técnica, focalizando en las actividades teórico-prácticas de la etapa final de la carrera, en particular los trabajos interdisciplinarios de traducción de textos de ciencias sociales y humanas, con la participación del alumnado, la docente investigadora de sociología y economía del trabajo (especialista de referencia) y la docente de la cátedra (docente coordinadora). Este artículo se propone difundir esas experiencias a través del comentario de los informes de traducción elaborados por las alumnas intervinientes, quienes identifican y ejemplifican los problemas de traducción de los artículos científicos en el área sociológica, aportan las soluciones a través de las estrategias puestas en juego, y fundamentan el proceso traductivo en base a los principios teóricos que han incorporado a lo largo de sus estudios. Además, interesa exponer el análisis que realiza la cátedra sobre las anomalías que presentaron las primeras reformulaciones, generalmente como producto del mecanismo de interferencia presente en el vaivén entre el discurso de partida y la producción discursiva, con incidencia en niveles peritextuales. En un contexto de aula taller, el análisis retrospectivo de las sucesivas producciones desarrolla la autocrítica constructiva y consolida la autonomía con el objetivo de la ampliar la competencia traductora.
Respiratory apparatus diseases in military liquidators after Chernobyl disaster (results of a 30-year survey)
Authors: Reznik V. M. , Zagorodnikov G. G. , Legeza V. I. , Kuzmin S. G.
Published: July 2021

In this work, there were analyzed the findings of perennial observations of morbidity level and structure for respiratory apparatus diseases in military clean-up workers after Chernobyl disaster. It was established that during the 30-year survey, respiratory apparatus diseases on average took second place among other disease types; in regard to morbidity structure, acute respiratory infections of upper airways ranked first. The highest morbidity level was marked in the first 3–5 years after disaster, that might have been specified by inhalation of aerosolized radionuclides from «hot particles» released by damaged reactor in the first hours or days after disaster. In the first years after Chernobyl disaster, respiratory apparatus diseases occur more often among liquidators on the shady side of forty at the moment of participation in radiation danger works. In this examined category, the level of chronic respiratory apparatus pathology prior arrival to the station was significantly higher than in liquidators of younger age, that might’ve been one of the major factors of lower sensitivity of the latter to «Chernobyl dust» inhalation. In subsequent years, the level of bronchopulmonary morbidity was higher among the younger age bracket, that might be a manifestation of the «accelerated ageing phenomenon», which is specific to Chernobyl cohort. There was no dependence between the level of bronchopulmonary pathology on the one hand, and external radiation dose, total work time and nature of professional activity of liquidators, on the other.
MAGNETIC STIMULATION IN DIAGNOSIS AND TREATMENT OF DISEASES AND INJURIES OF THE NERVOUS SYSTEM
Authors: Litvinenko Igor V , Yurin Anton A , Frunza Daria N , Bodrova Tatyana V
Published: July 2021

Magnetic stimulation is a noninvasive technique that allows you to directly stimulate the neurons of the cerebral cortex. Currently, transcranial magnetic stimulation is used as informative diagnostic and effective therapeutic techniques for the treatment of diseases and injuries of the nervous system. The article discusses the indications, contraindications and the recommended protocols for the use of transcranial magnetic stimulation in certain diseases and consequences of traumas of the nervous system (bibliography: 37 refs).
TO THE HISTORY OF TARKHOVSKY MILITARY SANATORIUM
Authors: Yaremko V I , Cherkasova V L , Korovin A E
Published: July 2021

The article presents data from the archives on the history of the health resort-Sanatorium “Tarkhovsky” of the Ministry of defense of the Russian Federation. The history of creation of the sanatorium from 1933 to the present time is reflected. A unique location of the sanatorium in the city of Sestroretsk, close to the Gulf of Finland and lake Sestroretsky Spill. The article deals with the healing effects of sea air, obtaining medical procedures for the rehabilitation of servicemen, pensioners of the Ministry of defense, civil personnel of the Ministry of defense and others. In 2018, the branch “Sanatorium «Tarhovsky»” part of the Sanatorium complex “Zapadny” will celebrate its anniversary - 85 years (4 figs, bibliography: 1 ref.).
EFFECT OF AMINO ACID ON THE DEVELOPMENT SKIN TISSUE ORGANOTYPIC CULTURE
Authors: Chalisova Natal'ya I , Korovin Aleksander E
Published: July 2021

The effect of the 20 coded amino acids was investigated on the development of the processes of the proliferation in the organotypic tissue culture of rat skin. The amino acids lysine, arginine and glutamine acid at 0,05 ng/ml concentration stimulated the cellular proliferation in the growth zone of explants by 29-30%. The mustard-like agent cyclophosphane at 1 mg/ml concentration inhibited the cellular proliferation. The delay of this inhibiting effect of cyclophosphane was observed by the combined action of stimulating amino acids with the cyclophosphane. Thus, the amino acids with the charge radicals can be protectors of the cellular proliferation by the toxic effect of the cyclophosphane on the skin. This effect can be used for the treatment of the mustard injury of skin and for the delay of the adverse effect of cytostatic in oncology (1 figure, 1 table, bibliography: 28 refs).
Comparative characteristics of bioimpedanceometry indices dynamics in young men with normal and insufficient body weight in the treatment of community-acquired pneumonia
Authors: Gayvoronsky I N , Khalimov Yu Sh , Pashkova I G
Published: July 2021

The component composition of the body of men with normal body weight and insufficient body weight in the age from 18 to 44, patients with community-acquired pneumonia of non-severe course, was studied. Its changes at various periods of treatment are revealed. These changes were expressed in the statistically significant dynamics of indicators of total water content, total muscle mass with water and total fat content in men with normal body weight, as well as significant changes in the total water content and total muscle mass with water in men with insufficient body weight. At the same time, all examinees showed slight changes in body mass, body mass index and stability of the total defat-dehydrated bone mass. At the same time, the total water content and total muscle mass with water were lower at the 3rd, 7th and 15th days of treatment compared to the day of hospitalization. The lowest values of these parameters were recorded on the 3rd day of treatment. In addition, in men with normal body weight, significant changes in the total fat content on the 3rd and 15th days of treatment were noted, compared with 1 day of treatment. It was found that the total water content of men with insufficient body weight was not normal even by the 15th day of treatment. This fact indicates the need for medical rehabilitation after completion of treatment in order to normalize the body composition and prevent recurrence of the disease.
MODERN TRENDS IN THE DEVELOPMENT OF VESSELS FOR MEDICAL PURPOSES
Authors: Chernikov Oleg G , Cherniy Valeriy S , Zaymagov Sergey V
Published: July 2021

Hospital vessels are considered as the mobile multidisciplinary medical organizations on the sea battlefield. At the same time hospital vessels are used in daily conditions: for medical support of staff of ship groups of forces of the fleet in distant sea and ocean zones; for medical support in the remote areas of the coast and island territories; for medical support of oil industry workers, field men, fishermen, etc. Forms and ways of use of hospital courts according to modern requirements, taking into account modernization and development of the fleet are analysed (11 figs, bibliography: 13 refs).
Influence of heliogeophysical factors on the minute blood volume in hypertensive patients with different temperament
Authors: Usenko G A , Vasendin D V , Usenko A G , Schakirova N A , Makarova L I , Machmudyan D A
Published: July 2021

Correlation between the annual average values of minute volume of blood flow in healthy men with different psychosomatic status, suffering from arterial hypertension, and Solar activity from 1995 to 2015 was investigated. Variations of γ-background during the study period did not exceed the limits of normal regional values (7-9 µr/h). However, the analysis of solar activity dynamics represented periodic increase and a momentary increase by the 2005-2006. With the increase in solar activity and γ-ray background a significant reduction of oxygen utilization coefficient by tissues of healthy individuals and patients with different temperament was noted. The increase in solar activity was followed by an increase in ambient temperature and atmospheric pressure. The study showed a significant increase in minute volume of blood flow in the groups of healthy individuals and patients in the same years as the increase in solar activity and γ-background environment. There has been established a significant correlation relationship between indicators of solar activity, meteorological factors and minute volume of blood flow that indicates on the possibility of combined effects of the studied environmental factors to affect the course of physiological processes in organism of both healthy and hypertension person. Overall, it was reflected in the increase of functional activity of the cardiovascular system (by minute volume of blood flow).
Semantic differential of time among women affected with disease caused by the human immunodeficiency virus
Authors: Ulyukin I M
Published: July 2021

Аbstract. The possibility of using the semantic differential of time for revealing the prevailing, including the little-understood, tendencies in the actual mental state and the relation of the individual to reality is known, since it is known that the unity of the individual in the destiny of man is realized by the semantic unity of the past, present and future time in their subjective differentiated meaning. The differences in the perception of the past, present and future time by patients in the dynamics of their disease caused by the human immunodeficiency virus have been revealed depending on the receipt of antiretroviral therapy. The study of time factors allowed to differentiate the features of the mental state of these women in the dynamics of the disease. It is established that the ideas about the future of the time in healthy and sick persons in the period of relative remission of their disease are similar. It is characterized by them in a single semantic structure. However, the existing differences in comparing the perception of future factors by patients and practically healthy women suggest that patients have a higher motivational component for the future. The mechanisms of the formation of those components of self-awareness (knowledge and understanding of oneself) in women affected with disease caused by the human immunodeficiency virus, which are related to the concepts and properties of psychological time, are specified and concretized. The results obtained can be used to predict psycho-social adaptation of patients in the dynamics of the disease. This is a prerequisite for conducting preventive psychological measures to reduce the risk of negative clinical dynamics of the disease, primarily because the patient is not just a complex combination of various pathological and pathophysiological processes, but first of all a person is a person in need of a return to full biological and social activity.
Significance of the left ventricular ejection fraction in diagnosis of heart failure
Authors: Malov Yu S , Yarovenko I I
Published: July 2021

Left ventricular ejection fraction, not being an indicator of contractility, is widely used in practice for the diagnosis of heart failure. It reflects only a change in volume of the left ventricle. It was found that the ejection fraction is not so much dependent on the shock and final diastolic volume as on the final systolic volume. An inverse relationship was found between the left ventricular ejection fraction and the end systolic volume. The larger the end systolic volume, the lower the ejection fraction. High final ejection fraction corresponds to a small terminal systolic volume of the left ventricle. The ejection fraction, representing the ratio of the impact volume to the final diastolic, reflects structural changes in the left ventricle. The more these disorders, the lower the fraction of the ejection of the left ventricle. Its connection with heart failure is realized indirectly through structural restructuring of the myocardium. Low ejection fraction indicates severe damage to the myocardium and unfavorable prognosis for the patient. The empirically established emission fraction did not receive a scientific justification for the regulatory framework. According to the symmetrical approach to the study of a heart, the volume ratio of the left ventricle represents a golden proportion (0,618). Hence, the ideal left ventricular ejection fraction is 62 %, but not 50-80 %, as is customary. An increase or decrease in the ejection fraction indicates a change in the volume of the left ventricle. The clinical morphological similarity of patients with heart failure, classified according to functional classes and size of the ejection fraction, was revealed, which casted doubt on the introduction of the classification of heart failure by the size of the ejection fraction into practice.
Retrospective analysis of professional hearing loss of Аir-space forces military personnel
Authors: Mironov V G , Soldatov I K , Panevin P A , Mironov I V , Gushchin P S , Soldatova A V
Published: July 2021

Research data on level and structure of sensorineural hearing loss among flight personnel who underwent medical and flight expertise for 2012-2016 is given. Among the analyzed evidences of the disease, 12,8% of military personnel have sensorineural hearing loss of varying degrees. The average age of the contingents tested was 42,1±0,5 years, however, the greatest number of cases occurred in the range of 40-44 years, with a flight time of 20,6±0,5 years in the study group. It was also revealed that bilateral hearing loss was observed in 72,28% cases, in 16,83% - left-sided and in 10,89% - right-sided, with prevalence of II degree in 48,51%, I degree in 35,15%; III degree in 15,35% and IV degree in 0,99% of the subjects. In addition, a significant prevalence of military personnel of the flight crew, dismissed from military service for health reasons, with bilateral sensorineural hearing loss of I and II degrees was revealed. So, among the discharged service members 6,44% had a steady decrease in hearing of both ears to the degree of whisper speech hearing at a distance of less than 1 m and are found not suitable for flight work;16,34% - had a persistent decrease in hearing with one ear to a degree of whisper speech hearing up to1 meter, while perceiving a whisper with another ear from 1 to 4 m and found to be not suitable for flight work; 34,16% had a steady decrease in hearing with one ear to a degree of whispered speech hearing up to 1 meter or close to an external ear, while it takes 4 m minimum hearing a whispered speech with another or it could be persistent hearing loss on both ears to a degree of perception of a whispered speech on each ear in limits from 2 to 3 m and which are not suitable for flight work; the remaining43,07% of the service members had initial manifestations of deafness without changing the category of workability. The information presented in this work justifies the development of measures for prevention of the pathology of the hearing organ expansion and progression and will help to justify the need of creating a center for hearing aid and cochlear implantation in the medical service of the Russian Federation Armed Forces.
New minimally invasive technique of treating patients with de Quervain’s disease
Authors: Zhigalo A V , Bushmakin A S , Stadnichenko S Yu , Pochtenko V V , Morozov V V
Published: July 2021

A new minimally invasive technique is presented to improve the results and reduce the duration of treatment of patients with stenosing ligamentitis of dorsal carpal ligament (de Quervain’s disease). The high efficiency of the proposed method (on the Disabilities of the Arm, Shoulder, and Hand scales and Visual Analogue Scale) is established, comparable with de Quervain’s open ligamentotomy but with the reduction of rehabilitation period after the surgery from 16-21 days to3-4 days. Clinical approbation of minimally invasive ligamentotomy in all patients revealed excellent long-term results of treatment, with minimal risk of complications. Comparison of the results of treatment of patients of both groups showed the advantage of minimally invasive ligamentotomy before open ligamentotomy in the early postoperative period with the same long-term results, which allows patients to start their labor and professional duties in the early stages. The proposed method can be performed in an outpatient mode and does not require special post-operative treatment, as well as special instruments and equipment, which allows reducing the costs of both the patient and the medical institution.
The main directions of prevention of noise pathology in the Armed Forces
Authors: Dvoryanchikov V V , Akhmetzyanov I M , Mironov I V , Gavrilov E K , Zinkin V N , Gushchin P S
Published: July 2021

In accordance with the existing Federal sanitary standards, noise and infrasound are considered to be an harmful production factor and in terms of their prevalence they occupy a leading place in the national economy. To prevent the harmful effects of noise and infrasound on the health of members of the armed forces establishes the main lines. For prognostic assessment of harmful influence of production factors on production facilities and transport the special assessment of working conditions is carried out without fail. Hygienic research of workplaces has shown that noise and infra-sound levels correspond to harmful and dangerous classes, that is, risks of professional pathology of acoustic Genesis are created. The presence of acoustic sources in the Armed forces requires constant monitoring of them, the annual special assessment of working conditions development of preventive measures. The impact of noise and infra-sound leads to a decrease in military and professional performance and an increase in General and professional morbidity. The leading place in the structure of morbidity of noise etiology is a sensorineural hearing loss. This requires further improvement of the provision of specialized assistance to military personnel in the presence of noise hearing loss. In the current regulations of the military medical services noise and infrasound are not identified as a harmful factor, and therefore not fully developed the issues of professional selection, monitoring and medical examination of noise pathology. An important place in the system of prevention of harmful effects of noise is given to the means especially individual of protection against noise. Their absence and low efficiency pose a threat to the acoustic safety of military personnel. Provision of personnel with means of individual protection against noise and control of the correctness of their operation are the most relevant measures to reduce the noise pathology of the hearing organ. The existing system of measures to combat the harmful effects of noise in the Armed forces requires revision in accordance with the existing state legislative and legal framework.
Features of left ventricular myocardial remodeling associated with state of coronary сollateral arteries in patients with intermediate function of left ventricle and background of acute decompensation of heart failure
Authors: Skorodumova E G , Kostenko V A , Skorodumova E A , Siverina A V , Rysev A V
Published: July 2021

Features of left ventricular myocardial remodelling depending on the state of collateral coronary flow are presented. Disorders of the left ventricle`s myocardium local contractility in patients with the intermediate function of left ventricle under acute decompensation of heart failure were studied. It was established that in such patients with postinfarction cardiosclerosis the main disorders were more often obtained in the basal and middle parts of lower and posterior walls of left ventricle vascularized by a circumflex branch of the left coronary artery or right coronary artery. It was shown that as blood flow increased in coronary collaterals; increase in left ventricular ejection fraction was 7%. In this case, an improvement in collateral blood flow by 1 point according to the Rentrop’s modified classification was accompanied by an increase in the left ventricular ejection fraction by 2 relative percents. In addition, in patients with intermediate left ventricular function, types of left ventricular myocardial remodelling were determined. Thus, in the pathogenesis of acute decompensation of heart failure, an important link is remodelling of the left ventricular myocardium, that is a complex of changes in structure and geometry that occurred under the action of trigger factor. Determination of qualitative type of remodelling, as well as its relationship with changes in extracellular matrix, is important for assessing the risk of cardiovascular complications and selecting adequate therapeutic tactics. and a volume fraction of interstitial collagen was calculated in patients with intermediate left ventricular function and background of acute decompensation of heart failure.
Correlation between heliogeophysical factors and osmotic pressure of blood plasma in patients with arterial hypertension with different temperament
Authors: Usenko G A , Vasendin D V , Usenko A G , Shakirova N A
Published: July 2021

The relation between heliogeophysical factors and the osmotic pressure of blood plasma in patients with arterial hypertension with different temperaments is analyzed. It is found that with increasing solar activity (Wolf numbers and radio flux wavelength 10,7 cm), is closely related increase in atmospheric pressure, air temperature and γ-background (within normal limits) in the workplace examinees. It was revealed that in choleric and sanguine patients there is a reliable high inverse correlation relationship between heliogeophysical, meteorological factors and total peripheral vascular resistance, while the phlegmatic and melancholic - the average direct and direct high correlation relationship. Antihypertensive therapy with diuretics with increased solar activity, combined with an increase in the atmospheric pressure, γ-background and the air temperature in the workplace, due a decrease in total peripheral vascular resistance at the choleric and sanguine and increase in total peripheral vascular resistance in healthy individuals and phlegmatic patients and melancholic. The presence of significant and reverse correlation relationship between the total peripheral vascular resistance and osmotic pressure of blood plasma in choleric and sanguine and significant, but a direct correlation - the phlegmatic and melancholic indicates the inclusion of an adaptive process various physiological mechanisms, which determines the need to consider the temperament at solar biospheric relations bonds.
Satisfaction of adults with the consequences of gunshot wounds of the maxillofacial area by the results of oral rehabilitation
Authors: Iordanishvili A K , Kuvshinova A K , Muzykin M I , Serikov A A
Published: July 2021

Satisfaction of adults is analyzed with the results of oral rehabilitation with the elimination of the consequences of gunshot wounds in the maxillofacial area, accompanied by a loss of more than 8 teeth on the jaws. It is established that such patients experience serious physical and mental suffering due to loss of teeth and malfunction of chewing, which do not allow them to feel healthy. It was revealed that there were more completely satisfied with the treatment with the use of non- removable or conditionally removable dental prosthesis on artificial supports (dental and zygomatic implants) than among patients who used removable dentures and dentures with restraining or support-retaining clasps. Mainly due to the fact that dental prosthesis based on implants in comparison with removable dental prosthesis largely restore chewing function and cause patients less inconvenience. A week after completion of oral rehabilitation, 6.1% of patients using removable dental prosthesis and dento-facial prosthesis with restorative or support-retaining clasps were satisfied with its results, 61,5% of patients - in part, 10,3% of patients found it difficult to answer this question, and 23,1% of patients were not satisfied with the results of oral rehabilitation. 63,6% of patients who used fixed or conditionally removable dental prosthesis on artificial supports (dental and zygomatic implants) were completely satisfied with the results of oral rehabilitation, 22,7% of patients - in part, 9,09% of patients - were not satisfied and 4,5% of patients found it difficult to answer. In general, the use of modern structures of fixed and conditionally removable dental prostheses on dental and zygomatic implants for oral rehabilitation allows to achieve full satisfaction with the results of dental orthopedic treatment in 81,8% of patients, which indicates the need for widespread use of dental prosthesis on artificial supports in oral rehabilitation wounded in the maxillofacial area.
Prevention and treatment of infectious complications of penetrating thoracic injuries
Authors: Kotiv B N , Samokhvalov I M , Markevich V Yu , Chuprina A P , Dzidzava I I , Barinov O V , Suvorov V V , Goncharov A V , Rud A A , Petukhov K V
Published: July 2021

Results of treatment of 325 wounded are analyzed with penetrating wounds of the chest and identify risk factors for the development of infectious complications. Found that infectious complications of the chest organs developed in 49 (15,1%) cases. It has been established that the most frequent infectious complications of penetrating wounds of the chest are post-traumatic pneumonia (67,3% of cases) and acute empyema of the pleura (26,5% of cases). The most prognostic significant risk factors for the development of infectious complications were identified: the type of injury (odds ratio - 2,48;95% confidence interval - 1,34-3,76), the severity of injuries (odds ratio - 7,88; 95% confidence interval - 3,9-15,92), blood loss (odds ratio - 3,09; 95% confidence interval - 1,6-5,94), duration of stay in the intensive care unit (odds ratio - 9,25;95% confidence interval - 4,57-18, 74), the intersection of chest wall structures (odds ratio - 2,84; 95% confidence interval- 1,24-6,47). Measures aimed at the prevention of infectious complications should be started from the moment the woundedperson enters the hospital. The priority tasks are to maintain the patency of the tracheobronchial tree, expanding the lung,adequate drainage and debridement of the pleural cavity. A high risk of developing infectious complications in penetratingwounds of the chest is expected in the wounded in a severe and extremely serious condition (according to the scale of fieldsurgery - condition at admission more than 31 points). The duration of stay in the intensive care unit for more than 4 daysincreases the probability of infectious complications 9 times.
Case of surgical treatment of the heavy nonspecific ulcer colitis complicated by massive bleeding
Authors: Solovyov I A , Pershko A M , Surov D A , Balura O V , Shotik A V , Babkov O V , Svyatnenko A V , Savchenkov D K , Martynova G V , Kurilo D P
Published: July 2021

Complex treatment of patients with nonspecific ulcerative colitis is one of the most difficult problems of modern gastroenterology and is characterized by ulcerative-destructive changes of its mucous membrane. The main indications for surgical treatment of patients with nonspecific ulcer colitis are its complications, as well as the inefficiency of multi-component conservative therapy. The case of treatment of a young patient suffering from ulcerative colitis complicated by bleeding is considered. The possibility of performing radical surgical interventions for complications of ulcerative colitis is shown. One of the most dangerous, life-threatening complications of ulcerative colitis is bleeding. Most operations in patients with bleeding are performed urgently in extremely adverse conditions, due not only to the severity of bleeding, posthemorrhagic anemia and significant violations of hemostasis, but also the presence of concomitant complications of nonspecific ulcerative colitis, as well as associated multiple organ dysfunction. Thus, during the hospitalization of the patient, which amounted to 48 days, the patient underwent 11 open surgical interventions. For proper treatment it took more than 25 liters of blood products. Attention is paid to the favorable long-term result of treatment of patients with this pathology. In the treatment of this category of patients should be aware of the possibility of using minimally invasive technologies. The urgency of the problem under consideration is increased due to the steady increase in the incidence of nonspecific ulcerative colitis, which is naturally accompanied by an increase in the frequency of complications and disability of patients, a significant part of whom are the most efficient and socially active patients aged 20-40 years, with the causes and mechanisms of their development are not fully known.
Features of surgical tactics of treatment of victims with deep burns of the face
Authors: Butrin Ya L , Chmyrev I V , Skvorcov Yu R , Sokolov V A , Petrachkov S A , Shpakov I F
Published: July 2021

Data on optimization of tactics of treatment of victims with deep facial burns in 314 patients (194 men and120 women) aged 18-60 years are presented. All patients were treated in the clinic of thermal lesions of the Military medicalAcademy S.M. Kirov in the period from 1991 to 2016 the expediency of using early necrectomy for removal of the studiedcontingent of patients with mild and moderate severity. The result is a reduction in the time of hospitalization and a reductionin the number of scarring. Statistically, the duration of treatment in victims with isolated deep burns was reduced 3 times, inpatients with mild and moderate severity, with extensive thermal lesions, 1.8 times. At the same time, the obtained data indicatethat the terms of removal of the dead skin and restoration of the skin do not affect the mortality of victims with isolated deepburns of the face. In the group of severe and extremely severely burned tactics of treatment of deep burns on the face whenperforming early necrectomy in other areas of the body also has no effect on mortality. It is significant that the shortage ofdonor resources is one of the determining factors in the choice of conservative treatment tactics for this category of patientsin a significant number of observations both at the Academy and in other specialized departments of the Russian Federation.
Acupuncture correction of homeostasis in boundary mental conditions of the military personnel and penal system officers in extreme conditions
Authors: Serov V I
Published: July 2021

Experimental data about the physiogeny at 603 military men and penal system officers are given in various climatic conditions of Russia, Transcaucasia (Abkhazia, Azerbaijan, Armenia, Georgia) and Afghanistan and at 604 young men entering the military university. Homeostatic ranges of physiogeny adjustment at physiogenic losses in the meridian functional systems of the military personnel, penal system officers in extreme conditions are determined by the electropuncture method. Protective adaptive reactions of eight degrees are revealed by the standardized method of personality research and by the «adaptability»” scale. Discriminant decisive rules on the reference of physiogenic losses to the 1-8th degrees of protective adaptive reactions in boundary mental conditions are applied. Decisive rules establish threshold levels of normal mental state without the loss (the 1st degree), of liminal with latent one (the2nd and 3 degrees) and borderline mental state with obvious (the 4-8th disadaptation degrees) losses. Patients with symptoms are sorted by simple calculation with the use of computer equipment at the reduction of time up to 5 min. for one patient according to eight degrees of protective adaptive reactions for acupuncture performing. Methods of the discriminant analysis are perspective for the solution of diagnostics and medical sorting problems. Reliability of establishment of the correct diagnosis of physiogeny considering physiogenic losses without resorting to other diagnostic methods makes 70-95%. Acupuncture correction of physiogenic losses activates reactions of homeostasis restoration. This physiological correction leads to the transition of physiogeny in limits of the normal mental state of the 1st degree and liminal condition of the 2nd and 3rd degrees of reactions of homeostasis restoration.
The experience of using cascade plasmofiltration in combined treatment with systemic lupus erythematosus on the background of programmed hemodialysis
Authors: Manuilov A S , Bardakov S N , Apchel A V , Belskih A N , Zakharov M V , Tishko V V , Ivanov A M
Published: July 2021

The results of combined treatment of systemic lupus erythematosus with the use of extracorporeal hemocorrection on the background of replacement therapy for kidney function are presented. The dynamics of the activity of the disease, assessed on the scales recommended by the European League against rheumatism, is presented. The analysis of humoral immunity indices and markers of inflammation before and after the application of efferent therapy methods is carried out. Thus, after applying the first operation cascade plasma filtration using fractionator plasma «Cascadeflo EC40», was a decrease in disease activity with a very high to a high degree, also decreased the activity of systemic lupus erythematosus with high to low degrees of activity after application of the second operation of systemic lupus erythematosus using plasma fractionator «Cascadeflo EC20». The results of combined treatment testify to the high effectiveness of therapeutic apheresis in the complex treatment of systemic lupus erythematosus. Operations cascade plasma filtration as part of combination immunosuppressive therapy allows to correct the main factors of the pathogenesis of systemic lupus erythematosus (antinuclear factor, antibodies to double-deoxyribonucleic acid, antibodies to histones, total immunoglobulins of classes G, M, A, circulating immune complexes, inflammation markers) selectively removing them from the vascular bed. Thus, the inclusion cascade plasmafiltration operation in the combined treatment of systemic lupus erythematosus, allows to quickly remove the main factors of the pathogenesis, which leads to a rapid decrease in the disease activity and reduces the dosages of cytostatic and glucocorticoid therapy.
Influence polymorphism of genes interleukin-10 (1082G/A; rs1800896) and tumor necrosis factor-α (308G/A; rs1800629) on risks of developing adverse clinical forms of community-acquired pneumonia in young men
Authors: Gayvoronskiy I N , Khalimov Yu Sh , Koliubaeva S N , Karimova A M , Rubtsov Yu E
Published: July 2021

The influence of the structural polymorphism of the interleukin-10 genes (1082G/A; rs1800896) and tumor necrosis factor-α (308G/A; rs1800629) on the risk of adverse clinical forms of community-acquired pneumonia in young men has been evaluated. In patients with community-acquired pneumonia in young men, the GG genotype of the gene for interleukin-10 (1082G/A; rs1800896) and the AA and AG genotypes of the tumor necrosis factor-α gene (308G/A; rs1800629) have been found to be associated with a severe and prolonged course of this diseases. AA and AG genotypes of the tumor necrosis factor-α gene (308G/A; rs1800629) are associated with the complicated course of community-acquired pneumonia in young people. It was revealed that in young men, in the presence of the GG genotype of the interleukin-10 gene (1082G/A; rs1800896), the relative risk of developing severe disease increases by 3,2 times and the risk of developing long-term community- acquired pneumonia increases by 2,7 times. If young patients suffering from community-acquired pneumonia, AA or AG, have the genotype of the tumor necrosis factor-α gene (308G/A; rs1800629), the relative risk of developing severe course increases by 3,3 times, prolonged course - by 2,6 times, and complicated course - 1,9 times. The results of the study should be used in the diagnosis of community-acquired pneumonia in order to predict the development of adverse clinical forms. Interleukin-10 gene polymorphism (1082G/A; rs1800896) and tumor necrosis factor-α (308G/A; rs1800629) are individual typological features of a person, the verification of which is relevant for use in the diagnosis of community-acquired pneumonia in young people to predict development adverse clinical forms of the disease.
Assessment of еnergy expenditure and energy intake of the military institute of physical training cadets associated with their academic and professional activities
Authors: Apchel V Ya , Borisova O O , Golubev V N , Korolev Yu N , Romanov K V
Published: July 2021

High energy expenditure of daily activity of cadets trained at the Military Institute of Physical Training sets certain demands for cadets’ diet and correspondence of energy and nutrition value of the diet to energy expenditure. Calculated data on energy expenditures of daily routine activities of the Military Institute of Physical Training cadets, energy costs of academic training and sport-related activities are presented. Along with energy expenditure another issue of balance, namely energy intake, is considered. Calculated findings on nutrition and caloric value of a cadets’ food ration and the Military Institute of Physical Training cadets’ diet and energy consumption of cadets are presented. It is shown that cadets’ diet corresponds to average energy expenditure. A comparison of the energy value of the daily ration of cadets and their energy expenditure revealed that the food ration compensates the average energy expenditure. The exceptions are intensive training in the framework of improving athletic skills (2 trainings per day), as well as periods when individual training takes place at the same time with high energy expenditures of a daily routine (for example, snow cleaning). In these cases daily energy expenditure (up to 5000 kcal) was recorded, exceeding the energy cost of food rations and requiring increased energy supply. In addition, the vitamin status of cadets was investigated. No signs of vitamins deficiency in the food ration were revealed. However, in the spring period, a decrease in the content of ascorbic acid in urine is shown in 80% of the subjects.