bluuebunny/crossref_metadata_2025 huggingface dataset:
Diagnosis and management of subdural hematoma: a review of recent literature
Authors: Alshora Wed , Alfageeh Mohammed , Alshahrani Salman , Alqahtani Saeed , Dajam Abdulrahman , Matar Mutaz , Ashour Rakan , Alasmari Atif , Alqhtani Abdulrhman
Published: August 2018

Subdural hematoma is extra-cerebral accumulation of blood between the dura matter and the subarachnoid layer. Subdural hematoma can be associated with significant long-term morbidities and high rates of mortality. The mortality following subdural hematoma can be as high as 32%, and recurrence rates can reach 33%. Acute subdural hematoma is an emergency and requires prompt diagnosis using CT most of the time, and management requires surgery as well as reversal of anticoagulants. We conducted this review using a comprehensive search of MEDLINE, PubMed, and EMBASE, January 1985, through February 2017. The following search terms were used: emergency management of subdural hematoma, subdural hematoma, CT vs. MRI in diagnosis of subdural hematoma, treatment of subdural hematoma. In this review, our aim is to study the etiology of subdural hematoma and understand how it should be diagnosed and managed. Subdural hematoma are clinical emergencies that require immediate and rapid management to prevent significant morbidity and mortality. They can be grouped into acute, subacute, or chronic, with the acute type being the most dangerous and associated with the highest mortality rates. Subdural hematoma is diagnosed using CT or MRI imaging. Management of a patient with subdural hematoma includes resuscitation followed by control of the bleeding. Controlling intracranial pressure is an important factor for predicting the outcomes of subdural hematoma, and should thus be continuously monitored and corrected.
Professores, Fracasso e Sucesso Escolar: Um Estudo no Contexto Educacional Brasileiro
Authors: Damasceno Monica Araújo , Negreiros Fauston
Published: August 2018

A presente pesquisa teve como objetivo, apreender os conhecimentos elaborados pelos professores sobre seu papel no fracasso escolar. O fracasso escolar pode ser compreendido quando conceitos, valores, conhecimentos e cidadania não terem sido internalizadas pelo aluno, durante seu percurso escolar. Tratou-se de um estudo de abordagem qualitativa do tipo ex post facto. Participaram 562 professores, que responderam a pergunta: Qual o papel do professor diante do sucesso/fracasso escolar? Foram feitas entrevistas semiestruturadas analisadas por meio da Classificação Hierárquica Descendente (CHD) feita pelo software Iramuteq. Os resultados mostraram três classes no corpus, na CHD, a classe 2: “A função do professor no fracasso escolar” representa 52,29% do corpus, a classe 3: “O professor como principal agente no processo de aprendizagem” representando 35,05% e Classe 1: “As estratégias necessárias ao sucesso” representando 12,66%. Assim, quanto ao seu papel, os professores identificaram-se com a função de mediador da aprendizagem e com a necessidade constante de se atualizar e buscar técnicas inovadoras. Compreende-se que os estudos não se findam com essa pesquisa e espera-se que ela contribua para estudos futuros sobre o tema.
Traçando o Perfil de uma Amostra de Usuárias de Crack em Tratamento
Authors: Medeiros Katruccy Tenório , Maciel Silvana Carneiro , Santos Luciana Fernandes , Sousa Patrícia Fonseca de
Published: August 2018

Analisando os fatores sociodemográficos de uma amostra de usuárias de crack, esta pesquisa objetivou contribuir para o conhecimento de fatores propulsores de risco e de vulnerabilidade da saúde da população estudada. Participaram deste estudo 45 mulheres, com idade média de 29,11 anos (DP= 7,99), internas em Clínicas de Reabilitação (34) e Comunidades Terapêuticas (11) dos Estados da Paraíba e Pernambuco. Como instrumento, utilizou-se um questionário sociodemográfico, analisado por meio de estatística descritiva, com auxílio do software SPSS/PASW versão 21.0. Os resultados apontaram para um perfil de usuárias em sua maioria jovens, em idade reprodutiva e com experiências maternas, com baixo nível de escolaridade e fora do mercado formal de trabalho. Estes dados demonstram a necessidade de um maior investimento em termos de saúde e educação nesta faixa etária da população estudada, e a importância do aprimoramento das políticas públicas neste âmbito, a fim de reduzir os impactos biopsicossociais.
Bioactive glass as a treatment option for dentin hypersensitivity
Authors: Dias da Cruz Luiza Pereira , Tuñas Inger Teixeira de Campos
Published: August 2018

Objetivo: analisar informações significativas disponíveis na literatura sobre DH e suas opções de tratamento com foco no papel dos cremes dentais bioativos à base de vidro. Material e Métodos: foi realizada uma pesquisa bibliográfica em bases de dados eletrônicas, incluindo PUBMed e Scielo, utilizando as palavras-chave: (Dentifrício OU Dentifrícios) OU (Creme Dental OU Cremes) E (Tratamento) E (Dentina OU Dentina OU Dente) E (Hipersensibilidade OU Sensibilidade) E (Dentifrício OU Dentifrícios) E (Tratamento OU Tratamentos) E (Dentinária OU Dentina OU Dente) E (Hipersensibilidade OU Sensibilidade). Os artigos encontrados foram analisados em relação ao conteúdo do título e resumo, a fim de eliminar aqueles que estavam fora do contexto e não eram relevantes para a revisão. Resultados: após este primeiro filtro, 31 artigos foram selecionados, em que o texto completo disponível foi considerado de boa qualidade e relevante para o contexto. As línguas dos jornais eram predominantemente inglesas e Português e artigos publicados antes de 2002 foram excluídos. O uso de óculos bioativos em formulações de dentifrícios tem sido defendido como uma possível solução para gerenciamento de DH. Conclusão: existem várias opções diferentes para o tratamento da DH, embora os dentifrícios contendo vidro bioativo sejam uma opção promissora.
Epigenetic modifications in oral squamous cell carcinoma
Authors: Freitas Filho Silas Antonio Juvencio de , Rodrigues Wellington Francisco , Paranhos Luiz Renato , Rode Sigmar De Mello
Published: August 2018

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Selecting the Way to Surgical Treatment of Patients with Postoperative the Median Rectifiable Hernia Based Noninvasive Evaluation of Intra-Abdominal Pressure
Authors: Cherednikov Evgenij Fedorovich , Polubkova Galina Vladimirovna , Glukhov Alexander Anatolevich , Skorobogatov Stanislav Alexandrovich
Published: August 2018

Relevance. Currently, there is no single common approach to the treatment of postoperative median herniasObjectives. To develop an algorithm for choosing the method of surgical treatment of patients with postoperative median rectifiable abdominal hernias based on a noninvasive assessment of changes in intra-abdominal pressure by determining oxygen saturation.Materials and methods. The research was performed in 65 patients with postoperative median, rectifiable hernia of various sizes. All patients are divided into three main groups. We used an indirect technique for determining changes in intra-abdominal pressure by examining the saturation of blood with oxygen. Four methods of plastics were applied to patients with median postoperative hernias:1) plastic by own tissues in the form of duplicate (according to Sapezhko);2) plastic in the form of duplicate with immobilization of the wound on surgical bridges [9];3) two-stage hardware operation method, developed by Professor Lyubykh EN [9];4) prosthetics of the abdominal wall with a mesh prosthesis.Results and its discussion. In the first group of patients with small hernias, when modeling the postoperative situation (immersion of the hernial contents in the abdominal cavity with the help of a pelot, and simultaneous approach of the hernial gates with the help of a bandage), the saturation was reduced insignificantly (97,1 ± 1,5% (p <0,05), which allowed us to recommend plastic by own tissues in the form of dublication. In the second group of patients with medium-sized hernias, the saturation was moderately reduced during the simulation (95,4 ± 1,4% (p <0,05). Plastics in the form of dublication with immobilization of the wound on the surgical bridge has been recommended these patients.In the third group of patients with extensive and giant hernias, blood oxygen saturation was significantly reduced (91,5 ± 1,5% (p <0,05). Such patients with extensive and giant hernias and a and long term hernia has been recommended prosthetic abdominal wall with mesh prosthesis. If the hernia disease is less than 5 years of age and patients of working age, two-stage hardware method of treatment hernias created by professor E. N. Lyubykh has been recommended. [9]Conclusion. The proposed algorithm for choosing a method of plastic surgery for postoperative median repaired hernias based on preoperative determination of oxygen saturation with oxygen under different conditions allows for a differentiated functionally oriented approach to the treatment of patients and a reduction in the number of relapses.
The Use of Asepticob-A and Platelet-rich Plasma in Complex Endoscopic Teatment of Patients with Ulcer Gastroduodenal Bleeding
Authors: Cherednikov Evgeny Fedorovich , Barannikov Sergey Viktorovich , Glukhov Alexander Anatolievich Anatolievich , Banin Igor Nikolaevich , Mallev Yuri Valentinovich , Adianov Vadim Vladimirovich
Published: August 2018

Relevance. Gastroduodenal ulcer bleeding is one of the most complex problems of emergency abdominal surgery. An endoscopic hemostasis is a crucial importance during the treatment of patients with gastroduodenal bleeding. The using of biologically active draining sorbents in combination with local haemostatic drugs is a promising direction in the endoscopic hemostasis.Objective. The aim of the investigation is to improve the results of treatment of patients with acute ulcerative gastroduodenal hemorrhages by application of biologically active draining of sorbent Asepticob-A in combination with platelet-rich plasma for endoscopic hemostasis as an important component of complex therapy.Materials and methods. The study is based on the results of treatment of 112 patients with peptic ulcer bleeding. They were treated in the specialized city centre for the treatment of patients with gastrointestinal bleeding of Voronezh state hospital of emergency medical care №1. During the treatment of patients of the main group (n=57 persons) was used individual complex approach with the using of biologically active draining of sorbent of new generation – Asepticob-A and platelet-rich plasma in endoscopic treatment of bleeding complications of gastroduodenal ulcers. In the comparison group (n=55 persons) was used the well-known traditional methods of endoscopic hemostasis without the use of granular sorbents and platelet-rich plasma.Results and discussion. The effectiveness of treatment of patients with ulcerative gastroduodenal bleeding was assessed according to the criteria of reliability of hemostasis, assessment of dynamics of reparative processes in ulcerous defects, the frequency of recurrence of bleeding on the background of treatment using endoscopic techniques, prevention, emergency operations and mortality rate. The methods of treatment of gastroduodenal bleeding with the combined use of biologically active draining sorbents and platelet-rich plasma for the reliability of endoscopic haemostasis, that was developed and introduced into clinical practice, reduces the number of emergency operations in 2.6 times, mainly due to the reduction of recurrent bleeding and, as a consequence, leads to lower postoperative mortality.Conclusions. The use of biologically active draining of sorbent Asepticob-A and platelet-rich plasma in complex endoscopic treatment of patients with ulcerative gastroduodenal bleeding allows to reduce the frequency of recurrence of bleeding from 10.9% to 3.5% (3.1 times), to reduce the number of emergency surgical interventions at the height of bleeding from 9.1% to 3.5% (2.6 times), to reduce postoperative mortality from 5.45% to 1.75% (3.1 times) and reduce the duration of inpatient treatment from 9.0 to 6.0 days (p<0.05).
The Germinal Epithelium of the Testis in Children with Cryptorchidism in the Ultrastructural Section
Authors: Komarova Svetlana Yurievna , Pichugova Svetlana Vladimirovna
Published: August 2018

Relevance. Male fertility is largely dependent on the timely testicular descent into the scrotum and the formation of the two major divisions of the testis: interstitial and seminiferous tubules.
The purpose of research - to reveal ultrastructural changes in the germinal epithelium of the testes with cryptorchidism and assess their degree of severity of patients of different age.
Materials and methods. To study the ultrastructure of testis in 30 children with inguinal retention testicular biopsy runtime relegated gonads were done. Before surgery clinically and sonographically determined testicle in the groin area. Children age 1 to 14 years. All the children with unilateral cryptorchidism. In the study of testicular tissue ultrastructural changes in cryptorchidism revealed 3 types of state tubules and germinal epithelium. Changes in type I revealed 4 cases (13%). In type II tubules in the testis revealed mixed cell type: along with light cells therein are determined cells with dark cytoplasm and signs of destruction - 13 boys (46.4%). In 11 (37%) boys identified type III tubules dominated cells with signs of degradation.
Conclusions. The study revealed destructive changes of the germinal epithelium of the seminiferous tubules with cryptorchidism: vacuolization of cytoplasm, cytoplasmic foci of local degradation of the matrix, swelling of mitochondria, cristae destruction and devastation of the mitochondrial matrix, pycnosis cores and peritubular interstitial testicular sclerosis, signs of microcirculation disorders.
The role of bacteriophages in the complex treatment of peritonitis of appendicular origin (experimental study)
Authors: Mokhov Evgeny Mikhailovich , Morozov Artem Mikhailovich , Kadykov Victor Alekseevich , Askerov Elshad Magomedovich , Serova Nina Evgenievna
Published: August 2018

Relevance: with the management of laparoscopic methods of surgical treatment of acute appendicitis, the problem of the occurrence of early postoperative complications has not changed at present, which makes it necessary to carry out preventive measures.
Objective: to study the possibility of improving the results of surgical treatment of peritonitis, the most frequent complication of acute appendicitis, by reducing the number of postoperative complications of infectious genesis.
Methods: Studies were performed on 47 non-linear white rats weighing 200-250 grams by modelling peritonitis using the biological model as an example, followed by antibiotic therapy and combination therapy using bacteriophages. To model peritonitis, the infection of the abdominal cavity with the E. coli strain 25922 was used. The laboratory animals were divided into 3 groups: the first group was control group, the second group received treatment in the form of a single intraperitoneal injection of Cefipime, the third group received treatment as a single intraperitoneal injection of the Sextapage.
Results: the evaluation of the methods was carried out on the basis of the study of the clinical picture of the course of peritonitis in experimental animals, the data of pathomorphological and histological examination of the sectional peritoneum. As a result of experimental studies, there was no significant difference in the methods of perioperative prevention of complications of acute appendicitis, which makes it possible to perform monotherapy with bacteriophages. Phages in comparison with antibiotics have no less therapeutic efficacy.
Conclusions: Thus, our experimental studies revealed completely satisfactory results of monotherapy of experimental peritonitis with a bacteriophage. According to the morphological data, the inflammatory process in the abdominal cavity is stopped by the phage fast enough and there is a tendency for a faster fading of the inflammation than in the treatment with antibiotics.
The possibilities of early diagnosis by innovative methods of studying biopsies of colon mucosa in determining the scope of a surgical operation
Authors: Manuylov Alexander A , Kaushanskaya Svetlana Yu , Kaushansky Valeriy B , Bakhmutsky Nikolay G , Dryaeva Lyudmila G
Published: August 2018

Objective: to increase the effectiveness of treatment of oncological diseases of the gastrointestinal tract by increasing the informative value of establishing the necessary volume of the surgical operation.
Material and methods. In the high-frequency electric field visualization of the glow of 82 biopsy specimens of the large intestine taken for histological analysis was performed to solve the question of the scope of the operative intervention.
Results. There was an edge luminescence in all biopsy materials in the high-frequency, while there was internal luminescence in the biopsy of a cancerous tumor. The glow covered the entire cancerous growth. By biopsy glow in the high-frequency electric field, in comparison with the endoscopy data, there were discrepancies in the diagnosis, in particular, internal glow observed in 2 patients with the initial diagnosis of "diverticulum", in 2 patients with the diagnosis of "villous tumor", 6 patients with a diagnosis of "polyp", which indicated the presence of a malignant tumor. Histological analysis confirmed this and the primary volume of the surgical operation was changed for these patients.
The conclusion. The given data of visualization of luminescence of biopsy specimens can be the basis for creating an endoscopic express diagnostic method and increasing the informative value of establishing the necessary volume of a surgical operation.
The question of the influence of the dosed tissue stretching on the concentration of the hypoxia-inducible factor (HIF-1α) in the stretched flap
Authors: Bagryantsev Maxim Vladimirovich , Pavlenko Ilia Viktorovich , Shelchkova Natalya Alexandrovna , Mironov Andrey Alexandrovich , Ryabkov Maxim Georgievich , Beschastnov Vladimir Viktorovich
Published: August 2018

Relevance: the method of dosed dermotension as one of the options for plastic reconstruction of the foot with the soft tissue defects of various etiologies (including diabetes mellitus) are widely used in surgery. Local circulatory compensated hypoxia, occurs when dosed dermotension, stimulates proliferation of blood vessels, but to date no proven link between measured growth and the concentration of cytokine HIF-1α.
Aim: the aim was to identify patterns between local circulatory compensated hypoxia created by carrying out the dosed dermotension and cytokine concentration of HIF-1α in stretched the flap when closing the wound of the soft tissues.
Materials and methods: the experiment was carried out on 18 experimental animals, which was simulated wound scapular area and conducted a hardware apparatus dermotension under the control of laser Doppler flowmetry, formed the skin samples and performed enzyme-linked immunosorbent assay to determine the concentration of cytokine HIF-1α after 30 minutes, 24 hours from the beginning of tissue stretching.
Results: the concentration of HIF-1α in the skin before the start of the dermotension was (Me [Q1; Q3]) 110 [98,1; 114,8] ng/ml. A statistically significant increase in the concentration of HIF-1α to 148 [122,2; 221,7] ng/ml (p=0.008) recorded in the group of animals who underwent tissue stretching within 30 minutes, research also showed that the concentration of HIF-1α increased to 330 [246,4; 463,3] ng/ml (p=0.007) after 24 hours from the start of the dosed strains.
Conclusion: the concentration of cytokine HIF-1α in stretched the flap increases with dosed dermotension. Thus, the regulation of adaptation of the skin to stretching is performed by increasing the concentration of the cytokine HIF-1α.
Obstetrics Patients with the Uterus Scar and Low Insertion of Placenta: Prophylaxis of Hypotonic Hemorrhage
Authors: Vukolova V A
Published: August 2018

Relevance. The issue of obstetric bleeding has always been acute. In the last decades, there has been a significant improvement in prophylaxis techniques as well as bleeding control during both vaginal and operative delivery. Yet, hemorrhage complications continue to endanger the mother's life and require a lot of effort from the hospital staff. Thus, it is essential that we develop more efficient prophylaxis techniques when dealing with obstetrics patients with the uterus scar and low insertion of placenta.
The aim of the research was to assess the hemostasis when using hemostatic uterus suture (by Radzinsky modification).
Materials and methods. The surgery process was analysed together with the post-surgical period in relation to obstetrics patients with the second cesarean transection and low insertion of placenta. For prophylaxis of hypotonic hemorrhage, a compression suture (by Radzinsky modification) was applied to the lower uterus segment. Maternity patients were administered perioperative antibiotic prophylaxis and methylergometrine (1,0 ml) immediately after the extraction of infant from uterus. Intraoperative bleeding was assessed gravimetrically. It was followed then by monitoring the postsurgical period, including the temperature reaction, clinical blood analysis, ultra sound diagnosis of the uterus involution and the control of the uterine arteries.
Results. There were no complications during the postsurgical period, as well as nosological consequences, including sub involution and lochiometritis; also, the temperature did not exceed 37,0 С and the blood tests did not show high white blood cell count at the time the patients were released. The uterine arteries had unchanged blood circulation, similar to the condition before pregnancy. All the obstetrics patients under analysis were released with no complications on 4-5 day after the delivery.
Conclusions. The compression suture can be considered an efficient and safe method for prophylaxis of hypotonic hemorrhage in relation to the high risk group of obstetrics patients.
Physico-mechanical features of barrier bicomponent membranes in abdominal surgery.
Authors: Lipatov Vyacheslav Aleksandrovich , Mutalifovich Dmitriy M , Davydova Anna V
Published: August 2018

Revelance. Adhesive disease is one of the terrible complications with a pronounced symptom complex of the dysfunctions of the organs of the gastrointestinal tract. The frequency of this pathology in the early postoperative period with operations on the abdominal organs reaches 11% among 19-25% of all complications. Until now, it remains relevant to search for and develop methods and tools of strengthening  the seam line and improve the tightness of interintestinal anastomoses. Therefore, the prospects of using the polymers and the development of such a scientific direction as implantology in medical practice are unlimited.
Purpose. Studying the physico-mechanical features of polymer samples under the experimental conditions in vitro, in a comparative aspect.
The materials. Bicomponent resorbable film implants based on cellulose polymers.
The methods. Microphotography of polymeric film implants was taken with a laboratory microscope Levenhuk D320L with an increase of × 80. The thickness of the experimental samples was measured with the electronic micrometer iGaging 0-1 "/0.00005,. Membranes  10 × 10 mm were weighed with the laboratory scales. The volume and density of samples 10 × 10 mm were calculated. Determination of elasticity was carried out by fixing the angle at the moment of the integrity of the sample of the polymeric film implant in the native state.
The results. It was revealed that an important feature of these implants is their bilateral structure, which ensures its more tight fixation to the damaged area and at the same time sufficient separation with the surrounding tissue. Thus, we selected samples No. 6, No. 1, which can be used for further in vivo studies.
The conclusion. The use of polymeric implants is possible due to the variety of membranes in their properties and functions, which will affect the necessity and significance of the application of selected samples in experimental and clinical implantology.
Alexander Alekseevich SHALIMOV – the chief surgeon of the Ministry of health of Ukraine, Director of the Kharkiv Institute of General and emergency surgery, Kyiv Institute of Hematology and blood transfusion, Kiev Institute of clinical and experimental surgery, editor in chief of the journal "Clinical surgery", Hero of Socialist labour of the USSR
Authors: Andreev Alexander Alexeevich , Ostroushko Anton Petrovich
Published: August 2018

In 1918 into a peasant family, was born A. A. Shalimov, who, after finishing school and technical school he enrolled in the Kuban medical Institute (1936-1941), he worked as a doctor in hospitals near Krasnodar, in Chita oblast (1941), in the cities of Bryansk and the eagle; chief surgeon of the Orel region (1949). In 1951, A. A. Shalimov returned to Bryansk, he defended his dissertation and received the title of Honored doctor of the RSFSR. Later A. A. Shalimov moved to Kharkov, he defended his doctoral dissertation (1957) and was appointed head of the Department of thoracic surgery and anesthesiology of the Ukrainian Institute of advanced training of physicians (1959), Director of the Kharkiv Institute of General and urgent surgery (1965), head of the Department of thoracoabdominal surgery of the Kiev Institute of improvement of doctors, as head of the surgical Department, the Director of Kiev research Institute of Hematology and blood transfusion (1970) and Kyiv Sri of clinical and experimental surgery (1971), chief surgeon of the Ministry of health of Ukraine (1980). A. Shalimov was elected a corresponding member of the Academy of Sciences of Ukraine (1969), academician of the National Academy of Sciences of Ukraine (1978). A. A. Shalimova awarded the title Hero of Socialist Labor of the USSR (1982), Hero of Ukraine with the order of Powers (2005).
Alexander Shalimov 870 author of scientific papers, including 35 monographs, 112 inventions, he has trained 50 doctors and nearly 100 candidates of medical Sciences. A. A. Shalimov was awarded two orders of Lenin and red banner of Labor, order of the October Revolution, the order of the Ukrainian State (2005) and "For merits" of three degrees, medals and orders and medals of foreign States.
Oleksandr Shalimov was a member of the Board of the Association of surgeons im. N. And. Pirogov, the International Association of surgeons, the all-Union scientific society of surgeons, gastroenterologists and cardiologists, Chairman of the Ukrainian Republican scientific society of surgeons, full member of the new York Academy of Sciences, editor-in-chief of the journal "Clinical surgery", Deputy of the Supreme Soviet of the Ukrainian SSR 8-10 convocations. The international chamber of the American biographical Institute, he was elected "Man of the year – 1997", awarded diploma of the International biographical centre of Cambridge University for achievements in medicine of the twentieth century. Died Alexander Shalimov February 28, 2006.
Valery Pavlovich RADUSHKEVICH - surgeon, teacher, doctor of medical Sciences, Professor ( to the 110th anniversary of the birth)
Authors: Andreev Alexander Alekseevich , Ostroushko Anton Petrovich
Published: August 2018

20 Jan 1908 in Irkutsk was born Valery Radushkevich. After graduating from the medical faculty of Siberian state medical Institute (1926-1931), he studied in clinical residency (1935-1936) and worked in the district hospital, assistant hospital surgical clinic of the Novosibirsk medical Institute (1937), Director of the Novosibirsk regional station of blood transfusion (since 1938). During the great Patriotic war Valery Pavlovich – leading surgeon of the Novosibirsk hospital No. 1504, chief surgeon of the Novosibirsk (1945-1947). In 1948, he defended his doctoral thesis on the surgical treatment of arteriovenous aneurysms. He worked as the Director of the Voronezh state medical Institute (1950-1954), the head of the Department of hospital surgery (1950-1974), chief doctor of the Voronezh regional clinical hospital (1959-1970). In 1967 V. P. Radushkevich awarded the honorary title of Honored scientist of the RSFSR. For 25 years Valery Pavlovich was the Chairman of the Voronezh regional scientific and practical society of surgeons. He was the author of over 200 scientific works, including monographs: "cardioversion of atrial fibrillation" (Voronezh, 1966), "Electrical defibrillation with atrial fibrillation and its importance in the surgery of mitral stenosis" (Voronezh, 1977), a member of the editorial Board of the journal "Surgery" and "Experimental surgery". Awarded the order of Lenin and Labor red banner, medals. Valery died 27 June 1976. The house in which he lived, a memorial plaque.
The influence of different branches of sciatic and femoral nerves blocks on the postoperative analgesia quality after knee join replacement
Authors: Morozov Dmitry Vladimirovich , Boronina Irina Vladimirovna , Ryabtseva Anna Alexandrovna , Nikulina Tatyana Alexandrovna
Published: August 2018

Topicality: knee join replacement is accompanied by intensive pain syndrome. Prolonged blocks of branches of sciatic and femoral nervesare the most effective. Apart from sensory block and analgesia some types of blocks cause motor block of lower extremities, particularly quadriceps muscle of thigh which may prevent patients’ mobilization. In this connection, the choice of anesthesia strategy is significant concerning the use of prolonged blocks of the branches of sciatic and femoral nerves maintaining the motor function of the lower extremities with adequate analgesia.
The aim of work: the choice of optimal combination of prolonged blocks of branches of sciatic and femoral nervesensuring adequate analgesia with motor function of quadriceps muscle of thigh maintenance.
Material and methods: the investigation was carried out in patients undergone knee join replacement according to standard procedure. The operation was performed under combined anaesthesia: spinal anaesthesia and intravenous sedation with propofol and midazolam plus prolonged block of tibial nerve and femoral nerve or adductor canal with perineural space catheterization. The block with the use of local anesthetic in the analgesic concentration for postoperative analgesia during 72-hour period after the end of the operation. The patients were divided into the investigation groups according to the combinations of the blocks.
Results and discussion: the combination of block of branches of sciatic and femoral nervessignificantly improves the quality of postoperative analgesia on the first postoperative day. The block of adductor canal in comparison with the block of femoral nerve is accompanied by significantly less weakness of quadriceps muscle of thigh at the equal analgesic potency.
Conclusions: maintaining the motor functionof quadriceps muscle of thigh with the use of the adductor canal prolonged block for analgesia can be of certain advantage for patients’ mobilization in the early postoperative period.
The Use of Simulation Technologies in the Formation of the Basic Skills of Videoendoscopic Surgery in Clinical Residents Enrolled in Training Programs for Surgical Specialists
Authors: Glukhov Alexandr Anatolievich , Boev Sergey Nikolaevich , Andreev Alexander Alekseevich , Ostroushko Anton Petrovich
Published: August 2018

Wide introduction of videoendosurgical technologies in all surgical specialties has become a challenge for teachers of medical universities. According to many authors, the use of virtual simulators proved to be unjustified, which compelled us to conduct a study to determine the place of virtual endosurgical simulators in the training program of a specialist of surgical profile. The experiment involved 36 clinical residents who took the training simulation course (108 hours) in the training virtual clinic (simulation training center) of VSMU N. N. Burdenko during 2016-2017. Students were divided into two groups. In the first group, classes were held on the Gross-SMITH simulators, equipped with simulators of laparoscopes ending with cameras with options axis angle 0 and 30 degrees. In the second group, classes were held on a virtual simulator with tactile backlink LapVR. At the end of the course, each resident was asked to do control exercise – to stitch pig's stomach, which had a wound with two markings indicating where to lead the needle. Videoendosurgical simulator Gross-SMITH was used to perform a control exercise. The results of the study confirmed the effectiveness of the use of virtual endosurgical simulators with tactile backlink in the formation of the basic skills of videoendoscopic surgery. The formation of the skill of tying an intracorporal knot proved to be more effective in training with the use of videoendosurgical simulators Gross-SMITH and real surgical instruments.
Yuri Fedorovich ISAKOV - academician of the USSR Academy of medical Sciences and Russian Academy of Sciences, three times laureate of the State prizes, chief pediatric surgeon of the USSR and the Russian Federation, Deputy Minister of health of the USSR (to the 95th anniversary from birthday)
Authors: Andreev Alexander Alekceevich , Ostroushko Anton Petrovich
Published: August 2018

Yuri F. Isakov was born in 1923 in the city of Kovrov of the Vladimir region. Participated in the great Patriotic war. In 1951 he graduated from the medical faculty, 1951-1953. – Intern, post – graduate student of Department of pediatric surgery of the 2nd Moscow medical Institute. In 1955 he defended his candidate thesis on "Intravenous and intraosseous anesthesia in operations on the extremities in children", in 1963 – his doctoral thesis on the topic: "Hirschsprung's Disease in children (pathogenesis, clinic, treatment)". In 1964 he became Professor, and in 1966 head of the Department of surgical diseases of childhood of the 2nd Moscow medical Institute and was appointed chief pediatric surgeon, head of the Main Department of educational institutions of the Ministry of health of the USSR. Under his leadership, held a number of progressive reforms, including was introduced biennial specialisation, adapted to the tasks of practical health care curricula, the initiative was created by the initiative of the all-Union children's surgical centre. Since 1981, Yuri F. Isakov, Deputy Minister of health of the USSR, 1989 – Vice-President, Academy of medical Sciences of the USSR (later the Russian Academy of medical Sciences), 1993-2005 was chief pediatric surgeon of the Ministry of health of Russia. He was Chairman of the Presidium of the Russian Association of pediatric surgeons, the Bureau of the scientific Council on pediatric surgery of the Ministry of health of the Russian Federation and the Russian Academy of medical Sciences, editor-in-chief of the journal "Pediatric surgery", Advisor of the Presidium of the Russian Academy of medical Sciences. Yuri Isakov is the author of over 400 scientific works, including 23 monographs, 8 textbooks and manuals, 12 inventions. Yuri F. Isakov died on August 4, 2016 in Moscow, Troekurov buried at a cemetery.
PERILAKU PATOLOGIS PADA KISAH NABI MUSA DAN ‘ABD DALAM ALQURAN: Telaah Epistemologi al-Jâbirî dan Semiotika Peirce
Authors: Mushodiq Muhamad Agus
Published: August 2018

This study aims to explore pathological or deviation behaviors found in the story of Moses and ‘Abd or Khidir in the Qur’an of surah al Kahf. More specifically, this study is projected to find the basis of all pathological behavior based on al-Jâbirî’s epistemology. To understand the behavior of deviation holistically, the researcher uses Peirce semiotics theory and then synergized with al-Jâbirî’s epistemology which includes bayânî, burhânî, and ‘irfânî's reason. Semiotics theory is used as an interpretation of verbal signs related to deviation behavior. Peirce's semiotics theory examines the sign of three points of view, namely representamen, object, and interpretation. The researcher employs qualitative method with the type of library research. The results of this study are: (1) the perforation of a ship is a situational deviation based on pseudo ‘irfânî reasoning, (2) child killing is a situational deviation based on a theological reason with pure ‘irfânî reason, (3) antipathy towards the guest is an organized deviation based on the violation of bayânî reasoning, (4) the prediction of the seizure of the ship by the king is a non situational deviation based on the violation of bayânî reasoning, and (5) plunging the elderly into apostasy and kufr is a non-situational deviation based on the violation of bayânî reasoning.
La historia reciente en los currículos escolares de Argentina, Chile y Colombia. Desafíos de la educación para la ciudadanía desde la Didáctica de las Ciencias Sociales.
Authors: Pagès Joan , Marolla Jesús
Published: August 2018

El presente artículo trata sobre un estudio comparado de los currículos de Chile, Argentina y Colombia en torno al tratamiento que se les da a la memoria histórica. La metodología utilizada es de tipo cualitativa. El uso de herramientas analíticas ha permitido codiicar el contenido, las omisiones así como las inalidades planteadas en los currículos en torno a la historia reciente. Entre los principales resultados, podemos destacar que los programas de los tres países coinciden en incluir el pasado cercano, así como temas relacionados con los Derechos Humanos, las dictaduras y la violencia política. No obstante, la inclusión es realizada desde la perspectiva oicial del gobierno, sin problematizar los procesos y promoviendo aspectos relacionados con la «reconciliación nacional». Esta circunstancia impide generar los espacios de crítica y de relexión en torno a los hechos acontecidos, así como en las posibilidades desde la ciudadanía para participar en la protección de los Derechos Humanos.
APRENDER A SER EDUCADOR COM A PRÁTICA DE ENSINO SUPERVISIONADA
Authors: Fialho Isabel Bruno , Artur Ana
Published: August 2018

O presente artigo pretende apresentar a organização da Prática de Ensino Supervisionada (PES) e os instrumentos de regulação para, depois, centrarmos na supervisão enquanto processo de (re)construção de significados, sustentados no feedback descritivo e na reflexão partilhada em que a escrita assume uma função metacognitiva e social. Na Universidade de Évora, a habilitação profissional para docência na Educação Pré-escolar pode ser obtida nos cursos de Mestrado em Educação Pré-escolar ou em Educação Pré-escolar e Ensino do 1º Ciclo do Ensino Básico, em complemento à Licenciatura em Educação Básica. A PES decorre nos dois últimos semestres do curso, em parceria com instituições educativas, sob a supervisão de docentes cooperantes que acolhem os estudantes nas suas salas, e supervisores da universidade. A PES, componente de formação praxiológica, visa ao desenvolvimento de competências sustentadas cientificamente e apoiadas em processos investigativos.
PENGARUH MEKANISME CORPORATE GOVERNANCE TERHADAP MANAJEMEN LABA DAN DAMPAKNYA TERHADAP KINERJA KEUANGAN PADA PERUSAHAAN MANUFAKTUR YANG TERDAFTAR DI BURSA EFEK INDONESIA
Authors: Suryani Movie Rahmatika
Published: August 2018

The main objective of this research is to demonstrate empirically the effect of corporate governance mechanism, such as : board independent, audit committee, institutional ownership, and managerial ownership on the earning management. This research also to demonstrate empirically the effect of earning management on the financial performance in the manufacturing companies listed in Indonesia Stock Exchange (IDX).

Samples were taken from the financial statements and annual report companies listed in Indonesia Stock Exchange (IDX) in 2011-2013. The sample was selected using sensus sampling method and acquired 206 companies. Using SPSS version 18 with the method of multiple regression analysis and simple regression analysis with a significance level of 5% specified.

The results of this study show that (1) board independent has no effect on earning management, (2) audit committee has no effect on earning management, (3) institutional ownership effect on earning management, (4) managerial ownership effect on earning management, (5) on earning management effect on financial performance measured by ROA and ROE
Research of Power Control for Grid-connected Wind Turbine with Differential Speed Regulation
Authors: Rui Su , Huan Zhang , Fujun Wang , Gangjun Li
Published: August 2018

The differential gear train and speed regulating motor constitute the variable ratio transmission for grid-connected wind turbine with differential speed regulation. The synchronous generator in the system can accessing the power grid without frequency converter. The transmission can realize the mode of variable speed constant frequency that the wind rotor speed is varying and the generator rotor speed is constant. The power control method is studied under the different wind speed which is lower or higher than rated wind speed with using the relational expression of utilization rate of wind energy Cp, pitch angle β and the tip speed ratio λ. The SIMULINK software is used to build the 1500 kW wind turbine model with differential speed regulation. Some different wind speed is made as input. The feasibility of power control method for grid-connected wind turbine with differential speed regulation is verified by the comparison between the simulation results and the theoretical value of the key parameters.
Analysis of Circadian Clock Gene BMAL1 in Pakistani Congenital Cataract Families
Authors: Bagchi Udita , Micheal Shazia , Noorani Siddiqui Sorath , Imran Khan Muhammad , Felder-Schmittbuhl Marie-Paule , Bergen Arthur A.B.
Published: August 2018

In mice, mutations or targeted disruptions of the core circadian gene Bmal1 have been implicated in early onset of ocular pathologies, including premature/congenital cataract development. The aim of the present study was to analyze probands of consanguineous Pakistani cataract families to identify the novel pathogenic variants in the BMAL1 gene. We have studied 21 congenital cataract families. Ophthalmic examination was performed for the probands and available family members. Genomic DNA was isolated from peripheral blood. PCR and Sanger sequencing was performed for the entire coding region of the BMAL1 gene. Targeted Sanger sequencing of BMAL1 revealed a heterozygous variant c.41A>T; p.(Asp14Val) in one proband, but it did not co-segregate with the disease phenotype in the family. In addition, a nonsynonymous variant (rs2290037) was identified in five probands. Our study is the first one to analyze the role of BMAL1 gene mutations in humans for their association with congenital cataract. Although we were unable to find the variants associated with congenital cataract families from Pakistan, more studies from other populations will be informative to further prove the role of BMAL1 with the disease.
Considerations of the Exploitation Parameters of the Lost Heat Recovery Systems for a VLCC Tanker Ship
Authors: Faitar Catalin , Nedelcu Andra-Teodora , Buzbuchi Nicolae , Stan Liviu-Constantin
Published: August 2018

Nowadays, the shipbuilding industry is trying to improve the energy performance. This paper treats a crude oil super tanker ship of 305000 dwt studying the possibility of improving efficiency through heat recovery. Waste heat is heat, which is created by fuel burning or chemical response, and then "dumped" into nature despite the fact that it could, in any case, be reused for some helpful and financial reason. The basic nature of heat is not the same, but instead its "value". The system of how to recuperate this heat depends partially on the temperature of the waste heat fluid and the financial matters included. An extensive amount of hot flue gasses is created from boilers, ovens, stoves and heaters. On the off chance that a specific measure of this waste heat could be recouped, a lot of essential fuel could be spared. Main engine exhaust gas energy is by far the most attractive among the waste heat sources of a ship because of the heat flow and temperature. It is possible to generate an electrical output of up to 11 % of the main engine power by utilizing this exhaust gas energy in a waste heat recovery system comprising both steam and power turbines and combined with utilizing scavenge air energy for exhaust boiler feed-water heating.
Possibility of Gene Rearrangement between Porcine Rotavirus H and Porcine Rotavirus C in Nonstructural Protein 3
Authors: Suzuki Tohru , Inoue Daisuke
Published: August 2018

Rotavirus species H (RVH) has been detected in pigs, humans and bats. Moreover, porcine RVHs have been recently identified in several swine-producing countries. Despite their zoonotic impact, genome information of RVHs is still limited. This study aimed to establish a tentative complete genome-based genotyping system for RVHs, by appending genomic sequences from 12 porcine RVHs identified in Japan between 2013 and 2015 to those from human and other porcine RVHs reported in previous studies. Phylogenetic analysis of 11 RNA segments indicated that porcine RVHs could be classified into multiple genotypes. Consequently, the genotype classification for RVHs revealed the existence of genotypes 10G, 6P, 6I, 3R, 4C, 7M, 6A, 2N, 4T, 6E, 3H for the genes VP7, VP4, VP6, VP1, VP2, VP3, NSP1, NSP2, NSP3, NSP4 and NSP5, respectively. Surprisingly, two distinctive types in NSP1 and NSP3 genes were identified from among the twelve porcine RVHs. Our data suggest a potentially novel gene rearrangement event between porcine RVH and rotavirus species C in the NSP3 gene. These findings would provide a new insight in understanding for evolution of RV.
Probing Environmental Sustainability through Institutional Quality in South Asia
Authors: Madni Ghulam Rasool
Published: August 2018

The impact of institutional quality on environmental sustainability is hardly discussed in literature in spite of its crucial role for economies. This article explores the relationship of institutional quality, energy consumption and real GDP on carbon dioxide (CO2) emissions for selected countries of South Asia covering the period of 1996-2015 by applying unit root tests and the starter panel technique. The findings of study highlight that institutional quality in these countries matter for emission of environmental pollutants. The estimated results reveal the significant positive impact of energy consumption on CO2 emission in long run and economic growth has a quadratic relationship with CO2 emission. However, the EKC (Environmental Kuznets Curve) hypothesis is proved by estimation of long run coefficients of real per capita income and its square value. The findings of study propose that not all countries have to sacrifice growth to reduce CO2 emissions as it can be reduced through energy conservation and improved institutional quality.