bluuebunny/crossref_metadata_2025 huggingface dataset:
Philosophy at the Technical University: Justification, Legitimation, Apology
Authors: Kolotylo Mariana
Published: October 2018

The article is an attempt to research a place of philosophy in technical Universities. Based on the historical analysis of the features of formation and development of science in the era of Modern age the author reveals the backgrounds and reasons of the loss of methodological potential by philosophy in the structure of higher technical education. It is noted that the implementation process of humanization of contemporary educational and scientific space determined by objective laws of social and cultural development at the end of the last century actualizes the necessity of teaching philosophical disciplines in higher technical education. Based on the statement of transhistorical connection between the university as an institution that aims to provide students with a comprehensive training and philosophy as a universal type of knowledge, the author underlines the significance of philosophyin the moral and cultural education and professional development of contemporary engineers. It is analyzed two key dimensions of philosophy in the structure of present-day university education such as personal and critical. These dimensions promote universal competence of future professionals and methodology that focuses on the humanistic dimension of science and allows them to identify actual problems of natural and technical sciences. Research of the future ways of philosophy implication to educational and scientific activities of technical universities gave an opportunity to state the need for their comprehensive reorganization of the contents of different types of educational and scientific activities towards the study of the world view and methodological dimensions of contemporary scientific and technological development. Particular attention is paid to the potential of philosophy in the development of communicative abilities, and the importance of working out of original philosophical texts in the context of becoming the critical thinking of students and their value orientations.
Die KPI heute
Authors: Kallscheuer Otto , Rafalski Traute , Wenzel Gisela
Published: October 2018

Aspekte der Identitätskrise der kommunistischen Massenpartei Italien - Gratwanderung zwischen Stabilisierung und Übergangsprozeß (Teil II)
Surgical Treatment of Old Pelvic Ring and Lower Urinary Tract Injuries in Men
Authors: Lazarev A. F. , Gudushayri Ya. G. , Verzin A. V. , Solod E. I. , Kakabadze M. G. , Roskidailo A. S. , Stoyukhin S. S.
Published: October 2018

Surgical treatment results for 56 men with old pelvic bones and junctions injuries complicated or associated with either strictures or obliteration of membranous and bulbomembranous urethral segment are presented for the period from 2002 to 2013. Terms after trauma made up from 1 month to 6 years, mean age of patients - 36 (16-66) years. All patients were admitted with epicystoma and history of 3-5 failed surgical interventions directed to uresis restoration. The pattern of pathologic mobility, degree of pelvic ring injury, length of urethral defect, and connec- tion of urethra with either bone fragments or displaced pelvic bones were assessed during complex urologic and traumatologic examination. Treatment tactics, i.e. one- or two-step, was chosen depending on the diagnosed injuries. In two-step treatment tactics orthopaedic step always preceded the urologic one (urethra plasty) that followed in about 2 months after primary intervention. Observation terms made up from 1 month to 6 years. Loco-motor function was restored in all patients, urination - in 54 of 56 patients. Thus, elaborated method of surgical treatment for old concomitant pelvic ring and lower urinary tract injuries showed high efficacy in patients with posttraumatic urethral stricture or obliteration
Complicated Cases of Knee Arthroplasty
Authors: Zagorodniy N. V. , Kagramanov S. V. , Kudinov O. A. , Nikolaev I. A. , Chragyan G. A. , Ivanov A. V. , Kilasoniya I. D.
Published: October 2018

Experience in treatment of 190 patients (mean age 61 years) with marked (> 15°) knee deformity due to various pathology (idiopathic gonarthrosis, rheumatoid arthritis, posttraumatic gonarthrosis) is presented. In 19 cases revision interventions for aseptic instability of implant were performed. In all cases «Smith & Nephew» RT-PLUS system of either standard or modular modification was used. In 183 (96.3%) cases satisfactory results were noted: steady remission of chronic pain syndrome was achieved, limb axis, joint mobility and weight bearing ability were restored, conditions for early loading and mobilization were provided. All that promoted the improvement of patients’ life quality. Complications included 1 case of periprosthetic fracture, 5 cases of deep purulent inflammation 2 of which required implant removal with creation of arthrodesis in functionally favorable position, and 3 cases of arthrofibrosis. As a whole the achieved results enable to recommend the use of RT-PLUS system in complicated cases of arthroplasty.
Congenital Hip Deformity Morbidity in Children of Russia Based on Official Statistic Data 2011-2013
Authors: Es’Kin N. A. , Andreeva T. M.
Published: October 2018

Congenital hip deformity morbidity in children was studied on the basis of official statistic data in the period 2011-2013. It was detected that total and primary morbidity was characterized by wide ranging values with significant year after year changes, great value discrepancy between urban and rural population. For early diagnosis and treatment of pathology the elaboration and application of screening program for detection of pathologic changes in the hip during first months of life, the standards for treatment of patients with congenital hip deformity and protocols for management of patients depending on severity of pathological changes were proposed.
Surgical Correction of the Sequelae of Obstetric Pubic Symphysis Ruptures
Authors: Gudushayri Ya. G. , Lazarev A. F. , Verzin A. V.
Published: October 2018

Twenty eight patients with old postpartum ruptures of pubic symphysis complicated by functional bladder disorders were operated on during the period from 2000 to 2013. Time interval between vaginal delivery and pelvic ring stabilization made up from 1 month to 8 years. Clinical and roentgenologic examination enabled to detect predisposing factors for neurogenic, i.e. hyperactive bladder development that were treated surgically. In all cases plate osteosynthesis for pubic symphysis and fixation of sacroiliac joint with cannulated screws was performed. Subjective improvement of patients’ condition as well as the results of uroflowmetry and complex urodynamic investigation enabled to conclude that orthopaedic reconstruction of pelvic ring in old obstetric ruptures of pubic symphysis was an effective and reliable technique for the treatment of bladder dysfunction.
Analysis of Orthopaedic Sequelae of Special Treatment of Malignant Tumors in Children
Authors: Petrichenko A. V. , Bukreeva E. A. , Korneeva A. V. , Shavyrin I. A. , Ochkurenko A. A. , Kolesov S. V. , Sharoev T. A. , Ivanova N. M.
Published: October 2018

Ninety five patients (mean age 13.72±4.2) with complaints on loco-motor system disorders after special treatment for malignant tumors were under observation of orthopaedic surgeon. The most common sequelae of treatment were muscular hypotrophy (66 children), I-III degree scoliosis (75), rigidity (61), bone metabolism disorder and osteopenia (47), one limb shortening even in presence of “growing” endoprosthesis (46). Individual rehabilitation course was performed in 43 (45.3%) children and resulted in increase of joint movement range, improvement of posture, and increase in muscular tension. Timely performed complex of rehabilitation measures enabled to correct sequelae of special treatment at early terms that significantly decreased disability of children, increases their social adaptation and quality of life.
Prospects for Local Application of Antiresorptive Drugs in Skeleton Bone Injuries and Diseases
Authors: Rodionova S. S. , Lekishvili M. V. , Sklyanchuk E. D. , Torgashin A. N. , Ryabov A. Yu. , Yurasova Yu. B.
Published: October 2018

Increase in bone tissue resorption intensity on the border “metal - bone” as a compulsory component of remodeling in systemic osteoporosis or other metabolic osteopathies may result in poor surgical treatment results. Present review is dedicated to the analysis of available data on the possibility of local bisphosphonates application for the depression of resorption process in the zone of surgical intervention. In some works it is noted that just the local use of bisphosphonates is more effective for the normalization of remodeling and provision of biologic stability of the implants.
Efficacy of Gen-Activated Osteoplastic Material Based on Octacalcium Phosphate and Plasmid DNA containing vegf Gene for Critical-sized Bone Defects Substitution
Authors: Bozo I. Ya. , Deev R. V. , Drobyshev A. Yu. , Komlev V. S. , Rozhkov S. I. , Eryomin I. I. , Dalgatov I. G. , Volozhin G. A. , Grachyov V. I. , Fedotov A. Yu. , Isaev A. A.
Published: October 2018

Gene-activated osteoplastic materials are a principally new class of medical devices for bone plasty. The purpose of the study was to evaluate the biological action of the material based on octacalcium phosphate and plasmid DNA containing vascular endothelial growth factor (VEGF) gene. Study material was implanted into 10 mm diameter rabbit parietal bone defects. Formation of bone regenerates around material granules even in the center of the defect and the presence of bone marrow in intertrabecular space on day 60 after implantation was detected. In control group of animals - implantation of carrier without gene constructions - regeneration took place mainly on the bone defect margins. Use of gene-activated osteoplastic material resulted in pronounced osteoinduction that provided both acceleration of the regeneration and increase of new bone tissue formation intensity.
Ordinary and Activated Osteoplastic Materials
Authors: Deev R. V. , Drobyshev A. Yu. , Bozo I. Ya.
Published: October 2018

Osteoplastic materials are highly required medical devices for bone defects substitution and filling the areas of bone tissue atrophy. Based on analysis of modern groups of osteoplastic materials, features of their composition, mechanisms of biological action, and indications for clinical use, the applied classification which divides the medical items into ordinary and activated categories is proposed. The main differential criterion is the presence of certain biologically active components in the material composition: growth factors, cells or gene constructions encoding growth factors that are standardized by qualitative and quantitative parameters. Pronounced osteoinductive and (or) osteogenic properties of activated osteoplastic materials enable counting on their effectiveness in replacement of large bone defects.
Surgical Treatment of Ledderhose Disease in Patient with Mucopolysaccharidosis Type I (Hurler-Sheie)
Authors: Koryshkov N. A. , Mikhailova L. K. , Khodjiev A. S.
Published: October 2018

Case report of a 29 years old female patient with mucopolysaccharidosis type I and Ledderhose disease is presented. Examination of plantar surfaces showed tumor like protrusions up to 6.5 cm, of irregular shape and extremely painful at palpation, on both feet. Resection of plantar aponeurosis and fibrotic nodes on both feet was performed against a background of pathogenetic enzyme replacement therapy. No complications were observed in postoperative period. This case illustrates that in such patients performance of early surgical intervention at specialized departments is possible and reasonable, as it enables to restore weight bearing ability of the foot as well as significantly increases the quality of life.
Use of Rivaroxaban for Prevention of Thromboembolism after Major Joints Arthroplasty under Conditions of Real Clinical Practice in Russia (on the data of prospective multicenter non-interventional study SOPRANO)
Authors: Zagorodniy N. V. , Bukhtin K. M.
Published: October 2018

Results of first Russian local prospective multicenter observational study with participation of 2293 patients who received rivaroxaban for prevention of thromboembolism after major joints arthroplasty are presented. The study was performed under conditions of “real clinical practice”, i.e. without any changes in postoperative management. Demographic indices, prevalence of aggravating anamnestic factors that determined the risk of thromboembolism development, and adverse effects (AE) against the background of drug intake were studied. Interruptions of rivaroxaban intake were noted in 5% of patients. The number of AE made up 52 in 45 patients and only in 11 cases AE were associated with rivaroxaban intake. Drug efficacy and tolerance was assessed by physicians as excellent and good in 97.9% and 98.8% of patients, respectively. The overwhelming majority (98.4%) of patients appreciated the convenience of oral anticoagulant intake. It was stated that under conditions of the organizational peculiarities of medical care in Russia the efficacy of rivaroxaban was comparable to that, demonstrated in foreign studies.
Experimental Analysis of Strength Characteristics of Devices for Acetabular Osteosynthesis
Authors: Solod E. I. , Lazarev A. F. , Gavryushenko N. S. , Fomin L. V. , Sakharnykh I. N. , Stoyukhin S. S.
Published: October 2018

Three common elementary acetabular fractures, i.e. transverse fracture, fractures of anterior and posterior column, were simulated on plastic pelvis models. Comparative testing of three types of osteosynthesis - with reconstructive plate, cannulated screws and pins or using our new CITO flattened fine thread screws 3 mm in diameter were performed under similar conditions. Strength of cannulated screw and CITO screw was evaluated. Testing was performed on servo-hydraulic universal testing machine. The most stable fixation was achieved with cannulated screw and CITO screw. The latter was inferior in strength however ensured required rigid fixation.
Risk Factors for Periprosthetic Infection after Large Joint Arthroplasty
Authors: Slobodskoy A. B. , Osintsev E. Yu. , Lezhnev A. G. , Voronin I. V. , Badak I. S. , Dunaev A. G.
Published: October 2018

Risk factors for the development of purulent complications after large joints arthroplasty were studied by the results of 3641 operations (3210 patients). Hip, knee, shoulder and elbow arthroplasty was performed in 2523, 881, 105 and 132 patients, respectively. Hip and knee revision replacements were performed in 221 cases and in 492 cases surgical interventions were performed for dysplastic coxarthrosis, congenital and acquired deformities, under conditions of bone tissue deficit and other complicated cases. Three hundred fifty one patients were operated on due to acute injury. Periprosthetic infection was diagnosed in 58 cases (1.59%). It was stated that risk factors for periprosthetic infection development included severe concomitant pathology (diabetes mellitus,operations somatic diseases, degree of their severity and duration, HIV infection and other conditions), surgical interventions for dysplastic coxarthrosis and complex total hip replacement. In those cases the risk of complications increased by 1.5-3.5 times. Pyo-inflammatory process in the area of hip joint in history as well as every repeated surgery on the hip increased therisk of postoperative complications significantly. No differences in complication rate depending on the type of fixation and implant manufacturers were noted.
Predictors of Vein Thrombosis at Lower Limb Joints Arthroplasty in Oncologic Patients
Authors: Garyaev R. V. , Rychkov I. A.
Published: October 2018

Purpose of the study was to detect the factors that stipulated risk of vein thrombosis at arthroplasty of lower limb joints in oncologic patients. Retrospective data on 374 patients after hip and knee arthroplasty aa well as after total femur replacement were studied. The following risk factors were studied: age, gender, weight, height, body mass index, preoperative hemoglobin level, tumor morphology, presence of pathologic fracture, use of tranexamic acid, tourniquet application, type of regional anesthesia, intraoperative blood loss, duration of surgical intervention. Statistical analysis was performed using the method of multifactorial logistic regression. Independent risk factor for perioperative vein thrombosis was the age of patient (likelihood ratio χ2=26,6; р=0,000) In patients of 40 years and older the rate of thrombosis was higher as compared to younger ones: 24.4% (31/127) versus 6.1% (15/247); p =0.000; odds ratio 5; 95% confidence interval 2.6 - 9.7. Preoperative risk of vein thrombosis increased not only with patient’s age but in presence of pathologic fracture as well (likelihood ratio χ2 = 29,8; р=0,000) Other studied factors did not increase the rate of thrombosis. In presence of pathologic fracture the possibility of early anticoagulant therapy should be considered. Both prolonged epidural and peripheral nerve blockades can be used at such surgical interventions without risk of vein thrombosis rate increase.
Comparative Evaluation of the Results of Surgical and Conservative Treatment of Planovalgus Foot Deformity in Children
Authors: Kozhevnikov O. V. , Kosov I. S. , Ivanov A. V. , Gribova I. V. , Bolotov A. V.
Published: October 2018

Comparative evaluation of treatment results was performed for 122 patients, aged 1.5 - 18 years, with planovalgus foot deformity. Complex treatment included surgical intervention (modification of foot reconstruction by Kummer-Kouel-Ramsey, subtalar joint arthroereisis and two step combined technique) in combination with the method of functional biomanagment. Results were assessed at terms from 6 months to 4 years basing on the data of objective instrumental examinations (computed podography, roentgenography, electromyography) and the data on the international AOFAS system. It was stated that conservative treatment ensured stabilization of the condition and increase of mean point by AOFAS scale made up 5.82. In the same time complex treatment contributed to the restoration of osteoarticular interrelation and ensured functional competence. Mean estimate by AOFAS scale increased by 29.48 pointsin that group of patients. Positive results of complex anatomo-functional approach to the treatment of children withplanovalgus deformity enable to consider the proposed technique as a prospective one.
Main Problems in Organization of Specialized Medical Care, Including High-Tech Traumatologic and Orthopaedic Care, to Children in Novosibirsk Region
Authors: Shalygina L. S. , Myl’Nikova T. A. , Finchenko E. A.
Published: October 2018

Complex evaluation of the state and organization of specialized medical care, including high-tech traumatologic and orthopaedic care, to children in Novosibirsk region is presented. Official statistic data from CITO named after N.N. Priorov, Health Ministry of Novosiborsk region and basic indices of the Health Ministry of Novosiborsk region for 2005-2012 have been used. The main problems in organization of expert traumatologic and orthopaedic care to children in Novosibirsk region were identified: poor diagnosis of osteomuscular system diseases resulting from insufficient training of trauma and orthopaedic surgeons, general and pediatric surgeons; imbalance in territorial distribution of the staff. All that condition low availability of expert medical care for rural population, including the high-tech one; imbalance in the volume of medical care; non-compliance of bedspace structure with the recommended standards (deficit of orthopaedic beds); low level of medical rehabilitation; insufficient volumes of high-tech medical care. The revealed shortcomings should be taken in consideration at elaboration of measures directed to the perfection of specialized traumatologic and orthopaedic care to children in Novosibirsk region.
Optimization of Ultrasound Examination in Diagnosis of Knee Injuries
Authors: Pitsyn I. A.
Published: October 2018

Comparative assessment of arthroscopic and ultrasound examination data were performed in 393 patients (400 knee joints). For the perfection of diagnosis quality a principle of “feedback” (cooperation) between examiners was used. Basing on the analysis of the achieved results the reasons for sonographic and ultrasound results (objective and subjective) incompatibility were determined and real diagnostic value of ultrasound examination was estimated for every intraarticular knee structure separately.
Treatment of Lower Limb Fractures in Children with Multiple and Concomitant Injuries
Authors: Timofeev V. V. , Bondarenko A. V. , Podsonnyi A. A.
Published: October 2018

Treatment results for 306 children (1-17 years) with lower limb fractures accompanied by multiple and concomitant injuries were studied during 2005 - 2014. Comparative assessment of conservative treatment, transcutaneous osteosynthesis with external fixation devices and internal fixation was performed. The number of complications, duration and number of hospitalizations, total duration of treatment, long-term results and quality of life at terms from 1 to 3 years after injury were evaluated. Indications to the application of every osteosynthesis technique were determined.
Influence of Preoperative Antioxidant-Antihypoxant Infusion on the Indices of Central Hemodynamics in Elderly Patients during Anesthesia and Surgical Intervention for Femur Fracture
Authors: Vasil’Kov V. G. , Marinchev V. N. , Karpov A. F. , Emelina N. G.
Published: October 2018

The problem of the safety of elderly patients at surgical intervention for femur fracture is broached. Different types of anesthesia (regional and general) exert both direct and indirect influence on hemodynamics parameters. Ninety patients (mean age 68±4.2 years) were divided into 2 groups depending on the type of anesthesia: epidural and general anesthesia based on proforol and sevoflurane with caudal block. In every group different infusion solutions (Ringer’s solution, 10% Refortan, Mafusol, Cardioxipin) were used prior to anesthesia. The following parameters of central hemodynamics were studied: mean arterial pressure, heart rate, cardiac output and cardiac index, stroke volume index, total vascular resistance. The least changes in hemodynamics were observed when general anesthesia based on proforol and sevoflurane in combination with ropovicain caudal block and cardioxipin preinfusion were used.
Surgical Approaches at Treatment of Intraarticular Fractures of Elbow Joint Bones
Authors: Kalantyrskaya V. A. , Golubev I. O.
Published: October 2018

Description of the most common approaches used in intraarticular fractures of elbow joint bones is presented. Advantages and disadvantages of every approach are noted. Preferences of the authors in the choice of specific approach are indicated and substantiated.
Comparative Experimental Study of Custom Made Plate for Anterior Stabilization and Dorsal Fixation Systems at C1-C2 Vertebrae Level
Authors: Kuleshov A. A. , Shkarubo A. N. , Gavryushenko N. S. , Gromov I. S. , Vetrile M. S. , Fomin L. V. , Marshakov V. V.
Published: October 2018

Experimental study on the evaluation of strength of fixation with metal constructions at the level of C1-C2 vertebrae was performed on the basis of test laboratory for orthopaedic and traumatologic products. Experiments were performed on the cadaver block preparation (4) and plastic models (8) of craniovertebral spine. Authors’ custom made plate, hook system, screw systems by Magerl and Harms were used as fixators. First step was the imitation of the turning of the head to the right (“twisting”), second step - imitation of head tilting forward (“three point pressure”). It was shown that by its strength and stability of craniovertebral segment the elaborated metal plate was not inferior to dorsal fixation systems.
Dislocations of the Femoral Component of Hip Implant: Determination of Spatial Relative Position of Components
Authors: Pavlov V. V. , Prokhorenko V. M.
Published: October 2018

Dislocation of the femoral component is a common complication of total hip arthroplasty. In 44% of cases it results from the incorrect position of implant components. The aim of the study was to evaluate the efficacy of the elaborated method for determination of implant components position at preoperative planning of revision hip arthroplasty in recurrent dislocations of the femoral component. Thirty patients aged 25 - 75 years with recurrent femoral component dislocation after primary hip arthroplasty were examined. To verify the dislocation a plain anterior-posterior roentgenogram of pelvis was performed followed by MSCT of pelvis, femoral bones and knee joints. Drawing up of necessary lines and angles enabled to evaluate objectively the correctness of hip implant components position. By measurement results all patients were divided into 3 groups and in each group an appropriate type of surgical intervention was used. The proposed methods of preoperative planning enabled to determine objectively the cause of femoral component dislocation, to choose an adequate variant of surgical intervention and to exclude the risk of femoral component dislocation recurrence in 96.7% of cases.
Risk Factors of Venous Thrombosis Development at Primary Hip Arthroplasty
Authors: Ziatdinov B. G. , Akhtyamov I. F.
Published: October 2018

The purpose of the work was to determine the factors responsible for the development of lower extremity deep vein thrombosis (DVT) after total hip arthroplasty in patients with aseptic femoral head necrosis and coxarthrosis. Complex clinical laboratory examination was performed in 56 patients aged 26 - 85 years (mean 59.11±2.42). At hospitalization stage 11 (19.64%) cases of DVT development were recorded. It was stated that more often thrombosis developed on the background of the lower limb veins pathology (varicose great saphenous vein, changes in deep veins after great saphenous vein thrombophlebitis). In group of patients with DVT statistically significantly more often the inflammatory reaction markers (leukocytosis and ESR), thrombocytosis as well as shortened APTT and increased fibrinogen levels. Besides, for DVT patients the more prolonged surgery, more marked blood loss and more often use of cement were typical. Such peculiarities may play a certain role in the development of thrombohemorragic complications after total hip arthroplasty and should be taken into consideration as a risk factor of venous thrombosis development at this type of surgical intervention.
Anatomical Reconstruction of Finger Flexors in Scary FibroOsseous Canals
Authors: Chernyakova Yu. M.
Published: October 2018

Introduction. Healing of finger flexor tendons after reconstructive operations takes place under the conditions of scary changes in fibro-osseous canals. Determining factor for the functional outcome is the intensity of commissural process around the flexor tendon. The problem of conventional treatment is the impossibility to ensure the ingrowth of fibrous tissue into the scar zone with simultaneous formation of smooth canal wall.

Patients and methods. Eighty six patients with 94 finger flexor tendon injuries along the fibroosseous canals were operated on. Eighteen operations with primary delayed deep flexor tendon suture, 8 operations with repeated suture and 7 operations of tendon tenolysis after primary suture were supplemented with the proposed method of temporary isolation of the reconstructed tendon within a dissected polymeric tube. The tube isolates the tendon from blood clots, forms the smooth canal wall.

Results.Finger function was assessed in 6 and 12 months. After operations supplemented by temporary isolation of the tendon within the polymeric tubes excellent and good results were achieved at shorter terms, no tenolysis was required and one-step tenoplasty could be performed instead of two-step reconstruction.
Mathematic Modelling of Stress in Healthy Knee Joint and After Arthroplastywith Different Typesof Endoprostheses
Authors: Smetanin S. M. , Kavalerskiy G. M.
Published: October 2018

Purpose of study. To study stressed-deformed state of the healthy knee joint and after arthroplasty using endoprostheses with either preservation or substitution of the posterior cruciate ligament by the method of numerical mathematical modelling.

Materials and methods.Peculiarities of stress distribution in bones were determined on three mathematical models - healthy knee joint and joint after arthroplasty using endoprostheses with either preservation or substitution of the posterior cruciate ligament at the set load (80 kg) in straightened leg and either 45° or 90° knee flexion.

Results. In healthy knee joint with a straightened leg the stress in the tibia is 2.3 times higher than in the femur. With knee flexion the stress in bone tissue increases and this increase is more intensive in the femur. After arthroplasty using endoprosthesis with substitution of the posterior cruciate ligament the stress in the tibia and femur is higher at all flexion angles as compared to arthroplasty using endoprosthesis with posterior cruciate ligament preservation

Conclusion.The obtained data may be used for mathematical substantiation of the advantage of endoprosthesis with preservation of the posterior cruciate ligament and in complex with the data of national and international registers will enable to optimize the treatment tactics in patients to whom knee arthroplasty is indicated.
Percutaneous Transpedicular Fixation in Traumatic Spondylolisthesis of L5 Vertebra
Authors: Slinyakov L. Yu. , Chernyaev A. V. , Donchenko S. V. , Simonyan A. G.
Published: October 2018

The use of percutaneous transpedicular fixation in traumatic spondylolisthesis of L5 vertebra without neurologic complications in 37 years old patient is presented. Surgical intervention, technical capability and peculiarities of surgery when using low invasive technique for vertebral body reduction are described. In cases of non-complicated injury percutaneous transpedicular fixation could be a prospective alternative to a standard fixation technique. However it should not be recommended to wide clinical application as it requires special skills and experience in use of low invasive systems and appropriate instrumentation.
Modern View on Pathogenesis of Non Traumatic Osteonecrosis
Authors: Panin M. A. , Zagorodniy N. V. , Karchebnyi N. N. , Sadkov I. A. , Petrosyan A. S. , Zakirova A. R.
Published: October 2018

Non traumatic osteonecrosis of the femoral head is one of the leading causes of hip function loss in young patients. At the late stages of this disease the only way to restore motor activity is total hip arthroplasty. Literature review presents the systematic analysis of the most significant causes of this disease (long-term intake of corticosteroids, alcohol abuse, thrombophilia). Pathogenetic mechanisms of femoral head vascularization disturbance are considered. In recent decades the fundamental genetic studies enabled to establish that pathogenesis of femoral head osteonecrosis is based on the polymorphisms of genes that ensure coagulation cascade, and angiogenesis disturbance.
MINIMALLY INVASIVE DEROTATIONAL OSTEOTOMY OF THE FOREARM BONES IN CONGENITAL RADIOULNAR SYNOSTOSIS IN CHILDREN
Authors: Kozhevnikov O. V. , Kralina S. E.
Published: October 2018

Clinical experience of surgical treatment for radioulnar synostosis in 6 children is presented. In all cases forearm derotational osteotomy at the level of synostosis with pin fixation has been performed. The technique of the intervention, peculiarities of fixator placement and other nuances of the surgery that allow avoiding potential complications are described in details. Follow up period made up 1 year after surgery. Improvement of operated extremity function was achieved in all patients. Presented technique of surgical treatment is effective, comparatively safe and enables to improve spatial position of the forearm and hand in short terms.
CHRONIC PATELLAR INSTABILITY: ANATOMIC PRECONDITION AND APPROACHES TO SURGICAL TREATMENT
Authors: Avdeev A. I. , Kuznetsov I. A. , Shulepov D. A. , Salikhov M. R.
Published: October 2018

The literature review is dedicated to the problem of recurrent patella dislocation treatment. The key anatomic predispositions to patellar instability development are presented. The principles on which the techniques for surgical treatment of recurrent patella dislocation have been developed and used since the early 19th century are described. Thirty years’ experience in use of various surgical techniques for patellar stabilization that show both obvious advantages and certain disadvantages is generalized. Actual problems and issues of recurrent patella dislocation surgical treatment are reflected.
Potentialities of Diffusion Weighted MRI in the Assessment of the Degree of Adjacent Intervertebral Disc Degeneration: Rigid Lumbosacral Stabilization and Total Intervertebral Disc Arthroplasty
Authors: Byval’tsev V. A. , Stepanov I. A. , Pestryakov Yu. Ya.
Published: October 2018

Purpose: to evaluate the condition of adjacent intervertebral discs (IVD) after single level rigid lumbosacral stabilization and total arthroplasty by calculating IVD height index and apparent diffusion coefficient (ADC).

Patients and methods. The study included 117 patients (64 women and 53 men) after rigid lumbosacral stabilization or total arthroplasty of the degenerative IVD at L5–S1 level. Values of ADC and height of the adjacent IVD were assessed prior to surgery, at discharge and in 6, 12, 24 and 36 months after surgical intervention.

Results. The value of the height of the adjacent IVD in patients after rigid stabilization in the early postoperative period averaged 0.58±0.046, in 6 months – 0.58±0.044 and 0.52±0.037 in 36 months after surgery. In patients after total arthroplasty it made up 0.59±0.041, 0.60±0.038 and 0.56±0.02, respectively. Comparison of the adjacent IVD height indices showed significant difference starting from the 12th observation months (p<0.05). In group of patients after rigid stabilization the value of ADC made up 1547.7±231.4 mm2/s in the early postoperative period, 1314.5±117.9 mm2/s in 6 months and 1189.3±117.9 mm2/s in 36 months after surgery. In patients after total arthroplasty it was 1539.7±228.9 mm2/s, 1477.3±245.1 mm2/s and 1334.5±217.6 mm2/s, respectively. Statistically significant difference in ADC values between 2 groups of patients was noted in 6 months after surgery and later (p<0.05).

Conclusion. Diffusion weighted MRI with ADC calculation is a modern noninvasive diagnostic method for early stages of adjacent IVD degeneration. In contrast to rigid lumbosacral stabilization, total IVD arthroplasty enables to delay slightly the degeneration of segments adjacent to the operated level.
Early Treatment Result in a Patient with Periprosthetic Hip Infection
Authors: Shubnyakov I. I. , Bozhkova S. A. , Artyukh V. A. , Liventsov V. N. , Kochish A. A. , Afanas’ev A. V.
Published: October 2018

Typical errors in rendering specialized care to patients with chronic periprosthetic infection after total hip arthroplasty are demonstrated on the example of one patient. The role of patient examination with due regard for the complication risk factors, insufficient alertness in respect to postoperative infectious complications, absence of continuity at the steps of surgical treatment, complexity of eradication of infectious agent and need of multidisciplinary approach for rendering care to this group of patients is specially emphasized.
Prospective for the Development of Infectious Complications Prevention Methods after Large Joints Arthroplasty
Authors: Samokhin A. G. , Kozlova Yu. N. , Fyodorov E. A. , Pavlov V. V.
Published: October 2018

The review gives the characteristics of the general status of the problem of infection in the zone of surgical intervention including the field of traumatology and orthopaedics. The shortcomings of antibiotic use and methods of their local delivery for surgical and orthopaedic needs are considered. The conception of local use of antibacterial agents and the requirements for the current “ideal” antibacterial agent are given. Classification of the local antibiotic delivery systems on the basis of their physicochemical properties is presented as well as the number of prospective methods for the prevention of microorganisms’ adhesion on the surface of the implanted devices and systems that could be used in traumatology and orthopaedics are examined.
Outcomes of Rehabilitation Treatment in Patients with Lumbar Spine Dorsopathies
Authors: Strel’nikova A. V. , Kiselyov A. S. , Sadovoy A. M.
Published: October 2018

The review presents the factors that influence the outcomes of rehabilitation treatment after decompressivestabilizing operations on the lumbar spine.
SURGICAL TREATMENT FOR NON-TUMOROUS DISEASES OF CRANIOVERTEBRAL REGION
Authors: Kuleshov A. A. , Shkarubo A. N. , Gromov I. S. , Vetrile M. S. , Lisyanskiy I. N. , Makarov S. N. , Chernov I. V. , Mitrofanova E. V. , Ponomarenko G. P.
Published: October 2018

Purpose:to evaluate the efficacy of surgical treatment for the non-tumorous diseases of the craniovertebral region.

Patients and Methods. Forty five patients aged 4 – 63 years (mean age 27 years) with non-tumorous diseases of the craniovertebral region were operated on. Either one- or two-step surgical interventions for spinal cord decompression were performed. Early and long term results were evaluated by Frankel, JAO and River scales. In 5 cases the assessment of volumetric craniovertebral interrelationships (VCVI).

Results.Good results were obtained in 43 (96%) patients at terms from 1 to 15 years. In 1 patient with mucopolysaccharidoses the aggravation of neurologic symptoms was observed and in 1 case a fatal outcome occurred. VCVI analysis showed a significant improvement of liquor dynamics right up to its normalization in the zone of decompression.

Conclusion.Treatment of craniovertebral region diseases requires a differential approach. When necessary to eliminate ventral spinal cord compression it is expedient to perform either transoral or endoscopic transnasal decompression, or transoral spinal cord (myelencephalon) decompression with anterior stabilization by custom-made device (plate).
ESTABLISHING SCENARIOS OF FIRE EXTINGUISHING SYSTEMS DEVELOPMENT IN UNITED TERRITORIAL COMMUNITIES
Authors: Scherbachenko O.
Published: October 2018

Modern fire extinguishing systems and legal acts on their developing has been analyzed. Expediency of fire extinguishing systems developing projects within united territorial communities has been proved and a method allowing development the scenario of fire extinguishing systems improving has been developed.The proposed method provides system execution of eight interconnected stages, that gives an opportunity to figure on variable configuration of project environment, to form a set of possible scenarios and to choose the most effective one. Specific tools should be used to implement each of the stages of proposed method. The tools should be based on developing of conceptual models of fire extinguishing systems in existing and desirable states, imitation model of fire extinguishing systems functioning and also on using iteration models, objects configuration identification and price evaluation.
MANAGEMENT AND COORDINATION OF RESCUE ACTIVITIES
Authors: Kogut B. , Lubiewski P.
Published: October 2018

Directing rescue activities and their coordination provide the effectiveness of activities carried out by the fire department. The review of Polish legal and organizational solutions used in Poland is complemented with the knowledge gained by the authors at work in state institutions dealing with issues of general security. Due to the adopted formula of the statement after being introduced to the issues, the material was divided into several parts referring to the issues of safety and threats, organization of the National Rescue and Fire-Fighting System in terms of subject and subject, as well as rules of management and coordination.
EFFICIENCY OF USING SPRAYING NOZZLE WITH STABILIZER DURING EXTINGUISHING CLASS D1 FIRES
Authors: Kovalyshyn V. , Marych V. , Mirus O. , Lozynskyi R. , Gusar B. , Bortnyk M.
Published: October 2018

The article deals with issues of environmental safety during working with polluted technological oil production equipment. According to the results of experimental studies, the efficiency of the complex method (hydrodynamic, cavitation, mechanical) for purifying pump-compressor pipes, polluted with saline deposits containing natural radionuclides, is shown. A block scheme of an environmentally acceptable process of purifying such equipment is proposed.
THE ASSESSMENT OF ENVIRONMENTAL AND MEDICAL CONSEQUENCES OF THE ATMOSPHERE POLLUTION WITH PETROLEUM PRODUCTS
Authors: Radomska M. М. , Horobtsov I. V.
Published: October 2018

The article deals with the dependence between atmospheric air pollution, resulted by the activity of fuel filling stations, and the morbidity of the population at the adjacent areas. The major human health consequences, arising from the inhalation of volatile components of commercial petroleum products, have been analyzed. It has been established that the content of petroleum products in the atmosphere in the zone of fuel filling stations influence exceeds the maximum permissible and corresponding background values. With the help of mathematical analysis it is determined that at these territories the risk for the population to get diseased with respiratory forms of allergy, asthma and chronic respiratory system disorders is higher, as compared with the territories outside the influence of fuel filling stations.
CHARACTERISTICS OF MEANS OF INNOVATIVE TECHNOLOGIES FOR FUNDAMENTALIZATION OF PROFESSIONAL TRAINING OF FUTURE SOCIAL WORKERS
Authors: Rebukha L.
Published: October 2018

The fundamentalization of professional education, which generates a high level of professional generalizations according to the professionally-oriented knowledge, skills and abilities of the educational audience, is updated. The fundamentalization of the professional training of future social workers is considered from the point of view of the attraction of innovative technologies directed at ability to make changes in the goals of education, content, forms and methods of training both the teacher and the student. The introduction of innovative technologies for fundamentalisation of education stimulates innovative changes in the professional training of future social workers and positively influences on the formation of the personality of a specialist in university education.
INTERACTION BETWEEN AIR-FILLED FOAM JETS OF DIFFERENT EXPANSION RATIOS: EXPERIMENTAL STUDY
Authors: Kovalyshyn V. V. , Kyryliv Ya. B. , Grushovinchuk O. V.
Published: October 2018

Using of low expansion foam for transportation of  medium expansion foam was experimentally checked. The results showed that the throwing range of the combined jet is more than 18 m. The influence of the supply pressure of the water-foam mixture for the formation of air-filled foam of optimum multiplicity in foam generators was also investigated. The effect of synergism during the extingushing fires of flammable and combustible liquids was revealed. This effect was observed after interaction between burning-surface area and combined foam. The average expansion value of the combined foam was calculated (the value was more than 54).
PENGUATAN KESEHATAN REPRODUKSI REMAJA
Authors: Surani Vincensius , . Srimiyati , Hardika Bangun Dwi , Susanty Aprilia , Resta Nyoman Anda
Published: October 2018

Masa remaja (11-20 tahun) adalah masa yang khusus dan penting, karena merupakan periode pematangan organ reproduksi manusia (Widyastuti, 2009). Masa remaja berada dalam situasi yang sangat peka terhadap pengaruh nilai baru, terutama bagi mereka yang tidak mempunyai daya tangkal. Masalah yang paling menonjol dikalangan remaja terkait kesehatan reproduksi saat ini, antara lain kesehatan reproduksi, pernikahan dini, hamil di luar nikah dan melakukan aborsi hingga menjadikan masa remaja menjadi tidak berkarakter (Caesarina, 2009). Kegiatan ini dilakukan Selasa 09 Januari 2018 di SMA Sint Carolus Bengkulu. Melalui kegiatan ini diharapkan peserta mempunyai pengetahuan dan sikap yang baik tentang kesehatan reproduksi. Metode yang digunakan adalah ceramah, diskusi interaktif dan konsultasi individu. Dari 51 peserta yang mengikuti kegiatan didapatkan hasil bahwa setelah dilakukan kegiatan, mayoritas mereka menyatakan bahwa kegiatan ini menarik, pemahaman dan sikap mereka tentang kesehatan reproduksi baik.
Hipertensi dan Faktor Risikonya di Puskesmas Motolohu Kabupaten Pohuwato
Authors: Arda Zul Adhayani , Ali Rifa’i , Mustapa Marselina
Published: October 2018

Based on WHO (World Health Organization) in 2011, hypertension was causing 8billion of the world citizen pass away every year in which almost 1.5 billion of them were in south east of Asia. The purpose of study was to determine the risk factors associated with hypertension in Pohuwato District in 2017. The study was an observational analytic with case control design. The sample of study was 202 respondents which divided into 101 case group and 101 control group in the  w orkarea of Puskesmas Motolohu in Pohuwato District. The data were analyzed by using odds ratio (OR) test. The study result showed that occupation (OR=2.71;95% CI; 1.45-5.05), gender (OR=2.55; 95% CI; 1.35-4.79), smoking behavior (OR=2.55; 95% CI; 1.35-4.79), hypertension history (OR=6.13; 95% CI; 3.04-12.36), and consumption of coffee (OR=3.20; 95% CI; 1.64-6.25) were significant risk factors for occurance of hypertension. It is recomended to counseled as a means of disseminating information about risk factors and effect of hypertensionto the public.
Pengaruh Pemberian Bubur Labu Kuning dan Daging Ayam Terhadap Peningkatan BB pada Bayi Gizi Kurang
Authors: Podungge Yusni , Rasyid Puspita Sukmawaty
Published: October 2018

Undernutrition in infants is a condition where the baby does not growand develop optimally because of the unfulfilled intake of nutritionsubstances in the body. Under-nutrition in infants can be overcome bythe provision of balanced nutritious foods, one sign of improvednutrition can be seen from normal weight gain for age. One of the foodsthat can boost the improvement of nutrients is a food that containsproteins and vitamins, such as yellow pumpkin and chicken, whereyellow pumpkin contains vitamin A and chicken meat as a source ofanimal protein that contains good nutrients. The purpose of this studywas to analyze the effect of yellow pumpkin and chicken meat onweight growing infant 12 months in work area of Talaga JayaCommunity Health Center. The research method used experimentalresearch model with design non equivalent control group for eachgroup of intervention and control. Sampling using purposive samplingaccording to inclusion and exclusion criteria. With a sample number of30 malnourished infants less than 12 months of age. Analyticaltechniques was used in the chi square test. The result of this researchwas showed that value of chi square count 22,634 highger than chisquare table Df 1 = 3,841. There was influence giving yellow pumpkinpumper and chicken to enhancement nutritional weight infant weight12 month in work area Puskesmas Talaga Jaya. The conclusion wasthe provision of pumpkin porridge can raise the weight of infants lessthan 12 months of age as a benchmark nutritional improvements ininfants less nutrition.
Die Eisbilanzkurve und die Gliederung der Eiszeit
Authors: Wundt W.
Published: October 2018

Abstract. Kein Abstract verfügbar.
Die zeitliche Stellung der Urmenschen-Fundschicht von Steinheim an der Murr innerhalb des Pleistozäns
Authors: Adam Karl Dietrich
Published: October 2018

Abstract. Mit Hilfe der Elefanten kann das Alter der Steinheimer Urmenschen-Fundschicht als Elster-Saale-Interglazial bestimmt werden. Auch die Untersuchungsbefunde anderer Faunenglieder (z. B. Dicerorhinus hemitoechus und Bos primigenius) bestätigen das.