bluuebunny/crossref_metadata_2025 huggingface dataset:
ANALISIS TINGKAT KEBAHAGIAAN PADA LANSIA PENERIMA MANFAAT DAN BUKAN PENERIMA MANFAAT PROGRAM DAY CARE SERVICE
Authors: Rakhmadani Nur Anna , Sutria Eny , Hafid Muhammad Anwar
Published: July 2019

Considering the importance of providing services for the elderly, the social institution Tresna Werdha also manages the day care service program, where this service is very helpful for the elderly who need services to create social relationships. Services provided through day care services are social services, physical services, psychosocial services, skills services, spiritual and religious services and providing economic business assistance. This service is an activity to increase productivity in order to increase income and as a place or facility for positive activities in the utilization of leisure time for the elderly.Research design is descriptive with a sample of 88 people using purposive sampling divided into two groups, namely 44 elderly people in each group. Data collection techniques using oxford happiness questionnaire sheet while the analysis used with Mann Whitney Test (alpha 0.05)Based on the results of the study, it was found that there were differences in happiness levels in elderly beneficiaries and not beneficiaries of day care service programs (p = 0,000). Elderly beneficiaries of the dominant day care service program have a high level of happiness as evidenced by the number of elderly in the category of high happiness 37 people (84.1%) compared to the elderly who did not receive the benefits of the day care service program as evidenced by the number of 26 people (59.1%) . Elders who attend their day care service get family support and services from social care institutions in the form of physical, skills, psychosocial, spiritual and religious services and can meet with peers. Keywords: Elderly Happiness, Day Care Service
Geological Structure Analysis of Satellit Gravity Data in Oil and Gas Prospect Area of West Aceh-Indonesia
Authors: Darisma Dian , Marwan Marwan , Ismail Nazli
Published: July 2019

Estimation of the subsurface geological structures in oil and gas prospect area of West Aceh has been done by utilizing gravity field anomaly of satellite gravity data. This research aim to analyze satellite gravity data in order to get geological features which is include deep and shallow structure or fault around oil and gas prospect area in West Aceh. The satellite gravity data is originally provided as Free Air Anomaly and should be corrected to get Complete Bouguer Anomaly (CBA). Furthermore, CBA was transformed into a horizontal plane and corrected from regional anomalous effects to obtain residual anomaly, horizontal and vertical derivative. From CBA, the gravity anomaly show good correlation with geological boundaries on different rock formation and the anomaly is decrease from NE-SW. Residual anomaly also gives same information with CBA but this anomaly focus on shallow structure. Furthermore, horizontal derivative and vertical derivative also show good correlation with geological structure or fault but in some areas the anomaly related with deep structure cannot be seen on the surface or geological map. Despite the result cannot correlate directly with oil and gas prospect area, satellite gravity can be used to identify gravity anomaly and also fault that related with hydrocarbon anomaly area
Identification of Hydrogeological Effects on Leachate Spread in the East and West of the Java Gampong Landfill Using the Geoelectric Method
Authors: Ulfani Ulfani , Badawi Dewin Ahmad , Nurjannah Siti , Sugiyanto Didik
Published: July 2019

Penelitian untuk mengidentifikasi pengaruh hidrogeologi terhadap penyebaran lindi telah dilakukan di sekitar TPA Gampong Jawa Kota Banda Aceh menggunakan metode geolistrik resistivitas. Akuisisi data di lapangan menggunakan alat SuperSting R8/IP yang dilakukan di bagian timur dan barat TPA Gampong Jawa. Pengukuran yang dilakukan menggunakan 2 lintasan pengukuran dengan panjang lintasan yaitu 224 m. Konfigurasi Wenner-Schlumberger dari metode geolistrik resistivitas digunakan sehingga diharapkan dapat mengidentifikasi penyebaran lindi di lintasan pengukuran. Hasil akuisisi data di lapangan diolah menggunakan software Res2dinv untuk mendapatkan model 2D resistivitas bawah permukaan di lintasan pengukuran. Nilai resistivitas lapisan yang mengandung lindi yaitu 1 Ώm yang diidentifikasi pada lintasan 1 dan lintasan 2. Sebaran lindi di lintasan 1 terdapat pada jarak 20 – 115 m dan 145 – 185 m yang mempunyai kedalaman 5 – 13 m, dan di lintasan 2 terdapat pada jarak 20 – 80 m, 100 m, 125 – 130 m, 165-185 m dan 210 – 240 m yang mempunyai kedalaman 8 – 27 m. Berdasarkan hasil analisis didapatkan bahwa diperkirakan terdapatnya pengaruh hidrogeologi terhadap sebaran lindi di lokasi penelitian, sehingga diidentifikasi adanya lindi yang mengalir ke sungai. The research to identify of hydrogeological effect on leachate distribution was conducted at Gampong Jawa landfill Area Banda Aceh City by using goelectrical resistivity method. Data acquisition in the field by using SuperSting R8/IP instrument was conducted in the east and west of Gampong Jawa Area. The measurements were conducted by using 2 lines with length of the lines measurement is 224 m. The Wenner-Schlumberger configuration of geoelectrical resistivity method is used that expected would be identifying the leachate distribution in lines measurement. The data acquisition in the field is processed by using Res2dinv software to get the 2D model of sub surface resistivity in lines measurement. The resistivity value on the layer containing leachate is 1 Ώm identified at first line dan second line. The leachate distribution in first line showed at distances 20 – 115 m and 145 – 185 m with 5 – 13 m depth, and in second line showed at distances 20 – 80 m, 100 m, 125 – 130 m, 165 - 185 m and 210 – 240 m with 8 – 27 m depth. The result suggested that existence hydrogeological effect on leachate distribution in the research location, so that identified existence the leachate distribution which flowing to the river. Keywords: landfill, leachate, geoelestrical resistivity method, Wenner-Schlumberger configuration
PERAN KEPUASAN KERJA DALAM MEMEDIASI PENGARUH STRES KERJA DAN MOTIVASI KERJA TERHADAP TURNOVER INTENTION
Authors: Putra Dewa Made Bayu Adi , Mujiati Ni Wayan
Published: July 2019

This study aim was to determine the effect of turnover intention on job stress and work motivation, and the role of job satisfaction in mediating the effect of turnover intention on job stress and work motivation at Nirmala Plaza Supermarket Jimbaran employee. The sample amounted to 34 employees with the saturated sampling method. Questionnaires were used as data collection techniques with survey approaches and then data were analyzed with SEM-PLS. The results show that there is a positive and significant effect of job stress on turnover intention, while there is a negative and significant effect of work motivation and job satisfaction on turnover intention. In addition, the results of the analysis also show that the effect of job stress and work motivation on turnover intention was mediated by job satisfaction partially. The management of Nirmala Plaza Supermarket Jimbaran needs to reduce employee job stress and increase work motivation along with the job satisfaction to reduce the turnover intention.

Keywords: work motivation, job stress, job satisfaction, turnover intention
COMPARATIVE RESEARCH OF TRAUMATIC INJURY OF OPEN HAND-ASSISTED LAPAROSCOPIC ANTERIOR RESECTION OF THE RECTUM
Authors: Khitar’Yan A. G. , Glumov E. E. , Veliev K. S. , Zavgorodnyaya R. N. , Provotorov M. E.
Published: July 2019

The article made a comparative assessment of traumatic injury of open hand-assisted laparoscopic anterior resection of the rectum in lateral and spinal positions. The presented technique of hand-assisted laparoscopic colon and rectal surgery is simple. There are advantages in case of obesity presence (IMT more than 30 kg/m²), in significant shortening of the mesocolon and mesentery, high fixation of splenic flexure and intimate fixation of the spleen, in case of bad preparation of the bowels in partial intestinal obstruction or in case of emergency operation, big cancer size, expressed perifocal inflammation. A comparative analysis of dynamics of hormone stress content and metabolism (cortisol, adrenaline, thyrothrophic hormone) showed their expressed increase in blood during operation after traditional surgery. Less stressed reaction was noted after hand-assisted surgery, especially in overweight patients. An application of low invasive method allowed reduction of hemorrhage, pain syndrome, terms of patient’s activation and restoration of intestinal motility after operation.
POSTRADIAL SIALOZOADENITIS IN PATIENTS WITH PAPILLARY CARCINOMA OF THE THYROID GLAND
Authors: Kovalenko V. A. , Kopchak A. V. , Kovalenko A. E.
Published: July 2019

The authors present the results of investigation of 42 patients with salivary gland dysfunction after radioactive iodine-131 ablation therapy concerning papillary thyroid carcinoma. Clinical manifestations of postradial sialodenitis with secretory insufficiency of different degree were revealed. These side effects required an application of the special therapy.
FOURNIER’S GANGRENE- VARIETY OF CLINICAL MODEL OF CRITICAL STATES IN SURGERY
Authors: Aliev S. A. , Aliev E. S. , Mirzoev R. A. , Mirzoeva K. A.
Published: July 2019

The investigation based on a retrospective analysis of the treatment results of Fournier’s gangrene (FG) in 27 patients aged from 34 till 82 years old. There were 27 patients. Diseases of colorectal zone were the nosological reasons of FG in 15 patients. Diseases of urogenital tract had 10 patients with FG. The development of FG was determined by closed trauma (1 patient) and a gunshot wound of the perineum and the scrotum in one patient. The slowly progressive (limited) forms of the disease were noted in 15 patients, although the rapid progressive (extensive) forms were in 12 patients. All the patients had the clinical manifestations of the disease and at the same time laboratory indices indicated a presence of generalized infection and they were characterized by symptoms of systemic inflammatory response syndrome (SIRS). There were 6 patient, who died out of 27.The lethality consisted of 22,2%. The reasons of the death were an infection- toxic shock (1 case), a progressive endotoxicosis (3 cases) and a pulmonary artery thromboembolism (2 cases). The results obtained testified that early diagnostics and the active strategy with radical surgical d-bridement of necrotic suppurative foci combined with programmed (staged) sanitation necrosectomy, complex system of local wound treatment, the rational antibacterial therapy, a task-specific and syndrome correction of dyscrasia could be the actual ways to improve the treatment results in patients with FG.
OPTIMIZATION OF THE METHOD OF SUPRAPANCREATIC LYMPH NODE DISSECTION IN LAPAROSCOPY-ASSISTED GASTRECTOMY (IN THE FINAL ANALYSIS OF INTERNATIONAL CONFERENCES «SCHOOL OF STOMACH SURGERY»)
Authors: Suda K. .. , Kashchenko V. A. , Ishikawa K. .. , Ishida Y. .. , Uyama I. ..
Published: July 2019

The article analyzed the methods of suprapancretic lymph node dissection in laparoscopic gastrectomy which were developed and applied in Japan. The authors described the details of operation technique. There were noted the advantages of medial approach for suprapancreatic lymph node dissection.
APPLICATION OF COMPRESSION MINI-SCREWS IN TREATMENT OF PATIENTS WITH INJURY OF ELBOW JOINT BONES
Authors: Neverov V. A. , Egorov K. S.
Published: July 2019

A case report presents the experience of application of compression pileateless mini-screws (Gerbert’s screws) in treatment of intra-articular fractures, which formed the elbow joint (44 cases). There were performed 32 operations concerning fracture of head of radius, 10 operations on the occasion of fractures of distal section of the humerus and 2 operations on the coronoid process. Long-term treatment results were followed-up in 31 patients during more than 6 months. On basis of analysis of treatment results the authors made a conclusion that the application of mini-screws in case of bone fractures, which formed the elbow joint, allowed realization of stable osteosynthesis after anatomic reposition of articular surfaces, obtaining good anatomical and functional result and shortened the terms of patient’s treatment.
EMBOLIZATION OF BRONCHIAL ARTERIES IN ACUTE PULMONARY BLEEDING IN CHILDREN
Authors: Borisova N. A. , Komissarov I. A. , Gol’Bits S. V. , Komissarov M. I. , Ilyin A. S. , Aleshin I. Yu. , Nugaeva D. R.
Published: July 2019

Children with acute pulmonary bleeding (8 cases) due to different pathology of trancheobronchial tree were followed-up at the period from 2008 to 2014. Diagnostic angiography and X-ray endovascular occlusion of bronchial arteries were performed in the case of insufficiency of conservative and endoscopic methods of hemostasis. Microembolic spheres were used for embolization of distal vessels. The embolization coils and micro-coils were applied for occlusion of great vessels. Children (5 cases) were discharged from the hospital after embolization at the terms of 6-12 months. They hadn’t any ischemic complications associated with bronchial artery occlusion. The sequelae of main disease caused deaths of 3 other kids. The X-ray occlusion is a low-invasive and highly effective method of arrest of all types of bleeding from pool of bronchial arteries. The method could be applied even in extremely severe condition of the patients.
PRIMARY-MULTIPLE TUMORS IN PATIENTS WITH NEOPLASMS OF THYROID GLAND
Authors: Romanchishen A. F. , Vabalaite K. V.
Published: July 2019

The authors studied the long-term results of surgical treatment of 949 patients with thyroid carcinoma. The malignant tumors of other organs were revealed in 55 (5,8%) cases during 20 years of follow-up. It was stated that patients with thyroid carcinoma had a higher risk of developing other malignant tumors than in population. A typical background for onset of other neoplasms was a latent hypothyroidism, hyperlipidemia, hypersecretion of gonadotropins, an influence of occupational hazard of chemical nature and hereditary load of oncology.
URINARY DISCOMFORTS IN PATIENTS AFTER RADICAL PROSTATECTOMY
Authors: Al’-Shukri S. Kh. , Ananiy I. A. , Amdiy R. E. , Kuz’Min I. V.
Published: July 2019

The authors showed the result of complication treatment of lower urinary tracts in 128 patients with localized prostate cancer. The patients underwent radical prostatectomy. Urinary discomforts included enuresis, urinary incontinence in postoperative period. Abnormalities of urine outflow due to urethral stricture were revealed in 6 (4,6%) patients by the 6 month after operation. These complications required surgical treatment. Urinary incontinence was noted in 20 (15,6%) patients in this period. It was stressful urinary incontinence in 16 (12,6%) and urgent - in 4 (3%). Patents with stressful urinary difficulty were advised to use the conservative treatment (pelvic floor muscle training and electrostimulation), but in case of inefficiency- surgical treatment
INTRAOPERATIVE DETECTION OF SENTINEL LYMPH NODES USING INFRARED IMAGING SYSTEM IN LOCAL NON-SMALL CELL CARCINOMA OF LUNG
Authors: Akopov A. L. , Papayan G. V. , Chistyakov I. V. , Karlson A. .. , Gerasin A. V. , Agishev A. S.
Published: July 2019

The article presents the results of the first domestic experience of intraoperative fluorescence mapping of sentinel lymph nodes in lung cancer. The research included 10 patients, who underwent surgery over the period of time from September 2013 to May 2014. After performing thoracotomy, the solution of indocyanine green (ICG) was injected using subpleural position above the tumor in 3-4 points. Fluorescence (ICG) image guided surgery was carried out by using infrared radiation (wave length 808 nm) on lung surface, root of lung, mediastinum in real time. Fluorescence lymph nodes were mapped. In case that metastatic lesions weren’t revealed in sentinel lymph nodes, they weren’t noted in other nodes. Method specificity consisted of 100%. Biopsy and histological study of sentinel lymph nodes mapped during fluorescence (ICG) image guided surgery could be useful for prevention of lymphodissection in patients with non-small cell carcinoma of lung.
COMBINATION OF VESSEL EMBOLIZATION AND CRYOTHERAPY IN SURGICAL TREATMENT OF SOFT TISSUE SARCOMAS
Authors: Khanevich M. D. , Manikhas G. M. , Vashkurov S. M. , Kukanov M. A. , Khazov A. V.
Published: July 2019

The article analyzed the results of surgical treatment of 153 patients with soft tissue sarcomas. The surgery was complemented by preoperative embolization of vessels, which supplied the tumor, cryotherapy on the tumor and postoperative wound in 72 patients of main group. The control group consisted of 81 patients and there weren’t any perioperative actions. It was shown, that more than 80% of soft tissue sarcomas had the main and mixed type of tumor blood supply. Partial and full reduction of blood flow could be obtained by embolization of the tumor in more than 50% patients. Combination of surgical and preoperative embolization of vessels and cryotherapy decreased the rate of local recurrence and increased the quantity of organosafe interventions.
SCREENING OF PRIMARY HYPERPARATHYROIDISM IN PATIENTS WITH UROLITHIASIS
Authors: Rogozin D. S. , Sergiyko S. V. , Rogozina A. A.
Published: July 2019

The aim of research was to study the rate of hypercalcemia and primary hyperparathyroidism among patients with urolithiasis. The investigation included 645 patients with urolithiasis. Patients were divided into 2 groups: with normocalcemia and hypercalcemia. The rate of hypercalcemia consisted of 18,9% among patients with urolithiasis. This frequency was 10-20 times higher than in a similar rate of general population. There were no significant differences in age, sex, history of urolithiasis and stone localization between two groups. The data obtained showed an importance of screening of hypercalcemia in patients with urolithiasis regardless the severity of clinical course.
DIAGNOSTICS AND TREATMENT OF BOERHAAVE’S SYNDROME
Authors: Chikinev Yu. V. , Drobyazgin Ye. A. , Polyakevich A. S. , Peshkova I. V.
Published: July 2019

The article presents the results of diagnostics and treatment of 12 patients with Boerhaave’s syndrome (men - 9, women - 3). The age of the patients was 19- 68 years old. The prescription of spontaneous rupture of the oesophagus was 7 h- 2 days from moment of the rupture to hospital admission. General aspects of disease were noted in 10 patients, though only 5 patients were directed to the hospital with suspicion on Boerhaave’s syndrome. Emergency surgeries were performed on all patients. At first the opening was carried out, than drainage of posterior lower mediastinum were performed by Savinykh-Rozanov method with wound closure of the oesophagus walls. The complications were noted in 2 patients (the first case-pleural empyema, the second case-pulmonary embolism). Late complications, such as esophagostenosis in the place of wound closure were followed up in 3 patients in terms more than one month after operation.
CLOSING OF INTERVENTRICULAR SEPTUM DEFECT IN ONE-STEP AND STEPWISE SURGICAL TREATMENT IN PATIENTS WITH PULMONARY ATRESIA AND AORTO-PULMONARY COLLATERALS
Authors: Morozov A. A. , Movsesyan R. R. , Lyubomudrov V. G.
Published: July 2019

Pulmonary atresia with defect of interventricular septum and collateral pulmonary blood flow refers to complicated congenital malformation of the heart. Surgical treatment represents itself as very difficult task because of anatomical variability of this abnormality. The main problem of surgery is a definitive repair of the defect including correction of maldistributions of pulmonary arterial bed (unifocalization of pulmonary blood flow), reconstruction of outflow tract of the right ventricle and closing of interventricular septum defect. The performance of closing interventricular septum defect could be successful in patients with pulmonary atresia and collateral pulmonary blood flow in case of stepwise and one-step surgical treatment. The combination of maximal number of pulmonary segments and sufficient development of central pulmonary arteries facilitates to progress of assigned task. Patients with the level of pulmonary-arterial index more than 170 mm/m² and integrity of pulmonary arterial bed, centralization of pulmonary segments (minimum 15) could be considered as a candidate for definite repair of the defect.
SYNDROME OF DIABETIC FOOT: MODERN APPROACHES OF COMPLEX TREATMENT
Authors: Galimov O. V. , Khanov V. O. , Saifullin R. R. , Valieva G. R. , Okroyan V. P.
Published: July 2019

The article presents the results of treatment of 201 patients with neuroischemic form of diabetic foot syndrome. The research included 158 women and 43 men of the middle age of 62,5±11,2 years. The complex approach was applied in treatment includ ing medicamentous treatment, revasculization of extremity, an application of modern combined collagenous coating and foot relieving using silicone insoles and orthopedic footwear. The endovascular and open reconstructive operations were performed in order to obtain the revasculization of extremity. Given complex approach allowed reducing the terms of hospital stay, the rate of ulcerous defects recurrences and relapses of ischemia of lower extremities during one year after endovascular interventions.
POSTOPERATIVE INTRAABDOMINAL COMPLICATIONS IN COLON CANCER SURGERY COMPLICATED BY BOWEL OBSTRUCTION AND PERFORATION OF THE TUMOR
Authors: Aliev S. A. , Aliev E. S. , Zeinalov B. M.
Published: July 2019

The article presents a retrospective analysis of the results of surgical treatment of postoperative intraabdominal complications in 42 patients with colon cancer complicated by bowel obstruction and perforation of the tumor. The pyoinflammatory processes such as peritonitis and abscesses of abdominal cavity took a leading place in the structure of postoperative complications according to the authors. Method of «closed» decompression and intraluminal irrigation of the large intestine without wide opening of organ lumen was developed and applied into practice as perioperative prophylaxis of pyoinflammatory processes. These measures allowed reducing the rate of postoperative intraabdominal complications from 19,2 to 7,7%.
THE ADVANCED METHOD OF VESSEL SEPARATION AND HEMOSTASIS
Authors: Korzhuk M. S. , Kozlov K. K. , Tkachyov A. G. , Vyal’Tsin A. S. , Rubanik V. Yu.
Published: July 2019

The authors suggested the advanced method of vessel separation and hemostasis, which was applied in 13 patients. This method was compared with the traditional method used for 8 patients. Proposed approach allowed separation of vascular fascicle twice faster than in usual way. There were noted a less decrease of hemoglobin level and shortening of hospital stay. The results of treatment were improved due to the application of the method of vessel mobilization and temporal hemostasis in surgery of stab-cut wound of the neck.
100 ROBOTIC-ASSISTED OPERATIONS IN COLORECTAL CANCER (FIRST OUTCOMES)
Authors: Gladyshev D. V. , Kovalenko S. A. , Moiseev M. E. , Gnedash S. S. , Karachun A. M. , Kotiv B. N. , Shelegetov D. S. , Dzidzava I. I.
Published: July 2019

This article analyzed the immediate treatment results of 210 patients, underwent endovideosurgical operative treatment concerning colorectal cancer (106 laparoscopic and 104 robotic-assisted operations). According to the first results, there was no significant difference between two methods in such medical indices as the volume of intraoperative hemorrhage, terms of hospital stay and peristalsis recovery, the rate of conversion and complications in early postoperative period, quantity of removed lymph nodes, quality of TME. The application of robotics allowed performance of precision work in conditions of limited space of the small pelvis.
AUTOARTERIAL PLASTY OF EXTERNAL CAROTID ARTERY IN CASE OF STENOSIS AND INTERNAL CAROTID ARTERY OCCLUSION
Authors: Sokurenko G. Yu. , Shatravka A. V. , Gusinskiy A. V. , Suvorov S. A. , Rizakhanova M. R. , Loginov I. A.
Published: July 2019

The research proved an efficacy of autoarterial plasty performance of external carotid artery in case of internal carotid artery occlusion. It isn’t necessary to apply synthetic materials or an autovein for closing arteriotomic defect in plasty performance. According to data of ultrasonic scintiangiography and transcranial Doppler graphy, there was noted the significant increase of blood flow on medial cerebral artery in operated area after a year of surgical treatment (about 30%). Proposed operation is effective in prevention plan of ischemic stroke.
TREATMENT OF NECROTIC ENTEROCOLITIS IN NEWBORN CHILDREN
Authors: Solov’Ev A. E. , Anikin I. A. , Pakhol’Chuk A. P.
Published: July 2019

Necrotic enterocolitis is a common disease of the newborn children, which requires an emergency treatment. The results of children treatment depend on many factors, especially from well-timed diagnostics in case of transition from therapeutic to surgical stage. There was noted the tendency to lethality reduction because of necrotic enterocolitis (17% in developed countries, 42% in countries with low- and middle levels of economy) over the past decade. The authors followed-up 42 children with the diagnosis of necrotic enterocolitis. Sepsis, inflammatory bowel disease, toxic products in its lumen are the main source of severe condition of the child. The antibacterial and detoxication therapies should be performed for the newborn child with necrotic enterocolitis on admission to the hospital. An operative treatment have to be carried out in case of lack of condition improvement.
HARDWARE-CONTROLLED INTRA- AND POSTOPERATIVE DECOMPRESSION AND LAVAGE OF THE COLON IN SURGICAL TREATMENT OF TUMOR OBSTRUCTION
Authors: Aliev S. A. , Aliev E. S.
Published: July 2019

The article analyzed the results of surgical treatment of obturative tumorous obstruction of the left colon in 398 patients of different age categories. The authors developed and applied the method of retrograde lavage and sanation of the colon. A new model of vacuum aspiration-wash device was designed. An application of the method of intraoperative lavage and sanation of the colon allowed performance of primary-radical operations in 149 (77,6%) patients out of 192 patients of the main group with one-stage reestablishment of colon continuity in 68 (35,4%) cases. The rate of pyoinflammatory complications were reduced from 29,4 to 19,2% due to the developed strategy of surgical treatment. It was stated, that the immediate results of surgical treatment of obturative tumorous obstruction of the left colon were improved due to the optimization of methods of intra- and postoperative lavage and sanation of the colon by upgrading of technical equipment, the wide application of obstructive versions of radical operations in combination with multicomponent and pathogenetically based intensive care. This therapy was directed to adequate correction of metabolic disorders in homeostatic system.
LONG-TERM RESULTS OF SURGICAL TREATMENT OF DIVERTICULAR DISEASE OF COLON
Authors: Pomazkin V. I. , Khodakov V. V.
Published: July 2019

The work evaluated the long-term treatment results of 103 patients with complicated diverticular disease, who underwent the elective surgery in the volume of left hemicolectomy. The first group included 53 patients with recurrent diverticula. The second group consisted of 50 patients, who underwent the operation on diverticula of sigmoid colon with formation of sigmostoma on the first stage. The number of patients with functional gastro-intestinal and psyco-emotional disorders was more significant in the first group compared with the second group and it was associated with presence of these disorders before the operation. There was noted the reliable decrease of quality of life rates according to questionnaire scales MOS-SF 36 in the first group. The average indices of scales had some matching to the rates of health people in the patients of the second group. The authors came to conclusion, that indications for elective surgery should be determined very carefully in case of recurrent diverticula.
LAPAROSCOPIC ADJUSTABLE GASTRIC BANDING. ILLUSIONS AND REALITY
Authors: Fishman M. B. , Sedov V. M. , Yan V.
Published: July 2019

This work analyzed the results of surgical treatment of 380 patients who underwent the laparoscopic adjustable gastric banding (LAGB) at the period from 2004 to 2015. The patients were initially divided into 2 groups with metabolic syndrome (MS) and without MS according to the sex, age (up to 40 years old or older). As the result of performed analysis, there was stated that LAGB operation wasn’t effective and couldn’t be recommended for an application on the patients with MS. The patients have to follow necessary advice for life. Otherwise, the probability of complication development and recurrent operation would be really high and because of this, the more effective surgical treatment should be initially used. LAGB operation didn’t influence on pathogenetic mechanisms of main components of MS and couldn’t be regarded as effective. This LAGB operation is reasonable to apply in women without MS of young age group with initial body mass index lower than 43 kg/m². These women have to be able strictly follow doctor’s advice for life.
EPIDEMIOLOGIC AND DEMOGRAPHIC FEATURES OF INTRACRANIAL OTO- AND RHINOSINUSOGENIC PYOINFLAMMATORY COMPLICATIONS IN RUSSIAN FEDERATION
Authors: Krivopalov A. A. , Yanov Yu. K. , Korneenkov A. A. , Shcherbuk A. Yu. , Artyushkin S. A. , Vakhrushev S. G.
Published: July 2019

An analysis of demographic and epidemiologic situation was made in cases of otogenic and rhinosinusogenic intracranial complications on the area of 32 regions of Russian Federation at the period from 2009 to 2014. The state of ENT-service of examined subject is characterized by reduction of provision of during ENT-beds and lower level of hospitalization of population over indicated period. There was revealed a reliable correlated dependence of the main medical statistical indices from the intracranial complications with climatic and demographic factors, the rate of morbidity and activities of ENT-service in the area of this region.
ABDOMINAL HEMORRHAGE IN CASE OF CATATRAUMA
Authors: Khadzhibaev A. M. , Sultanov P. K.
Published: July 2019

The results of diagnostic and treatment were analyzed in 111 victims with abdominal multitrauma at the period from 2010 to 2013. Abdominal traumas were diagnosed on the basis of instrumental investigations and laparascopic data. Combined injuries were often observed in 3-5 areas. The abdominal hemorrhages were in 66 patients as a result of injury of the parenchymatous organs. Diagnostic value of clinical symptoms wasn’t more than 45,9% in abdominal catatrauma, though in case of plan radiography it was from 41,2% to 66,4% and in case of ultrasound study - 91,6%. The laparotomy was performed for 28 patients. The laparoscopy was applied in 66 cases. However, there were revealed the cases of continuing bleeding in 31 patients and because of these complications, the operations were converted to laparotomy in 27 cases. Different variants of laparoscopic coagulation were performed on 4 patients. The rate of lethality consisted of 27%. The authors proposed an algorithm of treatment of the patients with closed abdominal injury on the basis of score assessment of hemoperitoneum (according to USS), which allowed significant rise of treatment efficacy, decrease the rate of postoperative complications and lethality.
COOPERATIVE MANAGEMENT OF NEUROSURGEON AND OTOLARYNGOLOGIST IN TREATMENT OF CHILDREN WITH OTORHINOGENIC SUPPURATIVE-INFAMMATORY BRAIN DISEASES
Authors: Rubin A. N. , Shcherbuk Yu. A. , Krivopalov A. A. , Yanov Yu. K. , Vakhrushev S. G.
Published: July 2019

This work analyzed 47 cases of oto- and rhinosinusogenic suppurative meningoencephalitis, abscesses and empyemas of the brain in children at the age from 3 months to 17 years old. The article presents the treatment strategy, results and the volume of diagnostic measures. On the basis of this research, the authors came to conclusion, that care of the children with otogenic and rhinosinusogenic suppurative diseases of the brain required an interdisciplinary approach and effective cooperation of a neurosurgeon, otolaryngologist, pediatrician, resuscitation specialist, infectionist and a clinical pharmacologist.
PERORAL ENDOSCOPIC MYOTOMY IN ESOPHAGEAL ACHALASIA: INTRAOPERATIVE COMPLICATIONS AND METHODS OF THEIR CORRECTION
Authors: Korolyov M. P. , Fedotov L. E. , Ogloblin A. L. , Mamedov Sh. D. , Klimov A. V. , Gabdrakhmanova L. A.
Published: July 2019

The authors analyzed complications in peroral endoscopic myotomy in case of esophageal achalasia in 27 patients. There were noted hypercapnia, carboxyperitoneum, hemorrhage, perforation of mucous coat of esophagus. These complications were suppressed during endoscopic manipulations.
OUR EXPERIENCE OF OPTIMIZATION AND LEGITIMIZATION OF HEART TEAM WORK (MEDICAL CONSULTATION FOR DETERMINATION OF TREATMENT MANAGEMENT IN PATIENTS WITH ISCHEMIC HEART DISEASE)
Authors: Kaputin M. Yu. , Biryukov A. V. , Ul’Chenko V. Yu.
Published: July 2019

The article raises the problem of optimization and legitimization of work of the Heart Team. It also described the background and international experience, provided an overview of the recent international guidelines in relation to management of revasculization in patients with stable coronary artery disease. The article presents an experience of the I. P.Pavlov First Saint-Petersburg State Medical University.
DIAGNOSTICS AND TREATMENT OF PERFORATED PYLORODUODENUM ULCERS IN WOMEN
Authors: Khasanov A. G. , Galin M. B. , Badretdinova F. F. , Nurtdinov M. A. , Shaikhinurov R. Kh.
Published: July 2019

The results of treatment of 75 women with perforated ulcers have been studied. There were prevailed women of middle and elderly age groups among patients who underwent surgery. A wound closure of perforated opening and abdominal sanation were performed by laparoscopic means in 30,7% of patients and using midline laparotomy in 29,3% cases. There were carried out the laparoscopic sanation of the abdominal cavity and the wound closure of perforated ulcer from mini-access using the set of mini-assistant in 10,7% patients. Radical operations were applied in 16% cases. The early postoperative complications took place in 8,1% of the patients, the rate of lethality was 4,0%. The long-term results were evaluated and considered as good in 55,5% women, satisfactory - in 30,1% and unsatisfactory - in 14,2% cases.
STUDY OF DINAMICS OF PYOINFLAMMATORY PROCESS IN SOFT TISSUE OF PATIENTS WITH ACUTE ANAEROBIC PARAPROCTITIS (EXPERIMENTAL-CLINICAL RESEARCH)
Authors: Nikol’Skiy V. I. , Sergatskiy K. I. , Klimashevich A. V. , Mitroshin A. N.
Published: July 2019

Fighting with progressive pyoinflammatory processes in cellular tissue area and in postoperative wound is an actual problem in treatment of patients with acute paraproctitis. There was carried out an experiment, which estimated electrochemical properties of wound’s effluent in dinamics in patients with acute anaerobic non-clostridial paraproctitis. Electrochemical properties of wound’s effluent fitted to clinical and laboratory data in 90,9% of cases: findings completely coincided in 54,5% cases, but some results were earlier than clinical and laboratory manifestations of inflammation on 24 hours in 36,4% cases.
THERAPEUTIC APPROACH IN RECURRENT INTUSSUSCEPTION OF BOWELS IN CHILDREN
Authors: Bondarenko N. S. , Kagan A. V. , Nemilova T. K. , Kotin A. N.
Published: July 2019

An analysis of treatment results was made in 216 patients with intussusception of bowels at the period from 2000 to 2015. The authors showed that it would be reasonable to carry out a conservative therapy in the cases of recurrent intussusception in absence of peritonitis symptoms.
ECONOMIC ANALYSIS OF TREATMENT OF THE PATIENTS WITH CHRONIC POSTTRAUMATIC OSTEOMYELITIS OF THE SHOULDER BY THE METHOD OF TRANSOSSEOUS OSTEOSYNTHESIS BY ILIZAROV’S APPARATUS
Authors: Sazonova N. V. , Shiryaeva E. V. , Leonchuk D. S. , Kluyshin N. M.
Published: July 2019

An analysis of the terms of hospitalization, cost of treatment was made. There were matched the real medical costs of treatment of the patients with chronic posttraumatic osteomyelitis of the shoulder using the method of transosseous osteosynthesis with application of Ilizarov’s apparatus and medical costs according to the medical standards of treatment for patients with osteomyelitis. It was shown that actual expenses on drug therapy and expendable materials on one patients were approximately three times higher, than planned expenses according to standard. The presence of different microflora was revealed throughout the bacteriological research of suppurative focus in 25(96%) patients. There was detected an excess of actual expenses on one patient with given nosology compared with standard of financial expenditure from the funds for high-technology medical care from 6 % (average case) to 58% (Bassilus pynocyaneus). The excess of actual expenses from the funds of local program of obligatory medical insurance achieved from 48% (average patient) to 100% (Bassilus pynocyaneus case).
ROLE OF MICRORNA IN PREDICTING OF ADENOCARCINOMA DEVELOPMENT IN BARRETT’S ESOPHAGUS
Authors: Tsitskarava A. Z. , Zaraiskiy M. I. , Vasilevskiy D. I. , Lapshin A. S. , Popova V. F. , Smirnov A. A. , Lyubchenko M. E.
Published: July 2019

Barrett’s esophagus is considered as a predictor of esophageal adenocarcinoma with multistage neoplastic progression at present time. The research assessed an expression of microRNA-21 in 25 patients with different degree of metaplasia and dysplasia of mucous coat of esophagus. The level of expression of microRNA depended on the presence and degree of expression of neoplastic changes of mucous coat of esophagus. The expression rising of microRNA was noted in patients with columnar-celled metaplasia and intraepithelial neoplasia and in case of esophageal adenocarcinoma. The treatment strategy could be determined by the method of estimation of the level of microRNA expression in biopsy material from mucous coat of esophagus in patients with gastroesophageal reflux disease and using other criteria.
LAPOROSCOPIC SLEEVE GASTRECTOMY. ROLE AND PLACE IN BARIATRIC SURGERY
Authors: Fishman M. B. , Sedov V. M. , Yan V.
Published: July 2019

Laparoscopic sleeve gastrectomy (LSG) was performed in 522 patients at the period from 2007 to 2015. The operation was carried out by different methods. It was stated that «the ideal candidates» for choosing LSG operation were the patients without metabolic syndrome (MS) and body-weight index, which wasn’t higher than 48 kg/m². The operation could be performed on patients younger than 40 years old in order to correct disorders of insulinic and cholesterol metabolism. Patients with MS have limitations for LSG application, because of this reason, the operation is advisable for younger age group without severe accompanying pathology. The operation could be applied in older age group in order to stabilize general condition in case of high risks as the first (sometimes the last) stage of treatment for the patients whom more effective operation couldn’t be recommended.
POSSIBILITIES OF MODERN TECHNOLOGIES OF VISUALIZATION AND MODELING IN ORTHOPEDICS AND THEIR ROLE IN DEVELOPMENT OF INDIVIDUAL CONSTRUCTIONS IN HIP ARTHROPLASTY
Authors: Kovalenko A. N. , Shubnyakov I. I. , Bilyk S. S. , Denisov A. O. , Tikhilov R. M.
Published: July 2019

The article presents the authors’ experience. Medical visualization is applied in orthopedics on all stages such as diagnostics, treatment planning and control of the results. Modern approaches in instrumental diagnostics and specialized application-dependent software allowed a new qualitative level of orthopedics and medical care in different areas of medicine. Modern technologies gave a lot of opportunities to doctors in order to improve diagnostics at higher level, make an individual planning of operations and built individual implants, when it wasn’t possible to use standard constructions.
APPLICATION OF MINI-PLATES AND MINI-SCREWS IN TREATMENT OF PATIENTS WITH RADIAL HEAD FRACTURES
Authors: Neverov V. A. , Egorov K. S.
Published: July 2019

An article presents an experience of application of compression headless mini-screws (Gerbert’s screws) and mini-plates in treatment of radial head fractures. The authors showed advantages and disadvantages of given methods of treatment in 41 patients. Gerbert’s screws were used in 32 cases and mini-plates were applied in 9 patients. Mini-plates in combination with Gerbert’s screws were used in 4 patients. There weren’t noted complications in early postoperative period. Patients (27-84%) with Gerbert’s screws were followed up in terms more than 6 months. Mean score was 91 according to the scale of Mayo Elbow Performance Score. Results of application of mini-plates were followed up in terms more than 6 months in 7 (77%) patients. Mean score of Mayo Elbow Performance Score consisted of 72. Based on the analysis of results, the authors concluded that the application of mini-screws in radial head fractures allowed doctors to obtain a good anatomical and functional result. Osteosynthesis by mini-plates didn’t always support the secure fixation of all fractures due to strictly given positioning on the head of radial bone. In case of osteosynthesis of splintered fractures of Mason type III, it should be reasonable to combine mini-plates and Gerbert’s screws.
APPLICATION OF GRAFTSKIN TO ACCELERATE HEALING OF ULCERS IN DIABETIC FOOT SYNDROME
Authors: Binienko M. A. , Kotslova A. A. , Davydenko V. V. , Vlasov T. D.
Published: July 2019

Diabetic foot syndrome (DFS) is one of the severe and more frequent complications of diabetes. It is characterized by occurrence of chronic purulent necrotic processes (trophic ulcers) on the foot with damage of skin, soft tissues and osteoarticular system due to pathological changes in the peripheral nervous system (diabetic neuropathy) and vascular system (diabetic angiopathy). This study aimed to evaluate the possibility of accelerating of wound healing in DFS by using the dermal equivalent (graftskin) and determine the safety of the method, factors and indications for its application. The research included 60 patients with DFS who were cured at the period from 2013 to 2016 in departments of purulent surgery of Hospital of war veterans and Municipal hospital № 14 of Saint-Petersburg. The patients were divided into 2 groups by random sampling of two comparable groups in age and sex. The patients of main group were treated by standard method and using application of dermal equivalent (DE) on the area of trophic ulcers. The patients of control group had only standard treatment. The DE showed a high efficacy in the main group of patients. The application of DE in complex treatment of patients with DFS stimulated processes of healing and accelerated the rate of epithelization. The application of DE was the most effective in patients with neuropathic form of DFS.
ANALYSIS OF COMPLICATIONS IN ELIMINATION OF THE COLOSTOMY AFTER HARTMANN SURGERY
Authors: Pomazkin V. I.
Published: July 2019

An analysis of early postoperative complications was made in reconstructive surgery on the colon in case of the end colostomy in patients with left-half colon cancer complicated by intestinal obstruction. This work investigated the prognostic factors, which could influence on incidence of complications. The research included results of reconstructive operations in 192 patients. The early postoperative complications were noted in 18 (9,4%) patients. The univariant analysis of risk factors showed, that the presence COPD increased the possibility of complication incidence in 1,7 times (p=0,044). The incidence of purulent complications on previous stage of treatment increased complications in 4,3 times (p=0,011) and the third degree of adhesions process intensity compared with the first degree - in 9,7 times (p=0,001). The multivariant analysis demonstrated a correlation of the complication risks in reconstructive operations with presence of complications on the previous stage of treatment. This correlation was 4,3 (CI 1,7-23,3; p=0,021) and it consisted of 7, 5 (CI 1,3-15,6; p=0,001) in case of presence of the third degree of adhesion process.
EXPERIENCE OF 424 ROBOT-ASSISTED OPERATIONS IN ST-PETERSBURG: RADICAL PROSTATECTOMY, PARTIAL AND RADICAL NEPHRECTOMY
Authors: Al’-Shukri S. Kh. , Mosoyan M. S. , Semenov D. Yu. , Il’In D. M.
Published: July 2019

The article presents the results of 257 robot-assisted radical prostatectomies, 135 partial nephrectomies and 32 radical nephrectomies at the period from 2010 to 2016. The operations were performed on robotic complex da Vinci S. The mean operative time was 170±50 min, 158,4±72,2 min and 143,3±67,3 min, the mean blood loss was 130±35 ml, 213,0±102,2 ml and 141,4±49,0 ml for robotic radical prostatectomy, partial and radical nephrectomy, respectively. The mean time of warm ischemia consisted of 13,1±2,7 min. Five-year cancer-specific survival rate was 100%, 100% and 98%. The overall survival rate was 97,5%, 87% and 92% for robotic radical prostatectomy, partial and radical nephrectomy, respectively.
PECULARITIES OF SURGICAL APPROACH IN TREATMENT OF GASTROINTESTINAL STROMAL TUMORS
Authors: Kashchenko V. A. , Karachun A. M. , Orlova R. V. , Pelipas’ Yu. V. , Petrova V. V. , Nepomnyashchaya S. L. , Gluzman M. I. , Beskrovnyi E. G.
Published: July 2019

OBJECTIVE. The authors made an analysis of short-term results of surgical treatment of the patients with gastrointestinal stromal tumors. MATERIALS AND METHODS. The data of medical histories of 94 patients were analyzed. The traditional, laparoscopic and endoscopic interventions were performed on the patients in order to remove the stromal tumors of the stomach and small intestine using radical methods. RESULTS. All surgeries (100 % of patients) were carried out in an adequate volume. There wasn’t noted the postoperative mortality and statistical difference of length of hospital stay (13,1 bed days after laparotomy and 11,5 bed days after minimally invasive interventions). The rate of early postoperative complications was higher after endoscopic interventions. CONCLUSIONS. Minimally invasive methods as well as traditional interventions are radical methods of treatment of gastrointestinal stromal tumors. An application of diverse and non-standardized approaches requires both the development of interdisciplinary collaboration and creation of optimal algorithm for choice of specific surgical technique based on localization, size and type of tumor growth in order to improve safety and reliability of treatment.
CLINICAL AND EXPERIMENTAL EVIDENCES OF EFFECTIVE MODE OF AEROSOL LAPAROSCOPIC INTRAPERITONEAL CHEMOTHERAPY
Authors: Bagnenko S. F. , Zakharenko A. A. , Nakhta A. S. , Belyaev M. A. , Trushin A. A. , Ten O. A. , Koval’Chuk Yu. P. , Zaitsev D. A. , Yakovleva M. V.
Published: July 2019

OBJECIVE. The authors would like to design an original device for aerosol laparoscopic chemotherapy and propose the most effective and safe mode. MATERIALS AND METHODS. The experimental and clinical studies were carried out and included 6 series. Male rabbits (n=71) were used for experimental part and the method was applied on 4 patients in clinical part. RESULTS. The original device and the effective mode of its application were developed for aerosol laparoscopic chemotherapy. The supposed method of chemotherapy appeared to be more effective than the standard method. There weren’t noted any complications or side effects. The method proved its safety. CONCLUSIONS. The aerosol laparoscopic intraperitoneal chemotherapy using the proposed regime is the effective and safe method of peritoneal carcinomatosis treatment.