bluuebunny/crossref_metadata_2025 huggingface dataset:
Electrokinetic and chemical treatment of oil sands mature fine tailings: dewatering and strengthening
Authors: Guo Yu , Shang Julie Q. , Lee Joon Kyu , Wang Yixuan
Published: August 2018

Oil sands tailings have become a major challenge in Canada due to various geotechnical and environmental concerns. Mature fine tailings (MFT) typically contain 70% water and 30% silt- and clay-sized solids and have low hydraulic conductivities, which lead to difficulties in consolidation by nature. Electrokinetics (EK) has been proved to be effective at dewatering and strengthening oil sands tailings, but is only limited to the anode area. Further treatment is needed to improve the tailings around the cathode. Chemical stabilisation is a mature technique for ground improvement. However, there is limited information for the combined effects of EK and chemical treatment on high water content geomaterials such as MFT, slurry, sludge and so forth. This research study was carried out to evaluate the effects of combined EK and chemical treatment of MFT. Quicklime and Portland cement were selected as the chemical additives. The changes in water content, undrained shear strength, plasticity, pore-water pH and electrical conductivity and particle zeta potential after treatment were studied. It was found that the chemical treatment reduced the material property difference between the anode and cathode, whereas it reduced EK-induced water flow. Combined EK and chemical treatment of MFT may be beneficial at a low chemical dosage.
Incentivos fiscais como política pública de desenvolvimento industrial: uma análise empírica dos efeitos econômicos da concessão de crédito presumido de ICMS para as indústrias têxteis do estado de Santa Catarina
Authors: Fazoli Julio Cesar , Da Silva Rosa Fabrícia , Flach Leonardo , Ferreira Luiz Felipe
Published: August 2018

No Brasil, a competição tributária entre os governos estaduais para atração de investimentos privados não é algo novo. Segundo os estados participantes, tais medidas permitiriam o desenvolvimento econômico de suas regiões, com a geração de renda e emprego, além do significativo aumento do valor adicionado ao longo das cadeias produtivas, devido à maior transformação industrial. O presente trabalho tem como objetivo verificar o comportamento do valor adicionado, gerado por empresas do setor têxtil antes e após a adoção da política pública, considerando os efeitos dos incentivos fiscais como ferramenta indutora de crescimento econômico da cadeia têxtil do Estado. O presente trabalho buscou contribuir para o tema, ao analisar o comportamento do valor adicionado, gerado por 11.272 estabelecimentos catarinenses que atuam no setor têxtil. Foram levantadas as informações mensais referentes ao valor agregado no período de 2006 a 2010, totalizando 60 meses. Para verificação do comportamento do valor agregado das indústrias têxteis antes e após a instituição do incentivo fiscal de ICMS, foi utilizado o modelo longitudinal de regressão para dados em painel, conhecido por “diferenças em diferenças” (diff-in-diff). Os resultados apontam uma queda de 32,89% no valor adicionado real, gerado pelas empresas do setor após a instituição do crédito presumido de ICMS. Ademais, enquanto se verificou um incremento de 105% na taxa mensal de crescimento do valor agregado nas empresas beneficiadas, houve uma queda de 53,30% para as empresas que não obtiveram o mesmo tratamento, o que demonstra um processo de migração de mercados, provavelmente em função da concorrência desleal gerada pelo incentivo fiscal.
Turunçgil beyaz kabuklubiti [Parlatoria pergandii Comstock (Hemiptera: Diaspididae)]’nin Doğu Akdeniz Bölgesi turunçgil bahçelerinde parazitoit ve predatör türlerinin belirlenmesi
Authors: Elekcioğlu Naime Zülal , Ölçülü Murat
Published: August 2018

Turunçgil
beyaz kabuklubiti, Parlatoria pergandii Comstock
(Hemiptera: Diaspididae) konukçusu olduğu bitkilerin gövde, sürgün, yaprak ve
meyvelerinde emgi yaparak zararlı olmaktadır. Meyve üzerinde karakteristik,
etrafı yeşil hareli lekeler meydana getirerek pazar değerinin
düşmesine, yüksek popülasyonlarda yaprakların ve dalların tamamen kurumasına,
meyvelerin dökülmesine neden olmaktadır. Bu çalışma,
Doğu Akdeniz Bölgesi’nde Adana, Hatay, Mersin ve Osmaniye illerinde turunçgil alanlarında
P. pergandii’nin parazitoit ve predatör türlerinin belirlenmesi
amacıyla 2012-2013 yıllarında yürütülmüştür.
Parazitoitlerin belirlenmesinde bulaşık sürgün ve meyve örneklerinin kültüre
alınması, predatörlerin belirlenmesinde ise gözle kontrol ve darbe yöntemleri
kullanılmıştır. Çalışma sonucunda başta Chilocorus bipustulatus L. olmak üzere, Rhyzobius lophanthae Blaisdell (Coleoptera: Coccinellidae) ve Cybocephalus fodoriminor E.Y. (Col.: Cybocephalidae)’un
P. pergandii’nin en yaygın predatörleri,
Aphytis melinus DeBach (Hymenoptera:
Aphelinidae)’un da en yaygın parazitoiti olduğu belirlenmiştir.
ÇUKUROVA SÖZLÜ TARİHİNE KAYNAKLIK EDEN AĞITLARDA HALKBİLİMSEL UNSURLAR
Authors: ÖZKAYA Esra
Published: August 2018

Ağıtlar, halkın ortak duygularını yansıtması
bakımından halk edebiyatının önemli nazım türlerinden biridir. Ağıtlar genellikle
ölümün yaşattığı acıyı dile getirmektedirler. Ağıtlar içerik açısından
incelendiğinde doğaçlama söylenmesine rağmen halkbilimsel unsurlar açısından
zengin bir içeriğe sahip olduğu görülmektedir. Çalışmamızda 2012 yılında yüksek
lisans tezi olarak kabul edilen “Çukurova Anonim Halk Edebiyatı ve Âşık
Edebiyatında Sözlü Tarih (Adana-Osmaniye)” başlıklı tezde yer alan anonim
ağıtlar ve âşık ağıtları halkbilimsel unsurlar açısından incelenmiştir.  Çukurova sözlü tarihine kaynaklık eden
ağıtlardaki halkbilimsel unsurlar tasnif edilmiş ve bu unsurlarla ilgili olan
ağıt metinlerinden örnekler verilerek halk kültürü geleneği doğrultusunda
yorumlanmıştır.
ORTADOĞU VE BATI MEDYASINDA 15 TEMMUZ DARBE GİRİŞİMİ İLE MISIR DARBESİ MUKAYESESİ
Authors: GÜNEY Zehra
Published: August 2018

Mısır’da 23-24 Mayıs 2012 tarihlerinde yapılan cumhurbaşkanlığı seçimlerini
ezici bir güçle İhvan cephesinin adayı Muhammed Mursi kazanmış, ancak bir yıl
sonra 03 Temmuz 2013 tarihinde askeri darbe ile devrilmiştir. Seçimlerle
iktidara gelmiş meşru bir hükümeti devirmeye yönelik benzer bir askeri darbe
girişimi 15 Temmuz 2016 tarihinde Türkiye’de olmuş, ancak Mısır’daki örneğinin
aksine başarılı olamamıştır. Bu makale sınırları içinde Ortadoğu ve Batı yerel basınının
belli başlı medya ajansları ve kuruluşları taranarak Mısır’da başarılı olan
askeri darbenin neden Türkiye’de başarısız olduğunun mukayesesine yönelik haber,
makale ve köşe yazıları incelenerek bu ülkelerdeki üst akılın askeri darbelere
yönelik toplum algısını nasıl yönlendirdiği ortaya çıkarılmaya çalışılacaktır. Bu
çalışmada, Mısır darbesi ve Türkiye’deki darbe girişiminin Ortadoğu ve Batı basınında
yer alan mukayesesi ele alınarak, bu ülkelerin demokratik tutumlarına ışık
tutacağı düşüncesindeyiz. Bunun yanı sıra, Mısır örneğinin aksine Türkiye’de
başarılı olmayan bu kalkışmanın Batı ve Ortadoğu medyasında yer alan izlenimler
çerçevesinde sebep ve sâiklerine değinilerek, bunun Türk iç ve dış
politikasının hedef ve beklentisine hizmet etmesi amaçlanmaktadır.
Witches, Wise People, and Werewolves
Authors: Boudovskaia Elena
Published: August 2018

This article explores the attitudes of the inhabitants of one village in the Zakarpats’ka Oblast’ of Ukraine towards the bearers of supernatural powers. On the basis of my own fieldwork, I describe several supernatural powers known to people in the village: milk-stealing, performed by women; self-protection against attacks; and turning husbands into wolves. Attitudes are shaped by one core value: fairness; the villagers strongly resent unfair usage of supernatural powers against those who cannot protect themselves. However, story characters who use such powers responsibly in self-defense and restore the status quo to punish aggressors are exonerated from blame by story-tellers and their audiences. In daily life, people do not like to be associated with supernatural forces for fear of being accused of using them unfairly.
Zhivaia Starina
Authors: Akhmetova M. V. , Belova O. V.
Published: August 2018

At the start of 2018, Zhivaia Starina journal changed ownership and is currently being published by Polenov Russian State Folk Art House (Moscow). The journal’s key topics for 2017 involve the role of tradition and innovations in folklore genres and the interconnection between folklore and folk mythology as well as between folklore texts and oral history. Additionally, Issues 3 and 4 feature sections to commemorate the 870th anniversary of the founding of Moscow and the centenary of the Russian October Revolution.
Yozgat Ekolojisinde Bazı Mısır Çeşitlerinin Morfolojik Özellikleri, Verim ve Silaj Kaliteleri
Authors: YOZGATLI Orhan , BAŞARAN Uğur , GÜLÜMSER Erdem , MUT Hanife , ÇOPUR DOĞRUSÖZ Medine
Published: August 2018

Bu araştırma 9 silajlık mısır çeşidinin (Arifiye,
BC 678, Cadız, Colonia, DS 0224, Sakarya, Sy Lucrosa, OSSK 596 ve Truva) Yozgat
ekolojik koşullarında morfolojik özellikleri, ot verimi, silaj verimi ve
kalitesini belirlemek amacıyla 2013 ve 2014 yıllarında yürütülmüştür. Çalışma
Tesadüf Blokları Deneme Desenine göre 3 tekrarlamalı olarak kurulmuştur. Hamur
olum döneminde hasat edilen mısır çeşitlerinde bitki boyu, gövde çapı, yaprak
eni ve boyu, ilk koçan yüksekliği, koçan uzunluğu, koçan sayısı, kuru madde
verimi, ham protein oranı ile silaj verimi, laktik asit, asetik asit ve bütürik
asit içerikleri incelenmiştir. Sonuçlara göre; bitki boyu 2.17-2.73 m, gövde
çapı 17.21-23.23 mm, yaprak eni 8.46-9.70 cm, yaprak boyu 70.46-91.17 cm,
yaprak sayısı 10.41-14.25 adet, ilk koçan yüksekliği 0.88-1.62 m, koçan
uzunluğu 26.08-35.46 cm, koçan sayısı 1.00-1.40 adet arasında değişmiştir. Kuru
madde ve silaj verimi en yüksek Arifiye (24.66 t ha-1 ve 89.32 t ha-1),
en düşük Truva çeşidinde (18.44 t ha-1 ve 76.88 t ha-1 )
belirlenmiştir. Çeşitlerin ortalama laktik ve asetik asit içerikleri ise
sırasıyla % 1.504 - 2.571 ve % 0.308 - 0.691 arasında değişmiştir. Çalışma
sonucunda, Yozgat koşullarında silajlık mısır yetiştiriciliğinde genotip
seçiminin önemli olduğu, Arifiye ve Sakarya çeşitlerinin verim ve silaj
kalitesi ile daha üstün performans ortaya koydukları belirlenmiştir.
Domestic violence and related factors among ever married females in a rural area of southern India
Authors: Chauhan Pooja , Shridevi Kotina , Katkuri Sushma
Published: August 2018

Background: The WHO reports that the proportion of women who had ever experienced physical or sexual violence or both by an intimate partner ranged from 15% to 71%. According to NFHS-3 and India’s NCRB, the increasing cases of any form of violence against women and also the variation in its prevalence among different sections of the society indicate that it is preventable. This has been the motivation for conducting this study. The aim of the study was to know the prevalence, different forms and associated factors of domestic violence against ever married females between 15-49 years age.Methods: Community based cross-sectional study population included ever married females from 15 to 49 years. Sample size was calculated using openEpi online program. Simple random sampling was used. A pre-designed semi-structured questionnaire was used to collect data. Data was analyzed using SPSS software v24. Chi-square test was used.Results: It was observed that 33.5% (n=83) suffered from any form of violence and 29.4% (n=73) experienced physical violence at least once. Emotional abuse was seen in 12.5% whereas sexual abuse was seen in 4.4%. The experience of domestic violence by women was significantly related to the consumption of alcohol by the husband, education status of the females and their husband.Conclusions: By improving the literacy, and sensitizing about equal rights and need to look their wife as a life partner rather than a slave, an attempt can be made to break the chain of domestic violence.
Factors determining failure of intertrochanteric fracture fixation with a dynamic hip screw: a retrospective analysis
Authors: Jain Ravi K. , Verma Abhineet , Jain Arjun , Patel Yogesh
Published: August 2018

Background: The intertrochanteric fractures are extra capsular fractures of proximal femur in the trochanteric region. Different fixation techniques were tried for intertrochanteric fractures, with variety of implants but the dynamic hip screw fixation is most widely accepted treatment. However, several authors have concluded that sliding compression screws may be associated with several complications such as perforation of the femoral head, loss of reduction caused by excessive sliding of the lag screw, non-union, shortening of the affected limb and pain. This study was carried out to ascertain the factors that contributed to mechanical failure at our institute.

Methods: We retrospectively reviewed 92 patients with unilateral intertrochanteric fracture treated with a sliding hip screw between July 2015 and April 2017. Postoperative radiographs were studied for any loss of reduction, which was defined as a varus deformity greater than 10°, perforation of the femoral head, extrusion of the lag screw of more than 20 mm, or metal failure. The Pearson chi-square test was used to assess the relationship between failure and osteoporosis. A p value of less than 0.05 was considered to be significant.

Results: Results revealed a significant relationship between failure and osteoporosis. A possible relationship between the stability of the fracture on Evans’ classification and osteoporosis on Singh’s index was investigated which revealed a high positive correlation between the failure rates of unstable fractures with osteoporosis.

Conclusions: An unstable fracture combined with osteoporosis, has higher percentage of fixation failure leading to other methods of treatment like hemiarthroplasty. 
Influence of sulfide on the evaluation of methane production through the degradation of sugarcane vinasse
Authors: Peruzzo Vanessa Verona , Sachet Felipe Henrique , Torres Ana Paula R , De Souza Maria Paula , Beal Lademir Luiz
Published: August 2018

Anaerobic digestion is a widely used effluent and organic waste treatment practice, in which it is possible to minimize and control environmental problems, associating the reduction of environmental impacts with energy recovery. Low methane production and process instability are often found in anaerobic digestion reactors, preventing this technique from being widely applied. Inhibitory substances, such as sulfides resulting from sulfate conversion by the sulfur reducing bacteria, are one of the causes of inhibition or malfunctioning of anaerobic digesters if they are present in the effluent to be treated. The objective of this work is to evaluate the effect of sulfide at two different values of pH (7.0 and 7.5) using sulfide concentrations of 0 to 1000 mg S2-L-1. All the tests were performed in batches and performed at mesophilic conditions. For the concentrations of 50 mg S2-L-1 and 1000 mg S2-L-1, the inhibitions of the methanogenic activity at pH 7.0 were in the order of 38.5% to 59.8% and at pH 7.5 in the order of 67% to 94%, respectively. Concerning the test at pH 7.0, the removal of COD in the experiment without addition of any concentration of S2- was 93.3%, and it reached a 49.14% COD removal at concentrations of 1000 mg S2-L-1. At pH 7.5 under the same conditions, the COD removals were respectively 80.7% and 9.6%. The concentrations of 50, 75 and 100 mg S2-L-1 of S2- initially tested at the two aforementioned pH values promoted the greatest increase in the reduction of SMA. When the experiments were carried out at pH 7.0 the reductions were 37.96%, 41.70%, and 46.06% respectively for the same concentrations. At pH 7.5 the reductions represented 67.01%, 82.47% and 81.81%.  http://dx.doi.org/10.18226/23185279.v6iss2p1
Python GUI for impedance spectroscopy analysis
Authors: Rech Giovani Luís , Perottoni Cláudio Antônio
Published: August 2018

A graphical user interface (GUI) for a widely used instrument, namely the Keysight 4294A impedance analyzer, was developed in Python language. This GUI allows control of instrument, acquisition and processing of impedance spectra from dielectric materials and electric circuits. Examples of analysis of electric circuits and porous alumina are provided to illustrate some of the GUI possible applications.  http://dx.doi.org/10.18226/23185279.v6iss2p10
Oral care in prevention of ventilator-associated pneumonia in neonatal and pediatric intensive care unit: protocol proposal
Authors: Bassan Lilian Tatiane , Peres Maria Paula Siqueira de Melo , Franco Juliana Bertoldi
Published: August 2018

Objetivo: revisar a literatura sobre pneumonia associada à ventilação mecânica em uma unidade de terapia intensiva neonatal e pediátrica, principais substâncias e veículos utilizados na higiene bucal, e propor um protocolo de higiene bucal para prevenção de pneumonia associada à ventilação mecânica, priorizando o conforto bucal e proporcionando uma melhor qualidade de vida. Material e Métodos: busca em bases de dados de 2000 a 2018, com enfoque na higiene bucal em unidades de terapia intensiva neonatal e pediátrica, utilizando os seguintes descritores: Pneumonia associada à ventilação mecânica; Pneumonia por aspiração; UTI neonatal; Unidade de terapia intensiva pediátrica; Higiene oral. Resultados: foram selecionados 26 artigos com abordagem neonatal e pediátrica para elaboração da proposta de protocolo, os quais devem ser planejados de acordo com a disponibilidade de recursos materiais e humanos, perfil hospitalar, e devem ser baseados em evidências científicas. Conclusão: os protocolos de higiene bucal contribuem para reduzir o risco de infecções em unidades de terapia intensiva, reduzindo o tempo de permanência e os custos hospitalares. Cada hospital deve desenvolver seu próprio protocolo com base na literatura científica disponível e na experiência clínica dos profissionais envolvidos.
Immuno-biological Rationale for the Use of Platelet-rich Donor Plasma for the Regional Treatment of Wounds
Authors: Corotkich Nikolay Nikolaevich , Aralova Maria Valeryevna , Ostroushko Anton Petrovich , Shipilova Veronika Vyacheslavovna
Published: August 2018

There has recently been great interest in platelet growth factors. Universal mechanism of action, simplicity, low cost and maloinvazivnogo receiving expand their use in practical medicine. However, comorbidities and the technical difficulty of isolating platelets from autoplasma are the limiting factors for widespread adoption of the techniques in the daily work of doctors of most hospitals. The article listed the main drugs of platelets enriched plasma (pure platelet-rich plasma enriched with white blood cells and platelets blood plasma, pure platelet-enriched fibrin enriched with platelets, leukocytes and fibrin), the features, the conditions of their production and hardware by apheresis, and from the pool leykotrieny layers. The marked advantages of automatic separation of blood components, which minimizes the human factor in (avoiding manual labor), allows to distinguish the platelets of high quality with little loss of hemoglobin and plasma, ensures quick and accurate obtaining of necessary blood components and the shelf life of platelets, the importance of timely delivery. The authors considered immune and biological aspects of the use of donor platelet concentrate. Describes methods to reduce the risks of transmission of hemotransmissive infections, alloimmune effects, bacterial contamination of wounds with local application of platelet concentrate. Comparative evaluation of the economic component of the latest hardware by apheresis and from the pool leykotrieny layers. The use of platelet-rich donor plasma for the stimulation of reparative processes in the healing of nonhealing wounds is due to equivalent clinical effectiveness of the use of donor platelet concentrate and platelet-rich autoplasma. Convenience of centralized procurement allows greater use of platelet drugs in many hospitals.
Sustainable Postoperative Care After Cesarean Section
Authors: Vukolova Vera Aleksandrovna , Yenkova Yelena Vladimirovna
Published: August 2018

Rationale: puerperal endometritis is the major cause of formation of incompetent uterine scar and spread of infection. By contrast, reparative processes concerning uterine walls are the basis for formation of a competent uterine scar. In the past decades, there have been observed significant changes in the clinical course of puerperal endometritis. Apart from other factors, they are caused by improper antibiotics prophylaxis and antibiotic treatment. The key factors responsible for uterine scar incompetence also include improper surgery methods, namely: application of uninterrupted, continuous suture of uterus, reactogenic material, inappropriate hemostasis, pathological blood loss, surgery duration over two hours, using technique of manual fetal exteriorization.
The aim of the present research is to identify a group of maternity patients that could avoid being administered perioperative antibiotic prophylaxis and the further antibiotic therapy on condition that their lower uterus segments are processed with interrupted sutures. It also involves the assessment of the early postoperative care period as well as eliminating possible complications. Materials and methods: The article analyses a group of 63 maternity obstetrics patients in early postoperative care period. They had their lower uterus segments processed with interrupted sutures. In all cases we used peritonization with help of plica vesicouterina. Antibiotic prophylaxis was avoided in both perioperative and early postoperative care periods. The article also presents the lab test values, data on thermometry and ultrasound diagnostic. The latter analyzed the following: length, width, thickness and the size of uterus, thickness of the front part of the uterus in the scar area, echoicity and echo structure of the mentioned area. Ultrasound examination allows us to estimate the uterus size, the scar condition, possible pathologic elements in the uterus body. The article also presents data on physical examination and bacteria culturing of the content of the uteri cavity during three days.
The results: the complications were not presented by such nosological forms as endometritis or postoperative peritonitis, as well as inflammatory urinary conditions. No cases of any partial suture line disruption have been observed on the anterior abdominal wall or hyperthermia over 37,5 within the first three days of the postoperative period.
Conclusions: during the rehabilitation period for the lower uterus segments by using synthetic suture material for the low-risk group of obstetrics patients it is not necessary to provide antibiotics prophylaxis and antibiotic treatment in the case of a planned or postponed caesarian section
Fournier’s Gangrene: the Criteria for Diagnosis, Prognostic Factors, Complications and Mortality
Authors: Prokhorov Andrew Vladimirovich
Published: August 2018

The early diagnosis, prognosis, complications and mortality Fournier’s gangrene (FG) are discussed. The terms pre-hospital period with FG is amount of 8.0 ± 5.2 days. Cases of misdiagnosis are observed in 70% in the early stages of FG due to nonspecific clinical and laboratory picture, lack of awareness and alertness of doctors. Early diagnosis of FG is based on clinical and laboratory data of the picture. In order to timely diagnosis of FG is used scale laboratory indicators of necrotizing fasciitis (LRINEC), allowing suspect FG in doubtful cases. In diagnostically unclear cases FG used radiation methods. At the slightest suspicion on the FG made explorative operation, including express biopsy of soft tissues. The differential diagnosis is carried out in the early stages of FG with acute diseases anogenital region and is rarely used. As a prognostic criteria discussed the patient's age, the presence and nature of comorbid diseases, severity of the condition, the hospital admission dates, duration of preoperative period, necrosis area, metabolic parameters, the amount of remedial necrectomy, antibiotic regimen, hyperbaric oxygen therapy. For the systematic evaluation of the severity of the patient's condition and prognosis use different scoring systems. Many of the proposed prognostic criteria are controversial. The favorable prognosis in FG is entirely dependent on early diagnosis and timing of emergency surgery. Sepsis and its complications are the main causes of deaths. Mortality in the FG has been a steady downward trend, and is 22.3 ± 8.8%. Prevention of the FG is a timely treatment of infectious and inflammatory diseases of the urinary organs and their complications.
The Diabetic Foot Syndrome
Authors: Minakov Oleg Evgen'evich , Andreev Alexandr Alexeevich , Ostroushko Anton Petrovich
Published: August 2018

Diabetes mellitus (diabetes) - takes the third place in the structure of causes of death, affects 4-5% of the world's population, and the costs of its treatment reach 30% of the country's budget for health, of which more than 90% are wastes of treatment of complications SD. Syndrome of diabetic foot (SDS) is formed in 20-50% of patients and in 30% of cases leads to infectious-necrotic complications. When diagnosing SDS pay attention to the condition of the skin and fingers of the feet, blood flow, the presence of pain, to study sensitivity, to conduct capillaroscopy, polarography, ultrasonic dopplerography; Radiography of foot bones, densitometry, angiography, etc. Principles of treatment of infectious-necrotic complications; SDS: urgent hospitalization in the profile department (angiological or "diabetic foot"); Insulin, antibiotic, immunotherapy; The introduction of drugs that improve microcirculation (anticoagulants, antiaggregants, antioxidants); Syndromic therapy; Surgical treatment. Prevention of VTS should include: regular examination of the feet; Definition of a risk group; Selection of adequate shoes; Correction of pathological conditions predisposing to the development of VTS; Training of patients and their family members.
VOYNO-YASENETSKY Valentin Feliksovich (1877-1961). To the 140th of the birthday
Authors: Andreev Alexander Alekseevich , Ostroushko Anton Petrovich
Published: August 2018

Voyno-Yasenetsky Valentin Feliksovich (Archbishop Luka) Archbishop of Crimea and Simferopol, Russian and Soviet surgeon, the author of works in anesthesiology, doctor of medical Sciences (1916), Professor (1917); doctor of theology (1959), winner of the Stalin prize, first degree (1946).

F. Voino-Yasenetsky was born 27 APR 1877. After graduating from high school and Kiev art school, studied painting in Munich. In 1898 he became a student of the medical faculty of Kiev University, after which he worked as a surgeon in Chita, the town of Ardatov in Simbirsk province S. Verkhniy Lyubazh, Kursk region, town of Fatezh, Moscow. In 1915 he published in Saint Petersburg the book "Regional anesthesia", and in 1916 he defended it as his thesis and received the degree of doctor of medicine. Until 1917 the doctor in some of the provincial hospitals of Russia, and later the chief doctor of Tashkent city hospital, Professor of Central Asian state University. In 1921 he was ordained to the diaconate, a week a priest in 1923 he was tonsured a monk and consecrated a Bishop with the name Luca, a week later arrested. In 1926 V. F. Voyno-Yasenetsky returned to Tashkent, but in 1930 he was arrested again and transported to Arkhangelsk. In 1934 he published a monograph "Sketches of purulent surgery". In 1937 he was arrested for the third time. Since 1940, works as a surgeon in the link in Bolshaya Murta, 110 kilometers from Krasnoyarsk. 1941 – consultant to all hospitals in the Krasnoyarsk territory and the chief surgeon of the hospital. In 1942 was elevated to the rank of Archbishop and appointed to the chair of Krasnoyarsk. In 1944, published the monograph "On the course of chronic empyema and hundreth" and "Late resections of infected gunshot wounds of the joints." In 1944, Archbishop Luke was headed by the Department of Tambov. In 1945, awarded the Patriarch Alexy I right to wear the diamond cross, wrote the book "Spirit, soul and body." In 1946 he headed the Crimean Department in Simferopol. In 1946 he was awarded the Stalin prize. In 1955, was blind. Died V. F. Voyno-Yasenetsky June 11, 1961, Archbishop of Crimea and Simferopol.

Author of 55 scientific papers on surgery and anatomy, ten volumes of sermons. His most famous book "Sketches of purulent surgery". Awarded Pointscore (1916), the diamond cross from the Patriarch of all Russia (1944), medal "For valiant labor in the great Patriotic war" (1945), Stalin prize first degree (1944).
Archbishop Luka monuments in Krasnoyarsk, Tambov, and Simferopol, is an honorary citizen of Pereslavl-Zalessky (posthumously). In 1995, St Luke canonized as locally venerated saints of the Crimean diocese, in 2000, the definition of the Council of bishops of the Russian Orthodox Church glorified as a Confessor (Saint) in the Assembly of new martyrs and Confessors of Russia. His relics are installed for worship at Holy Trinity Cathedral in Simferopol.
Possibilities of Laparoscopic Decompression of Celiac Trunk in the Treatment of Dunbar Syndrome
Authors: Ivanov Yury Viktorovich , Chupin Andrey Valeryevich , Panchenkov Dmitry Nikolaevich , Orekhov Pavel Yuryevich , Terehin Aleksey Alekseevich
Published: August 2018

Presented clinical case laparoscopic decompression of celiac trunk syndrome of Dunbar. In most cases, the diagnosis of syndrome of compression of the celiac trunk is by exclusion of other gastrointestinal diseases. Sure, it tells about lack of awareness among the medical community about this specific and rare pathology, as well as a possible skeptical attitude towards it related professionals. The main methods of diagnostics of a syndrome of Dunbar are: ultrasonic duplex scanning of the abdominal aorta, multislice computed tomography and angiography with a respiratory samples. The indication for surgical treatment is the ineffectiveness of conservative therapy, the preservation of the leading symptoms of abdominal ischemia on the ground proved critical in compression of the celiac trunk. Currently, laparoscopic decompression of celiac trunk syndrome Dunbar is the operation of choice. The obvious advantages of laparoscopic surgery are less blood loss, a slight pain syndrome in the postoperative period, short hospital period and better cosmetic effect. In the clinic, where surgeons proficient in the technique of laparoscopic procedures, the surgery can be performed quickly, safely, and efficiently. Additional intervention in the form of endovascular correction is not required in all patients and can be performed in a delayed order.
Own Experience of the Resection Interventions on the Headof the Pancreas in Patients with Chronic Pancreatitis
Authors: Pronin Nikolay Aleksandrovich , Tarasenko Sergey Vasilievich , Natalskiy Alexandr Anatol'evich , Zaitsev Oleg Vladimirovich , Kadykova Oksana Aleksandrovna , Bogomolov Aleksey Yurievich , Bakunina Irina Vladimirovna
Published: August 2018

The article is devoted to optimization of surgical treatment of chronic pancreatitis with consideration of blood supply variants of the pancreas head.
Aim. Optimize the surgical treatment of chronic pancreatitis, taking into account the variants of the blood supply to the head of the pancreas.
Material and methods. At the morphological stage of the study, extraorganic arteries of the pancreas and duodenum were studied by the preparation of 42 complexes of the upper abdominal organs.
Results. In the course of the retro- and prospective study, a comparative evaluation of the results of surgical treatment was carried out, taking into account the anatomical features of the pancreatic blood supply. It has been established that the anterior pancreatoduodenal artery arc has several variants of location in relation to the pancreatoduodenal complex.
Conclusion. The combination of the preliminary ligation of the elements of the anterior pancreatoduodenal arterial arch with more radical excision of the scar-altered parenchyma of the pancreas allows optimizing the surgical treatment of chronic pancreatitis.
KASHEVAROVA-RUDNEVA Varvara Alexandrovna - Russia's first woman doctor and a doctor of medicine (to the 175th of birthday)
Authors: Andreev Alexander Alekseevich , Ostroushko Anton Petrovich
Published: August 2018

Kashevarova-Rudneva Varvara Alexandrovna (1842-1899) – Russian scientist, the first woman to receive the title of doctor and doctor of medicine, accepted by the Society of Russian doctors in St. Petersburg.
Rudneva-Kashevarova Varvara Alexandrovna was born in 1842 in Vitebsk. In 1862, she finished training at the Midwifery Institute in St. Petersburg educational house, and then courses on detection and treatment of syphilis in Kalinkinskogo hospital in St. Petersburg. In 1863, she enrolled at the St. Petersburg medical-surgical Academy, becoming the first student-woman to have officially crossed the threshold of the Medico-surgical Academy in St. Petersburg, which she graduated in 1868 with the attribution of a diploma of "doctor" in the specialty of obstetrician-gynecologist, became the first woman to receive a medical degree in Russia. In 1876 she defended her doctoral dissertation on "Materials for pathological anatomy of the uterine vagina", i.e. she became the first woman in Russia to defend her thesis. She was the first woman accepted into the Society of Russian doctors in St. Petersburg. Together with her second husband, Professor Rudnev, Kashevarova was one of the originators of the Russian Oncology. She died on January 30, 1899, in the 58th year of life and are buried in the cemetery of the Staro-Preobrazhensky monastery in Staraya Russa. Major works: "a Chronic inflammation of the decidua membrane of the uterus" (Medical Gazette, 1868; "About free abdominal bodies" (virkhov's Archive, vol. 47); "the doctrine of placental polyps" (Journal for normal and pathological anatomy, 1873); Materials for pathological anatomy of the uterine vagina (1876); "Hygiene of the female body in all phases of life" (1892); the story "Pioneer" and "The history of women's medical education" (autobiography, "news", 1886); "Village notes" ("news", 1888 and others).
Results of portosystemic shunting in patients with hepatic cirrhosis and ascites syndrome
Authors: Nazyrov Feruz Gafurovich , Devyatov Andrey Vasilevich , Ibadov Ravshan Alievich , Babadjanov Azam Khasanovich , Irmatov Sarvar Khikmatillaevich , Baybekov Renat Ravilevich
Published: August 2018

Purpose. Assess the results of portal systemic shunting (PSSh) in patients with liver cirrhosis (LC) with ascitic syndrome.

Materials and methods. Analyse the results of PSSh in 556 patients operated a year from 2000 to 2015. The basis of the analysis taken all the features related to the development and progression of ascitic syndrome. Depending on the shunt type, research conducted with most frequently performed shunts groups.

Results. Initial decompensated cirrhosis by edema-ascites syndrome significantly increases the risk of specific complications such as hepatic insufficiency from 6.9% to 13.5%, hepatic encephalopathy from 12.1% to 16.2% and increase in ascites from 7.2% to 16.2%, and the mortality rate from 2.1% to 3.8%. The main cause of early mortality after PSSh is a risk of thrombosis of the anastomosis with recurrent bleeding, whereas other specific complications, conservative measures allow neutralizing the difference in the index of satisfactory results of the operation (96.2% — in the group with ascites before PSSh against; 97.9% — in the group without ascites). Quantitative and qualitative analysis of ascites showed that in the coming period after the shunt (3-5 days) the development of this complication depends on the type of bypass surgery, so when the distal splenorenal shunts (DSRS) production of ascites significantly increased (P <0,01), while total protein component fluid significantly (P <0,02) higher than in patients in ascites with central bypass type. This fact is due to the formation of the selective type of bypass on the background of DSRS, and the growth of ascites does not depend on the presence of complications before surgery, indicating that the impact factor of the severity of portal hypertension and therefore the adequacy of decompression of the portal vein system, against which a decrease in blood albumin fraction and increase it in ascites (R2 = 0,57) may be indicative of a high residual portal pressure.

Conclusion. In patients with cirrhosis after PSSh in 70.2% of cases of decompensation of ascites syndrome is caused directly with cirrhotic process and the growth of functional impairment of hepatocytes, the remaining 29.8% of cases, the formation of the complications associated with the progression of PH syndrome on the background of anastomotic thrombosis.
Efficacy of Immobilized Prolonged Ammonium Antiseptics in Treatment of Purulent Wounds
Authors: Sukovatykh B S , Grigoryan A Y , Bezhin A I , Pankrusheva T A , Blinkov Yu Yu , Gorohova A S , Tiganov S I
Published: August 2018

Relevance. Purulent complications occur in 35-45% of patients with surgical diseases, lethality rate from these conditions achieves 25%.
The purpose of the study. To investigate the wound process while treating the purulent wounds with immobilized forms of miramistin and benzalkonium chloride in gel of sodium salt of carboxymetylcellulose.
Materials and methods. There were analysed results of experimental study of the wound process on 108 male Wistar rats. Experimental animals were divided into 3 groups, each group included 36 rats. In a comparison group ‘Levomekol’ ointment was used for treatment. In the first experimental group treatment was done by the ointment with the following composition: 0,01% solution of miramistin — 100 g, metronidazol –1,0 g, sodium salt of carboxymetylcellulose — 4,0 g, while in the second experimental group ointment composition included benzalkonium chloride 0,02 g, metronidazol — 1,0 g, sodium salt of carboxymetylcellulose — 4,0 g, purified water — up to 100,0 g. The wound process was evaluated by planimetric, microbiological and histological methods of investigation.
Results and its discussion. The reduction of wound area in the first experimental group was higher than in a comparison group on the 3rd day of the experiment by 9,7%, on the 5th day — by 7,6%, on the 10th and 15th days — by 10,5%, while in the second experimental group the change was 37,2%, 27,3%, 13,8% and 6,9% respectively. In the first experimental group microbial contamination of the wound was less than in a comparison group by 5,8х106, on the 5th day — by 3,1х105, on the 10th day — by 6,1х104, while in the second experimental group on the 3rd day there were no differences, on the 5th day — by 6,3х105, on the 10th day — 1,1х104. Histological investigations of the wound biopsies on the 10th day of experiment showed that in a comparison group the bottom of the wound was covered by granulation tissue without signs of epithelization, there was full coverage of the wound with a newly formed epithelium in experimental groups.
Conclusions. The use of prolonged quaternary ammonium antiseptics in treatment of purulent wounds is pathogenetically justified and efficient.
The Algorithm For Obtaining Referential Meanings Of Biochemical And Complete Blood Tests Coagulogram In Wistar Male Rats At Blood Sampling From Carotid Artery
Authors: Kinzerskiy A A , Korzhuk M S , Dolgich V T
Published: August 2018

Background. At present time there are few works throwing some light on the details of solving a problem in a field of experimental medicine by the "how to do it" principle which after having studied them give readers a good grasp of reproducing the offered technique on their own. It also concerns blood sampling with the aim of assessing certain indicators at small laboratory animals.
Objectives. To work out the technique of carotid artery catheterization for detecting the referential meanings of biochemical and complete blood tests coagulogram on Wistar male rats. To define more precisely the obtained values by the bootstrap method and to compare them with the data to have published before.
Materials and methods. The research was conducted on Wistar male rats (n=42) weighing 270-380 g. The access to the left carotid artery was implemented with taking into account some anatomic features of an animal being anesthetized with tiletamin/zolazepam (20-40 mg/kg intramuscularly) + xylazine (5-10 mg / kg. intramuscularly). Statistical treatment has been conducted in the programming language R with using the statistical packages "boot", "car", "sm", "coin", "VIM" and "mice". The referential meanings have been defined by the bootstrap method.
Comparing with literature data was executed by the permutational test with p-level correction for multiple comparisons by using the Benjamini-Yekutieli method, the level α was accepted as equal 0,05.
Results and Discussion. The rational access to a carotid artery and its catheterization way have been developed. The referential meanings of biochemical and complete blood tests coagulogram were developed and defined by using the bootstrap method on Wistar male rats. While comparing the indicators to have received earlier from Wistar male rats by other researchers, the statistically significant differences were received in all indicators, except the quantity of leucocytes, thrombocytes, and indicators of hematocrit and total bilirubin. The received differences are likely to be connected with different climatic conditions, the character of anesthesia care, accessing to blood sampling, and wide range of the compared rats’ age. Clinically differences are insignificant.
Conclusion. The developed algorithm for obtaining referential meanings of blood tests samplings from rats can be considered to be rational and reproduced and the received indicators’ values should be considered to be referential.
Prognostic significance of application the non-invasive method of evaluating the functional state of residual parencheme of the liver in patients with focal liver education
Authors: Tarasenko Sergey V , Juchkova Uliana V , Kopeykin Alexander A , Rachmaev Timur S , Baconina Irina V
Published: August 2018

The aim of the study was a determination of the prognostic significance of a non-invasive preoperative assessment to evaluate the functional state of residual liver parenchyma in order to prevent the development of acute hepatic failure.
76 patients with focal liver formation were examined. The first group included 46 patients, who were examined using the method of a non-invasive preoperative assessment of the functional state of residual liver parenchyma, which developed by the authors. The definition of the "resectional index" (IR) was made using the following formula: IR = Vint / TP (U), where Vint - the volume of intact liver parenchyma (cm3); TP - total protein of blood serum (g /l). The second group consisted of 30 patients, whose results of surgical treatment were analyzed retrospectively. Major hepatic resections were performed in 26 (56.52%) patients in the primary and 20 (66.67%) in the control group. The study conducted a comparative intergroup analysis of the frequency and severity of developing complications in the study groups. The complications were distributed according to the Dindo-Clavien classification scale, according to which the life-threatening complication rate was 8.7% and 26.67%, severe postoperative hepatic-cell insufficiency was detected in 2.17% and 16.67% of patients in the main and control group. The differences were statistically significant. It was defined value of the "resectional index" (more than 20 U), the excessing of which statistically significantly increased the risk of severe postoperative complications, in particular acute hepatic failure.
Viktor Sergeevich SAVELIEV - a legend of Russian surgery, an outstanding Russian surgeon, academician of the Russian Academy of Sciences and the Russian Academy of Medical Sciences, Hero of Socialist Labor, laureate of state prizes of the USSR, Chief Surgeon of the Russian Ministry of Health
Authors: Andreev Alexander Alekceevich , Ostroushko Anton Petrovich
Published: August 2018

Виктор Сергеевич родился в 1928 года в Тамбовской области. С 1945 по 1951 годы обучался во 2-м Московском медицинском институте (ныне РНИМУ им. Пирогова), после окончания которого работал ординатором, ассистентом на кафедре факультет­ской хирургии; успешно защищает кандидатскую (1955) и докторскую (1959) диссертации. В.С. Савельев впервые в стране выполнил протезирование бифуркации аорты и безымянных артерий, закрытую комиссуротомию при аортальном стенозе, разработал метод экстракорпорального кровообращения без заполнения аппарата донорской кровью, оригинальные модели водителей ритма. В 1967 году В.С. Савельев избран заведующим кафедрой факультетской хирургии и членом-корреспондентом (1967), а позже – академиком АМН СССР (1974). Виктор Сергеевич впервые выполнил реконструктивные операции при синдроме верхней полой вены, тромбэктомию при болезни Педжета-Шреттера, оперативные вмешательства по поводу острых тромбозов в системе нижней полой вены. Он был автором руководства по неотложной хирургии органов брюшной полости, переиздаваемого трижды (1976, 1986, 2004). В 1998 году В.С. Савельев избирается академиком РАН. В.С. Савельев в течение 38 лет, занимал пост главного хирурга Министерства здравоохранения России. Он являлся председателем Научного общества хирургов России (РОХ), Президентом Российской ассоциации флебологов, главным редактором журналов «Грудная и сердечно-сосудистая хирургия» и «Флеболимфология», почетным членом ряда зарубежных медицинских научных и хирургических обществ. Ему принадлежит более 500 научных работ, в том числе более 19 монографий. Под его руководством и консультировании подготовлено более 70 докторов и более 300 кандидатов медицинских наук.
В.С. Савельев награжден Орденами Трудового Красного Знамени (1973), Ленина (1978, 1988), «За заслуги перед Отечеством» II, III и IV степени (1996, 2003, 2007), Государственной премией СССР (1975, 1992), Демидовской премией (2002), званием «Герой Социалистического Труда» (1988), медалью «Серп и Молот» (1988), Государственной премией Российской Федерации 1992 года в области науки и техники (1993), Почетной грамотой Правительства Российской Федерации (2003), Золотой медалью «Выдающемуся хирургу мира», Большой золотой медалью Н.И.Пирогова (РАМН) (2013). 25 декабря 2013 года на 86-м году Виктор Сергеевич Савельев ушел из жизни, а с ним ушла целая эпоха отечественной хирургии.
Comperative Evalution of Surgical Methods of Treatment of Transverse Flattened Flat Feet on the AOFAS Scale in Izevsk
Authors: Zlobin Aleksey Viktorovich , Fedorov Vladimir Grigor'evich
Published: August 2018

Summary.
Relevance. Transverse platypodia takes up to 80% of feet deformities, and more than 400 methodss for its correction have been developed. The most common in Izhevsk are Shede, Scarf + Akin and the method of Fedorov VG.
Aim. Evaluate the results of these operating tactics on the AOFAS scale.
Materials and methods. The study involved 50 patients, 48 women and 2 men operated in Republican Clinical Hospital №1 at the Ministry of Health of Udmurtia, the FBHI of Udmurt Republic 'City Clinical Hospital at the Ministry of Health of Udmurtia №6', the FBHI of Udmurt Republic 'City Clinical Hospital at the Ministry of Health of Udmurtia №3' in the period from 2015 to 2016.
Results. Evaluation of treatment results on the AOFAS scale for a period of one year after the operation: Shede - 65 points, Scarf + Akin - 80 points. While Fedorov's technique with patent number 2517768 is 95 points.
Conclusion. Due to the combination of the above listed classic techniques plus arthrodesis between the medial cuneform bone and the base of the first and second instep bones, it is possible to achieve the best results.