bluuebunny/crossref_metadata_2025 huggingface dataset:
PREVENTION OF EARLY POSTOPERATIVE COMPLICATIONS OF INTESTINAL SURGERY USING IMMUNOMODULATING THERAPY
Authors: Tymchenko M.
Published: July 2020

Summary. The aim of the study is to develop a method of immunocorrection, which improves the results of treatment of patients with developed peritonitis against the background of the small intestine anastomosis leakege by stopping the cascade of SIRS and MOF.

Materials and methods. The work was clinical in nature, was performed in the clinic of the SI «ZIGUS NAMSU» in the period from 2016 to 2019. We examined 58 patients with various diseases of the abdominal organs complicated by peritonitis, in which sections of the small intestine were resected. The Comparison Group included patients who received traditional therapy, patients of the Main Group, the complex of drug therapy included recombinant interleukin-2, galavit and α-lipoic acid. The results of surgical treatment were evaluated according to the classification of D. Dindo, N. Demartinesta, P.-A. Clavien (2004). Statistical analysis was removed from the Statistica 6.0 software (StatSoft, Inc. 2001) and SPSS 7.5 on Apple PC.

Results and Discussion. Thus, the results of the use of a comprehensive immunomodulation scheme using IL-2, galavit and α-lipoic acid in the complex treatment of patients with widespread peritonitis against the background of intestinal anastomosis failure suggest that the developed scheme has a targeted immunoregulatory effect and prevents the excess production of inflammatory mediators in the early postoperative the period of the disease, helps to eliminate the cytokine imbalance and prevents the development of secondary immune deficiency. A comparative analysis of the incidence of complications revealed that in patients of the Main Group the average number of complications per patient was 0.53, while in the Comparison Group this indicator was 1.36.

Conclusions. The use of a combination of IL-2, galavit and α-lipoic acid in the complex of treatment of common peritonitis helps to reduce the level of systemic and local postoperative complications, as well as the level of postoperative mortality.
ENDOBRONCHIAL SURGICAL METHODS IN THE TREATMENT OF CHRONIC LUNG ABSCESS
Authors: Boyko V. V. , Serenko A. A. , Krasnoyaruzhskiy A. G. , Minukhin D. V. , Hroma V. G. , Yevtushenko D. O. , Korzh P. I.
Published: July 2020

Summary. Treatment of chronic lung abscesses remains a relevant problem of thoracic surgery. A key condition for clinical recovery of the patient or for optimal preoperative preparation is adequate drainage of the chronic abscess cavity. Endobronchial drainage methods are the most physiological and the least invasive.

Materials and methods of research. On the basis of the clinic of the State Institution «V. T. Zaytsev Institute of General and Urgent Surgery of the National Academy of Sciences of Ukraine» 98 patients with chronic lung abscesses were examined and treated. The patients were divided into 2 groups. Patients of the main group together with anti-inflammatory drugs were systemically and locally prescribed liposomal drug «Lipin». The patients of the comparison group used traditional methods.

Results and discussion. Efficiency of endobronchial drainage of a cavity of chronic abscesses is proved by positive ultrasound dynamics: acceleration of cleaning of an abscess cavity — earlier on 2,3 days, acceleration of positive ultrasound dynamics — earlier on 2,9 days. In the analysis of laboratory efficacy indicators — a significant positive effect of the specified methodology on reducing the level of endogenous intoxication is observed.

Conclusions. The data obtained demonstrate the effectiveness of the proposed method of endobronchial drainage of a chronic abscess cavity together with combination anti-inflammatory therapy using Lipin and its advantage over traditional treatment regimens.
PREOPERATIVE DIAGNOSTICS OF CONTRAINDICATIONS TO LAPAROSCOPIC APPROACH AT OPERATIVE TREATMENT OF ACUTE CHOLECYSTITIS
Authors: Lupaltsov V. I. , Vander К. А. , Yagnyuk A. I. , Kitchenko S. S.
Published: July 2020

Summary. Acute cholecystitis is one of the most frequent urgent pathology – about 10-15 %.

Purpose of the analysis – to improve the outcomes of the surgical treatment elderly and senile age patients with acute cholecystitis based on ultrasonic method investigation of a perivesical infiltration.

Materials and method. Clinical investigation and the analysis of results of surgical treatment of acute cholecystitis at 147 patients were carried out. In all cases, cholelithiasis was the cause of acute cholecystitis. Differential criteria of the choice of surgical approach were formed before operation with the ultrasonography of a hepatopancreatoduodenal zone and color mapping with Doppler ultrasonography of a blood-circulation in a wall of a gall bladder. Depending on tissue density and spreading of inflammation, three types of infiltrate were identified: friable infiltrate, dense infiltrate with well-defined contours of a gall bladder and dense infiltrate with blurring of contours of a gall bladder and a choledoch.

Conclusion. The research revealed the most characteristic signs of ultrasonography mapping based on which already before operation it is possible to identify contraindications to laparoscopic approach. Optimization of the choice of surgical approach allowed to increase safety of operation and to improve its results.
COMPLICATIONS OF TRANSPAPILLARY ENDOSCOPIC INTERVENTIONS (TEI)
Authors: Tamm T. I. , Kramarenko K. A. , Mamontov I. N. , Nepomnyashchy V. V. , Zakharchuk A. P. , Zulfigarov I.
Published: July 2020

Summary. Objective — a retrospective analysis of the causes of TEI complications and the results of their treatment.

Materials and methods. The long-term results of performed TEI in 2909 patients were analyzed. The most common indication for TEI was choledocholithiasis, which was found in 1873 (65.4 %) patients and stenosis of papilla was detected in 454 (15.6 %) patients. Complications arose in 112 (3.85 %) patients. 4 (0.14 %) patients died.

Results. Bleeding occurred in 28 (0.96 %) patients. In 12 of 26 patients, endoscopic hemostatic manipulations were additionally performed. Two patients with profuse bleeding from a papillotomy wound were urgently operated on, one patient died. Acute pancreatitis occurred in 68 (2.33 %) patients, of which 56 (1.92 %) had an edematous form, and 12 (0.41 %) patients had a destructive form. 11 patients were operated on from 2 to 15 days from the onset of the disease. Two patients with pancreatic necrosis died of intoxication, the source of which was progressive retroperitoneal necrosis. In 5 (0.17 %) patients, intervention on the papilla was complicated by perforation of the wall of the duodenum. 4 out of 5 patients were urgently operated on (B-2 antrumectomy, external drainage of the common bile duct and retro duodenal space). All 4 patients recovered. In 1 patient, complication was diagnosed on the 5th day after the intervention, which led to delayed surgery and the death of the patient. In 11 patients (0.38 %), a Dormia basket with a stone in the distal part of the common bile duct wedged when trying to extract it. Only one of 11 patients was operated on as planned; in the remaining 10, the problem was resolved with repeated TEI.

Conclusions. Punctual technical implementation of all stages of manipulation, selective cannulation of the bile ducts, careful x-ray control of the position and advancement of the instrument in the ducts helps to reduce the number of complications after TEI.
ENDOVASCULAR METHODS OF TREATMENT POSTPANCREATECTOMY HEMORRHAGE AFTER PANCREATIC RESECTIONS
Authors: Kopchak V. M. , Pererva L. A. , Kondratiuk V. A. , Duvalko A. V. , Khanenko V. V. , Andronik S. V. , Trachuk V. I.
Published: July 2020

Summary. Aim. To evaluate of the endovascular treatment of patients with postpancreatectomy hemorrhage after pancreatic resections.

Matherials and Methods. In the period 2009-2018 we performed 728 radical pancreatic resections in patients with pancreatic cancer.

Postpancreatectomy hemorrhage was occurred in 38 (5,2 %) patients. Mortality was 6 (15,8 %). Postpancreatectomy hemorrhage gr. A st. А was occurred in 3 patients and was treatment concervatively. Hemorrhage gr. B or C were occurred in 35 patients.

Results. Angiography was performed in 17 (48,6 %) patients among 35. In 14 patients postpancreatectomy hemorrhage was diagnosed. In 3 (17,6 %) patients the source of the bleeding wasn’t identified, this patients underwent a laparotomy with a subsequent treatment. Interventional angiography and treatment of hemorrhage were performed in 14 (82,4 %) patients: embolization was performed in 9, stenting in 5. Mortality was occurred in 1 (7 %) patient. There were no complications after stent grafting. Open surgery was performed in 18 (51.4 %) patients. Of the 18 patients, 6 (33.3 %) died of further septic complications.

Conclusions. Endovascular techniques to treatment of postpancreatectomy haemorrhage have proven to be highly effective and safe with good technical and clinical results. Endovascular treatment of bleeding should be the first step in the treatment of postpancreatectomy haemorrhage with stent graft placement in haemorrhage of the main vessels.
FORECAST OF THE OUTCOME OF SURGICAL TREATMENT OF PATIENTS WITH AORTIC ANEURISM TO CHANGE THE CONCENTRATION OF VESSEL ENDOTHELIUM GROWTH FACTOR (VEGF) AND CONTENT OF IMMUNOLOGICAL MARKERS
Authors: Klimova E. M. , Buchneva O. V. , Merezhko O. S. , Kalashnikova J. V.
Published: July 2020

Summary. Despite all the successes of surgical treatment of patients with aortic aneurysm, there are a number of questions, the search for answers to which remains relevant now. It is important to have prognostic markers for assessing postoperative complications.

The aim. To determine the diagnostic and prognostic significance of indicators characterizing immunoresistance, the degree of adaptive reactions and the regenerative ability of immunophysiological factors affecting the outcome of the disease.

Materials and methods. The study examined 23 patients with vascular pathology (13 patients with aortic aneurysm (chest and abdominal) and 10 patients with coronary heart disease (CHD)).

Results and discussion. The determination of significant biomarkers in patients with aortic aneurysms revealed violations of the barrier function of neutrophil phagocytosis. An increase in the oxidative activity of SP, % in the spontaneous NBT-test to (20,2 ± 2,2)% at a reference value of (10 ± 1,1)% and a 1,2-fold increase in the number of cells that absorbed the dye after stimulation with zymosan (ST). In all examined patients with aortic aneurysm, CD2+ and CD3+ stimulation was observed. The decrease in CD4+ and CD8+ in 1,7 and 1,6 times, respectively, in all terms of the survey. A significant increase in cytotoxic factors opsonized by the C3 complement factor by 1,5 times was revealed. In the preoperative period revealed a multiple increase in the concentration of IL-6 (in 60 times) and IL-10 (in 50 times) in all patients with aortic aneurysm. In 3 patients with negative dynamics of the course of the disease (exitus), an extremely low level of VEGF concentration was detected. In all patients with stratified aortic aneurysms, preoperatively reduced AChE activity was observed, an increase in creatinekinase activity to 410 U/l at a reference value of (85 ± 54) U/l, and a decrease in ceruloplasmin content to 214.4 mg/l compared to the reference group (315.0 ± 45.2) mg/l.

Conclusion. As significant biomarkers characterizing the severity of the condition of patients with aortic aneurysm, the level of vascular endothelial growth factor (VEGF), cytokines, as well as changes in the activity of the enzyme acetylcholinesterase (AChE) can be used.
VENOUS BLOOD INDICES AFTER CAVAPLICATION IN PATIENTS WITH THROMBOSIS OF THE VENA CAVA INFERIOR
Authors: Rusin V. I. , Popovich Ya. M.
Published: July 2020

Summary. Despite reports of plication with inferior vena cava thrombosis, the venous hemodynamics before and after hardware cavaplication has been not evaluated.

The aim of research. Estimate the changes of the venous blood flow indices after complication in patients with vena cava inferior thrombosis.

Materials and methods. Quantitative assessment of venous blood flow was performed in 34 patients with inferior vena cava thrombosis before and after incomplete hardware cavaplication. Cavaplication was performed in 11 (32.4 %) patients with non-tumor and in 23 (67.6 %) patients with tumors of the vena cava inferior. For selecting the site of cavaplication, the infrarenal branch of the vena cava inferior directly below the renal veins was prevailed – in 29 (85.3 %) patients, the plication of vena cava inferior lower or higher hepatic veins in 4 (11.8 %) and 1 (2.9 %) patients were performed respectively.

Results. Increases of following indices of central and regional hemodynamics after hardware cavaplication were observed, in particular, volume (by 56.5 %) and the linear rate of blood flow (by 40.4 %), minute volume of blood flow (by 16.2 %), cardiac index (by 8.8 %), systolic volume (by 6 %), end-systolic volume index (by 4.5 %), end-diastolic volume index (by 3.9 %) and ejection fraction (by 2.1 %). Instead, the pressure in the inferior vena cava (by 18.2 %) and stroke volume (by 8.9 %) decreased, which, however, was also considered as a positive result of thrombectomy from the vena cava inferior and hardware cavaplication.

Conclusions. Within a year after inferior vena plication, indicators of central and peripheral hemodynamics were within the physiological norm and collateral pathways during radioisotope phleboscintigraphy weren`t determined. At the same time, the lumen of the vena cava inferior was completely restored, after 12-18 months, in all cases after plication.
PREDICTORS OF HEMORRHAGIC AND THROMBOTIC COMPLICATIONS OF HEPATOSPLENOMEGALY SYNDROME
Authors: Klimova E. M. , Kalashnikova Yu. V. , Kordon T. I. , Lavinskaya E. V. , Agarkova A. N. , Osmanov R. R. , Ryabinskaya O. V.
Published: July 2020

Summary. Goal. Investigation of the interactions of coagulation, anticoagulant and fibrinolytic systems with factors of immunoresistance in hepatosplenomegaly syndrome (SHSM).

Materials and methods. Materials — сells and blood serum of 58 patients with SHSM against the background of liver cirrhosis complicated by portal hypertension, with the etiological factor — HCV / HBV virus infection (group I, 22 people) and the etiological factor — CMV / VEB virus infection (group II, 36 people), who were admitted to the hospital for bleeding from esophageal varicose veins. Methods - photometric on a biochemical analyzer Stat Fax 1904 Plus (USA). (C3 and C4 components of complement, antithrombin III and plasminogen, concentration of circulating immune complexes (CIC), determination of the coagulation time of venous blood Lee-White, calculation of the prothrombin index, fibrinogen content by the Rutberg gravimetric method. Protein C activity (PrS) by the clotting method on a coagulometer K 3002 Spectramed (Poland). Peripheral blood platelet counts were performed using immersion microscopy according to the Fonio method.

Results. Multidirectional changes in the functions of the hemostasis system were revealed: a decrease in antithrombin III activity, protein C content, fibrinogen concentration, a decrease in plasminogen activity, a decrease in platelet counts, an increase in platelet antibodies, an increase in the concentration of the C3 component and a decrease in the C4 component of complement.

Conclusions. Hemorrhagic and thrombotic complications of HCV, life-threatening and affecting the tactics and results of surgical and minimally invasive treatment, can occur both in the HCV group on the background of HBV/HCV viral hepatitis, and in the HCV group on the background of herpes virus CMV/VEB infection, but in group I both hemorrhagic and thrombotic complications were dominated by plasma risk factors for and in group II - platelet and immunological (complement component C3) risk factors for hemorrhagic complications, plasma factors of thrombotic complications.
CHOOSING A METHOD OF SURGICAL TREATMENT OF ACUTE APPENDICITIS IN PATIENTS WITH CONCOMITANT PULMONARY PATHOLOGY
Authors: Hasan Y. , Borodayev I. E. , Kolodiy V. V. , Kachanov V. N. , Volkov V. B.
Published: July 2020

Summary. The article analyzes the experience of using endovideosurgical method of treatment of patients with АA with pulmonary pathology, determines the indications for the use of different methods of applying pneumoperitoneum when performing laparoscopic appendectomy (LA).

Material and method. The result of treatment of 46 patients with acute appendicitis (АA) and concomitant pulmonary pathology in the last 5 years is given. Group I included 14 patients diagnosed with AA with concomitant pulmonary pathology who underwent open appendectomy, and II — 32 patients with a diagnosis of AA with concomitant pulmonary pathology, who underwent laparoscopic appendectomy with the imposition of pneumoperitoneum and metaphormia.

Result. The evaluation of the treatment of 32 patients (84.8 %) with concomitant pulmonary pathology performed by LA, which allowed to dramatically reduce the number of complications from the abdominal organs, as well as to reduce the frequency of decompensation of concomitant pulmonary pathologies.

Conclusions. Performing a laparolifting laparoscopic appendectomy is the optimal method for patients at high risk for cardiopulmonary disease.
CLINICAL VICORISTAN DECASANU PID HOUR WINDOW OPERATION ON THE AUTHORITIES OF THE CERVENOE EMPTY
Authors: Boyko V. V. , Zamyatin P. M. , Savvі S. O. , Zamyatin D. P. , Voskresenska N. M.
Published: July 2020

Summary. The article presents the data of local application of a 0.02 % decasan solution in patients with traditional «open» obviously clean planned surgical interventions on the gastrointestinal tract without perioperative antibiotic prophylaxis.

Objective: to provide intraoperative protection of traditional “open” clean planned surgical interventions and to achieve the prevention of purulent-inflammatory complications through local clinical use of decasan without perioperative antibiotic prophylaxis.

Materials and methods. The study involved 63 patients who were treated at the clinic of the State Institution «Institute of General and Emergency Surgery named after V. T. Zaitsev NAMS of Ukraine» and operated in a planned manner regarding umbilical and inguinal hernia. He performed the traditional «open» clean surgical interventions — hernioplasty. All patients participating in the study were divided into two groups. The main group consisted of 29 (46.1 %) people who, for the purpose of intraoperative protection of the performed interventions, were locally irrigated with the cavity of the surgical wound and suture line with a solution of universal antiseptic decasan, 1 ml of which contains 0.2 mg of decamethoxin, without perioperative antibiotic prophylaxis. The comparison group consisted of 34 (53.9 %) people who underwent antibiotic prophylaxis with parenteral administration of 1.0 g cefipime during the perioperative period.

Results. When conducting a preliminary bacteriological study of smears performed intraoperatively in patients in the group with clinical use of decasan by soaking all the walls of the surgical wounds (initial data before treatment with the drug), the absence of pathological microflora growth was revealed.

Conclusions. It is concluded that the local clinical use of decasan in patients with gastrointestinal tract pathology when performing “open” obviously clean planned surgical interventions fully ensures their adequate intraoperative protection without perioperative antibiotic prophylaxis.
DIFFERENTIATED TREATMENT TACTICS IN PATIENTS WITH RECTAL FOREIGN BODIES
Authors: Shevchenko V. P. , Shevchenko V. V. , Kobiletsky M. M. , Kobiletsky S. M. , Pyatikop H. I. , Kravets O. V. , Bratushka V. O. , Shymko V. V. , Myslovsky I. A. , Gresko I. J.
Published: July 2020

Summary. Patients with rectal foreign body (RFB) are quite rare in the practice of emergency surgeons. There are different techniques for deleting RFB depending on the features of the object being entered. There is still no standardized protocol for the surgical treatment of such patients.

Aim. To analyze the immediate and long-term results of treatment of patients with RFB. Introduce differentiated therapeutic tactics into the practice of urgent surgeons depending on the characteristics of the foreign body and the presence of complications.

Materials and research methods. Three patients with RFB were treated in the surgical department of SRCH during 2018-2019. Their average age was (38 ± 3.6) years. The algorithm of the examination consisted of a physical examination, a rectal finger examination, a radiological and a laboratory examination.

Results and discussion. In two of the patients, the cause of RFB was sexual abuse, and in the third, violent acts. Removed objects: dildo, metal deodorant bottle and glass beaker. RFB in all individuals was diagnosed with a finger rectal examination. In one patient with RFB was removed under local anesthesia, and in two patients used general anesthesia with muscle relaxants. In one case, an attempt to remove RFB was successful, in the other, a laparotomy, colotomy, and preventive sigmostomy were required.

Conclusions. Patients with RFB need differentiated therapeutic tactics. In most patients, it is possible to remove it in a conservative way, peranally, using local anesthesia or endotracheal narcosis with muscle relaxants. For large, tightly clamped objects that cannot be removed conservatively indicated open laparotomy, colotomy.
ANALYSIS OF RISK FACTORS OF COLORECTAL CARCINOMA AND RECOMMENDATIONS FOR PREVENTION
Authors: Gulášová Ivica , Nováková Lada , Cetlová Lada
Published: July 2020

Summary. This paper is focused on the awareness of public regarding prevention of colorectal carcinoma and education in this field. If we look at the lives of our ancestors, we can see that our lives are far more comfortable. Technologies that surround us in every step we take make our lives easier but our pace is faster and faster and that takes toll on our lifestyle – we have less exercise outdoors, bad eating habits, we smoke, drink alcohol, we use drugs and we do not sleep enough. All these factors create stress and strain. Unhealthy lifestyle has lead to overall deterioration of people’s health, cardiovascular diseases, mental disorders or increase of tumor diseases. In the Czech Republic, colorectal carcinoma holds the second position in the incidence of tumor diseases and Czech men have the highest incidence of colorectal carcinoma in the world. That is why it is so important to make prevention a part of our lives to try to avoid this serious disease.
COAGULOGRAM INDICES IN PATIENTS WITH DEEP VEIN TROMBOSIS, DEPENDING ON THE METHOD OF TREATMENT
Authors: Popovich Ya. M. , Rusin V. V.
Published: July 2020

Summary. Despite a satisfactory number of research which dedicated on coagulogram changes in patients with DVT, they are rarely used in clinical practice for the diagnosis of thrombosis, more often for the correction of anticoagulant therapy.

The aim of research. Estimate the changes of coagulogram indices in patients with deep vein thrombosis, depending on the type of treatment performed.

Materials and methods. Has been performed the quantitative estimation of coagulogram indices in 721 patients with deep vein thrombosis. Depending on the treatment method, the patients were divided into two groups: І – 382 (53 %) patients, which performed the surgical treatment with the following prescription the anticoagulant therapy; ІІ – 339 (47 %) patients, which performed only the anticoagulant therapy.

Results. Has been observed more expression of hypocoagulation in patients of I group for the essesment the most of the coagulogram indices: the level of D-dimer was 14.1 % lower than in II group, the average concentration of thrombocyte was 7.8 %, the prothrombin index was 7.1 %, the international normalized ratio by 3.8 %, the level of hematocrit by 2.4 %, platelet count by 1.9 % lower than in patients ІІ group. More expression the prolongation of activated thromboplastin time, activated recalcification time and prothrombin time for 37.9 %, 10.6 % and 4.8 %, respectively, was observed in I group compared with the patients II group. At the same time, the level of fibrinogen in the I group was 9.1 % higher compared with the patients II group.

Conclusions. Hypocoagulation changes of haemostasis in patients which performed the surgical treatment for deep vein thrombosis, compared to patients with isolated anticoagulant therapy, suggest that mechanical removal of thrombotic masses promotes faster normalization of indices hemostasis.
CLINICAL FEATURES AND DIAGNOSIS OF ACUTE APPENDICITIS IN ELDERLY PATIENTS
Authors: Lesnoy V. V. , Lesnay A. S.
Published: July 2020

Summary. Aim. To analyze features of clinic and diagnostics of acute appendicitis (AA) in elderly patients.

Materials and methods. The work is based on the analysis of the results of treatment of 38 patients with AA clinic at the age > 60 years.

Results. The patients were divided into prognostic groups according to the Alvarado scale. The diagnostic algorithm for each group is compiled and the characteristics of clinical features, laboratory parameters, instrumental methods are given.

Conclusion. Only 23.6 % of patients older than 60 years are diagnosed with AA based on objective data, which is why computed tomography or diagnostic laparoscopy is required in the diagnostic algorithm.
CHOOSING A METHOD OF SURGICAL TREATMENT OF PARAKNOLOSTOMY HERNIAS IN PATIENTS WITH OBESITY
Authors: Vorovskiy О. О. , Shaprinskiy V. A. , Shaprinskiy E. V. , Sadik I. M.
Published: July 2020

Smmary. The aim of the work was to solve the problem of preventing and choosing the method of surgical treatment of paracolostomy hernia in patients with obesity.

Materials and research methods. The treatment results of 56 (100.0 %) patients with obesity operated on for paracolostomy hernia were analyzed. Men made up 27 (56.2 %) people, women - 29 (29.0 %). In all patients of this age category, except for obesity, there was a combined concomitant pathology: atherosclerotic and post-infarction cardiosclerosis — in 56 (100.0 %) cases; COPD - in 42 (69.6 %); diabetes mellitus — in 18 (26.1 %); cerebrosclerosis — in 17 (24.6 %). Surgical treatment of paracolostomy hernias was performed by 3 methods: alloernioplasty with colostomy left in the same place was performed in 16 (29.0 %) patients; allohernioplasty with colostomy moving to a new place — 22 (52.2 %) patients; 18 (18.2 %) used minimally invasive methods, of which 8 (11.6 %) using the laparoscopically-assisted method. The average duration of laparoscopic hernioplasty was (65.5 ± 5.5) minutes., With «open» methods — (45.5 ± 5.5) minutes

Research results. The analysis of the results of treatment of paracolostomy hernias with three different methods was carried out; the groups were identical in terms of the number of patients. According to the duration of the operation, the laparoscopic method of alloernioplasty was longer and needed the use of general anesthesia and pneumoperitoneum, which can cause the development of a number of dangerous complications. The other two extraperitoneal methods of allogeneioplasty are more gentle, can be performed under spinal or epidural anesthesia. However, it is precisely with these methods of alogioplasty that the risk of developing local complications is high.

Conclusions. In the treatment of paracolonostomy hernias in patients with obesity, the best results were obtained with laparoscopic alloernioplasty. When withdrawing a colostomy in patients of advanced and senile age, preventive alloprosthetics are recommended.
THE EFFECT OF ENTEROSORPTION AND INTRATISSULAR ELECTROFORESIS OF ANTIBACTERIAL DRUGS ON PROGRESS OF BURN DISEASE
Authors: Petriuk B. V. , Blуk I. I. , Rоtаr О. V. , Khomko L. P. , Petriuk T. A. , Khomko O. Y.
Published: July 2020

Summary. The purpose of our research was to explore the appropriateness of combined usage of enterosorption amplification and intratissular electrophoresis (ITE) of antibiotics in cases of substantial thermal burns. The effect of intratissular electrophoresis (ITE) of antibacterial drugs and enterosorption was studied in 22 patients with dermal thermal burns from 28 to 54 % of their body surface. ITE of antibiotics started from the 3–4 day applying the direct current with density 0,03-0,05 mAh/cm² for 60 min. by the «POTOK-1» device.

The authors determined the intoxication degree based on the leukocyte index, the number of average mass molecules and blood plasma electrical conductivity. Also, they observed the course of wound process, conducted bacteriological and cytological researches of the burn wounds in dynamics on 1–3, 6–7, 13–14 and 19–21 days of the burn disease progress. It was found that enterosorption usage in the comprehensive treatment of burn disease allows not only to reduce the level of endogenous intoxication but also to provide an indirect optimizing impact on the progressing of the wound process in the zone of thermal damage, stimulate the reparative regeneration. In the cases with extensive burns, combined usage of the enterosorption detoxification by Enterosgel with the ITE of antibacterial drugs contribute more qualitative positive influence on the wound process and burn disease in general.
RETROSPECTIVE STUDY AND CURRENT REALITIES AND POSSIBILITIES OF SURGICAL TREATMENT OF OVARIAN CANCER
Authors: Kartashov S. M. , Bazarіnska T. V. , Tymchenko M. Ye. , Gramatyuk S. M.
Published: July 2020

Summary. The aim of the study was to study the effect of clinical and morphological factors on diagnosis and onset of disease recurrence.

Materials and methods. To achieve this goal, we formed a sample of postoperative samples of ovarian tumor tissue, which were divided into 3 groups: comparison group — ovarian cancer (T1-3N0M0, T1-3N0M1) (РЯ n = 261) main group 1 — borderline ovarian tumor (T1-3N0M0) (singing n = 100); the main group 2 — benign tumors of the ovaries (DOYA n = 40). The age of patients ranged from 23 to 62 years. Of these, 50 % were women of childbearing age — from 23 to 36 years (n = 26). The comparison group included 46 patients diagnosed with ovarian cancer aged 35 to 78 years. Among them, the age group from 30 to 40 years old was 14 % (n = 6). Most of the observations — 56 % (n = 24) — occurred in patients aged 40-60 years. Women over 60 made up 30 % (n = 14).

Results and discussion. Ovarian cancer in the structure of the female genital organs malignancy is characterized by an ambiguous forecast and the highest mortality rate. The leading factors determining this phenomenon are the features of tumor metastasis. Metastasis of ovarian cancer occurs at the early stages of the disease and runs a variety of ways: contact, intraperitoneal, haemacirculatory and through the lymphatic system. Such features are determined by the topography of metastatic disease, anatomy, blood supply and lymphatic channel of the female reproductive gland. The greater omentum plays the barrier role in the development of the pathological process of the abdomen. At present poor prognosis and poor treatment outcomes require reviewing approaches to the surgical treatment of ovarian cancer. In this connection defining the features of ovarian cancer metastasis provides an opportunity to find new ways to disable malignant cells distribution.

Conclusions. A key role in the treatment of ovarian cancer has surgery, chemotherapy, and targeted therapy. Adequate staging is important in choosing treatment tactics and assessing the prevalence of the disease. The importance of genetic and molecular studies is growing, according to the results of which it is possible to predict an increased risk of developing OC, to individualize and adjust treatment regimens.
Revisiting Economic Costs of Arsenicosis
Authors: Chakraborty Sanjana , Mukherjee Vivekananda
Published: July 2020

The present paper uses the propensity score matching (PSM) method to calculate the economic loss of arsenicosis-affected households. In contrast to prior studies, whose estimates of income loss were limited to labour-market sources, the PSM method controls for labour market and other sources of income, as well as demographic and educational factors, to identify losses from social discrimination. It first establishes that arsenicosis-affected households are subject to social discrimination, and then shows that this leads to a significant loss of expenditure. Second, it proves that overlooking social discrimination leads to an underestimation of income loss. The results have important implications, both for understanding the plight of arsenicosis-affected households and for cost–benefit calculations in the adoption of policies for fighting arsenic contamination.
Combining Political Ecology and ‘Mésologie’ for a New Geography of Rivers?
Authors: Lafaye de Micheaux Flore , Kull Christian
Published: July 2020

How do we rethink the integrated management of river basins? This article is mainly a theoretical contribution that aims to reflect on ways of knowing rivers in the context of the Anthropocene. The authors suggest a new framework based on post-positivist geographies for a deeper understanding of environmental, political, and social conflicts related to rivers. They highlight the potential of combining political ecology and its hydrosocial cycle framework with the mésologie of Augustin Berque. This approach, inspired by non-modern ontologies, helps to account for the full texture of the relationship between society and rivers. It emphasizes human–environment relations and the concept of “milieu”. It particularly captures the role of lived experience in river–human relationships, by accounting for the emotions and interpretations that link people to rivers both collectively and individually. This is particularly appropriate in the Indian context where rivers are ritually revered.
NEW SUBTERRANEAN FRESHWATER GASTROPODS OF MONTENEGRO (MOLLUSCA: GASTROPODA: HYDROBIIDAE)

Authors: Glöer Peter , Pešić Vladimir
Published: July 2020

New stygobiont species of Hydrobiidae were described. Both new species and one new genus, Plagigeyeria lukai n. sp. and Zeteana ljiljanae n. gen. et n. sp., have been collected in a spring from village Pričelje near Pogorica. An updated checklist of hydrobiids snails from Montenegro is given.
A NEW ARRENURUS SPECIES FROM INDIA (ACARI: HYDRACHNIDIA: ARRENURIDAE)

Authors: Smit Harry , Pešić Vladimir
Published: July 2020

A new Arrenurus species, i.e. A. hastinapurensis n. sp., is described from northern India. This is the seventh species for India of the subgenus Megaluracarus.
TRECHUS (TRECHUS) NEZLOBINSKYI, A NEW HIGH-ALTITUDE GROUND BEETLE SPECIES FROM THE REPUBLIC OF MACEDONIA (COLEOPTERA: CARABIDAE: TRECHINAE)
Authors: Hristovski Slavčo
Published: July 2020

Trechus (Trechus) nezlobinskyi sp. n. is described from a high-altitude area of Jablanica Mt. (southwest Republic of Macedonia). The new species belongs to the “obtusiusculus” group of species and it is treated as most closely related to Trechus (Trechus) ravasinianus Lorenz, 1998 from Central Albania. The diagnostic characters of the new species are described and illustrated.
AN EMPIRICAL STUDY OF IMPULSIVE CONSUMERS’ BEHAVIOUR AT THE TIME OF SELECTION OF FMCG PRODUCTS DUE TO DEMONETISATION: A FACTOR ANALYSIS
Authors: Pandya Prashant , Pandya Kerav
Published: July 2020

With the carrying out of Demonetization, The Government has been hopeful the vision of cashless society in India, advancing the people to apply various cashless option like Credit/Debit Card, EWallet, Cheque, Online transfer-NEFT/RTGS, Demand Draft, Mobile Wallet-PAYTM etc in their routine life. An impulsive buying is made unconsciously and usually without regard to costs or harmful consequences. They are usually provoked by the need for instant self-satisfaction. The study is based on the primary data collected from retail malls like Big Bazaar, Reliance Fresh, D Mart and Osia Mall in Ahmedabad City with the help of structured questionnaire. Data analysis has been done using SPSS software. The statistical analysis method employed in this study is Factor Analysis and
Chi Square analysis. For the present study, 170 mall shoppers were selected from malls of Ahmedabad city. The research is focusing on factors which affect Impulsiveness of Consumers’ Behaviour at the Time of Selection of FMCG Products due to demonetisation. The study also find out that majority of the customers are affecting
CROSSING THE THRESHOLD OF ORTHODOXY AND EMERGING AS AN ENLIGHTENED WOMEN WITH SPECIAL REFERENCE TO SUDHA MURTHY’S MAHASHWETA.
Authors: Dobariya Hina
Published: July 2020

Indian writing in English has created special niche in the heart of the readers from all
over the world. There are noticeable writers who have effectively portrayed India with variety of subjects and issues in their books. Sudha Murthy is one of the most prolific writers in India who has written both in Kannad and English. Being a visionary, she has voiced out many issues related to feminine sensibility. Mahashweta by Sudha Murthy is magnum opus where the protagonist Anupama’s journey has been depicted with gray sheds of life. However, Sudha Murthy has celebrated the true essence of womanhood where Anupama courageously fights against all odd situations and ultimately emerged as a powerful self-reliant individual.
THE EFFECTS OF USING THE WHATSAPP MESSAGES ON ENGLISH LANGUAGE
Authors: Joshi Om
Published: July 2020

The purpose of this paper is to find out the effect of using the Whatsapp messages on
the English language. This is the age of social networking site. The researcher will discuss the effect of Whatsapp messages on English from a structure, grammar, punctuation, code language, symbol usage, emoticon usage, abbreviation, acronym, fusion, coinage of new words, vowel usage etc. The researcher sums-up and reports findings based on the data analysis and interpretation. Along with this, the researcher also enunciates the favourable and adverse effects of Whatsapp messages on English.
ISOLATION OF CHILDREN IN FOREIGN ABODES DUE TO CROSS BORDER BROKEN MARRIAGES
Authors: Shah Archana
Published: July 2020

The world has become a global village and distance is no more the challenge. The direct
impact of this positive change can be seen in interaction of various citizens of different countries belonging to diverse social, cultural and religious background. But cross border movements, inter-country migration and cross border marriages creates a new challenge like inter parental child abduction. In case of cross border broken marriages, there arise various issues like infringement of spouse’s parental rights, parallel conflicting legal disputes in different countries, non participation of various countries to Hague convention for welfare of children, isolation of child in foreign abodes due to connection with Indian soil, etc.

Inter parental child abduction is neither considered as an offence, nor it is covered under any statutory laws of India. Like 94 nations, India is not a signatory to The Hague Convention on Civil Aspects of International Child Abduction, 1980, a multi lateral treaty developed by Hague Conference on Private International Law. Due to its non signatory status the judges of foreign countries do not trust Indian courts and do not permit the parent to take child to India, fearing its non-return.

In absence of any international legal instrument, the litigating parents will have to bear
unnecessary expenses of visa, travel, litigation, etc and unfortunate child will become a trophy to be won in the clashes of egos of litigating parents.
BRIDGING THE HUMAN RIGHT TO CLEAN WATER AND INTELLECTUAL PROPERTY RIGHTS ON WATER TECHNOLOGY IN INDIA
Authors: Patel Amishi , Bharad Bhavesh
Published: July 2020

India, country which has unproportionate distribution of clean water, land and population, is facing growing scarcity of water. No rain for about 200 days at a stretch in city like Chennai is recent example of worst water crisis in 30 years. Many cities particularly those using single source of water that are climate dependent, are looking for alternative sources of water supply. Patent on water technology are on rise. Intellectual Property guarantee monopoly rights to the owner for limited period of time. Human Right to access to Clean Water at affordable rates is a Basic Fundamental Right for all human beings. Intellectual Property Rights are also recognised one of the Human Rights by various international and national instruments. Intellectual Property Rights in recent years have become increasingly relevant in current times. The paper tries to interconnect the Human Right to Clean Water and Intellectual Property Rights law. The paper includes constitutional and judicial perspective on clean water as human right and patent on water technology as one of the important intellectual property which can play a major role in solving the global problem of access to clean water. Lastly, the paper gives suggestions and recommendations to strike a balance between the rights of intellectual property owners and human rights of clean water.
Thermal energy storage
Authors: Ermiş Kemal , Findik Fehim
Published: July 2020

Thermal energy storage (TES) is an advanced energy technology that is attracting increasing interest for thermal applications such as space and water heating, cooling, and air conditioning. TES systems have enormous potential to facilitate more effective use of thermal equipment and large-scale energy substitutions that are economic. TES appears to be the most appropriate method for correcting the mismatch that sometimes occurs between the supply and demand of energy. It is therefore a very attractive technology for meeting society’s needs and desires for more efficient and environmentally benign energy use. In this study, thermal energy storage systems, energy storage, and methods, hydrogen for energy storage, and technologies are reviewed.
Pengaruh Konsentrasi Kulit Kayu Manis (Cinnamomum Verum) Terhadap Mutu Organoleptik Ikan Layang (Decapterus Sp.) Selama Penyimpanan
Authors: Lahinta Zulkifli , Husain Rahim , Naiu Asri Silvana
Published: July 2020

Mutu ikan yang digunakan sebagai bahan baku dalam pengolahan sangat berpengaruh terhadap kelancaran proses pengolahan, serta menentukan kualitas mutu produk yang dihasilkan. Penelitian ini bertujuan untuk mengetahui mutu organoleptik ikan layang (Decapterus sp.) yang dilumuri dengan kayu manis (Cinnamomum Verum) selama penyimpanan. Faktor perlakuan yaitu ikan layang yang diawetkan pada berbagai konsentrasi kayu manis 0%, 5%, 10% dan 15% yang diaplikasikan pada ikan segar selama 12 jam. Data organoleptik dianalisis dengan Kruskall-wallis. Data yang berpengaruh nyata diuji dengan uji lanjut Duncan. Hasil penelitian menunjukkan bahwa kayu manis memberikan pengaruh nyata terhadap uji mutu hedonik berupa kenampakan mata, insang, tekstur, bau, daging dan lendir. Perlakuan terbaik konsentrasi kayu manis yaitu perlakuan 10% dengan kriteria bola mata rata, kornea agak keruh, pupil agak keabu-abuan, agak mengkilap spesifik jenis ikan; insang merah muda atau coklat muda dengan sedikit lendir agak keruh; sayatan daging sedikit kurang cemerlang, jaringan daging kuat; tekstur agak lunak, agak elastis.
Pengaruh Konsentrasi Larutan Daun Kersen (Muntangia calabura L.) Terhadap Mutu Kesegaran Ikan Lolosi Merah (Caesio chrysozona)
Authors: Wahidin Nurhidayat , Harmain Rita Marsuci , Yusuf Nikmawatisusanti
Published: July 2020

Penelitian ini bertujuan untuk mengetahui mutu organoleptik (mutu hedonik), mutu mikrobiologi (Total Plate Count) dan mutu kimia (nilai pH) ikan lolosi merah (Caesio chrysozona) segar yang direndam menggunakan larutan daun kersen (Muntingia calabura L.) dengan konsentrasi berbeda. Perlakuan pada penelitian ini adalah perendaman ikan lolosi dengan konsentrasi daun kersen 0%, 15%, 20%, dan 25% selama 10 jam. Pengujian yang dilakukan terdiri analisis mutu organoleptik (kenampakan mata, insang, lendir, tekstur, bau dan daging), analsisi TPC dan pH. Hasil penelitian menunjukkan bahwa konsentrasi larutan daun kersen 20% dan 25% dengan perendaman 10 jam mampu mempertahankan mutu organoleptik (kenampakan mata, insang, lendir, daging, bau, dan tekstur), serta mampu menghambat jumlah mikroorganisme (TPC) selama perendaman dan memenuhi standar SNI-2729-2013. Namun konsentrasi 15% dengan perendaman 10 jam tidak dapat mempertahankan mutu kesegaran ikan secara organoleptik dan tidak mampu menghambat pertumbuhan mikroorganisme (TPC).
3D Braille as Media in Improving Tooth Brushing Skill for Blind Children
Authors: Hanif Fastabiqul , Sunarjo Lanny , Santoso Bedjo , Djamil Masrifan , Suwondo Ari , Fatmasari Dyah
Published: July 2020

The problem experienced by blind children is that difficult to do self-activity especially in behavioral dental and oral health care. One of the behavioral change strategies for blind children is through dental and oral health education with counseling activities which should put attention to the characteristics of the blind child as well as utilize the hearing and touch senses by implementing 3D Braille Media. It is a development of 3D printing media comprising procedure of proper tooth brushing. The aim of this research is to create 3D Braille as a media of learning to improve tooth brushing skills for blind children. We implemented Research and Development (R & D) method which has five stages of research: data collection, design and build, expert validation, model test and model result. It’s performed in the Quasy experiment pre-test and post-test with control group design sample divided into 2 groups, of which 15 blind children were in intervention group using 3D Braille media and 15 blind children were in control group using Braille flipcharts. The data used intraclass corellation coeffiecient test, paired and independent sample test. The results show that 3D Braille is worthy of a learning media about tooth brushing with p-value of 0.000. Besides, it is more effective in improving tooth brushing skills with p-value of 0.002, as well as lowering the index debris with p-value of 0.020. According to the results of the research, it can be inferred that the impementation of 3D Braille Media model is more effective in improving the tooth brushing skills and lowering the index debris compared to Braille flipcharts.
Az elektronikus hírközlési szolgáltatók együttmûködési kötelezettsége a büntetõeljárás során a gyakorlat tükrében
Authors: Parti Katalin
Published: July 2020

In the light of recent legislative amendments, this author provides an overview of data processing obligations of electronic communications service providers for law enforcement purposes in Hungary.
The Scope of Body Mass Index (BMI) and other body component measurements
Authors: Németh Viktor
Published: July 2020

This paper presents and compare the scopes of the body component measurement methods and techniques currently in use. Next to the best known and widespread Adolphe Quetelet's Body Mass Index, ‘New Body Mass Index’ created by Prof. Trfethen. Moreover, it presents and compares the bioelectrical impedance analysis and the Electrical Impedance Myographs methods, too. This article aims to go through one by one the body component measurement methods, and to compare the most important feature of them, for a better understanding of their usability.
Morpho-molecular diversity of Linocarpaceae (Chaetosphaeriales): Claviformispora gen. nov. from decaying branches of Phyllostachys heteroclada
Authors: Xu Xiu-Lan , Yang Chun-Lin , Jeewon Rajesh , Wanasinghe Dhanushka N. , Liu Ying-Gao , Xiao Qian-Gang
Published: July 2020

In this paper, Claviformisporagen. nov. in Linocarpaceae is introduced from Phyllostachys heteroclada in Sichuan Province, China. The new genus is characterised by its distinct morphological characters, such as ostiole with periphyses, asci with a thick doughnut-shaped, J- apical ring and clavate ascospore without septum-like band and appendage. Maximum Likelihood and Bayesian Inference phylogenetic analyses, based on DNA sequence data from ITS, LSU, SSU and TEF-1α regions, provide further evidence that the fungus is a distinct genus within this family. The new genus is compared with similar genera, such as Linocarpon and Neolinocarpon. Descriptions, illustrations and notes are provided for the new taxon.