bluuebunny/crossref_metadata_2025_split huggingface dataset:
FAST-PROTOCOL AND INTERVENTIONAL SONOGRAPHY IN THE DIAGNOSTIC AND TREATMENT OF COMBAT INJURIES OF THE ABDOMEN
Authors: Khomenko I. P. , Muradian K. R. , Shapoval V. Yu. , Herasymenko O. S. , Haida Ya. I. , Chertilina-Muradian A. Ju. , Okolets A. V. 
Published: October 2021

Summary. The aim — improvement of diagnostic and surgical treatment of wounded abdominal injuries by introducing emergency ultrasound techniques and mini-invasive surgery under the control of ultrasound imaging.
Materials and methods. A clinical and statistical analysis of the results of surgical treatment of 293 wounded with combat injuries of the abdomen who underwent treatment in military mobile hospitals was carried out. In the comparison of the wounded with combat injuries of the abdomen, additional diagnostic tests were carried out in the comparison groups — FAST protocol, puncture sanitation and draining surgical interventions under ultrasound navigation.
Results and discussion. In the main group, unlike the control group, all wounded were followed by the FAST protocol. Widespread introduction into the diagnostic program of FAST-protocol and diagnostic punctures under ultrasound navigation allows to reduce the level of more traumatic diagnostic laparocentheses from 24.7 to 2.2 % and unreasonable surgical interventions from 3.2 to 0.7 %. Based on the results of the study, we have developed an algorithm for diagnostic and therapeutic actions for the wounded with combat trauma to the abdomen according to the results of the FAST-protocol.
Conclusions. The data obtained indicate that the widespread adoption of the FAST protocol, transcutaneous puncture sanitation interventions under ultrasound guidance in the diagnosis and treatment of combat abdominal trauma and its complications contribute to a decrease in the number of invasive and more traumatic (often unreasonable) diagnostic and treatment methods, which leads to faster recovery and shortened treatment time.
SPECIFIC ASPECTS IN TREATMENT OF SUPPURATIVE-INFLAMMATORY COMPLICATIONS IN GUNSHOT WOUNDS OF EXTREMITIES
Authors: Shaprynskyi V. O. , Verba A. V. , Shaprynskyi Y. V. , Fomin O. O. , Fomina N. S. 
Published: October 2021

Summary. The aim of the study was to present an argument for treatment algorithm of patients with extremity gunshot injuries complicated by suppurative inflammation.
Materials and research methods. Examination and treatment of 163 patients with gunshot wounds of the extremities were performed. All the wounded were divided into 3 study groups. The patients of group 1 underwent conventional treatment of gunshot wounds. In group 2, negative pressure wound therapy was used. Wounded patients of group 3 received vacuum-assisted therapy supplemented by the proposed scheme of counter-drainage and flow-through flushing irrigation of wounds with antiseptic solutions of 0.02 % decamethoxine and 3 % hydrogen peroxide. Bacteriological study of wound exudate was carried out, and sensitivity of microorganisms to antibiotics was determined.
Results and its discussion. Wound microbiology analysis in victims of blast and mine-blast injuries demonstrated predominance of gram-negative bacteria in wound microbiocenosis — Acinetobacter spp. (53 % of cases) and Pseudomonas spp. (15 % of cases). Gram-positive cocci were isolated in 22.2 % of cases. Sensitivity study of nonfermentative gram-negative rods demonstrated them to have high level of resistance to most antibacterial agents. All strains of Acinetobacter and Pseudomonas spp. were sensitive to polymyxin B and colistin but resistant to inhibitor-protected and -unprotected amino penicillin.
Beneficial effect of vacuum therapy in patients of groups 2 and 3 was evidenced by significantly reduced time of wound healing and hospital stay. The use of suggested mixture of antiseptics resulted in decrease of inflammation in 94.45 % and 88.89 % of patients in groups 3 and 2, respectively. Besides, in group 3, duration of hydration phase in wound healing process decreased to 5.7 days. The period of complete wound healing was shorter by 2.5 days, and hospital stay decreased from 14.97 to 10.8 days.
Conclusions. Thus, predominance of gram-negative microorganisms in gunshot wounds as well as their high resistance to antibiotics should be considered when undertaking empirical antibiotic therapy in wounded patients. The proposed treatment algorithm involving negative pressure wound therapy supplemented with counter-drainage and flow-through flushing irrigation with a mixture of suggested antiseptics proved to be highly efficient in patients with extremity gunshot injuries complicated by suppurative inflammation.
PREVENTION OF THROMBOEMBOLIC COMPLICATIONS OF SURGICAL PATIENTS.
Authors: Liesnyi V. V. , Filonenko V. O. , Liesna A. S. 
Published: October 2021

Summary. Aim. To analyze the clinical significance of the Caprini scale for the prevention of venous thromboembolic complications (VTEС) in urgent surgical patients.
Materials and methods. The study is based on a retrospective assessment of inpatient medical records of 58 patients in the surgical department, who were divided into three clinical groups according to the characteristics of the Caprini scale.
The results. The first clinical group - 11 (19%) patients with low risk VTEС. Prevention of VTEС was carried out only using compression stockings. The second clinical group consisted of 25 (43.1%) patients with moderate risk of VTEС. Prevention of VTEС was performed using compression stockings for (4.4 ± 0.6) days and the introduction of enoxaparin at a dose of 2000 anti-Xa IO 1 time per day for 5 days. The third clinical group consisted of 22 (37.9%) patients at high risk of VTEС. Prevention of VTEС was performed using compression stockings, the use of enoxaparin by subcutaneous injection at a dose of 4000 anti-Xa IO 1 time per day for 7 days.
Conclusions. The study found that the Caprini scale is effective for assessing the risk of VTEС and allows you to choose rational tactics for the prevention of thromboembolic complications in urgent surgical patients.
TREATMENT OF LONG-TERM NON-HEALING PURULENT WOUNDS OF THE LOWER LIMBS USING VAC-THERAPY
Authors: Goltsev K. A. , Krivoruchko I. A. , Ivanova Yu. V. , Cheverda V. M. 
Published: October 2021

Summary. The purpose of the study is - To improve the results of treatment of patients with purulent long-term non-healing wounds of the lower extremities using the method of local negative pressure.in purulent long-term non-healing wounds (PLTNHW).
Objectives of the research — according to the clinic’s data, to study the features of the course of the wound process and the microbiological characteristics of purulent long-term non-healing wounds of the lower extremities when exposed to the wound surface of local negative pressure.
Conclusions. The use of the local negative pressure method in the complex treatment of patients with purulent long-term non-healing wounds of the lower extremities helps to reduce the duration of the phases of the course of the wound process, early tissue decontamination and a rapid reduction in the size of wound defects.
IMMUNOLOGICAL FEATURES OF THE DYNAMICS OF THE I DEGREE SEVERETY BACTERIAL KERATITES DEPENDING ON THE PRESENCE OF DIABETES MELLITUS
Authors: Zavoloka O. V. , Bezditko P. A. , Abramova L. P. , Vekshyn V. O. 
Published: October 2021

Summary. In patients with diabetes mellitus (DM) there are features of the dynamics of the I degree severity bacterial keratitis, leading to prolongation of the disease and worsening of its consequences.
The aim was to identify immunological features of the dynamics of the I degree severity bacterial keratitis depending on the presence of type 1 DM.
Materials and methods. The level of interleukins (IL) was analyzed, namely IL-1β, IL-6 and IL-10 in the lacrimal fluid of the sick and the contralateral eye of 6 patients with type 1 DM and the I degree severity bacterial keratitis and 6 nondiabetic patients with I degree severity bacterial keratitis on the 1st day, 10-14th day and 24th day of observation. Data from 14 healthy individuals of the appropriate age were used for comparison. The severity of bacterial keratitis was determined according to our scheme at a total score of ≤ 14. All patients were treated with instillations of ofloxacin, antiseptics, antioxidants, reparents, artificial tears, mydriatics, systemic anti-inflammatory therapy. The level of IL in the lacrimal fluid was determined by quantitative colorimetric enzyme-linked immunosorbent assay using ELISA kits by ANOGEN according to the instructions for use.
Results and discussion. In patients with I degree severity bacterial keratitis, both DM and nondiabetic, on the 1st day of observation there was an increase in the level of IL-1β and IL-6 in the lacrimal fluid of the sick eye and IL-10 – of the contralateral eye compared to healthy persons, on the 10th-14th day — increase in the level of IL-1β and IL-6 of the sick and the contralateral eye, as well as IL-10 – of the contralateral eye (p<0.05). On the 24th day in nondiabetic patients with I degree severity bacterial keratitis normalization of interleukin levels in the lacrimal fluid of the sick and the contralateral eye was found, but in DM patients remained elevated levels of IL-1β, IL-6, both in the sick and in the contralateral eye (p<0.05).
Conclusions. In DM patients there are immunological features of the dynamics of the I degree severity bacterial keratitis, namely a longer increase in the level of proinflammatory cytokines IL-1β, IL-6 in the lacrimal fluid of the sick and the contralateral eye.
INTESTINAL ANASTOMOTIC LEAK: HISTOLOGICAL AND IMMUNOHISTOCHEMICAL ASPECTS
Authors: Voitiv Ya. Yu. 
Published: October 2021

Summary. The aim. Improving the results of treatment of patients with intestinal anastomotic leak by determining the role of undifferentiated connective tissue dysplasia in the development of these complications.
Materials and methods The object of the study comprises 45 patients with anastomotic leak and with phenotypic signs of undifferentiated connective tissue dysplasia, who were treated in the Shalimov National Institute of Surgery and Transplantology during 2017-2020. Laboratory, histological, immunohistochemical studies and statistical analysis were performed.
Results and discussion. With comprehensive study of tissue fragments small and large intestines revealed similar morphological characteristics in groups of phenotypic traits undifferentiated connective tissue dysplasia and with intestinal anastomotic leak. In immunohistochemical study of tissues with monoclonal antibodies to α-smooth muscle actin revealed uneven focal expression in smooth muscle cells and fibroblast; with monoclonal antibodies to Collagen IV there is a moderate positive expression in the basement membrane of blood vessels, in smooth muscle cells of the muscular layer of the vascular wall, in areas of connective tissue.
Conclusions. Immunohistochemical examination of small and large intestinal tissues with monoclonal antibodies to Collagen IV and α-smooth muscle actin revealed signs of pathological connective tissue remodeling in the areas of anastomotic leak.
CATHETER-DIRECTED THROMBOLYSIS AS A METHOD OF CHOICE IN THE TREATMENT OF ACUTE THROMBOSIS OF DEEP VEINS OF THE LOWER EXTREMITIES
Authors: Taraban I. A. , Oklei D. V. , Prasol V. О. , Beresnyev S. O. , Dmuhovskyi N. I. 
Published: October 2021

Summary. Introduction. Acute thrombosis of deep veins (DVT) of the lower extremities is a pathology that requires immediate treatment, but most thrombolytics do not work effectively, except for catheter-directed thrombolysis.
Research aim. Rationalization of DVT treatment, determination of the catheter thrombolysis method as the most effective way to eliminate proximal thrombosis of deep veins.
The analysis was based on the results of the treatment by different thrombolytic drugs the patients with the given pathology.
Results and discussion. According to the analysis the most effective method of DVT treatment is catheter-guided administration of streptokinase, because streptokinase is the most effective anticoagulant, and its local action on the mass of the thrombus allows for complete elimination of the thrombus in a relatively short time without the counter allergic reaction to the infusion of streptokinase.
Conclusions. Catheter-directed infusion of streptokinase as a method of treatment of acute thrombosis of the lower extremities has significantly better treatment results compared to other methods of treatment of this pathology.
TREATMENT OF THORAX TRAUMA
Authors: Koshak S.F. , Belyak A. V. , Petryshyn O. S. 
Published: October 2021

Summary. Aim. Improving the results of treatment of chest injuries.
Materials and methods. 2112 patients with thorax trauma were treated in Lviv lung centre from 1998 to February 2021 year. Diagnosis consisted of clinical, radiological, bronchological, thoracoscopic, sonographic and computer tomography of the chest.
Results and their discussion. 2112 patients (at the age of 12-87): penetrating wounding of thorax (PWT) – 501 (23,72%, including 68 wounding of heart and pericardium), closed trauma of thorax (CTT) – 1611 (76,28%); males – 1991 (94,27%), females – 121 (5,73%). 26 (5,32%) patients with PWT have died after operations, among them – 11 patients with heart wounding; and 11 (0,68%) males have died with combined CTT (7 patients with closed trauma of brain from 48 – 14,6%). Total mortality was 1,75 % (37 from 2112).
Conclusions . At PWT the thoracotomy, except for urgent states, it is expedient to postpone and carry out it after stabilization of hemodynamics of the patient. Thoracoscopy is mandatory for all patients with PWT with a stable general condition. At patients with a floating segment of a chest wall of a technique of its fixing to define individually depending on a situation.
Energy Transfer Across the Magnetopause Under Radial IMF Conditions
Authors: Lu J. Y. , Zhang H. X. , Wang M. , Kabin K. , Zhou Y. , Li J. Y. 
Published: October 2021

Abstract
A global MHD model is used to study the energy transfer from solar wind to magnetosphere through magnetopause under radial interplanetary magnetic fields (IMFs). We use the streamline method to determine the smooth surface of the magnetopause by searching the inner boundary of the solar-wind streamline and discuss the roles of magnetic reconnection and viscous interaction under radial IMFs, which we compare with cases of north–south IMFs. We find that (1) the energy transfer across the magnetopause is asymmetric between the northern and southern hemispheres due to different reconnection locations, particularly for electromagnetic energy; (2) for sunward IMF, the most significant area of the net input of mechanical energy occurs on the day side and near-Earth magnetotail, and the electromagnetic energy input in the northern hemisphere is much larger than in the southern hemisphere on the night side; (3) the mechanical and electromagnetic energy-transfer distribution in the northern (southern) hemisphere for earthward IMF is the same as that in the southern (northern) hemisphere for sunward IMF; (4) the electromagnetic energy input for radial IMF is two times larger than for northward IMF, but three times smaller than for southward IMF, the viscous effect is smaller than for northward IMF but comparable to that for southward IMF, the rate of energy transfer is 2.22% for radial IMF, which is lower than 4.95% for southward IMF, but higher than 1.7% for northward IMF; and (5) the Akasofu-type energy-coupling formula, ϵ, is not suitable for the solar-wind events dominated by IMF B

x
.
On the Circular Polarization of Repeating Fast Radio Bursts
Authors: Dai Shi , Lu Jiguang , Wang Chen , Wang Wei-Yang , Xu Renxin , Yang Yuanpei , Zhang Songbo , Hobbs George , Li Di , Luo Rui , Filipovic Miroslav , Jiang Jinchen 
Published: October 2021

Abstract
Fast spinning (e.g., sub-second) neutron star with ultra-strong magnetic fields (or so-called magnetar) is one of the promising origins of repeating fast radio bursts (FRBs). Here we discuss circularly polarized emissions produced by propagation effects in the magnetosphere of fast spinning magnetars. We argue that the polarization-limiting region is well beyond the light cylinder, suggesting that wave mode coupling effects are unlikely to produce strong circular polarization for fast spinning magnetars. Cyclotron absorption could be significant if the secondary plasma density is high. However, high degrees of circular polarization can only be produced with large asymmetries in electrons and positrons. We draw attention to the non-detection of circular polarization in current observations of known repeating FRBs. We suggest that the circular polarization of FRBs could provide key information on their origins and help distinguish different radiation mechanisms.
The Effectiveness of the Different Patterns of the Digital Story in the Development Linguistic Intelligence Skills and Mindfulness Among Jordanian Primary Students During the Corona Pandemic
Authors: Aldalalah Osamah Mohammad Ameen 
Published: October 2021

<p>The purpose of this study was to investigate effectiveness of the different pattern of the digital story in the development linguistic intelligence skills and Mindfulness in Jordanian primary students during the Corona pandemic. Quasi experimental factorial design was adopted in this research. The researcher designed two patterns of the digital story in the Arabic language course. The study sample consisted of 43 students and were randomly (simple random sample) selected. The study sample was divided into two groups. The first group consisted of 23 students who studied through a written digital story, as for the second group, it consisted of 20 students who studied through the digital audiovisual story. The dependent variables were the linguistic intelligence skills and Mindfulness. The researcher used two scales. The first is to measure linguistic intelligence skills, and the second is to measure mindfulness. Data were collected and appropriate statistical analysis performed. ANCOVA was used to determine the significant differences among the two groups. Analyses of covariance (ANCOVA) were performed to examine the main effects of the independent variables on the dependent variables. The findings of this study showed that students using the digital audiovisual story mode performed significantly better than those students using the written digital story in the linguistic intelligence skills, and mindfulness.</p>
Recurrence of left ventricular pseudoaneurysm after multiple mitral valve replacements
Authors: Alsomali Afrah , Eltayeb Abdullah , Aldosari Sarah , AlShahid Maie , AlSanei Aly , AlEnazy Ali , Vriz Olga 
Published: October 2021

Left ventricular pseudoaneurysm (LVPA) formation is a potentially lethal complication of myocardial infarction (MI] and mitral valve (MV) replacement that requires prompt diagnosis and treatment. A female patient who had been complaining of exertional dyspnea underwent a two-dimensional transthoracic echocardiogram (TTE) which revealed a functioning mechanical MV with severe paravalvular leak, severe tricuspid regurgitation (TR) and severely elevated pulmonary artery systolic pressure. Moreover, echo-lucent space at the postero-lateral portion of the left ventricle near the MV was seen, suggestive of a large LVPA. Transesophageal echocardiography (TEE) and Computed Tomography (CT) angiography confirmed these findings. Afterwards, the patient had a surgical repair for the LVPA along with mitral and tricuspid valve (TV) replacement. Three months later, the patient presented with symptoms of congestive heart failure. The LVPA had recurred at the same location of the previous pseudoaneurysm and given the high risk for reoperating on the patient, close monitoring and medical management was deemed as a better option.
Avaliação de diferentes substratos orgânicos na produção de biomassa do hortelã (mentha piperita l.)
Authors: Amorim Edinélia Lima , Da Silva Franceli , Neto Manoel Teixeira de Castro , Alves Lucylia Suzart , De Oliveira Maria Elisa Falcão , Pacheco Jardel Luís Felix 
Published: October 2021

O cultivo de plantas medicinais assume importância mundial devido à demanda exercida pelas indústrias químicas, farmacêuticas, alimentares e de cosméticos. Entre as plantas medicinais, a Hortelã (Mentha piperita L.), apresenta óleo essencial de grande interesse econômico. A aplicação de adubos orgânicos em seu cultivo melhora as condições físicas, químicas e biológicas do solo, além de fornecer nutrientes que contribuem em diversos processos metabólicos no vegetal. Este trabalho teve como objetivo avaliar diferentes substratos orgânicos na produção de biomassa de hortelã. O experimento foi realizado em casa de vegetação do campus experimental da Universidade Federal do Recôncavo/UFB em Cruz das Almas/Ba. Foram 4 tratamentos: T1- controle (solo puro), T2 - húmus de minhoca + solo + areia, T3 – composto orgânico + solo + areia, T4 – esterco bovino + solo+ areia, com dez repetições, totalizando 50 unidades experimentais. As variáveis foram altura da planta, diâmetro do caule, teor de clorofila a e b, massa fresca e seca da parte aérea, massa fresca e seca da raiz. O tratamento com esterco bovino apresentou as melhores média na produção de massa seca de 130, 28 g e fresca de 22, 59 g da parte aérea e raiz.de 176,13 e 25,18 g respectivamente. A maior média em relação a altura da planta foi com o tratamento de composto orgânico (46,5 cm).

The cultivation of medicinal plants is of importance due to global demand exerted by the chemical, pharmaceutical, food and cosmetics. Among the medicinal plants, the Mint (Mentha piperita L.) L. essential oil has great economic interest. The application of organic fertilizers in cultivation improves the physical, chemical and biological soil properties, in addition to providing nutrients that contribute in various metabolic processes in the plant. This study aimed to evaluate different organic substrates in the production of biomass mint. The experiment was conducted in a greenhouse on campus Universidad Federal Reconcavo / UFB in Cruz das Almas / Ba. 4 treatments were: T1-control (pure soil), T2 - earthworm humus soil + sand +, T3 - compost + soil + sand, T4 - cattle manure + soil + sand, with ten repetitions, totaling 50 experimental units. The variables were plant height, stem diameter, chlorophyll b, fresh and dry weight of shoot, fresh and dry root. Treatment with manure showed the best average in the dry mass of 130, 28 g and 22 fresh, 59 g of shoots and raiz.de 176.13 and 25.18 g respectively. The highest average over the height of the plant was to treat organic compound (46.5 cm).