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1.
Article in Russian | MEDLINE | ID: mdl-29553233

ABSTRACT

In Naberezhnye Chelny, a number of structural and technological reformations of service of emergency medical care was implemented in 2009-2012. The reformation manifested in organization of unified emergency center of medical care of patients with acute coronary syndrome; joining up of cardiological departments of two hospitals; organization of X-ray surgical department; enhancement of logistics of admission department and interaction with emergency medical care; optimization of mode of medical care rendering at pre-hospital and hospital stages. The implemented reforms permitted increasing accessibility and timeliness of reperfusion therapy under acute coronary syndrome; to implement transcutaneous coronary interventions into practice and increase their number annually; to decrease "door-balloon" index up to 30-40%. As a result, lethality of acute myocardium infarction decreased from 12 to 3 to 5.8% in 2010-2014.


Subject(s)
Acute Coronary Syndrome , Delivery of Health Care, Integrated/organization & administration , Health Services Accessibility/standards , Hospital Departments/methods , Hospitalization/statistics & numerical data , Acute Coronary Syndrome/epidemiology , Acute Coronary Syndrome/therapy , Humans , Quality Improvement , Russia/epidemiology
2.
Solid State Nucl Magn Reson ; 8(4): 219-29, 1997 Aug.
Article in English | MEDLINE | ID: mdl-9373902

ABSTRACT

A solid complex of C60 with gamma-cyclodextrin (gamma-CyD) was examined with NMR spectroscopic methods in order to understand the dynamics of C60, and the interaction between C60 and gamma-CyD. A 13C solid-state cross-polarization magic angle spinning (CP/MAS) NMR spectra shows C60 resonance at 142.6 ppm. This provides the evidence of interaction between 13C spins in C60 and 1H spins in the gamma-CyD host. Ambient temperature experiments on the 13C CP/MAS NMR, with varying contact time, shows that the water associated with gamma-CyDs plays an important role in the nuclear relaxation processes. The dynamics of C60 in gamma-CyD was investigated using temperature and field-dependent 13C spin-lattice relaxation time measurements. The influence of water on the dynamics of C60 was less significant below 250 K.


Subject(s)
Carbon/chemistry , Cyclodextrins/chemistry , Fullerenes , Magnetic Resonance Spectroscopy/methods , gamma-Cyclodextrins , Carbon Isotopes , Chemical Phenomena , Chemistry, Physical , Temperature , X-Ray Diffraction
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