[PEDOPHILIA AS A CAUSE OF CHILD SEXUAL ABUSE: A MEDICAL AND LEGAL PROBLEM].

The purpose of our study is to carry out a comprehensive analysis of the phenomenon of pedophilia in the context of child protection from sexual abuse, as well as to substantiate the need for treatment of persons with sexual perversions as a way to prevent sexual violence against children. Despite the normative consolidation of the inadmissibility of violence against children, including sexual violence, and the current system of preventive measures, today minors are the most victimized group of people. Of particular concern is not only the physical harm caused to a child as a result of sexual violence, but also the negative effects on mental health, which further contributes to the emergence of various psychosomatic illnesses, depressed psycho-emotional state, mental health disorders, suicidal behavior. Analysis of domestic and foreign studies cited in the article shows that the number of criminal attacks on the sexual inviolability of the child is steadily increasing. Most of the victims of such crimes are young children, and the perpetrator is often a close relative or someone known to the child. The use of the digital environment and modern methods of communication by pedophiles in order to harass and coerce children into sexual intercourse contributes to the increase in the number of such crimes. The methodology of the study is based on the dialectical method of knowledge, legal and organizational foundations of preventive activity concerning crimes against sexual freedom and sexual inviolability of the child, interrelation and interdependence of domestic and international experience. The results of the study show that, in order to reduce the number of infringements on the sexual inviolability of the child, a set of legal and medical measures aimed at preventing real and potential threats, primarily at identifying and treating persons with sexual perversions, in particular pedophilia, is necessary. This is especially necessary during and after serving a sentence for relevant crimes.

[CHILD SECURITY ON THE INTERNET AS A MEDICAL LAW PROBLEM].

The purpose of our study is to assess the situation with safety of children when they use the Internet. A comprehensive analysis of the risks and dangers, the source of which is the World Wide Web, has been carried out. Researchers have used the survey method, which confirms the hypothesis that the problem of negative influence in the uncontrolled use of Internet technologies by children exists and is becoming more acute. The quantitative indicators of Internet users among schoolchildren are analyzed, types of crimes are identified, the victims of which can be children who use the Internet. An empirical study showed that one of the main goals of teenagers using Internet technologies is communication, which allows minors to be more free, and in some cases, makes it possible to be relaxed, liberated, frivolous, which leads to increased victimization. The article discusses the impact of virtual communication on the physical and mental health of children, the occurrence of Internet addiction, gaming disorders, attention deficit, hyperactivity disorder, depression and other diseases. In this case, special attention is paid to the characteristics of adolescence, which must be taken into account in the future when studying the safety of children on the Web. The results of our study indicate the need to continue working in the direction of studying the dangers that lurk for children on the Internet, developing measures to prevent harm to children when they use the Network, taking into account the positive foreign experience in applying such measures.

[Clinical experience of the use of memantal in patients with moderate and severe Alzheimer's disease].

OBJECTIVE: To assess the efficacy and safety of memantal, a generic formulation of memantine, in patients with moderate and severe dementia due to Alzheimer's disease (AD). MATERIAL AND METHODS: Thirty patients with moderate and severe AD, aged from 55 to 84 years, were examined. Memantal was used in the dose of 20 mg per day after the titration period. Duration of treatment was 3 months. RESULTS: To the end of the study, there was a moderate positive effect as assessed by the CGI. During the treatment, cognitive functions and different forms of daily activity have improved. Significant positive changes in behavioral symptoms of dementia were noted. No adverse effects were observed during the treatment. CONCLUSION: The results of the analysis revealed the clinical efficacy and safety of memantal in treatment of AD.

Nanoscale resolution in infrared imaging of protein-containing lipid membranes.

The precise imaging of biomolecular entities contributes to an understanding of the relationship between their structure and function. However, the resolution of conventional infrared microscopic imaging is diffraction limited and does not exceed a few micrometres. Atomic force microscopy, on the other hand, can detect infrared absorption down to the sub-micrometer level. In the present report, we demonstrate that for multi-bilayer lipid samples containing the plant photosynthetic pigment-protein complex LHCII, the resolution of this latter technique can be better than 20 nm. Such a high resolution is attributable to two factors: (i) the relatively high infrared absorption by the complex that is integrated perpendicular to the plane of the multilayer film, and (ii) the distinctly different mechanical properties and thermal conductivity of the lipid and protein components of the sample.

[A model of primary open-angle glaucoma: manifestations and outcomes].

OBJECTIVE: To determine the expected duration of the disease and the age of the patients with different stages ofprimary open-angle glaucoma complicated by pseudoexfoliation syndrome (PES) and/or patients with pseudoexfoliation glaucoma (PEG). METHODS: The study protocol included data from 120 patients (50 males (41.7%), 70 females (58.3%)); 189 eyes; 102 right eyes; 87 left eyes). The first study group (28 patients, 44 eyes) comprised patients with suspected glaucoma. The second group (53 patients, 84 eyes) consisted ofpatients with early glaucoma. The third group (21 patient, 33 eyes) included patients with advanced glaucoma, the forth group (18 patients, 28 eyes) comprised patients with terminal glaucoma. Mean age of the patients at diagnosis was 61.6 (58.4; 66.9) years and 66.9 (63.4; 72.8) years at the endpoint visit in 2013. In all cases, diagnosis was made in accordance with the differential diagnostics system and confirmed by special diagnostic techniques. The database included data from 3 qualified examinations taking account of the results of tonometry and static automated perimetry. RESULTS: The mean expected age of the patients age at the onset of blindness was 75.1 years. The occurrence of the event was limited to a period of 6.1 years. Mean age at the time of possible glaucoma development was 59.58 (56.14; 64.36) years. The disease itself could develop within 3.24 (-5.38; -1.2) years prior to diagnosis. CONCLUSION: Studies for glaucoma diagnosis should be focused on the age group of 55-60 years. The degree of IOP reduction in patients with advanced glaucoma does not agree with the Russian glaucoma society recommendations which accounts for progression of the disease.

High average-power ultrafast CPA Yb:KYW laser system with dual-slab amplifier.

A diode-pumped, ultrafast Yb:KYW laser system utilizing chirped-pulse amplification in a dual-slab regenerative amplifier with spectral shaping of seeding pulse from a master oscillator has been developed. A train of compressed pulses with pulse length of 181 fs, repetition rate up to 200 kHz, and average power exceeding 8 W after compression and pulse picker was achieved.

Detrimental effect of aprotinin ban on amount of blood loss during liver transplantation: single-center experience.

BACKGROUND: Aprotinin, a plasmin inhibitor, had been used for reduction of intraoperative bleeding caused by hyperfibrinolysis during extensive surgery. Prophylaxis with aprotinin to limit blood loss during orthotopic liver transplantation (OLT) had been widely applied until the drug was weaned off the therapeutic list for severe complications. We compared the need for blood and blood products transfusion in patients undergoing OLT with and without the use of aprotinin. MATERIALS AND METHODS: A retrospective analysis was performed on 150 patients, who underwent OLT between March 2004 and August 2008 and were divided into 2 groups: the APRO group (n = 111) after induction of anesthesia was given a bolus of 500 kIU of aprotinin in a 30-minutes infusion followed by 140 kIU/h till the end of the OLT in which aprotinin was not administered, and the NON-APRO group (n = 39). RESULTS: Patients from the NON-APRO group needed significantly more units of packed red blood cells (PRBC) than the APRO group (5.53 ± 4.89 vs 3.99 ± 3.58 units; P = .037). Avoidance of aprotinin administration (ß = 1.408), Child-Pugh score (ß = 0.519), and duration of anhepatic phase (ß = 0.03) affected the volume of transfused blood according to multiple regression analysis (P < .05). CONCLUSIONS: Our study confirmed the important prophylactic role aprotinin used to have during OLT in limiting the need for blood transfusions. Further research and progress in methods of blood loss minimization and monitoring of hemostasis are needed to warrant safe liver transplantation.

Model-based estimation of 3-D stiffness parameters in photonic-force microscopy.

We propose a system to characterize the 3-D diffusion properties of the probing bead trapped by a photonic-force microscope. We follow a model-based approach, where the model of the dynamics of the bead is given by the Langevin equation. Our procedure combines software and analog hardware to measure the corresponding stiffness matrix. We are able to estimate all its elements in real time, including off-diagonal terms. To achieve our goal, we have built a simple analog computer that performs a continuous preprocessing of the data, which can be subsequently digitized at a much lower rate than is otherwise required. We also provide an effective numerical algorithm for compensating the correlation bias introduced by a quadrant photodiode detector in the microscope. We validate our approach using simulated data and show that our bias-compensation scheme effectively improves the accuracy of the system. Moreover, we perform experiments with the real system and demonstrate real-time capabilities. Finally, we suggest a simple adjunction that would allow one to determine the mass matrix as well.

Intracellular nanomanipulation by a photonic-force microscope with real-time acquisition of a 3D stiffness matrix.

A traditional photonic-force microscope (PFM) results in huge sets of data, which requires tedious numerical analysis. In this paper, we propose instead an analog signal processor to attain real-time capabilities while retaining the richness of the traditional PFM data. Our system is devoted to intracellular measurements and is fully interactive through the use of a haptic joystick. Using our specialized analog hardware along with a dedicated algorithm, we can extract the full 3D stiffness matrix of the optical trap in real time, including the off-diagonal cross-terms. Our system is also capable of simultaneously recording data for subsequent offline analysis. This allows us to check that a good correlation exists between the classical analysis of stiffness and our real-time measurements. We monitor the PFM beads using an optical microscope. The force-feedback mechanism of the haptic joystick helps us in interactively guiding the bead inside living cells and collecting information from its (possibly anisotropic) environment. The instantaneous stiffness measurements are also displayed in real time on a graphical user interface. The whole system has been built and is operational; here we present early results that confirm the consistency of the real-time measurements with offline computations.

Gender differences in the long-term outcomes after valve replacement surgery.

OBJECTIVE: To compare the long-term outcomes in women and men after valve replacement surgery. DESIGN: Observational study. SETTING: Postoperative aortic valve replacement (AVR) or mitral valve replacement (MVR). PATIENTS: 3118 patients (1261 women, 1857 men) who underwent AVR or MVR between 1976 and 2006 (2255 AVR, 863 MVR), with mean follow-up of 5.6 (4.5) years. MAIN OUTCOME MEASURES: The independent effect of gender on the risk of long-term complications (reoperation, stroke and death) after valve replacement surgery using multivariate actuarial methods. RESULTS: After implantation of an aortic valve bioprosthesis, women had a significantly lower rate of reoperation compared to men (comorbidity-adjusted hazard ratio (HR) 0.4; 95% confidence intervals (CI) 0.2 to 0.9). In contrast, if an aortic mechanical prosthesis had been implanted, women were more at risk for late stroke compared to men (HR 1.7; CI 1.1 to 2.7). After adjustment for age and co-morbidities, women had significantly better long-term survival compared to men after bioprosthetic AVR (HR 0.5; CI 0.3 to 0.6), but there was no survival difference between genders after mechanical AVR. Trends existed towards better survival for women after bioprosthetic MVR (HR 0.6; CI 0.4 to 1.0) and mechanical MVR (HR 0.8; CI 0.5 to 1.1). CONCLUSION: The long-term outcomes after valve replacement surgery differ between women and men. Although women have more late strokes after valve replacement, they undergo fewer reoperations and have better overall long-term survival compared to men.

Building on realism and magic for designing 3D interaction techniques.

Imagination-based interaction can complement reality-based interaction in the design of 3D user interfaces. This hybrid approach could lead to interface design guidelines that promote higher-level consistency, and thus usability, for a large range of diverse interfaces.

Temperature-dependent elasticity of microtubules.

Central to the biological function of microtubules is their ability to modify their length which occurs by addition and removal of subunits at the ends of the polymer, both in vivo and in vitro. This dynamic behavior is strongly influenced by temperature. Here, we show that the lateral interaction between tubulin subunits forming microtubule is strongly temperature dependent. Microtubules deposited on prefabricated substrates were deformed in an atomic force microscope during imaging, in two different experimental geometries. Microtubules were modeled as anisotropic, with the Young's modulus corresponding to the resistance of protofilaments to stretching and the shear modulus describing the weak interaction between the protofilaments. Measurements involving radial compression of microtubules deposited on flat mica confirm that microtubule elasticity depends on the temperature. Bending measurements performed on microtubules deposited on lithographically fabricated substrates show that this temperature dependence is due to changing shear modulus, implying that the lateral interaction between the protofilaments is strongly determined by the temperature. These measurements are in good agreement with previously reported measurements of the disassembly rate of microtubules, demonstrating that the mechanical and dynamic properties of microtubules are closely related.

Preparation, stabilization and characterization of TiO(2) on thin polyethylene films (LDPE). Photocatalytic applications.

An innovative way to fix preformed nanocrystalline TiO(2) on low-density polyethylene film (LDPE-TiO(2)) is presented. The LDPE-TiO(2) film was able to mediate the complete photodiscoloration of Orange II using about seven times less catalyst than a TiO(2) suspension and proceeded with a photonic efficiency of approximately 0.02. The catalyst shows photostability over long operational periods during the photodiscoloration of the azo dye Orange II. The LDPE-TiO(2) catalyst leads to full dye discoloration under simulated solar light but only to a 30% TOC reduction since long-lived intermediates generated in solution seem to preclude full mineralization of the dye. Physical insight is provided into the mechanism of stabilization of the LDPE-TiO(2) composite during the photocatalytic process by X-ray photoelectron spectroscopy (XPS). The adherence of TiO(2) on LDPE is investigated by electron microscopy (EM) and atomic force microscopy (AFM). The thickness of the TiO(2) film is seen to vary between 1.25 and 1.69 microm for an unused LDPE-TiO(2) film and between 1.31 and 1.50 microm for a sample irradiated 10h during Orange II discoloration pointing out to a higher compactness of the TiO(2) film after the photocatalysis.

Exploring the mechanical properties of single vimentin intermediate filaments by atomic force microscopy.

Intermediate filaments (IFs), together with actin filaments and microtubules, compose the cytoskeleton. Among other functions, IFs impart mechanical stability to cells when exposed to mechanical stress and act as a support when the other cytoskeletal filaments cannot keep the structural integrity of the cells. Here we present a study on the bending properties of single vimentin IFs in which we used an atomic force microscopy (AFM) tip to elastically deform single filaments hanging over a porous membrane. We obtained a value for the bending modulus of non-stabilized IFs between 300 MPa and 400 MPa. Our results together with previous ones suggest that IFs present axial sliding between their constitutive building blocks and therefore have a bending modulus that depends on the filament length. Measurements of glutaraldehyde-stabilized filaments were also performed to reduce the axial sliding between subunits and therefore provide a lower limit estimate of the Young's modulus of the filaments. The results show an increment of two to three times in the bending modulus for the stabilized IFs with respect to the non-stabilized ones, suggesting that the Young's modulus of vimentin IFs should be around 900 MPa or higher.

Direct observation of nondiffusive motion of a Brownian particle.

The thermal position fluctuations of a single micron-sized sphere immersed in a fluid were recorded by optical trapping interferometry with nanometer spatial and microsecond temporal resolution. We find, in accord with the theory of Brownian motion including hydrodynamic memory effects, that the transition from ballistic to diffusive motion is delayed to significantly longer times than predicted by the standard Langevin equation. This delay is a consequence of the inertia of the fluid. On the shortest time scales investigated, the sphere's inertia has a small, but measurable, effect.

Quantitative measure of nanoscale adhesion hysteresis by ultrasonic force microscopy.

Adhesion hysteresis is the difference between the work used on separating two surfaces and the work gained on bringing them back together. Although much effort has been invested into adhesion hysteresis investigations at macroscales and microscales, its measurements at the nanolengths or even molecular lengths are still not easy. In this paper we demonstrate how to obtain quantitative measures of local adhesion hysteresis from ultrasonic force microscopy investigations. We derive analytical models fitting all the experimental cases and apply them to experimental data.

Correlations between adhesion hysteresis and friction at molecular scales.

Correlations between adhesion hysteresis and local friction are theoretically and experimentally investigated. The model is based on the classical theory of adhesional friction, contact mechanics, capillary hysteresis, and nanoscale roughness. Adhesion hysteresis was found to scale with friction through the scaling factor containing a varying ratio of adhesion energy over the reduced Young's modulus. Capillary forces can offset the relationship between adhesion hysteresis and friction. Measurements on a wide range of engineering samples with varying adhesive and elastic properties confirm the model. Adhesion hysteresis is investigated under controlled, low humidity atmosphere via ultrasonic force microscopy. Friction is measured by the friction force microscopy.

[Methods of statistical analysis in differential diagnostics of the degree of brain glioma anaplasia during preoperative stage].

The authors proposed a possible preoperative diagnostics of the degree of supratentorial brain gliom anaplasia using statistical analysis methods. It relies on a complex examination of 934 patients with I-IV degree anaplasias, which had been treated in the Institute of Neurosurgery from 1990 to 2004. The use of statistical analysis methods for differential diagnostics of the degree of brain gliom anaplasia may optimize a diagnostic algorithm, increase reliability of obtained data and in some cases avoid carrying out irrational operative intrusions. Clinically important signs for the use of statistical analysis methods directed to preoperative diagnostics of brain gliom anaplasia have been defined