[Totally implantable central venous port: analysis of complications and their prevention]. / Analiz oslozhnenii i ikh profilaktika pri implantatsii tsentral'noi venoznoi port-sistemy.

OBJECTIVE: To analyze postoperative complications of totally implantable central venous port system (TIPCVP) deployment and develop methods of their prevention. MATERIAL AND METHODS: The study involved 43 patients who underwent TIPCVP implantation through right-sided jugular access and 3 patients with migration of the catheter transferred to the Domodedovo Central City Hospital. RESULTS: There were four perioperative and one early postoperative complication. None of the complications was the reason for removal of TIPCVP. Pinch-off syndrome occurred in two patients who were operated in other hospitals and a catheter was inserted through the right subclavian vein. CONCLUSION: Injury of the carotid artery and pneumothorax can be avoided by ultrasound navigation during internal jugular vein puncture. Catheterization of the internal jugular vein is useful to avoid pinch-off syndrome. Migration of the catheter is successfully cured by endovascular methods.

Lattice dynamics in FeSi measured by inelastic x-ray scattering.

The phonon dispersion of FeSi was measured by inelastic x-ray scattering. The study of its temperature evolution in the range of 100 K-300 K showed that the phonon modes soften to a different extent. The phonons exhibiting specifically strong softening were revealed to belong to the weakly dispersive optical branch. At the same time, the calculations of the lattice dynamics of FeSi suggest that this branch corresponds mainly to the atomic displacements that change the Fe-Fe nearest neighbor distance. It points to the role of the Fe-Fe interaction in the phonon softening.

Raman spectra and structural peculiarities of TeO2-TeO3 mixed oxides.

Raman spectra of the mixed crystalline oxides of the (1 - x)TeO2 + xTeO3 (x = 0, », ½, 1) series were recorded and simulated by using the DFT calculations. Good agreement between observed and calculated Raman spectra makes it possible to establish unambiguous assignment for all prominent Raman lines. This result gives an insight into relations between structural peculiarities and observed spectral features for the crystals promising as nonlinear optical materials. Highlights • Several mixed TeO2-TeO3 crystals were synthesized by solid-state chemistry • DFT calculations well describe structures and phonon spectra of TeO2-TeO3 oxides • Raman lines can be assigned to internal vibrations of TeO4 and TeO6 polyhedrons • Observed Raman bands can be used as fingerprints of different structural units.

Optical limiting, nonlinear refraction and nonlinear absorption of the associates of Cd0.5Zn0.5S quantum dots and dyes.

The optical limiting properties of alloyed Cd0.5Zn0.5S quantum dots associated with erythrosine dye are analyzed using 532 nm, 40 ps pulses. We show that joint influence of saturable absorption, reverse saturable absorption and two-photon absorption cause the optical limiting of 532 nm radiation at the pulse energies exceeding 1 mJ. The nonlinear refraction and nonlinear absorption of these quantum dots associated with different organic dyes were studied using 1064 nm and 532 nm radiation. The nonlinear refraction index and nonlinear absorption coefficient of Cd0.5Zn0.5S quantum dots were measured at λ = 1064 nm to be 2 × 10-13 cm2 W-1 and 1.2 × 10-8 cm W-1, while the reverse saturable absorption of Cd0.5Zn0.5S quantum dots and erythrosine at λ = 532 nm was almost two orders larger. The potential applications of these quantum dots for high-order harmonic generation are discussed.

Raman investigation on the behavior of parasibirskite CaHBO3 at high pressure.

Knowledge about the stability of hydrous borates and borosilicates at high pressures are of critical importance to our understanding on the boron geochemical cycle. Raman spectroscopic measurements of parasibirskite CaHBO3, containing the [BO2(OH)] groups, have been made to pressures up to 5.4GPa. The Raman data show that a progressive structural evolution from ambient pressure to 5.4GPa can be accounted for by the same monoclinic phase P21/m, where the splitting of several Raman bands observed at some pressures is interpreted as the effect of the complex disordering in the H-bond network that has bifurcated H-bonds and ½-occupied H sites. There is no unambiguous evidence for phase transition to the ordered P21 monoclinic phase predicted by first-principles calculations at T=0K (W. Sun et al., Can. Miner., 2011). On the contrary, the disordering of parasibirskite, evidenced by the widening and attenuating Raman spectra, increases markedly at high pressures above 4.5GPa that results in incipient amorphization. Comparison of theoretical (lattice-dynamical) and experimental Raman spectra allows the reliable interpretation of almost all observed bands. The strongest symmetric B-O stretching band v1 at the wavenumber 908cm-1, which is split into a doublet at high pressures, exhibits a shift rate of 4.22cm-1/GPa for the main component.

Unified approach for determining tetragonal tungsten bronze crystal structures.

Tetragonal tungsten bronze (TTB) oxides are one of the most important classes of ferroelectrics. Many of these framework structures undergo ferroelastic transformations related to octahedron tilting deformations. Such tilting deformations are closely related to the rigid unit modes (RUMs). This paper discusses the whole set of RUMs in an ideal TTB lattice and possible crystal structures which can emerge owing to the condensation of some of them. Analysis of available experimental data for the TTB-like niobates lends credence to the obtained theoretical predictions.

[Are we controlling the sedation in ICU? A multicenter study results].

The aim of this study is to evaluate the issues of sedation and analgesia in all-purpose ICUs in Russia. To obtain that, a single-day observational survey was performed in 55 ICUs of Ural and Siberia regions. This work enabled to describe the targets, instruments of control and patterns of sedative and analgetics and sedatives prescription, as well as to make conclusions about issues in this area and possibilities of creation and necessity of analgesia and sedation standards. The study has shown a decent percentage of use of standardized scales evaluating pain in ICU and predominance of effectivae drugs and analgesia patterns, which leads to "formalization" of analgesia and decrease of it's effectiveness. Sedation indications do not satisfy the modern concept, sedation level evaluation scores are used only in 13%, schemes and drugs are traditional. The results of this study may serve as a reason for discussion of necessity of introducing of sedative and analgetic therapy in ICU standarts.

Lattice dynamics of ß-V2O5: Raman spectroscopic insight into the atomistic structure of a high-pressure vanadium pentoxide polymorph.

We report here the Raman spectrum and lattice dynamics study of a well-crystallized ß-V(2)O(5) material prepared via a high-temperature/high-pressure (HT/HP) route, using α-V(2)O(5) as the precursor. Periodic quantum-chemical density functional theory calculations show good agreement with the experimental results and allow one to assign the observed spectral features to specific vibrational modes in the ß-V(2)O(5) polymorph. Key structure-spectrum relationships are extracted from comparative analysis of the vibrational states of the ß-V(2)O(5) and α-V(2)O(5) structures, and spectral patterns specific to the basic units of the two V(2)O(5) phases are proposed for the first time. Such results open the way for the use of Raman spectroscopy for the structural characterization of vanadium oxide-based host lattices of interest in the field of lithium batteries and help us to greatly understand the atomistic mechanism involved in the α-to-ß phase transition of vanadium pentoxide.

Novel features of the α-ß phase transition in quartz-type FePO4 as evidenced by x-ray diffraction and lattice dynamics.

We present novel results on the mechanism of the α-ß structural phase transition (STP) occurring in FePO4. High accuracy x-ray diffraction experiments followed by a structural analysis provide us with precise information on the thermal disorder change on different atomic sites. The data are analysed in the light of lattice dynamics simulation results. The rigid unit mode (RUM) approach of the dynamics simulation allows an understanding of the anisotropic displacement parameters (ADPs). Surprisingly, the role of critical fluctuations of the order parameter, in the sense of Landau and Lifshitz theory, appears not to be relevant in the case of this SPT and the understanding of the dynamics requires a knowledge and analysis of the microscopic details of the system.

Cocaine action on peripheral, non-monoamine neural substrates as a trigger of electroencephalographic desynchronization and electromyographic activation following i.v. administration in freely moving rats.

Many important physiological, behavioral and subjective effects of i.v. cocaine (COC) are exceptionally rapid and transient, suggesting a possible involvement of peripheral neural substrates in their triggering. In the present study, we used high-speed electroencephalographic (EEG) and electromyographic (EMG) recordings (4-s resolution) in freely moving rats to characterize the central electrophysiological effects of i.v. COC at low doses within a self-administration range (0.25-1.0 mg/kg). We found that COC induces rapid, strong, and prolonged desynchronization of cortical EEG (decrease in alpha and increase in beta and gamma activity) and activation of the neck EMG that begin within 2-6 s following the start of a 10-s injection; immediate components of both effects were dose-independent. The rapid effects of COC were mimicked by i.v. COC methiodide (COC-MET), a derivative that cannot cross the blood-brain barrier. At equimolar doses (0.33-1.33 mg/kg), COC-MET had equally fast and strong effects on EEG and EMG total powers, decreasing alpha and increasing beta and gamma activities. Rapid EEG desynchronization and EMG activation was also induced by i.v. procaine, a structurally similar, short-acting local anesthetic with virtually no effects on monoamine uptake; at equipotential doses (1.25-5.0 mg/kg), these effects were weaker and shorter in duration than those of COC. Surprisingly, i.v. saline injection delivered during slow-wave sleep (but not during quiet wakefulness) also induced a transient EEG desynchronization but without changes in EMG and motor activity; these effects were significantly weaker and much shorter than those induced by all tested drugs. These data suggest that in awake animals, i.v. COC induces rapid cortical activation and a subsequent motor response via its action on peripheral non-monoamine neural elements, involving neural transmission via visceral sensory pathways. By providing a rapid neural signal and triggering neural activation, such an action might play a crucial role in the sensory effects of COC, thus contributing to the learning and development of drug-taking behavior.

[The role of PAR1 in the protective action of activated protein C in the non-immune mast cell activation].

Activated protein C (APC) regulates the functional activity of mast cells by reducing release of beta-hexosaminidase, the marker of mast cell degranulation. APC could modulate the cell secretion of both: the rest mast cells and the activated cells with degranulators, such as proteinase-activated receptor agonist peptide (PAR1-AP) and compound 48/80. PAR1 desensitization with thrombin abolishes the effect of low APC concentration (< or =1,5 nM) on beta-hexosaminidase release by mast cells. APC, inactivated with phenilmethylsulfonilftoride (PMSF), did non mimic the enzyme action on mast cells. The duodenal proteinase, duodenase, activates the peritoneal mast cell via PAR1. APC abolishes the proinflammatory action of duodenase and PAR1-AP by means of reducing release of mast cell mediators. Pretreatment of mast cell with L-NAME abolished these APC effects. Thus, APC-induced decrease of mediator release could be attributed to NO generation by mast cells. Our data indicate that PAR1 takes part in the mechanism of regulatory anti-inflammatory APC action.

[Regional intraarterial chemoimmunotherapy in complex treatment of patients with colon cancer complicated by metastatic lesion of the liver].

Results of combined treatment of 48 colon cancer patients with metastases to the liver are analyzed. Efficacy of regional intraarterial chemoimmunotherapy with recombinant interleukine-2 (ronkoleukine) is evaluated. The results of the treatment demonstrate that regional intraarterial chemoimmunotherapy with recombinant interleukine-2 is a safe and promising method in combined treatment of advanced colon cancer, increases survival and improves quality of life.

Li intercalation in TiO2 anatase: Raman spectroscopy and lattice dynamic studies.

Raman spectra of the electrochemically lithiated TiO2 anatase are reported. They evidence spectral features induced by Li intercalation in the high-frequency region. Emergence of these lines supports recent hypothesis [M. Wagemaker et al., J. Am. Chem. Sec. 125, 840 (2003)] for formation of short Li-O valence bonds. This suggestion is verified by the lattice dynamics simulation based on the potential model with Li-O force constants extrapolated from known studies of the lithium oxide compounds. The obtained results confirm assumption of multiple Li positions and provide assignment of all the observed spectral features.

[Modern radiology in the differential diagnosis of breast diseases accompanied by calcium micromasses]. / Sovremennaia radiologiia v differentsial'noi diagnostike zabolevanii molochnoi zhelezy, soprovozhdaiushchikhsia mikrokal'tsinatami.

The study was undertaken to enhance the efficiency of diagnosis of breast cancer shown up as calcium micromasses since breast diseases appear as clusters of 50-600-um calciferous inclusions that are not inclined to the formation of conglomerates without a visible node on a X-ray film, may be a manifestation of both sclerosing adenosis and nonpalpable cancer. Of the examined 4500 females aged 15 to 83 years, breast calcium masses were detected in 207. Of them, 39 females were found to have clustered calcium micromasses without a node on a X-ray film; in them cancer and sclerosing adenosis were diagnosed in 28 (71.8%) and 11 (28.2%) females, respectively. Examination was made by using clinical, mammographic, and sonographic studies. Intervention radiology and pathomorphological studies were studied. This has yielded a number of signs that are characteristic of malignant and benign diseases attended by clusters of calcium micromasses in a restricted area without a visible node on X-ray films that assist in making a correct preoperative conclusion with a greater probability in 80%.

[Coronary angioplasty with direct stenting: assessment of primary results and some economical aspects]. / Koronarnaia angioplastika s priamym stentirovaniem: otsenka pervichnykh rezul'tatov i nekotorykh ékonomicheskikh aspektov.

UNLABELLED: Comparison of immediate angiographical and clinical results of direct coronary stenting and stenting after predilation was carried out in 68 patients. Groups of patients subjected to direct stenting and stenting with predilation had similar clinical and angiographical characteristics. Direct stenting was successful in 100%, stenting with predilation--in 97.2% of patients with residual stenosis 5.1 and 4.9%, respectively. There were no cases of stent loss, death or emergent bypass grafting during neither the procedure nor period of hospitalization. There was 1 Q-wave myocardial infarction (2.8%) and 2 non-Q wave myocardial infarctions (1 in each group). Compared with stenting with predilation procedure of direct stenting was associated with significantly shorter procedure duration (39-/+7.1 min, 60-/+12.5 min, respectively), radiation exposure time (7.9-/+6.3 and 13.5-/+8.9 min, respectively), lower workload of the laboratory (4.9-/+3.5 and 6.1-/+2.0 patients/day, respectively), decreased consumption of contrast medium (200-/+71 and 275-/+75.9 ml, respectively), and thus lower overall cost of the procedure. CONCLUSION: Direct coronary stenting is a convenient, safe and economically justified method of stent implantation.

[Use of recombinant interleukin-2 in hemorrhagic fever with renal syndrome]. / Primenenie rekombinantnogo interleikina-2 pri gemorragicheskoi likhoradke s pochechnym sindromom.

The study enrolled male patients with fever admitted to Ulyanovsk city hospital in November-December 2000 with diagnosis of hemorrhagic fever with renal syndrome (HFRS). The diagnosis was confirmed serologically. 10 patients received recombinant interleukin 2 (rIL-2) in a dose 250,000 IU/day for 5 days. rIL-2 was not given to 10 control patients. Both groups received intravenous prednisolone in a dose 90 mg/day. The response was assessed by minimal diuresis, maximal serum concentrations of urea and creatinine. No lethal outcomes occurred. Minimal diuresis was higher, creatinine and urea levels lower in patients on rIL-2 (647.0 +/- 268.6 mg/day vs 422.0 +/- 198.2 ml/day, p < 0.05; 221.8 +/- 98.1 mcmol/l vs 398.9 +/- 234.9 mcmol/l, p < 0.05; 14.9 +/- 5.1 mcmol/l vs 22.0 +/- 9.0 mmol/l, p < 0.05). Thus, it is evident that rIL-2 reduces symptoms of acute renal failure in HFRS patients. Further investigations of rIL-2 treatment in HFRS are needed.

Lipid oxidation enhances the function of activated protein C.

Although lipid oxidation products are usually associated with tissue injury, it is now recognized that they can also contribute to cell activation and elicit anti-inflammatory lipid mediators. In this study, we report that membrane phospholipid oxidation can modulate the hemostatic balance. Oxidation of natural phospholipids results in an increased ability of the membrane surface to support the function of the natural anticoagulant, activated protein C (APC), without significantly altering the ability to support thrombin generation. Lipid oxidation also potentiated the ability of protein S to enhance APC-mediated factor Va inactivation. Phosphatidylethanolamine, phosphatidylserine, and polyunsaturation of the fatty acids were all required for the oxidation-dependent enhancement of APC function. A subgroup of thrombotic patients with anti-phospholipid antibodies specifically blocked the oxidation-dependent enhancement of APC function. Since leukocytes are recruited and activated at the thrombus or sites of vessel injury, our findings suggest that after the initial thrombus formation, lipid oxidation can remodel the membrane surface resulting in increased anticoagulant function, thereby reducing the thrombogenicity of the thrombus or injured vessel surface. Anti-phospholipid antibodies that block this process would therefore be expected to contribute to thrombus growth and disease.

Extended theory of selective photothermolysis.

BACKGROUND AND OBJECTIVE: We present a new theory of selective thermal damage of non-uniformly pigmented structures in biological tissues. Spatial separation of the heavily pigmented areas and the target requires limitation of the pigment temperature and heat diffusion from the pigmented to the targeted areas. STUDY DESIGNS/MATERIALS AND METHODS: A concept of selective target damage by heat diffusion is presented for three target geometries: planar, cylindrical, and spherical. An in vitro experiment is described in which the dependence of thermal damage on pulsewidth at constant fluence was evaluated. RESULTS: The in vitro experiment showed that the size of the damage zone for similar hair follicles was pulsewidth-independent over a very broad range of pulsewidths (30-400 ms). We formulated a new theory (extended theory of photothermolysis) to interpret the experimental results. CONCLUSIONS: Based on this new theory, the treatment pulsewidth for non-uniformly pigmented targets is significantly longer than the target thermal relaxation time (TRT). The theory provides new recommendations for photoepilation and photosclerotherapy parameters.

Factor V Leiden mutation in one family of Chinese origin.

OBJECTIVE: To investigate the factor V Leiden mutation associated with activated protein C resistance (APCR) in Chinese. METHODS: Thirty "normal" individuals and twenty patients with thrombotic disease from Chinese Han Nationality were studied with APTT +/- APC, PCR followed by MnLI restriction enzyme analysis, PCR based direct sequence-specific primers (PCR-SSP) and DNA sequence analysis. RESULTS: In one healthy control, the activated protein C (APC) sensitivity ratio (SR) was found to be significantly lower (0.8) than that in other normal control (> 2.0). This individual was identified to be heterozygous for FV Leiden mutation (Arg506-Gln). His grand-uncle, father, brother and son were also identified to be heterozygous for FV Leiden. The APC resistance was found in 3 other cases of thrombotic diseases, but with no FV Leiden mutation. CONCLUSION: This is the first four generations family case of FV Leiden mutation associated with APCR reported within Chinese ethnic population. It is note-worthy that more FV Leiden or whether other gene defects may be associated with APC resistance and acquired APCR causing thrombosis in Chinese population.