[Strangulated postoperative diaphragmatic hernia]. / Redkoe nablyudenie ushchemlennoi posleoperatsionnoi diafragmal'noi gryzhi.

We present a rare case of postoperative diaphragmatic hernia in a patient with colon infringement 3 years after surgery for cardioesophageal cancer accompanied by extensive diaphragmotomy. The diagnosis of diaphragmatic hernia with colon infringement was based on a combination of anamnestic, clinical and radiological data, as well as results of diagnostic pleural puncture. This clinical case is of interest due to small incidence of disease and difficult interpretation of clinical and diagnostic data.

Conversion of polyethylene terephthalate waste into high-yield porous carbon adsorbent via pyrolysis of dipotassium terephthalate.

A method for conversion of polyethylene terephthalate (PET) waste into porous carbon material is proposed. The recycling of PET bottle waste includes the stages of low-temperature hydrolysis of the polymer and subsequent pyrolysis at 800 °C. To provide PET hydrolysis at âˆ¼150 °C and atmospheric pressure, the polymer was pre-dissolved in dimethyl sulfoxide and then an aqueous solution of potassium hydroxide was added. The potassium terephthalate formed as a result of the alkaline hydrolysis of PET allows the carbon-containing precursor to be preserved for further activation to temperatures beyond 600 °C. The proposed method leads to the formation of a porous carbon material, increasing the yield of carbon residue to 25 wt%, which is higher compared to the yield of carbon residue in the direct pyrolysis of PET. The obtained porous carbon is characterized by graphite-like structure and specific surface area of âˆ¼1100 m2 g-1. It has been shown that PET-derived carbon material can be used to remove pollutants from aqueous media. The adsorption properties of the carbon material were demonstrated by adsorption of methylene blue from an aqueous solution. The capacity of the carbon material was found to be 443 mg g-1.

[Gastrointestinal stromal tumors: potential of minimally invasive surgical interventions]. / Gastrointestinal'nye stromal'nye opukholi: vozmozhnosti maloinvazivnykh operativnykh vmeshatel'stv.

OBJECTIVE: To analyze the issue of gastrointestinal stromal tumors (GISTs) and potential of minimally invasive surgical interventions. MATERIAL AND METHODS: We analyzed postoperative outcomes in 97 patients with gastric and intestinal GISTs who underwent surgical treatment at the National Medical Research Centre for Oncology between 2015 and 2020. RESULTS: Twenty (24.7) patients with gastric GISTs underwent laparoscopic partial and distal gastric resections. Five (35.7%) patients with GISTs of the small intestine underwent minimally invasive segmental bowel resections. Only minimally invasive interventions were performed in patients with rectal GISTs. Analysis of laparoscopic and open surgeries for GISTs found no significant differences. Analysis of laparoscopic and open surgeries for gastric and small bowel GISTs revealed the obvious advantages of minimally invasive access regarding postoperative outcomes. Indeed, we found no need for nasogastric drainage in 50% of patients (p<0.001), earlier recovery of intestinal motility and oral feeding (p<0.001), lower postoperative morbidity (p=0.036), fast recovery of motor activity (p<0.001) and shorter postoperative hospital-stay (p<0.001). CONCLUSION: Despite small incidence, GISTs are a complex problem in modern oncology. Diagnosis and treatment require a multidisciplinary medical team (morphologists, geneticists, radiologists, surgeons, chemotherapists, gastroenterologists and other specialists) that is possible in a reference center. Minimally invasive interventions for GISTs of the stomach, small intestine and rectum improve postoperative course.

[Esophageal squamous cell carcinoma localized in pharyngeal-esophageal diverticulum]. / Redkii sluchai ploskokletochnogo raka pishchevoda s lokalizatsiei v glotochno-pishchevodnom divertikule.

Squamous cell carcinoma in Zenker's diverticulum was first described in 1933. No large studies have yet been conducted due to rarity of this disease. There are a lot of unresolved issues regarding diagnosis and treatment of this pathology. In the literature, there are only few reports on cancer of Zenker diverticulum. It is only known that clinical symptoms are not specific, and diagnosis of carcinoma is traditionally correlated with age and male sex. Despite esophageal localization of primary tumor, its development can take up to 10 years. The authors report squamous cell carcinoma in Zenker diverticulum, discuss the main difficulties of morphological verification of this disease and choice of surgical approach.

Osseointegration evaluation of UHMWPE and PEEK-based scaffolds with BMP-2 using model of critical-size cranial defect in mice and push-out test.

It the present study the push-out mechanical test was adopted for mouse model of implantation in critical-size cranial defects to evaluate the effectiveness of implant-skull fusion. As implants, disks of porous ultra-high molecular weight polyethylene (UHMWPE) and polyetheretherketone (PEEK) with hydroxylapatite (HA) with and without loading of recombinant bone morphogenetic protein-2 (BMP-2) were used. Implantation results were evaluated using histology and micro-computed tomography (micro-CT). In the case of both UHMWPE/HA and PEEK/HA, BMP-2 loading resulted in a significant increase in the amount of bone tissue in the implantation area, especially at the edges of the defect, and an increase in the value of BV/TV (bone volume/tissue volume) during micro-CT. There was a high correlation of BV/TV values with the maximum load and elastic modulus measured during the puch-out test. The maximum load values showed good convergence within the groups and are comparable to the maximum load values obtained by other authors in the rat model of implantation in critical-size cranial defects. An adapted push-out test can be used to evaluate the quality of osseointegration of the implanted materials.

Multimode high-sensitivity optical YVO4:Ln3+ nanothermometers (Ln3+ = Eu3+, Dy3+, Sm3+) using charge transfer band features.

Accurate thermal sensing with good spatial resolution is currently required in a variety of scientific and technological areas. Luminescence nanothermometry has shown competitive superiority in contactless temperature sensing, especially at the nanoscale. To broaden the use of such thermometers, development of a novel sensor type with high sensitivity and resolution is highly demanded. Herein, we report single-phase Ln3+-doped YVO4 nanophosphors synthesized using a modified Pechini method as multimode optical thermometers for wide-range temperature probing (299-466 K). The observed temperature-induced red shift of the charge transfer band was utilized to provide thermal sensing. Temperature sensing was based on the luminescence intensity ratio using emission intensities obtained upon charge transfer and direct lanthanide excitation, the spectral position of the charge transfer band and its bandwidth. The suggested probing strategies provided a high relative thermal sensitivity (up to 3.09% K-1) and a precise temperature resolution (up to 0.1 K). The obtained results can be useful for the design of novel contactless luminescence thermometers.

[Short-term outcomes of surgical treatment of gastroesophageal junction cancer]. / Neposredstvennye rezul'taty khirurgicheskogo lecheniia kardioézofageal'nogo raka.

OBJECTIVE: To confirm simplicity, safety and efficacy of stapling devices for gastroesophageal anastomosis (including those formed in mediastinum) in the treatment of gastroesophageal junction cancer. MATERIAL AND METHODS: There were 147 patients with cardioesophageal cancer. Tumors Siewert type II and III were predominant (44.2 and 40.3%, respectively). Simultaneous procedures were performed in 30.6% of cases. RESULTS: Postoperative complication rate was 42.2%. Pneumonia was the most common. Postoperative mortality was 2.7%.

Structural, luminescence and thermometric properties of nanocrystalline YVO4:Dy3+ temperature and concentration series.

We report systematic study of Dy3+-doped YVO4 nanophosphors synthesized via modified Pechini technique. Effect of calcination temperature and doping concentration on structure and luminescence has been investigated. XRD and Raman spectroscopy revealed preparation of single phase nanoparticles without any impurities. Synthesized nanopowders consisted of weakly agglomerated nanoparticles with average size about 50 nm. Photoluminescence spectra of YVO4:Dy3+ nanoparticles consisted of the characteristic narrow lines attributed to the intra-configurational 4f-4f transitions dominating by the hypersensitive 4F9/2-6H13/2 transition. The calcination temperature variation did not affect 4F9/2 lifetime, whereas increase of doping concentration resulted in its gradual decline. Potential application of YVO4:Dy3+ 1 at.% and 2 at.% nanopowders as ratiometric luminescence thermometers within 298-673 K temperature range was tested. The main performances of thermometer including absolute and relative thermal sensitivities and temperature uncertainty were calculated. The maximum relative thermal sensitivity was determined to be 1.8% K-1@298 K, whereas the minimum temperature uncertainty was 2 K.

Bifunctional heater-thermometer Nd3+-doped nanoparticles with multiple temperature sensing parameters.

Achieving a combination of real-time diagnosis and therapy in a single platform with sensitive thermometry and efficient heat production is a crucial step towards controllable photothermal therapy. Here, Nd3+-doped Y2O3 nanoparticles prepared using the combined Pechini-foaming technique operating in the first and second biological windows were demonstrated as thermal sensors within the wide temperature range of 123-873 K, and as heaters with a temperature increase of 100 K. Thermal sensing was performed based on various approaches: luminescence intensity ratio (electronic levels; Stark sublevels), spectral line position and line bandwidth were used as temperature-dependent parameters. The applicability of these sensing parameters, along with relative thermal sensitivity and temperature resolution, are discussed and compared. The influence of Nd3+-doping concentration on thermometer and heater efficiency was also investigated.

YVO4:Nd3+ nanophosphors as NIR-to-NIR thermal sensors in wide temperature range.

We report on the potential application of NIR-to-NIR Nd3+-doped yttrium vanadate nanoparticles with both emission and excitation operating within biological windows as thermal sensors in 123-873 K temperature range. It was demonstrated that thermal sensing could be based on three temperature dependent luminescence parameters: the luminescence intensity ratio, the spectral line position and the line bandwidth. Advantages and limitations of each sensing parameter as well as thermal sensitivity and thermal uncertainty were calculated and discussed. The influence of Nd3+ doping concentration on the sensitivity of luminescent thermometers was also studied.

[Combined surgery for locally advanced colorectal cancer]. / Kombinirovannye operativnye vmeshatel'stva pri mestno-rasprostranennom kolorektal'nom rake.

AIM: To study the types and early outcomes of combined interventions for locally advanced colorectal cancer. MATERIAL AND METHODS: Since 2009 four hundreds and ninety eight patients underwent surgery in the Rostov Research Institute of Oncology for locally advanced colorectal cancer. Most cases of surgical procedures on adjacent organs included resection of small intestine (23.69%), supravaginal hysterectomy (16.47%), resection of bladder (12.25%), total hysterectomy (11.45%). RESULTS: Postoperative complications occurred in 178 (35.7%) patients. Their incidence was significantly lower in case of laparoscopic approach (12.5%). Functional-sparing interventions on bladder followed by its augmentation with enteric graft improves rehabilitation. CONCLUSION: Laparoscopic approach and functional-sparing surgery improve the results of locally advanced colorectal cancer management.

[Epigenetic markers of esophageal cancer: DNA methylation]. / Épigeneticheskie markery malignizatsii tkanei pishchevoda: metilirovanie DNK.

Adenocarcinoma and squamous cell carcinoma are the most common types of esophageal cancer with a constant tendency to increase the incidence of growth on the background of the high mortality, which makes particularly the development of new biomarkers that complement and improve the early diagnosis of this disease. Despite the impressive number of studies in routine clinical practice is used only marker of esophageal cancer - ERBB2/HER2 status. This review summarizes data on the identified epigenetic markers of the aberrant methylation of the genome, which may be useful for early detection of esophageal cancer, prognosis estimation and / or prediction of response to treatment. The development of new high-tech genome-wide screening, such as beadarray and immunoprecipitation sequencing method used for the wideband genotyping, but for the analysis of transcriptome and metilom, provides a comprehensive picture of genetic and epigenetic changes during tumorigenesis. Note the need to verify the most biomarkers on large representative samples for the development of valid diagnostic panels, suitable for large-scale screening of risk groups.

[The outcomes of different pancreatodigestive anastomoses in pancreatoduodenectomy].

AIM: To compare early results after pancreaticoduodenectomy depending on variant of pancreatico-digestive anastomosis. MATERIAL AND METHODS: It was analyzed early results of 207 pancreaticoduodenectomies for cancer which were performed for the period 2010-2014. Pancreatointestinal and pancreatogastric anastomoses were applied in 165 and 42 patients respectively. RESULTS: Complications were observed in 73 (44.2%) and 18 (38.3%) patients after pancreatointestinal and pancreatogastric anastomoses respectively. Six patients died after pancreatointestinal anastomosis. At the same time there were no deaths in the group of pancreatogastric anastomosis. Differences were significant. Postoperative hospital-stay was similar in both groups.

[[Gender Differences in Tissue Cascade of Activation of Plasminogen and PAI-1 in Esophageal Squamous Cell Carcinoma].]

AIM: comparative analysis of uPA-Ag, uPA-act, tPA-Ag, tPA-act, PAl--Ag and PAl-i-act in tissues of esophageal squamous cell carcinoma (ESCC) in men (M) and women (W) to clarify some pathogenesis issues. MATERIAL AND METHODS: Tumor tissue of ESCC and its perifocal area (19 M and 8 menopausal W aged 38-72 years, st 1I, G2, T,3N M0) were studied by ELISA using standard test kits. RESULTS: ESCC tissue of M showed an increase in both uPA types from the resection line (RL), while in W only uPA-act was increased. tPA-Ag was decreased in tumors of W, tPA-act - in tumors of all patients. Levels of both PAl-- types were higher in ESCC of M than in W. in M, tPA-Ag in perifocal area was lower than in RL, while in W, on the contrary, it was higher. tPA- Ag/tPA-act coefficient in M tumors was 5.7 times higher than in W; in perifocal area it was reduced in all patients, being at the same time in M lower than in W. Both PAl- types were increased in malignant tissues of all patients, prevailing in M tumors, and PAl-i-Ag in peritumoral tissue was higher in M than in W. CONCLUSIONS: Significant gender differences were found in expression of uPA, tPA and PAl-i in tissues of esophageal squamous cell carcinoma. Presence of tumor-associated uPA, PAH and tPA in men and uPA and PAl-i in women is possible in tumor tissue of esophageal squamous cell carcinoma and its perifocal area. Determination of plasminogen regulation system in tissues of esophageal squamous cell carcinoma can be used for the selection and individualization of postoperative treatments.

Progress in Mirror-Based Fusion Neutron Source Development.

The Budker Institute of Nuclear Physics in worldwide collaboration has developed a project of a 14 MeV neutron source for fusion material studies and other applications. The projected neutron source of the plasma type is based on the gas dynamic trap (GDT), which is a special magnetic mirror system for plasma confinement. Essential progress in plasma parameters has been achieved in recent experiments at the GDT facility in the Budker Institute, which is a hydrogen (deuterium) prototype of the source. Stable confinement of hot-ion plasmas with the relative pressure exceeding 0.5 was demonstrated. The electron temperature was increased up to 0.9 keV in the regime with additional electron cyclotron resonance heating (ECRH) of a moderate power. These parameters are the record for axisymmetric open mirror traps. These achievements elevate the projects of a GDT-based neutron source on a higher level of competitive ability and make it possible to construct a source with parameters suitable for materials testing today. The paper presents the progress in experimental studies and numerical simulations of the mirror-based fusion neutron source and its possible applications including a fusion material test facility and a fusion-fission hybrid system.

Isotope anomalies of carbon, hydrogen and nitrogen in peat from the area of the tunguska cosmic body explosion (1908).

Abstract Peat profiles from the area of the Tunguska explosion epicentre indicate significant carbon and hydrogen isotopic effects which are clearly associated with the zone of the 1908 "catastrophe", and which cannot be attributed to any known terrestrial processes. We explain them with the presence of extraterrestrial matter similar to carbonaceous chondrites or, more probably, to cometary matter. Initial data on nitrogen content and its isotope composition are consistent with the assumption of acid rainfall following the passage and explosion of the Tunguska cosmic body, as is known to have occurred during the Cretaceous-Tertiary boundary.

[Laparostomy and planned reoperations in the complex treatment of suppurative pancreatitis]. / Laparostomiia i planovye povtornye operatsii v kompleksnom lechenii gnoinogo pankreatita.

An experience with using laparostomy and planned reoperations in 22 patients with purulent pancreatitis is presented. A method of creation of open controlled drainage cavity is described which allows to make the timely and adequate revision of the pancreato-duodenal zone and other organs of the abdominal cavity in planned relaparotomies. Criteria of choice of the optimal terms of reoperations are proposed.