The Izhevsk State Medical Academy (ISMA; Russian: Ижевская государственная медицинская академия, ИГМА) is a public higher medical school in Izhevsk, Russia. The academy is an institution of Russia in medicine and training specialists in preventive and clinical medicine.
The article presents a literature review of modern Russian and foreign publications devoted to the study of prevalence, pathogenetic mechanisms, diagnostics and treatment of postprandial distress syndrome. It is shown that this variant of functional dyspepsia is the most common. In its pathogenesis, the leading role belongs to disorders of relaxation accommodation of the proximal stomach. Existing diagnostic criteria for functional dyspepsia variants are based on anamnestic data, which does not allow for their clear verification. For the purpose of differential diagnostics of functional dyspepsia, along with endoscopic examination, it is advisable to clarify the disorders of gastroduodenal motility and the profile of intestinal peptides regulating it. Modern approaches to the treatment of patients with postprandial distress syndrome include the use of prokinetics and neuromodulators against the background of diet therapy and non-drug correction.
В работе представлены литературные сведенья об особенностях огнестрельных повреждений и хирургической тактике при таких повреждениях. Подчеркивается, что военно-полевая хирургия является самостоятельным направлением медицины и должна развиваться с учетом условий боевых действий и современных видов вооружения. В настоящее время хорошо описана история развития этой области и особенности современных вооруженных конфликтов, которые сопровождаются септическим характером получаемых травм. Все это требует изменения подходов к хирургическому лечению и организации медицинской эвакуации.
В настоящем исследовании детально изучена корреляция между степенью износа рельсовой колеи и географической широтой эксплуатации железнодорожного полотна. Проведён комплексный анализ эксплуатационных условий на различных широтах, позволивший выявить устойчивую зависимость интенсивности износа от климатических и географических факторов. В ходе работы были определены ключевые факторы, влияющие на процесс износа рельсовой колеи, и всесторонне оценена степень их воздействия на состояние железнодорожного пути.
This paper describes the results of observing children aged 7–10 years diagnosed with distal occlusion and/or combined with a deep overbite, dental arch narrowing, crowded incisors, or signs of developing dentofacial pathology. The subject of the study is the effectiveness of using a removable intermaxillary plate orthodontic appliance of combined action with intermittent wear for dental arch narrowing, combined with signs of developing pathology in the vertical and sagittal planes. Objective of the Study: The objective is to analyze the effectiveness of the orthodontic treatment conducted using a removable plate appliance of combined action, single-jaw intermaxillary action, and fractional wear type. Materials and Methods: The study was conducted at the Department of Pediatric Dentistry, Orthodontics, and Prevention of Dental Diseases of the Federal State Budgetary Educational Institution of Higher Education "Izhevsk State Medical University" of the Ministry of Health of Russia. The study group included 30 children aged 7–10 years. The diagnostic complex included clinical and radiological examinations, and anthropometric measurements of plaster dental models. Results: The average age of the study group was 8.7 ±0.23 years. The apical base width before treatment was 39.39 ±0.34 % for the upper jaw and 37.99 ±0.39 % for the lower jaw. By the end of the observation period, these values increased to 41.57 ±0.28 % and 39.20 ±0.30 %, respectively. The Korkhaus index for the lower jaw was 15.49 ±0.24 mm before treatment and 16.06 ±0.18 mm after one year. There was no statistically significant difference for the upper jaw. Evaluation of canine position based on orthopantomography data showed an improvement in their spatial arrangement within the bone relative to the midline after treatment. Conclusions: The implemented therapeutic and preventive measures resulted in dental arch expansion, improved apical base width parameters, and good control over the formation of the anterior segment of the dental arch, bringing it closer to physiological norms. For secondary prevention of occlusal pathology during the mixed dentition period, the use of a removable intermaxillary plate orthodontic appliance of combined action with intermittent wear is advisable.
Данная статья посвящена разработке методологического инструментария для учета стохастического характера производства электрической энергии объектами генерации с применением возобновляемых источников в финансово-экономической модели инвестиционного проекта. Сделан вывод о необходимости перехода от детерминированных к вероятностным подходам оценки инвестиционных проектов на основе метода имитационного моделирования Монте-Карло, позволяющем учитывать стохастическую природу генерации электрической энергии.
