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Abstract Dengue is a vector-borne disease transmitted to humans by vectors of genus Aedes causing a global threat to health, social, and economic sectors in many of the tropical countries including Sri Lanka. In Sri Lanka, the tropical climate, marked by seasonal weather primarily influenced by monsoons, fosters optimal conditions for the virus to spread efficiently. This heightened transmission results in increased per-capita vector density. In this work, we investigate the dynamic influence of environmental conditions on dengue emergence in Colombo district − the geographical region with the highest recorded dengue threat in Sri Lanka. An iterative approach is employed to dynamically estimate dengue cases leveraging the Markov chain Monte Carlo simulations, utilizing the dynamics of four seasons per year influenced by monsoon weather patterns governing in the region. The developed algorithm allows to estimate the risk of dengue outbreaks in 2017 and 2019 with high precision, facilitating accurate forecasts of upcoming disease emergence patterns for better preparedness. The uncertainty quantification not only validated the accuracy of outbreak estimates but also showcased the model’s capacity to capture extreme cases and revealed undisclosed external factors such as human mobility and environmental pollution that might affect dengue transmission in the Colombo district of Sri Lanka.

When performing osteosynthesis for spinal instability after traumatic injury, diagnostic difficulties arise due to the migration of metal structure components to distant “atypical” anatomical areas, which is associated with the risk of neurological deficit and life-threatening conditions. This article presents a casuistic case of migration of a metal structure component through an iatrogenic opening in the occipital bone into the posterior cranial fossa in a patient who had previously undergone instrumental correction for comminuted fractures of the cervical vertebrae. It should be noted that there are no data on “spontaneous” perforation of the occipital bone by metal osteosynthesis elements in the domestic literature.

The number of arbitration cases handled by the Constitutional Court of the Russian Federation has steadily increased over the years. The evolution of social practices and judicial approaches to arbitration procedures has prompted the supreme body for judicial protection of the Russian Constitution to repeatedly review whether the legal concepts used to resolve civil disputes by arbitration courts and international commercial arbitrations align with the nation’s basic law. The outcome of this process is a set of legal principles that define the constitutional and judicial foundations of arbitration in Russia. The above trends have facilitated the use of the integrative concept of constitutionalism in arbitration. This study highlights the constitutionalization of both arbitration and its social application. From a standalone perspective, the problems of enhancing the constitutional and legal principles of arbitration were discussed, and the further progress of constitutionalism in Russian arbitration was predicted.

Sectoral real estate state management is one of the complex types of management. It includes individual objects management technologies, corporate management technologies considering the interests of the industry and state management technologies considering the state interests and inter-sectoral balance. Sectoral university real estate state management is even more complex. It uses not commercial effect as for commercial enterprises, but social effect and the criterion of resource provision of the country’s industries as the main efficiency criterion. Indirect indicators rather than direct ones consider this effect. The education system is subsidized, so the direct assessment of its efficiency is conditional. Higher education organizations real estate management is one of the important components of management. Real estate management is related to spatial economics and geoinformatics. The original development of a decision support system for educational organizations real estate management has been described. The system was developed under the assignment of the Ministry of Science and Higher Education of the Russian Federation. It uses geographic information systems as an additional component. It has been shown that it is necessary to apply geodata for real estate management. The basic principles of university real estate management with the help of this system have been described. Spatial information for sectoral real estate management should be combined with environmental, social, and economic information.

An epizootological inspection of the liberated territories of the Donetsk and Lugansk People's Republics, Zaporozhye and Kherson regions was carried out. It was established that the faunal complex of small mammals, hare-like and ectoparasites, as well as their number, make it possible to ensure the circulation of natural focal infections identified by the results of laboratory studies: tularemia, Crimean hemorrhagic fever (CHF), West Nile fever (WNF), ixodic tick-borne borreliosis (ITB), rickettsiosis, human granulocytic anaplasmosis (HGA), leptospirosis, hemorrhagic fever with renal syndrome (HFRS), Q fever, intestinal yersiniosis, Batai, Inco, Sindbis, Tyaginya fevers. For the first time, the PCR method in field material from the Zaporozhye region (Berdyansk and Melitopol regions) detected the Crimean-Congo hemorrhagic fever virus, on the territory of the Donetsk and Lugansk People's Republics in the populations of small mammals (rodents and insectivores), the circulation of viruses Inco, Sindbis, Tyagin, Batai was established. In the territories of Kherson and Zaporozhye regions, the presence of combined and conjugated natural foci of ixodic tick-borne borreliosis, rickettsiosis and human granulocytic anaplasmosis is determined. According to the results of molecular genetic analysis, it was shown that the causative agents of natural focal infections (Crimean hemorrhagic fever, West Nile fever, ixodic tick-borne borreliosis, rickettsiosis) identified in 2023 are genetically close to strains circulating in the regions of the south European part of Russia.

The article is dedicated to the 500th anniversary of the birth of the greatest physician and scientist of the 16th century Gabriele Falloppio (Fallopius), a revolutionary morphologist who made an invaluable contribution to the development of science, and one of the founders of fundamental anatomy. Although Falloppio is primarily known as an anatomist who described the uterine (“fallopian”) tubes, his range of interests was much wider, and his contribution to anatomy was substantially more significant. Fallopius made many important discoveries in anatomy, and a number of anatomical structures bear his name. Also, Gabriele Falloppio was a talented teacher and a renowned medical practitioner, surgeon and pharmacist. It should be especially noted that Fallopius considered himself an apprentice of Andreas Vesalius. There is no data confirming the fact of their personal acquaintance, but there is documentary evidence of short-term correspondence between Fallopius and Vesalius. In his famous work “Anatomical observations” (“Observationes anatomicae”, 1561), Fallopius pointed out Vesalius’ mistakes and inaccuracies in anatomical descriptions, subjecting his “De humani corporis fabrica” to correct criticism. Vesalius’ reply with compliments to Fallopius as a scientist has been preserved. In any case, the undoubted fact is that Fallopius was an adherent of Vesalius’ methods in applied science and the teaching of anatomy, and consistently introduced them into practice throughout his life.

The results of study relationship between antigen reactivity of T-lymphocyte population under ex vivo conditions and the intensity of protective post-vaccination immunity to causative agent of brucellosis are presented. Тaking into account the peculiarities of immunopathogenesis brucellosis and prevailing role of adaptive T-cell immunity to protect against the causative agent of infection, possibility predictive evaluation of protective immunity against brucellosis using CAST-tests is considered as the most important aspect of brucellosis problems. There is an obvious need for an ex vivo correlation analysis of the activity of antigen stimulation of T cells and the intensity of protective immunity formed after vaccination. A close direct proportional relationship was established between the number of live microbial cells Brucella abortus 19BA vaccine strain administered and increase in ex vivo CD3-cell activation. A close correlation was revealed between ex vivo value of antigen-induced stimulation CD3-lymphocytes and level of post-vaccination immunological protection against brucellosis infection. It has been shown that in biomodels vaccinated against brucellosis with a T-lymphocyte stimulation coefficient of 50% or more (according to intensity of antigen-induced ex vivo expression CD25), 100% protection from the development of brucellosis infection after infection with Brucella melitensis at a dose of 1 × 103 live microbial cells are provided. At the same time, there was a lack of a close correlation between an increase in the dose of brucella vaccine strain administered to biomodels and a change in geometric mean antibody titer, presence of a weakly pronounced relationship between level of agglutinins and immunological protection of biomodels from development brucellosis infection and indicators bacterial contamination body.Based on results of study, it was demonstrated that it is possible to quantify the formation and protective activity of T-cell immunity to causative agent of brucellosis based on analysis of level antigen reactivity of CD3-lymphocytes ex vivo. The data obtained and described methodological approach can be used as a predictive criterion in assessing protective level of cellular immunity to causative agent of brucellosis in vaccinated or recovering patients, as well as in order to analyze effectiveness of specific prophylaxis brucellosis and study immunogenicity and protective properties candidate for brucellosis vWe present the results of studies related to antigen reactivity of T lymphocyte population under ex vivo conditions and the intensity of protective post-vaccination immunity to causative agent of brucellosis. Due to peculiarities of immunopathogenesis in brucellosis infection and prevailing role of adaptive T cell immunity for protection against the causative agent of infection, a predictive evaluation of protective immunity against brucellosis using CAST-tests is considered the most important issue in the field. There is an obvious need for ex vivo analysis of correlations between the activity of antigen stimulation of T cells, and the intensity of protective immunity raised after vaccination. A close direct relationship was established between the number of live microbial cells of Brucella abortus 19BA vaccine strain administered, and increase in ex vivo CD3 cell activation. A close correlation (r = -0.841 ÷ -0.966, R2 = 0.708 ÷ 0.969) was revealed between ex vivo values of antigeninduced stimulation of CD3 lymphocytes, and the levels of post-vaccination immunological protection against brucellosis infection. We have shown that, in biomodels vaccinated against brucellosis with a T lymphocyte stimulation coefficient of 50% or more (according to intensity of antigen-induced ex vivo CD25 expression), 100% protection against brucellosis infection was achieved after contamination with Brucella melitensis at a dose of 1×103 live microbial cells. At the same time, a lack of a close correlation was noted between an increased dose of Brucella vaccine strain administered to biomodels, and a change in geometric mean of antibody titer (R2 = 0.357÷0.404), along with a weak relationship between the levels of agglutinins and immunological protection of biomodels from developing brucellosis infection and indices of in vivo bacterial contamination.These results suggest an opportunity to quantify development and protective activity of T cell immunity to the causal agent of brucellosis based ex vivo levels of antigen reactivity of CD3 lymphocytes. A correlation analysis between the state of T cell antigen reactivity and immunological resistance to brucellosis infection indicated a high degree of closeness between these indices. The key influence on activity of protective immunity is exerted by the levels of antigen reactivity of T lymphocytes, whereas the quotient of antigenic stimulation in CD3+CD25+ population may be considered the most informative index of immune protective activity. The data obtained and the described methodology may be used as a predictive criterion in assessing protective level of cellular immunity to causative agent of brucellosis in vaccinated or recovering patients, testing the efficiency of specific prophylaxis in brucellosis and studying immunogenicity and protective properties of candidate vaccines against brucellosis.

Introduction. Therapy of patients with acute ST-elevation myocardial infarction and massive coronary thrombosis (TTG 3) is a far from solved problem of modern medicine, since often in such patients immediate stent implantation is associated with the development of myocardial hypoperfusion, reducing the long-term prognosis of life.Aim. To evaluate short-term and long-term efficacy and safety of delayed and immediate coronary artery stenting techniques in patients with acute ST-elevation myocardial infarction and massive coronary thrombosis.Material and methods. Comparative study in parallel groups, a total of 153 patients with ST-elevation myocardial infarction and massive coronary thrombosis (TTG 3), 75 patients in the delayed coronary artery stenting group, 78 patients in the immediate coronary artery stenting group. In the immediate coronary artery stenting group, percutaneous coronary intervention was performed in one stage with stent implantation, in the delayed coronary artery stenting group; percutaneous coronary intervention was performed in two stages: the first was achieving TIMI-3 blood flow using a minimally invasive mechanical strategy, the second was control coronary angiography 5-6 days and the decision on the implantation of the stent. The primary endpoint is: the rate of achieving optimal myocardial perfusion according to angiography, the secondary combined endpoint is the rate of major adverse cardiovascular events.Results. In the hospital period, optimal reperfusion (TIMI-3 and MBG 2-3) after the primary procedure was achieved in 88% in the delayed coronary artery stenting group and 69.2% of immediate coronary artery stenting with an advantage in the delayed coronary artery stenting group (p=0.005). Of the 75 patients in the delayed coronary artery stenting group, 38 patients (51%) did not receive a stent in the delayed period due to the insignificance of stenosis on the control coronary angiography. There was no significant difference in the incidence of major adverse cardiovascular events between the groups. In the long-term period, the median follow-up period was 47 months. The frequency of major adverse cardiovascular events was 13.3% in the delayed coronary artery stenting group and 23.1% in the immediate coronary artery stenting group, with a trend towards the advantage in the delayed coronary artery stenting group (p=0.1). Overall mortality (9.3% vs. 11.7%), recurrent myocardial infarction (2.6% vs. 5.1%), target vessel revascularization rate (1.3% vs. 6.4%) were without significant benefit. between subgroups.Conclusion. In patients with ST-elevation myocardial infarction and massive coronary thrombosis, the use of delayed coronary artery stenting gives an advantage in achieving myocardial perfusion after the procedure, and demonstrates a tendency to reduce adverse cardiovascular events in the long-term period.

Background. Myotonic dystrophy type 1 (DM1) is a hereditary slowly progressive multisystem disease with an autosomal dominant mode of inheritance, caused by the expansion of trinucleotide (CTG)n repeats in the 3’ untranslated region of the DMPK gene. Among the clinical manifestations of DM1, an important place is occupied by symptoms of damage to the central nervous system, in particular cognitive and emotional disorders.Aim. To evaluate the type of cognitive and emotional impairments in patients with different forms of DM1 and their impact on quality of life.Materials and methods. 60 patients with genetically confirmed DM1 were examined (average age 37.0 ± 12.4 years; 36 (60.0 %) of them were men). All patients underwent neuropsychological testing using the Montreal Cognitive RatingScale, Mini‑Mental State Examination, Addenbrooke’s III, Wechsler tests, pathfinding, symbolic and numeric modalities, Luria’s 10 Words, Frontal Dysfunction Battery; assessment of emotional disturbances using the Hospital Anxiety and Depression Rating Scale and the Apathy Scale; quality of life assessment – 36‑Item Short‑Form Medical Outcomes Study. Brain magnetic resonance imaging was performed in 53 patients to assess the severity of white matter lesions and gray matter atrophy.Results. The study included 8 (13.3 %) patients with congenital, 19 (31.7 %) – childhood, 33 (55 %) – adult forms of MD1. The group of patients with the congenital form had the most severe cognitive deficits, especially in tests of executive functions and visuospatial perception. Cognitive impairment was also characteristic of the adult form, but to a lesser extent. Compared to controls, patients with DM1 were significantly more likely to exhibit apathy (p = 0.002) rather than anxiety and depression. In DM1, damage to both the white and gray matter of the brain was established, and a connection between damage to the gray matter and depression (r = 0.296) and apathy (r = –0.291) was revealed. The quality of life is largely influenced by emotional disorders (anxiety, r = –0.577; depression, r = –0.650; apathy, r = –0.545).Conclusion. In patients with DM1, a typical pattern of cognitive impairment has not been identified; different domains of cognitive functions are affected. The greatest cognitive deficit is typical for the group of patients with the congenital form. A connection between damage to the gray matter of the brain and emotional disorders has been revealed.The presence of the latter reduces the quality of life of patients with DM1.

In the conditions of the Terek-Sulak lowland of the Republic of Dagestan, we studied the effect of biological products on productivity and grain quality of winter bread wheat varieties developed by the National Grain Center namedafter P.P. Lukyanenko and the North Caucasus Federal Scientific Agrarian Center in 2019–2022. An analytical review of the references indicates that the use of new varieties and biostimulants are important factors in improving productivity of grain crops, which ensure the profitability of their use at low costs. The trials were carried out on 5 winter bread wheat varieties with different application schemes of the organomineral complex ‘Biostim zernovoy’ in accordance with the B. A. Dospekhov’s field trial methodology. Weather conditions during the years of the trial were generally favorable. The spring-summer development of plants took place with slight differences in heat supply, with HTC fluctuations from 0.37 to 0.58. The purpose of the current study is to identify the adaptive potential of winter bread wheat plants and to establish the most optimal scheme for the use of biological products to increase the potential productivity of varieties. As a result of three years of study, there has been found that the productivity of crops depends not only on the variety, but also on the methods of using the biostimulant and their combinations. The maximum productivity has been provided by the variety ‘Karolina 5’ (6.44 t/ha), which was 0.87 t/ha larger than the control. The combination of pre-sowing seed soaking with potassium humate ‘Sufler’ and treatment of wheat crops with the biostimulant ‘Biostim zernovoy’ provided productivity increase on average for all varieties of 0.63 t/ha, and the largest for the variety ‘Karolina with 0.71 t/ha. Calculations of environmental adaptability parameters showed that the varieties ‘Karolina 5’ and ‘Alekseich’ are the most adapted ones to specific soil and climatic conditions and the level of technology used and, in this regard, can be used for zonation of winter wheat in the irrigated zone of the Republic.

Abstract The present study aimed to investigate the possible use of a non-instrumentation technique including blue light irradiation for root canal cleaning. Extracted human single rooted teeth were selected. Nine different groups included distilled water, NaOCl, intra-canal heated NaOCl, and NaOCl + EDTA irrigation after either instrumentation or non-instrumentation, and a laser application group following non-instrumentation technique. The chemical assessment of the root canal dentine was evaluated using energy dispersive spectroscopy (EDS) and Fourier transform infrared (FT-IR) spectroscopy. Surface microstructural analyses were performed by using scanning electron microscopy (SEM). The antimicrobial efficacy of different preparation techniques was evaluated using microbial tests. Light application didn’t change the calcium/phosphorus, carbonate/phosphate and amide I/phosphate ratios of the root canal dentin. The root canal dentin preserved its original chemistry and microstructure after light application. The instrumentation decreased the carbonate/phosphate and amide I/phosphate ratios of the root canal dentin regardless of the irrigation solution or technique (p

Aim. TIntroduction. To evaluate in-hospital angiographic and five-year posthospital clinical outcomes of percutaneous intervention strategy without stent implantation with immediate coronary artery stenting technique in STEMI patients with massive coronary thrombosis.Material and methods. The study enrolled 116 patients with primary STEMI myocardial infarction with the signs of massive thrombosis in the lumen of the main epicardial coronary artery with TIMI thrombus grade greater than 3 after antegrade blood flow restoration. In the 1st group of delayed intervention at the primary stage the blood flow was restored by small diameter balloon inflation and/ or manual vacuum thrombus aspiration until stable TIMI grade 3 blood flow was achieved, at control CAG on day 5-6 in 36 people the stent was not implanted due to insignificance of infarct-related coronary artery stenosis (stenosis less than 50% according to QCA). Immediate stent implantation was performed in 78 patients (group 2). The primary endpoint was the incidence of adverse cardiovascular events, including total mortality, recurrent myocardial infarction, repeated revascularization of the infarct-responsive artery. Secondary endpoint: frequency of achieving optimal myocardial perfusion as measured by angiography – TIMI blood flow and Myocardial Blush Grade.Results. The median follow-up period was 47 months. The incidence of the primary end point (MACE) was 15,8% in group 1 and 23,1% in group 2, with no statistically significant difference (p=0,408). Overall mortality (10,5% and 11,7%), the rate of repeat myocardial infarction (2,6% and 5,1%), and the rate of repeat target vessel revascularization (2,6% and 6,4%) were without significant advantage between subgroups. Optimal reperfusion (TIMI-3 and Myocardial Blush Grade 2-3 after primary procedure was achieved in significantly (p=0,02) more patients in group 1 (89%) than in group 2 (69,2%) ST segment resolution ≥70% after intervention was achieved in 87% of cases in group 1 and in 64,1% of cases in group 2 (p=0,011).Conclusion. In STEMI patients with massive coronary thrombosis, the method of delayed percutaneous intervention increases the rate of achieving optimal blood flow and allows avoiding stent implantation in the infarct-related artery in 50% of cases as compared to the method of immediate stenting. Both methods have comparable hospital and five-year clinical risks.

The aim of the study was to assess the effectiveness of the developed anthrax magnoimmunosorbents (MIS) for the selective concentration of Bacillus anthracis spores and to increase the sensitivity of anthrax agent detection techniques, including when testing soil samples.Materials and methods. We used 10 vaccine strains of B. anthracis and 30 strains of closely related bacilli of the genus Bacillus (B. cereus – 15, B. thuringiensis – 10, B. megaterium – 5) with typical species properties. The work was performed on three experimental batches of magnoimmunosorbents. DNA extraction and PCR setting was carried out in compliance with the instructions for reagent panel for B. anthracis DNA detection “ApliSens Bacillus anthracis-FRT”.Results and discussion. It is shown that when using MIS, the sensitivity of the cultural method is increased by at least 7 times (taking into account the possibility of sorption of 1–10 or more spores on a sorbent particle). The sensitivity of the PCR method is improved by 10 times and amounts to 50 B. anthracis spores per 1 ml for the samples concentrated with the help of MIS. The sensitivity of the bacteriological method using MIS increases by a factor of 7.5 when testing the artificially contaminated with B. anthracis soil samples. Hence, application of the developed MIS makes it possible to significantly enhance the sensitivity of anthrax agent detection methods and can be considered as an effective means of sample preparation for the investigation of environmental objects (soil).

An executive precision universal mechatronic module is considered, which allows performing precision rotational motion of the output kinematic link. The universal mechatronic module is designed to create the kinematics of mechatronic guidance systems and positioning of objects of aerospace technology. The key features of the executive precision universal mechatronic module are high positioning accuracy, low weight and overall dimensions. The aim of the work is to create a finite element model and analyze dynamic loads to assess the resistance of the structure to external vibration loads. The first section describes the creation of a finite element model taking into account the radial and axial stiffness of the supporting structural elements. The second section describes performing static analysis to create a preloaded state, and performing dynamic analysis. The influence of sinusoidal and random vibrations is investigated, the natural frequencies of the universal mechatronic module design are determined.

The article developed a gating technique that allows us to validate ADS-B data without the necessity to verify using the secondary surveillance radar or multilateration. Probabilistic models of the ADS-B data gating technique, as well as the algorithm for applying these models were proposed. Benchmark cases that occur when aircraft (A/C) positioning by ADS-B systems, determined by threshold values of navigation and pilot’s errors, were analyzed. The first benchmark case assumes not exceeding of navigation and pilot’s errors the bounds of the tolerance limits, which allows us to draw up a conclusion concerning the ADS-B data validation. The second one assumes exceeding of a pilot’s error the bounds of the tolerance limits under an allowable navigational error. Herewith, the air traffic controller (ATC) obtains a message about the proper ADS-B operation and the necessity to issue instructions to the pilot to correct a flight. The third benchmark case assumes exceeding of a navigation error the bounds of the tolerance limits under an allowable or not allowable pilot’s error. In this case, the ATC obtains a message about not valid ADS-B data and the incapability to use these systems. The simulation of the given benchmark cases was performed. In addition, the Rayleigh and Rice distributions were applied to implement the ADS-B data gating technique. The simulation results allow us to assess the required amount of accumulated ADS-B data for the evaluation. Thus, it was found that during the estimate based on the Rayleigh distribution, it is sufficient to accumulate 15–20 measurements, which, when transmitting 2 messages per second and under the condition of the normal ADS-B equipment operation, will take 8–10 s. During the estimate, using the Rice distribution, an accumulation of 25–30 measurements is sufficient, which will take 13–20 s. The developed method will allow the use of ADS-B systems at regional aerodromes with the low intensity of air traffic as the primary or sole surveillance means.

The article is dedicated to the 400th anniversary of the birth of the outstanding French anatomist, physician and philosopher Jean Pecquet (1622–1674). Pecquet’s biography is connected with the city of Dieppe, where the future scientist was born and got his primary education, and with Paris, where he made his main discoveries in anatomy. Throughout his life, Pecquet collaborated with many prominent scientists of that time (Jacques Mentel, Louis Gayant, Jean Riolan (the Younger)), including not only physicians and anatomists, but also physicists such as Blaise Pascal, Edme Mariotte, Marin Mersenne and Evangelista Torricelli. Pecquet’s most famous discovery is the chyle cictern, or cisterna chyli. The structure was named after of the scientist – “Pecquet’s reservoir (cistern)”. But more revolutionary discovery made by Pecquet is revealing and proving the fact that the lymphatic ducts flow into the superior vena cava indirectly through the venous angles and refuting the conventional opinion on the drainage of lymph into the liver. An important help in Pecquet’s anatomical research and experiments was his passion for the physical and mathematical sciences. In collaboration with Edme Marriott, Pecquet studied the structure of the eyeball and turned out to be more foresighted, because, unlike Marriott, he correctly understood the role of the retina in the functioning of the eye as an organ of vision. Pecquet was one of William Harvey’s supporters regarding his concept of blood circulation. He introduced cutting-edge at that moment technologies into the anatomy methodology, including animal experiments in vivo, and made a fateful contribution to the progress of anatomical science.

The urgency of the paper is determined by the necessity to predict the results of tests for determining the coefficient of hydraulic resistance of axially symmetrical check valve DN 100-600 with operating pressure up to 20 MPa and operating temperature from plus 50C to plus 3500C according to TS 6981-254-08847871-07. This paper suggests to reduce the volume of tests by excluding the tests for intermediate samples of valves (DN 100, DN125, DN 200, DN 300, DN 500, DN 600) situated in DN between the valve type models (DN 100, DN 175, DN 400) and replaced the tests by calculations in the programme module ANSYS CFX of the calculation complex ANSYS. The results of the tests for determining the coefficient of hydraulic resistance are given. An estimate of hydraulic resistance coefficient values is offered and recommendations for its determination are given. The experimental determination of hydraulic characteristics was carried out in the region of quadratic resistance and in absence of cavitation (the tests were done on water). The region of quadratic resistance comes at Reynolds numbers Re ≥ 2 × 104 for check valve of nominal diameters DN ≤ 250. The region of quadratic resistance ReKB is determined in the process of experimental determination of drag and flow capacity factors for valves of nominal diameters DN ≥ 250. The procedure of determination of ReKB is described in 7.2.3 of GOST 55508-2013. These test results for determination of hydraulic resistance coefficient for valves DN 150, DN 175, DN 400 according to TU 6981-254-08847871-07 can be used when developing acceptance test programs to set the number of tested samples according to the design features and number of versions of check valves (DN 100, DN125, DN 200, DN 300, DN 500, DN 600), replacing the testing by calculation.

Background. Patients with hemophilia are protected from thrombosis by a deficiency of one of coagulation factors, therefore thrombotic complications are rare in them. Currently, few descriptions of spontaneous venous thrombosis in adult hemophiliacs can be found in the literature. Even fewer data of thromboembolic complications are reported in pediatric practice. At present, no clear recommendations are given for the management of thrombotic complications in children with hemophilia, which requires further study of this issue to develop prevention and treatment regimens, including otogenic sinus thrombosis in this category of patients.Case description. A 7-year-old boy was transferred from the Somatic Hospital to the Intensive Care Unit of Regional Clinical Hospital No. 2 in Tyumen (Russia) with an Otorhinolaryngology Unit. He was diagnosed with non-perforative form of acute right-sided suppurative otitis media, acute right-sided mastoiditis, thrombosis of the right sigmoid sinus. The anamnesis shows that the child is diagnosed with hemophilia A, of moderate severity (factor VIII level — 5%), for which he has been receiving factor VIII replacement therapy for the last year. Upon admission, a general blood test revealed no abnormalities, with a slight increase in acute-phase parameters: C-reactive protein, fibrinogen, signs of hypocoagulation. Due to negative dynamics, the child underwent anthromastoidotomy against the background of intensive replacement therapy. Surgery revealed the presence of granulation tissue with hemorrhagic thrombi in the antrum and aditus. In the postoperative period, replacement therapy was accompanied with antibacterial and anticoagulant therapy.Conclusion. The management of patients with otogenic sinus thrombosis against the background of hereditary factor VIII deficiency is a difficult task. On the one hand, it requires surgical intervention and anticoagulant therapy in order to prevent further thrombosis, on the other hand — intensive replacement therapy in order to reduce the risks of hemorrhagic complications. The described case demonstrates the need for an interdisciplinary approach to the diagnosis and treatment of a patient with otogenic thrombosis of lateral sinus against the background of hemophilia A. The approach is to minimize the risks of intraoperative complications and insure a favorable outcome.

Currently, there is an increase in preand post-approval testing of medicinal products containing diosmin and hence a need to unify approaches to standardisation of this group of pharmaceuticals. Moreover, the State Pharmacopoeia of the Russian Federation lacks a monograph for these products.The aim of the study was to determine an approach to standardisation of medicinal products containing diosmin.Materials and methods: the study analysed scientific publications, as well as monographs of leading foreign pharmacopoeias. Experimental work was carried out using samples of diosmin-containing pharmaceuticals in the form of 500 and 1000 mg film-coated tablets produced by Russian and foreign manufacturers. The study involved high performance liquid chromatography with UV detection using an Agilent 1260 Infinity II liquid chromatography system with a diode array detector. The following reference standards were used: a diosmin RS, USP grade; a hesperidin CRS, Ph. Eur. Grade; and a diosmin CRS for testing chromatography system suitability for identification of impurities A, B, C, D, E, and F, Ph. Eur. grade.Results: the authors reviewed quality requirements for pharmaceutical products containing diosmin and analysed experimental data obtained during preand post-approval testing of Russian and foreign medicines. The comparison of regulatory documents for registered diosmin-containing medicinal products showed a difference in approaches to assessing the contents of related substances and active pharmaceutical ingredients. Having analysed the literature, experimental data and regulatory requirements for standardisation of diosmin-containing pharmaceuticals, the authors recommended an approach to standardisation. According to the approach, concomitant flavonoids (hesperidin, isorchoifolin, linarin, and diosmetin) contributing to the pharmacological activity of a medicinal product are specified as part of Assay, and process-related by-products (impurities A and D) are specified and evaluated as part of Related substances tests.Conclusion: the authors propose to evaluate the contents of concomitant flavonoids (hesperidin, isorchoifolin, linarin, diosmetin) under Assay and to specify impurities A and D, as well as single unidentified impurities and total amount of impurities under Related substances.

Aim: to study risk factors of development of the post-COVID syndrome (PCS).Material and methods. 210 patients with a history of new coronavirus infection (COVID-19) (47 men, 163 women aged 18–85 years) were examined by doctors of various specialties. Patients were divided into several groups depending on the presence of PCS, as well as the severity of the disease.Results. The risk factors of the PCS development are moderate and severe course of the pathological process in acute period of COVID-19 disease (p < 0.001). In women, PCS is seen more often than in men (30 / 135 vs. 17 / 28, p < 0 / 001), other risk factors are age over 50 years (p < 0.05), polymorbidity (p < 0.01), treatment with glucocorticoids in acute disease period (76 / 165 vs. 4 / 45, p < 0.001). In cases of mild COVID-19 course, neither age nor polymorbidity increased the risk of PCS development (p > 0.05), however a dysfunction of cellular immunity was significant, specifically the proliferative activity of lymphocytes in response to mitogen: 50.6 ± 10.4 % vs. 54.0 ± 5.1 %, p < 0.05). In cases of severe COVID-19 course, the gender differences and dysfunction of the cellular immune system are not the determinants for the PCS development (p > 0.05), however the age (56.7 ± 13.1 years vs. 42.1 ± 15.4 years, p < 0.01) its linkage to somatic pathology (a cardiovascular disease) besides glucocorticoids threatment (64 / 89 vs. 3 / 9, p < 0.05) are important risk factors for PCS.Conclusions. The main risk factor for PCS development is the moderate and severe course of the pathological process in the acute period of COVID-19 infection, female gender, age over 50 years, polymorbidity, treatment with glucocorticoids in the disease acute period. In case of mild COVID-19 course, neither age nor the polymorbidity increased the risk of PCS development, but the dysfunction of cellular immunity is significant. In case of severe COVID-19, the gender differences and dysfunction of the cellular immune system are not the determinants for the PCS development, however age, concomitant somatic pathology (a cardiovascular disease) and glucocorticoids treatment in acute period are important risk factors for the PCS development. The titer of protective IgG class antibodies to SARS-CoV-2 is not linked to risk of the PCS development.

Objective. The aim of the study is to determine the dependence of the normal stress on the radius of curvature of a flexible rod at different thicknesses. Method. A method was applied to determine the maximum stresses in a longitudinally compressed rod of high flexibility using elliptic integrals.Result. Modeling of a thin-walled longitudinally compressed rod was performed in the ANSIS calculation complex.Conclusion. The exact theory for calculating flexible rods allows you to determine the value of the axial force during longitudinal compression, at which the ends of the rod will close. When solving the problems of practical use of this type of rods, it is of interest to determine the maximum stresses, and at any stage of deformation, which makes it possible to choose the dimensional parameters of the elastic element and its material with greater accuracy.

A possible route to scalability of trapped-ion-based quantum computing platforms is to connect multiple modules where ions can be shuttled across different registers. Here, the authors demonstrate fast and low-loss transfer of trapped ions between two microchip modules.