RESUMO
Magnetic markers which can be detected with an extremely high sensitivity with the method of magnetic particle quantification (MPQ) were synthesized. Using a controlled Stober reaction, a set of magnetic silica markers of different sizes and zeta potentials was obtained. The use of a carboxymethyl dextran polymer to stabilize the magnetite particles during the synthesis made it possible to substantially reduce the detection limit of the obtained construct, which opens up new opportunities for creating effective diagnostic nanoagents.
Assuntos
Nanopartículas de Magnetita/química , Dióxido de Silício/química , Ácido Cítrico/química , Dextranos/química , Difusão Dinâmica da Luz , Hidrodinâmica , Microscopia Eletrônica de Transmissão , Tamanho da Partícula , Dióxido de Silício/síntese químicaRESUMO
OBJECTIVE: To evaluate the various tactics and approaches in the surgical treatment of bilateral pulmonary hydatidosis (BPH). MATERIALS AND METHODS: Between 1969 and 2000, a total of 127 BPH patients underwent surgery. The operative techniques of choice were parenchyma-preserved methods. Up to 1988, two-stage operations via thoracotomies were performed on 30 patients. One-stage operations with successive thoracotomies were carried out on two patients. Since 1988, only four patients underwent two-stage operations. One-stage surgery was carried out on 91 patients: 82 via median sternotomy (MS), one via clamshell incision, four through successive thoracotomies and three through video-assisted thoracic surgery (VATS) and mini-thoracotomies. One-stage bilateral lower lobectomies via MS were performed on one patient. In 11 cases, the concomitant dome localized liver cysts were extirpated via right phrenotomy during MS. Sterno-laparotomy was performed on 11 patients: for associated hepatic (seven), and hepatic and spleen cystectomies (four). In eight cases, abdominal echinococcosis was operated on a second stage, and in one case, a complicated hepatic cyst was extirpated on a first stage. RESULTS: No intraoperative deaths occurred. The postoperative mortality rate was 0.78%; one patient died of pulmonary embolism. No fatal complications have appeared in eight cases (skin suppuration, residual pleural cavity and atelectasis). Adult respiratory distress syndrome was successfully treated in one case after MS. The long-term postoperative results are considered very good, with no recurrences observed. CONCLUSIONS: One-stage surgery is superior to a classic two-stage approach as it decreases the morbidity, hospital stay and costs. MS is an excellent approach, but in some cases, VATS mini-thoracotomies could be indicated.
Assuntos
Equinococose Pulmonar/cirurgia , Adolescente , Adulto , Idoso , Criança , Equinococose Hepática/complicações , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Pneumonectomia , Procedimentos Cirúrgicos Pulmonares/métodos , Cirurgia Torácica Vídeoassistida , Toracotomia/métodosRESUMO
New approaches to the study of population growth, spatial distribution, and urbanization in the USSR are presented. "Quantitative analysis of historical trends in city growth rates within Moscow Oblast (1926-1984) reveals two major components or city types: a group of cities with below-(oblast) average rates for each of five periods of analysis (1926-39, 1939-59, 1959-70, 1970-79, 1979-84) and a second category experiencing above-average growth until 1970, with subsequent reduction of rates below the oblast average."