The review presents schemes for obtaining homologous series of the linear α,ω-carbofunctional oligodimethylsiloxanes with the silicone chain length from 6 to 60 siloxane units containing carboxydecyl, aminopropyl and glycidoxypropyl groups at the chain ends allowing to obtain organosilicon surfactants with reproducible structure and properties. Data on the surfactant colloidchemical properties and kinetic regularities of styrene polymerization in their presence are provided. Systematic research of heterophase styrene polymerization kinetic regularities in the presence of water-insoluble α,ω-carbofunctional oligodimethylsiloxane allowed to formulate the fundamental differences of polymerization kinetic regularities from those observed in the presence of water-soluble surfactants. The mechanism of interfacial adsorption layers formation with water-insoluble α,ω-carbofunctional oligodimethylsiloxanes on the surface of monomer drops and polymer-monomeric particles was considered. This mechanism consists in the forced surfactant replacement by the formed polymer (because of their incompatibility) to the interfacial adsorption layer and in the formation of the surfactant supermolecular structures. The latter in total with the polymer provide its high durability.
This case report highlights the benefit or harm of breastfeeding in a patient with Kidney Failure with Replacement Therapy (KFRT) undergoing program hemodialysis. This is a unique clinical case, as pregnancy and successful delivery are rare in this group of females. With a favorable outcome, the possibility of breastfeeding is especially relevant for doctors and the mother. The patient was a 31-year-old female who was diagnosed in 2017 with end-stage renal disease associated with chronic glomerulonephritis. Against the background of hemodialysis, pregnancy, accompanied by polyhydramnios, anemia, and secondary arterial hypertension, occurred in 2021. At 37 weeks, a healthy, full-term baby girl was born, and breastfeeding was started. In this study, we conducted a detailed analysis of toxic substances and immunologically significant proteins using high-tech analysis methods. In addition, we studied different portions of milk before and after hemodialysis at different time intervals. After a wide range of experiments, our study did not reveal an optimal time interval for breastfeeding a baby. Despite the decrease in the level of the major uremic toxins 4 h after the hemodialysis procedure, their level remained high. In addition, the content of nutrients did not reach acceptable limits and the immune status was characterized as pro-inflammatory. In our opinion, breastfeeding is not advisable for this group of patients since the concentration of nutrients is low, and the content of toxic substances exceeds the permissible limits. In this clinical case, the patient decided to stop breastfeeding one month after delivery due to insufficient breast milk and the inability to express it in a certain period of time.
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