No abstract

When provided by untrained persons in the simulated settings, the compression-only resuscitation guided by the pre-recorded instructional audio is no less efficient than dispatcher-assisted CPR. Future studies are warranted to further assess feasibility of using instructional audio aid as a potential alternative to dispatcher assistance.

Despite a significant arsenal of medications and methods of surgical correction of myocardial blood supply, treatment of some forms of coronary heart disease remains relevant. The purpose of the work is to analyze the effectiveness of the use of stromal stem cells (SSC) of bone marrow in autologous transendocardial transplantation in some forms of IHD. Material and methods. In the near and long-term results, we analyzed the histories and diseases and conducted a survey of 68 patients. Of the 68 patients, the largest group was men - 53 (77.9%), women were much fewer - 15 (22.1%). Then we formed 4 groups (17 patients each): 1 group - control - patients received standard drug therapy; Group 2 - to patients who received standard therapy, empty myocardial injections were performed using a catheter and the NOGA XP navigation system; Group 3 - auto-CCK was administered intravenously to patients; 4 group - against the background of therapy, transendocardial auto-SSK was administered. Results and its discussion. When analyzing the patient's subjective sensations in group I, after 3 months in group 1, 4 patients (32%) noted improvement, unchanged - 11 (64.7%), worsening - 2 (11.8%) and significant worsening 1 ( 5.9%). In group II, improvement was in 1 patient, which was 5.9%, unchanged - 13 (76.5%), worsening - 2 (11.8%) and significant deterioration - 2 (11.8%). In group III, improvement was observed in 5 patients - 29.4%, significant improvement in 1 (5.9%), deterioration and significant deterioration in 1 patient (5.9% each, respectively). In group IV unchanged - 6 (35.3%) patients, improvement - 7 (41.2%), significant improvement - 4 (32%), worsening - 1 (5.9%). Cell transplantation, regardless of the method of administration, increases the EF and reduces the EDV of the left ventricle, more significantly in the group with a transendocardial route of administration. Conclusion. In accordance with published data, we obtained similar data - transplantation of human bone marrow SSC with autologous administration causes a positive effect in the form of increased EF LV, decreased EDV of the LV, increased exercise tolerance and a significant improvement in patients' well-being. It should be noted that intravenous and intracoronary administration of auto-SSC is much less effective in the studied parameters than transendocardial introduction of cells into the myocardium.

The ubiquitous application of inguinal hernioplasty performed by various methods does not exclude the occurrence of certain late postoperative complications, the cause of which is sometimes extremely difficult to establish. The article describes a clinical case of observing a patient with chronic postoperative pain 6 months after inguinal hernioplasty using the TAPP technique. When studying the possible causes, the presence of a fixing material (tacker) in the triangle of pain was found, the removal of the latter led to a complete leveling of the clinical picture. Thus, despite the simplicity of performing inguinal hernioplasty, the surgeons desire for excessive fixation and a violation of the principles of this operation can lead to undesirable complications and temporary disability of the patient.

RELEVANCE In Russia, insufficient motivation and low readiness of laypeople to provide first aid (FA) stipulate low rates of bystander cardiopulmonary resuscitation (CPR) and, as consequence, high mortality from cardiac arrest (CA). News reports on real cases of CA, in addition to describing circumstances of the event, may carry important information promoting FA provision among a wide audience. However, existing practice of presenting such content in Russian media sphere is unknown.AIM To investigate contemporary trends for presentation of information on the problem of CA and provision of help in CA in reports of online news media on the example of a news sample about cases of pediatric CA in kindergartens and schools of Russia.MATERIAL AND METHODS In August 2021, Google and Yandex were searched for Russian-language news reports describing cases of CA that happened in children in Russian schools and kindergartens in 2020, and structured content analysis of the news was carried out.RESULTS The study sample consisted of 207 news reports describing 21 unique case of CA. In 76.2% cases (n=16) CA occurred in children at school, in 23.8% cases (5) — at kindergarten. At least in 28.6% of cases (6) Emergency Medical Services providers did not attempt CPR at arrival on scene. FA provision by bystanders was described in two cases (9.5%), provision of help by medical employees of educational organizations — in six cases (28.6%). Only in one case (4.8%) the child was transferred to a hospital after successful resuscitation. In the rest of cases (n=20; 95.2%) biological death was verified on scene. Information on the value of FA for saving life in CA was present in one out of 207 news reports (0.5%); and there were no reports mentioning legal aspects of FA provision, describing procedure of FA in CA, or highlighting the importance of mass public resuscitation education.CONCLUSIONS News reports that describe cases of CA confirm high relevance of the problem, but do not carry important information related to popularization of FA knowledge. Inclusion of information on significance, principles and procedures of providing FA to CA victims into the content of the news reports is necessary for establishing positive public opinion and increasing motivation of the general population of Russia towards training in FA and FA provision. This in turn indicates the necessity for enhancing awareness of the professional journalistic community on the problem of FA provision in CA.