All articles by Polyakova Yu. V.
2020 № 9 Organization, current state and immediate prospects of the problem «bloodless surgery»
The research focus of the publication is the problem of preserving the blood of the operated patient. The variety
of blood preservation methods shows the multidisciplinary nature of the problem and the importance of well-coordinated
teamwork of busy doctors. For more than 20 years, surgical, anesthetic, transfusion technologies of blood saving have
been used mainly in cardiac surgery patients. The use of a complex of blood-saving technologies allows you to reduce
the amount of blood loss and the consumption of donor blood components. Over 7 years in cardiac surgery, the number
of recipients of donor hemocomponents decreased by 41% (erythrovesue) and 61% (FFP). Autologous plasma is 68-78%
of the total volume transfused to cardiac patients. 50% of patients operated on the ascending aorta do not need a blood
transfusion. Blood loss during extensive liver resections has decreased three times in 10 years and does not require allogeneic blood transfusions. An adequate multidisciplinary approach to solving the problem of blood conservation can improve
the results of surgical treatment of patients.
2020 № 2 Оrganization of extracorporeal care in a multidisciplinary medical institution
Organization of round-the-clock extracorporeal (EC) treatment in required volumes and options is one of the
most important tasks of a modern surgical hospital. The annual volume of extracorporeal procedures at the B. V. Petrovsky
National Research Center for Surgery (NRCS) is 1.5–2.0 thousand. The most significant methods are transfusiological blood
saving, high-volume plasmapheresis, and renal replacement therapy. Doctors of various specialties are traditionally engaged
in conducting EC procedures: resuscitators, nephrologists, transfusiologists. In modern medicine, EC hemocorrection
methods are in wide demand. Their effectiveness can be determined by the start time of the procedure. Therefore, roundthe-
clock access to all the necessary manipulations is important. In the absence of specialized departments of extracorporeal
treatment with around-the-clock working schedule the implementation of the necessary extracorporeal procedures is
possible in close contact with resuscitators, nephrologists, transfusiologists, in collaboration with the doctor of the clinical
diagnostic laboratory. The quality of providing high-tech extracorporeal care depends on the adequacy of the treatment
process management in a particular medical institution. Collegial performance of EC procedures for one patient by specialists
of various profiles – resuscitators, nephrologists, transfusiologists – gives a high clinical result.
2019 № 6 Assessment of attainability of fifth place in the global ranking of the publishing activity on priority areas in biomedicine
During 2012-2018 in the Russian Federation, pursuant to Presidential Decree No. 599 of 05/07/2012, a set of state support measures was implemented aimed at increasing the specific gravity of Russian publications indexed in international databases. The national project “Science” (NPS) designed to realize the goals set by Presidential Decree No.204 of 05/07/2018 “On the National Goals and Strategic Tasks for Development of the Russian Federation until 2024” continues and develops the theme of increasing the publication activity of the Russian Federation in the internationalized space. One of the six NPS targets is “The place of the Russian Federation in terms of specific gravity in the total number of articles in areas defined by the priorities of scientific and technological development in publications indexed in international databases”. The purpose of this study was to evaluate the basic value of this indicator for biomedical disciplines related to the priority direction (paragraph 20c) of the Strategy for Scientific and Technological Development of the Russian Federation. We compared volumes of publication flows of the Russian Federation in 20 biomedical disciplines with a similar indicator of countries ranked fifth in the number of publications on the subject area under consideration, indexed in the Web of Science Core Collection (WoS CC). A 5-10 fold lag of the Russian Federation was recorded for the most part of the priority areas in the field of biomedicine identified by the NTS passport. The impact of public policy measures aimed at increasing the national biomedical publication stream for the period of 2012-2018 was estimated as insufficient to meet the considered NTS target.