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- 저자 : Melnychenko, Anatolii (검색결과 2 건)
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Melnychenko, Anatolii,Shevchuk, Nataliia,Babiy, Irina,Blyznyuk, Tetyana,Akimova, Olena International Journal of Computer ScienceNetwork S 2022 International journal of computer science and netw Vol.22 No.1
The presented research is devoted to the problems of achieving the goals of sustainable development, which will contribute to the development of industrial parks and their transformation into eco-industrial parks. The importance of the functioning of industrial parks and their transformation into eco-industrial ones in the direction of achieving sustainable development goals is substantiated. The development of industrial parks and their transformation through the coordination of dynamic development processes and the establishment of a system of mutually beneficial relations, due to the peculiarities of their functioning aimed at achieving sustainable development goals ensure the achievement of sustainable spatial development. Transformation of industrial parks will contribute to: increasing tax revenues of local budgets, increasing employment in the regions, raising public awareness of the need for environmentally friendly, energy efficient production, increasing the balance and harmony of social, economic and environmental development, modernization of territorial communities and regional enterprises resources and increase entrepreneurial initiative, rational use of available resources, intensification of small and medium enterprises, including innovation. The authors' scientific achievements are the substantiation of the principles of functioning of industrial parks in order to achieve the goals of sustainable development, which are based on a systematic approach and provide for the transformation into eco-industrial parks.
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Dmytriiev Dmytro,Melnychenko Mykola,Dobrovanov Oleksandr,Nazarchuk Oleksandr,Vidiscak Marian 대한중환자의학회 2022 Acute and Critical Care Vol.37 No.4
Background: The aim of this study was to evaluate the hemodynamic protective effects of perioperative ventilation in pressure-controlled ventilation (PCV) and adaptive support ventilation (ASV) modes based on non-invasive hemodynamic monitoring indicators.Methods: The study included 32 patients who were scheduled for planned open abdominal surgery. Depending on the chosen ventilation strategy, patients were included in two groups of PCV mode ventilation (n=14) and ASV mode ventilation (n=18). The hemodynamic effects of the ventilation strategies were assessed by estimated continuous cardiac output (esCCO) and cardiac index (esCCI). Results: Preoperative cardiac output (CO) was 6.1±1.3 L/min in group 1 patients and 6.3±0.8 L/min in group 2 patients, and preoperative cardiac index (CI) was 3.9±0.4 mL/m2 in group 1 patients and 3.8±0.8 mL/m2 in group 2 patients. The ejection fraction (EF) in group 1 subjects was 55.4%±0.3%; this rate was 56.5%±0.5% in group 2 subjects. Group 1 patients experienced a 14.7% CO decrease to 5.2±0.7 L/min, a 17.9% CI decrease to 3.2±0.6 mL/m2, and a 12.8% mean arterial pressure decrease to 82.3±9.4 mm Hg 30 minutes after the start of surgery. One hour after the start of surgery, the CO mean values of group 2 patients were lower than baseline by 7.9% and differed from the dynamics of patients in group 1, in whom CO was lower than baseline by 13.1%. At the end of the operation, the CO values were lower than baseline by 11.5% and 6.3% in patients of groups 1 and 2, respectively. Our data showed that the changes in EF during and after surgery correlated with CO indicators determined by the esCCO.Conclusions: In our study, perioperative ventilation in ASV mode was more protective than PCV mode and was characterized by lower tidal volume (16.2%) and driving pressure (ΔP) (12.1%). Hemodynamically-controlled mechanical ventilation reduces the negative impact of cardiopulmonary interactions.
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