Adrenoreactance of arteries of intestines and back finiteness at adaptation to a cold

At adaptation to a cold of rabbits for 1st, 5th, 10th, 30th day the quantity and sensitivity adrenoreceptors changes

Эпидемиологическая и этиологическая характеристика внебольничной пневмонии у военнослужащихпо призыву в современный период. Сравнительная оценка эффективности пневмококковых вакцин.

The purpose of the study is to analyze morbidity and to determine etiology of community-acquired pneumonia of conscripts, to examine the epidemiological effectiveness of pneumococcal conjugate and non-conjugate polysaccharide vaccines for the prevention of community-acquired pneumonia in soldiers.Materials and methods. The incidence of communityacquired pneumonia of conscripts in the period from 2008 to 2017 was examined. PCR diagnosis of samples sputum and smears from the pharynx of 694 patients with pneumonia of conscripts was carried out to detect fragments of DNA/RNA of 14 different pathogens. Epidemiologic efficacy of conjugated and non-conjugated pneumococcal vaccine was studied in groups from a total population of 1727 soldiers.Results. It is established that over the past 8 years, the incidence of community-acquired pneumonia of military conscripts decreased by 2.7 times. However, the level of morbidity achieved in 2017 (25.7 ‰) is still very high compared to the incidence of contract soldiers (5.3 ‰) and the population (4.2 ‰).When determining the etiology of pneumonias in military conscripts by means of PCR diagnosis, the prevalence of S. pneumoniae and adenoviruses was established, the genetic material of which was detected in 56.3% and 35.9% of the examined samples, respectively. 56.1% of pneumonia had mixed, mainly viral-bacterial etiology.Among those who were vaccinated with pneumococcal conjugate vaccine, the incidence of community-acquired pneumonia was 4.5 times lower in the 5 – month follow – up period than in the comparison group (p < 0.001) (effectiveness was 77.7%), and among those who were vaccinated with non-conjugate polysaccharide vaccines it was 2.8 times lower (p < 0.001) (effectiveness was 64.3%).It was found that the use of pneumococcal conjugate vaccine in military teams formed a collective immunity that prevents the circulation of pneumococci and the development of diseases not only in vaccinated persons, but also in unvaccinated persons.Conclusion. Both types of pneumococcal vaccines – conjugate, first used in the military, and usually used non-conjugate polysaccharide vaccine, have shown high epidemiological effectiveness in the prevention of community-acquired pneumonia and can equally be recommended for vaccination of recruits a month before the call to military service and of young soldiers, not vaccinated before the call.Цель: анализ заболеваемости и определение этиологии внебольничной пневмонии военнослужащих по призыву в современный период, оценка эпидемиологической эффективности 13-валентной пневмококковой конъюгированной вакцины для профилактики внебольничной пневмонии в воинских коллективах в сравнении с эффективностью неконъюгированных пневмококковых полисахаридных вакцин.Материалы и методы: проанализированы заболеваемость внебольничной пневмонией военнослужащих по призыву в период с 2008 по 2017 г. и результаты ПЦРдиагностики проб мокроты и мазков из зева 694 больных пневмонией военнослужащих по обнаружению фрагментов ДНК/РНК 14 различных возбудителей. Проведена оценка эпидемиологической эффективности пневмококковых конъюгированной и неконъюгированных полисахаридных вакцин в группах военнослужащих общей численностью 1727 человек.Результаты: установлено, что за последние восемь лет заболеваемость внебольничными пневмониями военнослужащих по призыву снизилась в 2,7 раза. Однако достигнутый в 2017 г. уровень заболеваемости (25,7 ‰) все еще очень высок в сравнении с заболеваемостью военнослужащих по контракту (5,3 ‰) и населения (4,2 ‰).При определении этиологии пневмоний у военнослужащих по призыву с помощью ПЦР-диагностики установлено превалирование S. pneumoniae и аденовирусов, генетический материал которых был обнаружен в 56,3% и 35,9% обследованных проб соответственно. 56,1% пневмоний имели смешанную, в основном вирусно-бактериальную этиологию.Среди вакцинированных пневмококковой конъюгированной вакциной за 5-месячный период наблюдения заболеваемость внебольничной пневмонией была в 4,5 раза меньше, чем в группе сравнения (р < 0,001) (показатель эффективности составил 77,7%), а среди вакцинированных неконъюгированными полисахаридными вакцинами – в 2,8 раза меньше (р < 0,001) (показатель эффективности – 64,3%). Установлено, что при применении пневмококковой конъюгированной вакцины в коллективах военнослужащих формируется коллективный иммунитет, препятствующий циркуляции пневмококков и развитию заболеваний не только у привитых, но и у непривитых.Заключение: оба типа пневмококковых вакцин – конъюгированная, впервые примененная у военнослужащих, и обычно применяемая неконъюгированная полисахаридная вакцина – показали высокую эпидемиологическую эффективность в отношении профилактики внебольничных пневмоний и в равной степени могут быть рекомендованы для вакцинации призывников за месяц до призыва и новобранцев, не привитых перед призывом на военную службу

Epidemiological and etiological characteristics of community-acquired pneumonia in conscripts in the modern period. Comparative evaluation of the effectiveness of pneumococcal vaccines

The purpose of the study is to analyze morbidity and to determine etiology of community-acquired pneumonia of conscripts, to examine the epidemiological effectiveness of pneumococcal conjugate and non-conjugate polysaccharide vaccines for the prevention of community-acquired pneumonia in soldiers.Materials and methods. The incidence of communityacquired pneumonia of conscripts in the period from 2008 to 2017 was examined. PCR diagnosis of samples sputum and smears from the pharynx of 694 patients with pneumonia of conscripts was carried out to detect fragments of DNA/RNA of 14 different pathogens. Epidemiologic efficacy of conjugated and non-conjugated pneumococcal vaccine was studied in groups from a total population of 1727 soldiers.Results. It is established that over the past 8 years, the incidence of community-acquired pneumonia of military conscripts decreased by 2.7 times. However, the level of morbidity achieved in 2017 (25.7 ‰) is still very high compared to the incidence of contract soldiers (5.3 ‰) and the population (4.2 ‰).When determining the etiology of pneumonias in military conscripts by means of PCR diagnosis, the prevalence of S. pneumoniae and adenoviruses was established, the genetic material of which was detected in 56.3% and 35.9% of the examined samples, respectively. 56.1% of pneumonia had mixed, mainly viral-bacterial etiology.Among those who were vaccinated with pneumococcal conjugate vaccine, the incidence of community-acquired pneumonia was 4.5 times lower in the 5 – month follow – up period than in the comparison group (p < 0.001) (effectiveness was 77.7%), and among those who were vaccinated with non-conjugate polysaccharide vaccines it was 2.8 times lower (p < 0.001) (effectiveness was 64.3%).It was found that the use of pneumococcal conjugate vaccine in military teams formed a collective immunity that prevents the circulation of pneumococci and the development of diseases not only in vaccinated persons, but also in unvaccinated persons.Conclusion. Both types of pneumococcal vaccines – conjugate, first used in the military, and usually used non-conjugate polysaccharide vaccine, have shown high epidemiological effectiveness in the prevention of community-acquired pneumonia and can equally be recommended for vaccination of recruits a month before the call to military service and of young soldiers, not vaccinated before the call

Особенности законодательной регламентации построения и функционирования систем национальных баз данных ДНК (на примере Великобритании, США, Китая и России)

The study considers the history of establishment, current condition and perspective of the legislative regulation in establishing and functioning of national DNA database systems in some European and Asian countries. The authors study the peculiarities in establishing systems of DNA registration regarding a case study of Great Britain, China and the USA as the countries having a considerable experience in this field and the biggest national DNA databases. Thus, the main developmental characteristics in the forensic registration of these countries are identified. The aim of the study is to examine the theoretical aspects of the legislative regulation in establishing and functioning of national DNA database systems including the purposes to create the best model of the legislative regulation to meet the requirements of a modern society. The gaps in the state regulation of genomic registration are noted. It is determined that the existing laws and regulations in Russia do not completely satisfy the demands of the times for they considerably limit the sphere of application of DNA registration systems. As a result, the real potential of the DNA registration system in Russia is identified. Consequently, it will assist in establishment of a more effective model of DNA registration system taking into account the world’s experience. Regulatory developments in legal activities as ways to improve legislative regulation of the genomic registration in Russia are set.В статье рассмотрена история создания, современное состояние и перспективы правового регулирования формирования и функционирования национальных баз данных ДНК в странах Европы и Азии. Авторы исследуют особенности построения систем ДНК-регистрации на примере стран, имеющих значительный опыт в данной области, администрирующих самые крупные в мире базы данных ДНК, — Великобритании, США, Китая. При этом выявлены основные особенности развития этого направления криминалистической регистрации в указанных странах. Цель настоящей работы состоит в том, чтобы исследовать теоретические аспекты правовой регламентации построения и функционирования систем национальных баз данных ДНК, в том числе в целях формирования оптимальной модели законодательного регулирования, учитывающей потребности современного общества. В работе также отмечены пробелы в отечественном законодательном регулировании геномной регистрации. Установлено, что действующие нормативные правовые акты в России не в полной мере отвечают требованиям времени, поскольку существенно ограничивают сферу применения систем ДНК-регистрации. При этом выявлен действительный потенциал системы ДНК-регистрации в Российской Федерации, позволяющий с учетом мирового опыта создать наиболее эффективную модель ее построения. Определены направления нормотворческой деятельности на пути совершенствования правового обеспечения геномной регистрации населения в Росси

Axial length and its associations in a Russian population: The Ural Eye and Medical Study.

PURPOSE:To assess the normal distribution of axial length and its associations in a population of Russia. METHODS:The population-based Ural Eye and Medical Study included 5,899 (80.5%) individuals out of 7328 eligible individuals aged 40+ years. The participants underwent an ocular and systemic examination. Axial length was measured sonographically (Ultra-compact A/B/P ultrasound system, Quantel Medical, Cournon d'Auvergne, France). RESULTS:Biometric data were available for 5707 (96.7%) individuals with a mean age of 58.8±10.6 years (range:40-94 years; 25%, 50%, 75% quartile: 51.0, 58.0, 66.0 years, respectively). Mean axial length was 23.30±1.10 mm (range: 19.02-32.87mm; 95% confidence interval (CI): 21.36-25.89; 25%, 50%, 75% quartile: 22.65mm, 23.23mm, 23.88mm, resp.). Prevalences of moderate myopia (axial length:24.5-26.5mm) were 555/5707 (8.7%;95%CI:9.0,10.5) and 78/5707 (1.4%;95%CI:1.1,1.7), respectively. Longer axial length (mean:23.30±1.10mm) was associated (correlation coefficient r2:0.70) with older age (P<0.001;standardized regression coefficient beta:0.14), taller body height (P<0.001;beta:0.07), higher level of education (P<0.001;beta:0.04), higher intraocular pressure (P<0.001;beta:0.03), more myopic spherical refractive error (P<0.001;beta:-0.55), lower corneal refractive power (P<0.001;beta:-0.44), deeper anterior chamber depth (P<0.001;beta:0.20), wider anterior chamber angle (P<0.001;beta:0.05), thinner peripapillary retinal nerve fiber layer thickness (P<0.001;beta:-0.04), higher degree of macular fundus tessellation (P<0.001;beta:0.08), lower prevalence of epiretinal membranes (P = 0.01;beta-0.02) and pseudoexfoliation (P = 0.007;beta:-0.02) and higher prevalence of myopic maculopathy (P<0.001;beta:0.08). In that model, prevalence of age-related macular degeneration (any type: P = 0.84; early type: P = 0.46), diabetic retinopathy (P = 0.16), and region of habitation (P = 0.27) were not significantly associated with axial length. CONCLUSIONS:Mean axial length in this typically multi-ethnic Russian study population was comparable with values from populations in Singapore and Beijing. In contrast to previous studies, axial length was not significantly related with the prevalences of age-related macular degeneration and diabetic retinopathy or region of habitation

Prevalence, awareness and control of diabetes in Russia: The Ural Eye and Medical Study on adults aged 40+ years.

PurposeNon-communicable chronic diseases have become the leading causes of mortality and disease burden worldwide. With information about the frequency of diabetes as a major non-communicable chronic disease in Russia being scarce, we assessed the prevalence of diabetes and its associated factors in a rural and urban population in Russia.MethodsThe Ural Eye and Medical Study is a population-based study in the city of Ufa/Russia and in villages in a distance of 65 km from Ufa. Inclusion criterion was an age of 40+ years. All study participants underwent a standardized interview and a detailed general examination. Diabetes mellitus was defined by a plasma glucose concentration ≥7.0 mmol/L or self-reported history of physician diagnosis of diabetes.ResultsOut of a population of 7328 eligible individuals, 5899 individuals (2580 (43.7%) men) (participation rate:80.5%) participated (mean age:59.0±10.7 years (range:40-94 years)). Diabetes mellitus was present in 687 individuals (11.7%;95% confidence interval (CI):11.9,12.5). Awareness rate of having diabetes was 500/687 (72.8%;95%CI:69.0,76.0), with mean known duration of diabetes of 10.0±9.4 years. Known type 1 diabetes was present in 44 subjects and known type 2 diabetes in 358 subjects. Prevalence of undiagnosed diabetes was 3.2% (95%CI:2.7,3.6) in the study population. Among patients with diabetes, 59.1% (95%CI:55.4,62.8) received treatment for diabetes, among whom 237 (58.5%;95%CI:53.7,63.3) individuals had adequate glycemic control. In multivariable analysis, higher prevalence of diabetes mellitus was associated with older age (PConclusionsIn this ethnically mixed, urban and rural Russian population aged 40+ years, the awareness rate of diabetes (72.8%) was relatively high, while the diabetes prevalence (11.7%) was comparable with that of other countries such as China and the USA. Factors associated with higher diabetes prevalence were similar in Russia and these other countries and included older age, higher body mass index and higher serum concentration of triglycerides, lower prevalence of vigorous daily work, arterial hypertension and cardiovascular diseases