151 research outputs found
Study of transhydrogenase systems features in the mutants of the yeast pachysolen tannophilus for the production of ethanol and xylitol from agricultural wastes
The key catabolic enzymes of D-xylose, an important structural component of different
agricultural wastes, were studied in cells of mutant strains of the xylose-assimilating yeast
Pachysolen tannophilus. The evaluation of catalytic activity and cofactor specificity of xylose
reductase (ΠΠ‘ 1.1.1.307) and xylitol dehydrogenase (ΠΠ‘ 1.1.1.9) confirmed the dependence of
intracellular catabolic pathway for D-xy lose on the NADΓH/NADPΓH ratio, formed under
microaerobic conditions. The study of total activity of some NAD+
/NAPΓH-dependent
dehydrogenases revealed the metabolic characteristics of the yeast cells, which could ensure
selective ethanol or xylitol production. Thus, the efficient involvement of D-xylose into the
EmbdenβMeyerhofβParnas pathway provided not only the high activities of xylose reductase and
xylitol dehydrogenase, but also of 1-glycerophosphate dehydrogenase (EC 1.1.1.8) and lactate
dehydrogenase (ΠΠ‘ 1.1.1.27), respectively. The inhibition of activity of these enzymes led to
selective production of xylitol from D-xylose. On the base of the experimental results, the
principles of metabolic engineering of xylose-assimilating yeasts were formulated. The
possibility of bioethanol and xylitol production from different agricultural wastes using xyloseassimilating yeasts are discussed
Use of lipids of Chlorella microalgae in poultry meat marinades and sauces recipes
ArticleThe aim of this study is to develop formulations and technologies for fermented poultry
meat products with the addition of whey and lipid extracts obtained from Chlorella microalgae.
Lyophilized microalgal biomass was obtained from cell suspensions of Chlorella sorokiniana
(strain 211-8k) cultivated in a closed photobioreactor under laboratory conditions. For the cell
wall disintegration, the biomass samples were homogenized using a high-speed homogenizer at
10,000 vol min-1
for 5 minutes. The lipid extraction was performed on a Sohxlet apparatus Buchi
E-812 SOX with the solvent extraction system ethanol: n-hexane (1: 9). The higher fatty acids
composition of the obtained microalgal lipid extracts was determined by gas chromatography
with flame-ionization detection using nitrogen as a carrier gas. The Ο-3 and Ο-6 content
represented 26.59% and 19.05% respectively, which indicates that these lipid extracts have high
nutritional values. The curd whey was obtained from cow's milk of summer and winter production
from 2017 to 2018 (Lomonosov district auxiliary farm, Leningrad region); and lyophilized Direct
Vat Set (DVS) cultures (Ch. Hansen, Denmark). The organic acids and carbohydrate content in
the serum was determined by ion-exclusion HPLC. The FD-DVS CHN-19 culture was selected
to produce a serum with improved organoleptic characteristics and a lower propionic acid content
(0.01 g L
-1
). To obtain an optimal Ο-3 / Ο-6 ratio, a phyto-additive mixture based on sunflower
oil and lipid extracts from C. sorokiniana microalgae at a ratio of 5β10: 1 is proposed to be used
in recipes and technologies of sauces and marinades. It is established that the use of curd whey
marinades allow to increase the water-holding capacity (WHC) by 6β8% and to reduce losses
during heat treatment of poultry meat from 2 to 11%
A method for obtaining plastid pigments from the biomass of Chlorella microalgae
Microalgae are distinguished from land plants by the high content of plastid pigments
and the biodiversity of carotenoids. The aim of this study is to develop a technology for extracting
a pigment complex from the biomass of the microalgae of the genus Chlorella and to determine
the extracted pigmentsβ composition. To obtain biomass, a crude cell suspension of microalgae
was used, which was obtained under laboratory conditions for pre-culture cultivation of
C. sorokiniana (strain 211-8k). The extraction of plastid pigments from air-dry biomass after
disintegration of cell membrane was performed in the 40 kHz mode. It was found that the highest
pigment content in ethanol extracts was observed after 30 min (870.0 Β± 27.1 mg L
-1
) at 45β50 Β°C.
The pigmentsβ composition in the resulting total extracts was determined by spectrophotometry
and the Reverse Phase HPLC method. The established content of chlorophyll a in the obtained
extracts was 537.5 Β± 10.0 mg L
-1
, the content of chlorophyll b was 182.5 Β± 27.5 mg L
-1
; the
maximum output of the amount of carotenoids in extracts was 150.0 Β± 10.0 mg L
-1
. Thus, the
main identified forms of carotenoids in extracts from the biomass of microalgae C. sorokiniana
were xanthophylls: lutein and fucoxanthin (18.6 and 4.7% of the amount of pigment in extract,
respectively) and Ξ²-carotene (1.8% of the amount of pigment). It is planned to further fractionate
the obtained total extracts of the pigment complex to obtain various forms of chlorophylls and
carotenoids to study the spectrum of physiological activity of plastid pigments
Antirheumatic drugs and COVID-19: frustrations and hopes
In accordance with current views on the pathogenesis of the new coronavirus infection, some antirheumatic drugs are considered as therapeutic agents for suppressing the hyperinflammatory response in severe COVID-19. The review presents literature data on the efficacy and safety of certain basic anti-inflammatory and genetically engineered drugs in patients with COVID-19. Hydroxychloroquine is not indicated for the treatment of SARS-CoV-2 infection of any severity due to the lack of therapeutic benefits, the likelihood of a worse prognosis in more severe patients and the development of adverse reactions, especially when used concomitantly with azithromycin. The use of systemic glucocorticoids (GC) in patients with COVID-19 who require oxygen support leads to a decrease in mortality and an improvement in the prognosis of the disease. However, the optimal time of administration, dose and duration of HA administration remain the subject of further research. Despite the encouraging data, it is too early to draw final conclusions about the feasibility of using tocilizumab in COVID-19, since no randomized clinical trials have demonstrated a clear advantage of the drug in terms of reducing mortality. The use of anakinra does not reduce the need for noninvasive / invasive lung ventilation or the mortality of patients with COVID-19. Two drugs from the group of tumor necrosis factor inhibitors - infliximab and adalimumabare currently being considered as possible treatment options for COVID-19. The use of a combination of baricitinib and remdesivir for the treatment of COVID-19 patients requiring oxygen support has been approved. New RCTs are needed to study the effectiveness of other anti-rheumatic drugs in COVID-19
Post covid syndrome and rheumatic diseases: focus on rheumatoid arthritis (own data)
Introduction. In modern reality postcovid syndrome (PCS) is characterized by clinical heterogeneity and multi-organ involvement, often presenting a differential diagnostic and therapeutic problem. However, in most studies of PCS, stratification of patients taking into account individual comorbid conditions was not performed. Thus, only an extremely small number of studies have been devoted to assessing the course of PCS in rheumatic diseasesPurpose. To characterize the features of the course of COVID-19 in patients with rheumatoid arthritis, as well as to conduct a comparative assessment of clinical and demographic parameters in groups of patients with rheumatoid arthritis, differentiated by the presence of PCS.Materials and methods. The material of the questionnaire which contained questions regarding socio-demographic data of respondents, information on rheumatological history, comorbid diseases, data on past COVID-19, including cases of re-infection, and PCS.Results.The study included 32 adult patients (29 women, 90%) with a reliable diagnosis of rheumatoid arthritis. Of the 32 patients who underwent COVID-19, in 23 cases it was possible to form a judgment about the presence or absence of PCS. To study PCS, 23 patients were stratified into two groups: 11 (47.8%) patients developed PCS (Group 1) and 12 patients had COVID-19 without consequences (Group 2). Both groups were represented predominantly by women (90.9% and 91.7%, respectively). In the general group 37.5% of patients with COVID-19 required inpatient treatment. The number of symptoms associated with COVID-19 did not correlate with RA activity, however, patients with higher RA activity were more likely to report increased arthralgia as a symptom of COVID-19. 47.8% of COVID-19 survivors experienced PCS. The average age, the number of comorbid diseases and the severity of RA symptoms at the time of COVID-19 were relatively higher in the group of patients with RA and PKS. Patients with PKS also noted a higher frequency of hospitalizations and a more severe course of COVID-19.Conclusions. A quantitative assessment of the risk of developing PKS is needed, which will serve as a basis for developing a strategy aimed at prevention, timely diagnosis and treatment of this syndrome in patients with RS. To this end, further studies on larger cohorts of patients are required
Multimode Quantitative Scanning Microwave Microscopy of In Situ Grown Epitaxial Ba\u3csub\u3e1-x\u3c/sub\u3eSr\u3csub\u3ex\u3c/sub\u3eTiO\u3csub\u3e3\u3c/sub\u3e Composition Spreads
We have performed variable-temperature multimode quantitative microwavemicroscopy of in situepitaxial Ba1βxSrxTiO3 thin-film composition spreads fabricated on (100) LaA1O3 substrates. Dielectric properties were mapped as a function of continuously varying composition from BaTiO3 to SrTiO3. We have demonstrated nondestructive temperature-dependent dielectric characterization of local thin-film regions. Measurements are simultaneously taken at multiple resonant frequencies of the microscope cavity. The multimode measurements allow frequency dispersion studies. We observe strong composition-dependent dielectric relaxation in Ba1βxSrxTiO3 at microwave frequencies
ΠΠΎΠ»ΠΈΠ°ΡΡΡΠΈΡ, Π°ΡΡΠΎΡΠΈΠΈΡΠΎΠ²Π°Π½Π½ΡΠΉ Ρ COVID-19 (ΠΊΠ»ΠΈΠ½ΠΈΡΠ΅ΡΠΊΠΈΠΉ ΡΠ»ΡΡΠ°ΠΉ)
The article describes the clinical observation of the onset of polyarthritis after COVID-19. Clinical data, laboratory tests' and instrumental methods results in dynamics, as well as approaches to therapy are presented. The discussion reflects modern views on the causes of the development of articular syndrome after SARS-CoV-2, with special attention to the need for a careful study of the history, clinical and laboratory data of patients with COVID-19.Π ΡΡΠ°ΡΡΠ΅ ΠΏΡΠΈΠ²ΠΎΠ΄ΠΈΡΡΡ ΠΎΠΏΠΈΡΠ°Π½ΠΈΠ΅ ΠΊΠ»ΠΈΠ½ΠΈΡΠ΅ΡΠΊΠΎΠ³ΠΎ Π½Π°Π±Π»ΡΠ΄Π΅Π½ΠΈΡ Π΄Π΅Π±ΡΡΠ° ΠΏΠΎΠ»ΠΈΠ°ΡΡΡΠΈΡΠ° ΠΏΠΎΡΠ»Π΅ ΠΏΠ΅ΡΠ΅Π½Π΅ΡΠ΅Π½Π½ΠΎΠ³ΠΎ COVID-19. ΠΡΠ΅Π΄ΡΡΠ°Π²Π»Π΅Π½Ρ ΠΊΠ»ΠΈΠ½ΠΈΡΠ΅ΡΠΊΠΈΠ΅ Π΄Π°Π½Π½ΡΠ΅ ΠΈ ΡΠ΅Π·ΡΠ»ΡΡΠ°ΡΡ Π»Π°Π±ΠΎΡΠ°ΡΠΎΡΠ½ΡΡ
ΠΈ ΠΈΠ½ΡΡΡΡΠΌΠ΅Π½ΡΠ°Π»ΡΠ½ΡΡ
ΠΌΠ΅ΡΠΎΠ΄ΠΎΠ² ΠΎΠ±ΡΠ»Π΅Π΄ΠΎΠ²Π°Π½ΠΈΡ Π² Π΄ΠΈΠ½Π°ΠΌΠΈΠΊΠ΅, Π° ΡΠ°ΠΊΠΆΠ΅ ΠΏΠΎΠ΄Ρ
ΠΎΠ΄Ρ ΠΊ ΡΠ΅ΡΠ°ΠΏΠΈΠΈ. Π ΠΎΠ±ΡΡΠΆΠ΄Π΅Π½ΠΈΠΈ ΠΎΡΡΠ°ΠΆΠ΅Π½Ρ ΡΠΎΠ²ΡΠ΅ΠΌΠ΅Π½Π½ΡΠ΅ Π²Π·Π³Π»ΡΠ΄Ρ Π½Π° ΠΏΡΠΈΡΠΈΠ½Ρ ΡΠ°Π·Π²ΠΈΡΠΈΡ ΡΡΡΡΠ°Π²Π½ΠΎΠ³ΠΎ ΡΠΈΠ½Π΄ΡΠΎΠΌΠ° ΠΏΠΎΡΠ»Π΅ SARS-CoV-2, ΡΠΊΠ°Π·Π°Π½ΠΎ Π½Π° Π½Π΅ΠΎΠ±Ρ
ΠΎΠ΄ΠΈΠΌΠΎΡΡΡ Π²Π½ΠΈΠΌΠ°ΡΠ΅Π»ΡΠ½ΠΎΠ³ΠΎ ΠΈΠ·ΡΡΠ΅Π½ΠΈΡ Π°Π½Π°ΠΌΠ½Π΅Π·Π°, ΠΊΠ»ΠΈΠ½ΠΈΡΠ΅ΡΠΊΠΈΡ
ΠΈ Π»Π°Π±ΠΎΡΠ°ΡΠΎΡΠ½ΡΡ
Π΄Π°Π½Π½ΡΡ
ΠΏΠ°ΡΠΈΠ΅Π½ΡΠΎΠ² Ρ COVID-19
Π₯ΡΠΎΠ½ΠΈΡΠ΅ΡΠΊΠΈΠΉ Π³Π΅ΠΏΠ°ΡΠΈΡ Π Ρ ΠΏΠ°ΡΠΈΠ΅Π½ΡΠΎΠ² ΡΠ΅Π²ΠΌΠ°ΡΠΎΠ»ΠΎΠ³ΠΈΡΠ΅ΡΠΊΠΎΠ³ΠΎ ΡΡΠ°ΡΠΈΠΎΠ½Π°ΡΠ°: ΠΏΡΠΎΠ±Π»Π΅ΠΌΡ ΡΠΊΡΠΈΠ½ΠΈΠ½Π³Π° ΠΈ ΡΠ΅Π°ΠΊΡΠΈΠ²Π°ΡΠΈΠΈ ΠΈΠ½ΡΠ΅ΠΊΡΠΈΠΈ
Β Β Objective:Β to evaluate the completeness of screening for hepatitis B virus (HBV) infection in HBsAg-positive patients admitted to a rheumatology hospital and to follow the history of HBV reactivation/seroversion during antirheumatic therapy.Β Β Material and methods.Β The results of initial and repeated (if applicable) hospitalizations were analyzed in 80 patients with rheumatic diseases (RD), including 55 (69%) women and 25 (31 %) men, with Australian surface antigen (HBsAg), admitted to the V.A. Nasonova Institute of Rheumatology from January 1, 2020 to July 20, 2022 (30 months).Β Β Results and discussion.Β The total number of hospitalizations to the clinic during the observation period, including repeat admissions, was 13,681. The number of hospitalizations in 80 patients with HBV infection during the observation period, including repeat admissions, was 144, of which for systemic vasculitis β 6 (8 %), other systemic connective tissue diseases β 16 (20 %), osteoarthritis and post-traumatic changes of joints β 14 (15 %), inflammatory joint diseases β 42 (54 %). Cases of HBV reactivation/seroverion, both in anamnesis and during observation, were detected in 9 (11 %) patients, and most frequently (n = 5) they were registered during methotrexate therapy.Β Β Conclusion.Β HBV infection in patients with RD leads to significant difficulties in the selection of drug therapy, due to the risk of reactivation of the infection. The results obtained indicate incomplete screening of patients with RD for HBV infection during the preclinical phase. Further investigation is needed to develop clear recommendations for the management of patients with RD infected with HBV.Β Β Π¦Π΅Π»Ρ ΠΈΡΡΠ»Π΅Π΄ΠΎΠ²Π°Π½ΠΈΡ β ΠΎΡΠ΅Π½ΠΈΡΡ ΠΏΠΎΠ»Π½ΠΎΡΡ Π²ΡΠΏΠΎΠ»Π½Π΅Π½ΠΈΡ ΡΠΊΡΠΈΠ½ΠΈΠ½Π³Π° Π½Π° Π½Π°Π»ΠΈΡΠΈΠ΅ ΠΈΠ½ΡΠ΅ΠΊΡΠΈΠΈ, Π²ΡΠ·Π²Π°Π½Π½ΠΎΠΉ Π²ΠΈΡΡΡΠΎΠΌ Π³Π΅ΠΏΠ°ΡΠΈΡΠ° Π (HBV), Ρ Π±ΠΎΠ»ΡΠ½ΡΡ
, ΠΏΠΎΠ·ΠΈΡΠΈΠ²Π½ΡΡ
ΠΏΠΎ HBsAg, ΠΏΠΎΡΡΡΠΏΠ°ΡΡΠΈΡ
Π² ΡΡΠ°ΡΠΈΠΎΠ½Π°Ρ ΡΠ΅Π²ΠΌΠ°ΡΠΎΠ»ΠΎΠ³ΠΈΡΠ΅ΡΠΊΠΎΠ³ΠΎ ΠΏΡΠΎΡΠΈΠ»Ρ, ΠΈ ΠΏΡΠΎΡΠ»Π΅Π΄ΠΈΡΡ ΠΈΡΡΠΎΡΠΈΡ ΡΠ΅Π°ΠΊΡΠΈΠ²Π°ΡΠΈΠΈ/ΡΠ΅ΡΠΎΡΠ΅Π²Π΅ΡΡΠΈΠΈ HBV Π½Π° ΡΠΎΠ½Π΅ Π°Π½ΡΠΈΡΠ΅Π²ΠΌΠ°ΡΠΈΡΠ΅ΡΠΊΠΎΠΉ ΡΠ΅ΡΠ°ΠΏΠΈΠΈ.Β Β ΠΠ°ΡΠ΅ΡΠΈΠ°Π» ΠΈ ΠΌΠ΅ΡΠΎΠ΄Ρ. ΠΡΠΎΠ°Π½Π°Π»ΠΈΠ·ΠΈΡΠΎΠ²Π°Π½Ρ ΡΠ΅Π·ΡΠ»ΡΡΠ°ΡΡ ΠΏΠ΅ΡΠ²ΠΈΡΠ½ΠΎΠΉ ΠΈ ΠΏΠΎΠ²ΡΠΎΡΠ½ΠΎΠΉ (ΠΏΡΠΈ Π½Π°Π»ΠΈΡΠΈΠΈ) Π³ΠΎΡΠΏΠΈΡΠ°Π»ΠΈΠ·Π°ΡΠΈΠΈ Ρ 80 Π±ΠΎΠ»ΡΠ½ΡΡ
Ρ ΡΠ΅Π²ΠΌΠ°ΡΠΈΡΠ΅ΡΠΊΠΈΠΌΠΈ Π·Π°Π±ΠΎΠ»Π΅Π²Π°Π½ΠΈΡΠΌΠΈ (Π Π), ΡΡΠ΅Π΄ΠΈ ΠΊΠΎΡΠΎΡΡΡ
Π±ΡΠ»ΠΎ 55 (69 %) ΠΆΠ΅Π½ΡΠΈΠ½ ΠΈ 25 (31 %) ΠΌΡΠΆΡΠΈΠ½, ΠΈΠΌΠ΅ΡΡΠΈΡ
ΠΏΠΎΠ²Π΅ΡΡ
Π½ΠΎΡΡΠ½ΡΠΉ Β«Π°Π²ΡΡΡΠ°Π»ΠΈΠΉΡΠΊΠΈΠΉΒ» Π°Π½ΡΠΈΠ³Π΅Π½ (HBsAg), Π³ΠΎΡΠΏΠΈΡΠ°Π»ΠΈΠ·ΠΈΡΠΎΠ²Π°Π½Π½ΡΡ
Π² Π€ΠΠΠΠ£ Β«ΠΠ°ΡΡΠ½ΠΎ-ΠΈΡΡΠ»Π΅Π΄ΠΎΠ²Π°ΡΠ΅Π»ΡΡΠΊΠΈΠΉ ΠΈΠ½ΡΡΠΈΡΡΡ ΡΠ΅Π²ΠΌΠ°ΡΠΎΠ»ΠΎΠ³ΠΈΠΈ ΠΈΠΌ. Π. Π. ΠΠ°ΡΠΎΠ½ΠΎΠ²ΠΎΠΉΒ» Ρ 1. 01. 2020 ΠΏΠΎ 20. 07. 2022 Π³. (30 ΠΌΠ΅Ρ).Β Β Π Π΅Π·ΡΠ»ΡΡΠ°ΡΡ ΠΈ ΠΎΠ±ΡΡΠΆΠ΄Π΅Π½ΠΈΠ΅. ΠΠ±ΡΠ΅Π΅ ΡΠΈΡΠ»ΠΎ Π³ΠΎΡΠΏΠΈΡΠ°Π»ΠΈΠ·Π°ΡΠΈΠΉ Π² ΠΊΠ»ΠΈΠ½ΠΈΠΊΡ Π·Π° Π²ΡΠ΅ΠΌΡ Π½Π°Π±Π»ΡΠ΄Π΅Π½ΠΈΡ, Π²ΠΊΠ»ΡΡΠ°Ρ ΠΏΠΎΠ²ΡΠΎΡΠ½ΡΠ΅, ΡΠΎΡΡΠ°Π²ΠΈΠ»ΠΎ 13 681. Π§ΠΈΡΠ»ΠΎ Π³ΠΎΡΠΏΠΈΡΠ°Π»ΠΈΠ·Π°ΡΠΈΠΉ Ρ 80 Π±ΠΎΠ»ΡΠ½ΡΡ
Ρ HBV-ΠΈΠ½ΡΠ΅ΠΊΡΠΈΠ΅ΠΉ Π·Π° ΠΏΠ΅ΡΠΈΠΎΠ΄ Π½Π°Π±Π»ΡΠ΄Π΅Π½ΠΈΡ, Π²ΠΊΠ»ΡΡΠ°Ρ ΠΏΠΎΠ²ΡΠΎΡΠ½ΡΠ΅, ΡΠΎΡΡΠ°Π²ΠΈΠ»ΠΎ 144, ΠΈΠ· Π½ΠΈΡ
ΠΏΠΎ ΠΏΠΎΠ²ΠΎΠ΄Ρ ΡΠΈΡΡΠ΅ΠΌΠ½ΡΡ
Π²Π°ΡΠΊΡΠ»ΠΈΡΠΎΠ² β 6 (8 %), Π΄ΡΡΠ³ΠΈΡ
ΡΠΈΡΡΠ΅ΠΌΠ½ΡΡ
Π·Π°Π±ΠΎΠ»Π΅Π²Π°Π½ΠΈΠΉ ΡΠΎΠ΅Π΄ΠΈΠ½ΠΈΡΠ΅Π»ΡΠ½ΠΎΠΉ ΡΠΊΠ°Π½ΠΈ β 16 (20 %), ΠΎΡΡΠ΅ΠΎΠ°ΡΡΡΠΈΡΠ° ΠΈ ΠΏΠΎΡΡΡΡΠ°Π²ΠΌΠ°ΡΠΈΡΠ΅ΡΠΊΠΈΡ
ΠΈΠ·ΠΌΠ΅Π½Π΅Π½ΠΈΠΉ ΡΡΡΡΠ°Π²ΠΎΠ² β 14 (15 %), Π²ΠΎΡΠΏΠ°Π»ΠΈΡΠ΅Π»ΡΠ½ΡΡ
Π·Π°Π±ΠΎΠ»Π΅Π²Π°Π½ΠΈΠΉ ΡΡΡΡΠ°Π²ΠΎΠ² β 42 (54 %). Π‘Π»ΡΡΠ°ΠΈ ΡΠ΅Π°ΠΊΡΠΈΠ²Π°ΡΠΈΠΈ/ΡΠ΅ΡΠΎΡΠ΅Π²Π΅ΡΡΠΈΠΈ HBV ΠΊΠ°ΠΊ Π² Π°Π½Π°ΠΌΠ½Π΅Π·Π΅, ΡΠ°ΠΊ ΠΈ Π² ΠΏΡΠΎΡΠ΅ΡΡΠ΅ Π½Π°Π±Π»ΡΠ΄Π΅Π½ΠΈΡ Π²ΡΡΠ²Π»Π΅Π½Ρ Ρ 9 (11 %) Π±ΠΎΠ»ΡΠ½ΡΡ
, ΠΏΡΠΈΡΠ΅ΠΌ Π½Π°ΠΈΠ±ΠΎΠ»Π΅Π΅ ΡΠ°ΡΡΠΎ (n = 5) ΠΎΠ½ΠΈ ΡΠ΅Π³ΠΈΡΡΡΠΈΡΠΎΠ²Π°Π»ΠΈΡΡ Π½Π° ΡΠΎΠ½Π΅ ΡΠ΅ΡΠ°ΠΏΠΈΠΈ ΠΌΠ΅ΡΠΎΡΡΠ΅ΠΊΡΠ°ΡΠΎΠΌ.Β Β ΠΠ°ΠΊΠ»ΡΡΠ΅Π½ΠΈΠ΅. ΠΠ½ΡΠΈΡΠΈΡΠΎΠ²Π°Π½Π½ΠΎΡΡΡ HBV Π±ΠΎΠ»ΡΠ½ΡΡ
Ρ Π Π ΡΠΎΠ·Π΄Π°Π΅Ρ Π·Π½Π°ΡΠΈΡΠ΅Π»ΡΠ½ΡΠ΅ ΡΡΡΠ΄Π½ΠΎΡΡΠΈ ΠΏΡΠΈ ΠΏΠΎΠ΄Π±ΠΎΡΠ΅ Π»Π΅ΠΊΠ°ΡΡΡΠ²Π΅Π½Π½ΠΎΠΉ ΡΠ΅ΡΠ°ΠΏΠΈΠΈ, ΠΏΠΎΡΠΊΠΎΠ»ΡΠΊΡ ΡΡΡΠ΅ΡΡΠ²ΡΠ΅Ρ ΠΎΠΏΠ°ΡΠ½ΠΎΡΡΡ ΡΠ΅Π°ΠΊΡΠΈΠ²Π°ΡΠΈΠΈ ΠΈΠ½ΡΠ΅ΠΊΡΠΈΠΈ. ΠΠΎΠ»ΡΡΠ΅Π½Π½ΡΠ΅ ΡΠ΅Π·ΡΠ»ΡΡΠ°ΡΡ ΡΠ²ΠΈΠ΄Π΅ΡΠ΅Π»ΡΡΡΠ²ΡΡΡ ΠΎ Π½Π΅ΠΏΠΎΠ»Π½ΠΎΠΌ ΠΎΠ±ΡΠ»Π΅Π΄ΠΎΠ²Π°Π½ΠΈΠΈ ΠΏΠ°ΡΠΈΠ΅Π½ΡΠΎΠ² Ρ Π Π Π½Π° HBV-ΠΈΠ½ΡΠ΅ΠΊΡΠΈΡ Π½Π° Π΄ΠΎΠ³ΠΎΡΠΏΠΈΡΠ°Π»ΡΠ½ΠΎΠΌ ΡΡΠ°ΠΏΠ΅. ΠΠ΅ΠΎΠ±Ρ
ΠΎΠ΄ΠΈΠΌΡ Π΄Π°Π»ΡΠ½Π΅ΠΉΡΠΈΠ΅ ΠΈΡΡΠ»Π΅Π΄ΠΎΠ²Π°Π½ΠΈΡ Π΄Π»Ρ Π²ΡΡΠ°Π±ΠΎΡΠΊΠΈ ΡΠ΅ΡΠΊΠΈΡ
ΡΠ΅ΠΊΠΎΠΌΠ΅Π½Π΄Π°ΡΠΈΠΉ ΠΏΠΎ Π²Π΅Π΄Π΅Π½ΠΈΡ Π±ΠΎΠ»ΡΠ½ΡΡ
Ρ Π Π, ΠΈΠ½ΡΠΈΡΠΈΡΠΎΠ²Π°Π½Π½ΡΡ
HBV
Π Π²ΠΎΠΏΡΠΎΡΡ ΠΎ Π±Π΅Π·ΠΎΠΏΠ°ΡΠ½ΠΎΡΡΠΈ ΠΏΡΠΈΠΌΠ΅Π½Π΅Π½ΠΈΡ Π³Π»ΡΠΊΠΎΠΊΠΎΡΡΠΈΠΊΠΎΠΈΠ΄ΠΎΠ² Π² ΡΠ΅ΡΠ°ΠΏΠΈΠΈ ΡΠ΅Π²ΠΌΠ°ΡΠΎΠΈΠ΄Π½ΠΎΠ³ΠΎ Π°ΡΡΡΠΈΡΠ°
Glucocorticoids (GCs) are one of the most commonly used drugs for the treatment of rheumatoid arthritis (RA), the effectiveness of which is beyond doubt. The review considers current literature data on the safety of GCs use, as well as the most common adverse events associated with such therapy. Most authors point to an increased risk of complications with an increase in the daily dose and/or duration of GCs treatment. At the same time, a safe dose of GCs has not been determined. Probably, the optimal tactic is the selection of an individual dose of GCs in each individual case, taking into account the activity of RA and the spectrum of comorbid conditions. In this case, the minimum effective doses and short courses of GCs should be used, regular monitoring of clinical and laboratory parameters should be carried out in order to detect adverse events early.ΠΠ»ΡΠΊΠΎΠΊΠΎΡΡΠΈΠΊΠΎΠΈΠ΄Ρ (ΠΠ) β ΠΎΠ΄Π½ΠΎ ΠΈΠ· Π½Π°ΠΈΠ±ΠΎΠ»Π΅Π΅ ΡΠ°ΡΡΠΎ ΠΏΡΠΈΠΌΠ΅Π½ΡΠ΅ΠΌΡΡ
ΡΡΠ΅Π΄ΡΡΠ² Π΄Π»Ρ Π»Π΅ΡΠ΅Π½ΠΈΡ ΡΠ΅Π²ΠΌΠ°ΡΠΎΠΈΠ΄Π½ΠΎΠ³ΠΎ Π°ΡΡΡΠΈΡΠ° (Π Π), ΡΡΡΠ΅ΠΊΡΠΈΠ²Π½ΠΎΡΡΡ ΠΊΠΎΡΠΎΡΠΎΠ³ΠΎ Π½Π΅ ΠΏΠΎΠ΄Π»Π΅ΠΆΠΈΡ ΡΠΎΠΌΠ½Π΅Π½ΠΈΡ. Π ΠΎΠ±Π·ΠΎΡΠ΅ ΡΠ°ΡΡΠΌΠΎΡΡΠ΅Π½Ρ ΡΠΎΠ²ΡΠ΅ΠΌΠ΅Π½Π½ΡΠ΅ Π΄Π°Π½Π½ΡΠ΅ Π»ΠΈΡΠ΅ΡΠ°ΡΡΡΡ ΠΎ Π±Π΅Π·ΠΎΠΏΠ°ΡΠ½ΠΎΡΡΠΈ ΠΏΡΠΈΠΌΠ΅Π½Π΅Π½ΠΈΡ ΠΠ, Π° ΡΠ°ΠΊΠΆΠ΅ Π½Π°ΠΈΠ±ΠΎΠ»Π΅Π΅ ΡΠ°ΡΡΡΠ΅ Π½Π΅Π±Π»Π°Π³ΠΎΠΏΡΠΈΡΡΠ½ΡΠ΅ ΡΠ²Π»Π΅Π½ΠΈΡ, ΡΠ²ΡΠ·Π°Π½Π½ΡΠ΅ Ρ ΡΠ°ΠΊΠΎΠΉ ΡΠ΅ΡΠ°ΠΏΠΈΠ΅ΠΉ. ΠΠΎΠ»ΡΡΠΈΠ½ΡΡΠ²ΠΎ Π°Π²ΡΠΎΡΠΎΠ² ΡΠΊΠ°Π·ΡΠ²Π°ΡΡ Π½Π° ΠΏΠΎΠ²ΡΡΠ΅Π½ΠΈΠ΅ ΡΠΈΡΠΊΠ° ΡΠ°Π·Π²ΠΈΡΠΈΡ ΠΎΡΠ»ΠΎΠΆΠ½Π΅Π½ΠΈΠΉ ΠΏΡΠΈ ΡΠ²Π΅Π»ΠΈΡΠ΅Π½ΠΈΠΈ ΡΡΡΠΎΡΠ½ΠΎΠΉ Π΄ΠΎΠ·Ρ ΠΈ/ΠΈΠ»ΠΈ ΠΏΡΠΎΠ΄ΠΎΠ»ΠΆΠΈΡΠ΅Π»ΡΠ½ΠΎΡΡΠΈ Π»Π΅ΡΠ΅Π½ΠΈΡ ΠΠ. Π ΡΠΎ ΠΆΠ΅ Π²ΡΠ΅ΠΌΡ Π±Π΅Π·ΠΎΠΏΠ°ΡΠ½Π°Ρ Π΄ΠΎΠ·Π° ΠΠ Π½Π΅ ΠΎΠΏΡΠ΅Π΄Π΅Π»Π΅Π½Π°. ΠΠ΅ΡΠΎΡΡΠ½ΠΎ, ΠΎΠΏΡΠΈΠΌΠ°Π»ΡΠ½ΠΎΠΉ ΡΠ°ΠΊΡΠΈΠΊΠΎΠΉ ΡΠ²Π»ΡΠ΅ΡΡΡ ΠΏΠΎΠ΄Π±ΠΎΡ ΠΈΠ½Π΄ΠΈΠ²ΠΈΠ΄ΡΠ°Π»ΡΠ½ΠΎΠΉ Π΄ΠΎΠ·Ρ ΠΠ Π² ΠΊΠ°ΠΆΠ΄ΠΎΠΌ ΠΎΡΠ΄Π΅Π»ΡΠ½ΠΎΠΌ ΡΠ»ΡΡΠ°Π΅ Ρ ΡΡΠ΅ΡΠΎΠΌ Π°ΠΊΡΠΈΠ²Π½ΠΎΡΡΠΈ Π Π ΠΈ ΡΠΏΠ΅ΠΊΡΡΠ° ΠΊΠΎΠΌΠΎΡΠ±ΠΈΠ΄Π½ΡΡ
ΡΠΎΡΡΠΎΡΠ½ΠΈΠΉ. ΠΡΠΈ ΡΡΠΎΠΌ ΡΠ»Π΅Π΄ΡΠ΅Ρ ΠΈΡΠΏΠΎΠ»ΡΠ·ΠΎΠ²Π°ΡΡ ΠΌΠΈΠ½ΠΈΠΌΠ°Π»ΡΠ½ΡΠ΅ ΡΡΡΠ΅ΠΊΡΠΈΠ²Π½ΡΠ΅ Π΄ΠΎΠ·Ρ ΠΈ ΠΊΠΎΡΠΎΡΠΊΠΈΠ΅ ΠΊΡΡΡΡ ΠΠ, ΠΏΡΠΎΠ²ΠΎΠ΄ΠΈΡΡ ΡΠ΅Π³ΡΠ»ΡΡΠ½ΡΠΉ ΠΌΠΎΠ½ΠΈΡΠΎΡΠΈΠ½Π³ ΠΊΠ»ΠΈΠ½ΠΈΡΠ΅ΡΠΊΠΈΡ
ΠΈ Π»Π°Π±ΠΎΡΠ°ΡΠΎΡΠ½ΡΡ
ΠΏΠΎΠΊΠ°Π·Π°ΡΠ΅Π»Π΅ΠΉ Ρ ΡΠ΅Π»ΡΡ ΡΠ°Π½Π½Π΅Π³ΠΎ Π²ΡΡΠ²Π»Π΅Π½ΠΈΡ Π½Π΅Π±Π»Π°Π³ΠΎΠΏΡΠΈΡΡΠ½ΡΡ
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