Specific Cerebrovascular Risk Factors, Colon Microbiocenosis and its Correction in Patients Receiving Long-Term Programmed Hemodialysis

Introduction: The problem of acute and chronic cerebrovascular disorders in dialysis patients remains the most urgent. Risk factors for cerebrovascular diseases in CKD and dialysis patients can be conditionally divided into “traditional” (arterial hypertension, diabetes mellitus, hypercholesterolemia) and “specific” (associated with renal pathology and dialysis procedures). The spectrum of specific factors of cerebrovascular risk in patients with dialysis stage of the CKD includes specific dialysis factors that form during programmed HD, as well as impaired phosphorus-calcium metabolism and calcification of the arterial microvasculature, increased blood levels of β2-microglobulin, homocysteine, malondialdehyde and superoxide dismutase, a decrease in the level of nitric oxide (II) metabolites, development of nephrogenic anemia and dysfunction of blood cells, malnutrition and dietary features of patients with renal pathology, accumulation of uremic toxins and toxins of intestinal bacteria, etc. Opportunistic gut microorganisms can produce uremic toxins, which are associated with an increased risk of inflammation, increased oxidative stress, and a higher risk of cardiovascular disease (CVD). Description of the spectrum of risk factors for cerebrovascular pathology in dialysis patients and effective control over them seems to be an effective strategy aimed at increasing the duration and quality of life in patients receiving renal replacement therapy. The aim of the investigation was to study the species composition of colon microbiocenosis in patients with CKD receiving programmed HD treatment and to evaluate the effectiveness of its correction using a new immobilized synbiotic. Materials and methods: Samples of colon microbiota from 62 patients undergoing programmed hemodialysis were studied before and after a course of diet therapy that included probiotic components, in particular, the immobilized synbiotic LB-complex L. Isolation of microorganisms was carried out according to our original method; for bacteria identification, a MALDI-TOF Autoflex speed mass spectrometer (Bruker Daltonik, Germany) was used in the Biotyper program mode. The results were assessed using the criteria proposed by the authors and based on the OST 91500.11.0004-2003. The efficacy of the immobilized synbiotic was determined based on the clinical data, questionnaires, and bacteriological tests. Results: In patients receiving programmed hemodialysis (before the start of the diet therapy), chronic moderate inflammation and azotemia were found. Dysbiotic changes in microbiocenosis were revealed in all the examined patients; in the absence or suppression of lacto- and bifidoflora, the number and diversity of Bacteroides spp., Clostridium spp., Collinsella spp., Eggerthella spp. and other bacteria increased, which was consistent with the theory of functional redundancy of gut microbiota. From the answers to the questionnaires, a decrease in the quality of life was found (up to 70 points out of 100) according to six of the eight scales used. After the combined therapy using the synbiotic LB-complex L in the study group, 56% of the examined patients showed their microbiocenosis restored to normal; no grade III dysbiosis was detected in any patient. There was a significant decrease in CRP and ESR in these patients and an improvement in the quality of life by criteria reflecting physical health. Conclusion: Acute/chronic CVD in patients with CKD of the pre-dialysis and dialysis periods are the most frequent and formidable complications. The spectrum of “traditional” and “specific” CV risk factors in dialysis patients will be described in the chapter. Special attention will be paid to the intestinal microbiota and opportunistic intestinal microorganisms. The aim was to study the species composition of colon microbiocenosis in HD patients, and to evaluate the effectiveness of its correction using a new immobilized synbiotic. Materials and Methods. Samples of colon microbiota from 62 HD patients were studied before/after a course of diet therapy that included probiotic components, the immobilized synbiotic LB-complex L. MALDI-TOF Autoflex speed mass spectrometer was used in the Biotyper program mode. The efficacy of the immobilized synbiotic was determined based on the clinical data, questionnaires, and bacteriological tests. Results. Dysbiotic changes in microbiocenosis were revealed in all patients; in the absence/suppression of lacto-and bifidoflora, the number and diversity of Bacteroides spp.,Clostridium spp.,Collinsella spp.,Eggerthella spp. and other bacteria increased. After the combined therapy using the synbiotic LB-complex L in the study group, 56% of the examined patients showed their microbiocenosis restored to normal; no grade III dysbiosis was detected in any patient

The algorithms for constructing the boundaries of the stability regions of linear hamiltonian systems by using MATLAB

The article presents the main stages of the algorithm for constructing the stability regions of dynamical systems described by a linear Hamiltonian system of the form . The algorithm is based on the methods of the theory of nonlinear oscillations of stability studies of stationary solutions of linear differential equations with periodic coefficients depending on a small parameter. The algorithm is implemented by using Matlab CAS. As an application, we have solved the problem of constructing the stability region of libration points of a flat elliptic restricted three-body problem is analyzed in detail

Photobiomodulation for Correction of Systemic Disorders of Experimental Pain Syndromes

The development of anti-pain technologies in the complex treatment of pain syndromes is one of the most urgent tasks of modern medicine. We undertook a placebo-controlled experimental study of the therapeutic potential of low-intensity laser radiation when applied to acupuncture points that are directly related to the autonomic nervous system. The adaptation effect of puncture photobiomodulation on the induction of stress-mediated autonomic reactions, oxidative metabolism and microcirculation in animals during the acute phase of pain stress was revealed. The data obtained are of interest for use in the complex rehabilitation of patients with pain syndromes

Possibilities of Magnetic Resonance Imaging of the Brain in Infantile Cerebral Palsy

Infantile cerebral palsy (ICP) is the main cause of childhood disability and is characterized by a non-progressive lesion and/or impaired development of the brain in a foetus or newborn. Magnetic resonance imaging (MRI) is a modern non-invasive method with extensive capabilities for diagnosing brain damage in ICP. The review focuses on anatomical structural MR patterns of brain damage in ICP and gives the present-day classification of MR changes in this disease. The role of MRI in determining the duration of brain damage in ICP has been considered. Data on the ratio of ICP phenotypes to pathological MR findings has been presented. Neuroimaging prognostic biomarkers are discussed. It is emphasized that many questions regarding the prognostic significance of MR findings remain unresolved; prospects are associated with the use of new MRI modalities such as functional and diffusiontensor MRI

Perspective Compounds for Immobilization of Spent Electrolyte from Pyrochemical Processing of Spent Nuclear Fuel

Immobilization of spent electrolyte–radioactive waste (RW) generated during the pyrochemical processing of mixed nitride uranium–plutonium spent nuclear fuel is an acute task for further development of the closed nuclear fuel cycle with fast neutron reactors. The electrolyte is a mixture of chloride salts that cannot be immobilized directly in conventional cement or glass matrix. In this work, a low-temperature magnesium potassium phosphate (MPP) matrix and two types of high-temperature matrices (sodium aluminoironphosphate (NAFP) glass and ceramics based on bentonite clay) were synthesized. Two systems (Li0.4K0.28La0.08Cs0.016Sr0.016Ba0.016Cl and Li0.56K0.40Cs0.02Sr0.02Cl) were used as spent electrolyte imitators. The phase composition and structure of obtained materials were studied by XRD and SEM-EDS methods. The differential leaching rate of Cs from MPP compound and ceramic based on bentonite clay was about 10−5 g/(cm2·day), and the rate of Na from NAFP glass was about 10−6 g/(cm2·day). The rate of 239Pu from MPP compound (leaching at 25 °C) and NAFP glass (leaching at 90 °C) was about 10−6 and 10−7 g/(cm2·day), respectively. All the synthesized materials demonstrated high hydrolytic, mechanical compression strength (40–50 MPa) even after thermal (up to 450 °C) and irradiation (up to 109 Gy) tests. The characteristics of the studied matrices correspond to the current requirements to immobilized high-level RW, that allow us to suggest these materials for industrial processing of the spent electrolyte

Possible Arbovirus Found in Virome of <i>Melophagus ovinus</i>

Members of the Lipopteninae subfamily are blood-sucking ectoparasites of mammals. The sheep ked (Melophagus ovinus) is a widely distributed ectoparasite of sheep. It can be found in most sheep-rearing areas and can cause skin irritation, restlessness, anemia, weight loss and skin injuries. Various bacteria and some viruses have been detected in M. ovinus; however, the virome of this ked has never been studied using modern approaches. Here, we study the virome of M. ovinus collected in the Republic of Tuva, Russia. In our research, we were able to assemble full genomes for five novel viruses, related to the Rhabdoviridae (Sigmavirus), Iflaviridae, Reoviridae and Solemoviridae families. Four viruses were found in all five of the studied pools, while one virus was found in two pools. Phylogenetically, all of the novel viruses clustered together with various recently described arthropod viruses. All the discovered viruses were tested on their ability to replicate in the mammalian porcine embryo kidney (PEK) cell line. Aksy-Durug Melophagus sigmavirus RNA was detected in the PEK cell line cultural supernate after the first, second and third passages. Such data imply that this virus might be able to replicate in mammalian cells, and thus, can be considered as a possible arbovirus