Selection of the optimal completion of horizontal wells with multi-stage hydraulic fracturing of the low-permeable formation, field C

At the moment, many fields of Western Siberia are in the later stages of development. In this regard, the multilayer fields are actually involved in the development of hard to recover reserves by conducting well interventions. However, most of these assets may not to be economical profitable without application of horizontal drilling and multi-stage hydraulic fracturing treatment. Moreover, location of frac ports in relative to each other, number of stages, volume of proppant per one stage are the main issues due to the fact that the interference effect could lead to the loss of oil production. The optimal arrangement of horizontal wells with multi-stage hydraulic fracture was defined in this paper. Several analytical approaches have been used to predict the started oil flow rate and chose the most appropriate for field C reservoir J1. However, none of the analytical equations could not take into account the interference effect and determine the optimum number of fractures. Therefore, the simulation modelling was used. Finally, the universal equation is derived for this field C, the reservoir J1. This tool could be used to predict the flow rate of the horizontal well with hydraulic fracturing treatment on the qualitative level without simulation model

Detection rates and high concentration of herpesvirus (Orthoherpesviridae) DNA in autopsy materials from patients with COVID-19 fatal outcome

Introduction. SARS-CoV-2 infection causes immune disorders that create conditions for the reactivation of human herpesviruses (HHVs). However, the estimates of the HHVs effect on the course and outcome of COVID-19 are ambiguous. Аim – to study the possible relationship between the HHV reactivation and the adverse outcome of COVID-19. Materials and methods. Postmortem samples from the brain, liver, spleen, lymph nodes and lungs were obtained from 59 patients treated at the Moscow Infectious Diseases Hospital No.1 in 2021–2023. The group 1 comprised 39 patients with fatal COVID-19; group 2 (comparison group) included 20 patients not infected with SARS-CoV-2 who died from various somatic diseases. HHV DNA and SARS-CoV-2 RNA were determined by PCR. Results. HHV DNA was found in autopsy samples from all patients. In group 1, EBV was most often detected in lymph nodes (94%), HHV-6 in liver (68%), CMV in lymph nodes (18%), HSV in brain (16%), VZV in lung and spleen (3% each). The detection rates of HHVs in both groups was similar. Important differences were found in viral load. In patients with COVID-19, the number of samples containing more than 1,000 copies of HHV DNA per 100,000 cells was 52.4%, in the comparison group – 16.6% (p 0.002). An association has been established between the reactivation of HSV and HHV-6 and the severity of lung damage. Reactivation of EBV correlated with increased levels of liver enzymes. Conclusion. Reactivation of HHVs in patients with fatal COVID-19 was associated with severe lung and liver damages, which indicates a link between HHV reactivation and COVID-19 deaths

Core Outcome Set for IgE ‐mediated food allergy clinical trials and observational studies of interventions: International Delphi consensus study ‘ COMFA ’

Background: IgE‐mediated food allergy (FA) is a global health concern with substantial individual and societal implications. While diverse intervention strategies have been researched, inconsistencies in reported outcomes limit evaluations of FA treatments. To streamline evaluations and promote consistent reporting, the Core Outcome Measures for Food Allergy (COMFA) initiative aimed to establish a Core Outcome Set (COS) for FA clinical trials and observational studies of interventions. Methods: The project involved a review of published clinical trials, trial protocols and qualitative literature. Outcomes found as a result of review were categorized and classified, informing a two‐round online‐modified Delphi process followed by hybrid consensus meeting to finalize the COS. Results: The literature review, taxonomy mapping and iterative discussions with diverse COMFA group yielded an initial list of 39 outcomes. The iterative online and in‐person meetings reduced the list to 13 outcomes for voting in the formal Delphi process. One more outcome was added based on participant suggestions after the first Delphi round. A total of 778 participants from 52 countries participated, with 442 participating in both Delphi rounds. No outcome met a priori criteria for inclusion, and one was excluded as a result of the Delphi. Thirteen outcomes were brought to the hybrid consensus meeting as a result of Delphi and two outcomes, ‘allergic symptoms’ and ‘quality of life’ achieved consensus for inclusion as ‘core’ outcomes. Conclusion: In addition to the mandatory reporting of adverse events for FA clinical trials or observational studies of interventions, allergic symptoms and quality of life should be measured as core outcomes. Future work by COMFA will define how best to measure these core outcomes

Diabetes mellitus type 2 in adults

Public organization “Russian Association of Endocrinologists”. Clinical guidelines.&nbsp

Biological Earth observation with animal sensors

Space-based tracking technology using low-cost miniature tags is now delivering data on fine-scale animal movement at near-global scale. Linked with remotely sensed environmental data, this offers a biological lens on habitat integrity and connectivity for conservation and human health; a global network of animal sentinels of environmen-tal change

A New Approach to Overcome Insulin Resistance in Patients with Impaired Glucose Tolerance: The Results of a Multicenter, Double-Blind, Placebo-Controlled, Randomized Clinical Trial of Efficacy and Safety of Subetta

Impaired glucose tolerance (IGT) is a common carbohydrate metabolism disorder world-wide. To evaluate the efficacy and safety of 12-week Subetta therapy in correcting 2-h plasma glucose in patients with IGT, a multicenter, double-blind, placebo-controlled, randomized clinical trial was performed. Derived by technological treatment of antibodies to insulin receptor β-subunit and endothelial NO synthase, Subetta increases the sensitivity of insulin receptors by activating the insulin signaling pathway. Oral glucose tolerance test (OGTT), fasting plasma glucose (FPG), and glycated hemoglobin (HbA1c) were examined at screening, after 4 and 12 weeks. In Per Protocol population, 2-h plasma glucose in the Subetta group decreased by 2.05 ± 2.11 mmol/L (versus 0.56 ± 2.55 mmol/L in the Placebo group) after 12 weeks. The difference between the two groups was 1.49 ± 2.33 mmol/L (p < 0.0001). After 12 weeks, 65.2% of patients had 2-h plasma glucose <7.8 mmol/L. FPG remained almost unchanged. HbA1c tended to decrease. The number of adverse events did not differ in both groups. Subetta treatment is beneficial for patients with IGT; it also prevents progression of carbohydrate metabolism disorders

Human Mesenchymal Stem Cells Modified with the NS5A Gene of Hepatitis C Virus Induce a Cellular Immune Response Exceeding the Response to DNA Immunization with This Gene

Hepatitis C virus (HCV) is one of the basic culprits behind chronic liver disease, which may result in cirrhosis and hepatocarcinoma. In spite of the extensive research conducted, a vaccine against HCV has not been yet created. We have obtained human mesenchymal stem cells (hMSCs) and used them for expressing the HCV NS5A protein as a model vaccination platform. Sixteen hMSC lines of a different origin were transfected with the pcNS5A-GFP plasmid to obtain genetically modified MSCs (mMSCs). The highest efficiency was obtained by the transfection of dental pulp MSCs. C57BL/6 mice were immunized intravenously with mMSCs, and the immune response was compared with the response to the pcNS5A-GFP plasmid, which was injected intramuscularly. It was shown that the antigen-specific lymphocyte proliferation and the number of IFN-γ-synthesizing cells were two to three times higher after the mMSC immunization compared to the DNA immunization. In addition, mMSCs induced more CD4+ memory T cells and an increase in the CD4+/CD8+ ratio. The results suggest that the immunostimulatory effect of mMSCs is associated with the switch of MSCs to the pro-inflammatory phenotype and a decrease in the proportion of myeloid derived suppressor cells. Thus, the possibility of using human mMSCs for the creation of a vaccine against HCV has been shown for the first time

Features of the Territorial Distribution, Composition and Structure of Phytocenoses with the Participation of <i>Fraxinus excelsior</i>, Their Resource Qualities, Ecological and Economic Importance (Southeastern Part of the East European Plain)

At present, the distribution area of Fraxinus excelsior L. in the forest ecosystems of the Volga Region is rather low and ranges from 0.01% to 2.5%. In the Middle Volga Region, using the example of the Penza region, five types of deciduous forests were identified in the composition with Fraxinus excelsior L.: oak forest aegopodium, oak forest nettle, oak forest hazel-linden, oak forest aegopodium-motley grass, oak forest carex-motley grass. In the forest phytocenoses of the Moksha River basin, the quality of Fraxinus excelsior L. is 1.5–1.7. In the forest phytocenoses of the Khoper River basin, the average quality value reaches 2.4–2.8, and in the forest tracts of the Sura river basin it is 2.8–3.2. In the western part of the study area, individuals of age class II–III (21–40, 41–60 years) predominate, in the central part—age class I (1–20 years), in the eastern part—age class V (81–100 years). This circumstance allows us to conclude that its populations in the western regions are represented by stands of different ages; the presence of young stands and middle-aged stands indicates the presence of conditions for reproduction and distribution. At the border of its range, Fraxinus excelsior L. grows in a stable population; in the western part of the Middle Volga Region, the number of species in forest stands with a predominance of Fraxinus excelsior L. is 26–30% higher than this indicator in more eastern regions. In the direction from east to west, the number of species in the composition of forest stands increases (up to 8.4), with a predominance of Fraxinus excelsior L. The number of plant associations increases in the direction from east to west. If in the east of the Penza region Fraxinus excelsior L. occurs in 6–7 plant associations, then in the west of the region—in 18–25 associations. The maximum timber stock for 100 years of Fraxinus excelsior L. stands reaches 380 m3/ha. Such a natural bioresource potential is of importance for the conduct of the national economy. Forest management in phytocenoses with the participation of this tree species is a strategic branch direction. It is expedient to restore populations of Fraxinus excelsior L. everywhere and to cultivate them in the territory of the East European Plain and especially in its south-eastern part. This is fully consistent with the principles of sustainable ecological and economic development against the background of local natural, climatic and geographical conditions. This type is necessary when solving environmental, resource-saving and economic problems in the territory under consideration