22 research outputs found

    Успешное применение комбинированной экстракорпоральной поддержки жизнеобеспечения при лечении новой коронавирусной инфекции, осложненной развитием полиорганной дисфункции у беременной

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    Pregnant and postpartum women are at a higher risk of infection with SARS-CoV-2 as well as a higher risk of adverse outcomes for the mother and fetus. Standard approaches to the management of COVID-19-associated multiple organ dysfunction may not always be implemented in this category of patients. In the clinical case of a patient, who developed multiple organ dysfunction syndrome (severe ARDS, coagulopathy) associated with COVID-19 in the postpartum period, we demonstrate the successful use of combined extracorporeal life support that included veno-venous extracorporeal membrane oxygenation, therapeutic plasma exchange and renal replacement therapy with the universal oXiris set.Беременные и родильницы подвержены более высокому риску заражения новой коронавирусной инфекцией и неблагоприятным исходам как для матери, так и для плода. Стандартные подходы к ведению полиорганной дисфункции, ассоциированной с COVID-19, не всегда могут быть осуществлены в этой группе больных за счет измененной физиологии дыхательной системы у беременных и неблагоприятного влияния на плод. На примере пациентки, у которой на фоне COVID-19 развился синдром множественной органной дисфункции (острый респираторный дистресс-синдром тяжелой степени (PaO2/FiO 2 96), коагулопатия), продемонстрировано успешное применение в послеродо­вом периоде комбинированной экстракорпоральной поддержки жизнедеятельности, сочетающей в себе вено-венозную экстракорпоральную мембранную оксигенацию, терапевтический плазмообмен и заместительную почечную терапию с использованием универсального сета oXiris

    Определение происхождения природного битума в мумифицирующих смолах древнеегипетских мумий из собрания ГМИИ им. А.С. Пушкина

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    This work presents the results of a study of the resins of seven Ancient Egyptian mummies from the collection of the Pushkin State Museum of Fine Arts using a complex of analytical methods: gas chromatography, atomic emission and mass spectrometry. Natural bitumen and beeswax were identified in the resins using the gas chromatography–mass spectrometry method. Based on the results of hydrocarbon distribution in the profiles of n-alkanes in the resin coatings of the mummies and naturally occurring bitumen, it was assumed that the Dead Sea bitumen was used. The gas chromatography–mass spectrometry studies of mummy resins in the selected ion mode (m/z 217 and 191) provided additional evidence of the bitumen’s geographic origin. Atomic emission spectrometry with inductively coupled plasma was used as a means to determine the content of microelements. Vanadium, nickel and molybdenum were found in the tar of five mummies. The determined relative amounts of vanadium, nickel, and molybdenum in the resins of the studied mummies showed a good correlation with the available data on the content of these elements in the Dead Sea bitumen, as well as the Fayum mummy resin based on this bitumen. The advantages of using the method of identifying bitumen in mummy resins based on relative content of vanadium, nickel, and molybdenum were revealed.В работе представлены результаты исследования составов смол семи древнеегипетских мумий из коллекции Государственного музея изобразительных искусств имени А.С. Пушкина с применением комплекса аналитических методов: газовой хроматографии (ГХ), атомно-эмиссионной и масс-спектрометрии (МС). Методом ГХ–МС в них идентифицированы природный битум и пчелиный воск. По результатам распределений углеводородов в профилях н-алканов в смоляных покрытиях мумий и природных битумов высказано предположение об использовании битума Мертвого моря. Дополнительные доказательства географического происхождения битума получены ГХ–МС-исследованием смол мумий в режиме мониторинга заданных ионов (m/z 217 и 191). Методом атомно-эмиссионной спектрометрии с индуктивно связанной плазмой определено содержание микроэлементов и показано, что в смолах пяти мумий присутствуют ванадий, никель и молибден. Полученные результаты свидетельствуют об удовлетворительной корреляции их с литературными данными по содержанию указанных элементов в битуме Мертвого моря и смоле Фаюмской мумии на основе этого битума. Выявлены преимущества использования метода идентификации битума в смолах мумий по относительному содержанию ванадия, никеля и молибдена

    High frequency of BRCA1, but not CHEK2 or NBS1 (NBN), founder mutations in Russian ovarian cancer patients

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    <p>Abstract</p> <p>Background</p> <p>A significant portion of ovarian cancer (OC) cases is caused by germ-line mutations in BRCA1 or BRCA2 genes. BRCA testing is cheap in populations with founder effect and therefore recommended for all patients with OC diagnosis. Recurrent mutations constitute the vast majority of BRCA defects in Russia, however their impact in OC morbidity has not been yet systematically studied. Furthermore, Russian population is characterized by a relatively high frequency of CHEK2 and NBS1 (NBN) heterozygotes, but it remains unclear whether these two genes contribute to the OC risk.</p> <p>Methods</p> <p>The study included 354 OC patients from 2 distinct, geographically remote regions (290 from North-Western Russia (St.-Petersburg) and 64 from the south of the country (Krasnodar)). DNA samples were tested by allele-specific PCR for the presence of 8 founder mutations (BRCA1 5382insC, BRCA1 4153delA, BRCA1 185delAG, BRCA1 300T>G, BRCA2 6174delT, CHEK2 1100delC, CHEK2 IVS2+1G>A, NBS1 657del5). In addition, literature data on the occurrence of BRCA1, BRCA2, CHEK2 and NBS1 mutations in non-selected ovarian cancer patients were reviewed.</p> <p>Results</p> <p>BRCA1 5382insC allele was detected in 28/290 (9.7%) OC cases from the North-West and 11/64 (17.2%) OC patients from the South of Russia. In addition, 4 BRCA1 185delAG, 2 BRCA1 4153delA, 1 BRCA2 6174delT, 2 CHEK2 1100delC and 1 NBS1 657del5 mutation were detected. 1 patient from Krasnodar was heterozygous for both BRCA1 5382insC and NBS1 657del5 variants.</p> <p>Conclusion</p> <p>Founder BRCA1 mutations, especially BRCA1 5382insC variant, are responsible for substantial share of OC morbidity in Russia, therefore DNA testing has to be considered for every OC patient of Russian origin. Taken together with literature data, this study does not support the contribution of CHEK2 in OC risk, while the role of NBS1 heterozygosity may require further clarification.</p

    The NOMAD Experiment at the CERN SPS

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    Omecamtiv mecarbil in chronic heart failure with reduced ejection fraction, GALACTIC‐HF: baseline characteristics and comparison with contemporary clinical trials

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    Aims: The safety and efficacy of the novel selective cardiac myosin activator, omecamtiv mecarbil, in patients with heart failure with reduced ejection fraction (HFrEF) is tested in the Global Approach to Lowering Adverse Cardiac outcomes Through Improving Contractility in Heart Failure (GALACTIC‐HF) trial. Here we describe the baseline characteristics of participants in GALACTIC‐HF and how these compare with other contemporary trials. Methods and Results: Adults with established HFrEF, New York Heart Association functional class (NYHA) ≥ II, EF ≤35%, elevated natriuretic peptides and either current hospitalization for HF or history of hospitalization/ emergency department visit for HF within a year were randomized to either placebo or omecamtiv mecarbil (pharmacokinetic‐guided dosing: 25, 37.5 or 50 mg bid). 8256 patients [male (79%), non‐white (22%), mean age 65 years] were enrolled with a mean EF 27%, ischemic etiology in 54%, NYHA II 53% and III/IV 47%, and median NT‐proBNP 1971 pg/mL. HF therapies at baseline were among the most effectively employed in contemporary HF trials. GALACTIC‐HF randomized patients representative of recent HF registries and trials with substantial numbers of patients also having characteristics understudied in previous trials including more from North America (n = 1386), enrolled as inpatients (n = 2084), systolic blood pressure &lt; 100 mmHg (n = 1127), estimated glomerular filtration rate &lt; 30 mL/min/1.73 m2 (n = 528), and treated with sacubitril‐valsartan at baseline (n = 1594). Conclusions: GALACTIC‐HF enrolled a well‐treated, high‐risk population from both inpatient and outpatient settings, which will provide a definitive evaluation of the efficacy and safety of this novel therapy, as well as informing its potential future implementation

    COMPLEX ASSESSMENT OF EFFECTIVENESS OF THE DRUG GROUP ANTIHYPOXANTSIN PATIENTS WITH ANGINA AND HIGH LEVEL ANXIETY

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    It has been studied the efficiency of ethylmethylhydroxypyridine succinate in patients with angina FC II, depending on the level of anxiety. There was high positive correlation between the number of angina attacks and high level of anxiety in patients with angina FC II. Also, there were some special effects of ethylmethylhydroxypyridine succinate as quantity of attacks, blood pressure level, and the frequency and nature of cardiac arrhythmias, heart rate variability, life quality and, as a consequence, frequency of seeking care

    Role of IL13 genetic polymorphism in the development of bronchial asthma in children

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    Bronchial asthma is a multifactorial disease, with both environmental factors and genetic predisposal affecting its development. A number of gene associations have been obtained between polymorphisms of cytokine genes produced by different types of immune cells and asthma development. Interleukin-13 is involved in allergic inflammation, increased bronchial hypersensitivity, regulation of eosinophil levels and IgE production by B cells, thus making it promising for studying IL13 gene polymorphisms in bronchial asthma coupled to development of the disease. The aim of this study was to investigate possible association between asthma and IL13 rs1800925 polymorphism in the children of Caucasian origin in Eastern Siberia. Four groups of patients with asthma were examined (mean age 12.8±1.2 years): with a controlled (n = 95) and uncontrolled course (n = 107), with severe (n = 71) and moderate severity (n = 131) diseases. The control group consisted of healthy individuals: children (n = 33) and adults (n = 102). DNA was isolated with sorbent method; genotyping was carried out using RT-PCR using specific oligonucleotide primers and fluorescent TaqMan probes. The allele and genotype frequencies were compared by the χ-square test using an online calculator. The odds ratio (OR) with a 95% confidence interval (CI) was performed to link genetic markers with pathological phenotypes. The CT IL13 rs1800925 genotype was shown to be associated with moderate asthma and cases of uncontrollable clinical course, whereas the TT genotype was associated with severe asthma. Thus, rs1800925 polymorphism of IL13 gene (the T* variant is known to be associated with increased IL-13 expression) may be associated with bronchial asthma in children. Our data are consistent with results of other authors. E.g., Liu Z. et al. revealed an association between rs1800925 IL13 and the risk of developing asthma in children, with CT and TT genotypes being more common in the patient group. Radhakrishnan A. et al., was studied rs1800925 IL13 in adult population of Malaysia and found that the T* allele frequency in the group of patients significantly exceeds the frequency of this allele in the control group. Thus, the results of our study showed that IL13 rs1800925 polymorphism is associated with bronchial asthma in children, especially, with level of its control and severity of the disease

    The determination of the origin of natural bitumen in mummifying resins of Ancient Egyptian mummies from the collection of the Pushkin Museum of Fine Arts

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    This work presents the results of a study of the resins of seven Ancient Egyptian mummies from the collection of the Pushkin State Museum of Fine Arts using a complex of analytical methods: gas chromatography, atomic emission and mass spectrometry. Natural bitumen and beeswax were identified in the resins using the gas chromatography–mass spectrometry method. Based on the results of hydrocarbon distribution in the profiles of n-alkanes in the resin coatings of the mummies and naturally occurring bitumen, it was assumed that the Dead Sea bitumen was used. The gas chromatography–mass spectrometry studies of mummy resins in the selected ion mode (m/z 217 and 191) provided additional evidence of the bitumen’s geographic origin. Atomic emission spectrometry with inductively coupled plasma was used as a means to determine the content of microelements. Vanadium, nickel and molybdenum were found in the tar of five mummies. The determined relative amounts of vanadium, nickel, and molybdenum in the resins of the studied mummies showed a good correlation with the available data on the content of these elements in the Dead Sea bitumen, as well as the Fayum mummy resin based on this bitumen. The advantages of using the method of identifying bitumen in mummy resins based on relative content of vanadium, nickel, and molybdenum were revealed

    Floating layers and thin films of mesogenic mix-substituted phthalocyanine holmium complex

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    The supramolecular organization of the A3_3B-type phthalocyanine holmium complex (A3B–Ho) was investigated in floating layers at the air–water interface and in Langmuir-Schaefer thin films at the air–solid interface. The floating layers formed under different experimental conditions on the water subphase using the Langmuir technique. They were studied by Brewster angle microscopy, grazing incidence X-ray diffraction and X-ray reflectometry. It was established that molecules of A3_3B–Ho form stable ordered floating monolayer on the water surface. Experimental conditions required for this monolayer formation were determined as following: the initial degree of coating of the water surface was 18%, the compression rate of barriers was 6 cm2^2/min and the surface pressure was 0.4 mN/m. Under these conditions a stable crystalline monolayer structure was obtained with an area per one molecule 3.9 nm2. It has a two-dimensional face-on packing with the intralayer period of 2.06 nm. The Langmuir-Schaefer thin film was obtained on the basis of the above mentioned monomolecular floating layer. The film possesses a single two-dimensional structure with the packing of the molecules parralel to the substrate surface that was revealed by electron diffraction. The lattice parameters of the monomolecular film were aa = 1.65 nm, bb = 1.92 nm, γ1\gamma_1 = 75. It was shown that the film preserves the structure of the floating monolayer
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