11 research outputs found

    STRATIFICATION OF PUBLIC SERVANTS IN THE RUSSIAN FEDERATION AS THE RESULT OF THE PUBLIC SERVICE REFORM: CASE STUDY

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    The collapse of the Soviet communist political system led to forced public sector reforms in the respective countries. A rather complex system of public service has emerged in Russia over 25 years of reform. The purpose of the article is to conduct a stratification analysis of the current state of the public service in the Russian Federation in the context of public service reform by the case study method.The article presents a case study of the current situation of stratification of public servants in Russia. The analysis is based on the application of a group of methods: analysis of statistical data, a questionnaire survey of public servants and secondary data analysis.The analysis allowed for the stratification of public servants in Russia on the following parameters: type of service, branch of authority, level of authority, sectoral and territorial affiliation of government authorities, gender and age of employees, level of education, income, self-identity.</p

    Characteristics of insulin therapy of diabetes mellitus type 1 in children and adolescents receiving glucocorticoids

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    BACKGROUND: In coexistence of diabetes mellitus type 1 (DM1) with severe autoimmune and inflammatory diseases some patients need simultaneous administration of insulin and glucocorticoids (GC). GC therapy in patients with DM1 can worsen glycemic control. AIM: To determine characteristics of insulin therapy of DM1 in children and adolescents receiving GC. DESCRIPTION OF CLINICAL CASES: We observed 5 patients with DM1 receiving GC for juvenile idiopathic arthritis (JIA), juvenile systemic sclerosis (JSS), juvenile dermatomyositis (JDM), ulcerative colitis (UC), and reactive arthritis (RA). Intra-articular administration of GC did not significantly influence glycemic control. In case of GC pulse therapy hyperglycemia and increased insulin requirements were recognized in 3&ndash;6 hours after GC receipt, persisted from few hours up to 3 days after each administration. While therapy with oral GC in high doses the worst glycemic control was registered in daylight hours. To overcome insulin resistance change of time of injection and 10%-increase of long-acting insulin analogue, additional injections of ultrashort-acting insulin analogues, temporal prescription of short-acting human insulin were used. While GC therapy insulin daily dose was individual and could reach 2.0 U/kg. After transition to maintaining doses of GC or discontinuation of GC therapy patients returned to standard or relatively low insulin requirements. Levels of glycosylated hemoglobin differed significantly among patients at different stages of treatment, were maximal while long-term therapy with high doses of oral GC, but mostly depended on patient&rsquo;s compliance. CONCLUSION: Bettering of glycemic control while receiving GC can be reached by timely dose correction of insulin therapy, selection of individual schemes, taking into account time of receipt and pharmacokinetic characteristics of GC. Adherence of the patient and his family to treatment of DM1 plays an important role in glycemic control

    Structure, Physicochemical Properties and Biological Activity of Lipopolysaccharide from the Rhizospheric Bacterium <i>Ochrobactrum quorumnocens</i> T1Kr02, Containing <span style="font-variant: small-caps">d</span>-Fucose Residues

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    Lipopolysaccharides (LPSs) are major components of the outer membranes of Gram-negative bacteria. In this work, the structure of the O-polysaccharide of Ochrobactrum quorumnocens T1Kr02 was identified by nuclear magnetic resonance (NMR), and the physical–chemical properties and biological activity of LPS were also investigated. The NMR analysis showed that the O-polysaccharide has the following structure: →2)-ÎČ-d-Fucf-(1→3)-ÎČ-d-Fucp-(1→. The structure of the periplasmic glucan coextracted with LPS was established by NMR spectroscopy and chemical methods: →2)-ÎČ-d-Glcp-(1→. Non-stoichiometric modifications were identified in both polysaccharides: 50% of d-fucofuranose residues at position 3 were O-acetylated, and 15% of d-Glcp residues at position 6 were linked with succinate. This is the first report of a polysaccharide containing both d-fucopyranose and d-fucofuranose residues. The fatty acid analysis of the LPS showed the prevalence of 3-hydroxytetradecanoic, hexadecenoic, octadecenoic, lactobacillic, and 27-hydroxyoctacosanoic acids. The dynamic light scattering demonstrated that LPS (in an aqueous solution) formed supramolecular particles with a size of 72.2 nm and a zeta-potential of –21.5 mV. The LPS solution (10 mkg/mL) promoted the growth of potato microplants under in vitro conditions. Thus, LPS of O. quorumnocens T1Kr02 can be recommended as a promoter for plants and as a source of biotechnological production of d-fucose

    Proceedings of the 23rd Paediatric Rheumatology European Society Congress: part three

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    Proceedings of the 23rd Paediatric Rheumatology European Society Congress: part one

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