423 research outputs found

    Investigation of the structure and properties of surface composite layers on multi-alloyed steels

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    In this work were studied the structures and properties of surface composite layers obtained by chemical-thermal treatment and combined chemical-thermal treatment, combining liquid-free electrolysis-free boriding with gas nitriding. The properties of surface composite layers on steels with different alloys are analyzed depending on various parameters of chemical-thermal treatment. The study showed that, during boriding, phases of iron borides FeB, Fe2B are formed on the surface of the samples, and their volume ratio strongly depends on the degree of steel alloying. A strong effect of carbon on the morphology of surface layers was revealed. Finely dispersed strengthening particles were found in the borated layers on the VKS-5 steel, large superhard particles on the Ch12MF steel near the borated layers. The study of the microstructure of the composite layers showed that during gas nitriding, a layer 80 ΞΌm in size is obtained, which penetrates deep into the borated layer. The study of the properties of surface layers showed that carbon has the greatest influence on the formation of borated layers. The resulting composite layers are characterized by reduced microbrittleness and increased corrosion resistance

    DANSSino: a pilot version of the DANSS neutrino detector

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    DANSSino is a reduced pilot version of a solid-state detector of reactor antineutrinos (to be created within the DANSS project and installed under the industrial 3 GW(th) reactor of the Kalinin Nuclear Power Plant -- KNPP). Numerous tests performed at a distance of 11 m from the reactor core demonstrate operability of the chosen design and reveal the main sources of the background. In spite of its small size (20x20x100 ccm), the pilot detector turned out to be quite sensitive to reactor antineutrinos, detecting about 70 IBD events per day with the signal-to-background ratio about unity.Comment: 16 pages, 11 figures, 3 tables. arXiv admin note: substantial text overlap with arXiv:1304.369

    Search for sterile neutrinos at the DANSS experiment

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    DANSS is a highly segmented 1~m3{}^3 plastic scintillator detector. Its 2500 one meter long scintillator strips have a Gd-loaded reflective cover. The DANSS detector is placed under an industrial 3.1~GWth\mathrm{GW_{th}} reactor of the Kalinin Nuclear Power Plant 350~km NW from Moscow. The distance to the core is varied on-line from 10.7~m to 12.7~m. The reactor building provides about 50~m water-equivalent shielding against the cosmic background. DANSS detects almost 5000 Ξ½~e\widetilde\nu_e per day at the closest position with the cosmic background less than 3%\%. The inverse beta decay process is used to detect Ξ½~e\widetilde\nu_e. Sterile neutrinos are searched for assuming the 4Ξ½4\nu model (3 active and 1 sterile Ξ½\nu). The exclusion area in the Ξ”m142,sin⁑22ΞΈ14\Delta m_{14}^2,\sin^22\theta_{14} plane is obtained using a ratio of positron energy spectra collected at different distances. Therefore results do not depend on the shape and normalization of the reactor Ξ½~e\widetilde\nu_e spectrum, as well as on the detector efficiency. Results are based on 966 thousand antineutrino events collected at 3 distances from the reactor core. The excluded area covers a wide range of the sterile neutrino parameters up to sin⁑22ΞΈ14<0.01\sin^22\theta_{14}<0.01 in the most sensitive region.Comment: 10 pages, 13 figures, version accepted for publicatio

    Significance of individual management plan for the patients with hereditary lymphangioedema during pregnancy and lactation, and in newborns

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    Hereditary angioedema (HAE) is a genetically caused orphan disease with a high risk of developing life-threatening attacks, thus requiring availability for up-to-date information on this problem for the doctors of any specialties. A limited number of observations determine the value of the analysis for each clinical case. Many facets of clinical manifestations, a list of predisposing and triggering factors, as well as limitations of some diagnostic and therapeutic algorithms, require the development of individual management schemes under distinct clinical situations. In this paper, we present the unique clinical cases with certain limitations, describing unexpected onset of the disease in the course of pregnancy, management aspects during delivery and post-delivery periods in a women with a previously confirmed HAE diagnosis. Adapted diagnostic algorithms of postnatal diagnostic verification are presented for children with burdened genetic history. We express some assumptions about involvement of a multidisciplinary team of specialists, personalized approach to building a management plan with an β€œonline” correction depending on observation stage of НАЕ patient

    АНАЛІЗ Π£ΠœΠžΠ’ Π’Π˜Π”Π˜ΠœΠžΠ‘Π’Π† Π’ ΠΠšΠ’ΠžΠ’Π†Π™ ЗАЛІ ΠΠ£Π’Π“ΠŸ

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    Visibility conditions in the assembly hall of National University of Water and Environmental Engineering are analysed. It was established that the mutual placement of seats for viewers and a stage does not ensure compliance with the regulatory requirements for visibility. The blinding value on cylindrical surface for real conditions in the assembly hall was shown. The cylindrical surface was created by moving focal line points upstairs along the generatrixes of this surface. Rows arrangement options on curved line of the least ascending gradient, on plane at an angle and on three planes at an angle were proposed. Measures for improvement of visibility conditions are offered. It was proposed to add additional stairs along the rows rising.ΠŸΡ€ΠΎΠ°Π½Π°Π»ΠΈΠ·ΠΈΡ€ΠΎΠ²Π°Π½Ρ‹ условия видимости Π°ΠΊΡ‚ΠΎΠ²ΠΎΠ³ΠΎ Π·Π°Π»Π° НУВΠ₯П. УстановлСно, Ρ‡Ρ‚ΠΎ Π²Π·Π°ΠΈΠΌΠ½ΠΎΠ΅ располоТСниС мСст для Π·Ρ€ΠΈΡ‚Π΅Π»Π΅ΠΉ ΠΈ эстрады Π½Π΅ ΠΎΠ±Π΅ΡΠΏΠ΅Ρ‡ΠΈΠ²Π°ΡŽΡ‚ выполнСния Π½ΠΎΡ€ΠΌΠ°Ρ‚ΠΈΠ²Π½Ρ‹Ρ… Ρ‚Ρ€Π΅Π±ΠΎΠ²Π°Π½ΠΈΠΉ ΠΏΠΎ видимости. ΠŸΡ€Π΅Π΄Π»ΠΎΠΆΠ΅Π½Ρ‹ ΠΌΠ΅Ρ€Ρ‹ ΠΏΠΎ ΡƒΠ»ΡƒΡ‡ΡˆΠ΅Π½ΠΈΡŽ условий видимости.ΠŸΡ€ΠΎΠ°Π½Π°Π»Ρ–Π·ΠΎΠ²Π°Π½ΠΎ ΡƒΠΌΠΎΠ²ΠΈ видимості Π² Π°ΠΊΡ‚ΠΎΠ²Ρ–ΠΉ Π·Π°Π»Ρ– ΠΠ£Π’Π“ΠŸ. ВстановлСно, Ρ‰ΠΎ Π²Π·Π°Ρ”ΠΌΠ½Π΅ розміщСння ΠΌΡ–ΡΡ†ΡŒ для глядачів Ρ– Сстради Π½Π΅ Π·Π°Π±Π΅Π·ΠΏΠ΅Ρ‡ΡƒΡŽΡ‚ΡŒ виконання Π½ΠΎΡ€ΠΌΠ°Ρ‚ΠΈΠ²Π½ΠΈΡ… Π²ΠΈΠΌΠΎΠ³ Ρ‰ΠΎΠ΄ΠΎ видимості. Π—Π°ΠΏΡ€ΠΎΠΏΠΎΠ½ΠΎΠ²Π°Π½ΠΎ Π·Π°Ρ…ΠΎΠ΄ΠΈ для ΠΏΠΎΠ»Ρ–ΠΏΡˆΠ΅Π½Π½Ρ ΡƒΠΌΠΎΠ² видимості

    Π‘Ρ€Π°Π²Π½Π΅Π½ΠΈΠ΅ эффСктивности ΠΌΠ΅Ρ‚ΠΎΠ΄ΠΎΠ² Π½Π΅ΠΈΠ½Π²Π°Π·ΠΈΠ²Π½ΠΎΠΉ рСспираторной ΠΏΠΎΠ΄Π΄Π΅Ρ€ΠΆΠΊΠΈ Π² послСопСрационном ΠΏΠ΅Ρ€ΠΈΠΎΠ΄Π΅ Ρƒ кардиохирургичСских Π±ΠΎΠ»ΡŒΠ½Ρ‹Ρ…: ΠΏΠΈΠ»ΠΎΡ‚Π½ΠΎΠ΅ исслСдованиС

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    ΠΠšΠ’Π£ΠΠ›Π¬ΠΠžΠ‘Π’Π¬: Частота развития Π΄Ρ‹Ρ…Π°Ρ‚Π΅Π»ΡŒΠ½ΠΎΠΉ нСдостаточности послС кардиохирургичСских Π²ΠΌΠ΅ΡˆΠ°Ρ‚Π΅Π»ΡŒΡΡ‚Π² составляСт 17–22Β % [1–3]. ΠœΠ΅Ρ‚ΠΎΠ΄Ρ‹ Π½Π΅ΠΈΠ½Π²Π°Π·ΠΈΠ²Π½ΠΎΠΉ рСспираторной ΠΏΠΎΠ΄Π΄Π΅Ρ€ΠΆΠΊΠΈ: нСинвазивная масочная вСнтиляция Π»Π΅Π³ΠΊΠΈΡ… (ΠΠ˜ΠœΠ’Π›), высокопоточная назальная оксигСнотСрапия (Π’ΠΠž) и нСинвазивная вСнтиляция ΡΒ ΠΏΠΎΠΌΠΎΡ‰ΡŒΡŽ шлСма (ΠΠ˜Π’Π›Π¨) находят всС Π±ΠΎΠ»Π΅Π΅ ΡˆΠΈΡ€ΠΎΠΊΠΎΠ΅ ΠΏΡ€ΠΈΠΌΠ΅Π½Π΅Π½ΠΈΠ΅ Π²Β Ρ‚Π΅Ρ€Π°ΠΏΠΈΠΈ Π΄Ρ‹Ρ…Π°Ρ‚Π΅Π»ΡŒΠ½ΠΎΠΉ нСдостаточности у этих ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚ΠΎΠ². Π¦Π•Π›Π¬ Π˜Π‘Π‘Π›Π•Π”ΠžΠ’ΠΠΠ˜Π―: Π‘Ρ€Π°Π²Π½Π΅Π½ΠΈΠ΅ эффСктивности ΠΌΠ΅Ρ‚ΠΎΠ΄ΠΎΠ² рСспираторной ΠΏΠΎΠ΄Π΄Π΅Ρ€ΠΆΠΊΠΈ в зависимости ΠΎΡ‚ ΠΈΡ… влияния Π½Π° Π³Π°Π·ΠΎΠΎΠ±ΠΌΠ΅Π½ ΡƒΒ ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚ΠΎΠ² с лСгкой ΡΡ‚Π΅ΠΏΠ΅Π½ΡŒΡŽ тяТСсти Π΄Ρ‹Ρ…Π°Ρ‚Π΅Π»ΡŒΠ½ΠΎΠΉ нСдостаточности Π²Β Ρ€Π°Π½Π½Π΅ΠΌ ΠΏΠ΅Ρ€ΠΈΠΎΠ΄Π΅ послС кардиохирургичСских Π²ΠΌΠ΅ΡˆΠ°Ρ‚Π΅Π»ΡŒΡΡ‚Π². ΠœΠΠ’Π•Π Π˜ΠΠ›Π« И ΠœΠ•Π’ΠžΠ”Π«: Π’ Ρ€Π°Π±ΠΎΡ‚Ρƒ Π²ΠΊΠ»ΡŽΡ‡Π΅Π½Ρ‹ 42 кардиохирургичСских ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚Π° с 200Β <Β P/FΒ <Β 300, ΠΊΠΎΡ‚ΠΎΡ€Ρ‹Π΅ Π±Ρ‹Π»ΠΈ Ρ€Π°Π·Π΄Π΅Π»Π΅Π½Ρ‹ Π½Π° 3Β Π³Ρ€ΡƒΠΏΠΏΡ‹ в зависимости ΠΎΡ‚ примСняСмого ΠΌΠ΅Ρ‚ΠΎΠ΄Π° рСспираторной ΠΏΠΎΠ΄Π΄Π΅Ρ€ΠΆΠΊΠΈ (ΠΠ˜ΠœΠ’Π›, Π’ΠΠž ΠΈΠ»ΠΈ ΠΠ˜Π’Π›Π¨). Основная Ρ‚ΠΎΡ‡ΠΊΠ° исслСдования — ΠΎΡ†Π΅Π½ΠΊΠ° Π΄ΠΈΠ½Π°ΠΌΠΈΠΊΠΈ ΠΏΠΎΠΊΠ°Π·Π°Ρ‚Π΅Π»Π΅ΠΉ Π³Π°Π·ΠΎΠΎΠ±ΠΌΠ΅Π½Π° Π΄ΠΎ, Π²ΠΎ врСмя и послС ΠΈΡ… примСнСния. РЕЗУЛЬВАВЫ: ВсС Ρ‚Ρ€ΠΈ ΠΌΠ΅Ρ‚ΠΎΠ΄Π° ΠΠ˜Π’Π› ΡΠΏΠΎΡΠΎΠ±ΡΡ‚Π²ΡƒΡŽΡ‚ статистичСски достовСрному ΡƒΠ»ΡƒΡ‡ΡˆΠ΅Π½ΠΈΡŽ ΠΏΠΎΠΊΠ°Π·Π°Ρ‚Π΅Π»Π΅ΠΉ Π³Π°Π·ΠΎΠΎΠ±ΠΌΠ΅Π½Π° Π²ΠΎ врСмя провСдСния ΠΠ˜Π’Π›, ΠΊΠΎΡ‚ΠΎΡ€ΠΎΠ΅ ΡΠΎΡ…Ρ€Π°Π½ΡΠ»ΠΎΡΡŒ и послС Π·Π°Π²Π΅Ρ€ΡˆΠ΅Π½ΠΈΡ Ρ‚Π΅Ρ€Π°ΠΏΠΈΠΈ (SpO2, PaO2, P/F, Qsp/Qt). Π’ Π³Ρ€ΡƒΠΏΠΏΠ΅ с примСнСниСм ΠΠ˜ΠœΠ’Π› ΠΈΒ Π’ΠΠž ΠΎΡ‚ΠΌΠ΅Ρ‡Π΅Π½ прирост Ρ„Ρ€Π°ΠΊΡ†ΠΈΠΈ оксигСмоглобина. ЗначСния PaCO2 Π²Β Π³Ρ€ΡƒΠΏΠΏΠ°Ρ… сравнСния Π½Π΅ Ρ€Π°Π·Π»ΠΈΡ‡Π°Π»ΠΈΡΡŒ. Наибольший прирост SpO2 наблюдаСм Π²Β Π³Ρ€ΡƒΠΏΠΏΠ°Ρ… с использованиСм маски и шлСма, Π½ΠΎ ΠΏΠΎ Π·Π°Π²Π΅Ρ€ΡˆΠ΅Π½ΠΈΠΈ сСанса ΠΠ˜Π’Π› статистичСски Π·Π½Π°Ρ‡ΠΈΠΌΡ‹Ρ… Ρ€Π°Π·Π»ΠΈΡ‡ΠΈΠΉ ΠΌΠ΅ΠΆΠ΄Ρƒ Π³Ρ€ΡƒΠΏΠΏΠ°ΠΌΠΈ Π½Π΅ Π±Ρ‹Π»ΠΎ. Доля ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚ΠΎΠ² с P/FΒ <Β 300 послС ΠΎΠ΄Π½ΠΎΠΊΡ€Π°Ρ‚Π½ΠΎΠ³ΠΎ сСанса Π²Β Π³Ρ€ΡƒΠΏΠΏΠ΅ ΠΠ˜ΠœΠ’Π› снизилась Π²Β 2Β Ρ€Π°Π·Π°, Π²Β Π³Ρ€ΡƒΠΏΠΏΠ΅ Π’ΠΠžΒ β€” Π²Β 1,6Β Ρ€Π°Π·Π°, Π²Β Π³Ρ€ΡƒΠΏΠΏΠ΅ ΠΠ˜Π’Π›Π¨Β β€” Π²Β 3,5Β Ρ€Π°Π·Π°. Π’Π«Π’ΠžΠ”Π«: ΠŸΡ€ΠΎΠ²Π΅Π΄Π΅Π½ΠΈΠ΅ Π½Π΅ΠΈΠ½Π²Π°Π·ΠΈΠ²Π½ΠΎΠΉ рСспираторной ΠΏΠΎΠ΄Π΄Π΅Ρ€ΠΆΠΊΠΈ Π·Π½Π°Ρ‡ΠΈΡ‚Π΅Π»ΡŒΠ½ΠΎ ΡƒΠ»ΡƒΡ‡ΡˆΠ°Π΅Ρ‚ ΠΏΠΎΠΊΠ°Π·Π°Ρ‚Π΅Π»ΠΈ ΠΎΠΊΡΠΈΠ³Π΅Π½ΠΈΡ€ΡƒΡŽΡ‰Π΅ΠΉ Ρ„ΡƒΠ½ΠΊΡ†ΠΈΠΈ Π»Π΅Π³ΠΊΠΈΡ… Π²Β Ρ€Π°Π½Π½Π΅ΠΌ послСопСрационном ΠΏΠ΅Ρ€ΠΈΠΎΠ΄Π΅ у кардиохирургичСских Π±ΠΎΠ»ΡŒΠ½Ρ‹Ρ…. ΠΠ˜Π’Π›Π¨ ΠΈΒ ΠΠ˜ΠœΠ’Π› Π±ΠΎΠ»Π΅Π΅ эффСктивны ΠΏΠΎ ΡΡ€Π°Π²Π½Π΅Π½ΠΈΡŽ ΡΒ Π’ΠΠž. ΠŸΡ€ΠΈ использовании шлСма трСбуСтся Π±ΠΎΠ»Π΅Π΅ высокий ΡƒΡ€ΠΎΠ²Π΅Π½ΡŒ рСспираторной ΠΏΠΎΠ΄Π΄Π΅Ρ€ΠΆΠΊΠΈ

    ИзмСнСниС активности Π»ΠΈΠ·ΠΎΡΠΎΠΌΠ°Π»ΡŒΠ½Ρ‹Ρ… цистСиновых ΠΏΡ€ΠΎΡ‚Π΅Π°Π· ΠΏΠ»Π°Π·ΠΌΡ‹, моноядСрных ΠΈ полиморфноядСрных Π»Π΅ΠΉΠΊΠΎΡ†ΠΈΡ‚ΠΎΠ² ΠΊΡ€ΠΎΠ²ΠΈ ΠΏΡ€ΠΈ Π±ΠΎΠ»Π΅Π·Π½ΠΈ ΠΠ»ΡŒΡ†Π³Π΅ΠΉΠΌΠ΅Ρ€Π°

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    Aim. To study the level of activity of lysosomal cysteine proteases (cathepsins H, B, L) in blood plasma andΒ fractionated leukocytes (polymorphonuclear and mononuclear) in patients with Alzheimer’s disease in comparisonΒ with similar indicators in persons without signs of neurodegeneration as a possible marker of Alzheimer’s diseaseΒ development and diagnosis.Materials and methods. The spectrofluorimetric study of cathepsins B, L, H activity level in plasma andΒ fractionated leukocytes was conducted in 22 patients diagnosed with Alzheimer’s disease in comparison with theΒ same indicators in 22 patients matched by sex, age and associated diseases with patients of the observation group,Β but having no signs of neurodegeneration.Results. The activity of all three enzymes, and especially cathepsin H, increased significantly in blood plasma.Β  A significant increase is also noted in the activity of cathepsins H, B, and L in homogenates of fractionatedΒ  leukocytes. AtΒ the same time, in both polymorphonuclear and mononuclear leukocytes the greatest degree of changes is demonstratedΒ by the activity of cathepsin B, and the least is the activity of cathepsin L. Given the available data on an increasedΒ cathepsin B activity in the cerebrospinal fluid of patients with Alzheimer’s disease, we can assume a correlationΒ between the state of lysosomal proteases activity in the Central nervous system and in the peripheral blood cells.Conclusion. Alzheimer’s disease is associated with increased activity of cysteine cathepsins in plasma,Β polymorphonuclear and mononuclear leukocytes of peripheral blood, which can be considered as one of theΒ possible markers of development and diagnosis of the disease.  ЦСль. Π˜Π·ΡƒΡ‡ΠΈΡ‚ΡŒ ΡƒΡ€ΠΎΠ²Π΅Π½ΡŒ активности Π»ΠΈΠ·ΠΎΡΠΎΠΌΠ°Π»ΡŒΠ½Ρ‹Ρ… цистСиновых ΠΏΡ€ΠΎΡ‚Π΅ΠΈΠ½Π°Π· (катСпсинов H, B, L) Π² ΠΏΠ»Π°Π·ΠΌΠ΅Β ΠΊΡ€ΠΎΠ²ΠΈ ΠΈ Ρ„Ρ€Π°ΠΊΡ†ΠΈΠΎΠ½ΠΈΡ€ΠΎΠ²Π°Π½Π½Ρ‹Ρ… Π»Π΅ΠΉΠΊΠΎΡ†ΠΈΡ‚Π°Ρ… (полиморфноядСрных ΠΈ моноядСрных) ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚ΠΎΠ² с Π±ΠΎΠ»Π΅Π·Π½ΡŒΡŽΒ ΠΠ»ΡŒΡ†Π³Π΅ΠΉΠΌΠ΅Ρ€Π° Π² сравнСнии с Π°Π½Π°Π»ΠΎΠ³ΠΈΡ‡Π½Ρ‹ΠΌΠΈ показатСлями Ρƒ Π»ΠΈΡ†, Π½Π΅ ΠΈΠΌΠ΅ΡŽΡ‰ΠΈΡ… ΠΏΡ€ΠΈΠ·Π½Π°ΠΊΠΎΠ² Π½Π΅ΠΉΡ€ΠΎΠ΄Π΅Π³Π΅Π½Π΅Ρ€Π°Ρ†ΠΈΠΈ,Β ΠΊΠ°ΠΊ Π²ΠΎΠ·ΠΌΠΎΠΆΠ½Ρ‹ΠΉ ΠΌΠ°Ρ€ΠΊΠ΅Ρ€ развития ΠΈ диагностики Π±ΠΎΠ»Π΅Π·Π½ΠΈ ΠΠ»ΡŒΡ†Π³Π΅ΠΉΠΌΠ΅Ρ€Π°.ΠœΠ°Ρ‚Π΅Ρ€ΠΈΠ°Π»Ρ‹ ΠΈ ΠΌΠ΅Ρ‚ΠΎΠ΄Ρ‹. ΠŸΡ€ΠΎΠ²Π΅Π΄Π΅Π½ΠΎ спСктрофлуоримСтричСскоС исслСдованиС уровня активности катСпсинов B, L, H Π² ΠΏΠ»Π°Π·ΠΌΠ΅ ΠΊΡ€ΠΎΠ²ΠΈ ΠΈ Ρ„Ρ€Π°ΠΊΡ†ΠΈΠΎΠ½ΠΈΡ€ΠΎΠ²Π°Π½Π½Ρ‹Ρ… Π»Π΅ΠΉΠΊΠΎΡ†ΠΈΡ‚Π°Ρ… 22 ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚ΠΎΠ² с Π΄ΠΈΠ°Π³Π½ΠΎΠ·ΠΎΠΌ Β«Π‘ΠΎΠ»Π΅Π·Π½ΡŒ ΠΠ»ΡŒΡ†Π³Π΅ΠΉΠΌΠ΅Ρ€Π°Β»Β Π² сравнСнии с Π°Π½Π°Π»ΠΎΠ³ΠΈΡ‡Π½Ρ‹ΠΌΠΈ показатСлями 22 ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚ΠΎΠ², сопоставимых ΠΏΠΎ ΠΏΠΎΠ»Ρƒ, возрасту ΠΈ ΡΠΎΠΏΡƒΡ‚ΡΡ‚Π²ΡƒΡŽΡ‰ΠΈΠΌΒ Π·Π°Π±ΠΎΠ»Π΅Π²Π°Π½ΠΈΡΠΌ с ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚Π°ΠΌΠΈ Π³Ρ€ΡƒΠΏΠΏΡ‹ наблюдСния, Π½ΠΎ Π½Π΅ ΠΈΠΌΠ΅ΡŽΡ‰ΠΈΡ…Β  ΠΏΡ€ΠΈΠ·Π½Π°ΠΊΠΎΠ² Π½Π΅ΠΉΡ€ΠΎΠ΄Π΅Π³Π΅Π½Π΅Ρ€Π°Ρ†ΠΈΠΈ.Π Π΅Π·ΡƒΠ»ΡŒΡ‚Π°Ρ‚Ρ‹. Π’ ΠΏΠ»Π°Π·ΠΌΠ΅ ΠΊΡ€ΠΎΠ²ΠΈ статистичСски Π·Π½Π°Ρ‡ΠΈΠΌΠΎ ΠΏΠΎΠ²Ρ‹ΡˆΠ΅Π½Π° Π°ΠΊΡ‚ΠΈΠ²Π½ΠΎΡΡ‚ΡŒ всСх Ρ‚Ρ€Π΅Ρ… Ρ„Π΅Ρ€ΠΌΠ΅Π½Ρ‚ΠΎΠ²,Β Π² наибольшСй стСпСни – активности катСпсина Н. Π’ Π³ΠΎΠΌΠΎΠ³Π΅Π½Π°Ρ‚Π°Ρ… Ρ„Ρ€Π°ΠΊΡ†ΠΈΠΎΠ½ΠΈΡ€ΠΎΠ²Π°Π½Π½Ρ‹Ρ… Π»Π΅ΠΉΠΊΠΎΡ†ΠΈΡ‚ΠΎΠ²Β Ρ‚Π°ΠΊΠΆΠ΅ отмСчаСтся статистичСски Π·Π½Π°Ρ‡ΠΈΠΌΠΎΠ΅ ΠΏΠΎΠ²Ρ‹ΡˆΠ΅Π½ΠΈΠ΅ активности катСпсинов Н, B, L, ΠΏΡ€ΠΈ этом ΠΊΠ°ΠΊ в полиморфноядСрных, Ρ‚Π°ΠΊ ΠΈ Π² моноядСрных Π»Π΅ΠΉΠΊΠΎΡ†ΠΈΡ‚Π°Ρ… Π² наибольшСй стСпСни измСняСтся Π°ΠΊΡ‚ΠΈΠ²Π½ΠΎΡΡ‚ΡŒΒ ΠΊΠ°Ρ‚Π΅ΠΏΡΠΈΠ½Π° Π’, наимСньшСй –катСпсина L. Учитывая ΠΈΠΌΠ΅ΡŽΡ‰ΠΈΠ΅ΡΡ Π΄Π°Π½Π½Ρ‹Π΅ ΠΎ ΠΏΠΎΠ²Ρ‹ΡˆΠ΅Π½ΠΈΠΈ активности катСпсина В Π² Ρ†Π΅Ρ€Π΅Π±Ρ€ΠΎΡΠΏΠΈΠ½Π°Π»ΡŒΠ½ΠΎΠΉ Тидкости ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚ΠΎΠ² с болСзнью ΠΠ»ΡŒΡ†Π³Π΅ΠΉΠΌΠ΅Ρ€Π°, ΠΌΠΎΠΆΠ½ΠΎ ΠΏΡ€Π΅Π΄ΠΏΠΎΠ»ΠΎΠΆΠΈΡ‚ΡŒ Π²Π·Π°ΠΈΠΌΠΎΡΠ²ΡΠ·ΡŒΒ ΠΌΠ΅ΠΆΠ΄Ρƒ состояниСм активности Π»ΠΈΠ·ΠΎΡΠΎΠΌΠ°Π»ΡŒΠ½Ρ‹Ρ… ΠΏΡ€ΠΎΡ‚Π΅ΠΈΠ½Π°Π· Π² Ρ†Π΅Π½Ρ‚Ρ€Π°Π»ΡŒΠ½ΠΎΠΉ Π½Π΅Ρ€Π²Π½ΠΎΠΉ систСмС ΠΈ пСрифСричСских клСтках ΠΊΡ€ΠΎΠ²ΠΈ.Π—Π°ΠΊΠ»ΡŽΡ‡Π΅Π½ΠΈΠ΅. Π‘ΠΎΠ»Π΅Π·Π½ΡŒ ΠΠ»ΡŒΡ†Π³Π΅ΠΉΠΌΠ΅Ρ€Π° ассоциирована с нарастаниСм активности цистСиновых катСпсинов Π²Β ΠΏΠ»Π°Π·ΠΌΠ΅, полиморфноядСрных ΠΈ моноядСрных Π»Π΅ΠΉΠΊΠΎΡ†ΠΈΡ‚Π°Ρ… пСрифСричСской ΠΊΡ€ΠΎΠ²ΠΈ, Ρ‡Ρ‚ΠΎ ΠΌΠΎΠΆΠ΅Ρ‚ Ρ€Π°ΡΡΠΌΠ°Ρ‚Ρ€ΠΈΠ²Π°Ρ‚ΡŒΡΡΒ ΠΊΠ°ΠΊ ΠΎΠ΄ΠΈΠ½ ΠΈΠ· Π²ΠΎΠ·ΠΌΠΎΠΆΠ½Ρ‹Ρ… ΠΌΠ°Ρ€ΠΊΠ΅Ρ€ΠΎΠ² развития ΠΈ диагностики заболСвания

    Changes in the T and B lymphocyte subset profiles upon treatment of patients with Graves’ disease with radioactive iodine

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    The aim of the present study was to evaluate the subpopulation profile of T and B lymphocytes, and their relationships during therapy of the patients with Graves’ disease (GD) treated by means of radioactive iodine. We have examined 36 women with verified diagnosis of GD. The contents of thyroid hormones were determined by immunoradiometric analysis. The levels of thyroid-stimulating hormone receptor autoantibodies (rTSH) were evaluated by enzyme-linked immunosorbent assay. On the basis of comprehensive pre-therapeutic examination, all patients were exposed to the fixed-activity therapy with radioactive iodine-131 at a dose of 400 to 700 MBq administered orally in isotonic aqueous solution of sodium iodide. 56 practically healthy women were examined as a control group. The phenotype of T and B cells in whole blood was studied by flow cytometry using direct immunofluorescence. It was shown that the patients, prior to treatment with radioactive iodine, had high levels of cellular functional activity, as determined by expression of CD25 antigen on T cells and CD23-antigen on B lymphocytes. Higher functional activity of the cells responsive for adaptive immunity in the patients with GD manifests in the presence of increased levels of autoantibodies to rTSH. By means of correlation analysis, we found that the patients with GD examined before the therapy had the thyroid status may determine the functional stimulation of T and B cells, thus increasing the levels of autoimmune processes. One month after radioiodine therapy (RIT), the GD patients, along with transient hyperthyroidism with increased concentration of autoantibodies to rTSH, showed a reduction of activated T lymphocyte contents (including T helpers and cytotoxic T cells) to control values. However, the level of cytotoxic T lymphocytes in the blood remained low, and the content of Treg cells was significantly increased in the patients. Decreased contents of B cells activated memory B cell to the control levels were found in patients with GD over 1 month after RIT when studying the phenotype of blood B lymphocytes. In this case, increased levels of naive B lymphocytes and B2 cells were detected, as well as decreased numbers of activated B1 lymphocytes. The observed changes in the subpopulation composition of T and B cells, and in their phenotype developed against the background of complete absence of relationships between the studied parameters, thus suggesting loss of thyroid control of immune processes and cooperative cell interaction during the development of the immune response. Generally, the phenotypic changes of T and B lymphocyte subsets in the blood of patients with GD through 1 month after treatment with radioactive iodine may reflect a trend for decreased functional activity of adaptive cellular immunity which may also account for inhibition of autoimmune processes
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