55 research outputs found

    FUNCTIONAL POLYMORPHISM OF THE PRO-INFLAMMATORY CYTOKINE GENES IN PULMONARY TUBERCULOSIS

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    In the present time, incidence of pulmonary tuberculosis (TB) becomes broader, due to spreading resistance of Mycobacterium tuberculosis (MBT) to anti-tuberculosis drugs and infection with highly virulent strains of M. tuberculosis. The MBT antigens can cause dysfunction of the receptors and modulate the cytokine secreting function of immunocompetent cells. Polymorphic genes of pro-inflammatory cytokines involved in the mechanisms of defense responses of innate immunity, determine the degree of resistance to individual mycobacterial infection, as well as severity and duration of the disease in cases of clinical manifestations. The aim of the study was to investigate the connections between allelic polymorphisms of IL2, IFNG and TNFA genes and changes in secretion of the corresponding pro-inflammatory cytokines IL-2, IFNΞ³, and TNFΞ± in vitro in patients with the newly diagnosed pulmonary tuberculosis (TB), depending on the clinical form of the disease.A total of 334 patients (220 men and 114 women) aged 23 to 50 years with newly diagnosed infiltrative and disseminated TB were enrolled into the study. The control group consisted of 183 healthy donors (130 men and 53 women) of corresponding age. The material of the research included DNA extracted from the whole blood and supernatants of culture suspensions of mononuclear leukocytes isolated from venous blood in healthy volunteers and patients with TB. The evaluation of cytokines secretion was performed by measuring their concentration in the blood mononuclear cell culture supernatants. using enzyme-linked immunosorbent assay (ELISA). To study polymorphic regions of cytokine genes, a polymerase chain reaction (PCR) was applied. Analysis of the obtained data was carried out by means of the program Statistica for Windows Version 6.0 (StatSoft Inc., USA).It was found that the imbalance of secretion of pro-inflammatory cytokines in TB patients was associated with the polymorphic variants of genes of these cytokines. It was found that the hypo-secretion of IL-2 is determined by the carriage of the G allele and genotype GG (T-330G) of the IL2 gene in both the control group and in patients with TB, regardless of the clinical form. In patients with DTB carriers of the homozygous genotype TT (T-330G) of the IL2gene, increased protein secretion was established. The maximum secretion of TNFΠ± was recorded in patients with the AA genotype (G-308A) of the TNFA gene in the control group and in ITB patients; the minimum concentration of TNFΞ± was associated with the carrier of the homozygous GG genotype (G-308A) of the TNFA gene in all the examined groups. In patients with ITB and DTB, an increase in IFNΞ³ secretion by mononuclear blood leukocytes is not associated with the carrier of polymorphism +874A/T of the IFNG gene.Reduced secretion of IL-2 and TNFΞ± in TB patients is associated with polymorphisms of their genes – (T-330G) of IL2 gene and (G-308A) of TNFA gene, respectively. The polymorphism (+874A/T) of the IFNG gene does not have a modulatory effect on the secretion of IFNΞ³ in patients with TB, regardless of clinical form of the disease

    Bio-nanotechnology application in wastewater treatment

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    The nanoparticles have received high interest in the field of medicine and water purification, however, the nanomaterials produced by chemical and physical methods are considered hazardous, expensive, and leave behind harmful substances to the environment. This chapter aimed to focus on green-synthesized nanoparticles and their medical applications. Moreover, the chapter highlighted the applicability of the metallic nanoparticles (MNPs) in the inactivation of microbial cells due to their high surface and small particle size. Modifying nanomaterials produced by green-methods is safe, inexpensive, and easy. Therefore, the control and modification of nanoparticles and their properties were also discussed

    Monte Carlo Simulations of Metal-Poor Star Clusters

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    Metal-poor globular clusters (GCs) can provide a probe of the earliest epoch of star formation in the Universe, being the oldest stellar systems observable. In addition, young and intermediate-age low-metallicity GCs are present in external galaxies. Nevertheless, inferring their evolutionary status by using integrated properties may suffer from large \emph{intrinsic} uncertainty caused by the discrete nature of stars in stellar systems, especially in the case of faint objects. In this paper, we evaluate the \emph{intrinsic} uncertainty (due to statistical effects) affecting the integrated colours and mass--to--light ratios as a function of the cluster integrated visual magnitude (MVtotM_V^{tot}), which represents a quantity directly measured. Our approach is based on Monte Carlo techniques for randomly generating stars distributed according to the cluster's mass function. Integrated colours and mass--to--light ratios in different photometric bands are checked to be in good agreement with the observational values of low-metallicity Galactic clusters. We present integrated colours and mass--to--light ratios as a function of age for different assumptions on the cluster total VV magnitude. We find that the emph{intrinsic} uncertainty cannot be neglected. In particular, in models with MVtot=βˆ’4M_V^{tot}=-4 the broad-band colours show an \emph{intrinsic} uncertainty so high as to prevent precise age evaluation of the cluster. Finally, the present predictions are compared with recent results available in the literature, showing in some cases non-negligible differences.Comment: 18 pages, 12 figures, A&A accepte

    Π‘ΠΎΠ·Π΄Π°Π½ΠΈΠ΅ ΠΊΠΎΠ»Π»Π΅ΠΊΡ†ΠΈΠΈ МБКВ-ΠΈΠ·ΠΎΠ±Ρ€Π°ΠΆΠ΅Π½ΠΈΠΉ ΠΈ клиничСских Π΄Π°Π½Π½Ρ‹Ρ… ΠΏΡ€ΠΈ острых Π½Π°Ρ€ΡƒΡˆΠ΅Π½ΠΈΡΡ… ΠΌΠΎΠ·Π³ΠΎΠ²ΠΎΠ³ΠΎ кровообращСния

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    Background The use of neuroimaging methods is an integral part of the process of assisting patients with acute cerebrovascular events (ACVE), and computed tomography (CT) is the Β«gold standardΒ» for examining this category of patients. The capabilities of the analysis of CT images may be significantly expanded with modern methods of machine learning including the application of the principles of radiomics. However, since the use of these methods requires large arrays of DICOM (Digital Imaging and Communications in Medicine)-images, their implementation into clinical practice is limited by the lack of representative sample sets. Inaddition, at present, collections (datasets) of CT images of stroke patients, that are suitable for machine learning, are practically not available in the public domain.Aim of study Regarding the aforesaid, the aim of this work was to create a DICOM images dataset of native CT and CT-angiography of patients with different types of stroke. Material and meth ods The collection was based on the medical cases of patients hospitalized in the Regional Vascular Center of the N.V. Sklifosovsky Research Institute for Emergency Medicine. We used a previously developed specialized platform to enter clinical data on the stroke cases, to attach CT DICOMimages to each case, to contour 3D areas of interest, and to tag (label) them. A dictionary was developed for tagging, where elements describe the type of lesion, location, and vascular territory.Results A dataset of clinical cases and images was formed in the course of the work. It included anonymous information about 220 patients, 130 of them with ischemic stroke, 40 with hemorrhagic stroke, and 50 patients without cerebrovascular disorders. Clinical data included information about type of stroke, presence of concomitant diseases and complications, length of hospital stay, methods of treatment, and outcome. The results of 370 studies of native CT and 102 studies of CT-angiography were entered for all patients. The areas of interest corresponding to direct and indirect signs of stroke were contoured and tagged by radiologists on each series of images.Conclusion The resulting collection of images will enable the use of various methods of data analysis and machine learning in solving the most important practical problems including diagnosis of the stroke type, assessment of lesion volume, and prediction of the degree of neurological deficit.ΠΠΊΡ‚ΡƒΠ°Π»ΡŒΠ½ΠΎΡΡ‚ΡŒ ΠŸΡ€ΠΈΠΌΠ΅Π½Π΅Π½ΠΈΠ΅ ΠΌΠ΅Ρ‚ΠΎΠ΄ΠΎΠ² Π½Π΅ΠΉΡ€ΠΎΠ²ΠΈΠ·ΡƒΠ°Π»ΠΈΠ·Π°Ρ†ΠΈΠΈ являСтся Π½Π΅ΠΎΡ‚ΡŠΠ΅ΠΌΠ»Π΅ΠΌΠΎΠΉ Ρ‡Π°ΡΡ‚ΡŒΡŽ процСсса оказания ΠΏΠΎΠΌΠΎΡ‰ΠΈ Π±ΠΎΠ»ΡŒΠ½Ρ‹ΠΌ с острыми Π½Π°Ρ€ΡƒΡˆΠ΅Π½ΠΈΡΠΌΠΈ ΠΌΠΎΠ·Π³ΠΎΠ²ΠΎΠ³ΠΎ кровообращСния (ОНМК), ΠΏΡ€ΠΈ этом Π·ΠΎΠ»ΠΎΡ‚Ρ‹ΠΌ стандартом обслСдования Π΄Π°Π½Π½ΠΎΠΉ ΠΊΠ°Ρ‚Π΅Π³ΠΎΡ€ΠΈΠΈ Π±ΠΎΠ»ΡŒΠ½Ρ‹Ρ… являСтся ΠΊΠΎΠΌΠΏΡŒΡŽΡ‚Π΅Ρ€Π½Π°Ρ томография (КВ). Π—Π½Π°Ρ‡ΠΈΡ‚Π΅Π»ΡŒΠ½ΠΎ Ρ€Π°ΡΡˆΠΈΡ€ΠΈΡ‚ΡŒ возмоТности Π°Π½Π°Π»ΠΈΠ·Π° КВ-ΠΈΠ·ΠΎΠ±Ρ€Π°ΠΆΠ΅Π½ΠΈΠΉ Π²ΠΎΠ·ΠΌΠΎΠΆΠ½ΠΎ с ΠΏΠΎΠΌΠΎΡ‰ΡŒΡŽ соврСмСнных ΠΌΠ΅Ρ‚ΠΎΠ΄ΠΎΠ² машинного обучСния, Π² Ρ‚ΠΎΠΌ числС Π½Π° основС примСнСния ΠΏΡ€ΠΈΠ½Ρ†ΠΈΠΏΠΎΠ² Ρ€Π°Π΄ΠΈΠΎΠΌΠΈΠΊΠΈ. Однако, Ρ‚Π°ΠΊ ΠΊΠ°ΠΊ использованиС этих ΠΌΠ΅Ρ‚ΠΎΠ΄ΠΎΠ² Ρ‚Ρ€Π΅Π±ΡƒΠ΅Ρ‚ наличия Π±ΠΎΠ»ΡŒΡˆΠΈΡ… массивов DICOM (Digital Imaging and Communications in Medicine)-ΠΈΠ·ΠΎΠ±Ρ€Π°ΠΆΠ΅Π½ΠΈΠΉ, ΠΈΡ… Π²Π½Π΅Π΄Ρ€Π΅Π½ΠΈΠ΅ Π² ΠΊΠ»ΠΈΠ½ΠΈΡ‡Π΅ΡΠΊΡƒΡŽ ΠΏΡ€Π°ΠΊΡ‚ΠΈΠΊΡƒ ΠΎΠ³Ρ€Π°Π½ΠΈΡ‡Π΅Π½ΠΎ ΠΏΡ€ΠΎΠ±Π»Π΅ΠΌΠΎΠΉ Π½Π°Π±ΠΎΡ€Π° Ρ€Π΅ΠΏΡ€Π΅Π·Π΅Π½Ρ‚Π°Ρ‚ΠΈΠ²Π½Ρ‹Ρ… Π²Ρ‹Π±ΠΎΡ€ΠΎΠΊ. ΠšΡ€ΠΎΠΌΠ΅ Ρ‚ΠΎΠ³ΠΎ, Π² настоящСС врСмя Π² ΠΎΡ‚ΠΊΡ€Ρ‹Ρ‚ΠΎΠΌ доступС практичСски Π½Π΅ прСдставлСны ΠΊΠΎΠ»Π»Π΅ΠΊΡ†ΠΈΠΈ, содСрТащиС КВ-изобраТСния Π±ΠΎΠ»ΡŒΠ½Ρ‹Ρ… c ОНМК, ΠΊΠΎΡ‚ΠΎΡ€Ρ‹Π΅ Π±Ρ‹Π»ΠΈ Π±Ρ‹ ΠΏΡ€ΠΈΠ³ΠΎΠ΄Π½Ρ‹ для машинного обучСния.ЦСль Π’ связи с Π²Ρ‹ΡˆΠ΅ΡΠΊΠ°Π·Π°Π½Π½Ρ‹ΠΌ, Ρ†Π΅Π»ΡŒΡŽ Π΄Π°Π½Π½ΠΎΠΉ Ρ€Π°Π±ΠΎΡ‚Ρ‹ являлось созданиС ΠΊΠΎΠ»Π»Π΅ΠΊΡ†ΠΈΠΈ DICOM-ΠΈΠ·ΠΎΠ±Ρ€Π°ΠΆΠ΅Π½ΠΈΠΉ Π½Π°Ρ‚ΠΈΠ²Π½ΠΎΠΉ КВ ΠΈ КВ-Π°Π½Π³ΠΈΠΎΠ³Ρ€Π°Ρ„ΠΈΠΈ Ρƒ ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚ΠΎΠ² с Ρ€Π°Π·Π»ΠΈΡ‡Π½Ρ‹ΠΌΠΈ Ρ‚ΠΈΠΏΠ°ΠΌΠΈ ОНМК.ΠœΠ°Ρ‚Π΅Ρ€ΠΈΠ°Π» ΠΈ ΠΌΠ΅Ρ‚ΠΎΠ΄Ρ‹ Основой для создания ΠΊΠΎΠ»Π»Π΅ΠΊΡ†ΠΈΠΈ стали истории Π±ΠΎΠ»Π΅Π·Π½ΠΈ ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚ΠΎΠ², госпитализированных Π² Ρ€Π΅Π³ΠΈΠΎΠ½Π°Π»ΡŒΠ½Ρ‹ΠΉ сосудистый Ρ†Π΅Π½Ρ‚Ρ€ НИИ БП ΠΈΠΌ. Н.Π’. Бклифосовского. Для формирования ΠΊΠΎΠ»Π»Π΅ΠΊΡ†ΠΈΠΈ использовалась разработанная Π½Π°ΠΌΠΈ Ρ€Π°Π½Π΅Π΅ спСциализированная ΠΏΠ»Π°Ρ‚Ρ„ΠΎΡ€ΠΌΠ°, ΠΏΠΎΠ·Π²ΠΎΠ»ΡΡŽΡ‰Π°Ρ Π²Π²ΠΎΠ΄ΠΈΡ‚ΡŒ клиничСскиС Π΄Π°Π½Π½Ρ‹Π΅ ΠΎ случаях ОНМК, ΠΏΡ€ΠΈΠΊΡ€Π΅ΠΏΠ»ΡΡ‚ΡŒ ΠΊ ΠΊΠ°ΠΆΠ΄ΠΎΠΌΡƒ ΡΠ»ΡƒΡ‡Π°ΡŽ DICOM-изобраТСния ΠΏΡ€ΠΎΠ²Π΅Π΄Π΅Π½Π½Ρ‹Ρ… исслСдований, Π° Ρ‚Π°ΠΊΠΆΠ΅ ΠΎΠΊΠΎΠ½Ρ‚ΡƒΡ€ΠΈΠ²Π°Ρ‚ΡŒ ΠΈ Ρ‚Π΅Π³ΠΈΡ€ΠΎΠ²Π°Ρ‚ΡŒ (Ρ€Π°Π·ΠΌΠ΅Ρ‡Π°Ρ‚ΡŒ) 3D-области интСрСса. Для тСгирования Π±Ρ‹Π» Ρ€Π°Π·Ρ€Π°Π±ΠΎΡ‚Π°Π½ ΡΠ»ΠΎΠ²Π°Ρ€ΡŒ, элСмСнты ΠΊΠΎΡ‚ΠΎΡ€ΠΎΠ³ΠΎ ΠΎΠΏΠΈΡΡ‹Π²Π°ΡŽΡ‚ Ρ‚ΠΈΠΏ патологичСского образования, Π»ΠΎΠΊΠ°Π»ΠΈΠ·Π°Ρ†ΠΈΡŽ ΠΈ бассСйн кровоснабТСния.Π Π΅Π·ΡƒΠ»ΡŒΡ‚Π°Ρ‚Ρ‹ Π’ Ρ…ΠΎΠ΄Π΅ Ρ€Π°Π±ΠΎΡ‚Ρ‹ Π±Ρ‹Π»Π° сформирована коллСкция клиничСских случаСв ΠΈ ΠΈΠ·ΠΎΠ±Ρ€Π°ΠΆΠ΅Π½ΠΈΠΉ, Π²ΠΊΠ»ΡŽΡ‡Π°ΡŽΡ‰Π°Ρ Π°Π½ΠΎΠ½ΠΈΠΌΠΈΠ·ΠΈΡ€ΠΎΠ²Π°Π½Π½ΡƒΡŽ ΠΈΠ½Ρ„ΠΎΡ€ΠΌΠ°Ρ†ΠΈΡŽ ΠΎ 220 ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚Π°Ρ…, ΠΈΠ· Π½ΠΈΡ… 130 - с ΠΈΡˆΠ΅ΠΌΠΈΡ‡Π΅ΡΠΊΠΈΠΌ ΠΈΠ½ΡΡƒΠ»ΡŒΡ‚ΠΎΠΌ, 40 - с гСморрагичСским ΠΈΠ½ΡΡƒΠ»ΡŒΡ‚ΠΎΠΌ, Π° Ρ‚Π°ΠΊΠΆΠ΅ 50 Ρ‡Π΅Π»ΠΎΠ²Π΅ΠΊ Π±Π΅Π· цСрСброваскулярной ΠΏΠ°Ρ‚ΠΎΠ»ΠΎΠ³ΠΈΠΈ. ΠšΠ»ΠΈΠ½ΠΈΡ‡Π΅ΡΠΊΠΈΠ΅ Π΄Π°Π½Π½Ρ‹Π΅ Π²ΠΊΠ»ΡŽΡ‡Π°Π»ΠΈ свСдСния ΠΎ Ρ‚ΠΈΠΏΠ΅ ОНМК, Π½Π°Π»ΠΈΡ‡ΠΈΠΈ ΡΠΎΠΏΡƒΡ‚ΡΡ‚Π²ΡƒΡŽΡ‰ΠΈΡ… Π·Π°Π±ΠΎΠ»Π΅Π²Π°Π½ΠΈΠΉ ΠΈ ослоТнСний, Π΄Π»ΠΈΡ‚Π΅Π»ΡŒΠ½ΠΎΡΡ‚ΠΈ госпитализации, способС лСчСния ΠΈ исходС. ВсСго для ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚ΠΎΠ² Π±Ρ‹Π»ΠΈ Π²Π²Π΅Π΄Π΅Π½Ρ‹ Ρ€Π΅Π·ΡƒΠ»ΡŒΡ‚Π°Ρ‚Ρ‹ 370 исслСдований Π½Π°Ρ‚ΠΈΠ²Π½ΠΎΠΉ КВ ΠΈ 102 исслСдования КВ-Π°Π½Π³ΠΈΠΎΠ³Ρ€Π°Ρ„ΠΈΠΈ. На ΠΊΠ°ΠΆΠ΄ΠΎΠΉ сСрии ΠΈΠ·ΠΎΠ±Ρ€Π°ΠΆΠ΅Π½ΠΈΠΉ Π²Ρ€Π°Ρ‡ΠΎΠΌ-экспСртом Π±Ρ‹Π»ΠΈ ΠΎΠΊΠΎΠ½Ρ‚ΡƒΡ€Π΅Π½Ρ‹ ΠΈ ΠΏΡ€ΠΎΡ‚Π΅Π³ΠΈΡ€ΠΎΠ²Π°Π½Ρ‹ области интСрСса, ΡΠΎΠΎΡ‚Π²Π΅Ρ‚ΡΡ‚Π²ΡƒΡŽΡ‰ΠΈΠ΅ прямым ΠΈ косвСнным ΠΏΡ€ΠΈΠ·Π½Π°ΠΊΠ°ΠΌ ОНМК.Π’Ρ‹Π²ΠΎΠ΄ Бформированная коллСкция ΠΈΠ·ΠΎΠ±Ρ€Π°ΠΆΠ΅Π½ΠΈΠΉ ΠΏΠΎΠ·Π²ΠΎΠ»ΠΈΡ‚ Π² ΠΏΠΎΡΠ»Π΅Π΄ΡƒΡŽΡ‰Π΅ΠΌ ΠΏΡ€ΠΈΠΌΠ΅Π½ΠΈΡ‚ΡŒ Ρ€Π°Π·Π»ΠΈΡ‡Π½Ρ‹Π΅ ΠΌΠ΅Ρ‚ΠΎΠ΄Ρ‹ Π°Π½Π°Π»ΠΈΠ·Π° Π΄Π°Π½Π½Ρ‹Ρ… ΠΈ машинного обучСния Π² Ρ€Π΅ΡˆΠ΅Π½ΠΈΠΈ Π²Π°ΠΆΠ½Π΅ΠΉΡˆΠΈΡ… практичСских Π·Π°Π΄Π°Ρ‡, Π² Ρ‚ΠΎΠΌ числС диагностики Ρ‚ΠΈΠΏΠ° ОНМК, ΠΎΡ†Π΅Π½ΠΊΠΈ объСма пораТСния, ΠΏΡ€ΠΎΠ³Π½ΠΎΠ·Π° стСпСни нСврологичСского Π΄Π΅Ρ„ΠΈΡ†ΠΈΡ‚Π°
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