The level of VEGF-A in the lacrimal fluid of diabetic retinopathy

The lacrimal fluid was investigated in 56 people (95 eyes) with type II diabetes, of which 11 (11 eyes) with no signs of diabetic retinopathy and 45 patients (84 eyes) suffering from diabetic retinopathy of varying severity. Investigation of VEGF-A (vascular endothelial growth factor A) in stimulated lacrimal fluid revealed its level in all patients. It was significantly higher in patients with diabetic retinopathy compared with data that have been obtained in patients with diabetes, but without signs of diabetic retinopathy. Statistically significant differences in the level of VEGF-A in patients with non-proliferative and proliferative retinopathy of 1-3 stages have not been identified. At the same time in patients with far-advanced retinopathy with marked variations of fatal retina and vitreous body (detachment expressed gliosis), but without evidence of neovascularization of the anterior eye, a significant decrease in the level of vasoproliferative factors has revealed

Change of the Shape of the Dural Sac in the Laminectomy Model at Different Stages of the Reparation in the Experiment

Epidural fibrosis is a dynamic pathological process that develops and progresses over time and is a polyetiological and multifactorial complication in the postoperative period during spinal surgery.Aim of the study. To study the reparative process and the formation of epidural fibrosis and its effect on the shape of the dural sac in the area of laminectomy at different periods of wound healing.Materials and methods. To assess the dynamics of the formation of epidural fibrosis and the involvement of the dura mater in this process, laminectomy was performed at the level of the LVI vertebra in 35 male Wistar rats at the age of 4–5 months. The animals were divided into 5 periods of withdrawal from the experiment on days 3, 7, 14, 21, and 28. The histological material was studied by staining with hematoxylin and eosin. To assess the deformation of the dural sac, the ratio of the diameter to the length of the canal was assessed on histological preparations in the laminectomy zone, and these measurements were carried out in a group of intact animals at the level of the LVI vertebra (n = 7). Results. During the observation process, a change in the ratio of the sizes of the dural sac has been observed. In the period from days 3 to 14, the anterior-posterior size of the dural sac progressively decreases, in parallel, the transverse size increases, which leads to a change in its shape. On follow-up, some form correction occurs. It is possible that the change in the shape of the dural sac in terms of up to 14 days is due to edema, plasma saturation of tissues, as well as the growth of connective tissue. The subsequent decrease in edema and the restructuring of the newly formed connective tissue leads to a correction of the shape of the dural sac.Conclusion. In the work, the dynamics of morphological changes in the zone of formation of epidural fibrosis during laminectomy in the experiment was assessed. The dynamics of changes in the lumen of the dural sac was established. The early involvement of the dura mater in the pathological process, its interest during the entire observation period was noted. Also, histological preparations show the involvement of the nerve fibers of the cauda equina in the pathological process from the early stages after surgery: vacuolization and destruction of nerve fibers, adhesion of fibers to each other and to the dura mater, as well as activation of endotheliocytes in the vasa nervorum

Management by nursing staff in a medical organization

The article deals with the issues of documentary support of personnel management elements in a medical organization, the identification of the most unregulated areas in it. The differences between managers and subordinates in views on the organization of labor are investigated.В статье рассмотрены вопросы документационного обеспечения элементов управления персоналом в медицинской организации, выявление в нём наиболее нерегламентированных областей. Исследованы различия между руководителями и подчинёнными во взглядах на организацию труд

Lung memory T-cell response in mice following intranasal immunization with influenza vector expressing mycobacterial proteins

Improving specific prevention of tuberculosis continues to be a top priority in phthisiology. “Prime-boost” vaccination schemes aim to maintain adequate levels of specific immunity while forming long-term protection. They are based on sequential use of BCG vaccine and new vaccine candidates expressing protective mycobacterial proteins. The development of new tuberculosis prevention approaches requires an understanding of how the anti-tuberculosis immune response forms and which mechanisms provide TB protection. Since tuberculosis is an airborne infection, vaccine effectiveness largely depends on mucosal immunity based on the formation of long-lived, functionally-active memory T-lymphocytes in the respiratory tract. We have previously shown that the influenza vector expressing ESAT-6 and Ag85A mycobacterial proteins (Flu/ESAT-6_Ag85A) in vaccination scheme of intranasal boost immunization resulted in significant increase of BCG's protective effect according to key indicators aggregate data in experimental tuberculosis infection. The aim of this work was to study the effect of intranasal immunization with the Flu/ESAT-6_Ag85A influenza vector on the formation of antigen-specific central and effector memory T cells and the cytokine-producing activity of effector T cells (TEM) in BCG standard and “BCG prime — influenza vector boost” vaccination schemes in mice. Intranasal immunization with the influenza vector has been shown to increase the proportion of antigen-specific CD4+ central memory T cells (TCM) in the pool of activated lymphocytes of lung and spleen reaching significant differences from the BCG group in the percentage of spleen CD4+ TCM (p < 0.01). In contrast to BCG, vaccination with the studied vaccine candidate was accompanied by accumulation of highly differentiated CD8 effector cells in lung, the target organ during tuberculosis infection. Comparative evaluation of the cell-mediated, post-vaccine immune response after immunization with influenzavector-based vaccine candidate (intranasal/mucosal) or BCG vaccine (subcutaneous) showed advantages in the mucosal group: in formation of functionally active subpopulations of effector CD4 and CD8 T lymphocytes (CD44highCD62Llow) in lungs secreting IL-2 as well as polyfunctional cells capable of coproducing two cytokines (IFNγ/TNFα or IFNγ/IL-2) or three cytokines (IFNγ/TNFα/IL-2). Due to their more pronounced effector function, polyfunctional T-lymphocytes can be considered to be potential immunological markers of protective immunity in tuberculosis

The Dipole Magnet Design for the ALICE DiMuon Arm Spectrometer

An essential part of the DiMuon Arm Spectrometer of the ALICE experiment is a conventional Dipole Magnet of about 890 tons which provides the bending power to measure the momenta of muons. The JINR engineering design of the Dipole Magnet, technical characteristics and description of the proposed manufacturing procedure are presented. The proposed Coil fabrication technique is based on winding of flat pancakes, which are subsequently bent on cylindrical mandrels. The pancakes are then stacked and cured with prepreg insulation. The method is demonstrated on hand of the prototype II, which consists of a pancake made with full-size aluminium conductor. Some details of electromagnetic and mechanical calculations are described. The results of measuring of mechanical and electrical characteristics of materials related to the coil composite structure are discussed

The ALICE experiment at the CERN LHC

ALICE (A Large Ion Collider Experiment) is a general-purpose, heavy-ion detector at the CERN LHC which focuses on QCD, the strong-interaction sector of the Standard Model. It is designed to address the physics of strongly interacting matter and the quark-gluon plasma at extreme values of energy density and temperature in nucleus-nucleus collisions. Besides running with Pb ions, the physics programme includes collisions with lighter ions, lower energy running and dedicated proton-nucleus runs. ALICE will also take data with proton beams at the top LHC energy to collect reference data for the heavy-ion programme and to address several QCD topics for which ALICE is complementary to the other LHC detectors. The ALICE detector has been built by a collaboration including currently over 1000 physicists and engineers from 105 Institutes in 30 countries. Its overall dimensions are 161626 m3 with a total weight of approximately 10 000 t. The experiment consists of 18 different detector systems each with its own specific technology choice and design constraints, driven both by the physics requirements and the experimental conditions expected at LHC. The most stringent design constraint is to cope with the extreme particle multiplicity anticipated in central Pb-Pb collisions. The different subsystems were optimized to provide high-momentum resolution as well as excellent Particle Identification (PID) over a broad range in momentum, up to the highest multiplicities predicted for LHC. This will allow for comprehensive studies of hadrons, electrons, muons, and photons produced in the collision of heavy nuclei. Most detector systems are scheduled to be installed and ready for data taking by mid-2008 when the LHC is scheduled to start operation, with the exception of parts of the Photon Spectrometer (PHOS), Transition Radiation Detector (TRD) and Electro Magnetic Calorimeter (EMCal). These detectors will be completed for the high-luminosity ion run expected in 2010. This paper describes in detail the detector components as installed for the first data taking in the summer of 2008

NEUROPHYSIOLOGICAL PARAMETERS OF THE VISUAL SYSTEM IN CHILDREN WITH PROGRESSIVE MYOPIA BASED ON THE DATA OF COMPUTER ELECTROENCEPHALOGRAPHY

This paper addresses the functional state of the cortical visual analyzer in children with progressive myopia based on the results of computer electroencephalography (EEG). We observed 40 patients aged from 7 to 16, including 15 patients with stabilized myopia, 15 patients with progressive myopia, and 10 patients without visual pathologies (the control group). The computer EEG method revealed moderate disruption of the cortico-subcortical interactions with signs of attenuation of the caudal cortical alpha rhythm generator, and enhancement of the functional role of the mast structures in children with a progressive course of myopia

Prediction of the efficiency of physiotherapy treatment of eye pathology according to the data of triplex scanning of eye and orbit vessels

In the paper in order to predict the efficiency of physiotherapy treatment of the patients with eye pathology ultrasound Doppler sonography study of the parameters of orbital blood flow before and after 1-2 manipulations was conducted (Russian Federation patent dated 20.11.2007 № 2310389).The ultrasound prognostic criteria suggested in this paper allow to define the strategy of physiotherapy treatment of the patients with eye pathology

A differentiated approach in the treatment of post-thrombotic retinopathy with macular edema

The work was the comparative assessment of the effectiveness of treatment with the use of drugs for intravitreal injection - angiogenesis inhibitors and a biodegradable implant with dexamethasone in patients with post-thrombotic retinopathy and macular edema. The clinical criteria of treatment effectiveness was the results of visometrie and optical coherence tomography of macular area (the thickness of the Central region of the retina and macular region). The momentum indicators allowed us to develop a differentiated approach in the treatment of post-thrombotic retinopathy with macular edema

Comparative evaluation of the decrease of visual functions and changes of morphometric parameters of macular area with the patients with post-thrombotic macular edema

In this work comparative evaluation between the degree of the decrease of visual acuity and the data of morphometric research of the macular area (thickness of the central area of retina and the volume of the macular area) with the patients with macular edema developed against the backdrop of thrombosis of top temple branch of the central vein of retina was made. The data received make it possible to And the tactics of the future treatment and prophylaxis therapy of the patients with post-thrombotic retinopathy