142 research outputs found

    Water–Sulfuric Acid foam as a Possible Habitat for Hypothetical Microbial Community in the Cloud Layer of Venus

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    The data available at the moment suggest that ancient Venus was covered by extensive bodies of water which could harbor life. Later, however, the drastic overheating of the planet made the surface of Venus uninhabitable for Earth-type life forms. Nevertheless, hypothetical Venusian organisms could have gradually adapted to conditions within the cloud layer of Venusβ€”the only niche containing liquid water where the Earth-type extremophiles could survive. Here we hypothesize that the unified internal volume of a microbial community habitat is represented by the heterophase liquid-gas foam structure of Venusian clouds. Such unity of internal space within foam water volume facilitates microbial cells movements and trophic interactions between microorganisms that creates favorable conditions for the effective development of a true microbial community. The stabilization of a foam heterophase structure can be provided by various surfactants including those synthesized by living cells and products released during cell lysis. Such a foam system could harbor a microbial community of different species of (poly)extremophilic microorganisms that are capable of photo-and chemosynthesis and may be closely integrated into aero-geochemical processes including the processes of high-temperature polymer synthesis on the planet’s surface. Different complex nanostructures transferred to the cloud layers by convection flows could further contribute to the stabilization of heterophase liquid-gas foam structure and participate in chemical and photochemical reactions, thus supporting ecosystem stability. Β© 2021 by the authors. Licensee MDPI, Basel, Switzerland

    Generalized Chaotic Synchronizationin Coupled Ginzburg-Landau Equations

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    Generalized synchronization is analyzed in unidirectionally coupled oscillatory systems exhibiting spatiotemporal chaotic behavior described by Ginzburg-Landau equations. Several types of coupling betweenthe systems are analyzed. The largest spatial Lyapunov exponent is proposed as a new characteristic of the state of a distributed system, and its calculation is described for a distributed oscillatory system. Partial generalized synchronization is introduced as a new type of chaotic synchronization in spatially nonuniform distributed systems. The physical mechanisms responsible for the onset of generalized chaotic synchronization in spatially distributed oscillatory systems are elucidated. It is shown that the onset of generalized chaotic synchronization is described by a modified Ginzburg-Landau equation with additional dissipation irrespective of the type of coupling. The effect of noise on the onset of a generalized synchronization regime in coupled distributed systems is analyzed.Comment: 12 page

    ΠŸΡ€ΠΈΠΌΠ΅Π½Π΅Π½ΠΈΠ΅ Ρ‚Π°Ρ€Π³Π΅Ρ‚Π½ΠΎΠΉ Ρ‚Π΅Ρ€Π°ΠΏΠΈΠΈ ΠΈ Π²Ρ‹Π±ΠΎΡ€ ΠΎΠΏΡ‚ΠΈΠΌΠ°Π»ΡŒΠ½ΠΎΠΉ ΠΏΠΎΡΠ»Π΅Π΄ΠΎΠ²Π°Ρ‚Π΅Π»ΡŒΠ½ΠΎΡΡ‚ΠΈ лСчСния Π² Π³Π΅Ρ‚Π΅Ρ€ΠΎΠ³Π΅Π½Π½ΠΎΠΉ популяции Π±ΠΎΠ»ΡŒΠ½Ρ‹Ρ… мСтастатичСским Ρ€Π°ΠΊΠΎΠΌ ΠΏΠΎΡ‡ΠΊΠΈ. Π Π΅Π·ΡƒΠ»ΡŒΡ‚Π°Ρ‚Ρ‹ рСтроспСктивного исслСдования

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    Renal cancer is one of the most rapidly spreading diseases in the world. As you know, a few years ago, overall survival of patients with metastatic renal cell carcinoma (mRCC) was disappointing: median overall survival rarely exceeded 13 months, while 5-year survival rate was less than 5 %. Immunotherapy with interferon-alpha and interleukins demonstrated low efficiency. Appearance of targeted therapies for the treatment of mRCC significantly increased the duration and quality of life of patients receiving drug treatment. Nowadays due to this methodology and guided by the results of randomized clinical trials we can choose an optimal sequence of therapy and control the disease in three consecutive lines for about 30 months. In this article we would like to share an experience of the use of targeted therapies in the Saint Petersburg City Clinical Oncology Dispensary in patients with clear-cell mRCC.Β Π Π°ΠΊ ΠΏΠΎΡ‡ΠΊΠΈ – ΠΎΠ΄Π½ΠΎ ΠΈΠ· Π½Π°ΠΈΠ±ΠΎΠ»Π΅Π΅ Π°ΠΊΡ‚ΠΈΠ²Π½ΠΎ Ρ€Π°ΡΠΏΡ€ΠΎΡΡ‚Ρ€Π°Π½ΡΡŽΡ‰ΠΈΡ…ΡΡ Π·Π°Π±ΠΎΠ»Π΅Π²Π°Π½ΠΈΠΉ Π² ΠΌΠΈΡ€Π΅. Как извСстно, Π΅Ρ‰Π΅ нСсколько Π»Π΅Ρ‚ Π½Π°Π·Π°Π΄ ΠΏΠΎΠΊΠ°Π·Π°Ρ‚Π΅Π»ΠΈ ΠΎΠ±Ρ‰Π΅ΠΉ выТиваСмости Π±ΠΎΠ»ΡŒΠ½Ρ‹Ρ… мСтастатичСским ΠΏΠΎΡ‡Π΅Ρ‡Π½ΠΎ-ΠΊΠ»Π΅Ρ‚ΠΎΡ‡Π½Ρ‹ΠΌ Ρ€Π°ΠΊΠΎΠΌ (мПКР) Ρ€Π°Π·ΠΎΡ‡Π°Ρ€ΠΎΠ²Ρ‹Π²Π°Π»ΠΈ: ΠΌΠ΅Π΄ΠΈΠ°Π½Π° ΠΎΠ±Ρ‰Π΅ΠΉ выТиваСмости Ρ€Π΅Π΄ΠΊΠΎ ΠΏΡ€Π΅Π²Ρ‹ΡˆΠ°Π»Π° 13 мСс, Π° 5-лСтняя Π²Ρ‹ΠΆΠΈΠ²Π°Π΅ΠΌΠΎΡΡ‚ΡŒ составляла Π½Π΅ Π±ΠΎΠ»Π΅Π΅ 5 %. Π˜ΠΌΠΌΡƒΠ½ΠΎΡ‚Π΅Ρ€Π°ΠΏΠΈΡ ΠΏΡ€Π΅ΠΏΠ°Ρ€Π°Ρ‚Π°ΠΌΠΈ Π³Ρ€ΡƒΠΏΠΏΡ‹ ΠΈΠ½Ρ‚Π΅Ρ€Ρ„Π΅Ρ€ΠΎΠ½ Π°Π»ΡŒΡ„Π° ΠΈ ΠΈΠ½Ρ‚Π΅Ρ€Π»Π΅ΠΉΠΊΠΈΠ½Π°ΠΌΠΈ дСмонстрировала Π½Π΅Π²Ρ‹ΡΠΎΠΊΡƒΡŽ ΡΡ„Ρ„Π΅ΠΊΡ‚ΠΈΠ²Π½ΠΎΡΡ‚ΡŒ. ПоявлСниС Ρ‚Π°Ρ€Π³Π΅Ρ‚Π½Ρ‹Ρ… ΠΏΡ€Π΅ΠΏΠ°Ρ€Π°Ρ‚ΠΎΠ² для лСчСния мПКР сущСствСнно ΡƒΠ²Π΅Π»ΠΈΡ‡ΠΈΠ»ΠΎ ΠΏΡ€ΠΎΠ΄ΠΎΠ»ΠΆΠΈΡ‚Π΅Π»ΡŒΠ½ΠΎΡΡ‚ΡŒ ΠΈ качСство ΠΆΠΈΠ·Π½ΠΈ ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚ΠΎΠ², ΠΏΠΎΠ»ΡƒΡ‡Π°ΡŽΡ‰ΠΈΡ… лСкарствСнноС Π»Π΅Ρ‡Π΅Π½ΠΈΠ΅. На сСгодняшний дСнь благодаря Π΄Π°Π½Π½ΠΎΠΉ ΠΌΠ΅Ρ‚ΠΎΠ΄ΠΈΠΊΠ΅ ΠΈ Ρ€ΡƒΠΊΠΎΠ²ΠΎΠ΄ΡΡ‚Π²ΡƒΡΡΡŒ Ρ€Π΅Π·ΡƒΠ»ΡŒΡ‚Π°Ρ‚Π°ΠΌΠΈ Ρ€Π°Π½Π΄ΠΎΠΌΠΈΠ·ΠΈΡ€ΠΎΠ²Π°Π½Π½Ρ‹Ρ… клиничСских исслСдований ΠΌΡ‹ ΠΌΠΎΠΆΠ΅ΠΌ Π²Ρ‹Π±ΠΈΡ€Π°Ρ‚ΡŒ ΠΎΠΏΡ‚ΠΈΠΌΠ°Π»ΡŒΠ½ΡƒΡŽ ΠΏΠΎΡΠ»Π΅Π΄ΠΎΠ²Π°Ρ‚Π΅Π»ΡŒΠ½ΠΎΡΡ‚ΡŒ Ρ‚Π΅Ρ€Π°ΠΏΠΈΠΈ ΠΈ ΠΊΠΎΠ½Ρ‚Ρ€ΠΎΠ»ΠΈΡ€ΠΎΠ²Π°Ρ‚ΡŒ Ρ‚Π΅Ρ‡Π΅Π½ΠΈΠ΅ заболСвания Π² 3 ΠΏΠΎΡΠ»Π΅Π΄ΠΎΠ²Π°Ρ‚Π΅Π»ΡŒΠ½Ρ‹Ρ… линиях Π½Π° протяТСнии ΠΎΠΊΠΎΠ»ΠΎ 30 мСс. Π’ настоящСй ΡΡ‚Π°Ρ‚ΡŒΠ΅ ΠΌΡ‹ Ρ…ΠΎΡ‚Π΅Π»ΠΈ Π±Ρ‹ ΠΏΠΎΠ΄Π΅Π»ΠΈΡ‚ΡŒΡΡ ΠΎΠΏΡ‹Ρ‚ΠΎΠΌ примСнСния Ρ‚Π°Ρ€Π³Π΅Ρ‚Π½Ρ‹Ρ… ΠΏΡ€Π΅ΠΏΠ°Ρ€Π°Ρ‚ΠΎΠ² Π² Π‘Π°Π½ΠΊΡ‚-ΠŸΠ΅Ρ‚Π΅Ρ€Π±ΡƒΡ€Π³ΡΠΊΠΎΠΌ городском клиничСском онкологичСском диспансСрС Ρƒ ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚ΠΎΠ² со свСтлоклСточным мПКР.

    ΠžΡ†Π΅Π½ΠΊΠ° эффСктивности комплСксного ΠΏΠ°Π»Π»ΠΈΠ°Ρ‚ΠΈΠ²Π½ΠΎΠ³ΠΎ лСчСния Ρƒ Π±ΠΎΠ»ΡŒΠ½Ρ‹Ρ… мСтастатичСским свСтлоклСточным ΠΏΠΎΡ‡Π΅Ρ‡Π½ΠΎ-ΠΊΠ»Π΅Ρ‚ΠΎΡ‡Π½Ρ‹ΠΌ Ρ€Π°ΠΊΠΎΠΌ

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    Background. Experience with combination treatment, i.e. systemic therapy in combination with palliative surgery, in the treatment of metastaticΒ kidney cancer is very rarely described in world literature.Objective: to evaluate the efficiency of combination treatment in combination with palliative cytoreductive surgery and targeted therapy andΒ to define optimal indications for combination treatment.Subjects and methods. Data on 47 patients with metastatic renal cell carcinoma (mRCC) who received systemic (targeted) therapy in combinationΒ or after incomplete cytoreduction (iCR) were analyzed in this retrospective study. The proportion of men and women was 72.3 % andΒ 27.7 %, respectively; their ratio was 2.6:1. All the patients (100%) underwent surgical treatment as nephrectomy or kidney resection for primaryΒ tumor. In the patients who had received radical treatment in different periods, the median relapse-free survival was 25.3 (0-187) months;Β the mean follow-up duration in the study was 33.2 (27.4–39.0) months. Out of the histological characteristics of a primary tumor, its FuhrmanΒ grade was studied. Prior to initiation of mRCC therapy, Memorial Sloan Kettering Cancer Center (MSKCC) prognosis groups were assessed;Β the patients were divided into good (n = 9 (19.1 %)), interim (n = 28 (59.6 %)), and bad (n = 10 (21.3 %)) prognosis groups. Their totalΒ somatic status was separately rated using the ECOG scale: 0, (n = 10 (21.3%)), 1 (n = 24 (51.1 %)), and 2, (n = 13 (27.6 %)). The sitesΒ of metastases were as follows: the lung (n = 29), bones (n = 18), adrenals (n = 11), recurrence in the removed kidney bed (n = 10), andΒ liver (n = 10). Multiple organ involvements were detected in 22 (46.8 %) patients. There were more than 5 metastases in one organ in 18 (40.0Β %) patients and only 15 (33.3 %) were found to have a single focus in one organ.Β Whether iCR might be used as a separate line treatment was studied. A comparative analysis was made between 2 groups of patients withΒ mRCC: 1) 20 patients who underwent iCR and 2) 27 patients who received systemic therapy (immunotherapy (n = 12), sorafenib (n = 8), andΒ sunitinib (n = 7)). The control points were estimation of overall survival (OS), optimal indications for iCR in patients with mRCC, and timeΒ to progression (TTP) during first- and second-line systemic treatment.Resuts. The median OS duration in Group 1 was longer: 46 months versus 31 months (p = 0.09). TTP was comparable: 9 and 6 months, respectively.Β Comparison of first-line systemic treatment showed that the median TTP was twice longer (13 and 17 months in the targeted (sorafenib andΒ sunitinib) therapy group than that in the cytokine therapy group (6 months) (p = 0.0174). TTP during second-line therapy was 10 months.Β Median OS after immunotherapy, sorafenib and sunitinib therapy demonstrated no differences and was 34.2, 36.5, and 39.2 months (Ρ€ = 0.8).Β Conclusion. This investigation suggests that the comprehensive approach in effective in treating mRCC. iRC may be used as an individualΒ treatment in a certain patient group. However, survival rates in the examined group of patients can be increased only when targeted drugs areΒ necessarily used in both first- and second-line treatment regimens.Β In spite of the metastatic pattern of RCC, the treatment algorithm for these patients should estimate the possibilities of using palliative cytoreductiveΒ treatment since its use may provide a median TTP of as many as 9 months. Just the same, over 30-month survival rates may be obtainedΒ when the latter is used in combination with systemic treatment.Π’Π²Π΅Π΄Π΅Π½ΠΈΠ΅. Π’ ΠΌΠΈΡ€ΠΎΠ²ΠΎΠΉ Π»ΠΈΡ‚Π΅Ρ€Π°Ρ‚ΡƒΡ€Π΅ ΠΊΡ€Π°ΠΉΠ½Π΅ Ρ€Π΅Π΄ΠΊΠΎ описываСтся ΠΎΠΏΡ‹Ρ‚ примСнСния комплСксного лСчСния, Ρ‚. Π΅. систСмной тСрапии с ΠΏΠ°Π»Π»ΠΈΠ°Ρ‚ΠΈΠ²Π½Ρ‹ΠΌ хирургичСским Π²ΠΌΠ΅ΡˆΠ°Ρ‚Π΅Π»ΡŒΡΡ‚Π²ΠΎΠΌ, Π² Π»Π΅Ρ‡Π΅Π½ΠΈΠΈ мСтастатичСского Ρ€Π°ΠΊΠ° ΠΏΠΎΡ‡ΠΊΠΈ. ЦСль исслСдования – ΠΎΡ†Π΅Π½ΠΈΡ‚ΡŒ ΡΡ„Ρ„Π΅ΠΊΡ‚ΠΈΠ²Π½ΠΎΡΡ‚ΡŒ примСнСния комплСксного лСчСния ΠΏΠ°Π»Π»ΠΈΠ°Ρ‚ΠΈΠ²Π½ΠΎΠΉ Ρ†ΠΈΡ‚ΠΎΡ€Π΅Π΄ΡƒΠΊΡ‚ΠΈΠ²Π½ΠΎΠΉ ΠΎΠΏΠ΅Ρ€Π°Ρ†ΠΈΠΈ с Ρ‚Π°Ρ€Π³Π΅Ρ‚Π½ΠΎΠΉ Ρ‚Π΅Ρ€Π°ΠΏΠΈΠ΅ΠΉ, Π° Ρ‚Π°ΠΊΠΆΠ΅ ΠΎΠΏΡ€Π΅Π΄Π΅Π»ΠΈΡ‚ΡŒ ΠΎΠΏΡ‚ΠΈΠΌΠ°Π»ΡŒΠ½Ρ‹Π΅ показания для провСдСния комплСксного лСчСния.ΠœΠ°Ρ‚Π΅Ρ€ΠΈΠ°Π»Ρ‹ ΠΈ ΠΌΠ΅Ρ‚ΠΎΠ΄Ρ‹. Π’ рСтроспСктивном исслСдовании ΠΏΡ€ΠΎΠ°Π½Π°Π»ΠΈΠ·ΠΈΡ€ΠΎΠ²Π°Π½Ρ‹ Π΄Π°Π½Π½Ρ‹Π΅ ΠΎ 47 ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚Π°Ρ… с мСтастатичСским ΠΏΠΎΡ‡Π΅Ρ‡Π½ΠΎ-ΠΊΠ»Π΅Ρ‚ΠΎΡ‡Π½Ρ‹ΠΌ Ρ€Π°ΠΊΠΎΠΌ (мПКР), ΠΊΠΎΡ‚ΠΎΡ€Ρ‹ΠΌ ΠΏΡ€ΠΎΠ²ΠΎΠ΄ΠΈΠ»ΠΈ ΡΠΈΡΡ‚Π΅ΠΌΠ½ΡƒΡŽ (Ρ‚Π°Ρ€Π³Π΅Ρ‚Π½ΡƒΡŽ) Ρ‚Π΅Ρ€Π°ΠΏΠΈΡŽ Π² сочСтании ΠΈΠ»ΠΈ послС провСдСния Π½Π΅ΠΏΠΎΠ»Π½ΠΎΠΉΒ Ρ†ΠΈΡ‚ΠΎΡ€Π΅Π΄ΡƒΠΊΡ†ΠΈΠΈ (Π½Π¦Π ). Доля ΠΌΡƒΠΆΡ‡ΠΈΠ½ составила 72,3 %, ΠΆΠ΅Π½Ρ‰ΠΈΠ½ – 27,7 %, ΡΠΎΠΎΡ‚Π½ΠΎΡˆΠ΅Π½ΠΈΠ΅ 2,6:1. ВсСм ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚Π°ΠΌ (100 %) Π±Ρ‹Π»ΠΎΒ ΠΏΡ€ΠΎΠ²Π΅Π΄Π΅Π½ΠΎ хирургичСскоС Π»Π΅Ρ‡Π΅Π½ΠΈΠ΅ ΠΏΠΎ ΠΏΠΎΠ²ΠΎΠ΄Ρƒ ΠΏΠ΅Ρ€Π²ΠΈΡ‡Π½ΠΎΠΉ ΠΎΠΏΡƒΡ…ΠΎΠ»ΠΈ Π² Π²ΠΈΠ΄Π΅ нСфрэктомии ΠΈΠ»ΠΈ Ρ€Π΅Π·Π΅ΠΊΡ†ΠΈΠΈ ΠΏΠΎΡ‡ΠΊΠΈ. МСдиана Π±Π΅Π·Ρ€Π΅Ρ†ΠΈΠ΄ΠΈΠ²Π½ΠΎΠ³ΠΎΒ ΠΏΠ΅Ρ€ΠΈΠΎΠ΄Π° Π² Π³Ρ€ΡƒΠΏΠΏΠ΅ ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚ΠΎΠ², ΠΏΠΎΠ΄Π²Π΅Ρ€Π³ΡˆΠΈΡ…ΡΡ Π² Ρ€Π°Π·Π»ΠΈΡ‡Π½Ρ‹Π΅ сроки Ρ€Π°Π΄ΠΈΠΊΠ°Π»ΡŒΠ½ΠΎΠΌΡƒ хирургичСскому Π»Π΅Ρ‡Π΅Π½ΠΈΡŽ, составила 25,3 (0–187) мСс; срСдний срок наблюдСния Π² исслСдовании – 33,2 (27,4–39,0) мСс. Из гистологичСских характСристик ΠΏΠ΅Ρ€Π²ΠΈΡ‡Π½ΠΎΠΉ ΠΎΠΏΡƒΡ…ΠΎΠ»ΠΈ ΠΈΠ·ΡƒΡ‡Π°Π»Π°ΡΡŒΒ ΡΡ‚Π΅ΠΏΠ΅Π½ΡŒ Π΄ΠΈΡ„Ρ„Π΅Ρ€Π΅Π½Ρ†ΠΈΡ€ΠΎΠ²ΠΊΠΈ ΠΏΠΎ Π€ΡƒΡ€ΠΌΠ°Π½Ρƒ. ΠŸΠ΅Ρ€Π΅Π΄ Π½Π°Ρ‡Π°Π»ΠΎΠΌ лСчСния мПКР ΠΏΡ€ΠΎΠ²ΠΎΠ΄ΠΈΠ»ΠΈ ΠΎΡ†Π΅Π½ΠΊΡƒ Π³Ρ€ΡƒΠΏΠΏ ΠΏΡ€ΠΎΠ³Π½ΠΎΠ·Π° ΠΏΠΎ шкалС MSKCC (MemorialΒ Sloan-Kettering Cancer Center), распрСдСлСниС ΠΏΠΎ Π³Ρ€ΡƒΠΏΠΏΠ°ΠΌ Ρ…ΠΎΡ€ΠΎΡˆΠ΅Π³ΠΎ, ΠΏΡ€ΠΎΠΌΠ΅ΠΆΡƒΡ‚ΠΎΡ‡Π½ΠΎΠ³ΠΎ ΠΈ ΠΏΠ»ΠΎΡ…ΠΎΠ³ΠΎ ΠΏΡ€ΠΎΠ³Π½ΠΎΠ·Π°: 9 (19,1 %), 28 (59,6 %),Β 10 (21,3 %) Π±ΠΎΠ»ΡŒΠ½Ρ‹Ρ… соотвСтствСнно. ΠžΠ±Ρ‰Π΅ΡΠΎΠΌΠ°Ρ‚ΠΈΡ‡Π΅ΡΠΊΠΈΠΉ статуса ΠΎΡ†Π΅Π½ΠΈΠ²Π°Π»ΠΈ ΠΎΡ‚Π΄Π΅Π»ΡŒΠ½ΠΎ: 0 ΠΏΠΎ шкалС ECOG – 10 (21,3 %), 1–24Β (51,1 %) ΠΈ 2–13 (27,6 %) Π±ΠΎΠ»ΡŒΠ½Ρ‹Ρ…. По Π»ΠΎΠΊΠ°Π»ΠΈΠ·Π°Ρ†ΠΈΠΈ мСтастазов: Π»Π΅Π³ΠΊΠΈΠ΅ – 29 Π±ΠΎΠ»ΡŒΠ½Ρ‹Ρ…, кости – 18, Π½Π°Π΄ΠΏΠΎΡ‡Π΅Ρ‡Π½ΠΈΠΊΠΈ – 11, Ρ€Π΅Ρ†ΠΈΠ΄ΠΈΠ²Β Π² Π»ΠΎΠΆΠ΅ ΡƒΠ΄Π°Π»Π΅Π½Π½ΠΎΠΉ ΠΏΠΎΡ‡ΠΊΠΈ – 10, ΠΏΠ΅Ρ‡Π΅Π½ΡŒ – 10 ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚ΠΎΠ². ΠœΡƒΠ»ΡŒΡ‚ΠΈΠΎΡ€Π³Π°Π½Π½ΠΎΠ΅ ΠΏΠΎΡ€Π°ΠΆΠ΅Π½ΠΈΠ΅ выявлСно Ρƒ 22 (46,8 %) Π±ΠΎΠ»ΡŒΠ½Ρ‹Ρ…. Π£ 18 (40,0 %)Β ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚ΠΎΠ² количСство мСтастазов прСвысило 5 Π² 1 ΠΎΡ€Π³Π°Π½Π΅, Ρƒ 15 (33,3 %) выявлСн Π΅Π΄ΠΈΠ½ΠΈΡ‡Π½Ρ‹ΠΉ ΠΎΡ‡Π°Π³ Π² 1 ΠΎΡ€Π³Π°Π½Π΅.Β Π˜Π·ΡƒΡ‡Π΅Π½Π° Π²ΠΎΠ·ΠΌΠΎΠΆΠ½ΠΎΡΡ‚ΡŒ примСнСния Π½Π¦Π  Π² качСствС ΠΎΡ‚Π΄Π΅Π»ΡŒΠ½ΠΎΠΉ Π»ΠΈΠ½ΠΈΠΈ лСчСния. ΠŸΡ€ΠΎΠ²Π΅Π΄Π΅Π½ ΡΡ€Π°Π²Π½ΠΈΡ‚Π΅Π»ΡŒΠ½Ρ‹ΠΉ Π°Π½Π°Π»ΠΈΠ· ΠΌΠ΅ΠΆΠ΄Ρƒ 2 Π³Ρ€ΡƒΠΏΠΏΠ°ΠΌΠΈΒ ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚ΠΎΠ² с мПКР: 1-я Π³Ρ€ΡƒΠΏΠΏΠ° (n = 20), Π² ΠΊΠΎΡ‚ΠΎΡ€ΠΎΠΉ ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚Π°ΠΌ Π²Ρ‹ΠΏΠΎΠ»Π½Π΅Π½Π° Π½Π¦Π , ΠΈ 2-я Π³Ρ€ΡƒΠΏΠΏΠ° (n = 27), Π² ΠΊΠΎΡ‚ΠΎΡ€ΠΎΠΉ Π±ΠΎΠ»ΡŒΠ½Ρ‹Π΅ ΠΏΠΎΠ»ΡƒΡ‡Π°Π»ΠΈΒ ΡΠΈΡΡ‚Π΅ΠΌΠ½ΡƒΡŽ Ρ‚Π΅Ρ€Π°ΠΏΠΈΡŽ (12 – ΠΈΠΌΠΌΡƒΠ½ΠΎΡ‚Π΅Ρ€Π°ΠΏΠΈΡŽ, 8 – сорафСниб, 7 – сунитиниб). ΠšΠΎΠ½Ρ‚Ρ€ΠΎΠ»ΡŒΠ½Ρ‹ΠΌΠΈ Ρ‚ΠΎΡ‡ΠΊΠ°ΠΌΠΈ Π±Ρ‹Π»ΠΈ ΠΎΡ†Π΅Π½ΠΊΠ° ΠΎΠ±Ρ‰Π΅ΠΉ выТиваСмости (ΠžΠ’), ΠΎΠΏΡ‚ΠΈΠΌΠ°Π»ΡŒΠ½Ρ‹Ρ… ΠΏΠΎΠΊΠ°Π·Π°Π½ΠΈΠΉ для примСнСния Π½Π¦Π  Ρƒ ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚ΠΎΠ² с мПКР, Π²Ρ€Π΅ΠΌΠ΅Π½ΠΈ Π΄ΠΎ прогрСссирования (Π’Π”ΠŸ) Π² 1-ΠΉ ΠΈ 2-й линиях систСмного лСчСния.Π Π΅Π·ΡƒΠ»ΡŒΡ‚Π°Ρ‚Ρ‹. МСдиана ΠžΠ’ Π±Ρ‹Π»Π° Π²Ρ‹ΡˆΠ΅ Π² 1-ΠΉ Π³Ρ€ΡƒΠΏΠΏΠ΅ ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚ΠΎΠ²: 46 мСс ΠΏΡ€ΠΎΡ‚ΠΈΠ² 31 мСс (Ρ€ = 0,09). Π’Π”ΠŸ Π±Ρ‹Π»ΠΎ сопоставимым: 9 ΠΈ 6 мСс соотвСтствСнно.Β ΠŸΡ€ΠΈ сравнСнии систСмного лСчСния Π² 1-ΠΉ Π»ΠΈΠ½ΠΈΠΈ (Ρ€ = 0,0174) ΠΌΠ΅Π΄ΠΈΠ°Π½Π° Π’Π”ΠŸ Π² Π³Ρ€ΡƒΠΏΠΏΠ΅ Ρ‚Π°Ρ€Π³Π΅Ρ‚Π½ΠΎΠΉ Ρ‚Π΅Ρ€Π°ΠΏΠΈΠΈ (сорафСниб ΠΈ сунитиниб)Β Π±Ρ‹Π»Π° Π²Π΄Π²ΠΎΠ΅ Π²Ρ‹ΡˆΠ΅ (13 ΠΈ 17 мСс соотвСтствСнно), Ρ‡Π΅ΠΌ ΠΏΡ€ΠΈ Ρ‚Π΅Ρ€Π°ΠΏΠΈΠΈ Ρ†ΠΈΡ‚ΠΎΠΊΠΈΠ½Π°ΠΌΠΈ (6 мСс). Π’Π”ΠŸ Π²ΠΎ 2-ΠΉ Π»ΠΈΠ½ΠΈΠΈ составила 10 мСс. МСдиана ΠžΠ’ для ΠΈΠΌΠΌΡƒΠ½ΠΎΡ‚Π΅Ρ€Π°ΠΏΠΈΠΈ, сорафСниба ΠΈ сунитиниба Π½Π΅ продСмонстрировала Ρ€Π°Π·Π»ΠΈΡ‡ΠΈΠΉ ΠΈ составила 34,2; 36,5 ΠΈ 39,2 мСс соотвСтствСнно (Ρ€ = 0,8).Π’Ρ‹Π²ΠΎΠ΄Ρ‹. ΠŸΡ€ΠΎΠ²Π΅Π΄Π΅Π½Π½ΠΎΠ΅ исслСдованиС ΡΠ²ΠΈΠ΄Π΅Ρ‚Π΅Π»ΡŒΡΡ‚Π²ΡƒΠ΅Ρ‚ ΠΎΠ± эффСктивности примСнСния комплСксного ΠΏΠΎΠ΄Ρ…ΠΎΠ΄Π° Π² Π»Π΅Ρ‡Π΅Π½ΠΈΠΈ мПКР. НСполная циторСдукция ΠΌΠΎΠΆΠ΅Ρ‚ ΠΈΡΠΏΠΎΠ»ΡŒΠ·ΠΎΠ²Π°Ρ‚ΡŒΡΡ ΠΊΠ°ΠΊ ΠΎΡ‚Π΄Π΅Π»ΡŒΠ½Ρ‹ΠΉ ΠΌΠ΅Ρ‚ΠΎΠ΄ лСчСния Ρƒ ΠΎΠΏΡ€Π΅Π΄Π΅Π»Π΅Π½Π½ΠΎΠΉ Π³Ρ€ΡƒΠΏΠΏΡ‹ ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚ΠΎΠ². Однако ΡƒΠ²Π΅Π»ΠΈΡ‡Π΅Π½ΠΈΠ΅Β ΠΏΠΎΠΊΠ°Π·Π°Ρ‚Π΅Π»Π΅ΠΉ выТиваСмости Π² исслСдуСмой Π³Ρ€ΡƒΠΏΠΏΠ΅ Π±ΠΎΠ»ΡŒΠ½Ρ‹Ρ… Π²ΠΎΠ·ΠΌΠΎΠΆΠ½ΠΎ Ρ‚ΠΎΠ»ΡŒΠΊΠΎ ΠΏΡ€ΠΈ ΠΎΠ±ΡΠ·Π°Ρ‚Π΅Π»ΡŒΠ½ΠΎΠΌ использовании Π² схСмС лСчСния таргСтных ΠΏΡ€Π΅ΠΏΠ°Ρ€Π°Ρ‚ΠΎΠ² ΠΊΠ°ΠΊ Π² 1-ΠΉ, Ρ‚Π°ΠΊ ΠΈ Π²ΠΎ 2-ΠΉ Π»ΠΈΠ½ΠΈΠΈ. НСсмотря Π½Π° мСтастатичСский Ρ…Π°Ρ€Π°ΠΊΡ‚Π΅Ρ€ ПКР, Π² Π°Π»Π³ΠΎΡ€ΠΈΡ‚ΠΌΠ΅ лСчСния этих Π±ΠΎΠ»ΡŒΠ½Ρ‹Ρ… Π΄ΠΎΠ»ΠΆΠ½Π° Π±Ρ‹Ρ‚ΡŒ ΠΏΡ€ΠΎΠ²Π΅Π΄Π΅Π½Π° ΠΎΡ†Π΅Π½ΠΊΠ° Π²ΠΎΠ·ΠΌΠΎΠΆΠ½ΠΎΡΡ‚ΠΈΒ ΠΈΡΠΏΠΎΠ»ΡŒΠ·ΠΎΠ²Π°Π½ΠΈΡ ΠΏΠ°Π»Π»ΠΈΠ°Ρ‚ΠΈΠ²Π½ΠΎΠ³ΠΎ Ρ†ΠΈΡ‚ΠΎΡ€Π΅Π΄ΡƒΠΊΡ‚ΠΈΠ²Π½ΠΎΠ³ΠΎ лСчСния, Ρ‚Π°ΠΊ ΠΊΠ°ΠΊ с Π΅Π³ΠΎ использованиСм ΠΌΠΎΠΆΠ½ΠΎ ΠΏΠΎΠ»ΡƒΡ‡ΠΈΡ‚ΡŒ ΠΌΠ΅Π΄ΠΈΠ°Π½Ρƒ Π’Π”ΠŸ Π΄ΠΎ 9 мСс.Β Π’Π΅ΠΌ Π½Π΅ ΠΌΠ΅Π½Π΅Π΅ ΠΏΠΎΠΊΠ°Π·Π°Ρ‚Π΅Π»ΠΈ выТиваСмости Π±ΠΎΠ»Π΅Π΅ 30 мСс Π²ΠΎΠ·ΠΌΠΎΠΆΠ½ΠΎ ΠΏΠΎΠ»ΡƒΡ‡ΠΈΡ‚ΡŒ Ρ‚ΠΎΠ»ΡŒΠΊΠΎ Π² ΠΊΠΎΠΌΠ±ΠΈΠ½Π°Ρ†ΠΈΠΈ с систСмным Π»Π΅Ρ‡Π΅Π½ΠΈΠ΅ΠΌ

    ΠžΡ†Π΅Π½ΠΊΠ° эффСктивности хирургичСского удалСния мСтастазов Π² ΠΊΠΎΠΌΠ±ΠΈΠ½Π°Ρ†ΠΈΠΈ с Ρ‚Π°Ρ€Π³Π΅Ρ‚Π½ΠΎΠΉ Ρ‚Π΅Ρ€Π°ΠΏΠΈΠ΅ΠΉ Ρƒ Π±ΠΎΠ»ΡŒΠ½Ρ‹Ρ… мСтастатичСским Ρ€Π°ΠΊΠΎΠΌ ΠΏΠΎΡ‡ΠΊΠΈ

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    Objective. To increase the effectiveness of drug treatment via systemic therapy (ST) in combination with incomplete cytoreductive interventions – incomplete metastasectomy (iME).Materials and methods. Three centers took part in the study. All 147 patients with mRCC received anticancer drug therapy. Part of them (n = 47) underwent surgery (iME) before or together with anticancer treatment, where iME meant complete metastasis excision within one organ with residual tissue in other organs (research group). Control group (n = 100) included patients who received only systemic antitumor treatment. Primary control point was overall survival (OS), secondary – time to progression.Results. Median OS in combined treatment group was 32 months, while in control group – 29 months (p = 0.21). When analyzing surgical stage in combined treatment, OS was statistically more significant in patients with iME before ST (n = 20) than in patients with two parallel treatment schemes: 46 and 31 months, respectively (p = 0.007). When analyzing metastases localization, it was found that iME is effective for metastases to distant lymph nodes and adrenal gland. Adrenalectomy (p = 0.03) and lymphadenectomy (p = 0.04) showed higher results than ST: 17 and 15 months versus 6 month, respectively. IME in patients with poor prognosis did not reveal any advantages: median OS reached 7 months, which was significantly inferior to the favorable prognosis group, where median OS was 25 months (p = 0.03).Conclusion. IME can be used as a part of combined treatment in mRCC patients. It should be considered as the first treatment stage with subsequent ST.ЦСль исслСдования – ΠΏΠΎΠ²Ρ‹ΡˆΠ΅Π½ΠΈΠ΅ эффСктивности лСкарствСнного лСчСния мСтастатичСского Ρ€Π°ΠΊΠ° ΠΏΠΎΡ‡ΠΊΠΈ Π·Π° счСт Ρ€Π°Ρ†ΠΈΠΎΠ½Π°Π»ΡŒΠ½ΠΎΠΉ ΠΏΠΎΡΠ»Π΅Π΄ΠΎΠ²Π°Ρ‚Π΅Π»ΡŒΠ½ΠΎΡΡ‚ΠΈ систСмной Ρ‚Π΅Ρ€Π°ΠΏΠΈΠΈ (Π‘Π’) ΠΈ Π΅Π΅ ΠΊΠΎΠΌΠ±ΠΈΠ½Π°Ρ†ΠΈΠΈ с Π½Π΅ΠΏΠΎΠ»Π½Ρ‹ΠΌΠΈ Ρ†ΠΈΡ‚ΠΎΡ€Π΅Π΄ΡƒΠΊΡ‚ΠΈΠ²Π½Ρ‹ΠΌΠΈ (Π½Π¦Π ) Π²ΠΌΠ΅ΡˆΠ°Ρ‚Π΅Π»ΡŒΡΡ‚Π²Π°ΠΌΠΈ.ΠœΠ°Ρ‚Π΅Ρ€ΠΈΠ°Π»Ρ‹ ΠΈ ΠΌΠ΅Ρ‚ΠΎΠ΄Ρ‹. Π’ исслСдовании ΠΏΡ€ΠΈΠ½ΠΈΠΌΠ°Π»ΠΈ участиС 3 Ρ†Π΅Π½Ρ‚Ρ€Π°. ВсС 147 Π±ΠΎΠ»ΡŒΠ½Ρ‹Ρ… мСтастатичСским Ρ€Π°ΠΊΠΎΠΌ ΠΏΠΎΡ‡ΠΊΠΈ ΠΏΠΎΠ»ΡƒΡ‡Π°Π»ΠΈ ΠΏΡ€ΠΎΡ‚ΠΈΠ²ΠΎΠΎΠΏΡƒΡ…ΠΎΠ»Π΅Π²ΡƒΡŽ Π»Π΅ΠΊΠ°Ρ€ΡΡ‚Π²Π΅Π½Π½ΡƒΡŽ Ρ‚Π΅Ρ€Π°ΠΏΠΈΡŽ. Части ΠΈΠ· Π½ΠΈΡ… (n = 47) Π΄ΠΎΠΏΠΎΠ»Π½ΠΈΡ‚Π΅Π»ΡŒΠ½ΠΎ Π±Ρ‹Π»ΠΎ Π²Ρ‹ΠΏΠΎΠ»Π½Π΅Π½ΠΎ хирургичСскоС Π»Π΅Ρ‡Π΅Π½ΠΈΠ΅ Π² объСмС Π½Π¦Π , Ρ‚. Π΅. ΠΏΠΎΠ»Π½ΠΎΠ³ΠΎ Ρ€Π°Π΄ΠΈΠΊΠ°Π»ΡŒΠ½ΠΎΠ³ΠΎ иссСчСния мСтастаза Π² ΠΏΡ€Π΅Π΄Π΅Π»Π°Ρ… 1 ΠΎΡ€Π³Π°Π½Π° ΠΏΡ€ΠΈ Π½Π°Π»ΠΈΡ‡ΠΈΠΈ Ρ€Π΅Π·ΠΈΠ΄ΡƒΠ°Π»ΡŒΠ½ΠΎΠΉ Ρ‚ΠΊΠ°Π½ΠΈ Π² Π΄Ρ€ΡƒΠ³ΠΈΡ… ΠΎΡ€Π³Π°Π½Π°Ρ… (Π³Ρ€ΡƒΠΏΠΏΠ° исслСдования). ΠšΠΎΠ½Ρ‚Ρ€ΠΎΠ»ΡŒΠ½Π°Ρ Π³Ρ€ΡƒΠΏΠΏΠ° (n = 100) прСдставлСна Π±ΠΎΠ»ΡŒΠ½Ρ‹ΠΌΠΈ, ΠΊΠΎΡ‚ΠΎΡ€Ρ‹ΠΌ ΠΏΡ€ΠΎΠ²ΠΎΠ΄ΠΈΠ»ΠΈ Ρ‚ΠΎΠ»ΡŒΠΊΠΎ ΠΏΡ€ΠΎΡ‚ΠΈΠ²ΠΎΠΎΠΏΡƒΡ…ΠΎΠ»Π΅Π²ΡƒΡŽ Π‘Π’. ΠŸΠ΅Ρ€Π²ΠΈΡ‡Π½ΠΎΠΉ ΠΊΠΎΠ½Ρ‚Ρ€ΠΎΠ»ΡŒΠ½ΠΎΠΉ Ρ‚ΠΎΡ‡ΠΊΠΎΠΉ Π±Ρ‹Π»Π° общая Π²Ρ‹ΠΆΠΈΠ²Π°Π΅ΠΌΠΎΡΡ‚ΡŒ (ΠžΠ’), вторичной – врСмя Π΄ΠΎ прогрСссирования.Π Π΅Π·ΡƒΠ»ΡŒΡ‚Π°Ρ‚Ρ‹. МСдиана ΠžΠ’ Π² Π³Ρ€ΡƒΠΏΠΏΠ΅ ΠΊΠΎΠΌΠ±ΠΈΠ½ΠΈΡ€ΠΎΠ²Π°Π½Π½ΠΎΠ³ΠΎ лСчСния составила 32 мСс, Π² ΠΊΠΎΠ½Ρ‚Ρ€ΠΎΠ»ΡŒΠ½ΠΎΠΉ Π³Ρ€ΡƒΠΏΠΏΠ΅ – 29 мСс (Ρ€ = 0,21). ΠŸΡ€ΠΈ Π°Π½Π°Π»ΠΈΠ·Π΅ ΠΏΠΎΡΠ»Π΅Π΄ΠΎΠ²Π°Ρ‚Π΅Π»ΡŒΠ½ΠΎΡΡ‚ΠΈ хирургичСского этапа Π² ΠΊΠΎΠΌΠ±ΠΈΠ½ΠΈΡ€ΠΎΠ²Π°Π½Π½ΠΎΠΌ Π»Π΅Ρ‡Π΅Π½ΠΈΠΈ ΠžΠ’ Π±Ρ‹Π»Π° статистичСски Π±ΠΎΠ»Π΅Π΅ Π·Π½Π°Ρ‡ΠΈΠΌΠΎΠΉ Ρƒ Π±ΠΎΠ»ΡŒΠ½Ρ‹Ρ… с Π½Π¦Π , ΠΏΡ€Π΅Π΄ΡˆΠ΅ΡΡ‚Π²ΠΎΠ²Π°Π²ΡˆΠ΅ΠΉ Π‘Π’ (n = 20), Ρ‡Π΅ΠΌ Ρƒ ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚ΠΎΠ² с ΠΏΠ°Ρ€Π°Π»Π»Π΅Π»ΡŒΠ½Ρ‹ΠΌ использованиСм 2 Π²ΠΈΠ΄ΠΎΠ² лСчСния: 46 ΠΈ 31 мСс соотвСтствСнно (Ρ€ = 0,007). ΠŸΡ€ΠΈ Π°Π½Π°Π»ΠΈΠ·Π΅ Π»ΠΎΠΊΠ°Π»ΠΈΠ·Π°Ρ†ΠΈΠΉ мСтастазов выявлСно, Ρ‡Ρ‚ΠΎ Π½Π¦Π  эффСктивна ΠΏΡ€ΠΈ ΠΏΠΎΡ€Π°ΠΆΠ΅Π½ΠΈΠΈ мСтастатичСским Ρ€Π°ΠΊΠΎΠΌ ΠΏΠΎΡ‡ΠΊΠΈ ΠΎΡ‚Π΄Π°Π»Π΅Π½Π½Ρ‹Ρ… лимфатичСских ΡƒΠ·Π»ΠΎΠ² ΠΈ Π½Π°Π΄ΠΏΠΎΡ‡Π΅Ρ‡Π½ΠΈΠΊΠ°. Π’Π°ΠΊ, ΠΏΡ€ΠΈ ΠΏΡ€ΠΎΠ²Π΅Π΄Π΅Π½ΠΈΠΈ адрСналэктомии (Ρ€ = 0,03) ΠΈ лимфадСнэктомии (Ρ€ = 0,04) Ρ€Π΅Π·ΡƒΠ»ΡŒΡ‚Π°Ρ‚Ρ‹ Π±Ρ‹Π»ΠΈ явно Π²Ρ‹ΡˆΠ΅, Ρ‡Π΅ΠΌ ΠΏΡ€ΠΈ использовании Π‘Π’: 17 ΠΈ 15 мСс ΠΏΡ€ΠΈ Π½Π¦Π  ΠΏΡ€ΠΎΡ‚ΠΈΠ² 6 мСс ΠΏΡ€ΠΈ Π‘Π’. ИспользованиС Π½Π¦Π  Ρƒ Π±ΠΎΠ»ΡŒΠ½Ρ‹Ρ… Π³Ρ€ΡƒΠΏΠΏΡ‹ ΠΏΠ»ΠΎΡ…ΠΎΠ³ΠΎ ΠΏΡ€ΠΎΠ³Π½ΠΎΠ·Π° Π½Π΅ выявило прСимущСств: ΠΌΠ΅Π΄ΠΈΠ°Π½Π° ΠžΠ’ достигла 7 мСс, Π·Π½Π°Ρ‡ΠΈΡ‚Π΅Π»ΡŒΠ½ΠΎ уступая Π³Ρ€ΡƒΠΏΠΏΠ΅ благоприятного ΠΏΡ€ΠΎΠ³Π½ΠΎΠ·Π° с ΠΌΠ΅Π΄ΠΈΠ°Π½ΠΎΠΉ ΠžΠ’ 25 мСс (Ρ€ = 0,03).Π—Π°ΠΊΠ»ΡŽΡ‡Π΅Π½ΠΈΠ΅. НСполная циторСдукция ΠΌΠΎΠΆΠ΅Ρ‚ ΠΏΡ€ΠΈΠΌΠ΅Π½ΡΡ‚ΡŒΡΡ ΠΊΠ°ΠΊ опция Π² ΠΊΠΎΠΌΠ±ΠΈΠ½Π°Ρ†ΠΈΠΈ с Π‘Π’ Ρƒ Π±ΠΎΠ»ΡŒΠ½Ρ‹Ρ… мСтастатичСским Ρ€Π°ΠΊΠΎΠΌ ΠΏΠΎΡ‡ΠΊΠΈ. ΠŸΡ€ΠΈ Π²Ρ‹Π±ΠΎΡ€Π΅ Π΄Π°Π½Π½ΠΎΠΉ Ρ‚Π°ΠΊΡ‚ΠΈΠΊΠΈ Π½Π¦Π  Π½ΡƒΠΆΠ½ΠΎ Ρ€Π°ΡΡΠΌΠ°Ρ‚Ρ€ΠΈΠ²Π°Ρ‚ΡŒ ΠΊΠ°ΠΊ 1‑й этап лСчСния с ΠΏΠΎΡΠ»Π΅Π΄ΡƒΡŽΡ‰ΠΈΠΌ использованиСм Π‘Π’

    Phenotypic effects of the dwarfing gene Rht-17 in spring durum wheat under two climatic conditions

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    Alleles of the genes, conferring a dwarfing phenotype, play a crucial role in wheat breeding, as they not only reduce plant height, ensuring their resistance to lodging, but also have a number of positive and negative pleiotropic effects on plant productivity. Durum wheat carries only two subgenomes (A and B), which limits the use of the D-subgenome genes and requires the expansion of the arsenal of dwarfing alleles and the study of their effects on height and agronomically important traits. We studied the effect of the gibberellin-insensitive allele Rht-B1p in the B2F2:3 families, developed by crossing Chris Mutant /#517//LD222 in a field experiment in Moscow and Krasnodar. In our experiments, plants homozygous for Rht-B1p were shorter than those homozygous for the wild-type allele Rht-B1a by 36.3 cm (40 %) in Moscow and 49.5 cm (48 %) in Krasnodar. In the field experiment in Krasnodar, each plant with Rht-B1p had one less internode than any plant with Rht-B1a, which additionally contributed to the decrease in plant height. Grain weight per main spike was lower in plants with Rht-B1p than in plants with Rht-B1a by 12 % in Moscow and by 23 % in Krasnodar due to a decrease in 1000 grain weight in both regions of the field experiment. The number of grains per main spike in plants with Rht-B1p was higher in comparison to that with Rht-B1a by 6.5 % in Moscow due to an increase in spikelet number per main spike and by 11 % in Krasnodar due to an increase in grain number per spikelet. The onset of heading in plants with Rht-B1p in comparison with the plants with the wild-type allele Rht-B1a was 7 days later in Krasnodar. The possibility and prospects for the use of Rht-B1p in the breeding of durum wheat are discussed

    Watch me grow integrated (WMG-I): protocol for a cluster randomised controlled trial of a web-based surveillance approach for developmental screening in primary care settings

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    Introduction The increasing prevalence of developmental disorders in early childhood poses a significant global health burden. Early detection of developmental problems is vital to ensure timely access to early intervention, and universal developmental surveillance is recommended best practice for identifying issues. Despite this, there is currently considerable variation in developmental surveillance and screening between Australian states and territories and low rates of developmental screening uptake by parents. This study aims to evaluate an innovative web-based developmental surveillance programme and a sustainable approach to referral and care pathways, linking primary care general practice (GP) services that fall under federal policy responsibility and state government-funded child health services. Methods and analysis The proposed study describes a longitudinal cluster randomised controlled trial (c-RCT) comparing a Γ’ € Watch Me Grow Integrated' (WMG-I) approach for developmental screening, to Surveillance as Usual (SaU) in GPs. Forty practices will be recruited across New South Wales and Queensland, and randomly allocated into either the (1) WMG-I or (2) SaU group. A cohort of 2000 children will be recruited during their 18-month vaccination visit or opportunistic visit to GP. At the end of the c-RCT, a qualitative study using focus groups/interviews will evaluate parent and practitioner views of the WMG-I programme and inform national and state policy recommendations. Ethics and dissemination The South Western Sydney Local Health District (2020/ETH01625), UNSW Sydney (2020/ETH01625) and University of Queensland (2021/HE000667) Human Research Ethics Committees independently reviewed and approved this study. Findings will be reported to the funding bodies, study institutes and partners; families and peer-reviewed conferences/publications
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