78 research outputs found

    Designing Controls for a Marketplace of Health Care Services: a Case Study

    Get PDF

    Designing Controls for Network Organisations: A Value-Based Approach

    Get PDF
    Tan, Y.H. [Promotor]Paans, R. [Promotor]Gordijn, J. [Copromotor

    EFFICACY AND SAFETY OF IMMUNOMODULATORS APPLICATION IN PREVENTION OF COMPLICATIONS IN PATIENTS WITH PERTUSSIS

    Get PDF
    Pertussis is an urgent pediatric problem due to its frequency and severity in the first year of life. One of the most threatening complications of pertussis is pneumonia. In a parallel, non-randomized open-label study we have demonstrated clinical efficacy and safety of immunomodulators for the prophylaxis of bacterial complications of pertussis

    Evaluation of the long-term memory T cell in mice after immunization with a live tularemia vaccine

    Get PDF
    The vaccine strain F. tularensis 15 NIIEG induces long-lived cell-mediated immunity but exhibits a certain reactogenicity and genetic instability. Progress in development of a vaccine against tularemia has been limited by a lack of information regarding the mechanisms required to protect against this disease. The BALB/c mouse is the most commonly used animal to study tularemia due to its relatively low cost, well-characterized genetics, available immunological tools and mouse infection with virulent F. tularensis recapitulates human disease.CD4+ and CD8+T cells are known to be critical for the formation of protective immunity but the relative roles of memory T cell subpopulations in long lived protection against virulent strains of F. tularensis are not well established. We hypothesized that this immunity depends on central (TCM) and effector memory (TEM) T cells and their functional activity. In this study we have dissected the T cell immune response in BALB/c mice 30, 60 and 90 days after subcutaneous vaccination with 15 NIIEG.Multiparametric flow cytometry were used to characterize in vitro recall responses of splenocytes to F. tularensis antigen. TEM cells were identified as CD3+CD4+CD44+CD62L- and CD3+CD8+CD44+CD62L-, TCM cells as CD3+CD4+CD44+CD62L+ and CD3+CD8+CD44+CD62L+, respectively. The functional activity of memory T cells was assessed by the following parameters: the level of expression of the activation marker CD69 and cytokine-producing activity by staining with the intracellular cytokines IFNg and TNFa.Thus, development of a long-lived vaccine directed against F. tularensis is dependent on identifying not only the correlates of immunity present early after vaccination, but also those that persist in the host after the effector phase has ended. The maintenance of long-term protective immunity initiated by vaccination with F. tularensis strain 15 NIIEG has been shown to require the presence of antigen-specific CD4+ and CD8+ memory T cells producing IFNg and TNFa and expressing the activation marker CD69. A decrease in count and functional activity of CD8+TCM and CD8+TEM was detected in the long term after vaccination. The detected parameters of functional activity of memory T cells can be used as criteria for evaluation of protective immunity against virulent strains of F. tularensis

    Π”ΠΈΠ½Π°ΠΌΠΈΠΊΠ° распространСнности Π±Ρ€ΠΎΠ½Ρ…ΠΈΠ°Π»ΡŒΠ½ΠΎΠΉ астмы Ρƒ Π΄Π΅Ρ‚Π΅ΠΉ Π² НовосибирскС

    Get PDF
    Six-year dynamics of epidemiology of bronchial asthma was analyzed in Novosibirsk according to a common standardized protocol of the "International Study of Asthma and Allergic Diseases in Children" (ISAAC) programme. The pathology spread was studied using a total surveying among first-form and eight-form pupils (the survey involved 7291 pupils 1996, 6631 ones in 1999 and 6943 children in 2002). The results showed stable spread of bronchial asthma symptoms among the senior and junior pupils and prevalence of mild asthma with rare exacerbations in both the groups. A progredient growth of severe asthma attack rate was noted in eight-form pupils. An increase in frequency of combined upper and lower airway pathologies was registered with reduction in skin atopy rate. A problem of underestimating of the pathology was discussed.ИсслСдована 6-лСтняя Π΄ΠΈΠ½Π°ΠΌΠΈΠΊΠ° эпидСмиологии Π±Ρ€ΠΎΠ½Ρ…ΠΈΠ°Π»ΡŒΠ½ΠΎΠΉ астмы ΠΏΠΎ Π΅Π΄ΠΈΠ½Ρ‹ΠΌ стандартизованным ΠΏΡ€ΠΎΡ‚ΠΎΠΊΠΎΠ»Π°ΠΌ ΠΏΡ€ΠΎΠ³Ρ€Π°ΠΌΠΌΡ‹ "ΠœΠ΅ΠΆΠ΄ΡƒΠ½Π°Ρ€ΠΎΠ΄Π½ΠΎΠ΅ исслСдованиС астмы ΠΈ аллСргичСских Π·Π°Π±ΠΎΠ»Π΅Π²Π°Π½ΠΈΠΉ Ρƒ Π΄Π΅Ρ‚Π΅ΠΉ" (ISAAC) Π² НовосибирскС. Π˜Π·ΡƒΡ‡Π΅Π½ΠΈΠ΅ распространСнности ΠΏΠ°Ρ‚ΠΎΠ»ΠΎΠ³ΠΈΠΈ ΠΏΡ€ΠΎΠ²ΠΎΠ΄ΠΈΠ»ΠΎΡΡŒ ΠΏΡ€ΠΈ сплошном Π°Π½ΠΊΠ΅Ρ‚ΠΈΡ€ΠΎΠ²Π°Π½ΠΈΠΈ ΡƒΡ‡Π΅Π½ΠΈΠΊΠΎΠ² 1-Ρ… ΠΈ 8-Ρ… классов (7291 школьник Π² 1996 Π³., 6631 β€” Π² 1999 Π³. ΠΈ 6943 β€” Π² 2002 Π³.). Π’ Π΄ΠΈΠ½Π°ΠΌΠΈΠΊΠ΅ выявлСны ΡΡ‚Π°Π±ΠΈΠ»ΡŒΠ½Π°Ρ Ρ€Π°ΡΠΏΡ€ΠΎΡΡ‚Ρ€Π°Π½Π΅Π½Π½ΠΎΡΡ‚ΡŒ симптомов Π±Ρ€ΠΎΠ½Ρ…ΠΈΠ°Π»ΡŒΠ½ΠΎΠΉ астмы Ρƒ ΡΡ‚Π°Ρ€ΡˆΠΈΡ… ΠΈ ΠΌΠ»Π°Π΄ΡˆΠΈΡ… школьников, сохранСниС прСобладания Π»Π΅Π³ΠΊΠΈΡ… Ρ€Π΅Π΄ΠΊΠΎ Ρ€Π΅Ρ†ΠΈΠ΄ΠΈΠ²ΠΈΡ€ΠΎΠ²Π°Π²ΡˆΠΈΡ… Ρ„ΠΎΡ€ΠΌ ΠΏΠ°Ρ‚ΠΎΠ»ΠΎΠ³ΠΈΠΈ Π² ΠΎΠ±Π΅ΠΈΡ… возрастных Π³Ρ€ΡƒΠΏΠΏΠ°Ρ…. ΠžΡ‚ΠΌΠ΅Ρ‡Π΅Π½ ΠΏΡ€ΠΎΠ³Ρ€Π΅Π΄ΠΈΠ΅Π½Ρ‚Π½Ρ‹ΠΉ рост тяТСлых приступов ΡƒΠ΄ΡƒΡˆΡŒΡ Ρƒ восьмиклассников. Π’ популяции школьников зарСгистрировано ΡƒΠ²Π΅Π»ΠΈΡ‡Π΅Π½ΠΈΠ΅ сочСтанного пораТСния Π²Π΅Ρ€Ρ…Π½ΠΈΡ… ΠΈ Π½ΠΈΠΆΠ½ΠΈΡ… ΠΎΡ‚Π΄Π΅Π»ΠΎΠ² рСспираторного Ρ‚Ρ€Π°ΠΊΡ‚Π° с сокращСниСм частоты ΠΊΠΎΠΆΠ½Ρ‹Ρ… Ρ„ΠΎΡ€ΠΌ Π°Ρ‚ΠΎΠΏΠΈΠΈ. ΠžΡ‚Ρ€Π°ΠΆΠ΅Π½Π° ΠΏΡ€ΠΎΠ±Π»Π΅ΠΌΠ° гиподиагностики ΠΏΠ°Ρ‚ΠΎΠ»ΠΎΠ³ΠΈΠΈ

    Π˜Π·ΡƒΡ‡Π΅Π½ΠΈΠ΅ ΠΏΡ€ΠΎΠ΄ΡƒΠΊΡ†ΠΈΠΈ Π½Π΅ΠΊΠΎΡ‚ΠΎΡ€Ρ‹Ρ… Ρ†ΠΈΡ‚ΠΎΠΊΠΈΠ½ΠΎΠ² ΠΏΡ€ΠΈ вирусных инфСкциях, ΠΏΡ€ΠΎΡ‚Π΅ΠΊΠ°ΡŽΡ‰ΠΈΡ… с Π΄ΠΈΠ°Ρ€Π΅ΠΉΠ½Ρ‹ΠΌ синдромом Ρƒ Π΄Π΅Ρ‚Π΅ΠΉ

    Get PDF
    The aim of the study was to study the characteristics of the content of certain cytokines in serum as indicators of the immune response in viral infections accompanied by diarrhea syndrome in children. Materials and research methods. A survey was conducted of 92 children aged 3 months to 15 years with acute respiratory viral infections hospitalized in hospital No. 6 in Novosibirsk in the first 2 days from the onset of the disease. Two groups were formed β€” group 1 β€” patients with diarrheal syndrome and signs of respiratory system damage. Group 2 β€” children with isolated lesions of the respiratory tract. In all children, the genetic material of viruses was determined by polymerase chain reaction (PCR) in the nose and throat washes. Also, in all children, the determination of serum levels of IL-8, IL-17, IFN-Γ£ by ELISA was performed. Results and discussion. When studying the levels of cytokines (IFN-Γ£, IL-8, IL-17) in patients with signs of gastrointestinal tract lesions in comparison with isolated respiratory manifestations, no statistically significant differences were found. However, when analyzing the levels of the studied parameters in patients with diarrheal syndrome in different age groups, significant differences in the levels of IFN-Γ£ and IL-8 were revealed.ЦСлью исслСдования явилось ΠΈΠ·ΡƒΡ‡Π΅Π½ΠΈΠ΅ особСнностСй содСрТания Π½Π΅ΠΊΠΎΡ‚ΠΎΡ€Ρ‹Ρ… Ρ†ΠΈΡ‚ΠΎΠΊΠΈΠ½ΠΎΠ² Π² сывороткС ΠΊΡ€ΠΎΠ²ΠΈ ΠΊΠ°ΠΊ ΠΏΠΎΠΊΠ°Π·Π°Ρ‚Π΅Π»Π΅ΠΉ ΠΈΠΌΠΌΡƒΠ½Π½ΠΎΠ³ΠΎ рСагирования ΠΏΡ€ΠΈ вирусных инфСкциях, ΡΠΎΠΏΡ€ΠΎΠ²ΠΎΠΆΠ΄Π°ΡŽΡ‰ΠΈΡ…ΡΡ Π΄ΠΈΠ°Ρ€Π΅ΠΉΠ½Ρ‹ΠΌ синдромом Ρƒ Π΄Π΅Ρ‚Π΅ΠΉ. ΠœΠ°Ρ‚Π΅Ρ€ΠΈΠ°Π»Ρ‹ ΠΈ ΠΌΠ΅Ρ‚ΠΎΠ΄Ρ‹ исслСдования. ΠŸΡ€ΠΎΠ²Π΅Π΄Π΅Π½ΠΎ обслСдованиС 92 Π΄Π΅Ρ‚Π΅ΠΉ Π² возрастС ΠΎΡ‚ 3 мСсяцСв Π΄ΠΎ 15 Π»Π΅Ρ‚ с острыми рСспираторными вирусными инфСкциями, госпитализированных Π² стационар Π”ΠšΠ‘ β„–6 Π³ΠΎΡ€ΠΎΠ΄Π° Новосибирска Π² ΠΏΠ΅Ρ€Π²Ρ‹Π΅ Π΄Π²ΠΎΠ΅ суток ΠΎΡ‚ Π½Π°Ρ‡Π°Π»Π° заболСвания. Π‘Ρ„ΠΎΡ€ΠΌΠΈΡ€ΠΎΠ²Π°Π½Ρ‹ Π΄Π²Π΅ Π³Ρ€ΡƒΠΏΠΏΡ‹: I Π³Ρ€ΡƒΠΏΠΏΠ° β€” ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚Ρ‹ с Π΄ΠΈΠ°Ρ€Π΅ΠΉΠ½Ρ‹ΠΌ синдромом ΠΈ ΠΏΡ€ΠΈΠ·Π½Π°ΠΊΠ°ΠΌΠΈ пораТСния рСспираторной систСмы. Π“Ρ€ΡƒΠΏΠΏΠ° II β€” Π΄Π΅Ρ‚ΠΈ с ΠΈΠ·ΠΎΠ»ΠΈΡ€ΠΎΠ²Π°Π½Π½Ρ‹ΠΌ ΠΏΠΎΡ€Π°ΠΆΠ΅Π½ΠΈΠ΅ΠΌ рСспираторного Ρ‚Ρ€Π°ΠΊΡ‚Π°. Π£ всСх Π΄Π΅Ρ‚Π΅ΠΉ ΠΏΡ€ΠΎΠ²Π΅Π»ΠΈ ΠΎΠΏΡ€Π΅Π΄Π΅Π»Π΅Π½ΠΈΠ΅ гСнСтичСского ΠΌΠ°Ρ‚Π΅Ρ€ΠΈΠ°Π»Π° вирусов ΠΌΠ΅Ρ‚ΠΎΠ΄ΠΎΠΌ ΠΏΠΎΠ»ΠΈΠΌΠ΅Ρ€Π°Π·Π½ΠΎΠΉ Ρ†Π΅ΠΏΠ½ΠΎΠΉ Ρ€Π΅Π°ΠΊΡ†ΠΈΠΈ (ПЦР) Π² смывах ΠΈΠ· носо- ΠΈ Ρ€ΠΎΡ‚ΠΎΠ³Π»ΠΎΡ‚ΠΊΠΈ. Π’Π°ΠΊΠΆΠ΅ Ρƒ всСх Π΄Π΅Ρ‚Π΅ΠΉ Π±Ρ‹Π»ΠΎ ΠΏΡ€ΠΎΠ²Π΅Π΄Π΅Π½ΠΎ ΠΎΠΏΡ€Π΅Π΄Π΅Π»Π΅Π½ΠΈΠ΅ содСрТания Π² сывороткС ΠΊΡ€ΠΎΠ²ΠΈ IL-8, IL-17, IFN-Γ£ ΠΌΠ΅Ρ‚ΠΎΠ΄ΠΎΠΌ ИЀА. Π Π΅Π·ΡƒΠ»ΡŒΡ‚Π°Ρ‚Ρ‹ ΠΈ обсуТдСниС. ΠŸΡ€ΠΈ исслСдовании ΡƒΡ€ΠΎΠ²Π½Π΅ΠΉ содСрТания Ρ†ΠΈΡ‚ΠΎΠΊΠΈΠ½ΠΎΠ² (IFN-Γ£, IL-8, IL-17) Ρƒ ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚ΠΎΠ² с ΠΏΡ€ΠΈΠ·Π½Π°ΠΊΠ°ΠΌΠΈ пораТСния ΠΆΠ΅Π»ΡƒΠ΄ΠΎΡ‡Π½ΠΎ-ΠΊΠΈΡˆΠ΅Ρ‡Π½ΠΎΠ³ΠΎ Ρ‚Ρ€Π°ΠΊΡ‚Π° Π² сравнСнии с ΠΈΠ·ΠΎΠ»ΠΈΡ€ΠΎΠ²Π°Π½Π½Ρ‹ΠΌΠΈ рСспираторными проявлСниями статистичСски Π·Π½Π°Ρ‡ΠΈΠΌΡ‹Ρ… Ρ€Π°Π·Π»ΠΈΡ‡ΠΈΠΉ выявлСно Π½Π΅ Π±Ρ‹Π»ΠΎ. Однако ΠΏΡ€ΠΈ Π°Π½Π°Π»ΠΈΠ·Π΅ ΡƒΡ€ΠΎΠ²Π½Π΅ΠΉ исслСдуСмых ΠΏΠΎΠΊΠ°Π·Π°Ρ‚Π΅Π»Π΅ΠΉ Ρƒ ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚ΠΎΠ² с Π΄ΠΈΠ°Ρ€Π΅ΠΉΠ½Ρ‹ΠΌ синдромом Π² Ρ€Π°Π·Π»ΠΈΡ‡Π½Ρ‹Ρ… возрастных Π³Ρ€ΡƒΠΏΠΏΠ°Ρ… выявлСны достовСрныС различия Π² ΡƒΡ€ΠΎΠ²Π½Π΅ содСрТания IFN-Γ£ ΠΈ IL-8

    Microfluidic droplet platform for ultrahigh-throughput single-cell screening of biodiversity

    Get PDF
    Β© 2017, National Academy of Sciences. All rights reserved.Ultrahigh-throughput screening (uHTS) techniques can identify unique functionality from millions of variants. To mimic the natural selection mechanisms that occur by compartmentalization in vivo, we developed a technique based on single-cell encapsulation in droplets of a monodisperse microfluidic double water-in-oil-in-water emulsion (MDE). Biocompatible MDE enables in-droplet cultivation of different living species. The combination of droplet-generating machinery with FACS followed by next-generation sequencing and liquid chromatography-mass spectrometry analysis of the secretomes of encapsulated organisms yielded detailed genotype/phenotype descriptions. This platform was probed with uHTS for biocatalysts anchored to yeast with enrichment close to the theoretically calculated limit and cell-to-cell interactions. MDE-FACS allowed the identification of human butyrylcholinesterase mutants that undergo self-reactivation after inhibition by the organophosphorus agent paraoxon. The versatility of the platform allowed the identification of bacteria, including slow-growing oral microbiota species that suppress the growth of a common pathogen, Staphylococcus aureus, and predicted which genera were associated with inhibitory activity

    The Humanitarian and Social Sciences Faculty and The Priority National Project Β«EducationΒ»

    No full text
    • …
    corecore