190 research outputs found

    Anthropological methods of formation of university students’ spiritual and moral culture

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    Β© 2016 Kurbanov et al.The relevance of the study is reasoned by the increasing complexity of life activity in modern society, which results in distortion of the moral and value criteria and norms. The purpose of the article is to reveal anthropological methods of formation of university students’ spiritual and moral culture. The leading approach to the study is the anthropological approach allowing us to consider the spiritual and moral culture as an evolving set of moral and valuable position and special knowledge. The study involves 300 teachers, 500 students who have identified performance criteria of methods of formation of spiritual and moral culture. The main results of the study are to identify knowledge, motivation, activity-related methods of formation of spiritual and moral culture to ensure the inclusion in the content of education of teaching material about value relations, mandatory forms of culture; conjugation of ethical and professional standards of behavior on the basis of a single criterion of β€œethical - unethical” development of students’ capacity for moral target setting. The significance of these results is that the identified methods involve the willingness of teachers to dialogue, respect and understanding of students, building a living knowledge in the course of joint creative activities directed to sense and life creation; determine the development of civil harmony on the spiritual and moral values

    Π—Π½Π°Ρ‡Π΅Π½ΠΈΠ΅ ΠΏΡƒΡ€ΠΈΠ½ΠΎΠ²ΠΎΠ³ΠΎ ΠΎΠ±ΠΌΠ΅Π½Π° ΠΏΡ€ΠΈ Π±Ρ€ΠΎΠ½Ρ…ΠΈΠ°Π»ΡŒΠ½ΠΎΠΉ астмС

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    The work presents results of examination of 60 bronchial asthma (BA) patients. The uric acid (UA) blood concentration and its daily excretion were defined using the Zeyfirt-Muller method; lung function was tested using the "Spiroscop" device (Hungary). The researches revealed a close correlation between blood concentrations of the urinary acid and bronchial airflow rate; while the bronchial size reducing the correlation increased. This dependence allows to suppose a metabolic mechanism of BA development. Advantages of modified (low -purine diet and herbal mixture "Bronchodil") therapy were also noted in comparison with the typical basic therapy of BA. So, based on these data the purine metabolism is thought to have a pathogenic role in BA occurrence.Π’ Ρ€Π°Π±ΠΎΡ‚Π΅ приводятся Ρ€Π΅Π·ΡƒΠ»ΡŒΡ‚Π°Ρ‚Ρ‹ обслСдования 60 Π±ΠΎΠ»ΡŒΠ½Ρ‹Ρ… Π±Ρ€ΠΎΠ½Ρ…ΠΈΠ°Π»ΡŒΠ½ΠΎΠΉ астмой (БА). Π‘ΠΎΠ΄Π΅Ρ€ΠΆΠ°Π½ΠΈΠ΅ ΠΌΠΎΡ‡Π΅Π²ΠΎΠΉ кислоты (МК) Π² ΠΊΡ€ΠΎΠ²ΠΈ ΠΈ Π΅Π΅ суточная экскрСция ΠΎΠΏΡ€Π΅Π΄Π΅Π»ΡΠ»ΠΈΡΡŒ ΠΏΠΎ ΠΌΠ΅Ρ‚ΠΎΠ΄Ρƒ Π—Π΅ΠΉΡ„Π΅Ρ€Ρ‚Π°-ΠœΡŽΠ»Π»Π΅Ρ€Π°, Π° с ΠΏΠΎΠΌΠΎΡ‰ΡŒΡŽ Π°ΠΏΠΏΠ°Ρ€Π°Ρ‚Π° ''Spiroscop '' (ВСнгрия) ΠΎΠΏΡ€Π΅Π΄Π΅Π»ΡΠ»ΠΈΡΡŒ ΠΏΠΎΠΊΠ°Π·Π°Ρ‚Π΅Π»ΠΈ Ρ„ΡƒΠ½ΠΊΡ†ΠΈΠΈ внСшнСго дыхания. ИсслСдованиям ΠΈ Π±Ρ‹Π»Π° установлСна тСсная взаимосвязь содСрТания ΠΌΠΎΡ‡Π΅Π²ΠΎΠΉ кислоты Π² ΠΊΡ€ΠΎΠ²ΠΈ с ΠΏΡ€ΠΎΡ…ΠΎΠ΄ΠΈΠΌΠΎΡΡ‚ΡŒΡŽ Π±Ρ€ΠΎΠ½Ρ…ΠΎΠ² Ρ€Π°Π·Π»ΠΈΡ‡Π½Ρ‹Ρ… ΠΊΠ°Π»ΠΈΠ±Ρ€ΠΎΠ², Ρ‚. Π΅. с ΡƒΠΌΠ΅Π½ΡŒΡˆΠ΅Π½ΠΈΠ΅ΠΌ ΠΊΠ°Π»ΠΈΠ±Ρ€Π° Π±Ρ€ΠΎΠ½Ρ…ΠΎΠ² ΡΡ‚Π΅ΠΏΠ΅Π½ΡŒ взаимосвязи возрастаСт. УстановлСнная Π·Π°Π²ΠΈΡΠΈΠΌΠΎΡΡ‚ΡŒ позволяСт ΠΏΡ€Π΅Π΄ΠΏΠΎΠ»Π°Π³Π°Ρ‚ΡŒ мСтаболичСский ΠΌΠ΅Ρ…Π°Π½ΠΈΠ·ΠΌ развития эндогСнной БА. Π’Π°ΠΊΠΆΠ΅ установлСно прСимущСством ΠΎΠ΄ΠΈΡ„ΠΈΡ†ΠΈΡ€ΠΎΠ²Π°Π½Π½ΠΎΠΉ (гипопуриновая Π΄ΠΈΠ΅Ρ‚Π° ΠΈ Ρ„ΠΈΡ‚ΠΎΡΠΌΠ΅ΡΡŒ "Π‘Ρ€ΠΎΠ½Ρ…ΠΎΠ΄ΠΈΠ»") Ρ‚Π΅Ρ€Π°ΠΏΠΈΠΈ ΠΏΠΎ ΡΡ€Π°Π²Π½Π΅Π½ΠΈΡŽ с базисной

    Prediction of clinical course in patients with diffuse coronary artery disease after coronary bypass surgery

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    Aim. To determine the incidence, predictors and develop a model for long-term risk stratification of ischemic events in patients with coronary artery disease after coronary bypass surgery.MaterialΒ andΒ methods. This retrospective study of the clinical course in patients with diffuse coronary artery disease (CAD) after coronary endarterectomy and bypass grafting surgery. A total of 232 patients were included, while long-term outcomes were assessed in 202 patients. Among them, complete data on clinical status were obtained from survivors (n=191). The median follow-up was 60 (interquartile range, 42; 74) months, while the minimum follow-up β€” 12 months, the maximum was 96 months. The primary composite endpoint reflecting the unfavorable course of CAD included coronary ischemic events (recurrent angina, myocardial infarction, repeat revascularization), while secondary endpoint β€” allcause mortality. The factors influencing the development of primary and secondary endpoints were studied.Results. An unfavorable CAD course was diagnosed in 39 patients (20,4%), while 11 deaths were recorded (5,4%). Univariate analysis demonstrated a significant role of prior myocardial infarction in the increase in mortality rate (p=0,029). Among the factors influencing the CAD course, no significant differences were obtained for any of them. A multivariate analysis was performed to identify a high-risk group for an unfavorable course of diffuse CAD. Independent predictors were identified, the most significant contribution of which was made by multifocal atherosclerosis (odds ratio (OR)=1,99, 95% confidence interval (CI), 0,93-4,21, p=0,072), low adherence to secondary prevention measures (OR=2,21, 95% CI, 0,86-6,89, p=0,128) and diabetes (OR=1,73, 95% CI, 0,79-3,72, p=0,162). Using the results obtained, a prognostic model with high specificity (64%) and moderate sensitivity (53%) was created.Conclusion. The highest probability of an unfavorable long-term course of diffuse CAD was noted in patients with diabetes, multifocal atherosclerosis, and low adherence to secondary prevention measures. The obtained results make it possible to identify a high-risk group in this cohort of patients, determine the reserve of secondary prevention measures and a direction of actions to improve outcomes

    Novel SMAC-mimetics synergistically stimulate melanoma cell death in combination with TRAIL and Bortezomib

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    BACKGROUND: XIAP (X-linked inhibitor of apoptosis protein) is an anti-apoptotic protein exerting its activity by binding and suppressing caspases. As XIAP is overexpressed in several tumours, in which it apparently contributes to chemoresistance, and because its activity in vivo is antagonised by second mitochondria-derived activator of caspase (SMAC)/direct inhibitor of apoptosis-binding protein with low pI, small molecules mimicking SMAC (so called SMAC-mimetics) can potentially overcome tumour resistance by promoting apoptosis. METHODS: Three homodimeric compounds were synthesised tethering a monomeric SMAC-mimetic with different linkers and their affinity binding for the baculoviral inhibitor repeats domains of XIAP measured by fluorescent polarisation assay. The apoptotic activity of these molecules, alone or in combination with tumour necrosis factor-related apoptosis-inducing ligand (TRAIL) and/or Bortezomib, was tested in melanoma cell lines by MTT viability assays and western blot analysis of activated caspases. RESULTS: We show that in melanoma cell lines, which are typically resistant to chemotherapeutic agents, XIAP knock-down sensitises cells to TRAIL treatment in vitro, also favouring the accumulation of cleaved caspase-8. We also describe a new series of 4-substituted azabicyclo[5.3.0] alkane monomeric and dimeric SMAC-mimetics that target various members of the IAP family and powerfully synergise at submicromolar concentrations with TRAIL in inducing cell death. Finally, we show that the simultaneous administration of newly developed SMAC-mimetics with Bortezomib potently triggers apoptosis in a melanoma cell line resistant to the combined effect of SMAC-mimetics and TRAIL. CONCLUSION: Hence, the newly developed SMAC-mimetics effectively synergise with TRAIL and Bortezomib in inducing cell death. These findings warrant further preclinical studies in vivo to verify the anticancer effectiveness of the combination of these agents

    ГСматологичСскиС ΠΏΠΎΠΊΠ°Π·Π°Ρ‚Π΅Π»ΠΈ ΠΊΡ€ΡƒΠΏΠ½ΠΎΠ³ΠΎ Ρ€ΠΎΠ³Π°Ρ‚ΠΎΠ³ΠΎ скота ΠΏΡ€ΠΈ ΠΏΠ°Ρ€Π°Π·ΠΈΡ‚Π°Ρ€Π½Ρ‹Ρ… Π΄Π΅Ρ€ΠΌΠ°Ρ‚ΠΈΡ‚Π°Ρ…

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    The purpose of the research is study of the animal's body clinical status and changes in hematological parameters beforeΒ and after treatment against sarcoptoidosis of cattle.Β Materials and methods. The experiment was performed on bull calves and heifers aged 6–10 months, medium finish, ofΒ 100–120 kg of body weight. The test animals were divided into three groups: two test groups and one control group of 15Β animals each. Before the experiment and at 7, 14 and 21 days after treatment with acaricides, scrapings from the affectedΒ skin and blood were taken from animals of all groups for research. The first test group animals were treated with ivermectinΒ subcutaneously at a dose of 5 ml per animal, and the second test group was treated with cydectin subcutaneously at a doseΒ of 5 ml per animal. The control animals were not treated.Β Results and discussion. The conducted hematological studies found a decrease in erythrocytes and hemoglobin inΒ sarcoptoidosis, which indicated a decrease in oxygen supply to the body, and, consequently, organs and tissues. The whiteΒ blood cell differential was observed to have a noticeable decrease in monocytes and lymphocytes.ЦСль исслСдований: ΠΈΠ·ΡƒΡ‡Π΅Π½ΠΈΠ΅ клиничСского статуса ΠΎΡ€Π³Π°Π½ΠΈΠ·ΠΌΠ° ΠΆΠΈΠ²ΠΎΡ‚Π½ΠΎΠ³ΠΎ, ΠΈΠ·ΠΌΠ΅Π½Π΅Π½ΠΈΠΉ гСматологичСских ΠΏΠΎΠΊΠ°Π·Π°Ρ‚Π΅Π»Π΅ΠΉ Π΄ΠΎ примСнСния ΠΈ послС лСчСния ΠΏΡ€ΠΈ саркоптоидозах ΠΊΡ€ΡƒΠΏΠ½ΠΎΠ³ΠΎ Ρ€ΠΎΠ³Π°Ρ‚ΠΎΠ³ΠΎ скота.ΠœΠ°Ρ‚Π΅Ρ€ΠΈΠ°Π»Ρ‹ ΠΈ ΠΌΠ΅Ρ‚ΠΎΠ΄Ρ‹. ΠžΠΏΡ‹Ρ‚ ΠΏΡ€ΠΎΠ²ΠΎΠ΄ΠΈΠ»ΠΈ Π½Π° Π±Ρ‹Ρ‡ΠΊΠ°Ρ… ΠΈ Ρ‚Π΅Π»ΠΎΡ‡ΠΊΠ°Ρ… Π² возрастС 6–10 мСс., срСднСй упитанности, Тивой массой 100–120 ΠΊΠ³. ΠŸΠΎΠ΄ΠΎΠΏΡ‹Ρ‚Π½Ρ‹Ρ… ΠΆΠΈΠ²ΠΎΡ‚Π½Ρ‹Ρ… Ρ€Π°Π·Π΄Π΅Π»ΠΈΠ»ΠΈ Π½Π° Ρ‚Ρ€ΠΈ Π³Ρ€ΡƒΠΏΠΏΡ‹: Π΄Π²Π΅ ΠΎΠΏΡ‹Ρ‚Π½Ρ‹Π΅ ΠΈ ΠΎΠ΄Π½Ρƒ ΠΊΠΎΠ½Ρ‚Ρ€ΠΎΠ»ΡŒΠ½ΡƒΡŽ ΠΏΠΎ 15 Π³ΠΎΠ»ΠΎΠ² Π²Β ΠΊΠ°ΠΆΠ΄ΠΎΠΉ. Π”ΠΎ ΠΎΠΏΡ‹Ρ‚Π° ΠΈ Ρ‡Π΅Ρ€Π΅Π· 7, 14 ΠΈ 21 сут послС ΠΎΠ±Ρ€Π°Π±ΠΎΡ‚ΠΊΠΈ Π°ΠΊΠ°Ρ€ΠΈΡ†ΠΈΠ΄Π½Ρ‹ΠΌΠΈ ΠΏΡ€Π΅ΠΏΠ°Ρ€Π°Ρ‚Π°ΠΌΠΈ Ρƒ ΠΆΠΈΠ²ΠΎΡ‚Π½Ρ‹Ρ… всСх Π³Ρ€ΡƒΠΏΠΏ брали соскобы с ΠΏΠΎΡ€Π°ΠΆΠ΅Π½Π½Ρ‹Ρ… участков ΠΊΠΎΠΆΠ½ΠΎΠ³ΠΎ ΠΏΠΎΠΊΡ€ΠΎΠ²Π° ΠΈ ΠΊΡ€ΠΎΠ²ΡŒ для исслСдования. Π–ΠΈΠ²ΠΎΡ‚Π½Ρ‹Π΅ ΠΏΠ΅Ρ€Π²ΠΎΠΉ ΠΎΠΏΡ‹Ρ‚Π½ΠΎΠΉ Π³Ρ€ΡƒΠΏΠΏΡ‹Β Π±Ρ‹Π»ΠΈ ΠΎΠ±Ρ€Π°Π±ΠΎΡ‚Π°Π½Ρ‹ ΠΈΠ²Π΅Ρ€ΠΌΠ΅ΠΊΡ‚ΠΈΠ½ΠΎΠΌ ΠΏΠΎΠ΄ΠΊΠΎΠΆΠ½ΠΎ Π² ΠΎΠ±Π»Π°ΡΡ‚ΡŒ ΠΏΡ€Π΅Π΄ΠΏΠ»Π΅Ρ‡ΡŒΡ Π² Π΄ΠΎΠ·Π΅ ΠΈΠ· расчСта 5 ΠΌΠ» Π½Π° ΠΆΠΈΠ²ΠΎΡ‚Π½ΠΎΠ΅, Π° Π²Ρ‚ΠΎΡ€ΠΎΠΉΒ ΠΎΠΏΡ‹Ρ‚Π½ΠΎΠΉ Π³Ρ€ΡƒΠΏΠΏΡ‹ – Ρ†ΠΈΠ΄Π΅ΠΊΡ‚ΠΈΠ½ΠΎΠΌ ΠΏΠΎΠ΄ΠΊΠΎΠΆΠ½ΠΎ Π² Π΄ΠΎΠ·Π΅ ΠΈΠ· расчСта 5 ΠΌΠ» Π½Π° ΠΆΠΈΠ²ΠΎΡ‚Π½ΠΎΠ΅ Π² ΠΎΠ±Π»Π°ΡΡ‚ΡŒ ΠΏΡ€Π΅Π΄ΠΏΠ»Π΅Ρ‡ΡŒΡ. Π–ΠΈΠ²ΠΎΡ‚Π½Ρ‹Ρ… ΠΊΠΎΠ½Ρ‚Ρ€ΠΎΠ»ΡŒΠ½ΠΎΠΉ Π³Ρ€ΡƒΠΏΠΏΡ‹ Π½Π΅ ΠΎΠ±Ρ€Π°Π±Π°Ρ‚Ρ‹Π²Π°Π»ΠΈ.Β Π Π΅Π·ΡƒΠ»ΡŒΡ‚Π°Ρ‚Ρ‹ ΠΈ обсуТдСниС. Π’ процСссС ΠΏΡ€ΠΎΠ²Π΅Π΄Π΅Π½Π½Ρ‹Ρ… гСматологичСских исслСдований Π±Ρ‹Π»ΠΎ установлСно сниТСниС количСства эритроцитов ΠΈ Π³Π΅ΠΌΠΎΠ³Π»ΠΎΠ±ΠΈΠ½Π° ΠΏΡ€ΠΈ саркоптоидозах, Ρ‡Ρ‚ΠΎ ΡΠ²ΠΈΠ΄Π΅Ρ‚Π΅Π»ΡŒΡΡ‚Π²ΠΎΠ²Π°Π»ΠΎ ΠΎ сниТСнии поступлСния кислорода Π² ΠΎΡ€Π³Π°Π½ΠΈΠ·ΠΌ, Π°, ΡΠ»Π΅Π΄ΠΎΠ²Π°Ρ‚Π΅Π»ΡŒΠ½ΠΎ, ΠΈ Π² ΠΎΡ€Π³Π°Π½Ρ‹ ΠΈ Ρ‚ΠΊΠ°Π½ΠΈ. Π’ Π»Π΅ΠΉΠΊΠΎΡ†ΠΈΡ‚Π°Ρ€Π½ΠΎΠΉ Ρ„ΠΎΡ€ΠΌΡƒΠ»Π΅ наблюдали Π·Π°ΠΌΠ΅Ρ‚Π½ΠΎΠ΅ сниТСниС числа ΠΌΠΎΠ½ΠΎΡ†ΠΈΡ‚ΠΎΠ² ΠΈ Π»ΠΈΠΌΡ„ΠΎΡ†ΠΈΡ‚ΠΎΠ²

    Electronic properties and phase transitions in low-dimensional semiconductors

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    We present the first review of the current state of the literature on electronic properties and phase transitions in TlX and TlMX2 (M = Ga, In; X = Se, S, Te) compounds. These chalcogenides belong to a family of the low-dimensional semiconductors possessing chain or layered structure. They are of significant interest because of their highly anisotropic properties, semi- and photoconductivity, non-linear effects in their I-V characteristics (including a region of negative differential resistance), switching and memory effects, second harmonic optical generation, relaxor behavior and potential applications for optoelectronic devices. We review the crystal structure of TlX and TlMX2 compounds, their transport properties under ambient conditions, experimental and theoretical studies of the electronic structure, transport properties and semiconductor-metal phase transitions under high pressure, and sequences of temperature-induced structural phase transitions with intermediate incommensurate states. Electronic nature of the ferroelectric phase transitions in the above-mentioned compounds, as well as relaxor behavior, nanodomains and possible occurrence of quantum dots in doped and irradiated crystals is discussed.Comment: 70 pages, 38 figure

    Possibilities of rehabilitation after interruption of undeveloped pregnancy: complex impact of low-frequency ultrasonic cavitation and peloidotherapy on the state of cytokine status

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    The aim of the study was to evaluate the effectiveness of the combined effect of ultrasonic cavitation irrigation of the uterine cavity and peloid dyspnea with hyposulfitic mud on the change in the level of proinflammatory cytokines in women after the interruption of an undeveloped pregnancy. 80 women were included in the study after the interruption of an undeveloped pregnancy in a period of up to 12 weeks. In the complex of therapy, the patients underwent cavitation ultrasonic irrigation of the uterine cavity with 0.05% chlorhexidine solution in combination with the rectal administration of mud tampons and applications to the "panties" zone. Using the method of ultrasonic cavitation irrigation of the uterine cavity in combination with peloidotherapy in women with regressing pregnancy leads to a decrease in the level of primary mediators of the inflammatory response.In the group using only standard therapy, no significant reduction was observed.ЦСлью исслСдования явилось ΠΎΡ†Π΅Π½ΠΈΡ‚ΡŒ ΡΡ„Ρ„Π΅ΠΊΡ‚ΠΈΠ²Π½ΠΎΡΡ‚ΡŒ комплСксного воздСйствия ΡƒΠ»ΡŒΡ‚Ρ€Π°Π·Π²ΡƒΠΊΠΎΠ²ΠΎΠ³ΠΎ ΠΊΠ°Π²ΠΈΡ‚Π°Ρ†ΠΈΠΎΠ½Π½ΠΎΠ³ΠΎ ΠΎΡ€ΠΎΡˆΠ΅Π½ΠΈΡ полости ΠΌΠ°Ρ‚ΠΊΠΈ ΠΈ ΠΏΠ΅Π»ΠΎΠΈΠ΄ΠΎΡ‚Π΅Ρ€ΠΏΠ°ΠΏΠΈΠΈ Π³ΠΈΠΏΠΎΡΡƒΠ»ΡŒΡ„ΠΈΡ‚Π½Ρ‹ΠΌΠΈ грязями Π½Π° ΠΈΠ·ΠΌΠ΅Π½Π΅Π½ΠΈΠ΅ уровня ΠΏΡ€ΠΎΠ²ΠΎΡΠΏΠ°Π»ΠΈΡ‚Π΅Π»ΡŒΠ½Ρ‹Ρ… Ρ†ΠΈΡ‚ΠΎΠΊΠΈΠ½ΠΎΠ² Ρƒ ΠΆΠ΅Π½Ρ‰ΠΈΠ½ послС прСрывания Π½Π΅Ρ€Π°Π·Π²ΠΈΠ²Π°ΡŽΡ‰Π΅ΠΉΡΡ бСрСмСнности. Π’ исслСдованиС Π²ΠΊΠ»ΡŽΡ‡Π΅Π½Ρ‹ 80 ΠΆΠ΅Π½Ρ‰ΠΈΠ½ послС прСрывания Π½Π΅Ρ€Π°Π·Π²ΠΈΠ²Π°ΡŽΡ‰Π΅ΠΉΡΡ бСрСмСнности Π² срокС Π΄ΠΎ 12 нСдСль. Π’ комплСксС Ρ‚Π΅Ρ€Π°ΠΏΠΈΠΈ ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚ΠΊΠ°ΠΌ ΠΏΡ€ΠΎΠ²ΠΎΠ΄ΠΈΠ»ΠΎΡΡŒ ΠΊΠ°Π²ΠΈΡ‚Π°Ρ†ΠΈΠΎΠ½Π½ΠΎΠ΅ ΡƒΠ»ΡŒΡ‚Ρ€Π°Π·Π²ΡƒΠΊΠΎΠ²ΠΎΠ΅ ΠΎΡ€ΠΎΡˆΠ΅Π½ΠΈΠ΅ полости ΠΌΠ°Ρ‚ΠΊΠΈ 0,05 % раствором хлоргСксидина посрСдством Π°ΠΏΠΏΠ°Ρ€Π°Ρ‚Π° Π€ΠΎΡ‚Π΅ΠΊ сСрии Π°ΠΊ100 Π² сочСтании с Ρ€Π΅ΠΊΡ‚Π°Π»ΡŒΠ½Ρ‹ΠΌ Π²Π²Π΅Π΄Π΅Π½ΠΈΠ΅ΠΌ грязСвых Ρ‚Π°ΠΌΠΏΠΎΠ½ΠΎΠ² ΠΈ Π°ΠΏΠΏΠ»ΠΈΠΊΠ°Ρ†ΠΈΠΉ Π½Π° Π·ΠΎΠ½Ρƒ «трусиков». ИспользованиС ΠΌΠ΅Ρ‚ΠΎΠ΄Π° ΡƒΠ»ΡŒΡ‚Ρ€Π°Π·Π²ΡƒΠΊΠΎΠ²ΠΎΠ³ΠΎ ΠΊΠ°Π²ΠΈΡ‚Π°Ρ†ΠΈΠΎΠ½Π½ΠΎΠ³ΠΎ ΠΎΡ€ΠΎΡˆΠ΅Π½ΠΈΡ полости ΠΌΠ°Ρ‚ΠΊΠΈ Π² ΠΊΠΎΠΌΠ±ΠΈΠ½Π°Ρ†ΠΈΠΈ с ΠΏΠ΅Π»ΠΎΠΈΠ΄Π΅Ρ‚Π΅Ρ€Π°ΠΏΠΈΠ΅ΠΉ Ρƒ ΠΆΠ΅Π½Ρ‰ΠΈΠ½ послС прСрывания Ρ€Π΅Π³Ρ€Π΅ΡΡΠΈΡ€ΡƒΡŽΡ‰Π΅ΠΉ бСрСмСнности ΠΏΡ€ΠΈΠ²ΠΎΠ΄ΠΈΡ‚ ΠΊ достовСрному сниТСнию уровня ΠΏΠ΅Ρ€Π²ΠΈΡ‡Π½Ρ‹Ρ… ΠΌΠ΅Π΄ΠΈΠ°Ρ‚ΠΎΡ€ΠΎΠ² Π²ΠΎΡΠΏΠ°Π»ΠΈΡ‚Π΅Π»ΡŒΠ½ΠΎΠ³ΠΎ ΠΎΡ‚Π²Π΅Ρ‚Π°. Π’ Π³Ρ€ΡƒΠΏΠΏΠ΅ с использованиСм Ρ‚ΠΎΠ»ΡŒΠΊΠΎ стандартной Ρ‚Π΅Ρ€Π°ΠΏΠΈΠΈ Π·Π½Π°Ρ‡ΠΈΡ‚Π΅Π»ΡŒΠ½ΠΎΠ³ΠΎ сниТСния Π½Π΅ наблюдалось

    Hepatitis B virus genotypes/subgenotypes in voluntary blood donors in Makassar, South Sulawesi, Indonesia

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    <p>Abstract</p> <p>Background</p> <p>Hepatitis B virus (HBV) genotype appears to show varying geographic distribution. Molecular epidemiological study of HBV in particular areas in Indonesia is still limited. This study was aimed to identify the prevalence of HBV genotype/subgenotype and mutations in basal core promoter (BCP) region in voluntary blood donors in Makassar, one of the biggest cities in east part of Indonesia.</p> <p>A total of 214 hepatitis B surface antigen (HBsAg)-positive samples were enrolled in this study. HBV genotype/subgenotype was identified by genotype-specific PCR method or direct sequencing of pre-S region. Mutations in BCP were identified by direct sequencing of the corresponding region.</p> <p>Results</p> <p>HBV/B and HBV/C were detected in 61.21% and 25.23% of the samples, while mix of HBV/B and HBV/C was found in 12.62% of the samples. Based on pre-S region, among HBV/B and HBV/C, HBV/B3 (95.00%) and HBV/C1 (58.82%) were predominant. Interestingly, HBV/D was identified in two samples (22.165.07 and 22.252.07). Complete genome sequences of two HBV/D strains (22.165.07 and 22.252.07) demonstrated that both strains belong to HBV/D6, and the divergence between the two strains were 1.45%, while divergences of both 22.165.07 and 22.252.07 strains with reference strain (<ext-link ext-link-id="AM422939" ext-link-type="gen">AM422939</ext-link>/France) were 2.67%. A1762T/G1764A mutation was observed in 1.96% and 5.36%, whereas T1753V mutation was found in 2.94% and 1.79% of HBV/B and HBV/C, respectively.</p> <p>Conclusion</p> <p>HBV/B and HBV/C are dominant in Makassar, similar to most areas in Indonesia. Mutations in BCP which might be associated with severity of liver disease are less common.</p

    КомплСксноС ΠΏΡ€ΠΈΠΌΠ΅Π½Π΅Π½ΠΈΠ΅ ΠΌΠ΅Ρ‚ΠΎΠ΄ΠΎΠ² Π»ΡƒΡ‡Π΅Π²ΠΎΠΉ диагностики Ρƒ ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚ΠΊΠΈ с мноТСствСнной ΠΌΠΈΠ΅Π»ΠΎΠΌΠΎΠΉ (клиничСскоС наблюдСниС)

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    The article presents the possibilities of the complex application of methods of radiation diagnostics: bone x-ray, dual-energy X-ray absorptiometry, computed tomography, positron emission tomography combined with computed tomography using fluorodeoxyglucose labeled with 18-fluorine (PET/CT with 18F-FDG) in a patient with multiple myeloma, which was treated in the amount of high-dose therapy with autologous transplantation of hematopoietic stem cells. The diagnosis was established immunohistochemically. The use of these methods allowed us to dynamically assess the pathological changes characteristic of multiple myeloma.Π’ ΡΡ‚Π°Ρ‚ΡŒΠ΅ прСдставлСны возмоТности комплСксного примСнСния ΠΌΠ΅Ρ‚ΠΎΠ΄ΠΎΠ² Π»ΡƒΡ‡Π΅Π²ΠΎΠΉ диагностики: Ρ€Π΅Π½Ρ‚Π³Π΅Π½ΠΎΠ³Ρ€Π°Ρ„ΠΈΠΈ костСй, двухэнСргСтичСской рСнтгСновской абсорбциомСтрии (ДРА), ΠΊΠΎΠΌΠΏΡŒΡŽΡ‚Π΅Ρ€Π½ΠΎΠΉ Ρ‚ΠΎΠΌΠΎΠ³Ρ€Π°Ρ„ΠΈΠΈ (КВ), ΠΏΠΎΠ·ΠΈΡ‚Ρ€ΠΎΠ½Π½ΠΎ-эмиссионной Ρ‚ΠΎΠΌΠΎΠ³Ρ€Π°Ρ„ΠΈΠΈ, совмСщСнной с ΠΊΠΎΠΌΠΏΡŒΡŽΡ‚Π΅Ρ€Π½ΠΎΠΉ Ρ‚ΠΎΠΌΠΎΠ³Ρ€Π°Ρ„ΠΈΠ΅ΠΉ c ΠΏΡ€ΠΈΠΌΠ΅Π½Π΅Π½ΠΈΠ΅ΠΌ Ρ„Ρ‚ΠΎΡ€Π΄Π΅Π·ΠΎΠΊΡΠΈΠ³Π»ΡŽΠΊΠΎΠ·Ρ‹, ΠΌΠ΅Ρ‡Π΅Π½Π½ΠΎΠΉ 18-Ρ„Ρ‚ΠΎΡ€ΠΎΠΌ (ПЭВ/КВ с18F-Π€Π”Π“), Ρƒ ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚ΠΊΠΈ с мноТСствСнной ΠΌΠΈΠ΅Π»ΠΎΠΌΠΎΠΉ, ΠΊΠΎΡ‚ΠΎΡ€ΠΎΠΉ ΠΏΡ€ΠΎΠ²ΠΎΠ΄ΠΈΠ»ΠΎΡΡŒ Π»Π΅Ρ‡Π΅Π½ΠΈΠ΅ Π² объСмС высокодозной Ρ…ΠΈΠΌΠΈΠΎΡ‚Π΅Ρ€Π°ΠΏΠΈΠΈ (Π’Π”Π’Π₯) с ΠΏΠΎΡΠ»Π΅Π΄ΡƒΡŽΡ‰Π΅ΠΉ аутотрансплантациСй гСмопоэтичСских стволовых ΠΊΠ»Π΅Ρ‚ΠΎΠΊ (Π°ΡƒΡ‚ΠΎΠ’Π“Π‘Πš). Π”ΠΈΠ°Π³Π½ΠΎΠ· Π±Ρ‹Π» установлСн иммуногистохимичСски. ΠŸΡ€ΠΈΠΌΠ΅Π½Π΅Π½ΠΈΠ΅ этих ΠΌΠ΅Ρ‚ΠΎΠ΄ΠΎΠ² ΠΏΠΎΠ·Π²ΠΎΠ»ΠΈΠ»ΠΎ Π² Π΄ΠΈΠ½Π°ΠΌΠΈΠΊΠ΅ ΠΎΡ†Π΅Π½ΠΈΡ‚ΡŒ патологичСскиС измСнСния, Ρ…Π°Ρ€Π°ΠΊΡ‚Π΅Ρ€Π½Ρ‹Π΅ для мноТСствСнной ΠΌΠΈΠ΅Π»ΠΎΠΌΡ‹

    Риск развития ΠΊΡ€ΠΎΠ²ΠΎΡ‚Π΅Ρ‡Π΅Π½ΠΈΠΉ, Ρ‚Ρ€Π΅Π±ΡƒΡŽΡ‰ΠΈΡ… гСмотрансфузии, послС транскатСтСрной ΠΈΠΌΠΏΠ»Π°Π½Ρ‚Π°Ρ†ΠΈΠΈ Π°ΠΎΡ€Ρ‚Π°Π»ΡŒΠ½ΠΎΠ³ΠΎ ΠΊΠ»Π°ΠΏΠ°Π½Π° Ρƒ ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚ΠΎΠ² с ΡΠΎΠΏΡƒΡ‚ΡΡ‚Π²ΡƒΡŽΡ‰Π΅ΠΉ ΠΈΡˆΠ΅ΠΌΠΈΡ‡Π΅ΡΠΊΠΎΠΉ болСзнью сСрдца

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    Introduction. Perioperative bleeding is a potentially life-threatening complication of surgical intervention. The incidence of perioperative bleeding during transcatheter aortic valve implantation (TAVI) reaches 6%. An increased risk of perioperative bleeding is noted in patients requiring constant antiplatelet therapy, which includes patients with concomitant coronary artery disease (CAD).Aim. The study of risk factors of bleeding, which require blood transfusion in candidates for TAVI with concomitant CAD.Materials and methods. A retrospective study. The patients with concomitant CAD who underwent TAVI from 2016 to 2021 with hemodynamically significant coronary artery stenosis (n = 270) were included in this study. The incidence of early postoperative bleeding requiring blood transfusions was analyzed. Risk factors of bleeding development were evaluated.Results. The average age of the patients was 77.7 Β± 7.2 years, the number of male and female patients was comparable (45.9 and 54.1%).The majority of patients were diagnosed with chronic heart failure (90.4%), more than half of the patients suffered from pulmonary hypertension (51.9%). The incidence of bleeding that required blood transfusion was 9.3%. The risk factors of the bleeding were dual antiplatelet therapy, baseline anemia (hemoglobin less than 120 g/l), history of stroke, chronic renal failure and critical aortic stenosis. The risk factors were included in the predictive model.Conclusion. Bleeding requiring blood transfusion in patients with severe aortic stenosis and CAD after TAVR occurs in 9.3%. It can be partially predicted using the predictive model. The using of the predictive model may be useful in determining the predominant risk of thrombotic or bleeding events after surgery.Π’Π²Π΅Π΄Π΅Π½ΠΈΠ΅. ΠŸΠ΅Ρ€ΠΈΠΎΠΏΠ΅Ρ€Π°Ρ†ΠΈΠΎΠ½Π½ΠΎΠ΅ ΠΊΡ€ΠΎΠ²ΠΎΡ‚Π΅Ρ‡Π΅Π½ΠΈΠ΅ являСтся ΠΏΠΎΡ‚Π΅Π½Ρ†ΠΈΠ°Π»ΡŒΠ½ΠΎ ΠΆΠΈΠ·Π½Π΅ΡƒΠ³Ρ€ΠΎΠΆΠ°ΡŽΡ‰ΠΈΠΌ ослоТнСниСм хирургичСского Π²ΠΌΠ΅ΡˆΠ°Ρ‚Π΅Π»ΡŒΡΡ‚Π²Π°.Π’ΡΡ‚Ρ€Π΅Ρ‡Π°Π΅ΠΌΠΎΡΡ‚ΡŒ ΠΏΠ΅Ρ€ΠΈΠΎΠΏΠ΅Ρ€Π°Ρ†ΠΈΠΎΠ½Π½Ρ‹Ρ… ΠΊΡ€ΠΎΠ²ΠΎΡ‚Π΅Ρ‡Π΅Π½ΠΈΠΉ ΠΏΡ€ΠΈ транскатСтСрной ΠΈΠΌΠΏΠ»Π°Π½Ρ‚Π°Ρ†ΠΈΠΈ Π°ΠΎΡ€Ρ‚Π°Π»ΡŒΠ½ΠΎΠ³ΠΎ ΠΊΠ»Π°ΠΏΠ°Π½Π° (ВИАК) достигаСт 6%. ΠŸΠΎΠ²Ρ‹ΡˆΠ΅Π½Π½Ρ‹ΠΉ риск развития ΠΏΠ΅Ρ€ΠΈΠΎΠΏΠ΅Ρ€Π°Ρ†ΠΈΠΎΠ½Π½Ρ‹Ρ… ΠΊΡ€ΠΎΠ²ΠΎΡ‚Π΅Ρ‡Π΅Π½ΠΈΠΉ отмСчаСтся Ρƒ ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚ΠΎΠ², Ρ‚Ρ€Π΅Π±ΡƒΡŽΡ‰ΠΈΡ… постоянной Π°Π½Ρ‚ΠΈΠ°Π³Ρ€Π΅Π³Π°Π½Ρ‚Π½ΠΎΠΉ Ρ‚Π΅Ρ€Π°ΠΏΠΈΠΈ, ΠΊ ΠΊΠΎΡ‚ΠΎΡ€ΠΎΠΉ относятся ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚Ρ‹ с ΡΠΎΠΏΡƒΡ‚ΡΡ‚Π²ΡƒΡŽΡ‰Π΅ΠΉ ΠΈΡˆΠ΅ΠΌΠΈΡ‡Π΅ΡΠΊΠΎΠΉ болСзнью сСрдца (Π˜Π‘Π‘).ЦСль. Π˜Π·ΡƒΡ‡ΠΈΡ‚ΡŒ Ρ„Π°ΠΊΡ‚ΠΎΡ€Ρ‹ риска развития ΠΊΡ€ΠΎΠ²ΠΎΡ‚Π΅Ρ‡Π΅Π½ΠΈΠΉ, Ρ‚Ρ€Π΅Π±ΡƒΡŽΡ‰ΠΈΡ… гСмотрансфузии, Ρƒ ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚ΠΎΠ², госпитализированных для провСдСния ВИАК, ΠΏΡ€ΠΈ ΡΠΎΠΏΡƒΡ‚ΡΡ‚Π²ΡƒΡŽΡ‰Π΅ΠΉ Π˜Π‘Π‘.ΠœΠ°Ρ‚Π΅Ρ€ΠΈΠ°Π»Ρ‹ ΠΈ ΠΌΠ΅Ρ‚ΠΎΠ΄Ρ‹. ΠŸΡ€ΠΎΠ²Π΅Π΄Π΅Π½ΠΎ рСтроспСктивноС исслСдованиС. РассмотрСны ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚Ρ‹, ΠΏΠ΅Ρ€Π΅Π½Π΅ΡΡˆΠΈΠ΅ ВИАК Π² ΠΏΠ΅Ρ€ΠΈΠΎΠ΄ с 2016 ΠΏΠΎ 2021 Π³., ΠΏΡ€ΠΈ ΡΠΎΠΏΡƒΡ‚ΡΡ‚Π²ΡƒΡŽΡ‰Π΅ΠΉ Π˜Π‘Π‘ с гСмодинамичСски Π·Π½Π°Ρ‡ΠΈΠΌΡ‹ΠΌ ΠΏΠΎΡ€Π°ΠΆΠ΅Π½ΠΈΠ΅ΠΌ ΠΊΠΎΡ€ΠΎΠ½Π°Ρ€Π½Ρ‹Ρ… Π°Ρ€Ρ‚Π΅Ρ€ΠΈΠΉ (n = 270). Π˜Π·ΡƒΡ‡Π΅Π½Π° частота развития Ρ€Π°Π½Π½ΠΈΡ… послСопСрационных ΠΊΡ€ΠΎΠ²ΠΎΡ‚Π΅Ρ‡Π΅Π½ΠΈΠΉ, Ρ‚Ρ€Π΅Π±ΡƒΡŽΡ‰ΠΈΡ… провСдСния гСмотрансфузий. Π’Ρ‹ΠΏΠΎΠ»Π½Π΅Π½Π° ΠΎΡ†Π΅Π½ΠΊΠ° Ρ„Π°ΠΊΡ‚ΠΎΡ€ΠΎΠ² риска развития ΠΊΡ€ΠΎΠ²ΠΎΡ‚Π΅Ρ‡Π΅Π½ΠΈΠΉ.Π Π΅Π·ΡƒΠ»ΡŒΡ‚Π°Ρ‚Ρ‹. Π‘Ρ€Π΅Π΄Π½ΠΈΠΉ возраст исслСдуСмых составил 77,7 Β± 7,2 Π³ΠΎΠ΄Π°, количСство ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚ΠΎΠ² муТского ΠΈ ТСнского ΠΏΠΎΠ»Π° Π±Ρ‹Π»ΠΎ сопоставимо – 45,9 ΠΈ 54,1%. Π£ Π±ΠΎΠ»ΡŒΡˆΠΈΠ½ΡΡ‚Π²Π° ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚ΠΎΠ² Π±Ρ‹Π»Π° диагностирована хроничСская сСрдСчная Π½Π΅Π΄ΠΎΡΡ‚Π°Ρ‚ΠΎΡ‡Π½ΠΎΡΡ‚ΡŒ (90,4%), Ρƒ ΠΏΠΎΠ»ΠΎΠ²ΠΈΠ½Ρ‹ – лСгочная гипСртСнзия (51,9%). Частота развития ΠΊΡ€ΠΎΠ²ΠΎΡ‚Π΅Ρ‡Π΅Π½ΠΈΠΉ, ΠΏΠΎΡ‚Ρ€Π΅Π±ΠΎΠ²Π°Π²ΡˆΠΈΡ… провСдСния гСмотрансфузии, составила 9,3%. ΠŸΠΎΠ²Ρ‹ΡˆΠ΅Π½ΠΈΠ΅ риска развития ΠΊΡ€ΠΎΠ²ΠΎΡ‚Π΅Ρ‡Π΅Π½ΠΈΠΉ, Ρ‚Ρ€Π΅Π±ΡƒΡŽΡ‰ΠΈΡ… гСмотрансфузии, ассоциировано с Π½Π°Π»ΠΈΡ‡ΠΈΠ΅ΠΌ ΡΠ»Π΅Π΄ΡƒΡŽΡ‰ΠΈΡ… Ρ„Π°ΠΊΡ‚ΠΎΡ€ΠΎΠ² риска: двойная антиагрСгантная тСрапия, исходная анСмия (Π³Π΅ΠΌΠΎΠ³Π»ΠΎΠ±ΠΈΠ½ ΠΌΠ΅Π½Π΅Π΅ 120 Π³/Π»), ΠΈΠ½ΡΡƒΠ»ΡŒΡ‚ Π² Π°Π½Π°ΠΌΠ½Π΅Π·Π΅, хроничСская почСчная Π½Π΅Π΄ΠΎΡΡ‚Π°Ρ‚ΠΎΡ‡Π½ΠΎΡΡ‚ΡŒ ΠΈ критичСский Π°ΠΎΡ€Ρ‚Π°Π»ΡŒΠ½Ρ‹ΠΉ стСноз. ΠŸΠΎΠ»ΡƒΡ‡Π΅Π½Π½Ρ‹Π΅ Ρ„Π°ΠΊΡ‚ΠΎΡ€Ρ‹ риска Π²ΠΊΠ»ΡŽΡ‡Π΅Π½Ρ‹ Π² ΠΏΡ€ΠΎΠ³Π½ΠΎΡΡ‚ΠΈΡ‡Π΅ΡΠΊΡƒΡŽ модСль.Π—Π°ΠΊΠ»ΡŽΡ‡Π΅Π½ΠΈΠ΅. Π£ 9,3% ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚ΠΎΠ² с тяТСлым Π°ΠΎΡ€Ρ‚Π°Π»ΡŒΠ½Ρ‹ΠΌ стСнозом ΠΈ ΡΠΎΠΏΡƒΡ‚ΡΡ‚Π²ΡƒΡŽΡ‰Π΅ΠΉ Π˜Π‘Π‘ ΠΏΡ€ΠΈ ΠΏΡ€ΠΎΠ²Π΅Π΄Π΅Π½ΠΈΠΈ ВИАК Ρ€Π°Π·Π²ΠΈΠ²Π°ΡŽΡ‚ΡΡ кровотСчСния, Ρ‚Ρ€Π΅Π±ΡƒΡŽΡ‰ΠΈΠ΅ гСмотрансфузии. Π Π°Π·Π²ΠΈΡ‚ΠΈΠ΅ кровотСчСния ΠΌΠΎΠΆΠ½ΠΎ частично ΡΠΏΡ€ΠΎΠ³Π½ΠΎΠ·ΠΈΡ€ΠΎΠ²Π°Ρ‚ΡŒ с ΠΏΠΎΠΌΠΎΡ‰ΡŒΡŽ ΠΏΡ€Π΅Π΄Π»ΠΎΠΆΠ΅Π½Π½ΠΎΠΉ Π² исслСдовании ΠΌΠΎΠ΄Π΅Π»ΠΈ. Π•Π΅ использованиС Π² клиничСской ΠΏΡ€Π°ΠΊΡ‚ΠΈΠΊΠ΅ ΠΌΠΎΠΆΠ΅Ρ‚ Π±Ρ‹Ρ‚ΡŒ ΠΏΠΎΠ»Π΅Π·Π½Ρ‹ΠΌ для опрСдСлСния ΠΏΡ€Π΅Π²Π°Π»ΠΈΡ€ΡƒΡŽΡ‰Π΅Π³ΠΎ риска тромботичСских ΠΈΠ»ΠΈ гСморрагичСских событий Π² послСопСрационном ΠΏΠ΅Ρ€ΠΈΠΎΠ΄Π΅
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