37 research outputs found

    High-sensitivity troponin I as a predictor of left ventricular dysfunction in the use of cardiotoxic anticancer agents for breast cancer in patients with predominantly low and moderate risk of cardiotoxicity

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    Aim. To study the significance of monitoring high-sensitivity troponin I (hs-cTnI) for predicting anthracycline-induced left ventricular (LV) dysfunction in the treatment of breast cancer in patients with moderate and low risk of cardiotoxicity (CT).Material and methods. The study involved 49 patients with breast cancer aged 50±10 years who underwent neoadjuvant or adjuvant chemotherapy, which included doxorubicin at a course dose of 60 mg/m2 and an average cumulative dose of 251±60 mg/m2. The level of hs-cTnI was determined by an ultrasensitive method before the start of chemotherapy, after each course of anthracyclines and in 18 patients before the administration of anthracyclines. The level of hscTnI >0,017 ng/ml was considered elevated. Echocardiography was performed before the start of chemotherapy, after the end of anthracycline therapy, and every 3 months for 12 months thereafter. CT was defined as a decrease in LV ejection fraction (EF) by ≄10% to <53%.Results. CT risk before chemotherapy was considered low and moderate in 96% of patients. An increase in hs-сTnI was detected ≄1 times in 56,8% of patients: before chemotherapy — in 13,5%, after 1 and 2 courses of anthracycline therapy — in 13,9%, after 3, 4, 5 and 6 courses — in 44%, 62%, 71% and 66% of patients, respectively. The levels of hs-cTnI before and after administration of anthracyclines did not differ significantly. The development of LV dysfunction was observed in 16,3% of patients. There were following prognostic significance of an increase in hs-cTnI at any time of chemotherapy for a decrease in LV EF: sensitivity — 87,5%, specificity — 50%, the positive predictive value — 28%, the negative predictive value — 94,7%. The closest relationship was noted between CT and hs-cTnI value before the start of chemotherapy (ÎČ=0,45, p=0,005) and after the 3rd course of anthracycline therapy (ÎČ=0,56, p=0,002).Conclusion. An increase in hs-cTnI level before and during anthracycline thera py in patients with a low risk of cardiotoxicity has a prognostic value in relation to the development of left ventricular dysfunction. Hs-cTnI assessment should be performed before the start of therapy, and then starting from the 3rd course of anthracycline therapy in all patients, regardless of the risk of cardiotoxicity

    Measurement of the mass difference m(D-s(+))-m(D+) at CDF II

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    We present a measurement of the mass difference m(D-s(+))-m(D+), where both the D-s(+) and D+ are reconstructed in the phipi(+) decay channel. This measurement uses 11.6 pb(-1) of data collected by CDF II using the new displaced-track trigger. The mass difference is found to be m(D-s(+))-m(D+)=99.41+/-0.38(stat)+/-0.21(syst) MeV/c(2)

    Group Report 4: Iron dynamics in terrestrial ecosystems in the Amur River basin

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    Our focus is to understand the spatial and temporal patterns and processes of biogeochemical iron transport from terrestrial ecosystem to river with special attention to the human impacts such as forest fire, land-use change and agricultural activities. Field monitoring of iron dynamics including stream water, soil water, and groundwater has been conducted from the upstream to downstream basin of Amur river in northeastern China and far-eastern Russia under tight collaboration with Chinese and Russian scientists and institutes. We found that the major source of dissolved iron from terrestrial system to river was mainly natural wetland which largely covered near the middle to lower region of Amur river basin. In upstream forested basin, dissolved iron in soil was mainly transported with dissolved organic carbon (DOC) rather than the forms of Fe(II) and Fe(III). The swamp forest and riparian zone near the stream channel was the important source area of iron due to the wet and anaerobic conditions which increase the DOC concentration and dissolved iron in soil and groundwater. The forest fire, one of the major human disturbances in the upstream mountain, changes the quantity and qualities of the organic matter in the surface soil, resulting to the decrease of the iron transport from the burned forest to the stream. The downstream areas with gentle topography are largely covered by natural wetland especially surrounding the middle and lower part of Amur river. The spatial distribution of iron concentration in stream water indicated that the stream water at the lower elevation and the gentle watershed contained much higher iron concentrations than the upper and steep basin. DOC was the important carrier of dissolved iron in soil water and stream water in these lower wetland as well as in the upstream region. The land-use change from wetland to farmland (paddy field and cropland) caused significant changes in soil chemistry, redox potential (Eh) and soil water quality. The drainage during the crop production system increase the Eh (indicating changes from anaerobic to aerobic condition in soil), resulting the decrease of dissolved iron in soil water due to the land-use change. The development of the irrigation system has significantly decreased the groundwater table over the last several decades, possibly contributing to the decrease in iron concentration in river water in the Sanjiang plain. The irrigation of groundwater with high dissolved iron resulted in the accumulation of amorphous iron oxides in the surface soil of the paddy filed, which was retained and not mobile from the soil. Our results indicated that the natural anaerobic environment in wetland is important for iron mobilization from terrestrial system to Amur river and that the human impact such as forest fire and land reclamation tended to make these irons immobile through mainly oxidation in the ground surface

    Improving the efficiency of the road junction at the city entrance

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    The article is devoted to the study of the method of increasing the capacity at the trans-tailor interchanges providing access to cities, using the example of Belgorod, by introducing the Ramp metering traffic light control system. 4 traffic interchanges at the entrances to the regional center were investigated, geometric parameters of the exits were evaluated. Based on geometric analysis, intensity calculations and time delays, the optimal area for implementing the Ramp metering system is selected

    Analysis of the Accident Rate of the Constituent Entities of the Russian Federation

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    Every year, tens of thousands of road traffic accidents occur on the territory of Russia, characterized by different accident rates. Some of the most common are road traffic accidents, in the place of which violations of the mandatory requirements for the operational state of highways and railway crossings have been recorded under the conditions of ensuring road safety. The condition of the asphalt concrete road surface affects the grip performance of the vehicle with the road. It is necessary to study the statistics of road traffic accidents in the constituent entities of the Russian Federation located in different road and climatic zones in order to determine the dependence and the degree of influence of the state of the road surface on the number of accidents occurring

    Improving the efficiency of the road junction at the city entrance

    No full text
    The article is devoted to the study of the method of increasing the capacity at the trans-tailor interchanges providing access to cities, using the example of Belgorod, by introducing the Ramp metering traffic light control system. 4 traffic interchanges at the entrances to the regional center were investigated, geometric parameters of the exits were evaluated. Based on geometric analysis, intensity calculations and time delays, the optimal area for implementing the Ramp metering system is selected
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