Infant nutrition and allergy

The correct nutrition in the first year of a child’s life is an important factor determining the physical and intellectual capabilities of a person at a later age and has an important meaning to the risk of developing a food allergy. The aim of our study was to determine whether breastfeeding practices, including exceptional breastfeeding, and using hydrolysed milk alter the risk of developing a food allergy in infants. Material and Methods: We tracked 180 healthy infants up to the age of one year old and 94 – with manifestations of allergy. The statistical processing and visualisation of the results were done with the products Statgraphics Plus and Microsoft Excel. Results: The success of breastfeeding in the monitored mothers in terms of duration of breastfeeding was influenced by the level of education, ethnicity and current place of residence. In normal birth and caesarean delivery, healthy children are breastfed over 7 months of age, while children with manifestations of allergy – up to 1-2 months of age. Among the monitored by us children food allergy was seen more frequently in infants with low birth weight.  More commonly during the first year we observed skin-gastrointestinal form toward cow’s milk proteins. Among the observed children with allergic manifestation we found elevated levels of immunoglobin E(36,5IU/ml), eosinophiles – over 7%, anaemic syndrome – 40,5%. About 93% of children with initial manifestations of allergy were fed milk for infants, 4,3% were on mixed feeding (breast milk and supplementation with infant milk), 2,1 - on exceptional breastfeeding. Conclusion: The frequent clinical manifestation of allergic colitis and confirmation of allergy to cow's milk with immunoglobulin E and eosinophils require the introduction of an elimination diet and prolonged feeding with protein hydrolysate 6-12 months

Clinical significance and change in the degree of mitral insufficiency after TAVI

Introduction: Hemodynamically signifi cant mitral regurgitation (MR) occurs in up to 20-30% of patients with high-grade aortic stenosis (AC) indicated for transcatheter aortic valve implantation (TAVI). Despite the establishment of the method as a standard in the treatment of high-risk patients for surgery worldwide and the growing number of patients treated interventionally, behavior in concomitant signifi cant MR continues to be a diagnostic and therapeutic challenge. The decision to intervene on multiple valves must take into account the additional surgical risk of the combined procedures. Signifi cant MR is associated with a worse prognosis in both surgical and interventional treatment. With high operative risk and signifi cant MR, TAVI is a possible solution due to the proven reduction in severity in a signifi cant proportion of patients. The aim of this paper is to evaluate the impact of signifi cant secondary MR on mortality and rate change after TAVI. Material and methods: The article is a retrospective analysis of 50 patients with high-grade symptomatic aortic stenosis who underwent successful TAVI. Patients were followed for a period of 1 year and were divided into two major groups – no signifi cant MR (0.1 degree) and those with signifi cant secondary MR (≥ grade 2). Overall mortality, cardiovascular mortality, functional class of heart failure according to the NYHA classifi cation, ejection fraction and need for rehospitalizations weremonitored. Conclusions: Hemodynamically signifi cant secondary MR, concomitant high-grade AC before TAVI undergoes positive dynamics in a signifi cant proportion of patients postprocedurally and should be considered when deciding on a therapeutic strategy by the Heart team. The worsening of signifi cant secondary MI in the studied patients is associated with 30-day and one-year cardiovascular mortality and the need for rehospitalization, which is consistent with data that the prognosis is important not only the presence of signifi cant secondary MR, but its dynamics after TAVI

Studies of Ebola Virus persistence in the Body Fluids of a Patient at Advanced Stages of Convalescence

At present EVD epidemic, which claimed the lives of more than 10000 people, is still underway in West Africa Countries. Promptness and quality of laboratory diagnostics, alongside with delivered anti-epidemic measures predetermine efficacy of Ebola response operation. Due to a lack of means for the specific prophylaxis and treatment of the disease, asymptomatic patients are discharged from hospitals, based on criteria recommended by WHO, which might be insufficient. Viral RNA is detected in different clinical samples taken from the patients even at the advanced stages of convalescence, which requires essential investigation of peculiarities of Ebola persistence in various biological fluids. The article contains the data on the studies of biological samples, obtained from a female patient diagnosed with Ebola virus disease, applying various methods and techniques

Identification of the Farm Animals Immune to Pathogens of Zoonotic Infectious Diseases in the Republic of Guinea

The most common anthropozoonoses on the African continent are coxiellosis and Rift Valley fever. It is known that detection of specific IgG antibodies in the blood sera of farm animals is one of the indicators of the pathogen circulation in a certain territory. The aim of the work was to identify specific IgG antibodies in the blood sera of farm animals collected on the territory of the Republic of Guinea to pathogens of zoonotic infectious diseases: coxiellosis, brucellosis, glanders, CCHF, West Nile and Rift Valley fevers, using enzyme immunoassay (ELISA). Materials and methods. A panel of 970 samples of blood sera from farm animals inhabiting all landscape-geographical zones of Guinea was compiled for the work. Identification of specific antibodies was carried out using enzyme immunoassay with preparations recommended for veterinary studies. Results and discussion. Specific antibodies to zoonoses were detected in 700 out of 1074 samples (65.2 % of the total), including: to Coxiella burnetii – in 172 (16.0 %); to Brucella spp. – in 212 (19.7 %); viruses of Rift Valley fever – 85 (7.9 %); CCHF – in 139 (12.9 %) and West Nile fever – in 92 (8.6 %). Antibodies to Burkholderia mallei were not found in the tested material. Positive samples were registered in all landscape-geographical zones. Thus, an urgent task is to continue studying the circulation of pathogens of zoonoses and anthropozoonoses in the territory of the Republic of Guinea and to organize regular monitoring over the spread of zoonotic infectious diseases in collaboration with veterinary services, which will allow timely forecasting and coordinating prophylactic (anti-epidemic) measures to prevent cases of diseases

Usutu Virus (<i>Flaviviridae, Orthoflavivirus</i>). Potential Danger and Possibility of Spread on the Territory of the Russian Federation

In recent decades, an increase in the number of cases of detection of the Usutu virus (Usutu, USUV, Orthoflavivirus usutuense) (family Flaviviridae, genus Orthoflavivirus) has caused great concern among medical professionals, including virologists and specialists in infectious diseases, especially since its appearance in Europe, where the pathogen caused mass birds die-off, and annually registered human cases. This review provides information about the structure of the virus and its genetic variants, geographical distribution and features of circulation in Europe and Africa, the methods and principles used to indicate and identify this pathogen, as well as the main symptoms of the disease it causes. An assessment of the environmental prerequisites for the occurrence of outbreaks of the disease caused by the Usutu virus on the territory of the Russian Federation was also carried out

Development and Testing of a Method for Detecting Lujo Virus RNA by Reverse Transcription and Real Time Polymerase Chain Reaction

The aim of the study was to develop and assess the efficacy of a method for Lujo virus RNA detection in clinical and biological samples using one-step real-time RT-PCR.Materials and methods. In order to select the conservative regions of the genome, we utilized the available in GenBank database Lujo virus sequences (https://www.ncbi. nlm.nih.gov/genbank) aligned in BioEdit 7.2.5 software package ( (IbisBiosciences, USA). To conduct one-round RTPCR, reverse transcriptase and TaqF-polimerase were used. Recombinant Escherichia coli strain, XL1-Blue, containing pGEM-T plasmid with inserted synthetically-generated fragment of the virus genome, was produced to make positive control sample (PCS). Constructed recombinant plasmids were used for creating RNA-containing PCS with protective protein shell of MS2-phage. Determination of specificity of the developed method was performed with the help of control panel of RNA and DNA of 23 viral strains related to 10 families; the sensitivity – the panel of biological samples artificially contaminated with PCS. Further testing was carried out at the premises of laboratory of the Russian-Guinean Center for Epidemiology and Prevention of Infectious Diseases (Kindia, Republic of Guinea) on 265 blood sera from practically healthy persons, 110 blood sera of cattle, 83 suspensions of ticks, and 165 suspensions of organs of small mammals collected in the territory of Guinea.Results and discussion. Two conservative polymerase gene fragments have been chosen as targets for Lujo virus RNA detection using RT-PCR. The combination of primers and probes has been experimentally selected, optimum composition of reaction mixture for PCR and mode of RT-PCR set-up established, as well as control samples C+, internal control, positive control sample developed. Sensitivity of the proposed method is 5·103  GE /ml, specificity – 100 %