NIPPLE DISCHARGE

According to the data available in the literature, as high as 50% of women have benign breast tumors frequently accompanied by nip- ple discharge. Nipple discharge may be serous, bloody, purulent, and colostric. The most common causes are breast abscess, injury, drugs, prolactinoma, intraductal pappiloma, ductal ectasia, intraductal cancer (not more than 10%)

Iodine deficiency in pregnant women and newborns in the Saratov region: current state of the problem

Introduction. Iodine deficiency remains an urgent challenge for the Russian Federation. Pregnant women should receive prophylactic potassium iodide supplements at a dose of 200–250 mcg per day. To monitor the severity of iodine deficiency in the regions and the efficacy of prenatal iodine prophylaxis, it is prudent to use the neonatal hyperthyrotropinemia rate for newborns (thyroidstimulating hormone level is higher than 5 μIU/L) based on the results of congenital hypothyroidism screening.Objective. To assess the changes in the severity of iodine deficiency and the efficacy of iodine prophylaxis in pregnant women and newborns in the Saratov region based on the incidence of neonatal hyperthyrotropinemia over the past 25 years.Materials and methods. The incidence of neonatal hyperthyrotropinemia in newborns in the Saratov region for the period of 1996–2000 and 2015–2020 was analysed. In total, 229,625 children were examined.Results and discussion. In 1996–2000, neonatal hyperthyrotropinemia was detected in 37.4% of newborns, which was evidence of the presence of moderate iodine deficiency in the region. In 2015–2020, the incidence of neonatal hyperthyrotropinemia decreased by 5.42 times to 6.9% (p < 0.0001) against the background of group iodine prophylaxis in pregnant women, but remained higher than the World Health Organization targets for iodine-rich regions (<3%) suggesting the preservation of mild iodine deficiency in pregnant women and newborns in the Saratov region.Conclusions. Despite the obligatory doctor’s prescription of prenatal group iodine prophylaxis, there is still iodine insufficiency in pregnant women and newborns in the Saratov region, which requires further improvement of the regional iodine deficiency eradication action system in the risk groups. However, significant advances in the fight against iodine deficiency in the nutrition of the Russian population can only be achieved after the adoption of the federal law on universal salt iodization

Electromagnetic-field quantization and spontaneous decay in left-handed media

We present a quantization scheme for the electromagnetic field interacting with atomic systems in the presence of dispersing and absorbing magnetodielectric media, including left-handed material having negative real part of the refractive index. The theory is applied to the spontaneous decay of a two-level atom at the center of a spherical free-space cavity surrounded by magnetodielectric matter of overlapping band-gap zones. Results for both big and small cavities are presented, and the problem of local-field corrections within the real-cavity model is addressed.Comment: 15 pages, 5 figures, RevTe

Comparative genomics and evolution of bacterial regulatory systems

Abstract: Recent advances in genome sequencing and development of comparative genomics techniques allow one to study evolution of regulation in prokaryotes at several different levels: microevolution of orthologous regulatory sites, changes in regulon content, evolution of interacting regulatory systems, and co-evolution of transcription factors and their binding signals. Regulatory interactions appear to be very dynamic in some cases and surprisingly stable in others. The review presents several examples where comparative analysis uncovered plausible scenarios of evolution of regulatory systems

Simultaneous Detection of Circulating Autoreactive CD8+ T-Cells Specific for Different Islet Cell–Associated Epitopes Using Combinatorial MHC Multimers

textabstractOBJECTIVE - Type 1 diabetes results from selective T-cell-mediated destruction of the insulin-producing β-cells in the pancreas. In this process, islet epitope-specific CD8+T-cells play a pivotal role. Thus, monitoring of multiple islet-specific CD8+T-cells may prove to be valuable for measuring disease activity, progression, and intervention. Yet, conventional detection techniques (ELISPOT and HLA tetramers) require many cells and are relatively insensitive. RESEARCH DESIGN AND METHODS - Here, we used a combinatorial quantum dot major histocompatibility complex multimer technique to simultaneously monitor the presence of HLA-A2 restricted insulin B10-18, prepro-insulin (PPI)15-24, islet antigen (IA)-2797-805, GAD65114-123, islet-specific glucose-6-phosphatase catalytic subunit-related protein (IGRP)265-273, and pre-pro islet amyloid polypeptide (ppIAPP)5-13-specific CD8+T-cells in recent-onset diabetic patients, their siblings, healthy control subjects, and islet cell transplantation recipients. RESULTS - Using this kit, islet autoreactive CD8+T-cells recognizing insulin B10-18, IA-2797-805, and IGRP265-273were shown to be frequently detectable in recent-onset diabetic patients but rarely in healthy control subjects; PPI15-24proved to be the most sensitive epitope. Applying the "Diab-Q-kit" to samples of islet cell transplantation recipients allowed detection of changes of autoreactive T-cell frequencies against multiple islet cell-derived epitopes that were associated with disease activity and correlated with clinical outcome. CONCLUSIONS - A kit was developed that allows simultaneous detection of CD8+T-cells reactive to multiple HLA-A2-restricted β-cell epitopes requiring limited amounts of blood, without a need for in vitro culture, that is applicable on stored blood samples

Effect of transition layers on the electromagnetic properties of composites containing conducting fibres

The approach to calculating the effective dielectric and magnetic response in bounded composite materials is developed. The method is essentially based on the renormalisation of the dielectric matrix parameters to account for the surface polarisation and the displacement currents at the interfaces. This makes it possible the use of the effective medium theory developed for unbounded materials, where the spatially-dependent local dielectric constant and magnetic permeability are introduced. A detailed mathematical analysis is given for a dielectric layer having conducting fibres with in-plane positions. The surface effects are most essential at microwave frequencies in correspondence to the resonance excitation of fibres. In thin layers (having a thickness of the transition layer), the effective dielectric constant has a dispersion region at much higher frequencies compared to those for unbounded materials, exhibiting a strong dependence on the layer thickness. For the geometry considered, the effective magnetic permeability differs slightly from unity and corresponds to the renormalised matrix parameter. The magnetic effect is due entirely to the existence of the surface displacement currents.Comment: PDF, 33 pages, 10 figure

СТРУКТУРНАЯ И ФУНКЦИОНАЛЬНАЯ ГЕТЕРОГЕННОСТЬ АСТРОЦИТОВ ГОЛОВНОГО МОЗГА: РОЛЬ В НЕЙРОДЕГЕНЕРАЦИИ И НЕЙРОВОСПАЛЕНИИ

The review covers the current concepts on structural and functional heterogeneity of brain astrocytes that serve for numerous (patho)physiological processes in the central nervous system. Astrocytes from various subpopulations demonstrate different sensitivity to the action of pathogenic factors, varied behaviors in reactive processes and within the local immune response. Key functions of astrocytes like neurogenesis, neuron-astroglia metabolic coupling, glial control of local blood flow greatly depend on the origin and characteristics of astroglial cells. Changes at the initial stages of neurodegeneration or in neurodevelopmental disorders are associated with significant alterations in astroglial structural and functional properties, thus suggesting new approaches to therapeutic strategies implementing astroglia-expressing molecules and targets for effectiveВ настоящем обзоре литературы обсуждаются вопросы структурной и функциональной гетерогенности клеток астроглиальной природы головного мозга, лежащих в основе формирования и развития значительного числа физиологических и патологических процессов. Принадлежащие к разным субпопуляциям астроциты демонстрируют разную чувствительность к действию повреждающих факторов, по-разному участвуют в реализации реактивных реакций или локального иммунного ответа. Присущие астроцитам ключевые функции – нейрогенез, нейрон-астроглиальное метаболическое сопряжение, глиальный контроль локального кровотока – во многом определяются тем, какие из клеток астроглиальной природы их реализуют. Изменения, наблюдаемые на начальных этапах прогрессирования нейродегенеративных заболеваний и патологии, ассоциированной с нарушением развития головного мозга, показывают, что их важным компонентом являются значимые изменения структурных и функциональных свойств астроцитов, и поэтому направленная регуляция указанных клеточно-молекулярных событий может представлять собой действенную терапевтическую стратегию, в которой ключевые мишени – молекулы, экспрессируемые клетками астроглиальной природы