122 research outputs found
Discriminability of tryptophan containing dipeptides using quantum control
We show that the coherent manipulation of molecular wavepackets in the excited states of trp-containing dipeptides allows efficient discrimination among them. Optimal dynamic discrimination fails, however, for some dipeptide couples. When considering the limited spectral resources at play (3nm bandwidth at 266nm), we discuss the concept of discriminability, which appears uncorrelated to both static spectra and relaxation lifetime
Acute mitral chodae rupture in the early postcovid in heavy physical active men. Case series
The opinion that COVID-19 is a greater threat only to the elderly people has changed over the past year. Experience has been accumulated in the development of complications of varying severity in young patients who had optimal health indicators before infection. The consequences of myocarditis are most dangerous, especially in athletes and military personnel. We present a series of clinical cases of spontaneous mitral valve chordae rupture in highly trained middle-aged men in the early post-COVID period. In all cases, the infection proceeded subclinically; SARS-CoV-2 was verified only by analysis for IgM. 1β2 weeks after infection, against the background of a routine training process, patients felt pain in the heart area, which was underestimated. Patients presented for help at 2 and 10 weeks with complaints of reduced endurance and shortness of breath. Echocardiography revealed rupture of one of the chords of the anterior part of the mitral valve against the background of signs of myocarditis with the development of valvular insufficiency of the 1st degree. By the time of treatment, the pathology of other laboratory data and ECG was not observed. The control after 6 months showed in 1 patient a focus of myocardial fibrosis according to MRI, a minimal increase in NT-proBNP, a decrease in exercise tolerance, in 2 patients there was no visible fibrosis, normal NT-proBNP and complete restoration of exercise tolerance, but a decrease in local myocardial deformation according to echocardiography
Results of Epizootiological Monitoring of Small Mammals Habitant in Crimea Over the Period of 2015β2017
Objective of this work is to analyze the spatial distribution of various species of small mammals, caught between 2015 and 2017, and to identify the dominant species in different landscape areas, as well as their role in functioning of natural foci of zoonotic infections (tularemia, leptospirosis, tick-borne encephalitis, Lyme disease, Crimean hemorrhagic fever, hantavirus infection) in the territory of Crimea. Materials and methods. Small mammals were caught during the period of 2015β2017 and investigated using polymerase chain reaction (PCR), enzyme immunoassay (ELISA) and direct hemagglutination reaction. Results and conclusions. The dominant species of small mammals, containing the causative agents of some or other natural-focal infection are ubiquitous species, i.e. disseminated across the territory of the whole peninsula. In the presence of concomitant favorable conditions, they may contribute to the expansion of the natural foci of these infections. Positive tests for Lyme disease detected not only in small mammals caught in mountain-forest areas, but in steppe zone too may testify to the fact that the border of the natural focus of this infection is expanded. To clarify the boundaries of the natural foci of infections circulating in the territory of Crimea, it is necessary to conduct comprehensive analysis of distribution of small mammals, blood-sucking ectoparasites, and also epidemic manifestations in different natural areas of Crimea
Percutaneous verterbroplasty. Clinical case.
The article deals with the clinical case of a patient with percutaneous vertebroplasty.Π ΡΡΠ°ΡΡΠ΅ ΡΠ°ΡΡΠΌΠ°ΡΡΠΈΠ²Π°Π΅ΡΡΡ ΠΊΠ»ΠΈΠ½ΠΈΡΠ΅ΡΠΊΠΈΠΉ ΡΠ»ΡΡΠ°ΠΉ ΠΏΠ°ΡΠΈΠ΅Π½ΡΠΊΠΈ Ρ ΡΡΠ΅ΡΠΊΠΎΠΆΠ½ΠΎΠΉ Π²Π΅ΡΡΠ΅Π±ΡΠΎΠΏΠ»Π°ΡΡΠΈΠΊΠΎΠΉ
Management of personnel motivation
The article examines the involvement of doctors and students of the medical university in the work process by means of a questionnaire.Π ΡΡΠ°ΡΡΠ΅ ΡΠ°ΡΡΠΌΠ°ΡΡΠΈΠ²Π°Π΅ΡΡΡ Π²ΠΎΠ²Π»Π΅ΡΠ΅Π½Π½ΠΎΡΡΡ Π²ΡΠ°ΡΠ΅ΠΉ ΠΈ ΡΡΡΠ΄Π΅Π½ΡΠΎΠ² ΠΌΠ΅Π΄ΠΈΡΠΈΠ½ΡΠΊΠΎΠ³ΠΎ ΡΠ½ΠΈΠ²Π΅ΡΡΠΈΡΠ΅ΡΠ° Π² ΡΠ°Π±ΠΎΡΠΈΠΉ ΠΏΡΠΎΡΠ΅ΡΡ Ρ ΠΏΠΎΠΌΠΎΡΡΡ Π°Π½ΠΊΠ΅ΡΠΈΡΠΎΠ²Π°Π½ΠΈΡ
ΠΠ½Π°Π»ΠΈΠ· ΠΌΠ½ΠΎΠ³ΠΎΠ»Π΅ΡΠ½Π΅Π³ΠΎ ΠΎΠΏΡΡΠ° ΠΈΠ·ΡΡΠ΅Π½ΠΈΡ ΠΈΠ½Π°ΠΊΡΠΈΠ²ΠΈΡΠΎΠ²Π°Π½Π½ΡΡ ΠΊΡΠ»ΡΡΡΡΠ°Π»ΡΠ½ΡΡ Π²Π°ΠΊΡΠΈΠ½ Π΄Π»Ρ ΠΏΡΠΎΡΠΈΠ»Π°ΠΊΡΠΈΠΊΠΈ f ΠΊΠ»Π΅ΡΠ΅Π²ΠΎΠ³ΠΎ ΡΠ½ΡΠ΅ΡΠ°Π»ΠΈΡΠ° ΠΎΡΠ΅ΡΠ΅ΡΡΠ²Π΅Π½Π½ΠΎΠ³ΠΎ ΠΈ Π·Π°ΡΡΠ±Π΅ΠΆΠ½ΠΎΠ³ΠΎ ΠΏΡΠΎΠΈΠ·Π²ΠΎΠ΄ΡΡΠ²Π° ΠΏΠΎ ΠΏΠΎΠΊΠ°Π·Π°ΡΠ΅Π»Ρ ΠΊΠ°ΡΠ΅ΡΡΠ²Π° -ΡΠΏΠ΅ΡΠΈΡΠΈΡΠ΅ΡΠΊΠ°Ρ Π°ΠΊΡΠΈΠ²Π½ΠΎΡΡΡ (ΠΈΠΌΠΌΡΠ½ΠΎΠ³Π΅Π½Π½ΠΎΡΡΡ)
The analysis of the use of the method for the evaluation of specific (immunogenic) activity of vaccines for preventing tick-borne encephalitis (TBE vaccines) against protective dilution (PD50) and the minimum immunizing dose (MID50) has been performed. The method was standardized and submitted to the regulatory documents for TBE vaccines authorized in the Russian Federation. When analyzing the results of the study of specific (immunogenic) activity of TBE vaccines (107 TBE vaccine batches by different manufacturers have been studied) it was confirmed that the choice of real lethal dose (RLD50) indicator of TBE virus (test strain Β«AbsettarovΒ») in the range of 100-3000 LD50, the reasonability of using BALB /c cell-line mice, the effectiveness of the national method of determining immunogenicity in terms of MlD50 for TBE vaccines authorized in the Russian Federation. The reasonability of using immunogenicity reference standard for TBE-OSO 42-28-48 to assess the reproducibility of the experiments, and the homogeneity of laboratory animals in terms of quality. Methods for determining TBE vaccine immunogenicity (Β«specific activity (immunogenicity)Β» in terms of PD50 and MID50 is applicable both for Russian commercial TBE vaccines and for FSME-Immun vaccine, manufactured by Β«Baxter Vaccine AGΒ», Austria.ΠΡΠΎΠ²Π΅Π΄Π΅Π½ Π°Π½Π°Π»ΠΈΠ· ΠΏΡΠΈΠΌΠ΅Π½Π΅Π½ΠΈΡ ΠΌΠ΅ΡΠΎΠ΄Π° ΠΎΡΠ΅Π½ΠΊΠΈ ΡΠΏΠ΅ΡΠΈΡΠΈΡΠ΅ΡΠΊΠΎΠΉ (ΠΈΠΌΠΌΡΠ½ΠΎΠ³Π΅Π½Π½ΠΎΠΉ) Π°ΠΊΡΠΈΠ²Π½ΠΎΡΡΠΈ ΡΠΎΠ²ΡΠ΅ΠΌΠ΅Π½Π½ΡΡ
Π²Π°ΠΊΡΠΈΠ½ ΠΊΠ»Π΅ΡΠ΅Π²ΠΎΠ³ΠΎ ΡΠ½ΡΠ΅ΡΠ°Π»ΠΈΡΠ° (Π²Π°ΠΊΡΠΈΠ½Ρ ΠΠ) ΠΏΠΎ ΠΏΡΠΎΡΠ΅ΠΊΡΠΈΠ²Π½ΠΎΠΌΡ ΡΠ°Π·Π²Π΅Π΄Π΅Π½ΠΈΡ (ΠΠ 50) ΠΈ ΠΌΠΈΠ½ΠΈΠΌΠ°Π»ΡΠ½ΠΎΠΉ ΠΈΠΌΠΌΡΠ½ΠΈΠ·ΠΈΡΡΡΡΠ΅ΠΉ Π΄ΠΎΠ·Π΅ (ΠΠΠ50). ΠΠ΅ΡΠΎΠ΄ ΡΡΠ°Π½Π΄Π°ΡΡΠΈΠ·ΠΎΠ²Π°Π½ ΠΈ Π²Π½Π΅ΡΠ΅Π½ Π² Π½ΠΎΡΠΌΠ°ΡΠΈΠ²Π½ΡΠ΅ Π΄ΠΎΠΊΡΠΌΠ΅Π½ΡΡ Π½Π° Π·Π°ΡΠ΅Π³ΠΈΡΡΡΠΈΡΠΎΠ²Π°Π½Π½ΡΠ΅ Π² Π ΠΎΡΡΠΈΠΉΡΠΊΠΎΠΉ Π€Π΅Π΄Π΅ΡΠ°ΡΠΈΠΈ Π²Π°ΠΊΡΠΈΠ½Ρ ΠΠ. ΠΡΠΈ Π°Π½Π°Π»ΠΈΠ·Π΅ ΡΠ΅Π·ΡΠ»ΡΡΠ°ΡΠΎΠ² ΠΈΠ·ΡΡΠ΅Π½ΠΈΡ ΡΠΏΠ΅ΡΠΈΡΠΈΡΠ΅ΡΠΊΠΎΠΉ (ΠΈΠΌΠΌΡΠ½ΠΎΠ³Π΅Π½Π½ΠΎΠΉ) Π°ΠΊΡΠΈΠ²Π½ΠΎΡΡΠΈ Π²Π°ΠΊΡΠΈΠ½ ΠΠ (ΠΈΡΡΠ»Π΅Π΄ΠΎΠ²Π°Π½ΠΎ 107 ΡΠ΅ΡΠΈΠΉ Π²Π°ΠΊΡΠΈΠ½ ΠΠ ΡΠ°Π·Π»ΠΈΡΠ½ΡΡ
ΠΏΡΠΎΠΈΠ·Π²ΠΎΠ΄ΠΈΡΠ΅Π»Π΅ΠΉ) ΠΏΠΎΠ΄ΡΠ²Π΅ΡΠΆΠ΄Π΅Π½Ρ: Π²ΡΠ±ΠΎΡ ΠΏΠΎΠΊΠ°Π·Π°ΡΠ΅Π»Ρ ΡΠ΅Π°Π»ΡΠ½ΠΎΠΉ Π»Π΅ΡΠ°Π»ΡΠ½ΠΎΠΉ Π΄ΠΎΠ·Ρ (Π ΠΠ50) Π²ΠΈΡΡΡΠ° ΠΠ (ΡΠ΅ΡΡ-ΡΡΠ°ΠΌΠΌ Β«ΠΠ±ΡΠ΅ΡΡΠ°ΡΠΎΠ²Β») Π² ΠΏΡΠ΅Π΄Π΅Π»Π°Ρ
100-3000 ΠΠ50, ΡΠ΅Π»Π΅ΡΠΎΠΎΠ±ΡΠ°Π·Π½ΠΎΡΡΡ ΠΏΡΠΈΠΌΠ΅Π½Π΅Π½ΠΈΡ Π»ΠΈΠ½Π΅ΠΉΠ½ΡΡ
ΠΌΡΡΠ΅ΠΉ BALB/Ρ, ΡΡΡΠ΅ΠΊΡΠΈΠ²Π½ΠΎΡΡΡ ΠΏΡΠΈΠΌΠ΅Π½Π΅Π½ΠΈΡ ΠΎΡΠ΅ΡΠ΅ΡΡΠ²Π΅Π½Π½ΠΎΠ³ΠΎ ΠΌΠ΅ΡΠΎΠ΄Π° ΠΎΠΏΡΠ΅Π΄Π΅Π»Π΅Π½ΠΈΡ ΠΈΠΌΠΌΡΠ½ΠΎΠ³Π΅Π½Π½ΠΎΡΡΠΈ ΠΏΠΎ ΠΏΠΎΠΊΠ°Π·Π°ΡΠ΅Π»Ρ ΠΠΠ50 Π΄Π»Ρ Π²Π°ΠΊΡΠΈΠ½ ΠΠ, Π·Π°ΡΠ΅Π³ΠΈΡΡΡΠΈΡΠΎΠ²Π°Π½Π½ΡΡ
Π² Π ΠΎΡΡΠΈΠΉΡΠΊΠΎΠΉ Π€Π΅Π΄Π΅ΡΠ°ΡΠΈΠΈ. ΠΠΎΠ΄ΡΠ²Π΅ΡΠΆΠ΄Π΅Π½Π° ΡΠ΅Π»Π΅ΡΠΎΠΎΠ±ΡΠ°Π·Π½ΠΎΡΡΡ ΠΏΡΠΈΠΌΠ΅Π½Π΅Π½ΠΈΡ ΡΡΠ°Π½Π΄Π°ΡΡΠ½ΠΎΠ³ΠΎ ΠΎΠ±ΡΠ°Π·ΡΠ° ΠΈΠΌΠΌΡΠ½ΠΎΠ³Π΅Π½Π½ΠΎΡΡΠΈ Π²Π°ΠΊΡΠΈΠ½Ρ ΠΠ - ΠΠ‘Π 42-28-48 Π΄Π»Ρ ΠΎΡΠ΅Π½ΠΊΠΈ ΡΡ
ΠΎΠ΄ΠΈΠΌΠΎΡΡΠΈ ΡΠ΅Π·ΡΠ»ΡΡΠ°ΡΠΎΠ² ΠΏΠΎΡΡΠ°Π½ΠΎΠ²ΠΊΠΈ ΡΠΊΡΠΏΠ΅ΡΠΈΠΌΠ΅Π½ΡΠΎΠ² ΠΈ ΠΎΠ΄Π½ΠΎΡΠΎΠ΄Π½ΠΎΡΡΠΈ Π»Π°Π±ΠΎΡΠ°ΡΠΎΡΠ½ΡΡ
ΠΆΠΈΠ²ΠΎΡΠ½ΡΡ
ΠΏΠΎ ΠΊΠ°ΡΠ΅ΡΡΠ²Ρ. ΠΠ΅ΡΠΎΠ΄ ΠΎΠΏΡΠ΅Π΄Π΅Π»Π΅Π½ΠΈΡ ΠΈΠΌΠΌΡΠ½ΠΎΠ³Π΅Π½Π½ΠΎΡΡΠΈ Π²Π°ΠΊΡΠΈΠ½ ΠΠ (ΠΏΠΎΠΊΠ°Π·Π°ΡΠ΅Π»Ρ ΠΊΠ°ΡΠ΅ΡΡΠ²Π° Β«Π‘ΠΏΠ΅ΡΠΈΡΠΈΡΠ΅ΡΠΊΠ°Ρ Π°ΠΊΡΠΈΠ²Π½ΠΎΡΡΡ (ΠΈΠΌΠΌΡΠ½ΠΎΠ³Π΅Π½Π½ΠΎΡΡΡ)Β» ΠΏΠΎ ΠΏΠΎΠΊΠ°Π·Π°ΡΠ΅Π»ΡΠΌ ΠΠ 50 ΠΈ ΠΠΠ50 ΠΏΡΠΈΠΌΠ΅Π½ΠΈΠΌ ΠΊΠ°ΠΊ Π΄Π»Ρ ΡΠΎΡΡΠΈΠΉΡΠΊΠΈΡ
ΠΊΠΎΠΌΠΌΠ΅ΡΡΠ΅ΡΠΊΠΈΡ
Π²Π°ΠΊΡΠΈΠ½ ΠΠ, ΡΠ°ΠΊ ΠΈ Π΄Π»Ρ Π²Π°ΠΊΡΠΈΠ½Ρ Π€Π‘ΠΠ-ΠΠΌΠΌΡΠ½, ΠΏΡΠΎΠΈΠ·Π²ΠΎΠ΄ΡΡΠ²Π° ΠΊΠΎΠΌΠΏΠ°Π½ΠΈΠΈ Β«ΠΠ°ΠΊΡΡΠ΅Ρ Π²Π°ΠΊΡΠΈΠ½Ρ ΠΠΒ», ΠΠ²ΡΡΡΠΈΡ
New national and regional bryophyte records, 72
ABSTRACT: New record of Sphagnum palustre L. to Graciosa Island (Azores).info:eu-repo/semantics/publishedVersio
A Case of Medullary Carcinoma of the Jejunum Combined with the Intestinal Lymphangiectasia Accompanied by the Malabsorption Syndrome
Aim: to present a clinical and morphological observation of an extremely rare combination of medullary carcinoma of the jejunum and intestinal lymphangiectasia in a 33-year-old patient with clinical features of malabsorption syndrome over the 10 years.Key points. An autopsy revealed a tumor formation spreading from the wall of the jejunum to the mesentery, with metastases to the mesenteric lymph nodes. The medullary carcinoma with positive expression of Π‘D117, DOG1, EMA, PanCK, PDL-1, vimentin, mosaic non-intense expression of CA19-9, calretinin, CD10, CDX2, CEA, MUC-5AC, SATB2, and negative reaction to ALK, CD3, CD8, CD20, CD30, CD31, CD34, CD45, CD56, chromogranin, CK7, CK20, desmin. The proliferative index was high: Ki-67 > 80 %. Moreover, during the histological examination of the intestinal wall, intestinal lymphangiectasia complicated by the malabsorption syndrome was revealed.Conclusion. The uniqueness of this clinical and morphological case is in the combination of medullary carcinoma of the jejunum metastasized to the mesenteric lymph nodes with the underlying intestinal lymphangiectasia accompanied by the development of malabsorption syndrome
Deletion of Nlrp3 protects from inflammation-induced skeletal muscle atrophy
BACKGROUND: Critically ill patients develop atrophic muscle failure, which increases morbidity and mortality. Interleukin-1Ξ² (IL-1Ξ²) is activated early in sepsis. Whether IL-1Ξ² acts directly on muscle cells and whether its inhibition prevents atrophy is unknown. We aimed to investigate if IL-1Ξ² activation via the Nlrp3 inflammasome is involved in inflammation-induced atrophy. METHODS: We performed an experimental study and prospective animal trial. The effect of IL-1Ξ² on differentiated C2C12 muscle cells was investigated by analyzing gene-and-protein expression, and atrophy response. Polymicrobial sepsis was induced by cecum ligation and puncture surgery in Nlrp3 knockout and wild type mice. Skeletal muscle morphology, gene and protein expression, and atrophy markers were used to analyze the atrophy response. Immunostaining and reporter-gene assays showed that IL-1Ξ² signaling is contained and active in myocytes. RESULTS: Immunostaining and reporter gene assays showed that IL-1Ξ² signaling is contained and active in myocytes. IL-1Ξ² increased Il6 and atrogene gene expression resulting in myocyte atrophy. Nlrp3 knockout mice showed reduced IL-1Ξ² serum levels in sepsis. As determined by muscle morphology, organ weights, gene expression, and protein content, muscle atrophy was attenuated in septic Nlrp3 knockout mice, compared to septic wild-type mice 96Β h after surgery. CONCLUSIONS:
IL-1Ξ² directly acts on myocytes to cause atrophy in sepsis. Inhibition of IL-1Ξ² activation by targeting Nlrp3 could be useful to prevent inflammation-induced muscle failure in critically ill patients
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