Clinical guidelines ‘Hyperprolactinemia’ (draft)

Hyperprolactinemia is a persistent excess of the blood serum prolactin. The syndrome contains various symptoms, the most characteristic is a violation of the reproductive system. There are multiple endogenous and exogenous causes of hyperprolactinemia. The main treatment method is dopamine agonist therapy, in case of prolactinoma existence, surgical and radiation methods can be applied. About 15% of patients are resistant to dopamine agonist therapy, which determines creation of individual management tactics. The article presents a draft of clinical guidelines for the diagnosis and treatment of hyperprolactinemia, which provides a modern examination algorithm, discusses the basic principles of diagnostics and treatment approaches

INTERDISCIPLINARY CLINICAL PRACTICE GUIDELINES "MANAGEMENT OF OBESITY AND ITS COMORBIDITIES"

Clinical guidelines have long been one of the working tools of the modern doctor, helping him quickly navigate the most effective proven methods of treatment and prevention of various diseases, and also to adapt these methods to the specific tasks of their patients and to achieve maximum personalization of treatment. Clinical  practice guidelines are drawn up by professional non-profit associations and are approved by the Scientific Council of the Ministry of Health of the Russian Federation, while often one recommendation is prepared by two or even three associations. The peculiarity of the recommendations offered to your attention is that not only endocrinologists, but also therapists, cardiologists, gynecologists, gastroenterologists, and experts of many other specialties are involved in the prevention and treatment of obesity. The Multidisciplinary Working Group presents this a project in a multidisciplinary journal to bring together the efforts of several professional associations that associated with the need to pay attention not only to obesity itself but also to comorbid conditions. We are looking forward to constructive criticism and a comprehensive discussion of the problem on the pages of our journal

AUTOPHAGY REGULATION BY RUBELLA VIRUS

Aim. Some viruses can subvert host defense mechanism, autophagy, to their own benefit. We analysed the effect of Rubella virus (RV) infection on autophagy in human alveolar epithelial cells A549. Materials and methods. Cells were infected with the wild type and lab-attenuated strain, C-77w and C-77a, respectively, with a multiplicity of infection of 1.0, in parallel, the expression level of genes encoding Beclin1, Atg5, Rab7, and p62 (SQSTM1) proteins participating in different steps of autolysosome formation was measured. To investigate the role of autophagy on RV replication cycle, we measured the amount of infectious RV particles, together with the viral RNA in supernatants and cell lysates, after incubation of A549 cells with wild type or attenuated strain in the presence of the autophagy inhibitor, Bafilomycin A1, or inducer, Rapamycin. Results. The significant increase in Beclin1 and Atg5 gene expression at 24-48 (for the wild type) and 24-72 (for the attenuated type) hours after infection was observed, while significant induction of either Rab7 or SQSTM1 gene expression was not noticed. This effect was correlated with more delayed increase of IFNβ expression and IFNβ-mediated pro-apoptotic gene expression leading to apoptotic cell death 72-96 hours after infection. Moreover, Bafilomycin A1 diminished the RV infection non significantly, as evidenced by the RT-qPCR and plaque assay, while Rapamycin increased the amount of infectious RV particles released by the infected cells more dramatically with wild type comparing with attenuated strain. Conclusion. Thus, we hypothesized that RV can use an antiviral mechanism to prevent degradation and ensure its replication, differentially regulating the process of autophagy, by stimulating the initiation and suppression of later steps

Experimental evidence of the role of quasilocalized phonons in the thermal conductivity of simple alcohols in orientationally ordered crystalline phases

The thermal conductivity к(T) of crystalline alcohols (methyl, ethyl and 1-propyl) within their thermodynamic equilibrium phases for T ≥ 2 K and under the equilibrium vapor pressures has been measured and analyzed. While such compounds usually exhibit a rich polymorphism including amorphous and partially ordered crystals, the phases here explored correspond to crystals showing complete orientational order. The results show that the temperature dependence of к(T) above its maximum deviates from the expected decrease following a 1/T law with increasing temperature arising from anharmonic interactions involving acoustic excitations. Such a deviation is here attributed to the presence of a component кII(T) corresponding to the shortest-lifetime phonons (Cahill–Pohl model) additional to that кI(T) related to propagating phonons and thus: к(T) = кI(T) + кII(T). Above T = 40 K кI(T) does follow the law 1/T and кII(T) is basically temperature independent. The component кI(T) is well described by the Debye–Peierls model taking into account the phonon–phonon Umklapp processes and phonon scattering by dislocations. In turn, the contribution кII(T) is attributed to the effects of higher lying excitations which get thermally populated above some 40 K. Finally, a systematic trend is found concerning the strength of phonon–phonon scattering which is seen to diminish as the number of carbon atoms in the alcohol molecule increases

Magnetosheath-cusp interface

We advance the achievements of Interball-1 and other contemporary missions in exploration of the magnetosheath-cusp interface. Extensive discussion of published results is accompanied by presentation of new data from a case study and a comparison of those data within the broader context of three-year magnetopause (MP) crossings by Interball-1. Multi-spacecraft boundary layer studies reveal that in &#x223C;80% of the cases the interaction of the magnetosheath (MSH) flow with the high latitude MP produces a layer containing strong nonlinear turbulence, called the turbulent boundary layer (TBL). The TBL contains wave trains with flows at approximately the Alfvén speed along field lines and "diamagnetic bubbles" with small magnetic fields inside. A comparison of the multi-point measurements obtained on 29 May 1996 with a global MHD model indicates that three types of populating processes should be operative: </p><ul><li>large-scale (&#x223C;few <i>R_E</i>) anti-parallel merging at sites remote from the cusp; </li> <li>medium-scale (few thousandkm) local TBL-merging of fields that are anti-parallel on average; </li> <li>small-scale (few hundredkm) bursty reconnection of fluctuating magnetic fields, representing a continuous mechanism for MSH plasma inflow into the magnetosphere, which could dominate in quasi-steady cases. </li> </ul> <p style="line-height: 20px;"> The lowest frequency (&#x223C;1–2mHz) TBL fluctuations are traced throughout the magnetosheath from the post-bow shock region up to the inner magnetopause border. The resonance of these fluctuations with dayside flux tubes might provide an effective correlative link for the entire dayside region of the solar wind interaction with the magnetopause and cusp ionosphere. The TBL disturbances are characterized by kinked, double-sloped wave power spectra and, most probably, three-wave cascading. Both elliptical polarization and nearly Alfvénic phase velocities with characteristic dispersion indicate the kinetic Alfvénic nature of the TBL waves. The three-wave phase coupling could effectively support the self-organization of the TBL plasma by means of coherent resonant-like structures. The estimated characteristic scale of the "resonator" is of the order of the TBL dimension over the cusps. Inverse cascades of kinetic Alfvén waves are proposed for forming the larger scale "organizing" structures, which in turn synchronize all nonlinear cascades within the TBL in a self-consistent manner. This infers a qualitative difference from the traditional approach, wherein the MSH/cusp interaction is regarded as a linear superposition of magnetospheric responses on the solar wind or MSH disturbances.<br><br> <b>Key words.</b> Magnetospheric physics (magnetopause, cusp, and boundary layers) – Space plasma physics (turbulence; nonlinear phenomena