Перекисное окисление липидов и ферментные антиоксиданты при неспецифическом язвенном колите

Increased oxidative stress has been previously demonstrated in patients with inflammatory bowel disease. But this phenomenon has not been analyzed in the course of ulcerative colitis (UC). In this study we evaluated levels of malondialdehyde (the main product of lipid peroxidation), superoxide dismutase and catalase erythrocyte activities in 62 patients with active UC, in 22 patients after achievement of complete, endoscopic remission and in 52 control subjects. Significant increase of malondialdehyde in patients with active disease in comparison with control subjects, demonstrated in this study, suggests the presence of enhanced oxidative stress in active UC. Activation of enzymatic antioxidant system is characteristic of active UC, which is confirmed by an increase in superoxide dismutase and catalase erythrocyte activities in patients with active disease in comparison with control group. There is no significant difference in malondialdehyde and catalase erythrocyte activity between patients in remission of UC and the control subjects. The increase of conditional adaptive index in patients with active UC confirms large adaptive possibilities of enzymatic antioxidant system. The normal levels of malondialdehyde and catalase can be proposed as markers of complete disease remission in UC.В ряде научных исследований доказано наличие оксидативного стресса при неспецифическом язвенном колите (НЯК). Однако, этот феномен не был изучен в динамике заболевания. В настоящей работе оцениваются уровни малонового диальдегида (основного продукта перекисного окисления липидов), супероксиддисмутазной и каталазной активности эритроцитов у 62-х больных в период обострения НЯК, у 22-х больных после достижения полной, эндоскопической ремиссии и у 52-х человек из группы контроля. Существенное увеличение концентрации малонового диальдегида у пациентов в период обострения заболевания по сравнению с контрольной группой, выявленное в данном исследовании, указывает на наличие выраженного оксидативного стресса при активном НЯК. Для обострения НЯК характерна активация ферментной антиоксидантной системы, что подтверждается значительным увеличением супероксиддисмутазной и каталазной активности эритроцитов у пациентов с активными формами заболевания по сравнению с контрольной группой. Статистически значимых различий уровней малонового диальдегида и каталазной активности не было выявлено между группой контроля и пациентами в период ремиссии. В период обострения заболевания установлено увеличение условного адаптационного индекса, что свидетельствует о широких адаптивных возможностях ферментной антиоксидантной системы. Нормальные уровни малонового диальдегида и каталазы могут быть рекомендованы как маркеры полной ремиссии заболевания при НЯК

Optimizing surgical techniques in extra-anatomical ilio-femoral bypasses

Scopul lucrării. Bypass-ul extraanatomic ilio-femural crossover este o procedura chirurgicala utilizată pentru revascularizarea segmentului aorto-femural, când intervențiile endovasculare nu sunt posibile, iar aplicarea unui bypass aorto sau ilio-femural este dificilă sau chiar imposibilă din cauza condițiilor tehnice sau a stării pacientului. Scopul este studierea rezultatelor precoce și tardive pentru favorizarea unor schimbări și implementarea unor gesturi tehnice în aplicarea bypass-urilor crossover ilio-femural, pentru a crea o geometrie cât mai fiziologică ce poate oferi o soluție durabilă pe termen lung. Materiale și metode. Pe parcursul anilor 2001-2022 au fost efectuate 142 bypass-uri crossover ilio-femurale. Rezultate. În perioada postoperatorie a fost un singur deces și s-au efectuat 3 amputații. Au fost analizate duplex scanările și CT angiografiile în primele 12 luni postoperatorii, pentru aprecierea altor leziuni aterosclerotice, care ar necesita revascularizare deschisă s-au endovasculară atît in bazinul recipient cât și cel donator. Totodată, a fost apreciata poziția și forma bypass-ului ce a dus la folosirea ulterioară a unor noi procedee tehnice ce diferă de cele descrise anterior. Concluzii. Optimizarea tehnicilor chirurgicale creând o geometrie cât mai fiziologică, excluderea maximală a angulărilor stenozante ale grefei poate oferi bypass-ului extraanatomic crossover ilio-femural o durabilitate îndelungată. Acest lucru poate favoriza creșterea frecvenței indicațiilor la folosirea bypass-urilor crossover ilio-femural.Aim of study. The extra-anatomic ilio-femoral crossover bypass is a surgical procedure used for revascularizing the aorto-femoral segment when endovascular interventions are not possible, and when applying an aorto- or ilio-femoral bypass is difficult or even impossible due to technical conditions or the patient's condition. The aim was to study the early and late outcomes to promote changes and implement technical gestures in the application of ilio-femoral crossover bypasses, aiming to create a more physiological geometry that can provide a durable long-term solution. Materials and methods. Between 2001 and 2022, a total of 142 ilio-femoral crossover bypasses were performed. Results. There was one death and three amputations in the postoperative period. Duplex scans and CT angiography were analyzed in the first 12 months postoperatively to assess other atherosclerotic lesions that would require open or endovascular revascularization in both the recipient and donor areas. Additionally, the position and shape of the bypass were evaluated, leading to the subsequent use of new technical procedures that differ from those previously described. Conclusions. Optimizing surgical techniques by creating a more physiological geometry and minimizing stenotic angles of the graft can provide the extra-anatomic ilio-femoral crossover bypass with long-lasting durability. This may increase the frequency of indications for using ilio-femoral crossover bypasses

ÇOCUKLARIN RESİMLERİNDEKİ AİLEYİ TANILAMA DURUMLARININ DEĞERLENDİRİLMESİ

Çocuklar resim yoluyla bize duygularınıyansıtabilirler ve olaylar hakkındaki his ve düşüncelerini ifade edebilirler. Çocuğun yaptığıresimler onun iç dünyasının aynasıolarak kabul edilmektedir. Bu düşüncelerden yola çıkarak çocuk resmi konusunda pek çok araştırma yapılmıştır. Bu çalışmada; çocuk resminde aile kavramıdeğerlendirilmeye çalışılmıştır. Çalışmaya Türkiye’den Konya İli Meram ve Selçuklu İlçelerinden ilköğretim okullarına devam eden 8-14 yaşarası66 öğrenci ve Almanya’nın Berlin Şehrinde 8-14 yaşarası58 öğrenci olmak üzere toplam 124 öğrenci alınmıştır. Öğrencilere zihinsel boyutu değerlendirmek amacıile Goodenough Harris Adam Çizme Testi uygulanmıştır. Ayrıca öğrencilerden aile kavramınıdeğerlendirmek amacıile birer aile resmi çizmeleri istenmiştir. Çalışmanın sonucunda her iki ülkede yaşayan çocukların cinsiyetine göre resim çizme ve aileyi tanıma durumlarıarasında kızların erkeklerden daha başarılıolduklarıve yaşilerledikçe aileyi tanıma düzeyinin yükseldiği gözlenmiştir. Ayrıca kardeşsayısına göre aileyi tanıma puanlarıfarklılaşmaktadır, okul başarısıyüksek olan öğrencilerin goodenhough harris testinden aldılarıpuan daha yüksek bulunmuştur

Review of experience of family medicine in Europe and Central Asia : Executive summary

This report summarizes the findings of four case studies that review the experience of family medicine in Europe and Central Asia (ECA) Region. It is part of a study comprising five volumes that review the experience of family medicine in four countries in ECA--Armenia, Bosnia and Herzegovina, Kyrgyz Republic and Moldova. The report reviews the experience, draws lessons, and establishes an evidence base for detailed analysis. The study presents best practices for policy dialogue and future investments by the World Bank and other financial institutions. The detailed case studies compare these countries and draw common themes and issues. Comparisons are made with best-developed or existing models in the OECD and other countries in the Europe and Central Asia Region that have already undertaken family medicine reform

Three flavor neutrino oscillation analysis of atmospheric neutrinos in Super-Kamiokande

We report on the results of a three-flavor oscillation analysis using Super-Kamiokande~I atmospheric neutrino data, with the assumption of one mass scale dominance ($\Delta m_{12}^2$$=$0). No significant flux change due to matter effect, which occurs when neutrinos propagate inside the Earth for $\theta_{13}$$\neq$0, has been seen either in a multi-GeV $\nu_e$-rich sample or in a $\nu_\mu$-rich sample. Both normal and inverted mass hierarchy hypotheses are tested and both are consistent with observation. Using Super-Kamiokande data only, 2-dimensional 90 % confidence allowed regions are obtained: mixing angles are constrained to $\sin^2\theta_{13} < 0.14$ and $0.37 < \sin^2\theta_{23} < 0.65$ for the normal mass hierarchy. Weaker constraints, $\sin^2\theta_{13} < 0.27$ and $0.37 < \sin^2\theta_{23} < 0.69$, are obtained for the inverted mass hierarchy case.Comment: 7 figures, 3 table

Solar neutrino measurements in Super-Kamiokande-I

The details of Super--Kamiokande--I's solar neutrino analysis are given. Solar neutrino measurement in Super--Kamiokande is a high statistics collection of $^8$B solar neutrinos via neutrino-electron scattering. The analysis method and results of the 1496 day data sample are presented. The final oscillation results for the data are also presented.Comment: 32pages, 57figures, submitted to Physical Review

Evidence for an oscillatory signature in atmospheric neutrino oscillation

Muon neutrino disappearance probability as a function of neutrino flight length L over neutrino energy E was studied. A dip in the L/E distribution was observed in the data, as predicted from the sinusoidal flavor transition probability of neutrino oscillation. The observed L/E distribution constrained nu_mu nu_tau neutrino oscillation parameters; 1.9x10^-3 < Delta m^2 < 3.0x10^-3 eV^2 and \sin^2(2theta) > 0.90 at 90% confidence level.Comment: 5 pages, 5 figures, submitted to PR