DIFFERENTIAL DIAGNOSIS OF RADICULOPATHY IN LYME BORRELIOSISAND DYSTROPHIC LESIONS OF THE VERTEBRAL COLUMN

Subjects and methods. Thirty patients, including 9 (30.0%) men and 21 (70.0%) women, with signs of radiculopathy (RP) in late-stages Lyme borreliosis (LB) were examined. A control group comprised 30 patients with vertebrogenic RP in the presence of dystrophic changes in the vertebral column. Results. 56.7% of the patients with LB were observed to have its primary chronic course in the absence of the acute period of LB. The latter with the signs of RP showed a topic association between the pain location and the tick bite site in 43.3% of the patients. A gradual disease development was more frequently (63.3%) observed in LB while the periods of remission and exacerbation were more typical (56.7%) in vertebrogenic RP. In the patients with LB, pain syndrome depended on posture and physical exercise less frequently (30.0%) than in those with vertebrogenic RP (96.7%). Bilateral pain irradiation was more characteristic of RP in LB than in dystrophic lesions of the vertebral column. The symptoms of tonic muscle tension and limited movement volume in the afflicted part of the vertebral column were significantly less common in the patients with LB than in those with vertebrogenic RP. LB was marked by a concomitance of radicular and polyneuritic disorders (83.3%) and vertebrogenic RP was characterized by a preponderance of the radicular-type of sensitivity disorder (100%). Systemic inflammatory syndrome and polysystemacy of manifestations were more characteristic of LB. The benefits of nonsteriodal antiinflammatory drugs in LB patients with RP were significantly worse than in those with vertebrogenic RP; regression of symptoms in LB was seen only after a course of specific antibiotic therapy

De novo assembly and analysis of the transcriptome of the Siberian wood frog Rana amurensis

The Siberian wood frog Rana amurensis Boulenger, 1886 is the most hypoxia-tolerant amphibian. It can survive for several months in an almost complete absence of oxygen. Little is known about the mechanisms of this remarkable resilience, in part because studies of amphibian genomes are impeded by their large size. To make the Siberian wood frog more amenable for genetic analysis, we performed transcriptome sequencing and de novo assembly for the R. amurensis brain under hypoxia and normoxia, as well as for the normoxic heart. In order to build a de novo transcriptome assembly of R. amurensis, we utilized 125-bp paired-end reads obtained from the brain under normoxia and hypoxia conditions, and from the heart under normoxia. In the transcriptome assembled from about 100,000,000 reads, 81.5 % of transcripts were annotated as complete, 5.3 % as fragmented, and 13.2 % as missing. We detected 59,078 known transcripts that clustered into 22,251 genes; 11,482 of them were assigned to specific GO categories. Among them, we found 6696 genes involved in protein binding, 3531 genes involved in catalytic activity, and 576 genes associated with transporter activity. A search for genes encoding receptors of the most important neurotransmitters, which may participate in the response to hypoxia, resulted in a set of expressed receptors of dopamine, serotonin, GABA, glutamate, acetylcholine, and norepinephrine. Unexpectedly, no transcripts for histamine receptors were found. The data obtained in this study create a valuable resource for studying the mechanisms of hypoxia tolerance in the Siberian wood frog, as well as for amphibian studies in general

Informational support of the quality of medical services provided by business entities

Шипова Екатерина Андреевна - аспирант кафедры предпринимательского, трудового и корпоративного права юридического факультета им. М. М. Сперанского, Институт права и национальной безопасности Российской государственной академии народного хозяйства и государственной службы при Президенте РФ, г. Москва. Email: [email protected]. Ekaterina Andreevna Shipova - Postgraduate Student of the Department of Business, Labor and Corporate Law, Faculty of Law named after M. M. Speransky, Institute of Law and National Security, The Russian Presidential Academy of National Economy and Public Administration, Moscow, Russian Federation. Email: [email protected].Процесс согласия является краеугольным камнем отношений между пациентом и врачом. Этот сложный этап оказания медицинских услуг, представляющий проблему как для врача, так и для пациентов из-за взаимодействия множества различных факторов, включая этические и правовые соображения. Получение информированного добровольного согласия является необходимым условием оказания медицинских услуг организациями, расположенными на территории международного медицинского кластера. В данной статье рассматриваются законодательные и теоретические аспекты, касающиеся обязательных требований к форме и объему согласия пациента на получение медицинских услуг. Анализируется и сравнивается зарубежная и отечественная судебная практика споров между медицинскими организациями и пациентами. Дается оценка вопросам содержания предоставляемой информации, правового регулирования отношений всех участников процесса получения медицинских услуг. Автор приходит к выводу о том, что в правовом регулировании информационного обеспечения качества оказания медицинских услуг существуют некоторые пробелы. На основе проведенного исследования предлагается уточнить законодательные требования к информированному согласию с учетом оказываемых видов медицинской помощи. The consent process is the cornerstone of the relationship between the patient and the doctor. This is a difficult stage in the provision of medical services, which is a problem for both the doctor and patients due to the interaction of many different factors, including ethical and legal considerations. Obtaining informed voluntary consent is a prerequisite for the provision of medical services by organizations located in the international medical cluster. This article discusses the legislative and theoretical aspects regarding the mandatory requirements for the form and scope of patient consent to receive medical services. The foreign and domestic judicial practice of disputes between medical organizations and patients is analyzed and compared. An assessment is given to the content of the information provided, the legal regulation of the relations of all participants in the process of obtaining medical services. The author concludes that there are some gaps in the legal regulation of information support for the quality of medical services. Based on the study, it is proposed to clarify the legislative requirements for informed consent, taking into account the types of medical care provided

APPLICATION PRACTICE OF THE ORDER OF THE RUSSIAN MINISTRY OF HEALTH IN THE ORDER OF THE ORGANIZATION OF SANATORIUM TREATMENT (on the example of sanatorium for children)

The analysis of recommendations of the Russian Ministry of Health about regular provid-ing the sanatorium organizations is provided to publications, reducing standard number of average and associate health workers is shown

Diversity and Metabolism of Microbial Communities in a Hypersaline Lake along a Geochemical Gradient

In the south of western Siberia (Russia), there are many unique and unexplored soda, saline, and freshwater lakes. In this study, the results are presented on microbial diversity, its metabolic potential, and their relation with a set of geochemical parameters for a hypersaline lake ecosystem in the Novosibirsk region (Oblast). The metagenomic approach used in this work allowed us to determine the composition and structure of a floating microbial community, the upper layer of silt, and the strata of bottom sediments in a natural saline lake via two bioinformatic approaches, whose results are in good agreement with each other. In the floating microbial community and in the upper layers of the bottom sediment, bacteria of the Proteobacteria (Gammaproteobacteria), Cyanobacteria, and Bacteroidetes phyla were found to predominate. The lower layers were dominated by Proteobacteria (mainly Deltaproteobacteria), Gemmatimonadetes, Firmicutes, and Archaea. Metabolic pathways were reconstructed to investigate the metabolic potential of the microbial communities and other hypothetical roles of the microbial communities in the biogeochemical cycle. Relations between different taxa of microorganisms were identified, as was their potential role in biogeochemical transformations of C, N, and S in a comparative structural analysis that included various ecological niches