73 research outputs found

    Calibration of the NEVOD-EAS array for detection of extensive air showers

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    In this paper we discuss the calibration of the NEVOD-EAS array which is a part of the Experimental Complex NEVOD, as well as the results of studying the response features of its scintillation detectors. We present the results of the detectors energy calibration, performed by comparing their response to different types of particles obtained experimentally and simulated with the Geant4 software package, as well as of the measurements of their timing resolution. We also discuss the results of studies of the light collection non-uniformity of the NEVOD-EAS detectors and of the accuracy of air-shower arrival direction reconstruction, which have been performed using other facilities of the Experimental Complex NEVOD: the muon hodoscope URAGAN and the coordinate-tracking detector DECOR.Comment: 16 pages, 17 figures, To be submitted to Nuclear Instruments and Methods

    Gene therapy of mass pathologies

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    Описан комплСкс исслСдований, ΠΊΠΎΡ‚ΠΎΡ€Ρ‹ΠΌ позволяСт ΠΏΡ€ΠΎΠΉΡ‚ΠΈ ΠΏΡƒΡ‚ΡŒ ΠΎΡ‚ ΠΈΠ΄Π΅ΠΈ Π΄ΠΎ ΡΠΊΡΠΏΠ΅Ρ€ΠΈΠΌΠ΅Π½Ρ‚Π°Π»ΡŒΠ½ΠΎΠ³ΠΎ Ρ€Π΅ΡˆΠ΅Π½ΠΈΡ ΠΏΡ€ΠΈΠ½Ρ†ΠΈΠΏΠΈΠ°Π»ΡŒΠ½ΠΎΠΉ возмоТности Π³Π΅Π½Π½ΠΎΠΉ Ρ‚Π΅Ρ€Π°ΠΏΠΈΠΈ массовых ΠΏΠ°Ρ‚ΠΎΠ»ΠΎΠ³ΠΈΠΉ, Π½Π° ΠΏΡ€ΠΈΠΌΠ΅Ρ€Π΅ инсулинзависимого сахарного Π΄ΠΈΠ°Π±Π΅Ρ‚Π° ΠΈ атСросклСроза. ΠŸΡ€ΠΎΠΈΠ·Π²Π΅Π΄Π΅Π½ ΠΏΠΎΠ΄Π±ΠΎΡ€ ΠΈ Π°Π½Π°Π»ΠΈΠ· рСгуляторных элСмСнтов, ΠΊΠΎΡ‚ΠΎΡ€Ρ‹Π΅ ΠΏΠΎΠ·Π²ΠΎΠ»ΡΡŽΡ‚ ΠΎΡΡƒΡ‰Π΅ΡΡ‚Π²Π»ΡΡ‚ΡŒ ΡΠΊΡΠΏΡ€Π΅ΡΡΠΈΡŽ экзогСнных Π³Π΅Π½ΠΎΠ² нСзависимо ΠΎΡ‚ состояния ΠΎΠ±Ρ‰Π΅ΠΉ ΠΊΠ»Π΅Ρ‚ΠΎΡ‡Π½ΠΎΠΉ рСгуляции . На ΠΊΠ»Π΅Ρ‚ΠΊΠ°Ρ… Ρ€Π°Π·Π»ΠΈΡ‡Π½Ρ‹Ρ… Ρ‚ΠΊΠ°Π½Π΅ΠΉ ΠΈ ΠΎΡ€Π³Π°Π½ΠΈΠ·ΠΌΠΎΠ², Π° Ρ‚Π°ΠΊΠΆΠ΅ in vivo ΠΏΠΎΠΊΠ°Π·Π°Π½ΠΎ ΡΠΊΡΠΏΡ€Π΅ΡΡΠΈΡŽ гСнСтичСского ΠΌΠ°Ρ‚Π΅Ρ€ΠΈΠ°Π»Π° , Π²Π²ΠΎΠ΄ΠΈΠΌΠΎΠ³ΠΎ (ΠΊΠ°ΠΊ модСльного Π³Π΅Π½Π° Π±Π°ΠΊΡ‚Π΅Ρ€ΠΈΠ°Π»ΡŒΠ½ΠΎΠΉ Ξ²-Π³Π°Π»Π°ΠΊΡ‚ΠΎΠ·ΠΈΠ΄Π°Π·Ρ‹, Ρ‚Π°ΠΊ ΠΈ Π³Π΅Π½ΠΎΠ² инсулина ΠΈ Π°ΠΏΠΎΠ»ΠΈΠΏΠΎΠΏΡ€ΠΎΡ‚Π΅ΠΈΠ½Π° высокой плотности Al, ΠΊΠΎΡ‚ΠΎΡ€Ρ‹Π΅ ΠΈΠΌΠ΅ΡŽΡ‚ ΠΎΡ‚Π½ΠΎΡˆΠ΅Π½ΠΈΠ΅ ΠΊ Π²Ρ‹ΡˆΠ΅ΡƒΠΏΠΎΠΌΡΠ½ΡƒΡ‚Ρ‹ΠΌ ΠΏΠ°Ρ‚ΠΎΠ»ΠΎΠ³ΠΈΠΉ ) . ΠžΡ‚ΠΌΠ΅Ρ‡Π΅Π½ΠΎ Π½Π΅ΠΏΡ€Π°Π²ΠΎΠΌΠ΅Ρ€Π½ΠΎΡΡ‚ΡŒ экстраполяции Ρ€Π΅Π·ΡƒΠ»ΡŒΡ‚Π°Ρ‚ΠΎΠ², ΠΏΠΎΠ»ΡƒΡ‡Π΅Π½Π½Ρ‹Ρ… Π² ΠΊΡƒΠ»ΡŒΡ‚ΡƒΡ€Π΅ ΠΊΠ»Π΅Ρ‚ΠΎΠΊ, Π½Π° ΠΆΠΈΠ²ΠΎΡ‚Π½Ρ‹Ρ…; ΠΏΠΎΠΊΠ°Π·Π°Π½ΠΎ Π½Π΅ΠΎΠ΄Π½ΠΎΠ·Π½Π°Ρ‡Π½ΠΎΡΡ‚ΡŒ экспрСссии Ρ€Π΅ΠΊΠΎΠΌΠ±ΠΈΠ½Π°Π½Ρ‚Π½Ρ‹Ρ… ΠΌΠΎΠ»Π΅ΠΊΡƒΠ» Π² зависимости ΠΎΡ‚ Π³Π΅Π½Π½ΠΎΠ³ΠΎ окруТСния ΠΈ Ρ‚ΠΈΠΏΠ° ΠΊΠ»Π΅Ρ‚ΠΎΠΊ Ρ€Π΅Ρ†ΠΈΠΏΠΈΠ΅Π½Ρ‚ΠΎΠ². Как Π² ΠΊΡƒΠ»ΡŒΡ‚ΡƒΡ€Π΅ ΠΊΠ»Π΅Ρ‚ΠΎΠΊ, Ρ‚Π°ΠΊ ΠΈ Π² ΠΎΡ€Π³Π°Π½ΠΈΠ·ΠΌΡƒ ΠΎΠ±Π½Π°Ρ€ΡƒΠΆΠ΅Π½ΠΎ ΠΈΠ½Π΄ΠΈΠ²ΠΈΠ΄ΡƒΠ°Π»ΡŒΠ½ΠΎβ€“ ΠΊΠ»Π΅Ρ‚ΠΎΡ‡Π½ΡƒΡŽ Π³Π΅Ρ‚Π΅Ρ€ΠΎΠ³Π΅Π½Π½ΠΎΡΡ‚ΡŒ количСствСнных характСристик экспрСссии : Π²Π²Π΅Π΄Π΅Π½Π½ΠΎΠ³ΠΎ ΠΈΠ·Π²Π½Π΅ Π³Π΅Π½Π°. ΠšΡ€ΠΎΠΌΠ΅ Ρ‚ΠΎΠ³ΠΎ, ΠΎΡ‚ΠΌΠ΅Ρ‡Π΅Π½ΠΎ ΠΈΠ½Π΄ΠΈΠ²ΠΈΠ΄ΡƒΠ°Π»ΡŒΠ½ΠΎ – ΠΎΡ€Π³Π°Π½ΠΈΠ·ΠΌΠ΅Π½Π½ΠΎΠΌ ΠΈ Π²ΠΎΠ·Ρ€Π°ΡΡ‚Π½ΡƒΡŽ Π³Π΅Ρ‚Π΅Ρ€ΠΎΠ³Π΅Π½Π½ΠΎΡΡ‚ΡŒ экспрСссии экзогСнной ΠΈΠ½Ρ„ΠΎΡ€ΠΌΠ°Ρ†ΠΈΠΈ. Π‘Π΄Π΅Π»Π°Π½ Π²Ρ‹Π²ΠΎΠ΄ ΠΎ нСобходимости ΠΈΠ½Π΄ΠΈΠ²ΠΈΠ΄ΡƒΠ°Π»ΠΈΠ·Π°Ρ†ΠΈΠΈ Π³Π΅Π½Π½ΠΎΠΉ Ρ‚Π΅Ρ€Π°ΠΏΠΈΠΈ массовых ΠΏΠ°Ρ‚ΠΎΠ»ΠΎΠ³ΠΎΠ² .Описано комплСкс Π΄ΠΎΡΠ»Ρ–Π΄ΠΆΠ΅Π½ΡŒ, яким дозволяє ΠΏΡ€ΠΎΠΉΡ‚ΠΈ ΡˆΠ»ΡΡ… Π²Ρ–Π΄ Ρ–Π΄Π΅Ρ— Π΄ΠΎ Π΅ΠΊΡΠΏΠ΅Ρ€ΠΈΠΌΠ΅Π½Ρ‚Π°Π»ΡŒΠ½ΠΎΠ³ΠΎ Π²ΠΈΡ€Ρ–ΡˆΠ΅Π½Π½Ρ ΠΏΡ€ΠΈΠ½Ρ†ΠΈΠΏΠΎΠ²ΠΎΡ— моТливості Π³Π΅Π½Π½ΠΎΡ— Ρ‚Π΅Ρ€Π°ΠΏΡ–Ρ— масових ΠΏΠ°Ρ‚ΠΎΠ»ΠΎΠ³Ρ–ΠΉ, Π½Π° ΠΏΡ€ΠΈΠΊΠ»Π°Π΄Ρ– інсулінзалСТного Ρ†ΡƒΠΊΡ€ΠΎΠ²ΠΎΠ³ΠΎ Π΄Ρ–Π°Π±Π΅Ρ‚Ρƒ Ρ‚Π° атСросклСрозу. Π—Ρ€ΠΎΠ±Π»Π΅Π½ΠΎ Π΄ΠΎΠ±Ρ–Ρ€ Ρ‚Π° Π°Π½Π°Π»Ρ–Π· рСгуляторних Π΅Π»Π΅ΠΌΠ΅Π½Ρ‚Ρ–Π², які Π΄ΠΎΠ·Π²ΠΎΠ»ΡΡŽΡ‚ΡŒ Π·Π΄Ρ–ΠΉΡΠ½ΡŽΠ²Π°Ρ‚ΠΈ Π΅ΠΊΡΠΏΡ€Π΅ΡΡ–ΡŽ Π΅ΠΊΠ·ΠΎΠ³Π΅Π½Π½ΠΈΡ… Π³Π΅Π½Ρ–Π² Π½Π΅Π·Π°Π»Π΅ΠΆΠ½ΠΎ Π²Ρ–Π΄ стану Π·Π°Π³Π°Π»ΡŒΠ½ΠΎΡ— ΠΊΠ»Ρ–Ρ‚ΠΈΠ½Π½ΠΎΡ— рСгуляції. На ΠΊΠ»Ρ–Ρ‚ΠΈΠ½Π°Ρ… Ρ€Ρ–Π·Π½ΠΈΡ… Ρ‚ΠΊΠ°Π½ΠΈΠ½ Ρ‚Π° ΠΎΡ€Π³Π°Π½Ρ–Π·ΠΌΡ–Π², Π° Ρ‚Π°ΠΊΠΎΠΆ in vivo ΠΏΠΎΠΊΠ°Π·Π°Π½ΠΎ Π΅ΠΊΡΠΏΡ€Π΅ΡΡ–ΡŽ Π³Π΅Π½Π΅Ρ‚ΠΈΡ‡Π½ΠΎΠ³ΠΎ ΠΌΠ°Ρ‚Π΅Ρ€Ρ–Π°Π»Ρƒ, Ρ‰ΠΎ Π²Π²ΠΎΠ΄ΠΈΡ‚ΡŒΡΡ (як модСльного Π³Π΅Π½Π° Π±Π°ΠΊΡ‚Π΅Ρ€Ρ–Π°Π»ΡŒΠ½ΠΎΡ— Ξ²-Π³Π°Π»Π°ΠΊΡ‚ΠΎΠ·ΠΈΠ΄Π°Π·ΠΈ, Ρ‚Π°ΠΊ Ρ– Π³Π΅Π½Ρ–Π² інсуліну Ρ‚Π° Π°ΠΏΠΎΠ»Ρ–ΠΏΠΎΠΏΡ€ΠΎΡ‚Π΅Ρ—Π½Ρƒ високої Ρ‰Ρ–Π»ΡŒΠ½ΠΎΡΡ‚Ρ– Al, які ΠΌΠ°ΡŽΡ‚ΡŒ Π²Ρ–Π΄Π½ΠΎΡˆΠ΅Π½Π½Ρ Π΄ΠΎ Π²ΠΈΡ‰Π΅Π·Π³Π°Π΄Π°Π½ΠΈΡ… ΠΏΠ°Ρ‚ΠΎΠ»ΠΎΠ³Ρ—ΠΉ). Π’Ρ–Π΄Π·Π½Π°Ρ‡Π΅Π½ΠΎ Π½Π΅ΠΏΡ€Π°Π²ΠΎΠΌΡ–Ρ€Π½Ρ–ΡΡ‚ΡŒ Скстраполяції Ρ€Π΅Π·ΡƒΠ»ΡŒΡ‚Π°Ρ‚Ρ–Π², ΠΎΡ‚Ρ€ΠΈΠΌΠ°Π½ΠΈΡ… Π² ΠΊΡƒΠ»ΡŒΡ‚ΡƒΡ€Ρ– ΠΊΠ»Ρ–Ρ‚ΠΈΠ½, Π½Π° Ρ‚Π²Π°Ρ€ΠΈΠ½; ΠΏΠΎΠΊΠ°Π·Π°Π½ΠΎ Π½Π΅ΠΎΠ΄Π½ΠΎΠ·Π½Π°Ρ‡Π½Ρ–ΡΡ‚ΡŒ СкспрСсії Ρ€Π΅ΠΊΠΎΠΌΠ±Ρ–Π½Π°Π½Ρ‚Π½ΠΈΡ… ΠΌΠΎΠ»Π΅ΠΊΡƒΠ» Π·Π°Π»Π΅ΠΆΠ½ΠΎ Π²Ρ–Π΄ Π³Π΅Π½Π½ΠΎΠ³ΠΎ оточСння Ρ– Ρ‚ΠΈΠΏΡƒ ΠΊΠ»Ρ–Ρ‚ΠΈΠ½ Ρ€Π΅Ρ†ΠΈΠΏΡ–Ρ”Π½Ρ‚Ρ–Π². Π―ΠΊ Π² ΠΊΡƒΠ»ΡŒΡ‚ΡƒΡ€Ρ– ΠΊΠ»Ρ–Ρ‚ΠΈΠ½, Ρ‚Π°ΠΊ Ρ– Π² ΠΎΡ€Π³Π°Π½Ρ–Π·ΠΌΠΎΠ²Ρ– виявлСно Ρ–Π½Π΄ΠΈΠ²Ρ–Π΄ΡƒΠ°Π»ΡŒΠ½ΠΎ-ΠΊΠ»Ρ–Ρ‚ΠΈΠ½Π½Ρƒ Π³Π΅Ρ‚Π΅Ρ€ΠΎΠ³Π΅Π½Π½Ρ–ΡΡ‚ΡŒ ΠΊΡ–Π»ΡŒΠΊΡ–ΡΠ½ΠΈΡ… характСристик СкспрСсі: Π²Π²Π΅Π΄Π΅Π½ΠΎΠ³ΠΎ Π·Π·ΠΎΠ²Π½Ρ– Π³Π΅Π½Π°. ΠšΡ€Ρ–ΠΌ Ρ‚ΠΎΠ³ΠΎ, Π²Ρ–Π΄Π·Π½Π°Ρ‡Π΅Π½ΠΎ Ρ–Π½Π΄ΠΈΠ²Ρ–Π΄ΡƒΠ°Π»ΡŒΠ½ΠΎ-ΠΎΡ€Π³Π°Π½Ρ–Π·ΠΌΠΎΠ²Ρƒ Ρ‚Π° Π²Ρ–ΠΊΠΎΠ²Ρƒ Π³Π΅Ρ‚Π΅Ρ€ΠΎΠ³Π΅Π½Π½Ρ–ΡΡ‚ΡŒ СкспрСсії Π΅ΠΊΠ·ΠΎΠ³Π΅Π½Π½ΠΎΡ— Ρ–Π½Ρ„ΠΎΡ€ΠΌΠ°Ρ†Ρ–Ρ—. Π—Ρ€ΠΎΠ±Π»Π΅Π½ΠΎ висновок ΠΏΡ€ΠΎ Π½Π΅ΠΎΠ±Ρ…Ρ–Π΄Π½Ρ–ΡΡ‚ΡŒ Ρ–Π½Π΄ΠΈΠ²Ρ–Π΄ΡƒΠ°Π»Ρ–Π·Π°Ρ†Ρ–Ρ— Π³Π΅Π½Π½ΠΎΡ— Ρ‚Π΅Ρ€Π°ΠΏΡ–Ρ— масових ΠΏΠ°Ρ‚ΠΎΠ»ΠΎΠ³Ρ–Π².The whole complex of investigations is described that allows to run the way from the idea to experimental realization of a fundamental possibility of gene therapy and its application to mass pathologies on the sample of insulin-dependent diabetes and atherosclerosis. The search and analysis were performed of such regulatory elements that would permit an expression irrespective of the state of a general cell regulation. Expression of the implanted gene material is shown on cells of different tissues and different organisms and also in vivo (both the model gene of Ξ²-galactosidase Escherichia coli and insulin- and apolipoprotein high density Al-coding genes related to above stated pathologies). It is concluded that the results obtained in the culture outside the organisms shouldn't be extrapolated on the animals, i. e. on the organism's level. The expression of recombinant molecules is shown to be ambiguous and depend on gene's surroundings and the type of recipient cells. Both in the culture and in the organism the individual cell heterogeneity is observed in the quantitative characteristics of the expression of gene implanted from outside. Besides, an individual organism and age heterogeneity with regard to the expression of the exogenous gene is reported. The conclusion is made about the necessity to individualize gene therapy of mass pathologies

    Investigation of cascade showers in the Cherenkov water detector NEVOD

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    A technique for the reconstruction of cascade profiles by means of Cherenkov radiation in the water of the NEVOD detector is discussed. NEVOD is equipped with a dense spatial lattice of optical modules. The analyzed cascades have been generated either along near-horizontal muons (zenith angles between 85 and 90Β°), which's tracks are reconstructed by means of the tracking detector DECOR, or by muons with unknown tracks over a wider zenith angle range of 50-90Β°. Mean cascade profiles and energy spectra of cascades measured during the experimental series of about 7950 hours of 'live time' are presented

    EAS array of the NEVOD Experimental Complex

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    A new setup for registration of the electromagnetic component of the EAS at the β€œknee” region of the energy spectrum of primary cosmic rays (PCR) is now under construction on the basis of the experimental complex NEVOD-DECOR (Moscow, Russia). The EAS array detecting system has a cluster organization. Clusters are located in the MEPhI campus. The specific features of the array registering system that provides particle detection, data acquisition, cluster synchronization and events selection are discussed. The results of counter characteristics study are also presented

    Π”ΠΎΠ΄Π°Ρ‚ΠΊΠΎΠ²ΠΈΠΉ Ρ‚ΠΎΠΌ Β«Π‘Π»ΠΎΠ²Π½ΠΈΠΊΠ° ΡƒΠΊΡ€Π°Ρ—Π½ΡΡŒΠΊΠΎΡ— ΠΌΠΎΠ²ΠΈΒ»

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    Π£ статті ΠΏΠΎΠ΄Π°Π½ΠΎ Ρ–ΡΡ‚ΠΎΡ€Ρ–ΡŽ Ρ€ΠΎΠ±ΠΎΡ‚ΠΈ Π½Π°Π΄ Π”ΠΎΠ΄Π°Ρ‚ΠΊΠΎΠ²ΠΈΠΌ Ρ‚ΠΎΠΌΠΎΠΌ Β«Π‘Π»ΠΎΠ²Π½ΠΈΠΊΠ° ΡƒΠΊΡ€Π°Ρ—Π½ΡΡŒΠΊΠΎΡ— ΠΌΠΎΠ²ΠΈΒ» Π² 11-Ρ‚ΠΈ Ρ‚ΠΎΠΌΠ°Ρ…, описано Π΄ΠΆΠ΅Ρ€Π΅Π»Π° наповнСння рСєстру, структуру словникових статСй, Π½Π°Π²Π΅Π΄Π΅Π½ΠΎ ΠΏΡ€ΠΈΠΊΠ»Π°Π΄ΠΈ Ρ€ΠΎΠ·Ρ€ΠΎΠ±ΠΊΠΈ статСй Ρ€Ρ–Π·Π½ΠΎΠ³ΠΎ Ρ‚ΠΈΠΏΡƒ – як Π½ΠΎΠ²ΠΎΠ²Π²Π΅Π΄Π΅Π½ΠΈΡ… слів, Ρ‚Π°ΠΊ Ρ– Ρ‚Π°ΠΊΠΈΡ…, Ρ‰ΠΎ Π±ΡƒΠ»ΠΈ Π² Β«Π‘Π»ΠΎΠ²Π½ΠΈΠΊΡƒ ΡƒΠΊΡ€Π°Ρ—Π½ΡΡŒΠΊΠΎΡ— ΠΌΠΎΠ²ΠΈΒ» Ρ– Π·Π°Π·Π½Π°Π»ΠΈ доповнСння. Завдання лСксикографів, які ΠΏΡ€Π°Ρ†ΡŽΠ²Π°Π»ΠΈ Π½Π°Π΄ Π”ΠΎΠ΄Π°Ρ‚ΠΊΠΎΠ²ΠΈΠΌ Ρ‚ΠΎΠΌΠΎΠΌ, – Π²Ρ–Π΄ΠΎΠ±Ρ€Π°Π·ΠΈΡ‚ΠΈ Π΄ΠΈΠ½Π°ΠΌΡ–ΠΊΡƒ лСксичного ΡˆΠ°Ρ€Ρƒ ΡƒΠΊΡ€Π°Ρ—Π½ΡΡŒΠΊΠΎΡ— ΠΌΠΎΠ²ΠΈ 1980-ΠΈΡ… Ρ€Ρ€. Π₯Π₯ ст. – ΠΏΠΎΡ‡Π°Ρ‚ΠΊΡƒ Π₯Π₯Π† ст. Π· акцСнтуванням Ρ—Ρ— Ρ–Π½Π½ΠΎΠ²Π°Ρ†Ρ–ΠΉΠ½ΠΈΡ… ΠΉ Π°ΠΊΡ‚ΡƒΠ°Π»Ρ–Π·ΠΎΠ²Π°Π½ΠΈΡ… аспСктів

    Problems and opportunities to improve diagnosis of asthma and chronic obstructive pulmonary disease in Russia: resolution of advisory board

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    Asthma and chronic obstructive pulmonary disease remain major problems of medicine, and still there is need to improve the level and quality of diagnosis of these diseases. Primary care physicians (general practitioners, therapists) should be involved widely and actively in this process. To simplify the diagnosis, special questionnaires have been developed, they can be used in a real clinical practice. Only this approach will bring statistical data closer to the true prevalence of these diseases and improve quality of their treatment.Π‘Ρ€ΠΎΠ½Ρ…ΠΈΠ°Π»ΡŒΠ½Π°Ρ астма ΠΈ хроничСская обструктивная болСзнь Π»Π΅Π³ΠΊΠΈΡ… ΠΎΡΡ‚Π°ΡŽΡ‚ΡΡ Π°ΠΊΡ‚ΡƒΠ°Π»ΡŒΠ½Ρ‹ΠΌΠΈ ΠΏΡ€ΠΎΠ±Π»Π΅ΠΌΠ°ΠΌΠΈ соврСмСнной ΠΌΠ΅Π΄ΠΈΡ†ΠΈΠ½Ρ‹, ΠΏΡ€ΠΈ этом сохраняСтся Π½Π΅ΠΎΠ±Ρ…ΠΎΠ΄ΠΈΠΌΠΎΡΡ‚ΡŒ ΠΏΠΎΠ²Ρ‹ΡˆΠ΅Π½ΠΈΡ уровня ΠΈ качСства диагностики Π΄Π°Π½Π½Ρ‹Ρ… Π·Π°Π±ΠΎΠ»Π΅Π²Π°Π½ΠΈΠΉ. Максимально ΡˆΠΈΡ€ΠΎΠΊΠΎ ΠΈ Π°ΠΊΡ‚ΠΈΠ²Π½ΠΎ Π² диагностику Π΄ΠΎΠ»ΠΆΠ½Ρ‹ Π±Ρ‹Ρ‚ΡŒ Π²ΠΎΠ²Π»Π΅Ρ‡Π΅Π½Ρ‹ Π²Ρ€Π°Ρ‡ΠΈ ΠΏΠ΅Ρ€Π²ΠΈΡ‡Π½ΠΎΠ³ΠΎ Π·Π²Π΅Π½Π° (Ρ‚Π΅Ρ€Π°ΠΏΠ΅Π²Ρ‚Ρ‹, Π²Ρ€Π°Ρ‡ΠΈ ΠΎΠ±Ρ‰Π΅ΠΉ ΠΏΡ€Π°ΠΊΡ‚ΠΈΠΊΠΈ). Для упрощСния постановки Π΄ΠΈΠ°Π³Π½ΠΎΠ·Π° Ρ€Π°Π·Ρ€Π°Π±ΠΎΡ‚Π°Π½Ρ‹ ΡΠΏΠ΅Ρ†ΠΈΠ°Π»ΡŒΠ½Ρ‹Π΅ вопросники, ΠΊΠΎΡ‚ΠΎΡ€Ρ‹Π΅ ΠΌΠΎΠ³ΡƒΡ‚ ΠΈΡΠΏΠΎΠ»ΡŒΠ·ΠΎΠ²Π°Ρ‚ΡŒΡΡ Π² Ρ€Π΅Π°Π»ΡŒΠ½ΠΎΠΉ клиничСской ΠΏΡ€Π°ΠΊΡ‚ΠΈΠΊΠ΅. Волько Ρ‚Π°ΠΊΠΎΠΉ ΠΏΠΎΠ΄Ρ…ΠΎΠ΄ ΠΏΠΎΠ·Π²ΠΎΠ»ΠΈΡ‚ ΠΏΡ€ΠΈΠ±Π»ΠΈΠ·ΠΈΡ‚ΡŒ Π΄Π°Π½Π½Ρ‹Π΅ статистичСского ΡƒΡ‡Π΅Ρ‚Π° ΠΊ истинной распространСнности этих Π·Π°Π±ΠΎΠ»Π΅Π²Π°Π½ΠΈΠΉ ΠΈ ΡƒΠ»ΡƒΡ‡ΡˆΠΈΡ‚ ΠΈΡ… качСство лСчСния

    Π­Ρ„Ρ„Π΅ΠΊΡ‚ΠΈΠ²Π½ΠΎΡΡ‚ΡŒ Π±Π΅Π½Ρ€Π°Π»ΠΈΠ·ΡƒΠΌΠ°Π±Π° ΠΏΡ€ΠΈ тяТСлой ΡΠΎΠ·ΠΈΠ½ΠΎΡ„ΠΈΠ»ΡŒΠ½ΠΎΠΉ Π±Ρ€ΠΎΠ½Ρ…ΠΈΠ°Π»ΡŒΠ½ΠΎΠΉ астмС: ΠΏΡ€ΠΎΠΌΠ΅ΠΆΡƒΡ‚ΠΎΡ‡Π½Ρ‹ΠΉ Π°Π½Π°Π»ΠΈΠ· Ρ€Π΅Π·ΡƒΠ»ΡŒΡ‚Π°Ρ‚ΠΎΠ² проспСктивного исслСдования BEST Π² условиях Ρ€Π΅Π°Π»ΡŒΠ½ΠΎΠΉ клиничСской ΠΏΡ€Π°ΠΊΡ‚ΠΈΠΊΠΈ Π² России

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    Systematizing clinical experience in the use of biological treatments in patients with severe bronchial asthma in real world settings with assessment of clinical outcomes and quality of life level is of great interest and value in practical pulmonology.The aim of the BEST study (Real World Evidence of Benralizumab in Eosinophilic Severe AsThma in Russia) was to evaluate effectiveness of benralizumab by control and quality of life associated with respiratory status in patients with eosinophilic phenotype of severe asthma in real clinical practice in Russia.Results. The results obtained through 16 weeks of benralizumab therapy in patients with severe eosinophilic asthma (SEA) were analyzed. All 59 enrolled patients showed significant improvement in the asthma control questionnaire (ACQ-5) score, the quality of life associated with respiratory status according to the St. George Respiratory Questionnaire (SGRQ), and subjective assessments of the well-being of patients and the disease severity (PGIC and PGIS). Treatment with benralizumab contributed to a reduction in the oral glucocorticosteroids intake throughout the study period.Conclusion. In real clinical practice, treatment with benralizumab results in significant improvement in disease control and the quality of life in patients with severe eosinophilic asthma and is characterized by a favorable safety profile.ΠΠΊΡ‚ΡƒΠ°Π»ΡŒΠ½ΠΎΠΉ Π·Π°Π΄Π°Ρ‡Π΅ΠΉ соврСмСнной практичСской ΠΏΡƒΠ»ΡŒΠΌΠΎΠ½ΠΎΠ»ΠΎΠ³ΠΈΠΈ являСтся систСматизация ΠΎΠΏΡ‹Ρ‚Π° примСнСния Π³Π΅Π½Π½ΠΎ-ΠΈΠ½ΠΆΠ΅Π½Π΅Ρ€Π½Ρ‹Ρ… биологичСских ΠΏΡ€Π΅ΠΏΠ°Ρ€Π°Ρ‚ΠΎΠ² Π² Ρ‚Π΅Ρ€Π°ΠΏΠΈΠΈ ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚ΠΎΠ² с тяТСлой Π±Ρ€ΠΎΠ½Ρ…ΠΈΠ°Π»ΡŒΠ½ΠΎΠΉ астмой (ВБА) Π² Ρ€Π΅Π°Π»ΡŒΠ½ΠΎΠΉ клиничСской ΠΏΡ€Π°ΠΊΡ‚ΠΈΠΊΠ΅ с ΠΎΡ†Π΅Π½ΠΊΠΎΠΉ Ρ€Π΅Π·ΡƒΠ»ΡŒΡ‚Π°Ρ‚ΠΎΠ² эффСктивности ΠΈ ΠΏΠΎΠΊΠ°Π·Π°Ρ‚Π΅Π»Π΅ΠΉ качСства ΠΆΠΈΠ·Π½ΠΈ (ΠšΠ–) Π±ΠΎΠ»ΡŒΠ½Ρ‹Ρ….ЦСлью исслСдования Real World Evidence of Benralizumab in Eosinophilic Severe AsThma in Russia (BEST) являлось ΠΎΠΏΡ€Π΅Π΄Π΅Π»Π΅Π½ΠΈΠ΅ эффСктивности контроля Π½Π°Π΄ Π·Π°Π±ΠΎΠ»Π΅Π²Π°Π½ΠΈΠ΅ΠΌ ΠΈ ΠšΠ–, связанного с состояниСм Π΄Ρ‹Ρ…Π°Ρ‚Π΅Π»ΡŒΠ½ΠΎΠΉ систСмы, Ρƒ ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚ΠΎΠ² с ВБА ΡΠΎΠ·ΠΈΠ½ΠΎΡ„ΠΈΠ»ΡŒΠ½ΠΎΠ³ΠΎ Ρ„Π΅Π½ΠΎΡ‚ΠΈΠΏΠ° Π½Π° Ρ„ΠΎΠ½Π΅ примСнСния Π±Π΅Π½Ρ€Π°Π»ΠΈΠ·ΡƒΠΌΠ°Π±Π° Π² условиях Ρ€Π΅Π°Π»ΡŒΠ½ΠΎΠΉ клиничСской ΠΏΡ€Π°ΠΊΡ‚ΠΈΠΊΠΈ Π² России.Π Π΅Π·ΡƒΠ»ΡŒΡ‚Π°Ρ‚Ρ‹. Π£ ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚ΠΎΠ² с ВБА ΠΏΡ€ΠΎΠ°Π½Π°Π»ΠΈΠ·ΠΈΡ€ΠΎΠ²Π°Π½Ρ‹ ΠΏΡ€ΠΎΠΌΠ΅ΠΆΡƒΡ‚ΠΎΡ‡Π½Ρ‹Π΅ Ρ€Π΅Π·ΡƒΠ»ΡŒΡ‚Π°Ρ‚Ρ‹ исслСдования BEST, ΠΏΠΎΠ»ΡƒΡ‡Π΅Π½Π½Ρ‹Π΅ Ρ‡Π΅Ρ€Π΅Π· 16 Π½Π΅Π΄. послС Π½Π°Ρ‡Π°Π»Π° Ρ‚Π΅Ρ€Π°ΠΏΠΈΠΈ Π±Π΅Π½Ρ€Π°Π»ΠΈΠ·ΡƒΠΌΠ°Π±ΠΎΠΌ. Π£ всСх Π±ΠΎΠ»ΡŒΠ½Ρ‹Ρ…, Π²ΠΊΠ»ΡŽΡ‡Π΅Π½Π½Ρ‹Ρ… Π² исслСдованиС (n = 59), достигнуто Π·Π½Π°Ρ‡ΠΈΠΌΠΎΠ΅ ΡƒΠ»ΡƒΡ‡ΡˆΠ΅Π½ΠΈΠ΅ ΠΎΡ†Π΅Π½ΠΊΠΈ ΠΏΠΎ Ρ€Π΅Π·ΡƒΠ»ΡŒΡ‚Π°Ρ‚Π°ΠΌ тСста ΠΏΠΎ ΠΊΠΎΠ½Ρ‚Ρ€ΠΎΠ»ΡŽ Π½Π°Π΄ БА (Asthma Control Questionnaire – ACQ-5), ΠΏΠΎΠ²Ρ‹ΡˆΠ΅Π½ΠΈΠ΅ ΠšΠ–, связанного с состояниСм Π΄Ρ‹Ρ…Π°Ρ‚Π΅Π»ΡŒΠ½ΠΎΠΉ систСмы, ΠΊΠΎΡ‚ΠΎΡ€ΠΎΠ΅ ΠΎΠΏΡ€Π΅Π΄Π΅Π»ΡΠ»ΠΎΡΡŒ с ΠΏΠΎΠΌΠΎΡ‰ΡŒΡŽ опросника госпиталя Бвятого ГСоргия ΠΏΠΎ ΠΎΡ†Π΅Π½ΠΊΠ΅ качСства ΠΆΠΈΠ·Π½ΠΈ Π±ΠΎΠ»ΡŒΠ½Ρ‹Ρ… рСспираторными заболСваниями (St. Georges Respiratory Questionnaire – SGRQ), ΠΈ ΡΡƒΠ±ΡŠΠ΅ΠΊΡ‚ΠΈΠ²Π½Ρ‹Ρ… ΠΎΡ†Π΅Π½ΠΎΠΊ самочувствия ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚ΠΎΠ² (шкала самооцСнки ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚ΠΎΠΌ измСнСния своСго состояния (Patients’ Global Impression of Change – PGIC) ΠΈ шкала самооцСнки ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚ΠΎΠΌ тяТСсти заболСвания (Patients’ Global Impression of Severity – PGIS)). ΠŸΡ€ΠΈ Ρ‚Π΅Ρ€Π°ΠΏΠΈΠΈ Π±Π΅Π½Ρ€Π°Π»ΠΈΠ·ΡƒΠΌΠ°Π±ΠΎΠΌ ΠΎΡ‚ΠΌΠ΅Ρ‡Π΅Π½ΠΎ сокращСниС ΠΏΡ€ΠΈΠ΅ΠΌΠ° ΠΏΠ΅Ρ€ΠΎΡ€Π°Π»ΡŒΠ½Ρ‹Ρ… Π³Π»ΡŽΠΊΠΎΠΊΠΎΡ€Ρ‚ΠΈΠΊΠΎΡΡ‚Π΅Ρ€ΠΎΠΈΠ΄ΠΎΠ² Π² Ρ‚Π΅Ρ‡Π΅Π½ΠΈΠ΅ всСго ΠΏΠ΅Ρ€ΠΈΠΎΠ΄Π° наблюдСния.Π—Π°ΠΊΠ»ΡŽΡ‡Π΅Π½ΠΈΠ΅. ΠŸΡ€ΠΈ использовании Π±Π΅Π½Ρ€Π°Π»ΠΈΠ·ΡƒΠΌΠ°Π±Π° Π² Ρ€Π΅Π°Π»ΡŒΠ½ΠΎΠΉ клиничСской ΠΏΡ€Π°ΠΊΡ‚ΠΈΠΊΠ΅ сущСствСнно ΡƒΠ»ΡƒΡ‡ΡˆΠ°ΡŽΡ‚ΡΡ ΠΊΠΎΠ½Ρ‚Ρ€ΠΎΠ»ΡŒ Π½Π°Π΄ ВБА ΡΠΎΠ·ΠΈΠ½ΠΎΡ„ΠΈΠ»ΡŒΠ½ΠΎΠ³ΠΎ Ρ„Π΅Π½ΠΎΡ‚ΠΈΠΏΠ° ΠΈ ΠšΠ– ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚ΠΎΠ² ΠΏΡ€ΠΈ благоприятном ΠΏΡ€ΠΎΡ„ΠΈΠ»Π΅ бСзопасности Ρ‚Π΅Ρ€Π°ΠΏΠΈΠΈ

    Reprogramming energy metabolism and inducing angiogenesis : co-expression of monocarboxylate transporters with VEGF family members in cervical adenocarcinomas

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    Background: Deregulation of cellular energetic metabolism was recently pointed out as a hallmark of cancer cells. This deregulation involves a metabolic reprogramming that leads to a high production of lactate. Lactate efflux, besides contributing for the glycolytic flux, also acts in the extracellular matrix, contributing for cancer malignancy, by, among other effects, induction of angiogenesis. However, studies on the interplay between cancer metabolism and angiogenesis are scarce. Therefore, the aim of the present study was to evaluate the metabolic and vascular molecular profiles of cervical adenocarcinomas, their co-expression, and their relation to the clinical and pathological behavior. Methods: The immunohistochemical expression of metabolism-related proteins (MCT1, MCT4, CD147, GLUT1 and CAIX) as well as VEGF family members (VEGF-A, VEGF-C, VEGF-D, VEGFR-1, VEGFR-2 and VEGFR-3) was assessed in a series of 232 cervical adenocarcinomas. The co-expression among proteins was assessed and the expression profiles were associated with patients’ clinicopathological parameters. Results: Among the metabolism-related proteins, MCT4 and CAIX were the most frequently expressed in cervical adenocarcinomas while CD147 was the less frequently expressed protein. Overall, VEGF family members showed a strong and extended expression with VEGF-C and VEGFR-2 as the most frequently expressed and VEGFR-1 as the less expressed member. Co-expression of MCT isoforms with VEGF family members was demonstrated. Finally, MCT4 was associated with parametrial invasion and HPV18 infection, CD147 and GLUT1 with distant metastasis, CAIX with tumor size and HPV18 infection, and VEGFR-1 with local and lymphnode metastasis. Conclusions: The results herein presented provide additional evidence for a crosstalk between deregulating cellular energetics and inducing angiogenesis. Also, the metabolic remodeling and angiogenic switch are relevant to cancer progression and aggressiveness in adenocarcinomas.CP received a post-doctoral fellowship (SFRH/BPD/69479/2010) and FM-S received a doctoral fellowship (SFRH/BD/87139/2012) from FCT (Portuguese Foundation for Science and Technology). This work was supported by the FCT grant ref. PTDC/SAU-FCF/104347/2008, under the scope of "Programa Operacional Tematico Factores de Competitividade" (COMPETE) of "Quadro Comunitario de Apoio III" and co-financed by Fundo Comunitario Europeu FEDER, and also by FAPESP 2008/03232-1

    Severe bronchial asthma patient care organization in various regions of the Russian Federation. From endotypes and phenotypes of bronchial asthma to personalized choice of therapy

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    The meeting of the Expert board was held in Moscow on June 24, 2019, at which the following issues were considered: the applicability of a new terminology characterizing asthma endotypes and phenotypes in real clinical practice, the effect of phenotypes and biomarkers in patients with bronchial asthma on the choice of biological drug, as well as the optimal clinical profiles of patients for whom dupilumab is most effective, taking into account the data of the III phase clinical trials, regional features of medical care and changes in updated international clinical guidelines for the diagnosis and treatment of asthma.Π’ МосквС 24 июня 2019 Π³. ΡΠΎΡΡ‚ΠΎΡΠ»ΠΎΡΡŒ засСданиС совСта экспСртов, Π² Ρ€Π°ΠΌΠΊΠ°Ρ… ΠΊΠΎΡ‚ΠΎΡ€ΠΎΠ³ΠΎ ΠΎΠΏΡ€Π΅Π΄Π΅Π»Π΅Π½Ρ‹ ΠΏΡ€ΠΈΠΌΠ΅Π½ΠΈΠΌΠΎΡΡ‚ΡŒ Π½ΠΎΠ²ΠΎΠΉ Ρ‚Π΅Ρ€ΠΌΠΈΠ½ΠΎΠ»ΠΎΠ³ΠΈΠΈ, Ρ…Π°Ρ€Π°ΠΊΡ‚Π΅Ρ€ΠΈΠ·ΡƒΡŽΡ‰Π΅ΠΉ эндотипы ΠΈ Ρ„Π΅Π½ΠΎΡ‚ΠΈΠΏΡ‹ астмы Π² Ρ€Π΅Π°Π»ΡŒΠ½ΠΎΠΉ клиничСской ΠΏΡ€Π°ΠΊΡ‚ΠΈΠΊΠ΅, влияниС Ρ„Π΅Π½ΠΎΡ‚ΠΈΠΏΠΎΠ² ΠΈ Π±ΠΈΠΎΠΌΠ°Ρ€ΠΊΠ΅Ρ€ΠΎΠ² Ρƒ ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚ΠΎΠ² с Π±Ρ€ΠΎΠ½Ρ…ΠΈΠ°Π»ΡŒΠ½ΠΎΠΉ астмой Π½Π° Π²Ρ‹Π±ΠΎΡ€ биологичСского ΠΏΡ€Π΅ΠΏΠ°Ρ€Π°Ρ‚Π°, Π° Ρ‚Π°ΠΊΠΆΠ΅ ΠΎΠΏΡ‚ΠΈΠΌΠ°Π»ΡŒΠ½Ρ‹Π΅ клиничСскиС ΠΏΡ€ΠΎΡ„ΠΈΠ»ΠΈ ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚ΠΎΠ², Ρƒ ΠΊΠΎΡ‚ΠΎΡ€Ρ‹Ρ… Π΄ΡƒΠΏΠΈΠ»ΡƒΠΌΠ°Π± являСтся Π½Π°ΠΈΠ±ΠΎΠ»Π΅Π΅ эффСктивным с ΡƒΡ‡Π΅Ρ‚ΠΎΠΌ Ρ€Π΅Π·ΡƒΠ»ΡŒΡ‚Π°Ρ‚ΠΎΠ² клиничСских исслСдований Ρ„Π°Π·Ρ‹ III, Ρ€Π΅Π³ΠΈΠΎΠ½Π°Π»ΡŒΠ½Ρ‹Ρ… особСнностСй оказания мСдицинской ΠΏΠΎΠΌΠΎΡ‰ΠΈ ΠΈ ΠΈΠ·ΠΌΠ΅Π½Π΅Π½ΠΈΠΉ Π² ΠΎΠ±Π½ΠΎΠ²Π»Π΅Π½Π½Ρ‹Ρ… ΠΌΠ΅ΠΆΠ΄ΡƒΠ½Π°Ρ€ΠΎΠ΄Π½Ρ‹Ρ… клиничСских рСкомСндациях ΠΏΠΎ диагностикС ΠΈ Π»Π΅Ρ‡Π΅Π½ΠΈΡŽ астмы
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