257 research outputs found

    Conditions for the formation of a non-autonomous phase at the structural deformation of complex vanadium oxides

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    Received: 02.03.2018. Accepted: 10.04.2018. Published: 10.05.2018.A new previously unknown effect of a reversible transition from a singlephase system to a heterophase system containing a non-autonomous phase was observed during thermal and chemical deformations of the Zn2–2xCd2xV2O7 structure.The role of local symmetry in the formation of the non-autonomous phase is shown on the basis of X-ray diffraction studies in situ and a comparative crystal-chemical analysis of the structural deformations of isoform monoclinic solid solutions of zinc and copper pyrovanadates with zero volumetric thermal expansion.The work was supported by UB RAS (project 18-10-3-32)

    Alpelisib therapy: from theory to practice

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    Before the development and implementation of the first PI3K inhibitor (alpelisib), the presence of a mutation in the PIK3CA gene had only prognostic value: it determined the unfavorable course of luminal HER2-negative metastatic breast cancer (testing for mutations was not part of routine screening methods). Achievements in the treatment of HR+HER2- mBC are primarily associated with the use of CDK4/6 inhibitors, which allowed not only a significant increase in the median progression-free survival while maintaining high quality of life, but also significantly increased overall survival of patients with luminal HER2-negative metastatic breast cancer. However, subgroup analyses demonstrate that the presence of the PIK3CA mutation is an independent factor in decreasing progression-free time and overall survival, even in patients treated with CDK4/6 inhibitors. Mutations of the PIK3CA gene are diagnosed in 30-40% of luminal metastatic breast cancer patients, they are associated with an increased risk of relapse and disease progression, are associated with a significant reduction in survival rates and treatment effectiveness, and determine the development of primary and secondary resistance to endocrine therapy. Standard endocrine therapy with fulvestrant combined with alpelisib has significantly improved treatment outcomes in patients with HR+HER2-metastatic breast cancer with the PIK3CA mutation who previously received treatment for advanced disease or had progression during adjuvant therapy. This combination is now included in all major international guidelines and is a priority therapy option. Testing for PIK3CA mutations is the current diagnostic standard in luminal HER2-negative mBC. The review presents an update of the main clinical trials with alpelisib, treatment results from real clinical practice, and also considers aspects of use in pretreated patients with different medical history. The article outlines the main recommendations for the prevention and correction of adverse events, and presents our own experience of using alpelisib in a patient with a classic course of breast cancer with a PIK3CA mutation

    Structural and Functional Organization of the Vestibular Apparatus in Rats Subjected to Weightlessness for 19.5 Days Aboard the Kosmos-782 Satellite

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    The vestibular apparatus was investigated in rats subjected to weightlessness for 19.5 days. The vestibular apparatus was removed and its sections were fixed in a glutaraldehyde solution for investigation by light and electron microscopes. Structural and functional charges were noted in the otolith portions of the ear, with the otolith particles clinging to the utricular receptor surface and with the peripheral arrangement of the nucleolus in the nuclei of the receptor cells. It is possible that increased edema of the vestibular tissue resulted in the destruction of some receptor cells and in changes in the form and structure of the otolith. In the horizontal crista, the capula was separated

    Formation, accumulation and development of human capital in the modern conditions

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    Purpose: The aim of the study is to identify trends in the formation of human capital. Design/Methodology/Approach: The theoretical and methodological basis of the research is the scientific works of domestic and foreign scientists in the field of labor economics, human capital and management. Historical, statistical, economic and social sources of information were used to approach the subject under modern conditions. Findings: It was revealed that in the rural and urban areas the reproduction of human resources is carried out at various rates. The demographic factors influencing the reproduction of labor resources in the Russian Federation were analyzed. Practical implications: The authors substantiated the conclusions that the existence of problems in the development of rural territories is the result of the insufficient effectiveness of the measures taken by state authorities in the agrarian sphere. Originality/Value: Recommendations were made to improve the efficiency of social and economic policy in rural areas, including an increase in government subsidies to social infrastructure facilities, including feldsher-obstetric items, objects of pre-school and school education and culture.peer-reviewe

    Assessment of the economic efficiency of research and educational centers (recs) in building a forecast image of the region

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    The article discusses the tools for evaluating scientific research that can be used to analyze the effectiveness of RECs activities. The study proposed a method for integrating indicators of the region's development potentials and indicators of the effectiveness of research and educational centers, based on a comparison of trends in the region's development potentials and the performance indicators of REC

    Role of X-ray diagnostics in children tuberculosis sanatorium

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    Goal: analysis of X ray diagnostics of tuberculosis in children staying in the specialized sanatorium in 2010-2015.Results. Every year from 19.1 to 66.7% of children suffering from active tuberculosis in Sakha Republic are detected through computer tomography in the specialized sanatorium for children

    Changes of the inflammatory activity and fibrosis in patients with alcoholic liver cirrhosis after autologous hematopoietic stem cell transplantation

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    Evaluation of treatment results of chronic liver diseases should be made on the basis of morphological analysis of liver biopsies. The aim of our study was to investigate the effect of autologous hematopoietic stem cell transplantation on histology activity index and grade of fibrosis in alcoholic liver cirrhosis patients. The study was performed on liver biopsies of 11 patients with alcoholic liver cirrhosis. Biopsies were taken before the injection of autologous peripheral blood stem cells into celiac trunk, 3 and 12 months after the procedure. Liver biopsy specimens were stained with hematoxylin-eosin and Van Gieson's. Results showed improvement of liver structure and decrease in histology activity index in liver biopsies performed 3 and 12 months after transplantation. Our data suggest that autologous transplantation of hematopoietic stem cell in patients with alcoholic liver cirrhosis is effective method that is capable to reduce inflammation activity in the liver, improve its structure and decrease liver fibrogenesis
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