Problems of Cooperation between Credit Institutions and Insurance Companies for Managing the Loan Consumers’ Matters, Affected by Flood in the Territory of Khabarovsk Region

Developed by the Rospotrebnadzor Administration in the Khabarovsk Territory was the algorithm for establishing cooperation between bank institutions, insurance companies, and other organizations on the basis of debt restructuring and payment adjourning. Compiled was the handbook for loan borrowers as regards their rights fixed in the current normative regulations. Displayed was the information on the preventive procedures for consumer financial and insurance protection that were being carried out by the Rospotrebnadzor Administration in cooperation with other agencies and services, allowing for relief of social tensions on the part of the population affected by flood

Клинико-иммунологическая характеристика больных клещевым энцефалитом в острый период в Томской области

Results of complex research of features of clinical and immunological profiles tick-borne encephalitis during the sharp period in Tomsk Region are resulted in the article. Last years redistribution of a parity of clinical displays of the sharp period in favor of prevalence of feverish forms of disease and a tendency to increase in cases of long circulation of an antigene of a virus tick-borne encephalitis is marked. One of the important reasons of such effect is decrease in immunological reactance of an organism with development of cytokine’s disbalance and expression infringement receptors of cytokines with lymphocytic cages.Представлены результаты комплексного исследования особенностей клинического и иммунологического профилей клещевого вирусного энцефалита в острый период в Томской области. В последние годы отмечаются перераспределение соотношения клинических проявлений острого периода в пользу преобладания лихорадочных форм заболевания и тенденция к увеличению случаев длительной циркуляции антигена вируса клещевого энцефалита. Одной из важных причин такого эффекта является снижение иммунологической реактивности организма с развитием цитокинового дисбаланса и нарушение экспрессии цитокинов рецепторов лимфоцитарными клетками

ИСХОДЫ КЛЕЩЕВОГО ЭНЦЕФАЛИТА В ТОМСКОЙ ОБЛАСТИ

The results of the study outcomes of tick-borne encephalitis in adults in the Tomsk Region. Patients conducted a comprehensive clinical and laboratory examination. Revealed the prevalence of autonomic disorders in individuals who have had at different periods of tick-borne encephalitis, which is regarded as the effects of tick-borne infection. Residual effects of tick-borne encephalitis occurs mainly in the form of light paresis after suffering a focal forms. Among the chronic (progredient) forms of tick-borne encephalitis often formed hyperkinetic options. Most of the study revealed the presence of precipitating factors that could have an influence on the outcome. Fundamental diffe rences in all-clinical and immunological analyses at patients with various outcomes of tick-borne encephalitis it wasn't noted. KEY WORDS: tick-borne encephalitis, Tomsk Region, the outcomes.Представлены результаты изучения исходов клещевого энцефалита у взрослого населения Томской области. Пациентам проведено комплексное клинико-лабораторное и нейропсихологическое обследование. Выявлено преобладание вегетативных нарушений у лиц, перенесших в разные периоды клещевой энцефалит, что расценено как последствия клещевой инфекции. Остаточные явления клещевого энцефалита проявляются преимущественно в виде спастических и (или) вялых парезов разной степени выраженности после перенесенных очаговых форм. Среди хронических (прогредиентных) форм клещевого энцефалита чаще формируются гиперкинетические варианты. У большинства обследованных выявлено наличие провоцирующих факторов, которые могли оказать влияние на формирование исхода. Принципиальных отличий в общеклинических и иммунологических анализах у пациентов с различными исходами клещевого энцефалита не отмечено.

Инвазивный аспергиллез, обусловленный Aspergillus non-fumigatus, у взрослых пациентов после аллогенной трансплантации гемопоэтических стволовых клеток

   Objective. To study the features of invasive aspergillosis (IA) due to A. non-fumigatus versus A. fumigatus in adult (≥ 18 years) recipients of allogeneic hematopoietic stem cell transplantation (allo-HSCT) in 2016-2021.   Materials and methods. The study included 33 patients with IA caused by A. non-fumigatus (n = 20) and A. fumigatus (n = 13). A comparative analysis of cases of IA, the results of therapy and outcomes in patients after allo-HSCT in the RM Gorbacheva Research Institute was performed. Diagnostic criteria EORTC / MSGERC 2020 were used.   Results. Invasive aspergillosis caused by A. non-fumigatus made up the majority (60.6 %) of IA cases with an identified pathogen registered in patients after allo-HSCT in the period from 2016 to 2021. The main etiological agents in the A. non-fumigatus group were A. niger in 13 (65 %) patients, A. flavus – in 4 (20 %). The median day of diagnosis of A. non-fumigatus IAwas + 110 days (17–2093), for A. fumigatus it was + 46 days (2–866) (p = 0.171). Overall 12-week survival was 55 % and 59.2 % in the A. non-fumigatus and A. fumigatus groups, respectively (p = 0.617). The majority of patients in both the A. fumigatus (n = 10, 77 %) and A. non-fumigatus (n = 16, 80 %) groups received voriconazole as initial antifungal therapy. Second-linetherapy was required in 2 (10 %) patients with A. non-fumigatus IA: liposomal amphotericin B and echinocandins with or with-out posaconazole, and 2 (15 %) patients in the A. fumigatus group: liposomal amphotericin B and voriconazole in combination with echinocandins. A comparative analysis showed that in patients from the two groups, none of the assessed signs (gender, age, underlying disease, disease status at the time of transplantation, time from diagnosis to allo-HSCT, source of hematopoietic stem cells, conditioning regimen, donor type, antifungal prophylaxis, cytomegalovirus reactivation, severe acute and chronic graft-versus-host disease) did not differ significantly.   Conclusions. A. niger is the main causative agent of IA caused by A. non-fumigatus. Patients characteristics, their treatment and outcomes did not differ significantly between the A. non-fumigatus and A. fumigatus groups.   Цель: изучить особенности инвазивного аспергиллеза, обусловленного A. не-fumigatus в сравнении с A. fumigatus, у взрослых (≥ 18 лет) реципиентов аллогенной трансплантации гемопоэтических стволовыхклеток в 2016–2021 гг.   Материалы и методы. В исследование включили 33 пациента с инвазивным аспергиллезом, обусловленным A. не-fumigatus (n=20) и A. fumigatus (n=13), после аллогенной трасплантации гемопоэтических клеток, выполненной в клинике Научно-исследовательского института детской онкологии, гематологии и трансплантологии им. Р. М. Горбачевой. Использовали диагностические критерии EORTC / MSGERC, 2020.   Результаты. Обусловленный A. не-fumigatus инвазивный аспергиллез составил большую часть (60,6 %) случаев инвазивного аспергиллеза с идентифицированным возбудителем у пациентов после алло-трансплантации гемопоэтических стволовых клеток в 2016–2021 гг. В группе A. не-fumigatus основными возбудителями были A. niger (13, 65 %) и A. flavus (4, 20 %). Сравнительный анализ показал, что в группах сравнения ни один из оцениваемых признаков (пол, возраст, диагноз, статус заболевания на момент трансплантации, время от постановки диагноза до аллотрансплантации гемопоэтических стволовых клеток, источник гемопоэтических стволовых клеток, режим кондиционирования, тип донора, противогрибковая профилактика, реактивация цитомегаловируса, тяжелая острая и хроническая реакция трансплантат против хозяина) достоверно не различались. Медиана срока постановки диагноза A. не-fumigatus инвазивного аспергиллеза составила 110 дней (17 – 2093) после алло-трансплантации гемопоэтических стволовых клеток, A. fumigatus инвазивного аспергиллеза – 46 дней (2 – 866) (p = 0,171). Большинство пациентов с A. fumigatus инвазивным аспергиллезом (n = 10, 77 %) и A. не-fumigatus инвазивным аспергиллезом (n = 16, 80 %) в качестве стартовой противогрибковой терапии получали вориконазол. Терапия второй линии потребовалась 2 (10 %) пациентам с A. не-fumigatus инвазивным аспергиллезом (липосомальный амфотерицин В, эхинокандины и позаконазол) и 2 (15 %) пациентам с А. fumigatus инвазивным аспергиллезом (липосомальный амфотерицин В, вориконазол в комбинации с эхинокандином). Общая выживаемость пациентов с A. неfumigatus инвазивным аспергиллезом в течение 12 недель составила 55 %, A. fumigatus инвазивным асппергиллезом – 59,2 % (p = 0,617).   Выводы. A. niger – основной возбудитель инвазивного аспергиллеза, обусловленного A. non-fumigatus. Характеристики пациентов, их лечение и исходы достоверно не различались между группами A. не-fumigatus и A. fumigatus

Coseismic coastal subsidence associated with unusually wide rupture of prehistoric earthquakes on the Kamchatka subduction zone: A record in buried erosional scarps and tsunami deposits

Highlights • Unprecedented record of 3 unusually wide earthquakes (of >30) in last 4000 years. • Of 5 historical earthquakes on this subduction-zone segment, none is comparable. • Tephra correlation of coseismic subsidence, tsunamis and buried beach scarps. • New methods quantify subsidence, tsunami size, erosional retreat for each event. • New insights into millennial-scale variability of subduction-zone behavior. Abstract The prograding strand plain of Avachinsky Bay, Kamchatka, Russia, along the highly active Kamchatka subduction zone, exhibits geological evidence--buried erosional scarps--for coseismic subsidence only three times in the last four millennia, the last event about 1200 years ago. This same coast has a historical record (since A.D. 1737) of five subduction-zone earthquakes with large tsunami runup (>5 m), the last of which was the 1952 Mw 9 Kamchatka earthquake, and a geological record of more than 30 large tsunamis in the last 4000 years. This rarity of buried scarps relative to large earthquakes contrasts with the Cascadia strand plain in SW Washington State, where most or all large events are represented by buried scarps. A strong factor in the amplitude and sign of coseismic deformation is distance from the seaward edge of a subduction zone (the trench); the Avachinsky Bay coastline is 180–200 km from the trench, with ∼25° slab dip, requiring unusually wide ruptures to generate significant coseismic subsidence. This coastal zone is undergoing net subsidence approximately equivalent to the total of the three coseismic subsidence events, generating a sequence of beach ridges that increase in elevation seaward. Each of the three unusual (coseismic subsidence) events comprises a) an earthquake whose deformation field caused b) onshore coseismic subsidence, thus local sea-level rise and c) sufficient deformation offshore to produce a large tsunami; a,b,c followed by d) a period of coastal erosion and shoreline retreat, leaving e) an erosional beach scarp that was f) subsequently buried once progradation resumed. We identified, dated and correlated the scarps and tsunami deposits from these events with several field methods, including trenching, tephrostratigraphy and ground penetrating radar. The scarps were correlated over an alongshore distance of 50–70 km. The most recent event (event 1) occurred ∼800 cal AD (1100–1250 14С years BP), event 2–600 cal BC (2400–2450 14С years BP), and event 3–1700 cal BC (3300–3500 14С years BP). We developed methods for quantifying subsidence, coastal erosion and tsunami size for each of these events. All three retain evidence of ∼0.4–1.2 m of coseismic subsidence; coastal erosion in the case of event 1 averaged more than 100 m; all three “event” tsunamis were amongst the largest in the last 4000 years

The Holocene Explosive Eruption on Vetrovoi Isthmus (Iturup Island) as a Source of the Marker Tephra Layer of 2000 cal. yr BP in the Central Kuril Island Arc

Geochemical study of volcaniclastic material and radiocarbon dating of charred plant debris from Holocene deposits of the Guram site, which is located in vicinity of Vetrovoi Isthmus on Iturup Island, demonstrate that an explosive eruption (VEI 4-5) occurred there about 2000 years ago. The geochemical and age similarity with the tephra of marker layer CKr that was distinguished on Iturup, Urup, Simushir, Rasshua, and Matua islands of the Kuril Island Arc led to the conclusion that this eruption is possibly a source of this tephra. The data presented are proposed as a motivation for revision of the volcanic hazard on Iturup Island