280 research outputs found

    Autism pathogenesis: Piecing it all together, from end to beginning …

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    Β© 2018, Pharmainfo Publications. All rights reserved. Increased extra-axial cerebrospinal fluid (EA-CSF) have been observed in imaging studies of infant brains, who go on to develop autism. Folate deficiency can cause defects in neural development that can affect CSF production and drainage. Folate receptor alpha antibodies (FRAA) are observed in 75% of autism patients. Maternal FRAA have also been observed in the case of neural tube defects. Folate deficiency can cause aluminum accumulation in the brain. Autistic brains have been shown to accumulate aluminum. FRAA in the child or mother can therefore explain all the observations. Further, autism patients have a higher genetic risk for cancer but have lower cancer rates. Many cancer cells express folate receptor alpha to transport folate required for rapid growth. Once again FRAA in autism can thus explain lower rates of cancer occurrence as FRAA block FRA expressed on cancer cells, affecting folate transport. A majority of FRAA are of the IgG4 subclass and bind with higher affinity to the bovine folate receptor than the human folate receptor. The human and bovine FR have 90% protein sequence homology. From allergies and parasite infections we know that IgG4 is the second stage of the immune response. The first stage is IgE against FRA. The US Institute of Medicine concluded that antigens in vaccines do cause IgE mediated sensitization. Many vaccines contain cow’s milk proteins, one of which is the bovine folate receptor protein. Bovine casein and casamino acids used as growth media for vaccine manufacture are derived from cow’s milk. The solution for vaccine-induced IgE against FRA, is to immediately remove all non-target proteins from all vaccines by using processes such as affinity chromatography

    Cancer immunology, bioinformatics and chemokine evidence link vaccines contaminated with animal proteins to autoimmune disease: A detailed look at Crohn’s disease and Vitiligo

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    Β© 2018, Pharmainfo Publications. All rights reserved. Cancer research has demonstrated that immunization with homologous xenogeneic proteins (such as vaccines contaminated with animal proteins that resemble human proteins) results in autoimmunity. Bioinformatics analysis demonstrates that animal proteins have occasional amino acid differences compared to equivalent human proteins. For this purpose we used Uniprot and BLASTP. We found homology to human GP2 (Bos taurus 77%, Sus scrofa 76%, Cavia porcellus 72% Gallus gallus 43%), homology to human tyrosinase (Bos taurus 87%, Sus scrofa 90%, Cavia porcellus 85%, Gallus gallus 73%), homology to human GP100 (Bos taurus 77%, Sus scrofa 81%, Cavia porcellus 77%, Gallus gallus 42%) and highlight the occasional amino acid differences. Mutated human protein epitopes can be identical to animal protein derived epitopes. Low affinity self reactive T cells suited for detection of mutated human epitopes will be activated by animal derived epitopes. CD8+ T cells involved in numerous autoimmune disorders express the CCR4 skin homing receptor. This is evidence that the site of priming was the skin. This is consistent with subcutaneous or intramuscular injection of animal protein contaminated vaccines. The above findings add to the growing evidence of vaccines inducing autoimmune diseases. Autoantibody and autoreactive T cell levels can vary from person to person. Not everyone will develop overt disease. For every case of diagnosed autoimmune disease, there are numerous subclinical cases. These subclinical diseases could shave decades off your life. So β€œrare” diagnosed vaccine adverse events are the tip of the iceberg

    Sympathetic nervous system and neurotransmitters: Their possible role in neuroimmunomodulation of multiple sclerosis and some other autoimmune diseases

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    Multiple sclerosis is still a disease without a cure. Although intensive research efforts have led to the development of drugs that modify the activity of the disease, most of them have various side effects and are expensive. At the same time it is becoming apparent that some remedies usually used to treat somatic and psychic disorders also have immunomodulating properties, and may help manage multiple sclerosis and other autoimmune diseases. We describe here the role of the sympathetic nervous system in the neuro-immune interaction in multiple sclerosis and other immune diseases with increased cellular immunity as well as neurochemical disturbances that take place in these disorders. Β© Versita Warsaw and Springer-Verlag Berlin Heidelberg 2006

    Splitting fields and general differential Galois theory

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    An algebraic technique is presented that does not use results of model theory and makes it possible to construct a general Galois theory of arbitrary nonlinear systems of partial differential equations. The algebraic technique is based on the search for prime differential ideals of special form in tensor products of differential rings. The main results demonstrating the work of the technique obtained are the theorem on the constructedness of the differential closure and the general theorem on the Galois correspondence for normal extensions..Comment: 33 pages, this version coincides with the published on

    Π€Π Π˜Π”Π Π˜Π₯ БРАУЭЛЬ: Π–Π˜Π—ΠΠ¬ И Π˜Π‘Π‘Π›Π•Π”ΠžΠ’ΠΠΠ˜Π―

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    The article, written on the basis of data from the Russian and European archives, is the most complete biography of the famous figure of the Russian medical and veterinary science of the middle of the XIX century Friedrich Brauell, one of the pioneers of anthrax research. The article describes in detail the period of formation of F. Brauell as a scientist – his education received in Germany, visit to the Russian Empire for service, confirmation of academic degree received at homeland. His first steps in the field of teaching and science at Kazan University are discussed in details, his efforts to create a collection of anatomical preparations are described. The main part of the article is devoted to his work in Derpat (Tartu) Veterinary School, where he fully revealed his talent as a major organizer of scientific and educational activities. Particular attention is paid to its study of the problem of anthrax and plague. In addition, the article deals with the issues of his personal life and family for the first time. Thus, the material contained in the article can be useful for scientists studying the history of medicine, infectious diseases and veterinary medicine.Π‘Ρ‚Π°Ρ‚ΡŒΡ, написанная Π½Π° основС Π΄Π°Π½Π½Ρ‹Ρ… ΠΈΠ· российских ΠΈ СвропСйских Π°Ρ€Ρ…ΠΈΠ²ΠΎΠ², прСдставляСт собой Π½Π°ΠΈΠ±ΠΎΠ»Π΅Π΅ ΠΏΠΎΠ»Π½ΠΎΠ΅ ТизнСописаниС извСстного дСятСля российской мСдицинской ΠΈ Π²Π΅Ρ‚Π΅Ρ€ΠΈΠ½Π°Ρ€Π½ΠΎΠΉ Π½Π°ΡƒΠΊΠΈ сСрСдины XIX Π². Π€Ρ€ΠΈΠ΄Ρ€ΠΈΡ…Π° Брауэля, ΠΎΠ΄Π½ΠΎΠ³ΠΎ ΠΈΠ· ΠΏΠ΅Ρ€Π²ΠΎΠΎΡ‚ΠΊΡ€Ρ‹Π²Π°Ρ‚Π΅Π»Π΅ΠΉ Π²ΠΎΠ·Π±ΡƒΠ΄ΠΈΡ‚Π΅Π»Π΅ΠΉ сибирской язвы. Π’ Ρ€Π°Π±ΠΎΡ‚Π΅ ΠΏΠΎΠ΄Ρ€ΠΎΠ±Π½ΠΎ описан ΠΏΠ΅Ρ€ΠΈΠΎΠ΄ становлСния Π€. Брауэля ΠΊΠ°ΠΊ ΡƒΡ‡Π΅Π½ΠΎΠ³ΠΎ – Π΅Π³ΠΎ ΠΎΠ±Ρ€Π°Π·ΠΎΠ²Π°Π½ΠΈΠ΅, ΠΏΠΎΠ»ΡƒΡ‡Π΅Π½Π½ΠΎΠ΅ Π² Π“Π΅Ρ€ΠΌΠ°Π½ΠΈΠΈ, ΠΏΡ€ΠΈΠ΅Π·Π΄ Π² Π ΠΎΡΡΠΈΠΉΡΠΊΡƒΡŽ ΠΈΠΌΠΏΠ΅Ρ€ΠΈΡŽ для слуТбы, ΠΏΠΎΠ΄Ρ‚Π²Π΅Ρ€ΠΆΠ΄Π΅Π½ΠΈΠ΅ ΠΏΠΎΠ»ΡƒΡ‡Π΅Π½Π½ΠΎΠΉ Ρƒ сСбя Π½Π° Ρ€ΠΎΠ΄ΠΈΠ½Π΅ ΡƒΡ‡Π΅Π½ΠΎΠΉ стСпСни. ΠŸΠΎΠ΄Ρ€ΠΎΠ±Π½ΠΎ ΠΎΠ±ΡΡƒΠΆΠ΄Π°ΡŽΡ‚ΡΡ Π΅Π³ΠΎ ΠΏΠ΅Ρ€Π²Ρ‹Π΅ шаги Π½Π° ΠΏΠΎΠΏΡ€ΠΈΡ‰Π΅ образования ΠΈ Π½Π°ΡƒΠΊΠΈ Π² Казанском унивСрситСтС, описаны Π΅Π³ΠΎ усилия ΠΏΠΎ созданию ΠΊΠΎΠ»Π»Π΅ΠΊΡ†ΠΈΠΈ анатомичСских ΠΏΡ€Π΅ΠΏΠ°Ρ€Π°Ρ‚ΠΎΠ². Основная Ρ‡Π°ΡΡ‚ΡŒ ΡΡ‚Π°Ρ‚ΡŒΠΈ посвящСна Π΅Π³ΠΎ Ρ€Π°Π±ΠΎΡ‚Π΅ Π² ДСрптском Π²Π΅Ρ‚Π΅Ρ€ΠΈΠ½Π°Ρ€Π½ΠΎΠΌ ΡƒΡ‡ΠΈΠ»ΠΈΡ‰Π΅, Π³Π΄Π΅ ΠΏΠΎΠ»Π½ΠΎΡΡ‚ΡŒΡŽ раскрылся Π΅Π³ΠΎ Ρ‚Π°Π»Π°Π½Ρ‚ ΠΊΡ€ΡƒΠΏΠ½ΠΎΠ³ΠΎ ΠΎΡ€Π³Π°Π½ΠΈΠ·Π°Ρ‚ΠΎΡ€Π° Π½Π°ΡƒΡ‡Π½ΠΎΠΉ ΠΈ ΠΎΠ±Ρ€Π°Π·ΠΎΠ²Π°Ρ‚Π΅Π»ΡŒΠ½ΠΎΠΉ Π΄Π΅ΡΡ‚Π΅Π»ΡŒΠ½ΠΎΡΡ‚ΠΈ. ОсобоС Π²Π½ΠΈΠΌΠ°Π½ΠΈΠ΅ ΡƒΠ΄Π΅Π»Π΅Π½ΠΎ Π΅Π³ΠΎ исслСдованию ΠΏΡ€ΠΎΠ±Π»Π΅ΠΌΡ‹ сибирской язвы ΠΈ Ρ‡ΡƒΠΌΡ‹. ΠšΡ€ΠΎΠΌΠ΅ Ρ‚ΠΎΠ³ΠΎ, Π² ΡΡ‚Π°Ρ‚ΡŒΠ΅ Π²ΠΏΠ΅Ρ€Π²Ρ‹Π΅ Π·Π°Ρ‚Ρ€ΠΎΠ½ΡƒΡ‚Ρ‹ вопросы Π΅Π³ΠΎ частной ΠΆΠΈΠ·Π½ΠΈ ΠΈ сСмьи. Π’Π°ΠΊΠΈΠΌ ΠΎΠ±Ρ€Π°Π·ΠΎΠΌ, содСрТащийся Π² ΡΡ‚Π°Ρ‚ΡŒΠ΅ ΠΌΠ°Ρ‚Π΅Ρ€ΠΈΠ°Π» ΠΌΠΎΠΆΠ΅Ρ‚ Π±Ρ‹Ρ‚ΡŒ ΠΏΠΎΠ»Π΅Π·Π΅Π½ для ΡƒΡ‡Π΅Π½Ρ‹Ρ…, занятых ΠΈΠ·ΡƒΡ‡Π΅Π½ΠΈΠ΅ΠΌ истории ΠΌΠ΅Π΄ΠΈΡ†ΠΈΠ½Ρ‹, ΠΈΠ½Ρ„Π΅ΠΊΡ†ΠΈΠΎΠ½Π½Ρ‹Ρ… Π·Π°Π±ΠΎΠ»Π΅Π²Π°Π½ΠΈΠΉ ΠΈ Π²Π΅Ρ‚Π΅Ρ€ΠΈΠ½Π°Ρ€ΠΈΠΈ

    Curved One-Dimensional Wire as a Spin Rotator

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    We propose a semiconductor structure that can rotate the electron spin without using ferromagnetic contacts, tunneling barriers, external radiation etc. The structure consists of a strongly curved one-dimensional ballistic wire with intrinsic spin-orbit interactions of Rashba type. Our calculations and analytical formulae show that the proposed device can redistribute the current densities between the two spin-split modes without backscattering and, thus, serve as a reflectionless and high-speed spin switcher. Using parameters relevant for InAs we investigate the projection of current density spin polarization on the spin-quantization axis as a function of the Rashba constant, external magnetic field, and radius of the wire's curvature.Comment: 10 pages, 6 figures; replaced with considerably extended versio

    ЖСлчнокамСнная болСзнь срСди мСдицинского пСрсонала ΠΏΠΎΠ»ΠΈΠΊΠ»ΠΈΠ½ΠΈΠΊΠΈ: Ρ„Π°ΠΊΡ‚ΠΎΡ€Ρ‹ риска Π΅Π΅ развития Π² Ρ€Π°Π·Π½Ρ‹Ρ… ΠΏΡ€ΠΎΡ„Π΅ΡΡΠΈΠΎΠ½Π°Π»ΡŒΠ½Ρ‹Ρ… Π³Ρ€ΡƒΠΏΠΏΠ°Ρ…

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    The aim. Identification of risk factors for gallstone disease (GDS) development between different professional groups of polyclinic medical staff. Material and methods. 75 medical staff members were divided into two groups (1st group: 30 doctors; 2nd group: 45 nurses). All of them were interviewed fo r information about profession, gender, age, waist circumference (WC), body mass index (BMI), smoking, arterial hypertension (AH), diabetes mellitus (DM) and hypercholesterolemia. In addition, women were interviewed about the number of pregnancies, ostmenopause and taking oral contraceptive pills (OCPs). To assess physical activity, a short international questionnaire on physical activity (IPAQ) was used. To identify the presence of professional burnout (PB) syndrome we applied the Maslach Burnout Inventory (MBI) questionnaire, adapted by N.Π•. Vodopianova for medical staff. At the final stage, the data of abdominal organs ultrasound examination were analyzed based on the materials of medical staff outpatient records. Results. The GSD prevalence among doctors was 33.3%, and 24.4% among nurses. In both groups age, AH, weight, WC and BMI contribute to GSD formation. In the first group of individuals with GSD, the level of total cholesterol (TC) was significantly higher. In the same group extremely high PB, postmenopause (p <0.05) and hypodynamia (p <0.1) were much more common. In the second group, there were more DM cases and pregnancies (p <0.05). Conclusion. The medical staff of the clinic has a high GSD incidence, whose frequency depends not only on classical risk factors prevalence, but is also determined by profession peculiarities, characterized by high psychological stress and lower physical activity of physicians, compared to nurses.ЦСль исслСдования. Π’Ρ‹ΡΠ²ΠΈΡ‚ΡŒ Ρ„Π°ΠΊΡ‚ΠΎΡ€Ρ‹ риска развития ΠΆΠ΅Π»Ρ‡Π½ΠΎΠΊΠ°ΠΌΠ΅Π½Π½ΠΎΠΉ Π±ΠΎΠ»Π΅Π·Π½ΠΈ (Π–ΠšΠ‘) срСди мСдицинского пСрсонала ΠΏΠΎΠ»ΠΈΠΊΠ»ΠΈΠ½ΠΈΠΊΠΈ Π² Ρ€Π°Π·Π½Ρ‹Ρ… ΠΏΡ€ΠΎΡ„Π΅ΡΡΠΈΠΎΠ½Π°Π»ΡŒΠ½Ρ‹Ρ… Π³Ρ€ΡƒΠΏΠΏΠ°Ρ…. ΠœΠ°Ρ‚Π΅Ρ€ΠΈΠ°Π»Ρ‹ ΠΈ ΠΌΠ΅Ρ‚ΠΎΠ΄Ρ‹. Π’ ΠΏΠΎΠ»ΠΈΠΊΠ»ΠΈΠ½ΠΈΠΊΠ΅ Π±Ρ‹Π»ΠΎ осмотрСно ΠΈ Π°Π½ΠΊΠ΅Ρ‚ΠΈΡ€ΠΎΠ²Π°Π½ΠΎ 75 мСдицинских сотрудников ΠΏΠΎΠ»ΠΈΠΊΠ»ΠΈΠ½ΠΈΠΊΠΈ, ΠΊΠΎΡ‚ΠΎΡ€Ρ‹Π΅ Π±Ρ‹Π»ΠΈ Ρ€Π°Π·Π΄Π΅Π»Π΅Π½Ρ‹ Π½Π° Π΄Π²Π΅ Π³Ρ€ΡƒΠΏΠΏΡ‹. Π’ 1-ю Π±Ρ‹Π»ΠΈ Π²ΠΊΠ»ΡŽΡ‡Π΅Π½Ρ‹ 30 Π²Ρ€Π°Ρ‡Π΅ΠΉ; Π²ΠΎ 2-ю - 45 мСдицинских сСстСр. Анализу ΠΏΠΎΠ΄Π²Π΅Ρ€Π³Π°Π»ΠΈΡΡŒ Ρ‚Π°ΠΊΠΈΠ΅ ΠΏΠΎΠΊΠ°Π·Π°Ρ‚Π΅Π»ΠΈ, ΠΊΠ°ΠΊ профСссия, ΠΏΠΎΠ», возраст, объСм Ρ‚Π°Π»ΠΈΠΈ (ОВ), индСкс массы Ρ‚Π΅Π»Π° (ИМВ), ΠΊΡƒΡ€Π΅Π½ΠΈΠ΅, Π½Π°Π»ΠΈΡ‡ΠΈΠ΅ Π°Ρ€Ρ‚Π΅Ρ€ΠΈΠ°Π»ΡŒΠ½ΠΎΠΉ Π³ΠΈΠΏΠ΅Ρ€Ρ‚Π΅Π½Π·ΠΈΠΈ (АГ), сахарного Π΄ΠΈΠ°Π±Π΅Ρ‚Π° (Π‘Π”), гипСрхолСстСринСмии, постмСнопаузы; Ρƒ ΠΆΠ΅Π½Ρ‰ΠΈΠ½ – количСство бСрСмСнностСй ΠΈ ΠΏΡ€ΠΈΠ΅ΠΌ ΠΎΡ€Π°Π»ΡŒΠ½Ρ‹Ρ… ΠΊΠΎΠ½Ρ‚Ρ€Π°Ρ†Π΅ΠΏΡ‚ΠΈΠ²ΠΎΠ² (ОК). Для ΠΎΡ†Π΅Π½ΠΊΠΈ физичСской активности примСняли ΠΊΡ€Π°Ρ‚ΠΊΠΈΠΉ ΠΌΠ΅ΠΆΠ΄ΡƒΠ½Π°Ρ€ΠΎΠ΄Π½Ρ‹ΠΉ опросник ΠΏΠΎ физичСской активности (IPAQ). Для выявлСния симптомов ΠΏΡ€ΠΎΡ„Π΅ΡΡΠΈΠΎΠ½Π°Π»ΡŒΠ½ΠΎΠ³ΠΎ выгорания (ΠŸΠ’) использовали опросник Maslach Burnout Inventory (MBI), Π°Π΄Π°ΠΏΡ‚ΠΈΡ€ΠΎΠ²Π°Π½Π½Ρ‹ΠΉ Н.Π•. Π’ΠΎΠ΄ΠΎΠΏΡŒΡΠ½ΠΎΠ²ΠΎΠΉ для мСдицинских сотрудников. На ΠΊΠΎΠ½Π΅Ρ‡Π½ΠΎΠΌ этапС Π°Π½Π°Π»ΠΈΠ·ΠΈΡ€ΠΎΠ²Π°Π»ΠΈΡΡŒ Π΄Π°Π½Π½Ρ‹Π΅ ΡƒΠ»ΡŒΡ‚Ρ€Π°Π·Π²ΡƒΠΊΠΎΠ²ΠΎΠ³ΠΎ исслСдования ΠΎΡ€Π³Π°Π½ΠΎΠ² Π±Ρ€ΡŽΡˆΠ½ΠΎΠΉ полости ΠΏΠΎ Π°ΠΌΠ±ΡƒΠ»Π°Ρ‚ΠΎΡ€Π½Ρ‹ΠΌ ΠΊΠ°Ρ€Ρ‚Π°ΠΌ мСдицинских Ρ€Π°Π±ΠΎΡ‚Π½ΠΈΠΊΠΎΠ². Π Π΅Π·ΡƒΠ»ΡŒΡ‚Π°Ρ‚Ρ‹. Π Π°ΡΠΏΡ€ΠΎΡΡ‚Ρ€Π°Π½Π΅Π½Π½ΠΎΡΡ‚ΡŒ Π–ΠšΠ‘ срСди Π²Ρ€Π°Ρ‡Π΅ΠΉ составила 33,3%, ΠΈ 24,4% срСди мСдицинских сСстСр. Π’ ΠΎΠ±Π΅ΠΈΡ… Π³Ρ€ΡƒΠΏΠΏΠ°Ρ… Π½Π° Ρ„ΠΎΡ€ΠΌΠΈΡ€ΠΎΠ²Π°Π½ΠΈΠ΅ Π–ΠšΠ‘ Π²Π»ΠΈΡΡŽΡ‚ возраст, Π½Π°Π»ΠΈΡ‡ΠΈΠ΅ АГ, вСс, ОВ, ИМВ. Π’ ΠΏΠ΅Ρ€Π²ΠΎΠΉ Π³Ρ€ΡƒΠΏΠΏΠ΅ Π»ΠΈΡ† с Π–ΠšΠ‘ ΡƒΡ€ΠΎΠ²Π΅Π½ΡŒ ΠΎΠ±Ρ‰Π΅Π³ΠΎ холСстСрина Π±Ρ‹Π» достовСрно Π²Ρ‹ΡˆΠ΅ (ОΠ₯). Π’ этой ΠΆΠ΅ Π³Ρ€ΡƒΠΏΠΏΠ΅ ΠŸΠ’ ΠΊΡ€Π°ΠΉΠ½Π΅ высокой стСпСни, постмСнопауза (p<0,05) ΠΈ гиподинамия (p<0,1) Π²ΡΡ‚Ρ€Π΅Ρ‡Π°Π»ΠΈΡΡŒ Π·Π½Π°Ρ‡ΠΈΡ‚Π΅Π»ΡŒΠ½ΠΎ Ρ‡Π°Ρ‰Π΅. Π’ Π³Ρ€ΡƒΠΏΠΏΠ΅ мСдицинских сСстСр с Π–ΠšΠ‘ ΠΎΡ‚ΠΌΠ΅Ρ‡Π°Π»ΠΎΡΡŒ ΠΏΡ€Π΅ΠΎΠ±Π»Π°Π΄Π°Π½ΠΈΠ΅ Π»ΠΈΡ† с Π‘Π” ΠΈ большСС число бСрСмСнностСй (p<0,05). Π—Π°ΠΊΠ»ΡŽΡ‡Π΅Π½ΠΈΠ΅. Π£ мСдицинского пСрсонала ΠΏΠΎΠ»ΠΈΠΊΠ»ΠΈΠ½ΠΈΠΊΠΈ ΠΈΠΌΠ΅Π΅Ρ‚ мСсто высокая Ρ€Π°ΡΠΏΡ€ΠΎΡΡ‚Ρ€Π°Π½Π΅Π½Π½ΠΎΡΡ‚ΡŒ Π–ΠšΠ‘, частота ΠΊΠΎΡ‚ΠΎΡ€ΠΎΠΉ зависит Π½Π΅ Ρ‚ΠΎΠ»ΡŒΠΊΠΎ ΠΎΡ‚ распространСнности классичСских Ρ„Π°ΠΊΡ‚ΠΎΡ€ΠΎΠ² риска, Π½ΠΎ ΠΈ опрСдСляСтся особСнностями ΠΏΡ€ΠΎΡ„Π΅ΡΡΠΈΠΎΠ½Π°Π»ΡŒΠ½ΠΎΠΉ Π΄Π΅ΡΡ‚Π΅Π»ΡŒΠ½ΠΎΡΡ‚ΠΈ, Ρ…Π°Ρ€Π°ΠΊΡ‚Π΅Ρ€ΠΈΠ·ΡƒΡŽΡ‰Π΅ΠΉΡΡ высокой психологичСской Π½Π°Π³Ρ€ΡƒΠ·ΠΊΠΎΠΉ ΠΈ Π±ΠΎΠ»Π΅Π΅ Π½ΠΈΠ·ΠΊΠΎΠΉ физичСской Π°ΠΊΡ‚ΠΈΠ²Π½ΠΎΡΡ‚ΡŒΡŽ Π²Ρ€Π°Ρ‡Π΅Π±Π½ΠΎΠ³ΠΎ пСрсонала, ΠΏΠΎ ΡΡ€Π°Π²Π½Π΅Π½ΠΈΡŽ с мСдицинскими сСстрами

    ΠŸΠ°Ρ€Π°ΠΌΠ΅Ρ‚Ρ€Ρ‹ пСрифСричСской ΠΊΡ€ΠΎΠ²ΠΈ ΠΊΠ°ΠΊ ΠΌΠ°Ρ€ΠΊΠ΅Ρ€Ρ‹ нСспСцифичСского Π°Π΄Π°ΠΏΡ‚Π°Ρ†ΠΈΠΎΠ½Π½ΠΎΠ³ΠΎ ΠΎΡ‚Π²Π΅Ρ‚Π° ΠΏΡ€ΠΈ острых ΠΈΠ½Ρ„Π΅ΠΊΡ†ΠΈΠΎΠ½Π½Ρ‹Ρ… заболСваниях с синдромом Ρ‚ΠΎΠ½Π·ΠΈΠ»Π»ΠΈΡ‚Π°

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    Evaluation of nonspecific adaptive response of the body in children with acute infectious diseases associated with tonsillitis syndrome was the aim of this research. This prospective study included clinical, anamnestic and laboratory examination of children with acute infectious diseases with tonsillitis syndrome. A systemic multiple factor analysis was conducted (significance level Ρ€<0.05). The evaluation of peripheral blood parameters (specific gravity of lymphocytes and indices of reactive protective potential (RPP) - specific immune lymphocytic-monocytic parameter (SILMP) and coefficient of phagocytic defense (CPD)) gives the possibility to determine the condition of nonspecific adaptation in children with acute infectious diseases associated with tonsillitis syndrome. Children with tonsillitis syndrome show significant increase of integral RPP parameters, i.e. decrease of RPP, which is more pronounced on discharge (on admission - in 57% of children, on discharge - in 87%). The most unfavourable initial nonspecific adaptative body response (NABR) (according to the percentage of lymphocytes) is the reaction of increased activation, as it is associated with the transition to the overactivation by the time of discharge (37% of children). Systemic multiple factor analysis determined which peripheral blood parameters have more influence on children’s adaptation during the course of infectious disease: RPP indices showed high influence coefficients in all diseases (CPD was the highest in bacterial infection - Π i 198.3; SILMP was the highest in viral infection - Π i 147.81; in mixed infection CPD and SILMP were roughly the same - Π i – 107.25 and Π i - 78.11, respectively), which proves the feasibility of RPP evaluation for prognostic purposes in the treatment of this category of patients.ЦСлью настоящСго исслСдования явилась ΠΎΡ†Π΅Π½ΠΊΠ° нСспСцифичСской Π°Π΄Π°ΠΏΡ‚Π°Ρ†ΠΈΠΎΠ½Π½ΠΎΠΉ Ρ€Π΅Π°ΠΊΡ†ΠΈΠΈ ΠΎΡ€Π³Π°Π½ΠΈΠ·ΠΌΠ° Ρƒ Π΄Π΅Ρ‚Π΅ΠΉ с острыми ΠΈΠ½Ρ„Π΅ΠΊΡ†ΠΈΠΎΠ½Π½Ρ‹ΠΌΠΈ заболСваниями, ассоциированными с синдромом Ρ‚ΠΎΠ½Π·ΠΈΠ»Π»ΠΈΡ‚Π°. Π”Π°Π½Π½ΠΎΠ΅ проспСктивноС исслСдованиС Π²ΠΊΠ»ΡŽΡ‡Π°Π»ΠΎ ΠΊΠ»ΠΈΠ½ΠΈΠΊΠΎ-анамнСстичСскоС ΠΈ Π»Π°Π±ΠΎΡ€Π°Ρ‚ΠΎΡ€Π½ΠΎΠ΅ обслСдованиС Π΄Π΅Ρ‚Π΅ΠΉ с острыми ΠΈΠ½Ρ„Π΅ΠΊΡ†ΠΈΠΎΠ½Π½Ρ‹ΠΌΠΈ заболСваниями с синдромом Ρ‚ΠΎΠ½Π·ΠΈΠ»Π»ΠΈΡ‚Π°. ΠŸΡ€ΠΎΠ²Π΅Π΄Π΅Π½ систСмный ΠΌΠ½ΠΎΠ³ΠΎΡ„Π°ΠΊΡ‚ΠΎΡ€Π½Ρ‹ΠΉ Π°Π½Π°Π»ΠΈΠ· (ΡƒΡ€ΠΎΠ²Π΅Π½ΡŒ значимости Ρ€<0,05). ΠžΡ†Π΅Π½ΠΊΠ° ΠΏΠΎΠΊΠ°Π·Π°Ρ‚Π΅Π»Π΅ΠΉ пСрифСричСской ΠΊΡ€ΠΎΠ²ΠΈ (ΡƒΠ΄Π΅Π»ΡŒΠ½ΠΎΠ³ΠΎ вСса Π»ΠΈΠΌΡ„ΠΎΡ†ΠΈΡ‚ΠΎΠ² ΠΈ ΠΏΠΎΠΊΠ°Π·Π°Ρ‚Π΅Π»Π΅ΠΉ Ρ€Π΅Π°ΠΊΡ‚ΠΈΠ²Π½ΠΎ-ΠΏΡ€ΠΎΡ‚Π΅ΠΊΡ‚ΠΈΠ²Π½Ρ‹ΠΉ ΠΏΠΎΡ‚Π΅Π½Ρ†ΠΈΠ°Π» (РПП) - спСцифичСского ΠΈΠΌΠΌΡƒΠ½Π½ΠΎΠ³ΠΎ Π»ΠΈΠΌΡ„ΠΎΡ†ΠΈΡ‚Π°Ρ€Π½ΠΎ-ΠΌΠΎΠ½ΠΎΡ†ΠΈΡ‚Π°Ρ€Π½ΠΎΠ³ΠΎ ΠΏΠ°Ρ€Π°ΠΌΠ΅Ρ‚Ρ€Π° (Π˜Π›ΠœΠŸ) ΠΈ коэффициСнта Ρ„Π°Π³ΠΎΡ†ΠΈΡ‚Π°Ρ€Π½ΠΎΠΉ Π·Π°Ρ‰ΠΈΡ‚Ρ‹ (ΠšΠ€Π—) Π΄Π°Π΅Ρ‚ Π²ΠΎΠ·ΠΌΠΎΠΆΠ½ΠΎΡΡ‚ΡŒ ΠΎΠΏΡ€Π΅Π΄Π΅Π»ΠΈΡ‚ΡŒ состояниС нСспСцифичСской Π°Π΄Π°ΠΏΡ‚Π°Ρ†ΠΈΠΈ Ρƒ Π΄Π΅Ρ‚Π΅ΠΉ с ΠΎΡΡ‚Ρ€Ρ‹ΠΌΠΈ ΠΈΠ½Ρ„Π΅ΠΊΡ†ΠΈΠΎΠ½Π½Ρ‹ΠΌΠΈ заболСваниями, ассоциированными с синдромом Ρ‚ΠΎΠ½Π·ΠΈΠ»Π»ΠΈΡ‚Π°. Π£ Π΄Π΅Ρ‚Π΅ΠΉ с синдромом Ρ‚ΠΎΠ½Π·ΠΈΠ»Π»ΠΈΡ‚Π° отмСчаСтся достовСрноС ΠΏΠΎΠ²Ρ‹ΡˆΠ΅Π½ΠΈΠ΅ ΠΈΠ½Ρ‚Π΅Π³Ρ€Π°Π»ΡŒΠ½Ρ‹Ρ… ΠΏΠΎΠΊΠ°Π·Π°Ρ‚Π΅Π»Π΅ΠΉ РПП, Ρ‚. Π΅. сниТСниС РПП, ΠΊΠΎΡ‚ΠΎΡ€ΠΎΠ΅ Π±ΠΎΠ»Π΅Π΅ Π²Ρ‹Ρ€Π°ΠΆΠ΅Π½ΠΎ ΠΏΡ€ΠΈ выпискС (ΠΏΡ€ΠΈ поступлСнии - Ρƒ 57% Π΄Π΅Ρ‚Π΅ΠΉ, ΠΏΡ€ΠΈ выпискС - Ρƒ 87%). НаиболСС нСблагоприятной исходной нСспСцифичСской Π°Π΄Π°ΠΏΡ‚Π°Ρ†ΠΈΠΎΠ½Π½ΠΎΠΉ Ρ€Π΅Π°ΠΊΡ†ΠΈΠ΅ΠΉ ΠΎΡ€Π³Π°Π½ΠΈΠ·ΠΌΠ° (ΠΏΠΎ ΠΏΡ€ΠΎΡ†Π΅Π½Ρ‚Ρƒ Π»ΠΈΠΌΡ„ΠΎΡ†ΠΈΡ‚ΠΎΠ²) являСтся рСакция ΠΏΠΎΠ²Ρ‹ΡˆΠ΅Π½Π½ΠΎΠΉ Π°ΠΊΡ‚ΠΈΠ²Π°Ρ†ΠΈΠΈ, Ρ‚Π°ΠΊ ΠΊΠ°ΠΊ ΠΎΠ½Π° связана с ΠΏΠ΅Ρ€Π΅Ρ…ΠΎΠ΄ΠΎΠΌ ΠΊ Π³ΠΈΠΏΠ΅Ρ€Π°ΠΊΡ‚ΠΈΠ²Π°Ρ†ΠΈΠΈ ΠΊ ΠΌΠΎΠΌΠ΅Π½Ρ‚Ρƒ выписки (37% Π΄Π΅Ρ‚Π΅ΠΉ). БистСмный ΠΌΠ½ΠΎΠ³ΠΎΡ„Π°ΠΊΡ‚ΠΎΡ€Π½Ρ‹ΠΉ Π°Π½Π°Π»ΠΈΠ· ΠΎΠΏΡ€Π΅Π΄Π΅Π»ΠΈΠ», ΠΊΠ°ΠΊΠΈΠ΅ ΠΏΠΎΠΊΠ°Π·Π°Ρ‚Π΅Π»ΠΈ пСрифСричСской ΠΊΡ€ΠΎΠ²ΠΈ ΠΎΠΊΠ°Π·Ρ‹Π²Π°ΡŽΡ‚ большСС влияниС Π½Π° Π°Π΄Π°ΠΏΡ‚Π°Ρ†ΠΈΡŽ Π΄Π΅Ρ‚Π΅ΠΉ Π² Ρ‚Π΅Ρ‡Π΅Π½ΠΈΠ΅ ΠΈΠ½Ρ„Π΅ΠΊΡ†ΠΈΠΎΠ½Π½ΠΎΠ³ΠΎ заболСвания: ΠΏΠΎΠΊΠ°Π·Π°Ρ‚Π΅Π»ΠΈ РПП ΠΏΠΎΠΊΠ°Π·Π°Π»ΠΈ высокиС коэффициСнты влияния ΠΏΡ€ΠΈ всСх заболСваниях, Ρ‡Ρ‚ΠΎ Π΄ΠΎΠΊΠ°Π·Ρ‹Π²Π°Π΅Ρ‚ Ρ†Π΅Π»Π΅ΡΠΎΠΎΠ±Ρ€Π°Π·Π½ΠΎΡΡ‚ΡŒ ΠΎΡ†Π΅Π½ΠΊΠΈ РПП Π² прогностичСских цСлях ΠΏΡ€ΠΈ Π»Π΅Ρ‡Π΅Π½ΠΈΠΈ Π΄Π°Π½Π½ΠΎΠΉ ΠΊΠ°Ρ‚Π΅Π³ΠΎΡ€ΠΈΠΈ Π±ΠΎΠ»ΡŒΠ½Ρ‹Ρ…

    Circulating markers of vascular damage as predictors of cardiovascular events in atherosclerosis and metabolic disorders

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    The article presents the results of cluster analysis of the contribution of immune inflammation and endothelial dysfunction (ED) markers to the frequency and severity of cardiovascular events (CVE) in cohorts of patients with asymptomatic atherosclerosis (AAS), coronary artery disease (CAD), type 2 diabetes mellitus (T2DM) and metabolic syndrome (MS) during a 3-year prospective observation. Results Circulating markers of ED and immune inflammation, such as ET-1, IL-1Ξ², TNF-Ξ±, antibodies to collagen type I and III, and antibodies to chondroitine sulfate (CS) contribute to cardiovascular (CV) manifestation in AAS. In CAD patients ET-1, eNOs, antibodies to collagen, as well as IL-6 and vWf  are the main contributors. In T2DM without clinical manifestation of CAD, the set of markers associated with the adverse events includes ET-1, eNOs, IL-6, anti-C, and anti-HA. In CAD combined with T2DM, the cluster of markers associated with the adverse events includes vWf, TNF-Ξ±, eNOs, IL-6, anti-C, anti-HA and CRP. In AAS without MS, the key contributors are ET-1 and vWf, and the presence of anti-C and anti-ChS; in AAS/MS patients, the key markers are IL-1Ξ², TNF-Ξ±, anti-C, anti-ChS, anti-HA, and CRP. In CAD without MS, the cluster of markers associated with adverse events includes ET-1, eNOs and anti-HA; in CAD/MS it includes anti-C, ET-1, and IL-6. Conclusion. The obtained results confirm the role of systemic inflammation in the development of atherosclerosis-associated angiopathy in coronary pathology and disorders of carbohydrate metabolism, and also suggest a set of circulating markers as predictors of adverse CVE
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