Medical and Legal Aspects of Human Organ Transplantation

Medical science has now made it possible to transplant kidneys from one individual to another in order to save the lives of patients dying of kidney failure. The use of kidneys from recently deceased patients (so called cadaver donors) is increasing, creating special legal problems in regard to obtaining and using such organs. As techniques of heart, lung, and liver transplantation develop, these legal problems may become even more complex

La determinación de la aptitud a la molienda y del consumo específico de energía según el ensayo de Bond para la molienda de minerales y rocas

Not availableDurante las dos últimas décadas se han elaborado varios métodos de laboratorio para determinar la aptitud a la molienda y el consumo específico de energía. En lo que concierne a la molienda de minerales en molinos de bolas se utiliza frecuentemente, por lo menos en los Estados Unidos, el ensayo de Bond, pudiendo procederse a la explotación de los resultados con el apoyo de diversas relaciones empíricas. En el presente trabajo se describen sumariamente los distintos métodos. Se discuten los resultado de ensayos de molienda, según Bond, realizados en diversos minerales y rocas y se los compara con los datos de instalaciones de molienda industriales

Экологическая оценка применения огнетушащих составов на основе жидкого стекла

Объектом исследования является разработка огнетушащих составов для пожаротушения и экологической безопасности. В процессе исследования проводились мероприятия по подбору компонентов и их оптимального содержания в составе огнетушащего состава, а также испытания для проверки способности состава противостоять огню при взаимодействии с легковоспламеняющимися жидкостями.The subject of this study is the development of fire-extinguishing compositions for the fire fighting activity and Ecological Compliance.During the research, measures to components selection and the components desired content in the fire-extinguishing composition were carried out. The check studies to composition aptitude test to the fire resist when interacting with highly-flammable liquid were also carried out

Анализ конкурентоспособности предприятия на рынке телекоммуникационных услуг

В результате исследования дана характеристика рынка телекоммуникационных услуг, определены методики оценки конкурентоспособности услуг и товаров предприятия, выявлены факторы, определяющие конкурентоспособность товаров и услуг, представлены особенности конкуренции на рынке телекоммуникационных услуг, дана характеристика деятельности компании ПАО "Ростелеком", проведен анализ конкурентоспособности ПАО "Ростелеком" и предоставляемых услуг, выполнена разработка мероприятий по повышению конкурентоспособности предприятия.As a result of the research, the characteristics of the telecommunications services market are given, the methods for assessing the competitiveness of services and goods of the enterprise are defined, the factors determining the competitiveness of goods and services are identified, the features of competition in the telecommunications market are presented, the performance of the company PJSC "Rostelecom" is given, the competitiveness analysis of PJSC "Rostelecom" "And the services provided, the development of measures to increase the competitiveness of the enterpris

Progression of liver fibrosis in HIV/HCV genotype 1 co-infected patients is related to the T allele of the rsI2979860 polymorphism of the IL28B gene

<p>Abstract</p> <p>Objective</p> <p>HIV/HCV co-infection is characterised by accelerated progression of liver disease. Recently, the rsl2979860 C/T polymorphism in the <it>IL28B </it>gene has been linked to progression towards cirrhosis in HCV mono-infected patients and to treatment response of HCV-infection in HIV/HCV co-infected patients. Our aim was to clarify by non-invasive techniques if this polymorphism affects fibrosis progression in HIV/HCV co-infection.</p> <p>Methods</p> <p>In a cross-sectional design, liver stiffness (transient elastography), surrogate markers of liver fibrosis (APRI and FIB-4 scores) and rsl2979860 genotypes were analysed in 84 HCV/H1V co-infected patients. <it>IL28B </it>genotypes were determined by real-time PCR using a light cycler. In 56 HIV/HCV co-infected patients we also studied progression of fibrosis in relation to rsl2979860 C/T genotypes over two years.</p> <p>Results</p> <p>82% of the patients were on HAART (74% without detectable HI viremia) and 67% were haemophiliacs, respectively. HCV genotype 1 was present in 62%. Cross-sectional median liver stiffness was 7.4 kPa and correlated with APRI and FIB-4 scores (r = 0.6 each, p < 0.001). Frequencies of <it>IL28B </it>genotypes were: CC 50%, CT 43% and TT 7%. In the cross-sectional analysis liver stiffness values were not different between the various <it>IL28B</it>-genotypes. Upon follow-up under HAART carriers of a C allele did not show further progression, while liver stiffness significantly increased in HIV/HCV co-infected patients with the T allele (p = 0.047).</p> <p>Conclusion</p> <p>Although progression of liver fibrosis was low under HAART in our cohort, progression was more pronounced in HIV/HCV genotype 1 co-infected patients with the T allele.</p

Interleukin-8 Is Activated in Patients with Chronic Liver Diseases and Associated with Hepatic Macrophage Accumulation in Human Liver Fibrosis

BACKGROUND: Interleukin-8 (IL-8, CXCL8) is a potent chemoattractant for neutrophils and contributes to acute liver inflammation. Much less is known about IL-8 in chronic liver diseases (CLD), but elevated levels were reported from alcoholic and hepatitis C-related CLD. We investigated the regulation of IL-8, its receptors CXCR1 and CXCR2 and possible IL-8 responding cells in CLD patients. METHODOLOGY: Serum IL-8 levels were measured in CLD patients (n = 200) and healthy controls (n = 141). Intrahepatic IL-8, CXCR1 and CXCR2 gene expression was quantified from liver samples (n = 41), alongside immunohistochemical neutrophil (MPO) and macrophage (CD68) stainings. CXCR1 and CXCR2 expression was analyzed on purified monocytes from patients (n = 111) and controls (n = 31). In vitro analyses explored IL-8 secretion by different leukocyte subsets. PRINCIPAL FINDINGS: IL-8 serum levels were significantly increased in CLD patients, especially in end-stage cirrhosis. Interestingly, patients with cholestatic diseases exhibited highest IL-8 serum concentrations. IL-8 correlated with liver function, inflammatory cytokines and non-invasive fibrosis markers. Intrahepatically, IL-8 and CXCR1 expression were strongly up-regulated. However, intrahepatic IL-8 could only be associated to neutrophil infiltration in patients with primary biliary cirrhosis (PBC). In non-cholestatic cirrhosis, increased IL-8 and CXCR1 levels were associated with hepatic macrophage accumulation. In line, CXCR1, but not CXCR2 or CXCR3, expression was increased on circulating monocytes from cirrhotic patients. Moreover, monocyte-derived macrophages from CLD patients, especially the non-classical CD16⁺ subtype, displayed enhanced IL-8 secretion in vitro. CONCLUSIONS: IL-8 is strongly activated in CLD, thus likely contributing to hepatic inflammation. Our study suggests a novel role of IL-8 for recruitment and activation of hepatic macrophages via CXCR1 in human liver cirrhosis