Anthropogenic and natural factors shaping the boundaries of the St. Petersburg suburban area

The suburban area of St. Petersburg stands out as Russia's most complex in terms of spatial structure, encompassing districts ranging from the suburban imperial residences of the 18th century to low-rise residential zones and modern multi-storey developments of the 21st century. This study concluded that extensive stretches of the administrative border between St. Petersburg and the Leningrad region divide homogeneous territories. Therefore, it makes little academic or practical sense to confine scholarly efforts solely to suburbs situated on one side of this border. The principal factor in delineating the St. Petersburg urban area is the transport accessibility of territories surrounding the city. It was empirically determined that the inner boundary of the suburban area is located approximately within the 40-45-minute isochrone from the city centre, while the outer boundary extends to the 2-hour isochrone. In the conditions of today's St. Petersburg, a two-hour isochrone corresponds to a 60 km distance. Along with isochrones, the actual boundary of the suburban area is determined by several natural and anthropogenic factors. In terms of the natural environment, a significant part of the St. Petersburg suburban area is anthropogenic forest-steppe, whose landscapes are radically different from those of the area’s natural southern taiga subzone. The features of the 'forest steppe' reach their peak to the southwest and south of St. Petersburg. To the north of the city, the suburban zone is defined by both ‘anthropogenic forest-steppe’ and secondary small-leaved forests that have replaced agricultural lands. Another prominent feature is parks found on the premises of former estates where introduced woody species account for a substantial portion of vegetation. The spatial structure of the suburban area north of St. Petersburg is complicated by large extents of unpopulated areas. Since the 19th century, they have divided the area into two virtually disconnected parts

The 'Route from the Varangians to the Greeks': truth or fiction

The 'route from the Varangians to the Greeks' is widely known and often mentioned in research, popular science and educational literature. Much less often is it mentioned that the existence of the trade route is seriously doubted and needs additional evidence. The discussion about the actuality of a 'route from the Varangians to the Greeks' has intensified in the recent decade; it mostly involves historians who draw on chronicles, archive materials and literary sources. Although relevant geographical studies focus on small territories and have a limited scope, only they can give a definitive answer to the question of whether it was possible to sail the rivers of the East European Plain between the Baltic and Black Seas in the 8th-11th centuries AD. Of particular importance are studies on the watersheds marking the principal legs of the route. If the watersheds were traversable, the 'route from the Varangians to the Greeks' was navigable, and the impassability of watersheds would preclude navigation along the route. Methodologically, the study employs methods and approaches used in physiographical field studies, which have not been applied earlier to the watershed sections of the 'route from the Varangians to the Greeks'. The central result of the research is the reconstruction of the hydrological features and hydrographic situation of the watershed between the basins of the Neva (River Lovat) and the Western Dvina (River Usvyacha) during the existence of the 'route from the Varangians to the Greeks'. This reconstruction and the study of the watershed territories, the system of land communication routes and toponymic features of this territory conclusively demonstrate that the 'way from the Varangians to the Greeks', or the Baltic-Black Sea waterway, could actually exist

Механизмы апоптоза лимфоцитов при клещевом энцефалите

Results of the complex research of apoptosis realization of lymphocytes at acute tick-born encephalitis and during long antigenemia condition has been presented in this article. The acceleration of apoptosis, tumor necrosis factor I presentation and the decrease in mitochondrial transmembrane potential of lymphocytes were determined at tick-born encephalitis. Uncovered changes are more appeared at acute neuroinfection.В статье приведены результаты комплексного исследования особенностей реализации апоптоза лимфоцитов при клещевом энцефалите в острый период, а также в условиях длительной антигенемии вируса клещевого энцефалита. При клещевом энцефалите отмечено повышение количества апоптотически измененных лимфоцитов, клеток, несущих на своей поверхности рецептор к фактору некроза опухолей типа I, а также клеток со сниженным трансмембранным потенциалом митохондрий. Обнаруженные изменения более выражены при острой форме нейроинфекции

Gastroesophageal reflux GWAS identifies risk loci that also associate with subsequent severe esophageal diseases

Funder: The Swedish Esophageal Cancer Study was funded by grants (R01 CA57947-03) from the National Cancer Institute he California Tobacco Related Research Program (3RT-0122; and; 10RT-0251) Marit Peterson Fund for Melanoma Research. CIDR is supported by contract HHSN268200782096CAbstract: Gastroesophageal reflux disease (GERD) is caused by gastric acid entering the esophagus. GERD has high prevalence and is the major risk factor for Barrett’s esophagus (BE) and esophageal adenocarcinoma (EA). We conduct a large GERD GWAS meta-analysis (80,265 cases, 305,011 controls), identifying 25 independent genome-wide significant loci for GERD. Several of the implicated genes are existing or putative drug targets. Loci discovery is greatest with a broad GERD definition (including cases defined by self-report or medication data). Further, 91% of the GERD risk-increasing alleles also increase BE and/or EA risk, greatly expanding gene discovery for these traits. Our results map genes for GERD and related traits and uncover potential new drug targets for these conditions

Canagliflozin and Renal Outcomes in Type 2 Diabetes and Nephropathy

BACKGROUND Type 2 diabetes mellitus is the leading cause of kidney failure worldwide, but few effective long-term treatments are available. In cardiovascular trials of inhibitors of sodium–glucose cotransporter 2 (SGLT2), exploratory results have suggested that such drugs may improve renal outcomes in patients with type 2 diabetes. METHODS In this double-blind, randomized trial, we assigned patients with type 2 diabetes and albuminuric chronic kidney disease to receive canagliflozin, an oral SGLT2 inhibitor, at a dose of 100 mg daily or placebo. All the patients had an estimated glomerular filtration rate (GFR) of 30 to 300 to 5000) and were treated with renin–angiotensin system blockade. The primary outcome was a composite of end-stage kidney disease (dialysis, transplantation, or a sustained estimated GFR of <15 ml per minute per 1.73 m 2), a doubling of the serum creatinine level, or death from renal or cardiovascular causes. Prespecified secondary outcomes were tested hierarchically. RESULTS The trial was stopped early after a planned interim analysis on the recommendation of the data and safety monitoring committee. At that time, 4401 patients had undergone randomization, with a median follow-up of 2.62 years. The relative risk of the primary outcome was 30% lower in the canagliflozin group than in the placebo group, with event rates of 43.2 and 61.2 per 1000 patient-years, respectively (hazard ratio, 0.70; 95% confidence interval [CI], 0.59 to 0.82; P=0.00001). The relative risk of the renal-specific composite of end-stage kidney disease, a doubling of the creatinine level, or death from renal causes was lower by 34% (hazard ratio, 0.66; 95% CI, 0.53 to 0.81; P<0.001), and the relative risk of end-stage kidney disease was lower by 32% (hazard ratio, 0.68; 95% CI, 0.54 to 0.86; P=0.002). The canagliflozin group also had a lower risk of cardiovascular death, myocardial infarction, or stroke (hazard ratio, 0.80; 95% CI, 0.67 to 0.95; P=0.01) and hospitalization for heart failure (hazard ratio, 0.61; 95% CI, 0.47 to 0.80; P<0.001). There were no significant differences in rates of amputation or fracture. CONCLUSIONS In patients with type 2 diabetes and kidney disease, the risk of kidney failure and cardiovascular events was lower in the canagliflozin group than in the placebo group at a median follow-up of 2.62 years

A comprehensive re-assessment of the association between vitamin D and cancer susceptibility using Mendelian randomization

Previous Mendelian randomization (MR) studies on 25-hydroxyvitamin D (25(OH)D) and cancer have typically adopted a handful of variants and found no relationship between 25(OH)D and cancer; however, issues of horizontal pleiotropy cannot be reliably addressed. Using a larger set of variants associated with 25(OH)D (74 SNPs, up from 6 previously), we perform a unified MR analysis to re-evaluate the relationship between 25(OH)D and ten cancers. Our findings are broadly consistent with previous MR studies indicating no relationship, apart from ovarian cancers (OR 0.89; 95% C.I: 0.82 to 0.96 per 1 SD change in 25(OH)D concentration) and basal cell carcinoma (OR 1.16; 95% C.I.: 1.04 to 1.28). However, after adjustment for pigmentation related variables in a multivariable MR framework, the BCC findings were attenuated. Here we report that lower 25(OH)D is unlikely to be a causal risk factor for most cancers, with our study providing more precise confidence intervals than previously possible

A comprehensive re-assessment of the association between vitamin D and cancer susceptibility using Mendelian randomization

Abstract: Previous Mendelian randomization (MR) studies on 25-hydroxyvitamin D (25(OH)D) and cancer have typically adopted a handful of variants and found no relationship between 25(OH)D and cancer; however, issues of horizontal pleiotropy cannot be reliably addressed. Using a larger set of variants associated with 25(OH)D (74 SNPs, up from 6 previously), we perform a unified MR analysis to re-evaluate the relationship between 25(OH)D and ten cancers. Our findings are broadly consistent with previous MR studies indicating no relationship, apart from ovarian cancers (OR 0.89; 95% C.I: 0.82 to 0.96 per 1 SD change in 25(OH)D concentration) and basal cell carcinoma (OR 1.16; 95% C.I.: 1.04 to 1.28). However, after adjustment for pigmentation related variables in a multivariable MR framework, the BCC findings were attenuated. Here we report that lower 25(OH)D is unlikely to be a causal risk factor for most cancers, with our study providing more precise confidence intervals than previously possible

Mechanisms of lymphocyte apoptosis at tick-borne encephalitis

Results of the complex research of apoptosis realization of lymphocytes at acute tick-born encephalitis and during long antigenemia condition has been presented in this article. The acceleration of apoptosis, tumor necrosis factor I presentation and the decrease in mitochondrial transmembrane potential of lymphocytes were determined at tick-born encephalitis. Uncovered changes are more appeared at acute neuroinfection

The role of cytokines in redox-dependent regulation of apoptosis

Research of influence of recombinant tumor necrosis factor alpha, interleukin-2 and interleukin-4 in vitro on the apoptosis of lymphocytes is performed. It is revealed that a proapoptotic effect of these cytokines is dose-dependent and is realized with the assistance of reactive oxygen species and mitochondrias