203 research outputs found
Features of family anxiety and marital relationship in individuals married to HIV-infected injecting drug users
The objective: to study the peculiarities of family anxiety and marital relations among persons married to an HIV-infected injection drug user (IDU) in order to understand possible targets for further medical and psychological work with this contingent. Contingent and methods. In 2010 - 2017 on the basis of the Vinnitsa Regional Drug Treatment Center "Sociotherapy" a clinical-psychopathological and psychodiagnostic survey of 113 HIV-infected IDUs and their family members was conducted. Results On the basis of analysis of the characteristics of family anxiety and the state of marital relationships in families of HIV-infected IDUs, signs of their distortion are established in almost all surveyed. Marital partners of HIV-infected IDUs were characterized by high general family anxiety, due to high indicators for all its components - fault, anxiety and stress. The married relationship of the surveyed was based on a reduced (in most cases) one-component love. The feeling of the majority of the partners of HIV-infected IDUs, as it seemed, was a duty, through which they did not break the relationship with proband, was interpreted by us as a manifestation of the co-dependence of these individuals. Consequently, the results of the study indicated that they had family and marital maladaptation as a consequence of co-dependent relationships. The data obtained should be taken into account when planning a medical-psychological support event for this contingent
A study of the green leaf volatile biochemical pathway as a source of important flavour and aroma precursors in Sauvignon blanc grape berries
Green leaf volatiles (GLVs) are short-chain acylic aldehydes, alcohols and esters produced by plants via enzymatic metabolism of polyunsaturated fatty acids (PUFAs). GLVs are known to affect flavour and aroma of fruits and vegetables, including grapes. It has also been suggested that C6 and C5 GLVs are the precursors of volatile thiols, the aroma compounds that are important in Sauvignon blanc wine. GLVs are produced during grape berry development and released in high quantities upon berry crush.
GLV aldehydes are formed from PUFAs by the action of two enzymes, lipoxygenase (LOX) and hydroperoxide lyase (HPL). This biochemical pathway is well characterised in other plant species and is known as the GLV pathway. To date, the GLV pathway has not been characterised in grapes. This thesis focuses on identification and initial characterisation of LOX and HPL genes and enzymes involved in the GLV-pathway.
LOXs are a group of non-haem iron-containing dioxygenases that catalyse oxygenation of PUFAs producing PUFA-hydroperoxides. The most common PUFA substrates in plants are linoleic acid (LA, 18:2) and Ξ±-linolenic acid (LnA, 18:3). Depending on the position of oxygenation of the 18-carbon chain PUFAs, all plant LOXs are classified as 13(S) - and 9(S)-LOXs. 13(S)-LOXs are further regarded as type II and type I enzymes, depending on the presence or absence of transit peptides in the amino acid sequences of these enzymes respectively.
HPLs belong to the CYP74 enzyme family, which is represented by atypical members of cytochrome P450 oxidases superfamily. HPLs cleave PUFA-hydroperoxides, producing aldehydes and oxoacids. Depending on the substrate specificity, HPLs are classified as 13-HPLs, 9/13-HPLs or 9-HPLs.
The research reveals the complexity of the genetic makeup of the GLV metabolic pathway in grapes. Eighteen putative LOX genes and six putative HPL genes were identified in the Pinot noir grape genome. Phylogenetic analysis of the identified grape LOXs classified them as members of two groups, type II 13-LOXs and 9-LOXs, whereas all identified grape HPLs were classified as 13-HPLs (CYP-74B) and 9/13-HPLs (CYP-74C).
Several LOX and HPL genes were expressed at different levels in Sauvignon blanc berry. Study of selected LOX and HPL gene expression revealed different levels of expression and differential tissue distribution of individual LOX and HPL genes within the berry. The studied genes also displayed different patterns of expression across different stages of berry development, upon wounding and in berries infected with Botrytis cinerea. Amongst the four LOX gene studied, transcripts of VvLOXA were the most abundant at all stages during berry development. VvLOXO was induced transiently upon berry damage and was a clear candidate involved in berry response to wounding. Expression levels of VvLOXC and VvLOXO were significantly increased in berries infected with Botrytis cinerea compared to the uninfected berries.
In vitro biochemical analysis of the reaction products of recombinant VvLOXA (LOXA-TP) and VvLOXO (LOXO-TP) confirmed that these two enzymes are 13-LOXs. Both enzymes preferred LnA as a substrate. Both enzymes had the same temperature optima of 25Β°C, but preferred different pH conditions. Recombinant LOXA-TP preferred acidic environment and had pH optimum of pH 5.5, while LOXO-TP preferred neutral-to-basic conditions and had pH optimum of pH 7.5.
Preliminary experiments with recombinant VvHPLA showed its ability to metabolise 13(S)-hydroperoxides, releasing C6 volatile aldehydes. Recombinant VvHPLA exhibited maximum activity with 13(S)-hydroperoxides of LnA as substrate at pH 5.0
Mechanisms of proton-proton inelastic cross-section growth in multi-peripheral model within the framework of perturbation theory. Part 2
We demonstrate a new technique for calculating proton-proton inelastic
cross-section, which allows one by application of the Laplace' method replace
the integrand in the integral for the scattering amplitude in the vicinity of
the maximum point by expression of Gaussian type. This in turn, allows one to
overcome the computational difficulties for the calculation of the integrals
expressing the cross section to sufficiently large numbers of particles. We
have managed to overcome these problems in calculating the proton-proton
inelastic cross-section for production (n \le 8) number of secondary particles
in within the framework of \phi^3 model. As the result the obtained dependence
of inelastic cross-section and total scattering cross-section on the energy
\sqrt{s} are qualitative agrees with the experimental data. Such description of
total cross-section behavior differs considerably from existing now
description, where reggeons exchange with the intercept greater than unity is
considered.Comment: 11 pages, 10 figures (v3: some inaccuracies corrected
Effect of Soil Moisture Status and Animal Treading on N\u3csub\u3e2\u3c/sub\u3eO Emissions and the Effectiveness of a Nitrification Inhibitor Mitigation Technology
Nitrous oxide (N2O) is a potent greenhouse gas with a long-term global warming potential about 298 times that of carbon dioxide (CO2). In grazed grassland, most of the N2O is emitted from nitrogen (N) excreted by the grazing animal, particularly in the animal urine. When the soil is wet, such as that in winter grazing conditions, animal grazing can cause soil structural damage, leading to soil compaction. The combination of a wet soil plus soil compaction is particularly conducive for N2O production. A nitrification inhibitor technology using dicyandiamide (DCD) has been developed to reduce N2O emissions from grazed grassland (Di and Cameron 2002; 2003). However, the efficacy of this technology under wet and compact soil conditions has not been well studied.
The objectives of this study were to determine: (1) The impact of soil moisture content on the abundance of ammonia oxidizers and N2O emissions; (2) the impact of animal treading on N2O emissions; and (3) The effectiveness of the nitrification inhibitor DCD in reducing N2O emissions, as affected by soil moisture status and animal treading
DIGITAL TOOLS IN THE DESIGN PRACTICE FOR RECONSTRUCTION OF UNDERGROUND PIPELINES WITH TRENCHLESS METHODS
The article focuses on the possibilities of multi-optional design of repair and rehabilitation works on dilapidated pressure pipeline networks with the use of automated complexes in order to achieve minimum energy costs in water transportation with regard to the temperature factor. Two automated programs based on hydraulic and energy calculation operations are presented as digital tools. As a basic variant of reconstruction of dilapidated pipelines, the trenchless Swagelining technology was accepted. It is realized by pulling pre-compressed polymer pipes into old pipelines with their subsequent straightening. The paper presents information on regulatory and technical documentation and the application of advanced technology, installation and operation conditions, as well as comparative assessment of energy consumption after reconstruction of dilapidated sections of pipelines with polymer pipes with the possibility of minimizing energy consumption during water transportation under non-isothermal conditions of pipeline operation
SCRIPDB: a portal for easy access to syntheses, chemicals and reactions in patents
The patent literature is a rich catalog of biologically relevant chemicals; many public and commercial molecular databases contain the structures disclosed in patent claims. However, patents are an equally rich source of metadata about bioactive molecules, including mechanism of action, disease class, homologous experimental series, structural alternatives, or the synthetic pathways used to produce molecules of interest. Unfortunately, this metadata is discarded when chemical structures are deposited separately in databases. SCRIPDB is a chemical structure database designed to make this metadata accessible. SCRIPDB provides the full original patent text, reactions and relationships described within any individual patent, in addition to the molecular files common to structural databases. We discuss how such information is valuable in medical text mining, chemical image analysis, reaction extraction and in silico pharmaceutical lead optimization. SCRIPDB may be searched by exact chemical structure, substructure or molecular similarity and the results may be restricted to patents describing synthetic routes. SCRIPDB is available at http://dcv.uhnres.utoronto.ca/SCRIPDB
Efficacy of complex treatment of postpartum endometritis by activate low-frequency ultrasound solution of cytokins
In the complex treatment of postpartum endometritis (PE), an important role is played by local measures to influence the postpartum uterus and correct selection immune drugs that reduce the risk of pathological changes in the endometrium and the formation of chronic endometritis. Objective: To evaluate the efficacy and long-term results of treatment of mild forms of postpartum endometritis using uterine cavity irrigation drug solution is cavitating low-frequency ultrasound, complemented by local Cytokine therapy. Materials and methods. In the treatment of PE in 60 patients we used a low frequency ultrasound cavitation machine FOTEK AK101 and the preparation for the local immune betaleukin. Control examination was conducted on an outpatient basis at 6 months after discharge from hospital. Evaluation was based on complaints, clinical and laboratory data, pelvic ultrasound, histological examination of biopsy of the endometrium, bacteriological examination of discharge of the cervical canal.Results. The therapy cupping PE symptoms noted in earlier periods in patients who underwent rehabilitation cavitating solutions of the uterus, and the development of long-term complications noted in a smaller percentage of cases in patients, in which treatment was applied betaleukin. Following a comprehensive therapy for immunohistochemical study of the endometrium the development of chronic endometritis confirmed by 5% as opposed to the group of women who did not receive this type of treatment in which it was detected in 85%.Conclusion. The results showed high efficiency of this method of treatment and allowed to reduce the incidence of chronic endometritis in the long term in patients with PE.Π ΠΊΠΎΠΌΠΏΠ»Π΅ΠΊΡΠ½ΠΎΠΌ Π»Π΅ΡΠ΅Π½ΠΈΠΈ ΠΏΠΎΡΠ»Π΅ΡΠΎΠ΄ΠΎΠ²ΡΡ
ΡΠ½Π΄ΠΎΠΌΠ΅ΡΡΠΈΡΠΎΠ² (ΠΠ) Π²Π°ΠΆΠ½Π°Ρ ΡΠΎΠ»Ρ ΠΏΡΠΈΠ½Π°Π΄Π»Π΅ΠΆΠΈΡ Π»ΠΎΠΊΠ°Π»ΡΠ½ΡΠΌ ΠΌΠ΅ΡΠΎΠ΄Π°ΠΌ Π²ΠΎΠ·Π΄Π΅ΠΉΡΡΠ²ΠΈΡ Π½Π° ΠΏΠΎΡΠ»Π΅ΡΠΎΠ΄ΠΎΠ²ΡΡ ΠΌΠ°ΡΠΊΡ ΠΈ ΠΏΡΠ°Π²ΠΈΠ»ΡΠ½ΡΠΉ ΠΏΠΎΠ΄Π±ΠΎΡ ΠΈΠΌΠΌΡΠ½ΠΎΠΊΠΎΡΡΠ΅Π³ΠΈΡΡΡΡΠΈΡ
ΠΏΡΠ΅ΠΏΠ°ΡΠ°ΡΠΎΠ², ΡΡΠΎ ΡΠΌΠ΅Π½ΡΡΠ°Π΅Ρ ΡΠΈΡΠΊ ΡΠ°Π·Π²ΠΈΡΠΈΡ ΠΏΠ°ΡΠΎΠ»ΠΎΠ³ΠΈΡΠ΅ΡΠΊΠΈΡ
ΠΈΠ·ΠΌΠ΅Π½Π΅Π½ΠΈΠΉ Π² ΡΠ½Π΄ΠΎΠΌΠ΅ΡΡΠΈΠΈ ΠΈ ΡΠΎΡΠΌΠΈΡΠΎΠ²Π°Π½ΠΈΡ Ρ
ΡΠΎΠ½ΠΈΡΠ΅ΡΠΊΠΎΠ³ΠΎ ΡΠ½Π΄ΠΎΠΌΠ΅ΡΡΠΈΡΠ°. Π¦Π΅Π»Ρ ΠΈΡΡΠ»Π΅Π΄ΠΎΠ²Π°Π½ΠΈΡ: ΠΎΡΠ΅Π½ΠΈΡΡ ΡΡΡΠ΅ΠΊΡΠΈΠ²Π½ΠΎΡΡΡ ΠΈ ΠΎΡΠ΄Π°Π»Π΅Π½Π½ΡΠ΅ ΡΠ΅Π·ΡΠ»ΡΡΠ°ΡΡ Π»Π΅ΡΠ΅Π½ΠΈΡ Π»Π΅Π³ΠΊΠΈΡ
ΡΠΎΡΠΌ ΠΏΠΎΡΠ»Π΅ΡΠΎΠ΄ΠΎΠ²ΠΎΠ³ΠΎ ΡΠ½Π΄ΠΎΠΌΠ΅ΡΡΠΈΡΠ° ΠΏΡΠΈ ΠΈΡΠΏΠΎΠ»ΡΠ·ΠΎΠ²Π°Π½ΠΈΠΈ ΠΎΡΠΎΡΠ΅Π½ΠΈΡ ΠΏΠΎΠ»ΠΎΡΡΠΈ ΠΌΠ°ΡΠΊΠΈ Π»Π΅ΠΊΠ°ΡΡΡΠ²Π΅Π½Π½ΡΠΌΠΈ ΡΠ°ΡΡΠ²ΠΎΡΠ°ΠΌΠΈ, ΠΊΠ°Π²ΠΈΡΠΈΡΠΎΠ²Π°Π½Π½ΡΠΌΠΈ Π½ΠΈΠ·ΠΊΠΎΡΠ°ΡΡΠΎΡΠ½ΡΠΌ ΡΠ»ΡΡΡΠ°Π·Π²ΡΠΊΠΎΠΌ, Π΄ΠΎΠΏΠΎΠ»Π½Π΅Π½Π½ΡΠΌ ΠΌΠ΅ΡΡΠ½ΠΎΠΉ ΡΠΈΡΠΎΠΊΠΈΠ½ΠΎΡΠ΅ΡΠ°ΠΏΠΈΠ΅ΠΉ. ΠΠ°ΡΠ΅ΡΠΈΠ°Π»Ρ ΠΈ ΠΌΠ΅ΡΠΎΠ΄Ρ ΠΈΡΡΠ»Π΅Π΄ΠΎΠ²Π°Π½ΠΈΡ. Π Π»Π΅ΡΠ΅Π½ΠΈΠΈ ΠΠ Ρ 60 ΠΏΠ°ΡΠΈΠ΅Π½ΡΠΎΠΊ Π½Π°ΠΌΠΈ ΠΏΡΠΈΠΌΠ΅Π½ΡΠ»ΠΎΡΡ ΠΎΡΠΎΡΠ΅Π½ΠΈΠ΅ ΠΏΠΎΠ»ΠΎΡΡΠΈ ΠΌΠ°ΡΠΊΠΈ ΠΊΠ°Π²ΠΈΡΠΈΡΠΎΠ²Π°Π½Π½ΡΠΌ ΡΠ°ΡΡΠ²ΠΎΡΠΎΠΌ ΠΏΡΠ΅ΠΏΠ°ΡΠ°ΡΠ° Π΄Π»Ρ ΠΌΠ΅ΡΡΠ½ΠΎΠΉ ΠΈΠΌΠΌΡΠ½ΠΎΠΊΠΎΡΡΠ΅ΠΊΡΠΈΠΈ Π±Π΅ΡΠ°Π»Π΅ΠΉΠΊΠΈΠ½ Ρ ΠΈΡΠΏΠΎΠ»ΡΠ·ΠΎΠ²Π°Π½ΠΈΠ΅ΠΌ Π½ΠΈΠ·ΠΊΠΎΡΠ°ΡΡΠΎΡΠ½ΠΎΠ³ΠΎ ΡΠ»ΡΡΡΠ°Π·Π²ΡΠΊΠΎΠ²ΠΎΠ³ΠΎ Π°ΠΏΠΏΠ°ΡΠ°ΡΠ° Π€0Π’ΠΠΠΠ101. ΠΠΎΠ½ΡΡΠΎΠ»ΡΠ½ΠΎΠ΅ ΠΎΠ±ΡΠ»Π΅Π΄ΠΎΠ²Π°Π½ΠΈΠ΅ Π±ΡΠ»ΠΎ ΠΏΡΠΎΠ²Π΅Π΄Π΅Π½ΠΎ Π² Π°ΠΌΠ±ΡΠ»Π°ΡΠΎΡΠ½ΡΡ
ΡΡΠ»ΠΎΠ²ΠΈΡΡ
ΡΠ΅ΡΠ΅Π· 6 ΠΌΠ΅ΡΡΡΠ΅Π² ΠΏΠΎΡΠ»Π΅ Π²ΡΠΏΠΈΡΠΊΠΈ ΠΈΠ· ΡΡΠ°ΡΠΈΠΎΠ½Π°ΡΠ°. ΠΡΠ΅Π½ΠΊΠ° ΡΠ΅Π·ΡΠ»ΡΡΠ°ΡΠΎΠ² ΠΎΡΠ½ΠΎΠ²ΡΠ²Π°Π»ΠΎΡΡ Π½Π° ΠΆΠ°Π»ΠΎΠ±Π°Ρ
, ΠΊΠ»ΠΈΠ½ΠΈΠΊΠΎ-Π»Π°Π±ΠΎΡΠ°ΡΠΎΡΠ½ΡΡ
Π΄Π°Π½Π½ΡΡ
Π£ΠΠ ΠΎΡΠ³Π°Π½ΠΎΠ² ΠΌΠ°Π»ΠΎΠ³ΠΎ ΡΠ°Π·Π°, Π³ΠΈΡΡΠΎΠ»ΠΎΠ³ΠΈΡΠ΅ΡΠΊΠΎΠ³ΠΎ ΠΈΡΡΠ»Π΅Π΄ΠΎΠ²Π°Π½ΠΈΡ Π±ΠΈΠΎΠΏΡΠ°ΡΠ° ΡΠ½Π΄ΠΎΠΌΠ΅ΡΡΠΈΡ, Π±Π°ΠΊΡΠ΅ΡΠΈΠΎΠ»ΠΎΠ³ΠΈΡΠ΅ΡΠΊΠΎΠ³ΠΎ ΠΈΡΡΠ»Π΅Π΄ΠΎΠ²Π°Π½ΠΈΡ ΠΎΡΠ΄Π΅Π»ΡΠ΅ΠΌΠΎΠ³ΠΎ ΡΠ΅ΡΠ²ΠΈΠΊΠ°Π»ΡΠ½ΠΎΠ³ΠΎ ΠΊΠ°Π½Π°Π»Π°. Π Π΅Π·ΡΠ»ΡΡΠ°ΡΡ. ΠΠ° ΡΠΎΠ½Π΅ ΠΏΡΠΎΠ²ΠΎΠ΄ΠΈΠΌΠΎΠ³ΠΎ Π»Π΅ΡΠ΅Π½ΠΈΡ ΠΊΡΠΏΠΈΡΠΎΠ²Π°Π½ΠΈΠ΅ ΡΠΈΠΌΠΏΡΠΎΠΌΠΎΠ² ΠΠ ΠΎΡΠΌΠ΅ΡΠ°Π»ΠΎΡΡ Π² Π±ΠΎΠ»Π΅Π΅ ΡΠ°Π½Π½ΠΈΠ΅ ΡΡΠΎΠΊΠΈ Ρ ΠΏΠ°ΡΠΈΠ΅Π½ΡΠΎΠΊ, ΠΊΠΎΡΠΎΡΡΠΌ ΠΏΡΠΎΠ²ΠΎΠ΄ΠΈΠ»Π°ΡΡ ΡΠ°Π½Π°ΡΠΈΡ ΠΏΠΎΠ»ΠΎΡΡΠΈ ΠΌΠ°ΡΠΊΠΈ ΠΊΠ°Π²ΠΈΡΠΈΡΠΎΠ²Π°Π½Π½ΡΠΌΠΈ ΡΠ°ΡΡΠ²ΠΎΡΠ°ΠΌΠΈ Π΄ΠΈΠΎΠΊΡΠΈΠ΄ΠΈΠ½Π° ΠΈ Π±Π΅ΡΠ°Π»Π΅ΠΉΠΊΠΈΠ½Π°, Π° ΡΠ°Π·Π²ΠΈΡΠΈΠ΅ ΠΎΡΠ΄Π°Π»Π΅Π½Π½ΡΡ
ΠΎΡΠ»ΠΎΠΆΠ½Π΅Π½ΠΈΠΉ ΠΎΡΠΌΠ΅ΡΠ΅Π½ΠΎ Π² ΠΌΠ΅Π½ΡΡΠ΅ΠΌ ΠΏΡΠΎΡΠ΅Π½ΡΠ΅ ΡΠ»ΡΡΠ°Π΅Π² Ρ ΠΏΠ°ΡΠΈΠ΅Π½ΡΠΎΠΊ, Π² Π»Π΅ΡΠ΅Π½ΠΈΠΈ ΠΊΠΎΡΠΎΡΡΡ
ΠΏΡΠΈΠΌΠ΅Π½ΡΠ»ΡΡ Π±Π΅ΡΠ°Π»Π΅ΠΉΠΊΠΈΠ½. ΠΠΎΡΠ»Π΅ ΠΏΡΠΎΠ²Π΅Π΄Π΅Π½Π½ΠΎΠΉ ΠΊΠΎΠΌΠΏΠ»Π΅ΠΊΡΠ½ΠΎΠΉ ΡΠ΅ΡΠ°ΠΏΠΈΠΈ ΠΏΡΠΈ ΠΈΠΌΠΌΡΠ½ΠΎΠ³ΠΈΡΡΠΎΡ
ΠΈΠΌΠΈΡΠ΅ΡΠΊΠΎΠΌ ΠΈΡΡΠ»Π΅Π΄ΠΎΠ²Π°Π½ΠΈΠΈ ΡΠ½Π΄ΠΎΠΌΠ΅ΡΡΠΈΡ ΡΠ°Π·Π²ΠΈΡΠΈΠ΅ Ρ
ΡΠΎΠ½ΠΈΡΠ΅ΡΠΊΠΎΠ³ΠΎ ΡΠ½Π΄ΠΎΠΌΠ΅ΡΡΠΈΡΠ° ΠΏΠΎΠ΄ΡΠ²Π΅ΡΠΆΠ΄Π΅Π½ΠΎ Π² 5% Π² ΠΎΡΠ»ΠΈΡΠΈΠ΅ ΠΎΡ Π³ΡΡΠΏΠΏΡ ΠΆΠ΅Π½ΡΠΈΠ½, Π½Π΅ ΠΏΠΎΠ»ΡΡΠ°Π²ΡΠΈΡ
Π΄Π°Π½Π½ΡΠΉ Π²ΠΈΠ΄ Π»Π΅ΡΠ΅Π½ΠΈΡ, Ρ ΠΊΠΎΡΠΎΡΡΡ
ΠΎΠ½ Π±ΡΠ» Π²ΡΡΠ²Π»Π΅Π½ Π² 85%. ΠΠ°ΠΊΠ»ΡΡΠ΅Π½ΠΈΠ΅. Π Π΅Π·ΡΠ»ΡΡΠ°Ρ ΠΈΡΡΠ»Π΅Π΄ΠΎΠ²Π°Π½ΠΈΡ ΠΏΠΎΠΊΠ°Π·Π°Π» Π²ΡΡΠΎΠΊΡΡ ΡΡΡΠ΅ΠΊΡΠΈΠ²Π½ΠΎΡΡΡ Π΄Π°Π½Π½ΠΎΠ³ΠΎ ΠΌΠ΅ΡΠΎΠ΄Π° Π»Π΅ΡΠ΅Π½ΠΈΡ ΠΈ ΠΏΠΎΠ·Π²ΠΎΠ»ΠΈΠ» ΡΠ½ΠΈΠ·ΠΈΡΡ ΡΠ°ΡΡΠΎΡΡ Ρ
ΡΠΎΠ½ΠΈΡΠ΅ΡΠΊΠΎΠ³ΠΎ ΡΠ½Π΄ΠΎΠΌΠ΅ΡΡΠΈΡΠ° Π² ΠΎΡΠ΄Π°Π»Π΅Π½Π½ΠΎΠΌ ΠΏΠ΅ΡΠΈΠΎΠ΄Π΅ Ρ ΠΏΠ°ΡΠΈΠ΅Π½ΡΠΎΠΊ Ρ ΠΠ
Efficacy of complex treatment of postpartum endometritis by activate low-frequency ultrasound solution of cytokins
In thΠ΅ complex treatment of postpartum endometritis (PE), an important role is played by local measures to influence the postpartum uterus and correct selection immune drugs that reduce the risk of pathological changes in the endometrium and the formation of chronic endometritis. Objective: To evaluate the efficacy and long-term results of treatment of mild forms of postpartum endometritis using uterine cavity irrigation drug solution is cavitating low-frequency ultrasound, complemented by local Cytokine therapy. Materials and methods. In the treatment of PE in 60 patients we used a low frequency ultrasound cavitation machine FOTEK AK101 and the preparation for the local immune betaleukin. Control examination was conducted on an outpatient basis at 6 months after discharge from hospital. Evaluation was based on complaints, clinical and laboratory data, pelvic ultrasound, histological examination of biopsy of the endometrium, bacteriological examination of discharge of the cervical canal. Results. The therapy cupping PE symptoms noted in earlier periods in patients who underwent rehabilitation cavitating solutions of the uterus, and the development of long-term complications noted in a smaller percentage of cases in patients, in which treatment was applied betaleukin. Following a comprehensive therapy for immunohistochemical study of the endometrium the development of chronic endometritis confirmed by 5% as opposed to the group of women who did not receive this type of treatment in which it was detected in 85%. Conclusion. The results showed high efficiency of this method of treatment and allowed to reduce the incidence of chronic endometritis in the long term in patients with PE.Π ΠΊΠΎΠΌΠΏΠ»Π΅ΠΊΡΠ½ΠΎΠΌ Π»Π΅ΡΠ΅Π½ΠΈΠΈ ΠΏΠΎΡΠ»Π΅ΡΠΎΠ΄ΠΎΠ²ΡΡ
ΡΠ½Π΄ΠΎΠΌΠ΅ΡΡΠΈΡΠΎΠ² (ΠΠ) Π²Π°ΠΆΠ½Π°Ρ ΡΠΎΠ»Ρ ΠΏΡΠΈΠ½Π°Π΄Π»Π΅ΠΆΠΈΡ Π»ΠΎΠΊΠ°Π»ΡΠ½ΡΠΌ ΠΌΠ΅ΡΠΎΠ΄Π°ΠΌ Π²ΠΎΠ·Π΄Π΅ΠΉΡΡΠ²ΠΈΡ Π½Π° ΠΏΠΎΡΠ»Π΅ΡΠΎΠ΄ΠΎΠ²ΡΡ ΠΌΠ°ΡΠΊΡ ΠΈ ΠΏΡΠ°Π²ΠΈΠ»ΡΠ½ΡΠΉ ΠΏΠΎΠ΄Π±ΠΎΡ ΠΈΠΌΠΌΡΠ½ΠΎΠΊΠΎΡΡΠ΅Π³Π½ΡΡΡΡΠΈΡ
ΠΏΡΠ΅ΠΏΠ°ΡΠ°ΡΠΎΠ², ΡΡΠΎ ΡΠΌΠ΅Π½ΡΡΠ°Π΅Ρ ΡΠΈΡΠΊ ΡΠ°Π·Π²ΠΈΡΠΈΡ ΠΏΠ°ΡΠΎΠ»ΠΎΠ³ΠΈΡΠ΅ΡΠΊΠΈΡ
ΠΈΠ·ΠΌΠ΅Π½Π΅Π½ΠΈΠΉ Π² ΡΠ½Π΄ΠΎΠΌΠ΅ΡΡΠΈΠΈ ΠΈ ΡΠΎΡΠΌΠΈΡΠΎΠ²Π°Π½ΠΈΡ Ρ
ΡΠΎΠ½ΠΈΡΠ΅ΡΠΊΠΎΠ³ΠΎ ΡΠ½Π΄ΠΎΠΌΠ΅ΡΡΠΈΡΠ°. Π¦Π΅Π»Ρ ΠΈΡΡΠ»Π΅Π΄ΠΎΠ²Π°Π½ΠΈΡ: ΠΎΡΠ΅Π½ΠΈΡΡ ΡΡΡΠ΅ΠΊΡΠΈΠ²Π½ΠΎΡΡΡ ΠΈ ΠΎΡΠ΄Π°Π»Π΅Π½Π½ΡΠ΅ ΡΠ΅Π·ΡΠ»ΡΡΠ°ΡΡ Π»Π΅ΡΠ΅Π½ΠΈΡ Π»Π΅Π³ΠΊΠΈΡ
ΡΠΎΡΠΌ ΠΏΠΎΡΠ»Π΅ΡΠΎΠ΄ΠΎΠ²ΠΎΠ³ΠΎ ΡΠ½Π΄ΠΎΠΌΠ΅ΡΡΠΈΡΠ° ΠΏΡΠΈ ΠΈΡΠΏΠΎΠ»ΡΠ·ΠΎΠ²Π°Π½ΠΈΠΈ ΠΎΡΠΎΡΠ΅Π½ΠΈΡ ΠΏΠΎΠ»ΠΎΡΡΠΈ ΠΌΠ°ΡΠΊΠΈ Π»Π΅ΠΊΠ°ΡΡΡΠ²Π΅Π½Π½ΡΠΌΠΈ ΡΠ°ΡΡΠ²ΠΎΡΠ°ΠΌΠΈ, ΠΊΠ°Π²ΠΈΡΠΈΡΠΎΠ²Π°Π½Π½ΡΠΌΠΈ Π½ΠΈΠ·ΠΊΠΎΡΠ°ΡΡΠΎΡΠ½ΡΠΌ ΡΠ»ΡΡΡΠ°Π·Π²ΡΠΊΠΎΠΌ, Π΄ΠΎΠΏΠΎΠ»Π½Π΅Π½Π½ΡΠΌ ΠΌΠ΅ΡΡΠ½ΠΎΠΉ ΡΠΈΡΠΎΠΊΠΈΠ½ΠΎΡΠ΅ΡΠ°ΠΏΠΈΠ΅ΠΉ. ΠΠ°ΡΠ΅ΡΠΈΠ°Π»Ρ ΠΈ ΠΌΠ΅ΡΠΎΠ΄Ρ ΠΈΡΡΠ»Π΅Π΄ΠΎΠ²Π°Π½ΠΈΡ. Π Π»Π΅ΡΠ΅Π½ΠΈΠΈ ΠΠ Ρ 60 ΠΏΠ°ΡΠΈΠ΅Π½ΡΠΎΠΊ Π½Π°ΠΌΠΈ ΠΏΡΠΈΠΌΠ΅Π½ΡΠ»ΠΎΡΡ ΠΎΡΠΎΡΠ΅Π½ΠΈΠ΅ ΠΏΠΎΠ»ΠΎΡΡΠΈ ΠΌΠ°ΡΠΊΠΈ ΠΊΠ°Π²ΠΈΡΠΈΡΠΎΠ²Π°Π½Π½ΡΠΌ ΡΠ°ΡΡΠ²ΠΎΡΠΎΠΌ ΠΏΡΠ΅ΠΏΠ°ΡΠ°ΡΠ° Π΄Π»Ρ ΠΌΠ΅ΡΡΠ½ΠΎΠΉ ΠΈΠΌΠΌΡΠ½ΠΎΠΊΠΎΡΡΠ΅ΠΊΡΠΈΠΈ Π±Π²ΡΠ°Π»Π΅ΠΉΠΊΠΈΠ½ Ρ ΠΈΡΠΏΠΎΠ»ΡΠ·ΠΎΠ²Π°Π½ΠΈΠ΅ΠΌ Π½ΠΈΠ·ΠΊΠΎΡΠ°ΡΡΠΎΡΠ½ΠΎΠ³ΠΎ ΡΠ»ΡΡΡΠ°Π·Π²ΡΠΊΠΎΠ²ΠΎΠ³ΠΎ Π°ΠΏΠΏΠ°ΡΠ°ΡΠ° Π€0Π’ΠΠΠΠ101. ΠΠΎΠ½ΡΡΠΎΠ»ΡΠ½ΠΎΠ΅ ΠΎΠ±ΡΠ»Π΅Π΄ΠΎΠ²Π°Π½ΠΈΠ΅ Π±ΡΠ»ΠΎ ΠΏΡΠΎΠ²Π΅Π΄Π΅Π½ΠΎ Π² Π°ΠΌΠ±ΡΠ»Π°ΡΠΎΡΠ½ΡΡ
ΡΡΠ»ΠΎΠ²ΠΈΡΡ
ΡΠ΅ΡΠ΅Π· 6 ΠΌΠ΅ΡΡΡΠ΅Π² ΠΏΠΎΡΠ»Π΅ Π²ΡΠΏΠΈΡΠΊΠΈ ΠΈΠ· ΡΡΠ°ΡΠΈΠΎΠ½Π°ΡΠ°. ΠΡΠ΅Π½ΠΊΠ° ΡΠ΅Π·ΡΠ»ΡΡΠ°ΡΠΎΠ² ΠΎΡΠ½ΠΎΠ²ΡΠ²Π°Π»ΠΎΡΡ Π½Π° ΠΆΠ°Π»ΠΎΠ±Π°Ρ
, ΠΊΠ»ΠΈΠ½ΠΈΠΊΠΎ-Π»Π°Π±ΠΎΡΠ°ΡΠΎΡΠ½ΡΡ
Π΄Π°Π½Π½ΡΡ
Π£ΠΠ ΠΎΡΠ³Π°Π½ΠΎΠ² ΠΌΠ°Π»ΠΎΠ³ΠΎ ΡΠ°Π·Π°, Π³ΠΈΡΡΠΎΠ»ΠΎΠ³ΠΈΡΠ΅ΡΠΊΠΎΠ³ΠΎ ΠΈΡΡΠ»Π΅Π΄ΠΎΠ²Π°Π½ΠΈΡ Π±ΠΈΠΎΠΏΡΠ°ΡΠ° ΡΠ½Π΄ΠΎΠΌΠ΅ΡΡΠΈΡ, Π±Π°ΠΊΡΠ΅ΡΠΈΠΎΠ»ΠΎΠ³ΠΈΡΠ΅ΡΠΊΠΎΠ³ΠΎ ΠΈΡΡΠ»Π΅Π΄ΠΎΠ²Π°Π½ΠΈΡ ΠΎΡΠ΄Π΅Π»ΡΠ΅ΠΌΠΎΠ³ΠΎ ΡΠ΅ΡΠ²ΠΈΠΊΠ°Π»ΡΠ½ΠΎΠ³ΠΎ ΠΊΠ°Π½Π°Π»Π°. Π Π΅Π·ΡΠ»ΡΡΠ°ΡΡ. ΠΠ° ΡΠΎΠ½Π΅ ΠΏΡΠΎΠ²ΠΎΠ΄ΠΈΠΌΠΎΠ³ΠΎ Π»Π΅ΡΠ΅Π½ΠΈΡ ΠΊΡΠΏΠΈΡΠΎΠ²Π°Π½ΠΈΠ΅ ΡΠΈΠΌΠΏΡΠΎΠΌΠΎΠ² ΠΠ ΠΎΡΠΌΠ΅ΡΠ°Π»ΠΎΡΡ Π² Π±ΠΎΠ»Π΅Π΅ ΡΠ°Π½Π½ΠΈΠ΅ ΡΡΠΎΠΊΠΈ Ρ ΠΏΠ°ΡΠΈΠ΅Π½ΡΠΎΠΊ, ΠΊΠΎΡΠΎΡΡΠΌ ΠΏΡΠΎΠ²ΠΎΠ΄ΠΈΠ»Π°ΡΡ ΡΠ°Π½Π°ΡΠΈΡ ΠΏΠΎΠ»ΠΎΡΡΠΈ ΠΌΠ°ΡΠΊΠΈ ΠΊΠ°Π²ΠΈΡΠΈΡΠΎΠ²Π°Π½Π½ΡΠΌΠΈ ΡΠ°ΡΡΠ²ΠΎΡΠ°ΠΌΠΈ Π΄ΠΈΠΎΠΊΡΠΈΠ΄ΠΈΠ½Π° ΠΈ Π±Π΅ΡΠ°Π»Π΅ΠΉΠΊΠΈΠ½Π°, Π° ΡΠ°Π·Π²ΠΈΡΠΈΠ΅ ΠΎΡΠ΄Π°Π»Π΅Π½Π½ΡΡ
ΠΎΡΠ»ΠΎΠΆΠ½Π΅Π½ΠΈΠΉ ΠΎΡΠΌΠ΅ΡΠ΅Π½ΠΎ Π² ΠΌΠ΅Π½ΡΡΠ΅ΠΌ ΠΏΡΠΎΡΠ΅Π½ΡΠ΅ ΡΠ»ΡΡΠ°Π΅Π² Ρ ΠΏΠ°ΡΠΈΠ΅Π½ΡΠΎΠΊ, Π² Π»Π΅ΡΠ΅Π½ΠΈΠΈ ΠΊΠΎΡΠΎΡΡΡ
ΠΏΡΠΈΠΌΠ΅Π½ΡΠ»ΡΡ Π±Π΅ΡΠ°Π»Π΅ΠΉΠΊΠΈΠ½. ΠΠΎΡΠ»Π΅ ΠΏΡΠΎΠ²Π΅Π΄Π΅Π½Π½ΠΎΠΉ ΠΊΠΎΠΌΠΏΠ»Π΅ΠΊΡΠ½ΠΎΠΉ ΡΠ΅ΡΠ°ΠΏΠΈΠΈ ΠΏΡΠΈ ΠΈΠΌΠΌΡΠ½ΠΎΠ³ΡΠΎΡ
ΠΈΠΌΠΈΡΠ΅ΡΠΊΠΎΠΌ ΠΈΡΡΠ»Π΅Π΄ΠΎΠ²Π°Π½ΠΈΠΈ ΡΠ½Π΄ΠΎΠΌΠ΅ΡΡΠΈΡ ΡΠ°Π·Π²ΠΈΡΠΈΠ΅ Ρ
ΡΠΎΠ½ΠΈΡΠ΅ΡΠΊΠΎΠ³ΠΎ ΡΠ½Π΄ΠΎΠΌΠ΅ΡΡΠΈΡΠ° ΠΏΠΎΠ΄ΡΠ²Π΅ΡΠΆΠ΄Π΅Π½ΠΎ Π² 5% Π² ΠΎΡΠ»ΠΈΡΠΈΠ΅ ΠΎΡ Π³ΡΡΠΏΠΏΡ ΠΆΠ΅Π½ΡΠΈΠ½, Π½Π΅ ΠΏΠΎΠ»ΡΡΠ°Π²ΡΠΈΡ
Π΄Π°Π½Π½ΡΠΉ Π²ΠΈΠ΄ Π»Π΅ΡΠ΅Π½ΠΈΡ, Ρ ΠΊΠΎΡΠΎΡΡΡ
ΠΎΠ½ Π±ΡΠ» Π²ΡΡΠ²Π»Π΅Π½ Π² 85%. ΠΠ°ΠΊΠ»ΡΡΠ΅Π½ΠΈΠ΅. Π Π΅Π·ΡΠ»ΡΡΠ°Ρ ΠΈΡΡΠ»Π΅Π΄ΠΎΠ²Π°Π½ΠΈΡ ΠΏΠΎΠΊΠ°Π·Π°Π» Π²ΡΡΠΎΠΊΡΡ ΡΡΡΠ΅ΠΊΡΠΈΠ²Π½ΠΎΡΡΡ Π΄Π°Π½Π½ΠΎΠ³ΠΎ ΠΌΠ΅ΡΠΎΠ΄Π° Π»Π΅ΡΠ΅Π½ΠΈΡ ΠΈ ΠΏΠΎΠ·Π²ΠΎΠ»ΠΈΠ» ΡΠ½ΠΈΠ·ΠΈΡΡ ΡΠ°ΡΡΠΎΡΡ Ρ
ΡΠΎΠ½ΠΈΡΠ΅ΡΠΊΠΎΠ³ΠΎ ΡΠ½Π΄ΠΎΠΌΠ΅ΡΡΠΈΡΠ° Π² ΠΎΡΠ΄Π°Π»Π΅Π½Π½ΠΎΠΌ ΠΏΠ΅ΡΠΈΠΎΠ΄Π΅ Ρ ΠΏΠ°ΡΠΈΠ΅Π½ΡΠΎΠΊ Ρ ΠΠ
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