Freedom of Conscience in Modern Russia: Problem of Personal Security

The article identifies the problem of spiritual safety of the person, studies the acts regulating rights and freedoms of the person in the religious sphere; the focus is made on the state policy in this sphere. Insufficiency of the taken measures for ensuring spiritual safety of Russians in the conditions of modern distribution and promoting of new religions is emphasized

EFFECT OF THE COMPOSITION OF Ni(II) AND Co(II) COMPLEXES ON ELECTRODEPOSITION OF THE METALS FROM CITRATE BATHS.

The addition of amino compounds to citrate nickel plating baths facilitates plating by raising the nickel current efficiency due to a postulated formation of Ni(II) heteroligand complexes. This paper reports the electrodeposition of nickel and cobalt with the composition and nature of complexes in citrate and citrate-glycinate baths. The systems Ni(II)-H//3Cit; Ni(II)-H//3Cit-HGly and CO(II)-H//3Cit; and CO(II)-H//3Cit-HGly were studied as to complex formation and electrodeposition over a range of pH at an approximately 1:1 ratio of the original complexant concentrations to those of the coordinated entities. The plating rate was found to be a function of the composition of the complex in solution

Effect of the state of stress on the strain-induced martensite formation in 03Kh14N11K5M2YuT steel

The structural changes that occur in a metastable austenitic Fe-Cr-Ni-based steel during cold plastic deformation by drawing and tension are analyzed. A relation between the structure of the steel and its mechanical and magnetic properties is established. It is concluded that the stress state scheme considerably affects the rate of martensite formation. © 2013 Pleiades Publishing, Ltd

EVALUATION OF THE IMPACT OF DRUG THERAPY FOR OBESITY ON THE CLINICAL MANIFESTATIONS OF KNEE OSTEOARTHRITIS IN OVERWEIGHT WOMEN

Objective: to evaluate the impact of orlistat therapy on the clinical manifestations of knee osteoarthritis (OA) in obese patients.Subjects and methods. The investigation enrolled 50 women aged 45–65 years with Kellgren–Lawrence Stages II–III knee OA and obesity [body mass index (BMI) > 30 kg/m2] who were randomized into 2 groups: 1) 25 patients who took Orlistat in a dose of 120 mg (one capsule) thrice daily for 6 months in conjunction with a low-calorie diet and exercise; 2) 25 patients who received only non-drug therapy for obesity (a low-calorie diet and exercise). The investigators assessed anthropometric measures, WOMAC index, and health status using a visual analogue scale.Results and discussion. After 6 months, group 1 had more marked weight loss than group 2: 10.0% (mean 10.5 kg) and 0.8% (mean 1 kg) respectively. Orlistat also provided more pronounced reduction of WOMAC pain scores, functional insufficiency and WOMAC index than non-pharmacological therapy (by 52.2% and 28.8%, р ≤ 0.05, by 51 and 18%, р ≤ 0.05 and by 51 and 19%, p = 0.006 respectively). Moreover, group 1 showed significant improvement of quality of life as compared to group 2 (p < 0.001). The tolerability of Orlistat was good; only two patients reported diarrhea due to dietary errors (fat intake), which required no drug discontinuation.Conclusion. The investigation has demonstrated that body weight loss provided by appropriate medications leads to the regress of clinical manifestations of knee OA in obese patients: pain relief and functional improvement. So drugs contributing to weight los, should be incorporated into treatment regimens for patients with OA and obesity

Остеоартрит суставов кистей: распространенность, факторы риска, фенотипы, диагностика, лечение

Osteoarthritis is the most common rheumatic disease, accompanied by constant pain and dysfunction of the joints, the progression of which leads to a deterioration in the quality of life and often to disability of patients. The article presents the prevalence, predictors of development and progression of osteoarthritis of the hand joints (OHJ). Clinical classification of OHJ, clinical picture depending on the localization of the process, topical features of involvement of the hand joints in different types of OHJ are given. Clinical, laboratory and instrumental methods for diagnosing of the disease, classification and diagnostic criteria are described, much attention is paid to modern principles of OHJ therapy in accordance with Russian clinical guidelines, as well as EULAR and ACR recommendations.Остеоартрит — самое распространенное ревматическое заболевание, сопровождающееся постоянной болью и нарушением функции суставов, прогрессирование которого приводит к ухудшению качества жизни и нередко к инвалидизации пациентов. В статье представлены распространенность, предикторы развития и прогрессирования остеоартрита суставов кистей (ОАК). Приведены клиническая классификация ОАК, клиническая картина заболевания в зависимости от локализации процесса, топические особенности вовлечения суставов кистей при разных вариантах ОАК. Описаны клинические и лабораторно-инструментальные методы диагностики заболевания, классификационные и диагностические критерии, большое внимание уделено современным принципам терапии ОАК в соответствии с российскими клиническими рекомендациями, а также рекомендациями EULAR и ACR

Диацереин в лечении остеоартрита у больных с коморбидностью

Osteoarthritis (OA) belongs to diseases with high comorbidity and is most frequently concurrent with hypertension and other cardiovascular diseases (coronary heart disease, atherosclerosis), obesity, and diabetes mellitus. The paper deals with the use of delayed-release symptomatic medications in the treatment of patients with OA and comorbidity. It reviews clinical trials of the efficacy and safety of diacerein in OA patients and its effect on comorbidity. The paper discusses the possibility of using diacerein as an alternative to traditional nonsteroidal anti-inflammatory drugs in patients with contraindications to the latter.Остеоартрит (ОА) относится к заболеваниям с высокой коморбидностью и наиболее часто сочетается с артериальной гипертензией и другими сердечно-сосудистыми заболеваниями (ишемическая болезнь сердца, атеросклероз), ожирением, сахарным диабетом. В статье рассматривается использование симптоматических препаратов замедленного действия в лечении пациентов с ОА и коморбидностью. Представлен обзор клинических исследований эффективности и безопасности диацереина у больных ОА и его влияния на коморбидность. Обсуждается возможность применения диацереина в качестве альтернативы традиционным нестероидным противовоспалительным препаратам у больных с противопоказаниями к последним

Efficacy and safety of diacerein in patients with knee osteoarthritis

Diacerein (D) belongs to a class of symptomatic slow-acting agents, has an original mechanism of action, and is widely used as a diseasemodifying antirheumatic drug to treat osteoarthritis (OA) in Russia and many countries of the world. The ability of the drug to affect the main symptoms and progression of OA has been shown in a number of well-organized clinical trials.Objective: to evaluate the efficacy and safety of D in patients with knee OA.Patients and methods. An open-label trial evaluating the efficacy and safety of D (diaflex) in patients with knee OA was conducted in accordance with the multicenter program «Osteoarthrosis: Assessment of Progression in Real Clinical Practice». The trial included 80 patients of both sexes with Stage II–III knee OA; mean age, 60.8±6.8 years (47–75 years); mean body mass index, 31.8±5.9 kg/m2; disease duration, 10.3±5.7 years (2–30 years). The duration of the trial was 9 months (6 months of therapy and 3 months of follow-up).Results. There was a statistically significant reduction in visual analog scale pain on walking just 1 month after therapy initiation (57.1±9.7 and 44.7±13.9 mm; p<0.0001) and a further significant improvement throughout the 6-month therapy. Pain did not increase after the drug was discontinued (the follow-up period was 3 months). The same pattern was observed in the assessment of the WOMAC index (pain during early therapy, 243.8±73.9; pain at the end of therapy, 137.5±78.9; stiffness, 97.8±41.1 and 57.7±38.6; functional failure, 875.8±250.4 and 525±305.7 respectively; p<0.0001). Statistically significantly improved quality of life indicators measured by EQ-5D were noted throughout the follow-up period: 0.43±0.23 at the beginning of therapy, 0.61±0.14 at its end, and 0.63±0.11 at 3 months following treatment completion (p<0.0001). By the time of therapy completion, 71.3% of the patients completely refused to take nonsteroidal anti-inflammatory drugs (NSAIDs). Both the patient and the physician evaluated the efficiency of treatment identically. By the end of therapy, 87.5% of the patients were observed to have improvement. Adverse reactions (ARs) were recorded in 10 (12.5%) patients and mainly associated with more frequent stools; ARs were not a cause of treatment interruptions or protocol deviations.Conclusion. Diaflex has a good symptomatic and anti-inflammatory effect: the therapy statistically significantly reduces pain, stiffness, and the need for NSAIDs and improves quality of life and joint function. The drug has a good safety profile and after-effects, which is seen at least 3 months after therapy discontinuation

THE INFLUENCE OF COLLOID SILVER NANO-PARTICLES UPON IMMUNOBIOLOGIC PROPERTIES OF PLAGUE MICROBE CAPSULAR ANTIGEN

This study shows that Yersinia pestis capsular antigen F1 conjugated to the CS nano-particles demonstrates apparent immunogenic effects. When injected to the test animals it was able to stimulate the production of specific antibodies under smaller antigenic load, it caused activation of the genetic apparatus in the immune system cells, and it stimulated hyperplastic processes in the lymphoid organs. Solutions of CS plus antigens appeared to be stable and caused neither general nor local responses in the test animals; they were easy to make use of, thus demonstrating their potentialities to be exploited as adjuvants in immunologic practices