95 research outputs found
Membrane transport of inorganic acids with α- aminophosphoryl compounds
Transport of some inorganic acids (HCl, HBr, HClO4, HNO 3, H2SO4, and H2PO4) through hydrophobic impregnated membranes with aminophosphoryl compounds of the general formula R 2 1 P(O)CH2•NR 2R3 [R1 = C4H9(C 2H5)CHCH2O, R2 = C4H 9, R3 = C8H17; R1 = R3 = C8H17, R2 = H; R1 = C10H2, R2 = R3 = C2H 5; R1 = C10H21, R2 + R3 = (CH2)2O(CH2)2; R1 = C8H17, R2 = H, R3 = 2-quinolyl] and dodecylamine as carriers was studied. The membrane phases were solutions of the carriers in phenylcyclohexane and tridecane. General regularities that correlate the structure of an aminophosphoryl compounds to its transport properties toward inorganic acids were established. The largest flows are characteristic of perchloric, nitric, and hydrobromic acids. ©2005 Pleiades Publishing, Inc
Mechanical, electrical and microstructural characterisation of multifunctional structural power composites.
Multifunctional composites which can fulfil more than one role within a system have attracted considerable interest. This work focusses on structural supercapacitors which simultaneously carry mechanical load whilst storing/delivering electrical energy. Critical mechanical properties (in-plane shear and in-plane compression performance) of two monofunctional and four multifunctional materials were characterised, which gave an insight into the relationships between these properties, the microstructures and fracture processes. The reinforcements included baseline T300 fabric, which was then either grafted or sized with carbon nanotubes, whilst the baseline matrix was MTM57, which was blended with ionic liquid and lithium salt (two concentrations) to imbue multifunctionality. The resulting composites exhibited a high degree of matrix heterogeneity, with the ionic liquid phase preferentially forming at the fibres, resulting in poor matrix-dominated properties. However, fibre-dominated properties were not depressed. Thus, it was demonstrated that these materials can now offer weight savings over conventional monofunctional systems when under modest loading
Reaction of 2,3-dimethylmercaptopropionic acid with methylene blue as an indicator reaction for the kinetic determination of selenium
A new indicator reaction between 2,3-dimethylmercaptopropionic acid and Methyl Blue was proposed for the kinetic determination of selenium. The optimal reaction conditions were found. A linear relationship was observed between the induction period and the Se(IV) concentration in the range between 0.9 and 9.6 ng/mL Se. Masking with EDTA and solvent extraction with diethyldithiophosphoric acid can be used for the separation of interfering elements forming complexes with the reagent. © 2001 MAIK "Nauka/Interperiodica"
Analysis of types of medical interventions for patients with pancreatic adenocarcinoma in hospitals of Saint Petersburg for the period from 2014 to 2020
Introduction. In view of the course of the disease, patients suffering from pancreatic adenocarcinoma go through all stages of medical care in St. Petersburg. To date, in the available literature, there are no works devoted to the analysis of the types, volumes and outcomes of medical interventions performed in this category of patients. The data obtained from such an analysis can become the basis for the development of algorithms and programs for optimizing the provision of care for patients suffering from this pathology. The objective of the study was to analyze the types of medical interventions for patients suffering from pancreatic cancer in hospitals in St. Petersburg for the period from 2014 to 2020. Methods and materials. The study group consisted of a continuous sampling of data from 2414 cards of patients diagnosed with pancreatic adenocarcinoma who applied to medical organizations in St. Petersburg in the period from 2014 to 2020. The provided medical interventions were divided into the following types: radical, symptomatic and palliative treatment. Results. In 69.4 % of patients in the study sample during the initial visit, stage III and IV of the disease were diagnosed. The volumes and methods of treatment differed for different localizations of the tumor node. In patients with a tumor lesion of the head of the pancreas, «symptomatic treatment» was most often used, in patients with localization of the neoplastic process in the body of the pancreas, «diagnostic surgery» was most often performed, in the case of damage to the tail of the pancreas, the main method of treatment was «radical surgery». In federal medical organizations, «symptomatic treatment» was most often performed. In specialized oncological medical organizations of the city, «radical», «symptomatic» and «diagnostic» interventions were performed in the same way. In city multidisciplinary hospitals, «symptomatic treatment» was most often performed. Conclusion. The data obtained should be taken into account when improving and developing new programs for the detection of pancreatic adenocarcinoma at early stages. Further monitoring of medical interventions in this category of patients is required
Prevalence of occult hepatitis B infection among blood donors in Saint Petersburg
The aim of this study was to assess the prevalence of occult hepatitis B infection among blood donors in St. Petersburg, as well as to characterize the identified virus isolates. The study material was represented by 2800 blood plasma samples collected in 2019 from blood donors living in St. Petersburg. The ELISA study for HBV marker rate consisted of HBsAg, anti-HBs IgG, anti-HBcore IgG. HBV DNA was analyzed by nested PCR with real-time hybridization-fluorescence detection on three targets allowing to determine virus DNA at low viral load, including HBsAg-negative chronic hepatitis B. Hepatitis B serological markers were detected in 69.43% of those surveyed, HBsAg was found in 0.43% of individuals, and all of which donated blood first time. A significant excess of the anti-HBcore IgG antibodies occurrence among primary donors (15.1%) compared with repeated/regular donors (7.48%) was shown. The prevalence of virus DNA in the group was 3.14%, including 2.71% of cases in HBsAg-negative CHB. Based on phylogenetic analysis of 88 isolates, HBV subgenotypes were determined in the following order: D1 and D2, 40.91% each, D3 and A2, 9.09% each. While determining the serological subtype in detected isolates, the serotype ayw3 (52.27%) vs ayw2 (46.59%) and adw2 (10.23%) prevailed. Drug resistance mutations, including compensatory ones, were detected in six examined patients (6.82%). In all genotype D isolates, multiple amino acid substitutions were identified in the RT, SHB, MHB, LHB, and Core regions; mutations in the preCore region were detected in 21.59% samples. In the MHR of the HBV genotype D genome, twenty-six positions were identified in which amino acid substitutions occurred, and all isolates showed modifications at positions 113, 114, 131, 134, 159, 161, 168, in 76 — at position 122, in 68 — at position 127, in 36 — at position 118, in 24 — at position 128. In HBV A2 isolates, mutations T113S, S143T, Y161F were identified. Nine isolates in the preCore region showed a polymorphism including a stop codon W28*W; in five isolates the W28S substitution was shown in the same position, and the W28*S variant was found in one more sample. The high incidence of HBsAg-negative CHB cases among blood donors, as well as the predominance of HBV isolates that simultaneously carry mutations resulting in diagnostic failure of HBsAg tests and prophylactic failure of immunoglobulin or vaccines and virus reactivation, mutations that contribute to disease progression obviously pose a threat to health and require to be further examined
ЭССЕНЦИАЛЬНЫЕ МИКРОНУТРИЕНТЫ – КОМПОНЕНТЫ АНТИОКСИДАНТНОЙ ЗАЩИТЫ В НЕКОТОРЫХ ВИДАХ РОДА АLLIUM
One of the urgent tasks at the present time is to obtain and widely use functional foods that have antioxidant and anticarcinogenic effects, which serve not only to meet human needs in proteins, fats, carbohydrates, micro - and macronutrients, but also contribute to the immune system, improve the heart and other human organs. For food plants, rich in antioxidant protection components, include perennial onions, from the variety of wild species which are in demand by modern medicine are only very few. The Republic of Komi is classified as the most uncomfortable territories for human habitation. In the flora of the Komi Republic there are three types of perennial bows – Allium angulosum L., A. schoenoprasum L. and A. strictum Schrad. The collection of the Botanical garden of the Institute of biology, Komi scientific center includes more than 150 species. Comparison of the chemical composition of four types of onions from the Botanical gardens of the Komi scientific center and Moscow state University (MSU) showed that the total content of flavonoids in onions, Komi scientific center of the BS is much higher, and the content of selenium is lower than in the same types of BS, Moscow state University. In samples of onions sticking out in the Republic of Tuva, the Republic of Buryatia, in the Altai Mountains, the Se content is also much higher than in regional species. The soils of the Komi Republic are depleted Se, however, as shown by our research, wild and cultivated species of the genus Allium, are batteries of this trace element. According to our calculations, the use of 100 g of fresh herbs of chives may meet up to 60% of the daily needs of the human body in ascorbic acid, up to 94% manganese, 20% copper, 12% zinc.Одной из актуальных задач в настоящее время является получение и широкое использование продуктов функционального питания, обладающих антиоксидантным и антиканцерогенным действием, которые служат не только удовлетворению потребностей человека в белках, жирах, углеводах, микро- и макроэлементах, но и способствуют повышению иммунитета, улучшению работы сердца и других органов человека. К пищевым растениям, богатым компонентами антиоксидантной защиты, относят многолетние луки. Республика Коми отнесена к наиболее дискомфортным для проживания человека территориям. Во флоре Республики Коми встречается три вида многолетних луков – Allium angulosum L., A. schoenoprasum L. и A. strictum Schrad. Коллекция Ботанического сада Института биологии Коми НЦ УрО РАН (БС) насчитывает более 150 видов. Согласно полученным данным, содержание марганца, меди и цинка в почвах и фитомассе растений Республики Коми ниже мировых кларков. Сравнение химического состава четырех видов лука из коллекций Ботанических садов Коми НЦ и Московского государственного университета (МГУ) показало, что общее содержание флавоноидов в луках из БС Коми НЦ значительно выше, а содержание селена – ниже, чем в аналогичных видах из БС МГУ. В образцах лука торчащего, собранного в Республике Тува, Республике Бурятия, на Горном Алтае, содержание Se также значительно выше, чем в региональных видах. Почвы Республики Коми обеднены Se, однако, как показали наши исследования, дикорастущие и культивируемые виды рода Allium являются аккумуляторами этого микроэлемента. По нашим подсчетам, при употреблении 100 г свежей зелени шнитт-лука возможно удовлетворение до 60% суточной потребности организма человека в аскорбиновой кислоте, до 94% – марганца, 20% – меди, 12% – цинка. Организация комплексных исследований, направленных на оценку селенового и микронутриентного статуса населения республики, изучение их зонального распределения в различных типах почв и содержание эссенциальных микронутриентов в продуктах питания, культивируемых и дикорастущих растениях, произрастающих на данной территории, представляет большой интерес
Анализ видов медицинских вмешательств пациентам с аденокарциномой поджелудочной железы в условиях стационаров Санкт-Петербурга за период с 2014 г. по 2020 г.
Introduction. In view of the course of the disease, patients suffering from pancreatic adenocarcinoma go through all stages of medical care in St. Petersburg. To date, in the available literature, there are no works devoted to the analysis of the types, volumes and outcomes of medical interventions performed in this category of patients. The data obtained from such an analysis can become the basis for the development of algorithms and programs for optimizing the provision of care for patients suffering from this pathology. The objective of the study was to analyze the types of medical interventions for patients suffering from pancreatic cancer in hospitals in St. Petersburg for the period from 2014 to 2020. Methods and materials. The study group consisted of a continuous sampling of data from 2414 cards of patients diagnosed with pancreatic adenocarcinoma who applied to medical organizations in St. Petersburg in the period from 2014 to 2020. The provided medical interventions were divided into the following types: radical, symptomatic and palliative treatment. Results. In 69.4 % of patients in the study sample during the initial visit, stage III and IV of the disease were diagnosed. The volumes and methods of treatment differed for different localizations of the tumor node. In patients with a tumor lesion of the head of the pancreas, «symptomatic treatment» was most often used, in patients with localization of the neoplastic process in the body of the pancreas, «diagnostic surgery» was most often performed, in the case of damage to the tail of the pancreas, the main method of treatment was «radical surgery». In federal medical organizations, «symptomatic treatment» was most often performed. In specialized oncological medical organizations of the city, «radical», «symptomatic» and «diagnostic» interventions were performed in the same way. In city multidisciplinary hospitals, «symptomatic treatment» was most often performed. Conclusion. The data obtained should be taken into account when improving and developing new programs for the detection of pancreatic adenocarcinoma at early stages. Further monitoring of medical interventions in this category of patients is required.Введение. Ввиду течения заболевания пациенты, страдающие аденокарциномой поджелудочной железы, проходят через все этапы оказания медицинской помощи в Санкт-Петербурге. На сегодняшний день в доступной литературе отсутствуют работы, посвященные анализу видов, объемов и исходов медицинских вмешательств, проводимых у этой категории пациентов. Полученные данные такого анализа могут стать основой для разработки алгоритмов и программ оптимизации оказания помощи пациентам, страдающим этой патологией. Цель – проанализировать виды медицинских вмешательств пациентам, страдающим злокачественными новообразованиями поджелудочной железы, в стационарах Санкт-Петербурга в период с 2014 г. по 2020 г. Методы и материалы. Исследуемую группу составила сплошная выборка данных 2414 карт пациентов с диагнозом «аденокарцинома поджелудочной железы», обратившихся в медицинские организации Санкт-Петербурга в период с 2014 по 2020 г. Оказанные медицинские вмешательства разделены на следующие виды: радикальное, симптоматическое и паллиативное лечение. Результаты. У 69,4 % пациентов исследуемой выборки при первичном обращении были диагностированы III и IV стадии заболевания. Объемы и методы лечения отличались при разных локализациях опухолевого узла. У больных с опухолевым поражением головки поджелудочной железы наиболее часто применяли симптоматическое лечение, у пациентов с локализацией неопластического процесса в теле железы чаще всего выполняли диагностическое операции, в случае поражения хвоста железы основным методом лечения была радикальная операция. В федеральных медицинских организациях наиболее часто проводили симптоматическое лечение. В специализированных онкологических медицинских организациях города радикальные, симптоматические и диагностические вмешательства выполнены в одинаковом отношении. В городских многопрофильных стационарах наиболее часто выполняли симптоматическое лечение. Заключение. Полученные данные необходимо учитывать при совершенствовании и разработке новых программ выявления аденокарциномы поджелудочной железы на ранних стадиях. Требуется дальнейшее проведение мониторинга медицинских вмешательств данной категории пациентов.
Safety and efficacy of convalescent plasma for COVID-19: the preliminary results of a clinical trial
Background. The lack of effective etiotropic therapy for COVID-19 has prompted researchers around the globe to seekr various methods of SARS-CoV-2 elimination, including the use of convalescent plasma.
Aim. The aim of this work was to study the safety and efficacy of the convalescence plasma treatment of severe COVID-19 using the plasma containing specific antibodies to the receptor binding domain (RBD) of SARS-CoV-2 S protein in a titer of at least 1:1000.
Methods. A single-center, randomized, prospective clinical study was performed at the FRCC FMBA of Russia with the participation of 86 patients who were stratified in two groups. The first group included 20 critically ill patients who were on mechanical ventilation the second group included 66 patients with moderate to severe COVID-19 and with spontaneous respiration. The patients in the second group were randomized into two cohorts in a ratio of 2:1. In the first cohort (46 patients), pathogen-reduced convalescent plasma was transfused (twice, 320 ml each), in the second cohort (20 patients) a similar amount of non-immune freshly frozen plasma was transfused to the patients.
Results. The use of plasma of convalescents in patients with severe COVID-19 being on mechanical ventilation does not affect the disease outcome in these patients. The mortality rate in this group was 60%, which corresponds to the average mortality of COVID patients on mechanical ventilation in our hospital. In the second group, clinical improvement was detected in 75% and 51%, for convalescent and non-immune plasma, respectively. Of the 46 people who received convalescent plasma, three patients (6.5%) were transferred to mechanical ventilation, two of them died. In the group receiving non-immune plasma, the need for mechanical ventilation also arose in three patients (15%), of which two died. The hospital mortality in the group of convalescent plasma was 4.3%, which is significantly lower than the average COVID-19 hospital mortality at our Center (6.73%) and more than two times lower than the hospital mortality in the control group (n=150), matched by age and by the disease severity.
Conclusions. Thus, we demonstrated a relative safety of convalescent plasma transfusion and the effectiveness of such therapy for COVID-19 at least in terms of the survival of hospitalized patients with severe respiratory failure without mechanical ventilation. In the absence of bioengineered neutralizing antibodies and effective etiotropic therapy, the use of hyperimmune convalescent plasma is the simplest and most effective method of specific etiopathogenetic therapy of severe forms of COVID-19
Prevalence of headache disorders in students of medical university according new Classification of Headache Disorders 3rd edition (2013)
The aim of our study was to estimate the prevalence of headache disorders using the newly published third edition International Classification of headache Disorders-3beta and evaluate their previous treatment in students of the Urals State Medical University. Methods: The study population consisted of 1042 students (719 females, 323 males, mean age 20.6, range 17-40). All were interviewed using a semi-structured validated interview conducted by a neurologist or by trained senior medical students. Results: 1-year prevalence of headache in students was 93% (females 95%, males 88%), prevalence of headache during the last month-68% (66% among females, 54% among males), during the last week-46% (48% among females, 32% males) and point prevalence -17% (17% among females, 17% among males). 1-year prevalence of episodic tension type headache was 74.5%, among females -73%, among males- 77%. 1 -year prevalence of migraine without aura was 24%, among females - 28%, among males -14%. 1-year prevalence of migraine with aura was 3.8%, among females — 5.6%, among males - 0.6%. 1-year prevalence of chronic tension type headache-3%, chronic migraine -1% and medication overuse headache-3 %. Only one third of students (35%) had consulted because of headache. Most students (75%) used analgesics or NSAIDs for the acute treatment of headache, only 2% used triptans. Only 0.2% of students received prophylactic treatment. Conclusion: Prophylactic and treatment strategies must be developed to manage the high prevalence of headache disorders in students.Задачей нашего исследования было изучение распространенности головных болей с использованием недавно опубликованной Международной классификации третьего пересмотра - 3 бетта, а также оценка предшествующего лечения головных болей у студентов Уральского государственного медицинского университета. Методы: Исследуемая группа включала 1042 студентов (719 женщин и 323 мужчины средний возраст 20,6 лет, возрастной интервал 17-40). Все студенты были проинтервьюированы с использованием полуструктурированного интервью, проведенного специально обученными студентами, а также врачом неврологом. Результаты: Распространенность головных болей у студентов в течение 1 года до интервью была 93% (95% у женщин, 88% у мужчин), распространенность головных болей в течение последнего месяца была 68% (66% среди женщин, 54% среди мужчин), в течение последней недели головные боли имели 46% студентов (48% среди женщин, 32% среди мужчин) и 17% студентов имели головные боли в день интервью (17% женщин, 17% мужчин). Распространенность эпизодических головных болей напряжения у студентов в течение 1 года до интервью была 74,5% (73% среди женщин и 77% среди мужчин). Распространенность мигрени без ауры у студентов в течение 1 года была 24% (28% среди женщин и 14% среди мужчин). Распространенность мигрени с аурой была 3,8% (5,6% среди женщин и 0,6% среди мужчин). Распространенность хронических головных болей напряжения в течение 1 года была 3%, хронической мигрени -1% и головных болей, связанных с избыточным употреблением анальгетиков 3 %. Только треть студентов (35%) обращались к врачам в связи с головными болями. Большинство студентов (75%) использовали анальгетики или НПВП для купирования головных болей, 2% использовали триптаны. Только 0,2% студентов получали профилактическое лечение по поводу головных болей. Вывод: Необходима разработка профилактических и лечебных мероприятий для снижения высокой частоты головных болей у студентов
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