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Impact of type 2 diabetes on the course and outcomes of community-acquired pneumonia in hospitalized patients 2型糖尿病对住院患者社区获得性肺炎病程和结局的影响
Pub Date : 2023-02-27 DOI: 10.32756/0869-5490-2023-1-30-35
R.E. Baisultanova, E. Osmanov, S.M. Akayeva, M. A. Karnaushkina
To evaluate the clinical features, course and outcomes of community-acquired pneumonia (CAP) in hospitalized patients with type 2 diabetes.
目的探讨2型糖尿病住院患者社区获得性肺炎(CAP)的临床特点、病程及转归。
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引用次数: 0
Anxiety, depression and sleep disorders after COVID-19 COVID-19后的焦虑、抑郁和睡眠障碍
Pub Date : 2023-02-27 DOI: 10.32756/0869-5490-2023-1-86-92
N. Ivashkina, O. Dorofeeva
At the beginning of 2020, a novel coronavirus designated as SARS-CoV-2 emerged in China and caused an outbreak of coronavirus disease 2019 (COVID-19). Pandemic has threatened global mental health via disruptive societal changes and neuropsychiatric sequelae including depression, anxiety and sleep disorders after SARS-CoV-2 infection. Virus is able to access CNS through blood circulation or neural pathway. Brain damage can be also due to hypoxia, hypercoagulation and endothelial dysfunction. The effects of psychological stressors and drug therapy may be also relevant for development of neuropsychiatric disorders after COVID-19. Women and patients with a history of mental disorders are more susceptible to neuropsychiatric disorders and frequently present with more severe complications. Affective, anxiety or psychotic disorders can persist for 6 months after recovery from COVID-19. These data highlight the need in drug therapy to treat depression and anxiety, to normalize sleep and to prevent the development of serious neuropsychiatric sequelae of infection.
2020年初,中国出现了新型冠状病毒SARS-CoV-2,引发了2019年冠状病毒病(COVID-19)的爆发。大流行通过破坏性的社会变化和神经精神后遗症,包括感染SARS-CoV-2后的抑郁、焦虑和睡眠障碍,威胁着全球的精神健康。病毒可以通过血液循环或神经通路进入中枢神经系统。脑损伤也可由缺氧、高凝和内皮功能障碍引起。心理应激源和药物治疗的影响也可能与COVID-19后神经精神障碍的发展有关。有精神病史的妇女和患者更容易患神经精神疾病,并经常出现更严重的并发症。从COVID-19恢复后,情感、焦虑或精神障碍可能持续6个月。这些数据强调了药物治疗的必要性,以治疗抑郁和焦虑,使睡眠正常化,并防止感染的严重神经精神后遗症的发展。
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引用次数: 0
AA-amyloidosis as a rare cause of kidney disease in patient with Takayasu’s arteritis aa -淀粉样变是高须动脉炎患者肾脏疾病的罕见病因
Pub Date : 2023-02-27 DOI: 10.32756/0869-5490-2023-1-73-78
V. Logina, N. Bulanov, E. Kuznetsova, V. Rameev, A. Efimova, P. Novikov, S. Moiseev
Takayasu’s arteritis (TAK) is a systemic large vessel vasculitis that usually develops at young age in females and affects aorta and its branches (pulseless disease). Patients with TAK frequently present with renal artery stenosis associated with renovascular hypertension and ischemic nephropathy, whereas glomerular and interstitial kidney disease is very rare. As any other chronic inflammatory diseases, TAK can be complicated with AA-amyloidosis manifesting by progressive proteinuria, nephrotic syndrome and chronic renal failure. AA-amyloidosis in patients with TAK and other immune-mediated inflammatory disease justifies intensification of immunosuppressive and antiinflammatory therapy (e.g. using interleukin-6 inhibitors) that is essential to prevent progression of kidney amiloidosis.
Takayasu动脉炎(Takayasu’s arteritis, TAK)是一种系统性大血管炎,通常发生于年轻女性,影响主动脉及其分支(无脉性疾病)。TAK患者通常表现为肾动脉狭窄并伴有肾血管性高血压和缺血性肾病,而肾小球和间质性肾病则非常罕见。与其他慢性炎症性疾病一样,TAK可合并aa -淀粉样变,表现为进行性蛋白尿、肾病综合征和慢性肾功能衰竭。TAK患者的aa -淀粉样变性和其他免疫介导的炎症性疾病证明加强免疫抑制和抗炎治疗(例如使用白细胞介素-6抑制剂)是预防肾脏淀粉样变性进展所必需的。
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引用次数: 0
Nephropathic cystinosis: pathophysiology and effects of treatment 肾病型胱氨酸病:病理生理及治疗效果
Pub Date : 2023-02-27 DOI: 10.32756/0869-5490-2023-1-79-85
Nephropathic cystinosis is a rare inherited disease characterized by cristallization of cystine in lyzosomes. Cystine accumulation is caused by the mutations in the CTNS gene encoding for cystinosine, a cystine transporter. Cystinosis commonly affects the kidneys leading to renal Fanconi sysnrome during the first year of life, followed by progressive kidney failure that necessitates initiation of renal replacement therapy in childhood or adolescence. In adulthood, patients also present with various systemic manifestations including photophobia, hypothyroidism, diabetes mellitus, hypogonadism (in males), myopathy, neurological disorders. Corneal crystal accumulation can be detected in all patients with cystinosis by slit-lamp examination. A diagnosis of cystinosis can be confirmed by measuring cystine levels in white blood cells and genetic testing. Early diagnosis is of vital importance given the availability of cysteamine, the specific cystinedepleting therapy, that delays the onset of end-stage renal disease and extrarenal manifestations.
肾病型胱氨酸病是一种罕见的遗传性疾病,其特征是溶酶体中胱氨酸结晶。胱氨酸积累是由编码胱氨酸转运体的CTNS基因突变引起的。胱氨酸病通常影响肾脏,在生命的第一年导致肾范可尼综合征,随后出现进行性肾衰竭,需要在儿童或青少年时期开始肾脏替代治疗。成年后,患者还出现各种全身性表现,包括畏光、甲状腺功能减退、糖尿病、性腺功能减退(男性)、肌病、神经系统疾病。所有胱氨酸病患者均可通过裂隙灯检查发现角膜晶体积聚。胱氨酸病的诊断可以通过测量白细胞中的胱氨酸水平和基因检测来证实。鉴于半胱胺的可用性,早期诊断至关重要,半胱胺是一种特殊的消耗半胱胺的治疗方法,可延迟终末期肾脏疾病和肾外表现的发作。
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引用次数: 0
Evaluation of Ranquilon® pharmacokinetics, safety profile and tolerability in healthy volunteers: a phase I clinical trial. Ranquilon®在健康志愿者中的药代动力学、安全性和耐受性评估:一项I期临床试验。
Pub Date : 2023-02-27 DOI: 10.32756/0869-5490-2023-1-49-55
O. Dorofeeva, K. Zakharov, A. Grigoriev, V. Vasilyuk, A. Sidorova, A. Piven, N. Ivashkina, A. Globenko, A. Kapashin, O. Kovchan, M. Pasko
Comparative evaluation of the pharmacokinetics, safety profile and tolerability of Ranquilon® 1 mg tablets with a single administration under fasting and fed conditions among healthy male and female volunteers.
健康男性和女性志愿者在空腹和进食条件下单次给药兰奎龙1mg片的药代动力学、安全性和耐受性的比较评价
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引用次数: 0
Comprehensive assessment of the hydration status in patients with acute decompensated heart failure: clinical associations and prognostic significance 急性失代偿性心力衰竭患者水合状态的综合评估:临床关联和预后意义
Pub Date : 2023-02-27 DOI: 10.32756/0869-5490-2023-1-42-48
M. Vatsik-Gorodetskaya, V. Tolkacheva, E. Cabello Montoya Flora, B. Sarlykov, L. Nazarov, S. Galochkin, N. Khutsishvili, M. Diane, Z. Kobalava
To evaluate the clinical and prognostic significance of a comprehensive assessment of the hydration status in patients with acute decompensation of chronic heart failure (ADCHF).
目的探讨慢性心力衰竭急性失代偿(ADCHF)患者水合状态综合评估的临床及预后意义。
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引用次数: 0
Granulomatosis with polyangiitis and microscopic polyangiitis: common features and differences 肉芽肿合并多血管炎与镜下多血管炎:共同特征与区别
Pub Date : 2023-02-27 DOI: 10.32756/0869-5490-2023-1-64-72
M. Litvinova, N. Bulanov, P. Novikov, N. Vlasenko, E. Filatova, K. Kurginyan, A. Skvortsov, S. Moiseev
Patients with ANCA-associated vasculitides usually present with similar clinical manifestations (fever, joint pain, lung and kidney diseases, purpura, etc.). However, signs of granulomatosis inflammation of the upper and lower respiratory tract and/or orbit allow to differentiate granulomatosis with polyangiitis (GPA) from microscopic polyangiitis (MPA). Circulating ANCAs are the key laboratory sign of ANCA-associated vasculitis, although they can be negative in a proportion of patients and can be found in patients with other diseases. GPA is usually associated with ANCAs againts proteinase-3, whereas ANCAs against myeloperoxidase are more common in patients with MPA. The authors present two patients with ANCA-associated vasculitides and discuss the common clinical features and differences between GPA and MPA and new classification criteria.
anca相关性血管管炎患者通常有相似的临床表现(发热、关节疼痛、肺肾疾病、紫癜等)。然而,肉芽肿性上、下呼吸道和/或眼眶炎症的征象可以区分肉芽肿性多血管炎(GPA)和显微镜下多血管炎(MPA)。循环anca是anca相关血管炎的关键实验室征象,尽管在一部分患者中可为阴性,也可在其他疾病患者中发现。GPA通常与针对蛋白酶-3的anca相关,而针对髓过氧化物酶的anca在MPA患者中更为常见。作者报告了2例anca相关性血管增生,并讨论了GPA与MPA的共同临床特征、差异及新的分类标准。
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引用次数: 0
Patterns of interstitial lung disease in primary biliary cholangitis 原发性胆道胆管炎中肺间质性疾病的模式
Pub Date : 2023-02-27 DOI: 10.32756/0869-5490-2023-1-21-29
To evaluate the occurrence and clinical features of interstitial lung disease (ILD) in a cohort of Russian patients with primary biliary cholangitis (PBC).
评价俄罗斯原发性胆道胆管炎(PBC)患者间质性肺疾病(ILD)的发生和临床特征。
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引用次数: 0
Vericiguate: a new treatment for chronic heart failure Vericiguate:治疗慢性心力衰竭的新方法
Pub Date : 2023-02-27 DOI: 10.32756/0869-5490-2023-1-56-63
V. Khirmanov
The author reviews the pharmacological properties and clinical trials of vericiguate, a stimulant of soluble guanylate cyclase, that is intended for use in patients with chronic heart failure. The new medicine alleviates unfavorable effects of endothelial dysfunction and other disorders associated with a deficiency of bioavailable nitric oxide and suppressed activity of soluble guanylate cyclase. The efficacy of vericiguate in chronic heart failure with a reduced ejection fraction was established in clinical trials SOCRATES-REDUCED and VICTORIA.
作者综述了用于慢性心力衰竭患者的可溶性鸟苷酸环化酶兴奋剂vericiguate的药理学性质和临床试验。这种新药减轻了内皮功能障碍和其他与生物可利用性一氧化氮缺乏和可溶性鸟苷酸环化酶活性抑制相关的疾病的不利影响。临床试验SOCRATES-REDUCED和VICTORIA证实了vericate治疗慢性心力衰竭伴射血分数降低的疗效。
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引用次数: 0
Fabry disease as a cause of hypertrophic cardiomyopathy 法布里病是肥厚性心肌病的一种病因
Pub Date : 2023-02-27 DOI: 10.32756/0869-5490-2023-1-36-41
S. Moiseev, E. Tao, A. Moiseev, E. Mershina, V. Sholomova, N. Bulanov, E. Pavlikova, V. Fomin
To evaluate the occurence of cardiac phenotype imitating hypertrophic cardiomyopathy (HCMP) in adult patients with Fabry disease.
目的探讨成人法布里病患者心肌表型模拟肥厚性心肌病(HCMP)的发生情况。
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Clinical pharmacology and therapy
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