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CHROMOSOMAL DISEASES IN THE HUMAN PATHOLOGY 人类病理中的染色体疾病
Pub Date : 2020-11-10 DOI: 10.11603/ijmmr.2413-6077.2020.1.11501
T. V. Bihunyak, Y. Bondarenko, O. O. Кulyanda, S. M. Charnosh, A. Sverstiuk, K. O. Bihuniak
Background. Chromosomal diseases are the cause of 45-50 % of multiple birth defects. Basic research on mutations is performed using genomic technologies to identify a correlation between genotype and phenotype in aneuploidies and to understand its pathogenesis. Objective. The aim of the research is to study the etiology, pathogenesis of symptoms and diagnostics for patients with Down, Klinefelter, Turner syndromes and double aneuploidies by 21 and sex chromosomes. Methods. A literature review by the keywords “Down syndrome”, “Klinefelter syndrome”, “Turner syndrome”, “double aneuploidy” for the period of 2000-2020 was carried out. Results. Down, Klinefelter and Turner syndromes are the most common aneuploidy among viable newborns. Frequency of meiotic non-disjunction events causing these aneuploidies increases with the age of a woman. Identified genes are responsible for pathogenesis of symptoms in trisomy 21, Turner and Klinefelter syndromes. Diagnostics of chromosomal diseases includes prenatal screening programs and postnatal testing. Conclusions. Cytogenetic variants of Down syndrome are simple complete trisomy 21, translocation form and mosaicism. Trisomy 21 is associated with advanced maternal age. Phenotypic manifestations of Down syndrome are associated with the locus 21q22. The maternal and parental nondisjunction of X-chromosomes in meiosis causes Klinefelter and Turner syndromes. These chromosomal diseases are variants of intersexualism with intermediate chromosomal sex. Down-Klinefelter and Down-Turner syndromes are double aneuploidies. Patients have a Down syndrome phenotype at birth, and signs of Klinefelter and Turner syndromes occur during puberty. Diagnosis of aneuploidy is based on the cytogenetic investigation (karyotyping), DNA analysis, ultrasonography and biochemical markers of chromosomal pathology.
背景染色体疾病是45-50%的多胎出生缺陷的原因。利用基因组技术对突变进行基础研究,以确定非整倍体基因型和表型之间的相关性,并了解其发病机制。客观的本研究的目的是通过21染色体和性染色体研究唐氏、克氏、特纳综合征和双非整倍体患者的病因、症状发病机制和诊断。方法。对2000-2020年期间的文献进行了以“唐氏综合征”、“克林费尔特综合征”,“特纳综合征”和“双非整倍体”为关键词的综述。后果唐氏、克氏和特纳综合征是存活新生儿中最常见的非整倍体。引起这些非整倍体的减数分裂不间断事件的频率随着女性年龄的增长而增加。已鉴定的基因负责21三体综合征、特纳综合征和克氏综合征症状的发病机制。染色体疾病的诊断包括产前筛查和产后检测。结论。唐氏综合征的细胞遗传学变异为单纯的完全21三体、易位型和嵌合体。21三体与高龄产妇有关。唐氏综合征的表型表现与基因座21q22有关。母体和母体在减数分裂过程中X染色体的不分离导致Klinefelter和Turner综合征。这些染色体疾病是具有中等染色体性别的双性恋的变体。唐-克氏综合征和唐-特纳综合征是双重非整倍体。患者出生时具有唐氏综合征表型,克氏综合征和特纳综合征的症状发生在青春期。非整倍体的诊断是基于细胞遗传学研究(核型分析)、DNA分析、超声和染色体病理的生化标记。
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引用次数: 1
DISSEMINATED HISTOPLASMOSIS LEADING TO HAEMOPHAGOCYTIC LYMPHOHISTIOCYTOSIS IN AN IMMUNOCOMPETENT PATIENT 播散性组织浆菌病导致免疫功能正常患者的噬血细胞性淋巴组织细胞增多症
Pub Date : 2020-11-10 DOI: 10.11603/ijmmr.2413-6077.2020.1.10978
Inam Danish Khan, M. Brijwal, I. Joshi, B. Singh, B. Poonia, G. Gonimadatala, S. Mangalesh, A. Yadav, H. Rajput, N. Bhuttay
DISSEMINATED HISTOPLASMOSIS LEADING TO HAEMOPHAGOCYTIC LYMPHOHISTIOCYTOSIS IN AN IMMUNOCOMPETENT PATIENT (case report) *I.D. Khan1, M. Brijwal2, I. Joshi3, B. Singh1, B. Poonia1, G. Gonimadatala1, S. Mangalesh1, A. Yadav1, H. Rajput1, N. Bhuttay1 1 – ARMY COLLEGE OF MEDICAL SCIENCES AND BASE HOSPITAL, NEW DELHI, INDIA 2 – ALL INDIA INSTITUTE OF MEDICAL SCIENCES, NEW DELHI, INDIA 3 – VELLORE INSTITUTE OF TECHNOLOGY, VELLORE, INDIA
1例免疫功能正常患者的弥散性组织胞浆菌病致噬血细胞性淋巴组织细胞增多症(病例报告)Khan1, M. Brijwal2, I. Joshi3, B. sing1, B. pooni1, G. gonimadatal1, S. mangales1, A. Yadav1, H. Rajput1, N. Bhuttay1 1 -印度新德里陆军医学院和基地医院2 -全印度医学科学研究所,印度新德里3 - VELLORE技术研究所,印度VELLORE
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引用次数: 0
NECROTIZING PANCREATITIS: THE WAYS OF IMPROVEMENT OF SURGICAL TREATMENT 坏死性胰腺炎:改进外科治疗的途径
Pub Date : 2020-11-10 DOI: 10.11603/ijmmr.2413-6077.2020.1.11008
O. V. Rozenko
Background. In connection with a steady increase of patients with destructive forms of acute pancreatitis, the proportion of which takes from 10-15 to 20-30%, despite of the wide range of treatments for non-biliary necrotizing pancreatitis, the rate of mortality reaches 80-90% in case of infected forms and needs further improvement of therapies. Objective. The purpose of this study is to improve the results of treatment of patients with nonbiliary necrotizing pancreatitis, by optimizing surgical tactics. Methods. The study examined the cases of 120 patients, whose age ranged from 22 to 83 years, including patients under the age of 50 years old who accounted for 60.0%. There were 80 males (66.7%) and 40 females (33.3%). Disease duration up to 24 hours was found in 36 (30.0%) patients, from 25 to 72 hours - in 25 (20.8%) individuals, more than 72 hours - in 49 (49.2%) patients. Results. The research claims in non-necrotizing pancreatitis, left-sided retroperitoneal phlegmon often develops in 64.2% (mortality rate 26.0%) of patients, right-sided in 24.2% (mortality rate 6.8%) of patients, and bilateral - in 11, 6% (mortality rate 64.2%) individuals. Moreover, the highest mortality was observed with a combination of retroperitoneal phlegmon cellulose and abscess of the pancreas and/or omental bursa - 39.1%. Conclusions. The use of various surgical interventions depending on the involvement in the pathological process of various sections of the abdominal cavity/ retroperitoneal space, which made it possible to reduce mortality and hospitalization time of patients in the hospital by 1.5-2 times is proposed.
背景破坏性急性胰腺炎患者的比例从10-15%到20-30%稳步增加,尽管非胆道坏死性胰腺炎的治疗范围很广,但感染型急性胰腺炎的死亡率达到80-90%,需要进一步改进治疗。客观的本研究的目的是通过优化手术策略来提高非胆汁坏死性胰腺炎患者的治疗效果。方法。这项研究检查了120名患者的病例,他们的年龄从22岁到83岁不等,其中50岁以下的患者占60.0%。有80名男性(66.7%)和40名女性(33.3%)。36名(30.0%)患者的疾病持续时间长达24小时,25名(20.8%)患者为25到72小时,49名(49.2%)患者超过72小时。后果研究表明,在非坏死性胰腺炎中,64.2%(死亡率26.0%)的患者经常出现左侧腹膜后积水,24.2%(死亡率6.8%)的患者常出现右侧腹膜后积水。此外,腹膜后粘液纤维素和胰腺和/或网膜囊脓肿的合并死亡率最高,为39.1%。根据腹腔/腹膜后间隙不同部位的病理过程,建议使用各种外科干预措施,使患者在医院的死亡率和住院时间减少1.5-2倍。
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引用次数: 0
STAPHYLOCOCCUS WARNERI CLINICAL ISOLATE SUSCEPTIBILITY TO ANTIBIOTICS AND ITS MODIFICATION BY EMOXYPINE 瓦纳里葡萄球菌临床分离株对抗生素的敏感性及艾莫西平的修饰
Pub Date : 2020-11-10 DOI: 10.11603/ijmmr.2413-6077.2020.1.10893
N. Bobrova, E. Vazhnichaya, G. Loban', M. Faustova, M. Ananieva
Background. S. warneri is a common commensal organism, but it can cause serious infections. One of the ways to increase a susceptibility of this microorganism to antibiotics is their combining with adjuvant remedies. Objectives. The aim of the research is to study the susceptibility of S. warneri clinical isolate to antibiotics and its modification by emoxypine - 2-ethyl-6-methyl-3-hydroxypyridine hydrochloride. Methods. Samples of purulent wound exudation were obtained from a patient with infective complications after a bone fracture and osteosynthesis by metal plates. Susceptibility of S. warneri clinical isolate to antibiotics and their combinations with emoxypine (1000 μg/disk) was studied by a standard disc diffusion technique. In the case of microbial resistance, the susceptibility of the investigated isolate to such antibiotic was determined by a serial broth dilutions method without or with emoxypine and evaluated according to the minimum inhibitory concentration (MIC). Results. By the disk diffusion method, S. warneri isolate was susceptible to all tested antibiotics, except chloramphenicol. The growth inhibition zones also were formed around disks containing emoxypine, but the susceptibility of S. warneri to this agent was low. Applying of emoxypine on the disks with antibiotics resulted in the increase of S. warneri growth inhibition in all cases, except using the amikacin, gentamicin, and fusidic acid. The most significant changes were evidenced for a composition chloramphenicol / emoxypine. Using chloramphenicol alone in the liquid medium, the MIC was over a cut-off point. Adding of emoxypine (209 μg/ml) decreased the MIC of the antibiotic and restored the susceptibility S. warneri to chloramphenicol. Conclusions. The susceptibility of S. warneri clinical isolate to antibiotics can be increased by combining with emoxypine, which among other overcomes the resistance of the studied microorganism to chloramphenicol.
背景。沃纳氏杆菌是一种常见的共生生物,但它可以引起严重的感染。增加这种微生物对抗生素的敏感性的方法之一是它们与辅助药物的结合。目标。本研究旨在研究瓦纳里氏链球菌临床分离株对抗生素的敏感性,并对其进行艾莫西平- 2-乙基-6-甲基-3-盐酸羟吡啶修饰。方法。脓性伤口渗出液样本来自于一例骨折和金属接骨后感染并发症的患者。采用标准盘片扩散法研究了瓦纳里梭菌临床分离株对抗生素及其联合埃莫西平(1000 μg/片)的敏感性。在微生物耐药的情况下,采用连续肉汤稀释法测定所调查的分离物对该抗生素的敏感性,并根据最低抑制浓度(MIC)进行评估。结果。圆盘扩散法对除氯霉素外的所有抗菌药物均敏感。在含有艾莫西平的圆盘周围也有生长抑制带,但沃纳氏梭菌对艾莫西平的敏感性较低。除使用阿米卡星、庆大霉素和夫西地酸外,所有病例的抗生素磁盘上应用艾莫西平均导致韦氏杆菌生长抑制增加。最显著的变化被证明是氯霉素/艾莫西平的组合物。在液体培养基中单独使用氯霉素,MIC超过了一个截止点。埃莫西平(209 μg/ml)的加入降低了抗生素的MIC,恢复了沃纳氏链球菌对氯霉素的敏感性。结论。瓦纳里氏杆菌临床分离株联合艾莫西平可提高其对抗生素的敏感性,同时克服了所研究微生物对氯霉素的耐药性。
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引用次数: 0
SERUM LIPID PROFILE AND ARTERIAL STIFFNESS IN NON-DIPPERS 非铲斗患者的血脂谱和动脉硬化
Pub Date : 2020-11-09 DOI: 10.11603/ijmmr.2413-6077.2020.1.11014
A. Bawa-Allah, M. Mashao, T. Nyundu, E. Phukubje, B. G. Nkosi, M. V. Ngema, B. Mlambo, M. Maseko
Background. A non-dipping blood pressure profile (NDP) is associated with increased arterial stiffness and other cardiovascular target organ damage. Serum lipid profiles have been shown to be important determinants of arterial stiffness. Objective. The aim of the research was to assess serum lipid profiles and arterial stiffness in non-dippers. Methods. This cross-sectional study was conducted involving 796 (288 males and 508 females) participants of black African origin. A twenty-four-hour ambulatory BP monitoring was done using a Spacelabs 90207 (Spacelabs Inc., Redmond, Washington, USA) monitor. Carotid-Femoral pulse wave velocity measurements were performed using a high fidelity SPC-301 micromanometer (Millar instruments Inc., Houston, TX). Results. Of the 288 males, 140 were classified as non-dippers. Of the 508 females, 273 were classified as non-dippers. In the general population, males had higher triglycerides when compared with females 1.46±0.96 vs 1.13±1.02, p<0.0001. Additionally, dipper males had higher serum TRGL when compared with dipper females 1.32±0.98 vs 1.06±0.58, p = 0.0012. Non-dipper males also had higher serum TRGL when compared with nondipper females 1.61±2.05 vs 1.19±1.14, p=0.0078. Serum HDLc was lower in the non-dipper male group when compared to the non-dipper female group (p=0.008). In both male and female groups, non-dippers had higher CFPWV when compared with dippers; 7.53±3.60 vs 5.74±2.47, p<0.0001 and 6.64±2.52 vs 5.98±2.23, p=0.0021 respectively. However, non-dipper males had significantly higher CFPWV when compared with non-dipper females (7.53±3.60 vs 6.64±2.52, p=0.0031). Conclusions. Therapies targeting a reduction of serum triglycerides levels might be beneficial in improving arterial compliance with or without the presence of non-dipping.
背景非下降血压曲线(NDP)与动脉硬度增加和其他心血管靶器官损伤有关。血脂谱已被证明是动脉硬化的重要决定因素。客观的这项研究的目的是评估非铲斗患者的血脂状况和动脉硬化。方法。这项横断面研究涉及796名非洲黑人参与者(288名男性和508名女性)。使用Spacelabs 90207(Spacelabs股份有限公司,Redmond,Washington,USA)监测仪进行24小时动态BP监测。使用高保真度SPC-301微压计(Millar instruments股份有限公司,Houston,TX)进行颈动脉-脉搏波速度测量。后果288名男性中,140人被归类为非铲斗类。在508名女性中,273名被归类为非铲斗类。在普通人群中,与女性相比,男性甘油三酯较高,分别为1.46±0.96和1.13±1.02,p<0.0001。此外,与杓鹬雌蛛相比,杓鹬雄蛛的血清TRGL更高,分别为1.32±0.98和1.06±0.58,p=0.0012。与非糖尿病女性相比,非糖尿病男性的血清TRGL也较高,分别为1.61±2.05和1.19±1.14,p=0.0078。与非铲斗型女性组相比,非铲斗型男性组的血清HDLc较低(p=0.008)。在男性和女性组中,与铲斗型相比,非斗型男性组具有较高的CFPWV;7.53±3.60 vs 5.74±2.47,p<0.0001;6.64±2.52 vs 5.98±2.23,p=0.0021。然而,与非铲斗型女性相比,非铲斗型男性的CFPWV显著更高(7.53±3.60 vs 6.64±2.52,p=0.0031)。结论。针对降低血清甘油三酯水平的治疗可能有利于改善动脉顺应性,无论是否存在非浸渍。
{"title":"SERUM LIPID PROFILE AND ARTERIAL STIFFNESS IN NON-DIPPERS","authors":"A. Bawa-Allah, M. Mashao, T. Nyundu, E. Phukubje, B. G. Nkosi, M. V. Ngema, B. Mlambo, M. Maseko","doi":"10.11603/ijmmr.2413-6077.2020.1.11014","DOIUrl":"https://doi.org/10.11603/ijmmr.2413-6077.2020.1.11014","url":null,"abstract":"Background. A non-dipping blood pressure profile (NDP) is associated with increased arterial stiffness and other cardiovascular target organ damage. Serum lipid profiles have been shown to be important determinants of arterial stiffness. Objective. The aim of the research was to assess serum lipid profiles and arterial stiffness in non-dippers. Methods. This cross-sectional study was conducted involving 796 (288 males and 508 females) participants of black African origin. A twenty-four-hour ambulatory BP monitoring was done using a Spacelabs 90207 (Spacelabs Inc., Redmond, Washington, USA) monitor. Carotid-Femoral pulse wave velocity measurements were performed using a high fidelity SPC-301 micromanometer (Millar instruments Inc., Houston, TX). Results. Of the 288 males, 140 were classified as non-dippers. Of the 508 females, 273 were classified as non-dippers. In the general population, males had higher triglycerides when compared with females 1.46±0.96 vs 1.13±1.02, p<0.0001. Additionally, dipper males had higher serum TRGL when compared with dipper females 1.32±0.98 vs 1.06±0.58, p = 0.0012. Non-dipper males also had higher serum TRGL when compared with nondipper females 1.61±2.05 vs 1.19±1.14, p=0.0078. Serum HDLc was lower in the non-dipper male group when compared to the non-dipper female group (p=0.008). In both male and female groups, non-dippers had higher CFPWV when compared with dippers; 7.53±3.60 vs 5.74±2.47, p<0.0001 and 6.64±2.52 vs 5.98±2.23, p=0.0021 respectively. However, non-dipper males had significantly higher CFPWV when compared with non-dipper females (7.53±3.60 vs 6.64±2.52, p=0.0031). Conclusions. Therapies targeting a reduction of serum triglycerides levels might be beneficial in improving arterial compliance with or without the presence of non-dipping.","PeriodicalId":14059,"journal":{"name":"International Journal of Medicine and Medical Research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-11-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45626519","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
ANTI-INFLAMMATORY EFFECTS OF PROPOXAZEPAM ON DIFFERENT MODELS OF INFLAMMATION 丙泊西泮对不同炎症模型的抗炎作用
Pub Date : 2020-02-27 DOI: 10.11603/ijmmr.2413-6077.2019.2.10900
N. Golovenko, T. A. Kabanova, S. Andronati, O. I. Halimova, V. Larionov, A. Reder
Background. Propoxazepam, 7-bromo-5-(2-chlorophenyl)-3-propoxy-1H-benzo[e][1,4]diazepin-2(3H)-one, is a promising analgesic and anticonvulsant and is on preclinical trial. Objective. The aim of the research was to study the anti-inflammatory and analgesic action of Propoxazepam. Methods. The anti-inflammatory action was evaluated by carrageenan induced rat paw edema, formalininduced paw licking response in mice and bradykinin-induced pain response in rat models. Results. It was established for the first time that the administration of Propoxazepam caused a significant anti-inflammatory activity when tested in different in vivo chemical experimental models of induced inflammation, i.e. carrageenan-, bradykininand formalin-induced inflammation tests. Conclusions. Propoxazepam significantly reduced acute and sub-acute inflammation and proved its efficacy and similar to anti-inflammatory action.
背景丙氧西泮,7-溴-5-(2-氯苯基)-3-丙氧基-1H-苯并[e][1,4]二氮杂-2(3H)-酮,是一种很有前途的镇痛和抗惊厥剂,目前正在进行临床前试验。客观的本研究旨在研究丙泊酚的抗炎镇痛作用。方法。通过卡拉胶诱导的大鼠足水肿、甲醛诱导的小鼠舔爪反应和缓激肽诱导的大白鼠疼痛反应来评价其抗炎作用。后果首次确定,当在不同的体内化学诱导炎症实验模型中进行测试时,即卡拉胶、缓激肽和福尔马林诱导的炎症测试中,给予丙氧西泮会产生显著的抗炎活性。结论。丙泊酚显著减轻急性和亚急性炎症,并证明其疗效和类似的抗炎作用。
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引用次数: 7
POSITIVE EFFECT OF ENTEROSORPTION IN DOXORUBICIN-INDUCED CARDIOHEMODYNAMICS ALTERATION 肠道吸附对阿霉素引起的心脏血流动力学改变的积极作用
Pub Date : 2020-02-27 DOI: 10.11603/ijmmr.2413-6077.2019.2.10901
O. Shevchuk, G. Portnichenko, T. Lapikova-Bryginska, S. Goncharov, Nikolaev Vg, V. Dosenko
*O.O. Shevchuk1, G.V. Portnichenko2, T.Y. Lapikova-Bryginska2, S.V. Goncharov2, V.G. Nikolaev3, V.E. Dosenko2 1 – I. HORBACHEVSKY TERNOPIL NATIONAL MEDICAL UNIVERSITY, TERNOPIL, UKRAINE. 2 – O.O. BOGOMOLETZ INSTITUTE OF PHYSIOLOGY OF THE NATIONAL ACADEMY OF SCIENCE OF UKRAINE, KYIV, UKRAINE. 3 – R.E. KAVETSKY INSTITUTE OF EXPERIMENTAL PATHOLOGY, ONCOLOGY AND RADIOBIOLOGY OF THE NATIONAL ACADEMY OF SCIENCE OF UKRAINE, KYIV, UKRAINE.
*O.O.Shevchuk1、G.V.Portnichenk2、T.Y.Lapikova-Bryginska2、S.V.Goncharov2、V.G.Nikolaev3、V.E.Dosenk2 1–I.乌克兰TERNOPIL国家医科大学。2–乌克兰国家科学院波戈莫莱茨生理学研究所,乌克兰基辅。3–乌克兰国家科学院实验病理学、肿瘤学和放射生物学研究所,乌克兰基辅。
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引用次数: 0
GENDER-SPECIFIC DIFFERENCES OF CARDIAC VEGETATIVE CONTROL IN ADRENALINE-INDUCED NECROSIS AND LIGHT DEPRIVATION 肾上腺素诱导的坏死和光照剥夺中心脏植物控制的性别差异
Pub Date : 2020-02-27 DOI: 10.11603/ijmmr.2413-6077.2019.2.10902
H. Bezkorovaina, I. Klishch, M. Khara, V. Pelykh
Background. Cardiovascular disease is the main cause of morbidity predominantly in males. Stress is one of the crucial factors, especially with light desynchronosis. Objective of the study was to assess gender-specific characteristics of cardiac vegetative control in myocardial necrosis in cases of light deprivation. Methods. Cardiac vegetative control in adrenaline-induced myocardial necrosis (AIMN) in a setting of light deprivation (LD) was assessed in 72 mature white rats of both sexes. The animals were divided into 2 groups: G1 – the animals kept under day/night cyclic balance (12 hours/12 hours); G2 – the animals kept at LD (illumination 0.5-1 LX) for 10 days. On Day 11, AIMN caused by adrenaline (0.5 mg/kg) and heart rate variability (HRV) was assessed in 1 hour and 24 hours. Results. The development of AIMN at LD in the ♂G2 led to HRV increase that was caused by augmentation of parasympathetic and reduction of sympathetic cardiac effects. In cases of AIMN, changes of CVC in the ♀G2 were similar to the ♀G1. However, in 1 hour of AIMN, parasympathetic cardiac effects were more significant than in the ♀G1. While the ♀G2 AIMN animals experienced balanced sympathetic and parasympathetic actions, the predominance of the sympathetic component was evidenced in the ♀G1 AIMN animals. Conclusions. Light deprivation has different effects on baseline sympathetic/parasympathetic balance in males and females, i.e. increased parasympathetic control of heart rhythm in males and maintenance of sympathetic/ parasympathetic balance in females.
背景。心血管疾病是发病的主要原因,主要是男性。压力是关键因素之一,尤其是轻度不同步。该研究的目的是评估光剥夺情况下心肌坏死的心脏植物控制的性别特征。方法。研究了72只雄性和雌性成年大鼠在光剥夺(LD)条件下肾上腺素诱导心肌坏死(AIMN)的心脏植物控制。将动物分为2组:G1组-昼夜循环平衡(12小时/12小时);G2 -在光照0.5-1 LX条件下饲养10 d。第11天,分别在1小时和24小时评估肾上腺素(0.5 mg/kg)引起的ain和心率变异性(HRV)。结果。雄G2在LD处AIMN的发展导致HRV升高,这是由副交感神经的增强和交感心脏作用的减弱引起的。在AIMN情况下,♀G2的CVC变化与♀G1相似。然而,在AIMN的1小时内,副交感神经对心脏的影响比♀G1时更显著。虽然♀G2 AIMN动物经历了平衡的交感和副交感作用,但在♀G1 AIMN动物中交感成分占主导地位。结论。光照剥夺对男女交感/副交感平衡基线的影响不同,即男性增加了对心律的副交感控制,而女性则维持了交感/副交感平衡。
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引用次数: 1
PRIMARY EPISODE OF BIPOLAR AFFECTIVE DISORDER 双相情感障碍的原发性发作
Pub Date : 2020-02-26 DOI: 10.11603/ijmmr.2413-6077.2019.2.10895
Yuriy Mysula
Background. Bipolar affective disorder (BAD) is a topical issue of contemporary psychiatry. The features of the primary episode (PE) of the disease are extremely important for prognosis, treatment and rehabilitation measures of BAD. Individual psychological features of the patients with PE of BAD are still unexplored that complicates development of new methods of prediction, treatment and prevention of BAD. Objective. The aim of the study was to investigate individual psychological features of the patients with a primary episode of bipolar affective disorder, taking into account the gender factor and clinical variant of the BAD debut. Methods. 153 patients (65 men and 88 women) with a primary episode of bipolar affective disorder were examined. The patients were divided into three groups according to the clinical variant of the course of PE of BAD: depressive variant, manic variant and mixed variant. The examination was carried out using the Standardized multifactor method of personality research (SMMPR). Statistical processing of the data was performed using the non-parametric Mann-Whitney test. Results. The most significant differences in the quantitative indicators of SMMPR were found when comparing depressive and manic, as well as depressive and mixed variants of PE of BAD, and lesser – when comparing manic and mixed variants. Most of all, these differences were expressed in terms of pessimism, impulsiveness, individualism and optimism. Conclusions. Some peculiar features of male and female patients with depressive, manic and mixed variants of PE of BAD promoting to search for new methods of prediction, treatment and prevention of BAD have been defined.
背景双相情感障碍(BAD)是当代精神病学的一个热点问题。该疾病的原发性发作(PE)特征对BAD的预后、治疗和康复措施极为重要。BAD PE患者的个体心理特征尚未被探索,这使BAD的预测、治疗和预防新方法的开发变得复杂。客观的本研究的目的是调查双相情感障碍原发发作患者的个体心理特征,同时考虑性别因素和BAD首秀的临床变异。方法。对153名原发性双相情感障碍患者(65名男性和88名女性)进行了检查。根据BAD PE病程的临床变异,将患者分为三组:抑郁变异、躁狂变异和混合变异。该检查采用人格研究的标准化多因素方法(SMPR)进行。使用非参数Mann-Whitney检验对数据进行统计处理。后果SMMPR的定量指标差异最显著的是在比较抑郁和躁狂,以及BAD的抑郁和混合PE变体时,而在比较躁狂和混合变体时,差异较小。最重要的是,这些差异表现在悲观、冲动、个人主义和乐观主义方面。结论。定义了患有抑郁、躁狂和BAD PE混合变异的男性和女性患者的一些特殊特征,以促进寻找预测、治疗和预防BAD的新方法。
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引用次数: 0
YOUDEN'S TEST FOR CHROMATOGRAPHIC DETERMINATION OF ENALAPRIL IN PHARMACEUTICALS 色谱法测定药物中依那普利的优登试验
Pub Date : 2020-02-26 DOI: 10.11603/ijmmr.2413-6077.2019.2.10896
L. Logoyda
Background. Robustness tests were firstly introduced for avoiding problems in interlaboratory studies and identifying the factors potentially responsible. A robustness test performing in late validation procedure involves the possibility that when the method is established not robust, it should be redeveloped and optimized. At this stage much effort has been made and money spent for optimization and validation, and therefore avoiding this would be great. Objective. The aim of the study was to consider the robustness of HPLC determination of enalapril (in tablets) by the Youden’s test. Methods. Youden’s test was chosen as an efficient method to assess the robustness among all analytical methods that is by means of an experiment design, which involved seven analytical parameters combined in eight tests. In previous studies, we evaluated the chromatographic method robustness to quantify enalapril (in tablets) by Youden’s test. Results. According to the Youden’s test criteria, HPLC method proved to be greatly robust regarding the enalapril content in introduction of variation of seven analytic parameters. The lowest variation in enalapril content was 0.91 %, when Grace Platinumр C8 EPS column (4.6 mm i.d. X 250 mm, 5 μm) was used. A holistic approach concerning simultaneous innovations in particle technology and instrument design was endeavored for the first time to meet and tackle the analytical laboratory issues. This was aimed at promoting success of analytical scientists as well as profitability and productiveness of business. Conclusion. The Youden’s test has been proved to be an efficient and useful tool for evaluation of robustness of enalapril HPLC assay. KEY WORD: enalapril; high-performance liquid chromatography; robustness; quantitative analysis; Youden’s test.
背景首次引入稳健性测试是为了避免实验室间研究中的问题,并确定潜在的原因。在后期验证程序中进行的稳健性测试涉及这样一种可能性,即当该方法被确定为不稳健时,应重新开发和优化该方法。在这个阶段,已经为优化和验证付出了大量的努力和金钱,因此避免这种情况将是非常好的。客观的本研究的目的是考虑优登试验测定依那普利片剂的HPLC测定的稳健性。方法。Youden的测试被选为评估所有分析方法稳健性的有效方法,即通过实验设计,该设计涉及八个测试中的七个分析参数。在以前的研究中,我们通过尤登试验评估了色谱法定量依那普利(片剂)的稳健性。后果根据Youden的检验标准,在引入七个分析参数的变化后,HPLC法对依那普利的含量具有很强的稳健性。当使用Grace PlatinumрC8 EPS柱(4.6mm i.d.X 250mm,5μm)时,依那普利含量的最低变化为0.91%。首次尝试采用粒子技术和仪器设计同时创新的整体方法来解决分析实验室问题。这是为了促进分析科学家的成功以及企业的盈利能力和生产力。结论尤登试验已被证明是评估依那普利HPLC测定稳健性的有效和有用的工具。关键词:依那普利;高效液相色谱法;稳健性;定量分析;尤登的测试。
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International Journal of Medicine and Medical Research
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