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Validity of a brief screener for environmental risk factors of age-related diseases using type 2 diabetes and coronary artery disease as examples 以2型糖尿病和冠状动脉疾病为例的年龄相关疾病环境危险因素简短筛查的有效性
Pub Date : 2022-03-30 DOI: 10.18413/2658-6533-2022-8-1-0-10
I. Azarova, O. A. Sunyaykina
Background: Numerous epidemiological studies have shown the role of unhealthy diet, smoking, low physical activity, and psycho-emotional stress in the development of multifactorial diseases, most of which are age-related. In this regard, the development of a brief screener to identify environmental risk factors in patients with age-related diseases is an urgent task. The aim of the study was to evaluate the reproducibility and validity of a brief screener to estimate environmental risk factors in agerelated diseases using type 2 diabetes mellitus (T2D) and coronary artery disease (CAD) as examples. Materials and methods: The study included 1024 patients with T2D and 448 patients with CAD. All participants in the study completed a double questionnaire survey along with two 24-hour dietary recalls. The reproducibility of the questionnaire was assessed by Spearman's correlation coefficients between the results obtained from patients at both admission and discharge. Validity was assessed by Spearman's correlation coefficients between the results obtained using a brief screener and dietary recalls of patients. Results: Spearman's correlation coefficients for all parameters of the questionnaire at admission and discharge of patients with T2D and CAD were above 0.6, which allows characterizing the questionnaire as reproducible. At the same time, the maximum correlation with respect to nutrients was found for quantitative protein intake in T2D patients (r=0.83, P=0.001) and carbohydrates in CAD patients (r=0.86, P=0.02), whereas the minimum correlation was observed for the amount of fresh fruits and vegetables consumed in both groups of patients (r=0.65 and 0.71, Краткое сообщение Short communication Клёсова ЕЮ, и др. Валидация краткого опросника для оценки ... Klyosova EYu, et al. Validity of a brief screener for environmental ... 132 P<0.05, respectively). Comparison of the results of the survey with the dietary recall data also showed a statistically significant agreement for all items, with the maximum correlation coefficient for the number of consumed proteins in patients with T2D (r=0.71, P=0.0012) and the amount of dietary fiber in patients with CAD (r=0.72, P=0.0012). The minimum correlation was noted for the amount of refined sugar in T2D patients (r=0.61, P=0.03), as well as for the number of fresh vegetables and fruits in CAD patients (r=0.62, P=0.0017). Conclusion: The brief screener designed to estimate environmental risk factors showed statistically significant reproducibility and validity, hence can be used for epidemiological studies of age-related diseases.
背景:大量流行病学研究表明,不健康的饮食、吸烟、低体力活动和心理情绪压力在多因素疾病的发展中起着重要作用,其中大多数与年龄有关。在这方面,开发一种简短的筛选器来识别与年龄有关的疾病患者的环境风险因素是一项紧迫的任务。本研究以2型糖尿病(T2D)和冠状动脉疾病(CAD)为例,评估一种评估环境危险因素的简易筛查方法的可重复性和有效性。材料与方法:纳入T2D患者1024例,CAD患者448例。所有研究参与者都完成了一份双重问卷调查,并进行了两次24小时的饮食回顾。问卷的可重复性通过患者入院和出院时的Spearman相关系数进行评估。效度是通过Spearman相关系数来评估的,使用简短的筛选和患者的饮食回忆得到的结果。结果:T2D合并CAD患者入院和出院时问卷各参数的Spearman相关系数均大于0.6,表明问卷具有可重复性。与此同时,T2D患者的定量蛋白质摄入量(r=0.83, P=0.001)和CAD患者的碳水化合物摄入量(r=0.86, P=0.02)与营养成分的相关性最大,而两组患者的新鲜水果和蔬菜摄入量的相关性最小(r=0.65和0.71,Краткое сообщение Short communication Клёсова ЕЮ, др。Валидация краткого опросника для оценки…Klyosova EYu等。对环境…的简短筛选的有效性132 P<0.05)。将调查结果与膳食召回数据进行比较,各项目的一致性也有统计学意义,其中T2D患者摄入蛋白质的数量(r=0.71, P=0.0012)和CAD患者摄入膳食纤维的数量(r=0.72, P=0.0012)的相关系数最大。T2D患者的精制糖摄入量(r=0.61, P=0.03)和CAD患者的新鲜蔬菜和水果摄入量(r=0.62, P=0.0017)的相关性最小。结论:设计的环境危险因素简易筛查法具有显著的重现性和有效性,可用于年龄相关疾病的流行病学研究。
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引用次数: 6
Epigenetic and genomic mechanisms in the pathogenesis of posttraumatic stress disorder (review) 创伤后应激障碍发病机制的表观遗传学和基因组学机制(综述)
Pub Date : 2022-03-30 DOI: 10.18413/2658-6533-2022-8-1-0-2
А.Г. Фаустова, И. Ю. Юров
Background: Posttraumatic stress disorder is one of the most prominent examples of gene-environment interactions. Psychological traumatization is a dominant, but not the only etiological factor. Over the past 20 years, sufficient data have been accumulated to confirm the role of the hereditary component in the formation of the so-called "vulnerable phenotype”. Epigenetic modifications are considered as a mechanism for environmental (traumatic) exposure provoking changes in gene expression and genome stability, which can lead to specific symptoms. The aim of the study: To summarize and to compare the essential results of studies of epigenetic mechanisms of genome regulation in posttraumatic stress disorder. Materials and methods: A theoretical analysis of the published studies dedicated to epigenetic markers of posttraumatic stress disorder was carried out. The PubMed database was browsed in the aforementioned context. Results: The studies published during the last decades have a number of common characteristics (reliance on retrospective data about a traumatic event obtained by the self-report method; use of available tissues for analysis; use of a retrospective cross-sectional design). The systematics of research is based on both the dominant methodology (search and study of candidate genes; methods of whole-genome or epigenome associations) and the analysis of DNA methylation, posttranslational modifications of histones, and chromatin structural organization. The pathogenesis of posttraumatic stress disorder is also explained in the context of cytogenomic hypothesis (changes in genome instability levels modulate behavior). The limitations and prospects of studying epigenetic mechanisms in the pathogenesis of posttraumatic stress disorder are outlined. Conclusion: Epigenetic and genomic analyses of the molecular basis of PTSD offer the Обзор Review Научные результаты биомедицинских исследований. 2022;8(1):15-35 Research Results in Biomedicine. 2022:8(1):15-35 17 most holistic approach to understanding the interaction between genotype and environment presenting as a traumatic event. The study of epigenetic modifications and genome instability, which are potentially reversible, will contribute to the improvement of the prevention and the provision of clinical and psychological assistance to individuals who have experienced traumatic events.
背景:创伤后应激障碍是基因-环境相互作用最突出的例子之一。心理创伤是主要的病因,但不是唯一的病因。在过去的20年里,已经积累了足够的数据来证实遗传成分在所谓的“易感表型”形成中的作用。表观遗传修饰被认为是环境(创伤)暴露引发基因表达和基因组稳定性变化的一种机制,可导致特定症状。本研究的目的:总结和比较创伤后应激障碍基因组调控表观遗传机制的主要研究成果。材料与方法:对已发表的创伤后应激障碍表观遗传标记研究进行理论分析。PubMed数据库是在上述上下文中浏览的。结果:过去几十年发表的研究有一些共同的特点(依赖于通过自我报告法获得的创伤性事件的回顾性数据;使用可用的组织进行分析;采用回顾性横断面设计)。研究的系统分类学是基于两种主要方法(候选基因的搜索和研究;全基因组或表观基因组关联的方法)和DNA甲基化,组蛋白翻译后修饰和染色质结构组织的分析。创伤后应激障碍的发病机制也在细胞基因组假说(基因组不稳定水平的变化调节行为)的背景下得到解释。综述了创伤后应激障碍发病机制的表观遗传机制研究的局限性和前景。结论:表观遗传和基因组分析创伤后应激障碍的分子基础提供Обзор审查Научныерезультатыбиомедицинскихисследований。[2]李晓明。生物医学研究进展。2022:8(1):15-35 .以创伤性事件为表现的基因型与环境相互作用的最全面理解方法。表观遗传修饰和基因组不稳定性的研究可能是可逆的,将有助于改善对经历过创伤事件的个体的预防和提供临床和心理援助。
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引用次数: 0
Allostatic load as a method of objectification of age-related viability of patients with ophthalmopathology 适应负荷作为眼病患者年龄相关生存能力客观化的方法
Pub Date : 2021-12-30 DOI: 10.18413/2658-6533-2021-7-4-0-10
O. Fabrikantov, N. Agarkov, I. Lev, T. Gurko, M. Yablokov, E. Moskaleva, Aleksandr A. Moskalev
Background: In recent years, the elderly have seen an increase in the prevalence of combined ophthalmic diseases that change their functional activity in everyday life and society. In gerontological practice, tests and scales that differ significantly in the subjective perception of patients are mainly used to assess age-related viability. Allostatic load, which is an objective reflection of age-related viability, has not been practically studied in patients of older age groups in the presence of ophthalmic diseases. The aim of the study: To analyze the age-related viability in elderly patients with ophthalmic pathology based on allostatic load. Materials and methods: The study of age-related viability was conducted in the Tambov Branch of the Academician S.N. Fedorov Eye Microsurgery in 2018-2020 in 45 60-74-year-old patients with primary angle-closure glaucoma, 52 60-74-year-old patients with diabetic retinopathy, and 68 60-74-year-old Оригинальная статья Original article Научные результаты биомедицинских исследований. 2021;7(4):451-460 Research Results in Biomedicine. 2021:7(4):451-460 453 patients with combined angle-closure glaucoma and diabetic retinopathy. To assess the age-related viability, the allostatic load was determined by a set of indicators: body mass index, blood content of C-reactive protein, homocysteine, total cholesterol, triglycerides, blood albumin level, glomerular filtration rate, diastolic and systolic blood pressure. Results: There are significant differences in the indicators of allostatic load in elderly patients with comorbid ophthalmic pathology, compared with the control. In comorbid primary angle-closure glaucoma and diabetic retinopathy, the allostatic load is 3.4±0.3 points, which is statistically significantly higher than in patients of the same age with primary angle-closure glaucoma (1.8±0.2 points) and diabetic retinopathy (2.4±0.2 points). All components of allostatic load in patients aged 60-74 years with combined primary angle-closure glaucoma and diabetic retinopathy differ significantly and have deviations from the reference values, with the exception of glomerular filtration rate. The level of albumins is 51.2±0.8% vs. 57.8±0.6 in primary angle-closure glaucoma, body mass index 28.8±0.5 kg / m2 vs. 24.7±0.3 kg / m2, C-reactive protein 13.1±0.3 mg / l vs. 6.7±0.2 mg / L, glycated hemoglobin 6.8±0.4 % vs. 4.1±0.2 %, systolic blood pressure 151.6±2.0 mmHg vs. 142.8±1.9 mmHg. Conclusion: Allostatic load in elderly patients with ophthalmic diseases can serve as an objective method for assessing the age-related viability of elderly patients with visual organ pathology.
背景:近年来,老年人合并眼部疾病的患病率增加,改变了他们在日常生活和社会中的功能活动。在老年学实践中,测试和量表在患者主观感知上的差异很大,主要用于评估与年龄相关的生存能力。适应负荷是年龄相关活力的客观反映,但尚未在老年眼病患者中进行实际研究。本研究的目的:分析基于适应负荷的老年眼科病变患者的年龄相关性生存能力。材料与方法:于2018-2020年在S.N. Fedorov院士眼显微外科坦波夫分院对45例60-74岁原发性闭角型青光眼患者、52例60-74岁糖尿病视网膜病变患者和68例60-74岁患者进行年龄相关性生存能力研究Оригинальная статья原文Научные результаты биомедицинских исследований。生物医学研究进展。2021;7(4):451-460合并闭角型青光眼合并糖尿病视网膜病变453例。为了评估与年龄相关的生存能力,采用一组指标来确定适应负荷:体重指数、血液c反应蛋白含量、同型半胱氨酸、总胆固醇、甘油三酯、血白蛋白水平、肾小球滤过率、舒张压和收缩压。结果:老年眼科合并症患者的适应负荷指标与对照组相比有显著差异。原发性闭角型青光眼合并糖尿病视网膜病变患者的适应负荷为3.4±0.3分,明显高于同年龄原发性闭角型青光眼(1.8±0.2分)和糖尿病视网膜病变(2.4±0.2分)患者。除肾小球滤过率外,60-74岁原发性闭角型青光眼合并糖尿病视网膜病变患者的各项负荷均存在显著差异,与参考值存在偏差。原发性闭角型青光眼患者白蛋白水平为51.2±0.8%比57.8±0.6,体重指数28.8±0.5 kg / m2比24.7±0.3 kg / m2, c反应蛋白13.1±0.3 mg / l比6.7±0.2 mg / l,糖化血红蛋白6.8±0.4%比4.1±0.2%,收缩压151.6±2.0 mmHg比142.8±1.9 mmHg。结论:老年眼病患者的适应负荷可作为评估老年视觉器官病变患者年龄相关性生存能力的客观方法。
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引用次数: 4
Restructuring of erythrocytes in persons of mature and elderly age on the background of diabetes mellitus 糖尿病背景下的成熟和老年人红细胞重组
Pub Date : 2021-12-30 DOI: 10.18413/2658-6533-2021-7-4-0-6
T. Pavlova, I. B. Bukhvalov, A. Kaplin, Irina I. Povalyaeva, I. Goncharov, L. A. Pavlova
Background: The high incidence of diabetes mellitus in modern conditions dictates the need to search for new, including microscopic, opportunities to identify pathological changes in the course of various physiological processes. The aim of the study: To study the peculiarities of changes in the properties and parameters of erythrocytes in various types of diabetes mellitus (types 1 and 2) in women of mature and elderly age. Materials and methods: Venous blood of 55 women aged 30 to 70 years, divided into study groups (women with type DM, women with type II DM, control without endocrinopathy) was examined using atomic force and scanning probe microscopy. Results: The authors found an increase in the percentage of pathological forms of erythrocytes in patients with diabetes mellitus. An increase in the number of macrocytic forms of erythrocytes was observed not only when compared with the control group (DM I 12.20±2.14, DM II 10.00±1.20, control 4.40±0.15), but and when comparing two age groups of patients with type 2 DM (30-45 years old 10.00±1.20, 60-70 years old 13.20±1.90). The same tendency is typical for microcytes. Geriatric changes in the geometric parameters of erythrocytes in the group of patients with type 2 DM were characterized by an increase in the volume, as well as the maximum height of erythrocytes with increasing age of the patients. Conclusion: The use of atomic force microscopy in the study of the biophysical parameters of erythrocytes makes it possible to identify paОригинальная статья Original article Научные результаты биомедицинских исследований. 2021;7(4:400-409 Research Results in Biomedicine. 2021:7(4):400-409 401 tients from high-risk groups by determining such changes as an increase in the number of macrocytes, microcytes and pathologically altered forms of erythrocytes, a decrease in the average volume and area of erythrocytes.
背景:现代糖尿病的高发病率要求我们需要寻找新的,包括显微镜下的机会来识别各种生理过程中的病理变化。研究目的:探讨不同类型糖尿病(1型和2型)在成熟和老年妇女中红细胞特性和参数变化的特点。材料与方法:采用原子力法和扫描探针显微镜对55例30 ~ 70岁女性静脉血进行检测,并将其分为3组(DM组、II型DM组、无内分泌病变对照组)。结果:作者发现糖尿病患者红细胞病理形态百分比增加。与对照组(DM I组12.20±2.14,DM II组10.00±1.20,对照组4.40±0.15)比较,2型糖尿病患者(30-45岁组10.00±1.20,60-70岁组13.20±1.90)比较,大细胞型红细胞数量均有所增加。同样的趋势在小细胞中也很典型。2型糖尿病患者红细胞几何参数的老年变化表现为红细胞体积增加,红细胞最大高度随患者年龄的增加而增加。结论:原子力显微镜在红细胞生物物理参数研究中的应用使鉴定paОригинальная статья成为可能。2021;7(4):400-409生物医学研究成果。2021:7(4):400-409通过测定大细胞、小细胞数量和红细胞病理改变形式增加,红细胞平均体积和面积减少等变化来确定高危人群401例患者。
{"title":"Restructuring of erythrocytes in persons of mature and elderly age on the background of diabetes mellitus","authors":"T. Pavlova, I. B. Bukhvalov, A. Kaplin, Irina I. Povalyaeva, I. Goncharov, L. A. Pavlova","doi":"10.18413/2658-6533-2021-7-4-0-6","DOIUrl":"https://doi.org/10.18413/2658-6533-2021-7-4-0-6","url":null,"abstract":"Background: The high incidence of diabetes mellitus in modern conditions dictates the need to search for new, including microscopic, opportunities to identify pathological changes in the course of various physiological processes. The aim of the study: To study the peculiarities of changes in the properties and parameters of erythrocytes in various types of diabetes mellitus (types 1 and 2) in women of mature and elderly age. Materials and methods: Venous blood of 55 women aged 30 to 70 years, divided into study groups (women with type DM, women with type II DM, control without endocrinopathy) was examined using atomic force and scanning probe microscopy. Results: The authors found an increase in the percentage of pathological forms of erythrocytes in patients with diabetes mellitus. An increase in the number of macrocytic forms of erythrocytes was observed not only when compared with the control group (DM I 12.20±2.14, DM II 10.00±1.20, control 4.40±0.15), but and when comparing two age groups of patients with type 2 DM (30-45 years old 10.00±1.20, 60-70 years old 13.20±1.90). The same tendency is typical for microcytes. Geriatric changes in the geometric parameters of erythrocytes in the group of patients with type 2 DM were characterized by an increase in the volume, as well as the maximum height of erythrocytes with increasing age of the patients. Conclusion: The use of atomic force microscopy in the study of the biophysical parameters of erythrocytes makes it possible to identify paОригинальная статья Original article Научные результаты биомедицинских исследований. 2021;7(4:400-409 Research Results in Biomedicine. 2021:7(4):400-409 401 tients from high-risk groups by determining such changes as an increase in the number of macrocytes, microcytes and pathologically altered forms of erythrocytes, a decrease in the average volume and area of erythrocytes.","PeriodicalId":20921,"journal":{"name":"RESEARCH RESULTS IN BIOMEDICINE","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90468669","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
Essentially pure partial trisomy 6(p21.31-p25) (case report and literature review) 基本纯6型部分三体(p21.31-p25)(病例报告及文献复习)
Pub Date : 2021-12-30 DOI: 10.18413/2658-6533-2021-7-4-0-1
O. Molina-Gamboa, A. Barrios-Martínez, A. García-García, Luanda Maceira, L. Méndez-Rosado
Background: In reviewed literature, several patients with duplication or partial trisomy of the 6p region have been described. Most of these cases are associated with a partial monosomy of another chromosome. It has been suggested that partial trisomy 6p constitutes a well-defined syndrome. The aim of the study: To achieve a better clinical delineation of the 6p syndrome through the description of a patient with partial trisomy 6(p21.31-p25) comparing his characteristics with international reports and to discuss aspects of the phenotype of this syndrome. Materials and methods: A detailed clinical analysis of the patient’s condition was performed. The chromosomes were studied through the GTG-banding analysis. Results: On clinical examination we observed: a small anterior fontanel; fine, sparse and very pale hair, almost white hair; very white, translucent and thin skin; pale and sparse eyebrows and eyelashes; very narrow palpebral fissures with palpebral ptosis (blepharophimosis); a high nasal bridge, and straight nose with tiny nostrils; low implantation of the ears; microcephaly, neurodevelopmental and psychomotor delay; long philtrum, thin lips, the upper lip almost inverted and the mouth is small. From the neurological point of view there was evidence of trunk hypotonia and limb hypertonia. These are all typical features of trisomy 6p syndrome. A cytogenetic study of the patient and his father showed that trisomy 6p was due to an adjacent segregation I in paternal gametogenesis as the father is a 6,16-translocation carrier. Conclusion: The possible critical region is difficult to determine due to the clinical heterogeneity present in this syndrome. However, this case should be analyzed by molecular methods to determine more precisely the extent of the area involved in the trisomy.
背景:在文献综述中,已经报道了几例6p区域重复或部分三体的患者。这些病例大多与另一条染色体的部分单体有关。有人认为6p部分三体是一种定义明确的综合征。本研究的目的:通过对6部分三体患者(p21.31-p25)的描述,将其特征与国际报道进行比较,并讨论该综合征表型的各个方面,从而更好地临床描述6p综合征。材料与方法:对患者进行详细的临床分析。通过gtg显带分析对染色体进行研究。结果:临床检查发现:前囟门小;细细的、稀疏的、非常苍白的头发,几乎是白发;非常白,半透明和薄的皮肤;眉毛和睫毛苍白而稀疏;睑裂狭窄伴睑下垂(睑下垂);鼻梁高,鼻子直,鼻孔小;低耳植入;小头症、神经发育和精神运动迟缓;中骨长,嘴唇薄,上唇几乎倒着,嘴巴小。从神经学的角度来看,有躯干张力降低和肢体张力升高的证据。这些都是6p三体综合征的典型特征。一项对患者及其父亲的细胞遗传学研究表明,6p三体是由于父亲配子发生中的相邻分离I造成的,因为父亲是6,16易位携带者。结论:由于该综合征的临床异质性,可能的关键区域难以确定。然而,这种情况应该通过分子方法来分析,以更准确地确定涉及三体的区域的范围。
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引用次数: 0
Analysis of the level of population endogamia as the basis of population-genetic and medical-genetic studies 群体内婚水平分析是群体遗传学和医学遗传学研究的基础
Pub Date : 2021-12-30 DOI: 10.18413/2658-6533-2021-7-4-0-4
Sergei N. Sokorev, O. Efremova, I. Sorokina
Background: When conducting population-genetic and genetic-epidemiological studies, the endogamy index should be taken into account to assess the level of the elementary population, characteristics of the migration activity of the population and the degree of isolation of the population. The aim of the study: To assess the level of endogamy among the entire population of the Belgorod region in the modern period of time. Materials and methods: Based on 11052 marriage records of the Registry Office in the Belgorod region for 2016-2018, the endogamy index was studied among the entire population in all administrative units of the Belgorod region – 21 districts. The endogamy index was calculated on the basis of data on the place of birth of spouses, as the proportion of husbands and wives born in a given population. Results: It was found that in the district populations of the Belgorod region, the endogamy index at the district level varied from 0.33 to 0.68 with an average value for the region of 0.46, which is within the range of variability of this indicator among the Russian populations of the Russian Federation. At present, the endogamy of regional populations, which include big and large cities, exceeds this indicator among the rural population. For highly urbanized districts of the region, the size of the elementary population corresponds to the administrative boundaries of the district, while for the rural population, the size of the elementary population exceeds the boundaries of the district. It should be noted that the reduced values of this indicator for the rural population correspond to general migration trends. An increase in the inflow of migrants to the regional populations of the Belgorod region leads to a decrease in the endogamy index, as evidenced by the established inverse correlations between the number of migrants per 1000 inhabitants over three time periods (1990, 2000, and 2019) and the endogamy index. Conclusion: The populations of the Belgorod region are characterized by high migration activity, which leads to a decrease in the level of endogamy among the population. At present, the size of the elementary population in the Belgorod region corresponds to the area or slightly exceeds it.
背景:在进行群体遗传学和遗传流行病学研究时,应考虑到内婚制指数,以评估基本人口的水平、人口迁移活动的特征和人口的隔离程度。该研究的目的是:评估现代别尔哥罗德地区整个人口的内婚制水平。材料与方法:基于别尔哥罗德州登记办公室2016-2018年的11052份婚姻记录,对别尔哥罗德州21个区所有行政单位的全体人口进行内婚制指数研究。内婚制指数是根据配偶出生地的数据计算的,即在一定人口中出生的丈夫和妻子的比例。结果:别尔哥罗德地区人口的区级内婚制指数变化范围为0.33 ~ 0.68,区域平均值为0.46,处于该指标在俄罗斯联邦俄罗斯人口中的变异性范围内。目前,包括大城市和大城市在内的区域人口的内婚制在农村人口中超过了这一指标。对于该地区高度城市化的地区,基础人口的规模与该地区的行政边界相对应,而对于农村人口,基础人口的规模超过了该地区的行政边界。应当指出,农村人口这一指标的降低值符合一般移徙趋势。别尔哥罗德州区域人口中移民流入的增加导致内婚制指数下降,三个时期(1990年、2000年和2019年)每1000名居民的移民人数与内婚制指数之间已确立的负相关关系证明了这一点。结论:别尔哥罗德地区人口的特点是高迁移活动,这导致人口中的内婚制水平下降。目前,别尔哥罗德地区的初级人口规模与该地区相当或略高于该地区。
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引用次数: 1
The efficacy of Rosuvastatin in elderly patients with coronary heart disease on the background of acute respiratory viral infection with various polymorphic variants of interleukin genes 瑞舒伐他汀治疗急性呼吸道病毒感染伴多种白介素基因多态性变异的老年冠心病患者的疗效
Pub Date : 2021-12-30 DOI: 10.18413/2658-6533-2021-7-4-0-7
I. A. Gribovskaya, M. Solodilova, G. Mal
Background: Coronary heart disease (CHD) is the leading pathology among all cardiovascular diseases. Elderly patients with concomitant diseases represent a special risk group. Acute respiratory viral infections (ARVI) in old age tend to be more severe due to age-related immunodeficiency. There are known facts of the negative influence of viruses and bacteria on the course of atherosclerosis, manifested increase in the frequency of angina attacks, changes in the level of inflammatory markers. At the same time, lipid metabolism disorders in the elderly category of patients require a change in the approaches to therapy. The aim of the study: To analyze the association of interleukin genes with a dose choice of rosuvastatin in patients with CHD and ARVI in comparison with patients without an infectious process. Materials and methods: The study included 118 men and women aged 61-74 years with coronary artery disease, among them 63 people were in comorbidity with ARVI and 55 were without ARVI. The lipid spectrum and immune profile were determined (interleukins (IL-1β, IL-6, IL-4, IL-10)), genotyping of interleukin genes (IL-1β, IL-4, IL-6, IL-10). We used Microsoft Excel 2010 and Statistika 7 for Windows, SNPStats. Results: The selection of the correct dose of rosuvastatin for plaque protection in acute infection is based on correlation with the genotypes of interleukin genes. The association of the genotypes of proinflammatory IL-1β manifested itself in the achievement of the target LDL cholesterol by patients with the – 511CT genotype for the –511C>T (rs16944) polymorphism when taking rosuvastatin 20 Оригинальная статья Original article Грибовская ИА, и др. Эффективность розувастатина у пожилых ... Gribovskaya IA, et al. The efficacy of Rosuvastatin in elderly patients ... 412 mg/day in comparison with other genotypes. Homozygotes C/C-T/T showed a pronounced drug response, manifested by the achievement of the target level of LDL cholesterol with the appointment of 10 mg rosuvastatin. For carriers of other variants of genotypes for polymorphism –174G/C (rs1800795) IL-6, –589C>T (rs2243250) IL-4 and –1082G>A (rs1800896) IL-10, there was a statistically significant relationship with the dose regimen of rosuvastatin in patients with coronary artery disease in conditions of viral infection were not observed. There were no associations between the statin therapy regimen with interleukin genotypes (IL-1β, IL-6, IL-4, IL-10) in elderly patients with coronary artery disease without an infectious process (p>0.05). Conclusion: Genotyping of interleukin genes can be used for a personalized approach to the pharmacotherapy of hyperlipidemia (GLP) in elderly patients with CHD, provided concomitant ARVI.
背景:冠心病(CHD)是所有心血管疾病的主要病理。老年伴发疾病患者是一个特殊的危险群体。急性呼吸道病毒感染(ARVI)在老年往往更严重,由于年龄相关的免疫缺陷。已知的事实是,病毒和细菌对动脉粥样硬化的过程有负面影响,表现为心绞痛发作频率的增加,炎症标志物水平的变化。同时,老年患者脂质代谢紊乱需要改变治疗方法。本研究的目的:分析冠心病和ARVI患者与无感染过程的患者相比,白细胞介素基因与瑞舒伐他汀剂量选择的关系。材料与方法:纳入冠心病患者118例,年龄61 ~ 74岁,其中合并ARVI者63例,未合并ARVI者55例。测定脂质谱和免疫谱(白细胞介素(IL-1β、IL-6、IL-4、IL-10)),白细胞介素基因(IL-1β、IL-4、IL-6、IL-10)分型。我们使用的是Microsoft Excel 2010和statisticka 7 for Windows, SNPStats。结果:瑞舒伐他汀对急性感染斑块保护的正确剂量选择是基于白细胞介素基因型的相关性。促炎IL-1β基因型的相关性表现在- 511CT基因型患者在服用瑞舒伐他汀20时- 511c >T (rs16944)多态性达到目标LDL胆固醇Оригинальная статья原文Грибовская ИА, др。Эффективность розувастатина пожилых…Gribovskaya IA等。瑞舒伐他汀治疗老年患者的疗效观察。与其他基因型相比为412毫克/天。纯合子C/C-T/T表现出明显的药物反应,表现为服用10 mg瑞舒伐他汀后LDL胆固醇达到目标水平。对于其他多态性基因型变异-174G /C (rs1800795) IL-6、-589C >T (rs2243250) IL-4和-1082G >A (rs1800896) IL-10的携带者,冠状动脉疾病患者在病毒感染的情况下,瑞舒伐他汀与剂量方案的关系无统计学意义。无感染过程的老年冠心病患者他汀类药物治疗方案与白细胞介素基因型(IL-1β、IL-6、IL-4、IL-10)无相关性(p < 0.05)。结论:白细胞介素基因分型可用于老年冠心病患者高脂血症(GLP)的个体化药物治疗,前提是伴有ARVI。
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引用次数: 0
Vaginal microbiome in patients with menstrual cycle disorders (review) 月经周期紊乱患者阴道微生物组(综述)
Pub Date : 2021-12-30 DOI: 10.18413/2658-6533-2021-7-4-0-9
П. Лебедева, М. В. Грязнова, О. Н. Козаренко, Михаил Ю. Сыромятников, Владимир Никитович Попов
Background: In the last two decades, because of the usage of non-cultural methods, new data on the female genital tract microbiome have been accumulated. However, the causes determining the predominance of certain microorganisms, and, consequently, the formation of microbiome composition, have not been finally determined. The major changes in the microbiome of the reproductive tract of women occur in response to the influence of hormones. The aim of the study: To assess the influence of menstrual cycle disorders on the vaginal microbiome composition. Materials and methods: The articles describing the role of menstrual cycle disorders in the formation of the vaginal microbiome composition, published over the past 20 years and deposited in the Pubmed, Google Academy, Scopus, Elibrary, ResearchGate, and EBSCO databases, were analyzed. Results: The data on the role of the human microbiome in the pathogenesis of somatic diseases are presented. The main characteristics of the vaginal microbiome are given, its classification is presented, the main functions of Lactobacillus in the female reproductive tract and their influence on local immunity are discussed. The vaginal microbiome during the normal menstrual cycle and in patients with menstrual cycle disorders is described. Conclusion: Despite the critical importance of the female genital tract microbiome for human reproduction, data on the role of menstrual cycle disorders in the formation of the microbiome are sporadic and are mainly concerned with the vaginal microbiome in polycystic ovary syndrome (PCOS). There are no data on the role of hyperprolactinemia, congenital adrenal hyperplasia, and other causes of menstrual cycle disorders in vaginal microbiome formation. Further studies of the microbiome in patients with menstrual cycle disorders, as well as its correction, are needed.
背景:近二十年来,由于非培养方法的使用,积累了关于女性生殖道微生物组的新数据。然而,决定某些微生物占优势的原因,以及微生物组组成的形成,尚未最终确定。妇女生殖道微生物组的主要变化是由于激素的影响而发生的。本研究的目的:评估月经周期紊乱对阴道微生物组成的影响。材料与方法:对近20年来发表在Pubmed、谷歌Academy、Scopus、library、ResearchGate和EBSCO数据库中描述月经周期紊乱在阴道微生物组组成形成中的作用的文章进行分析。结果:介绍了人体微生物组在躯体疾病发病机制中的作用。介绍了阴道微生物群的主要特征,分类,探讨了乳酸菌在女性生殖道中的主要作用及其对局部免疫的影响。阴道微生物组在正常月经周期和月经周期紊乱的患者被描述。结论:尽管女性生殖道微生物组对人类生殖至关重要,但关于月经周期紊乱在微生物组形成中的作用的数据是零星的,主要与多囊卵巢综合征(PCOS)阴道微生物组有关。目前还没有关于高催乳素血症、先天性肾上腺增生和其他引起月经周期紊乱的原因在阴道微生物群形成中的作用的数据。需要对月经周期紊乱患者的微生物组进行进一步的研究,以及对其进行纠正。
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引用次数: 6
Pharmacological efficiency of combined eye drug films based on Levofloxacin and Dexpanthenol, and also Dexamethazone and Dexpanthenol in the treatment of infected corneal injury 左氧氟沙星、右潘醇联合眼药膜及地塞米松、右潘醇联合眼药膜治疗感染性角膜损伤的药理效果
Pub Date : 2021-12-30 DOI: 10.18413/2658-6533-2021-7-4-0-5
M. Medvedeva, V. Lipatov, M. Zatolokina, Oksana M. Yarmamedova
Background: When treating infected corneal burns, some patients are not able to comply with the schedule of frequent instillations of drugs, which entails a persistent irreversible decrease in visual acuity due to the formation of corneal opacities. The aim of the study: To increase the effectiveness of treatment of infected corneal burns using combined ophthalmic medicinal films based on Levofloxacin and Dexpanthenol, as well as Dexamethasone and Dexpanthenol. Materials and methods: 1 hour after the formation of a standard infected corneal burn, the comparison group was treated according to the classical method using instillations, and the experimental group was treated with combined ophthalmic medicinal films based on Levofloxacin and Dexpanthenol, as well as Dexamethasone and Dexpanthenol. The area of the defect in the corneal epithelium was recorded. Morphological examination with hematoxylin-eosin staining was carried out according to the standard technique at different periods of observation. Results: A pronounced cellular reaction was recorded already 1 hour after the formation of a standard infected corneal burn. The defect area of the corneal epithelium decreased faster in the group treated with combined ophthalmic drug films. The thickness of the outer corОригинальная статья Original article Ярмамедов ДМ, и др. Фармакологическая эффективность ... Yarmamedov DM, et al. Pharmacological efficiency of combined eye ... 390 neal epithelium, as well as the number of cells in its layers, returned to normal on the 3rd day in the experimental group, and in the comparison group with treatment according to the standard method on the 5th day of the experiment. When examining the thickness of the corneal endothelium, there were no statistically significant differences from the normal cornea. Conclusion: In the treatment of a standard infected corneal burn, the use of combined ophthalmic medicinal films can reduce the process of morphological restoration of the cornea to 3 days, in comparison with treatment using instillations, where the cornea is restored to the parameters of an intact eye on the 5th day.
背景:在治疗感染性角膜烧伤时,一些患者不能遵守频繁滴注药物的时间表,导致角膜混浊形成,导致视力持续不可逆下降。目的:探讨以左氧氟沙星和右泛醇为基础的联合眼药膜以及地塞米松和右泛醇治疗感染性角膜烧伤的疗效。材料与方法:标准角膜感染烧伤形成1小时后,对照组按经典方法滴注治疗,实验组采用以左氧氟沙星、右泛醇、地塞米松、右泛醇为基础的联合眼药膜治疗。记录角膜上皮缺损面积。在观察的不同时期,按标准技术进行苏木精-伊红染色形态学检查。结果:在标准感染角膜烧伤形成1小时后,已记录到明显的细胞反应。联合用药组角膜上皮缺损面积减小较快。外层的厚度和Оригинальнаястать原始文章ЯярмамедовДМ,идр。Фармакологическая эффективность…Yarmamedov DM,等。联合眼的药理疗效…实验组390只,各层细胞数在实验第3天恢复正常,对照组在实验第5天按标准方法处理。角膜内皮厚度与正常角膜比较,差异无统计学意义。结论:在标准的感染性角膜烧伤治疗中,使用联合眼药膜治疗可将角膜形态恢复过程缩短至3天,而使用滴注治疗则在第5天角膜恢复到完整眼的参数。
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引用次数: 0
Ovarian cancer as part of hereditary cancer syndromes (review) 卵巢癌作为遗传性癌症综合征的一部分(综述)
Pub Date : 2021-12-30 DOI: 10.18413/2658-6533-2021-7-4-0-2
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引用次数: 1
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