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Parameters Of Vascular Tone Regulation And Gene Polymorphism Associated With Cardiovascular Risk In Young Subjects 年轻受试者血管张力调节参数和基因多态性与心血管风险相关
Q4 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-06-27 DOI: 10.15275/rusomj.2023.0204
Natalya S. Akimova, Anastasiya Yu. Elkina, Olga N. Dzhioeva, Ivan M. Sokolov, Anton R. Kiselev, Oxana M. Drapkina, Yury G. Shvarts
Introduction — The identification of preclinical stages of vascular pathology is the most promising for prevention of hypertension (HTN). It is important to investigate the polymorphism of genes which end products are involved in the regulation of blood pressure (BP) and predispose to vascular tone (VT) dysregulation. Objective — To investigate the clinical and prognostic significance of the AGT and AGTR1 polymorphic variants associated with increased cardiovascular risk in young subjects and patients with HTN. Methods — The study involved 2 independent groups: young healthy volunteers and hypertensive patients. The VT regulation was assessed by the active standing test. The polymorphism was identified using DNA pyrosequencing. Results — The C allele of the AGTR1 A1666C A>C variant was associated with lower HR in supine in both groups. The risk allele C of the M268T T>C polymorphism was associated with lower systolic BP and diastolic BP during the 1st minute of upright posture. The C allele of the AGTR1 A1666C A>C variant was associated with earlier onset of HTN. Conclusion — The identification of the AGTR1 A1666C A>C and AGT M268T T>C variants can be informative for clarifying the risk of HTN when the young subjects are examined, as well as the probability of early onset of HTN.
血管病理临床前阶段的识别是预防高血压(HTN)最有希望的方法。研究参与血压(BP)调节和血管张力(VT)失调易感性的终产物基因多态性具有重要意义。目的:探讨年轻受试者和HTN患者中与心血管风险增加相关的AGT和AGTR1多态性变异的临床和预后意义。方法:本研究分为两组:年轻健康志愿者和高血压患者。通过主动站立试验对VT调节进行评价。利用DNA焦磷酸测序鉴定其多态性。结果- AGTR1 A1666C A>C变异的C等位基因与两组仰卧者较低的HR相关。m268tt>C多态性的风险等位基因C与直立姿势第1分钟的收缩压和舒张压降低有关。AGTR1 A1666C A>C变异的C等位基因与HTN的早期发病有关。结论- AGTR1 A1666C A>C和AGT M268T T>C变异的鉴定可以在年轻受试者检查时阐明HTN的风险,以及HTN早发的概率。
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引用次数: 0
Assessing Short-Term Weather-Induced Immune Response In Russian Far East Residents With Respiratory Diseases 评估俄罗斯远东地区呼吸系统疾病居民的短期天气诱导免疫反应
IF 0.4 Q4 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-06-27 DOI: 10.15275/rusomj.2023.0203
L. Veremchuk, T. Vitkina, E. Mineeva, E. V. Kondratyeva
Objective — To identify criteria for contrasting meteorological changes affecting the temporal dynamics of the immune response in individuals with bronchopulmonary pathology in the maritime monsoon climate of Vladivostok. Methods — We examined 178 patients with stable chronic obstructive pulmonary disease (COPD) of mild and moderate severity, 212 patients with controlled bronchial asthma (BA) and 60 apparently healthy volunteers. We assessed the cumulative response of the components of adaptive and innate immune systems to the effects of day-to-day variability in temperature, air pressure and humidity, wind speed and direction, and precipitation relative to the day of the patient’s medical examination ± 2 days. The response of the immune system was measured by an integral indicator calculated as the ratio of the sum of statistically significant correlations (p<0.05) to the total sum of correlation matrix elements. Results — The short-term compensatory severity and activity of the immune response to the weather in healthy people (∑D%=2.56; ∑r=117) was almost twice as high as the similar response in patients with COPD (∑D%=1.28; ∑r=72) or BA (∑D%=1.35; ∑r=69). The immune response of apparently healthy subjects to the action of specific meteorological factors on the day of medical examination was reduced by 40%, compared with the short-term response (±2 days) in patients with COPD, but the difference was not significant. The values of the criteria for the day-to-day contrast of influencing meteorological factors in apparently healthy patients were reduced. Conclusion — The urban population in maritime monsoon climate exhibited weak and moderate weather-induced immune system responses. Wind regime, humidity and precipitation had a pronounced effect on the immune system. In patients with COPD and BA, the maximum pathogenic response of the immune system to the impact of climatic factors was observed within ±1 day.
目的——确定对比符拉迪沃斯托克海洋季风气候中影响支气管肺病理个体免疫反应时间动态的气象变化的标准。方法:我们对178例轻度和中度稳定型慢性阻塞性肺病(COPD)患者、212例控制性支气管哮喘(BA)患者和60名明显健康的志愿者进行了检查。我们评估了适应性免疫系统和先天免疫系统的组成部分对温度、气压和湿度、风速和风向以及相对于患者体检日±2天的降水量的日常变化影响的累积反应。免疫系统的反应是通过积分指标来测量的,积分指标计算为统计显著相关性的总和(p<0.05)与相关性矩阵元素的总和的比率。结果——健康人对天气的短期代偿性严重程度和免疫反应活性(∑D=2.56;∑r=117)几乎是COPD患者(∑D=1.28;∑r=72)或BA患者(∑D%=1.35;∑r=69)类似反应的两倍。与COPD患者的短期反应(±2天)相比,明显健康的受试者在体检当天对特定气象因素作用的免疫反应降低了40%,但差异不显著。在明显健康的患者中,影响气象因素的日常对比标准值降低。结论:海洋性季风气候下的城市人群表现出较弱和中等程度的天气诱导免疫系统反应。风力、湿度和降水对免疫系统有显著影响。在COPD和BA患者中,免疫系统对气候因素影响的最大致病反应在±1天内观察到。
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引用次数: 0
Left Ventricular Segmental Strain Based On Speckle Tracking Echocardiography Versus Indications Of Immune Inflammation In Patients After COVID-19 Pneumonia 基于斑点跟踪超声心动图的左心室节段性应变与COVID-19肺炎患者免疫炎症适应症的比较
IF 0.4 Q4 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-06-27 DOI: 10.15275/rusomj.2023.0206
N. Shirokov, E. Yaroslavskaya, D. Krinochkin, N. A. Osokina, N. Musikhina, T. I. Petelina
Background — The significance of cytokine activation and immune inflammation in subclinical damage to cardiomyocytes and resulting development of the congestive heart failure (CHF) is frequently discussed in published studies, as well as whether there are cardiac lesions in COVID-19 survivors identified by the speckle tracking echocardiography (STE). Objective — To examine the association of echocardiographic parameters with indications of immune inflammation in patients recovered from COVID-19 pneumonia depending on segmental longitudinal strain (LS) of the left ventricle (LV) identified by STE. Methods — Our study encompassed 216 patients (51.1% men, mean age of 50.1±11.1 years) distributed among two groups: Group I (n=108) included study subjects with segmental LS (≥3 LV segments) revealed by the STE; Group II (n=108) comprised patients without visually detectable LV lesions. All patients were examined three months after COVID-19 pneumonia. Results — Groups did not differ statistically significantly in terms of LV ejection fraction (68.7±4.3% in Group I vs. 68.6±4.3% in Group II; p=0.916). Global LS was significantly lower in the Group I than in the Group II at the time of the control follow-up visit three months later (-18.2 [-16.7; -19.4] % vs. -20.6 [-19.5; -22.1] %, respectively; p<0.001). When analyzing laboratory indications of immune inflammation in groups, we revealed statistically significantly higher values in Group I vs. Group II in the concentrations of interleukin 6 (3.1 [2.4;3.9] pg/mL vs. 2.5 [3.8;4.7] pg/mL; p=0.009), C-reactive protein (4.7 [2.9;8.3] mg/L vs. 3.0 [1.5; 5.3] mg/L; p<0.001), and tumor necrosis factor α (6.0 [4.8;4.1] pg/ml vs. 5.0 [4.0;6.4] pg/ml; p=0.001). In Group I, we detected diffuse lesion of LS (≥4 segments of the same LV level; 38.0% of patients) and regional lesion of LS (≥3 segments corresponding to the blood supply pools of the anterior, circumflex, or right coronary arteries; 62.0% of patients). According to logistic regression, the LS of the basal LV level (OR 3.028; 95% CI 1.909-4.802; р<0.001) in combination with LS of the apical LV level (OR 1.287; 95% CI 1.099-1.507; р=0.002) and LV lateral wall annular velocity assessed by tissue Doppler imaging, peak e’ (OR 0.774; 95% CI 0.657-0.911; р=0.002) had an independent relationship with each of diffuse and regional LS lesions. Conclusion — Based on STE data, we have identified a relationship of diffuse and regional LV lesions with features of systolic and diastolic LV dysfunction and markers of immune inflammation in patients three months after COVID-19 pneumonia.
背景-细胞因子激活和免疫炎症在心肌细胞亚临床损伤和充血性心力衰竭(CHF)发展中的意义在已发表的研究中经常讨论,以及斑点追踪超声心动图(STE)确定的新冠肺炎幸存者是否存在心脏病变。目的-根据STE确定的左心室节段纵向应变(LS),研究超声心动图参数与新冠肺炎肺炎康复患者免疫炎症指征的关系。方法——我们的研究包括216名患者(51.1%男性,平均年龄50.1±11.1岁),分布在两组:第一组(n=108)包括STE显示的节段LS(≥3个左心室节段)的研究受试者;第II组(n=108)包括没有可见左心室病变的患者。所有患者均在新冠肺炎肺炎后三个月接受检查。结果——各组左心室射血分数无统计学差异(第一组为68.7±4.3%,第二组为68.6±4.3%;p=0.916)。三个月后进行对照随访时,第一组的整体LS显著低于第二组(分别为-18.2[-16.7;-19.4]%和-20.6[-19.5;-22.1]%;p<0.001)在各组免疫炎症指征中,我们发现第一组与第二组在白细胞介素6(3.1[2.4;3.9]pg/mL vs.2.5[3.8;4.7]pg/mL;p=0.009)、C反应蛋白(4.7[2.9;8.3]mg/L vs.3.0[1.5;5.3]mg/L;p<0.001)和肿瘤坏死因子α(6.0[4.8;4.1]pg/mL vs.5.0[4.0;6.4]pg/mL;p=0.001)的浓度方面具有统计学意义的更高值,我们检测到LS的弥漫性病变(≥4个左心室水平相同的节段;38.0%的患者)和LS的区域性病变(至少3个节段对应于前冠状动脉、回旋支或右冠状动脉的血供池;62.0%患者)。根据逻辑回归,基础左心室水平的LS(OR 3.028;95%CI 1.909-4.802;р<0.001)与心尖左心室水平LS(OR 1.287;95%CI 1.099-1.507;р=0.002)和组织多普勒成像评估的左心室侧壁环速度相结合,峰值e’(OR 0.774;95%CI 0.657-0.911;р=0.002)与弥漫性和区域性LS病变具有独立关系。结论-根据STE数据,我们已经确定了新冠肺炎肺炎患者三个月后弥漫性和区域性左心室病变与左心室收缩和舒张功能障碍特征以及免疫炎症标志物的关系。
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引用次数: 0
COVID-19 And The Role Of Estrogen In The Immune Response COVID-19和雌激素在免疫反应中的作用
IF 0.4 Q4 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-06-27 DOI: 10.15275/rusomj.2023.0207
I. Dovzhikova, I. Andrievskaya
We conducted a study using the keyword search (estrogens and COVID-19) in various databases through June 2022. All articles were published in English. In the context of the COVID-19 pandemic, gender differences were found in the course and outcomes of the disease. The goal of this review was to summarize the knowledge of the mechanisms underlying gender-based differences in COVID-19, with a focus on the role of estrogens. The article discusses the involvement of estrogen in the implementation of the immune response to viral infection. Separate sections of the review are dedicated to the effect of estrogens on innate and adaptive varieties of immunity. We concluded that there is great potential for future research on deciphering the effect of hormones on human physiology and immune responses to explain the heterogeneity of human pathogenic responses.
截至2022年6月,我们在各种数据库中使用关键词搜索(雌激素和新冠肺炎)进行了一项研究。所有文章都用英文发表。在新冠肺炎大流行的背景下,在疾病的过程和结果中发现了性别差异。这篇综述的目的是总结新冠肺炎中基于性别的差异的潜在机制,重点是雌激素的作用。本文讨论了雌激素在病毒感染免疫反应中的作用。综述的单独章节专门讨论雌激素对先天和适应性免疫的影响。我们得出的结论是,未来的研究有很大的潜力来解读激素对人类生理和免疫反应的影响,以解释人类致病反应的异质性。
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引用次数: 0
Assessment Of Fluid Retention In Patients With Paroxysmal And Long-Standing Persistent Types Of Atrial Fibrillation 阵发性和长期持续性房颤患者液体潴留的评估
IF 0.4 Q4 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-03-28 DOI: 10.15275/rusomj.2023.0105
Garganeeva Alla A., V. V. Kirillova, E. Kuzheleva, R. Batalov, A. Smorgon, S. Mayanskaya
Determining fluid retention in circulatory system currently remains a challenge. The objective of our study was to determine the sensitivity of individual symptoms and signs of chronic heart failure (CHF) and echocardiographic criteria for detecting fluid retention in patients with atrial fibrillation and invasively measured elevated atrial pressure. Methods — We conducted a prospective study of adult patients with a history of cardiovascular disease (coronary artery disease or/and arterial hypertension in combination with atrial fibrillation [AF]) hospitalized for radiofrequency catheter ablation. All patients underwent expert ultrasound examination of the heart using Philips HD 15 and Philips iE33 devices, as well as invasive measurement of pressure in the left and right atria at rest (n=20). Results — The sensitivity of dyspnea in patients with paroxysmal AF and long-standing persistent AF was 44.4% and 90.9%, respectively. The sensitivity of the mean E/e' ratio in patients with paroxysmal AF and long-standing persistent AF was 22.2% and 18.1%, correspondingly. According to the 2016 American Society of Echocardiography/European Association of Cardiovascular Imaging (ASE/EACVI) algorithm, only one patient (11.1%) in the group with paroxysmal AF and 54.5% of subjects in the group with a long-standing persistent AF type had two positive criteria. The sensitivity of lower limb edema was 0% in patients with paroxysmal AF and 57.1% in those with long-standing persistent AF. The sensitivity of IVC diameter >22 mm was 80% in patients with paroxysmal AF and 57.1% in the group with long-standing persistent AF. At the same time, the sensitivity of the IVC inspiratory collapse ≤50% was significantly lower in both groups: 60% in patients with paroxysmal AF and 42.9% in subjects with long-standing persistent AF. Conclusion — Clinical symptoms and signs of chronic heart failure (CHF), as well as echocardiographic parameters reflecting an increase in the filling pressure of the heart chambers, are characterized by extremely low sensitivity in a cohort of patients with paroxysmal AF. The use of more stringent criteria for diagnosing congestion in this group of patients leads to a significant underdiagnosis of elevated filling pressure in the left chambers of the heart, which, in turn, increases the likelihood of insufficient prescription of diuretic therapy when it is objectively necessary.
目前,确定循环系统中的液体潴留仍然是一个挑战。本研究的目的是确定慢性心力衰竭(CHF)的个体症状和体征的敏感性,以及超声心动图检测心房颤动患者液体潴留和有创测量心房压升高的标准。方法:我们对有心血管疾病(冠状动脉疾病或/和动脉高血压合并心房颤动[AF])病史的住院射频导管消融的成年患者进行了一项前瞻性研究。所有患者均使用Philips HD 15和Philips iE33设备进行专家心脏超声检查,并有创测量静息时左、右心房压力(n=20)。结果:阵发性房颤和长期持续性房颤患者呼吸困难的敏感性分别为44.4%和90.9%。阵发性房颤和长期持续性房颤的平均E/ E比值敏感性分别为22.2%和18.1%。根据2016年美国超声心动图学会/欧洲心血管成像协会(ASE/EACVI)算法,阵发性房颤组中只有1例(11.1%)患者和长期持续性房颤组中54.5%的受试者有两个阳性标准。阵发性房颤患者下肢水肿的敏感性为0%,长期持续性房颤患者下肢水肿的敏感性为57.1%。阵发性房颤患者下肢水肿的敏感性为80%,长期持续性房颤患者下肢水肿的敏感性为57.1%。同时,两组下肢水肿吸入塌陷≤50%的敏感性均显著低于阵发性房颤患者;60%为阵发性房颤患者,42.9%为长期持续性房颤患者慢性心力衰竭(CHF)的临床症状和体征,以及反映心室充盈压力增加的超声心动图参数,在阵发性房颤患者队列中具有极低敏感性的特点。在这组患者中使用更严格的诊断充血标准导致严重漏诊心脏左室充盈压力升高,反过来,客观上必要时,增加利尿治疗处方不足的可能性。
{"title":"Assessment Of Fluid Retention In Patients With Paroxysmal And Long-Standing Persistent Types Of Atrial Fibrillation","authors":"Garganeeva Alla A., V. V. Kirillova, E. Kuzheleva, R. Batalov, A. Smorgon, S. Mayanskaya","doi":"10.15275/rusomj.2023.0105","DOIUrl":"https://doi.org/10.15275/rusomj.2023.0105","url":null,"abstract":"Determining fluid retention in circulatory system currently remains a challenge. The objective of our study was to determine the sensitivity of individual symptoms and signs of chronic heart failure (CHF) and echocardiographic criteria for detecting fluid retention in patients with atrial fibrillation and invasively measured elevated atrial pressure. Methods — We conducted a prospective study of adult patients with a history of cardiovascular disease (coronary artery disease or/and arterial hypertension in combination with atrial fibrillation [AF]) hospitalized for radiofrequency catheter ablation. All patients underwent expert ultrasound examination of the heart using Philips HD 15 and Philips iE33 devices, as well as invasive measurement of pressure in the left and right atria at rest (n=20). Results — The sensitivity of dyspnea in patients with paroxysmal AF and long-standing persistent AF was 44.4% and 90.9%, respectively. The sensitivity of the mean E/e' ratio in patients with paroxysmal AF and long-standing persistent AF was 22.2% and 18.1%, correspondingly. According to the 2016 American Society of Echocardiography/European Association of Cardiovascular Imaging (ASE/EACVI) algorithm, only one patient (11.1%) in the group with paroxysmal AF and 54.5% of subjects in the group with a long-standing persistent AF type had two positive criteria. The sensitivity of lower limb edema was 0% in patients with paroxysmal AF and 57.1% in those with long-standing persistent AF. The sensitivity of IVC diameter >22 mm was 80% in patients with paroxysmal AF and 57.1% in the group with long-standing persistent AF. At the same time, the sensitivity of the IVC inspiratory collapse ≤50% was significantly lower in both groups: 60% in patients with paroxysmal AF and 42.9% in subjects with long-standing persistent AF. Conclusion — Clinical symptoms and signs of chronic heart failure (CHF), as well as echocardiographic parameters reflecting an increase in the filling pressure of the heart chambers, are characterized by extremely low sensitivity in a cohort of patients with paroxysmal AF. The use of more stringent criteria for diagnosing congestion in this group of patients leads to a significant underdiagnosis of elevated filling pressure in the left chambers of the heart, which, in turn, increases the likelihood of insufficient prescription of diuretic therapy when it is objectively necessary.","PeriodicalId":21426,"journal":{"name":"Russian Open Medical Journal","volume":" ","pages":""},"PeriodicalIF":0.4,"publicationDate":"2023-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44318473","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
Assessment Of Antibody Levels In A Population Vaccinated With Sputnik V Sputnik V疫苗接种人群抗体水平评估
IF 0.4 Q4 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-03-28 DOI: 10.15275/rusomj.2023.0102
D. Gonzalez, Federico Fortuna, A. Fritzler, Juan J. Jamardo, E. Duarte, C. Ibar, D. Jacobsen, M. Estevez, J. Aguirre, Belky B. Garzón, R. Absi, E. Repetto, Gelos Diego Sanchez, Damian Zopatti, B. Fabre
Objectives — The objective of our study was to assess humoral response in a population of health workers after vaccination with the first and second doses of Sputnik V. Methods — SARS-CoV-2 total antibodies (IgG and IgM) were measured, using the Centaur XPT autoanalyzer, Siemens®, in 530 serum samples taken from health workers in Buenos Aires vaccinated with Sputnik V. Results — After 21 days of the first dose application, 10 individuals (1.9%) presented antibody levels <1.0 (non-reactive), while 520 subjects (98.1%) responded with antibody values >1.0 (reactive). The results, obtained 21 days after the second dose, show that only 2 individuals (0.38%) had antibody levels <1.0 (non-reactive) and 528 (99.6%) responded with antibody values >1.0 (reactive). Conclusion — This study results implied that two doses of Sputnik V vaccine generated a proper antibody response in virtually the entire studied population.
目的-本研究的目的是评估接种第一剂和第二剂Sputnik v疫苗后卫生工作者人群的体液反应。方法-使用西门子®Centaur XPT自动分析仪对布宜诺斯艾利斯接种了Sputnik v疫苗的卫生工作者的530份血清样本进行了SARS-CoV-2总抗体(IgG和IgM)的测量。结果-在第一次剂量应用21天后,10人(1.9%)出现抗体水平1.0(反应性)。第二次接种21天后的结果显示,只有2人(0.38%)的抗体水平为1.0(反应性)。结论-本研究结果表明,两剂Sputnik V疫苗在几乎整个研究人群中产生了适当的抗体反应。
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引用次数: 0
Effect Of Atmospheric Particulate Matter On The Functional State Of Mitochondria 大气颗粒物对线粒体功能状态的影响
IF 0.4 Q4 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-03-28 DOI: 10.15275/rusomj.2023.0106
E. V. Kondratyeva, T. Vitkina
The health risks associated with outdoor air pollution are of global concern. Atmospheric air pollution negatively affects a number of key aspects of human health, including the functioning of the respiratory, cardiovascular and central nervous systems, but many issues remain unresolved about the relationship between atmospheric air pollution and the development and course of pathologies. The review analyzes data from Russian and foreign sources on the effect of atmospheric particulate matter on the functional state of mitochondria. The effect of air pollution on structural changes in mitochondria, ATP synthesis, production of reactive oxygen species, damage to mitochondrial DNA, and mitochondrial membrane potential has been shown. The data presented in the review indicate the need for further studies of the functional state of mitochondria under the impact of solid particles in atmospheric air.
与室外空气污染相关的健康风险是全球关注的问题。大气污染对人类健康的许多关键方面产生了负面影响,包括呼吸、心血管和中枢神经系统的功能,但关于大气污染与病理发展和过程之间的关系,许多问题仍未解决。该综述分析了来自俄罗斯和外国的关于大气颗粒物对线粒体功能状态影响的数据。空气污染对线粒体结构变化、ATP合成、活性氧产生、线粒体DNA损伤和线粒体膜电位的影响已经显示出来。综述中提供的数据表明,有必要进一步研究大气中固体颗粒影响下线粒体的功能状态。
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引用次数: 0
Healthy And Unhealthy Lifestyles As Factors Of Occupational Burnout In Obstetrics And Gynecology Physicians 健康和不健康的生活方式是影响妇产科医生职业倦怠的因素
IF 0.4 Q4 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-03-28 DOI: 10.15275/rusomj.2023.0103
Mikhail Yu. Kuzmin, Darya P. Tyumentseva, A. Marianian
This article investigates healthy and unhealthy lifestyles and its components (physical activity, drinking alcohol, consumption of caffeinated products, tobacco use) as factors of occupational burnout in obstetrics and gynecology physicians. Material and Methods. A total of 132 physicians and nurses from the different clinics of Irkutsk were surveyed. We used Maslach Burnout Inventory (MBI), SF-12, and Godin Leisure-Time Exercise Questionnaire. Results: Differences in healthy and unhealthy lifestyles between physicians and nurses employed in obstetrics and gynecology, with or without a high burnout, were revealed. According to the obtained results, the frequency of alcohol consumption was directly related to burnout. In study subjects engaged in low and moderate physical activity, burnout occurred briefly or rarely. The differences became more pronounced when we excluded physicians and nurses with poor physical health from consideration, because they did not exercise much. According to the results of logistic regression, the probability of burnout and reduced level of quality of life among physicians and nurses increased with a bigger family size, lower work experience, and less time spent on moderate physical activity. Conclusion: Healthy and unhealthy lifestyles can cause healthcare employee burnout. Physicians and nurses with a high burnout consumed stronger alcohol and spent less time in moderate physical activity.
本文调查了健康和不健康的生活方式及其组成部分(体育活动、饮酒、摄入含咖啡因产品、吸烟)作为妇产科医生职业倦怠的因素。材料和方法。对来自伊尔库茨克不同诊所的132名医生和护士进行了调查。我们使用了Maslach倦怠量表(MBI)、SF-12和Godin休闲时间锻炼问卷。结果:妇产科医生和护士在健康和不健康的生活方式方面存在差异,无论是否有高度倦怠。研究结果表明,饮酒频率与职业倦怠有直接关系。在从事低强度和中等强度体力活动的研究对象中,倦怠发生的时间很短或很少。当我们将身体健康状况不佳的医生和护士排除在外时,这种差异变得更加明显,因为他们很少锻炼。根据逻辑回归的结果,家庭规模越大,工作经验越少,花在适度体育活动上的时间越少,医生和护士出现倦怠和生活质量下降的概率就越高。结论:健康和不健康的生活方式会导致医护人员倦怠。高度倦怠的医生和护士饮酒量较大,进行适度体育活动的时间较少。
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引用次数: 0
Cannabinoids And Cannabinoid-Like Compounds: Biochemical Characterization And Pharmacological Perspectives 大麻素和大麻素样化合物:生化表征和药理学观点
IF 0.4 Q4 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-03-28 DOI: 10.15275/rusomj.2023.0107
O. Kytikova, Y. Denisenko, T. Novgorodtseva, I. S. Kovalenko
Publication interest in cannabinoids, including phytocannabinoids, endogenous cannabinoids, synthetic cannabinoids and cannabinomimetic compounds, is due to the therapeutic potential of these compounds in inflammatory pathology. Since recent years, scientific interest was focused on compounds with cannabinomimetic activity. The therapeutic use of phytocannabinoids and endocannabinoids is somewhat limited due to unresolved issues of dosing, toxicity and safety in humans, while cannabinoid-like compounds combine similar therapeutic effects with a high confirmed safety. Targets for endocannabinoids and phytocannabinoids are endocannabinoid receptors 1 and 2, G protein-coupled receptors (GPCRs), peroxisome proliferator-activated receptors (PPARs), and transient receptor potential ion channels (TRPs). Non-endocannabinoid N-acylethanolamines do not interact with cannabinoid receptors and exhibit agonist activity towards non-cannabinoid receptors, such as PPARs, GPCRs and TRPs. This literature review includes contemporary information on the biological activity, metabolism and pharmacological properties of cannabinoids and cannabinoid-like compounds, as well as their receptors. We established that only a few studies were devoted to the relationship of non-endocannabinoid N-acylethanolamines with non-cannabinoid receptors, such as PPARs, GPCRs, and also with TRPs. We have focused on issues that were insufficiently covered in the published sources in order to identify gaps in existing knowledge and determine the prospects for scientific research.
对大麻素(包括植物大麻素、内源性大麻素、合成大麻素和拟大麻素化合物)的出版兴趣是由于这些化合物在炎症病理学中的治疗潜力。近年来,科学兴趣集中在具有大麻素活性的化合物上。由于未解决的人体剂量、毒性和安全性问题,植物大麻素和内源性大麻素的治疗用途在一定程度上受到限制,而大麻素样化合物具有类似的治疗效果和高度确认的安全性。内源性大麻素和植物大麻素的作用靶点包括内源性大麻素受体1和2、G蛋白偶联受体(gpcr)、过氧化物酶体增殖物激活受体(ppar)和瞬时受体电位离子通道(TRPs)。非内源性大麻素n-酰基乙醇胺不与大麻素受体相互作用,并对非大麻素受体(如ppar、gpcr和TRPs)表现出激动剂活性。这篇文献综述包括大麻素和大麻素样化合物及其受体的生物活性、代谢和药理学特性的当代信息。我们确定,只有少数研究致力于非内源性大麻素n-酰基乙醇胺与非大麻素受体(如ppar, gpcr)以及TRPs的关系。我们把重点放在已发表的来源中没有充分涵盖的问题上,以便确定现有知识中的差距并确定科学研究的前景。
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引用次数: 0
Association Of Burnout And Depression Symptoms And Their Prevalence Among Medical Students In Karachi, Pakistan 巴基斯坦卡拉奇医科学生倦怠和抑郁症状及其患病率的相关性
IF 0.4 Q4 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-03-28 DOI: 10.15275/rusomj.2023.0104
Tafuzzal Hyder Zaidi, M. Zafar, Amber Ilyas, Momina khan, Rafia Ghani, Rahat Naz, Ayesha Mubbashir
Background — The mental health of medical students has long been a concern. Symptoms of depression and burnout are common among medical students, but the overlap of symptoms of both diseases with risk factors remains unclear. The goal of this study was to determine the prevalence of burnout and depression symptoms’ overlap in medical students. Methods — This cross-sectional study was conducted among students of the clinical course (3rd, 4th and 5th years). A multistage stratified random sampling design was used to select 284students that were offered a validated and structured questionnaire that included a modified Oldenburg Burnout Inventory and Patient Health Questionnaire-9 to assess their emotional burnout and depression, respectively. Chi-square and multinomial regression analyses were done to identify overlapping symptoms of burnout and depression with association of risk factors with dependent variable. Results — Out of 284 students, 13% had symptoms of severe depression, 24% had high burnout symptoms, and 32% had overlapping symptoms of burnout and depression. In regression analysis, higher academic year more than 2 times (5th year, OR 2.03, 95% CI 1.42-7.96, p-value 0.004) and living at dormitory more than 3 times (OR 3.97, 95% CI 1.97-5.01, p-value 0.003) were more likely associated with more extensive overlap of burnout and depression symptoms. Conclusion — There is a high prevalence of burnout and depression symptoms among medical students, with a strong association between the two disorders. Early burnout detection and psychiatric therapies given to affected students and these disorders management training at medical school, may help reduce negative consequences of these conditions.
背景——医学生的心理健康问题一直备受关注。抑郁和倦怠的症状在医学生中很常见,但这两种疾病的症状与风险因素的重叠尚不清楚。本研究的目的是确定医学生倦怠和抑郁症状重叠的患病率。方法——这项横断面研究在临床课程的学生中进行(3、4和5年级)。采用多阶段分层随机抽样设计,选择284名学生,他们接受了一份经过验证的结构化问卷,其中包括修改的奥尔登堡倦怠量表和患者健康问卷-9,分别评估他们的情绪倦怠和抑郁。卡方和多项回归分析用于识别倦怠和抑郁的重叠症状以及危险因素和因变量的相关性。结果——在284名学生中,13%的学生有严重抑郁症状,24%的学生有高度倦怠症状,32%的学生有倦怠和抑郁的重叠症状。在回归分析中,高学年超过2次(第5年,OR 2.03,95%CI 1.42-7.96,p值0.004)和在宿舍生活超过3次(OR 3.97,95%CI 1.97-5.01,p值0.005)更有可能与倦怠和抑郁症状的广泛重叠有关。结论:医学生倦怠和抑郁症状的发生率较高,两者之间有很强的相关性。对受影响的学生进行早期倦怠检测和心理治疗,以及在医学院进行这些疾病管理培训,可能有助于减少这些情况的负面后果。
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Russian Open Medical Journal
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