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Endocrine emergencies: clinical manifestations, operative diagnostics and emergency medical care 内分泌急症:临床表现、手术诊断及急诊医疗
Pub Date : 2023-05-04 DOI: 10.18137/cardiometry.2023.27.150160
E.R. Karpenko, I.D. Gurova, A.E. Pogodina, A.N. Kompaniets, V.E. Bairova, D.A. Zaichuk, A.A. Egorova
The article analyzes clinical manifestations, operative diagnostics and emergency medical care for endocrine emergencies. The authors notes that urgent endocrine conditions are serious and potentially life-threatening conditions that require immediate medical attention. Medical care in such cases may include rapid diagnosis and immediate treatment to prevent complications. Medical care for urgent endocrine conditions is critically important for saving the patient’s life and preventing serious complications. One of the directions of improving the methods of medical care for urgent endocrine conditions is the use of the latest technologies and innovative methods of treatment.
本文分析了内分泌急症的临床表现、手术诊断和急救护理。作者指出,紧急内分泌情况是严重的,可能危及生命的情况,需要立即就医。这种情况下的医疗护理可能包括快速诊断和立即治疗,以防止并发症。紧急内分泌疾病的医疗护理对于挽救患者的生命和预防严重并发症至关重要。改进紧急内分泌疾病医疗护理方法的方向之一是使用最新技术和创新的治疗方法。
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引用次数: 0
Features of the course of Covid-19 infection in children 儿童新冠肺炎感染过程的特点
Pub Date : 2023-05-04 DOI: 10.18137/cardiometry.2023.27.8695
I.K. Nakhusheva, D. Yurchenko, M.M. Sviridova, N.K. Dzhgarkava, M. V. Yarosh, Y.E. Emets
The COVID-19 infection has become an unexpected challenge for global health in recent years. The SARS-CoV-2 virus, which causes severe illness in adults, was most often asymptomatic in the pediatric population. However, since the appearance of the new virus, the estimated share of infected children has risen from less than 2% to 8.5% of all infected patients. Taking into account the fact that asymptomatic and oligosymptomatic pediatric patients most often do not complain, it can be assumed that the exact occurrence rate of the SARS-CoV-2 virus among children is higher than officially published data. Similarly to adults, the presence of comorbidities in children was associated with severe forms of the coronavirus infection and the need for intensive care. The clinical pattern of COVID-19 in children is not fundamentally different from that in adult patients, but however, gastrointestinal symptoms are found much more often. In addition, complications characteristic of the pediatric population are observed. The aim hereof was to analyze the features of the manifestation of the COVID-19 infection in pediatric patients.
近年来,COVID-19感染已成为全球卫生领域意想不到的挑战。导致成人严重疾病的SARS-CoV-2病毒在儿科人群中通常是无症状的。然而,自新病毒出现以来,受感染儿童的估计比例已从不到所有受感染患者的2%上升到8.5%。考虑到无症状和少症状的儿科患者通常不会抱怨,可以假设儿童中SARS-CoV-2病毒的确切发病率高于官方公布的数据。与成人类似,儿童中存在的合并症与冠状病毒感染的严重形式和对重症监护的需要有关。儿童COVID-19的临床表现与成人患者没有根本区别,但胃肠道症状的出现频率要高得多。此外,还观察了儿科人群的并发症特征。本研究旨在分析小儿COVID-19感染的表现特点。
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引用次数: 0
Age-related risk factors affecting the population morbidity 影响人口发病率的年龄相关危险因素
Pub Date : 2023-05-04 DOI: 10.18137/cardiometry.2023.27.221228
K.A. Sytdykova, Y. V. Kazantseva, A. Sinanyan, M.N. Dulkina, G.O. Fatenkov, M.A. Fatenkova
This article analyzes age-related risk factors that affect the population health. Risk factors that contribute to poor health are those that increase the likelihood of getting sick or injured. Risk factors are often presented individually, but it is confirmed that they are often interrelated in practice. For example, physical inactivity will lead to weight gain, high blood pressure, and high cholesterol over time. Together, they significantly increase the chance of developing chronic heart and other diseases, and the older a person is, the more various factors impact his health. The study aims to identify age-related risk factors affecting the morbidity of the population. The research was carried out using theoretical methods: the study of scientific articles, literature on the topic, and practical methods: observation and generalization. As a result, it was revealed what risk factors affect the population’s morbidity, the form and degree of their influence on humans, and methods for reducing the influence of these factors were proposed.
本文分析了影响人口健康的年龄相关危险因素。导致健康状况不佳的风险因素是那些增加生病或受伤可能性的因素。风险因素往往是单独提出的,但在实践中,它们往往是相互关联的。例如,随着时间的推移,缺乏运动将导致体重增加、高血压和高胆固醇。这些因素加在一起,大大增加了患慢性心脏病和其他疾病的几率,而且一个人年龄越大,影响他健康的各种因素就越多。该研究旨在确定影响人口发病率的与年龄相关的危险因素。本研究采用理论方法进行:研究科学论文,文献的主题,和实践方法:观察和推广。揭示了影响人群发病的危险因素及其对人的影响形式和程度,并提出了降低这些因素影响的方法。
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引用次数: 0
Analysis of methods for assessing threats in the field of data storage 数据存储领域威胁评估方法分析
Pub Date : 2023-05-04 DOI: 10.18137/cardiometry.2023.27/161163
V. Kureichik, S. S. Pirozhkov, O. N. Sakharova, K. V. Kamyshev, Elena N. Kamenskaya
At present, in the conditions of the active development of the information society, when information is the main means of production, special attention is paid to the methods and means of organizing its protection and storage. A large number of developments, both software and physical, are devoted to this issue. Cybersecurity is becoming more and more necessary every day and, as a result, popular, as a result of which a large number of specialists with a basic education in the field of information security graduate every year. In addition, an extensive regulatory framework has been developed that regulates the procedure and principles for protecting and storing data. Thus, we can talk about the existence of an entire industry aimed at maintaining and improving information security. Besides, it is proved herein that there is a need to develop a method for quantitative assessment of the security of stored data.
目前,在信息社会积极发展的条件下,当信息是主要的生产资料时,特别注意组织保护和存储信息的方法和手段。大量的软件和物理开发都致力于这个问题。网络安全每天都变得越来越必要,因此也越来越受欢迎,因此每年都有大量受过信息安全领域基础教育的专家毕业。此外,还制定了一个广泛的监管框架,对保护和存储数据的程序和原则进行了监管。因此,我们可以谈论一个旨在维护和改善信息安全的整个行业的存在。此外,本文还证明了有必要开发一种定量评估存储数据安全性的方法。
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引用次数: 0
Comparative study between sugammedex and neostigmine as a reversal agent of rocuronium for pediatric patients 2-12 years old going for surgery under general anaesthesia 糖美德与新斯的明作为罗库溴铵逆转剂在2-12岁小儿全麻手术中的比较研究
Pub Date : 2023-05-04 DOI: 10.18137/cardiometry.2023.27.181193
Hussam Abed, A. Abdelaziz
Aim. The neuromuscular blocker has long been used during surgical procedures. The neuromuscular blockade produced by rocuronium can be reversed with sugammadex and neostigmine as reversal agents. This systematic review aims to determine the impact of sugammadex and neostigmine comparison as a reversal agent of rocuronium for pediatric patients 2-12 years old going for surgery under general anesthesia. Materials and Methods. This review examined recent studies assessing the impact of sugammadex and neostigmine comparison as a reversal agent of rocuronium for pediatric patients 2-12 years old going for surgery under general anesthesia. Data were searched from Google Scholar, PubMed, Hindawi, Anesthesiology, MEDLINE, and CENTRAL using keywords’ General Anesthesia,’ ‘Reversal Agent,’ ‘Rocuronium for Pediatric Patients,’ ‘Neuromuscular Blockers,’ ‘Sugammadex and Neostigmine,’ ‘Role of Analgesics.’ The review followed PRISMA guidelines. Results. The initial search for publications comparing sugammadex and neostigmine as a reversal agent of rocuronium for pediatric patients yielded 9000 papers, from which 600 were selected. The reviews’ articles were further analyzed to ensure they were pertinent to the Comparative Impact of Reversal Agents (Sugammadex And Neostigmine) of Rocuronium for Pediatric Patients. Around 319 references were examined for their potential applicability to the medical field of anesthesia. A total of 15 articles were included, with preference given to those published from 2014 to 2023 during the last ten years. Conclusion. The particular relaxant-binding medication promptly and successfully alleviates rocuronium-induced neuromuscular blockade in pediatric surgery patients. Considering the study’s outcomes, it can be concluded that sugammadex may restore any level of steroidal muscle relaxant-induced neuromuscular block faster than neostigmine.
目标神经肌肉阻滞剂长期以来一直在外科手术中使用。罗库产生的神经肌肉阻滞可用sugammadex和新斯的明作为拮抗剂进行拮抗。本系统综述旨在确定sugammadex和新斯的明作为罗库拮抗剂对2-12岁全麻下接受手术的儿童患者的影响。材料和方法。这篇综述考察了最近的研究,评估了sugammadex和新斯的明作为罗库拮抗剂对2-12岁全麻下接受手术的儿童患者的影响。数据来自Google Scholar、PubMed、Hindawi、麻醉学、MEDLINE和CENTRAL,关键词为“全身麻醉”、“逆转剂”、“罗库用于儿童患者”、“神经肌肉阻滞剂”、“Sugammadex和新斯的明”、“镇痛作用”审查遵循了PRISMA指南。后果首次检索比较sugammadex和新斯的明作为罗库拮抗剂用于儿科患者的出版物,共获得9000篇论文,从中选择了600篇。对综述的文章进行了进一步分析,以确保它们与罗库拮抗剂(Sugammadex和新斯的明)对儿童患者的比较影响有关。对大约319篇参考文献进行了检查,以确定其在麻醉医学领域的潜在适用性。共收录了15篇文章,优先考虑过去十年中2014年至2023年发表的文章。结论这种特殊的松弛剂结合药物能迅速成功地缓解罗库诱导的小儿外科患者的神经肌肉阻滞。考虑到研究结果,可以得出结论,sugammadex可以比新斯的明更快地恢复任何水平的类固醇肌肉松弛剂诱导的神经肌肉阻滞。
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引用次数: 0
Application of digital methods and artificial intelligence capabilities for diagnostics in obstetrics and gynecology 数字方法和人工智能能力在妇产科诊断中的应用
Pub Date : 2023-05-04 DOI: 10.18137/cardiometry.2023.27.111117
Elvira R. Safiullina, Ekaterina I. Rychkova, V. Irina, ayorova, Diana Kh. Khairutdinova, Anna A. Slonskaya, Anna S. Faronova, Yaroslava A. Davydova, Izobella A. Mussova
The article analyzes the use of digital methods and artificial intelligence capabilities for diagnostics in the field of obstetrics and gynecology. The author notes that digital methods and artificial intelligence (AI) have a high potential for the diagnosis of gynecological diseases, since it can analyze medical images and other medical data with great accuracy and speed. For example, AI can help in the diagnosis of cervical cancer by identifying anomalies in digital images and screening tests. The use of AI can also help in the recognition of other gynecological diseases, such as endometriosis, uterine fibroids, polyps, etc. In addition, AI can help improve the efficiency and accuracy of diagnostics, as well as reduce the time required to process medical data. This can be especially important in cases where diagnosis needs to be done quickly in order to start treatment as early as possible. However, it should be noted that AI cannot completely replace the experience and expertise of doctors. Still, it can help doctors make more accurate diagnoses and develop more effective treatment strategies.
本文分析了在妇产科领域使用数字方法和人工智能能力进行诊断。作者指出,数字方法和人工智能(AI)在妇科疾病诊断方面具有很大的潜力,因为它可以非常准确和快速地分析医学图像和其他医学数据。例如,人工智能可以通过识别数字图像和筛查测试中的异常情况来帮助诊断宫颈癌。使用人工智能还可以帮助识别其他妇科疾病,如子宫内膜异位症、子宫肌瘤、息肉等。此外,人工智能可以帮助提高诊断的效率和准确性,并减少处理医疗数据所需的时间。在需要快速诊断以便尽早开始治疗的情况下,这一点尤其重要。但是,需要注意的是,人工智能并不能完全取代医生的经验和专业知识。尽管如此,它可以帮助医生做出更准确的诊断,并制定更有效的治疗策略。
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引用次数: 0
Effect made by the growth of multiple primary malignant tumors on the hypothalamicpituitary-gonadal axis in BALB/c Nude mice of both sexes 多发性原发性恶性肿瘤生长对BALB/c裸小鼠下丘脑-垂体-性腺轴的影响
Pub Date : 2023-05-04 DOI: 10.18137/cardiometry.2023.27.2632
O. Kit, E. Frantsiyants, V. Bandovkina, I. Kaplieva, A. Shikhlyarova, E. Surikova, I. Neskubina, D. Cheryarina, Y. Pogorelova, L. K. Trepitaki, I. Kotieva, L. Rozenko, Marina A. Arzamastseva, E. Agarkova, M. Sergeeva, V. Irina, Neskubina, K. Lidia, Trepitaki, A. Marina, Arzamastseva
The aim was to study changes in the functioning of the hypothalamic-pituitary-gonadal (HPG) axis in BALB/c Nude mice of both sexes with multiple primary malignant tumors (MPMTs). The BALB/c Nude mice (n=84) of both sexes were divided into groups as follows: intact males and females (n=14), a reference group of mice of both sexes with standard subcutaneous inoculation of B16/F10 melanoma (n=14); the main group of mice with the reproduction of the MPMT model (n=14); B16/ F10 melanoma and Lewis carcinoma were inoculated into mice sequentially subcutaneously on two sides: one on the left side and the other on the right side. After 15 days of the growth of the malignant tumors, GnRH, LH and FSH contents were determined by ELISA using standard kits in 1% of the homogenates of the hypothalamic and pituitary tissues, and estradiol content (E2) was determined in 10% homogenates of ovaries and testes, as well concentrations of testosterone (T) and progesterone (P4) were identified in blood serum with the standard RIA kits (Immunotech, Czech Republic). Results. In the hypothalamus in females of the reference and main groups, the level of GnRH increased by 2.5-4 times, and in males it decreased by an average of 3.1 times; in response to those changes in animals of both sexes in the reference group and in the main group only in females in the pituitary gland the level of LH increased by 1.3-1.6 times, however a decrease in FSH in all groups was more pronounced in females: by 7.8-13.7 times and less pronounced in males: by 1.4-1.7 times (р˂0, 05). In the gonads of females, the level of E2 increased, but the levels of T and P4 decreased, while P4 increased in males. Blood parameters did not reflect hormonal changes in the organs. Conclusion. Abnormalities in the HHG axis performance, along with primary immunodeficiency, play a decisive role in overcoming antitumor protection for uncharacteristic malignant tumors.
目的是研究患有多种原发性恶性肿瘤(MPMT)的两性BALB/c裸鼠下丘脑-垂体-性腺(HPG)轴功能的变化。将两种性别的BALB/c裸鼠(n=84)分为以下组:完整的雄性和雌性(n=14),这是一组具有B16/F10黑色素瘤标准皮下接种的两种性别小鼠的参考组(n=14;具有MPMT模型繁殖的主要小鼠组(n=14);将B16/F10黑色素瘤和Lewis癌依次接种到小鼠的两侧皮下:一个在左侧,另一个在右侧。恶性肿瘤生长15天后,使用标准试剂盒通过ELISA在1%的下丘脑和垂体组织匀浆中测定GnRH、LH和FSH含量,在10%的卵巢和睾丸匀浆中测定雌二醇含量(E2),以及用标准RIA试剂盒(Immunotech,捷克共和国)鉴定血清中睾酮(T)和孕酮(P4)的浓度。后果在参考组和主要组的雌性下丘脑中,GnRH水平增加了2.5-4倍,雄性平均下降了3.1倍;在参考组和主要组中,雌性动物垂体中的LH水平增加了1.3-1.6倍,但所有组中FSH的下降在雌性动物中更为明显:减少了7.8-13.7倍,在雄性动物中不太明显:减少1.4-1.7倍(р0,05)。在雌性性腺中,E2水平升高,但T和P4水平降低,而P4水平升高。血液参数不能反映器官中的激素变化。结论HHG轴表现的异常,以及原发性免疫缺陷,在克服异常恶性肿瘤的抗肿瘤保护方面起着决定性作用。
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引用次数: 0
Secondary metabolites of Schisandra chinensis in homeostasis regulator adaptogen herbal formula for preventive oncology 用于预防肿瘤的体内平衡调节适应原中药配方中五味子的次级代谢产物
Pub Date : 2023-05-04 DOI: 10.18137/cardiometry.2023.27.6374
O. Bocharova, Ilia V. Kazeev, V. E. Shevchenko, N. Ionov, O. P. Sheichenko, E. Bocharov, Regina V. Karpova, V. Kucheryanu, A. Lagunin, D. Filimonov, Vyacheslav B. Kosorukov, V. Poroikov, V. Tutelyan, N. V. Pyatigorskaya, A. Victor, Tutelyan
The original herbal formula of homeostasis regulator Multiphytoadaptogen (MPhA) for preventive oncology developed by the N.N. Blokhin Center of Oncology containing phytocomponents from Schizandra chinensis has been investigated in vitro, in vivo and in clinical studies. The MPhA multi-target effects are achieved by optimizing the functioning of the nervous, immune and endocrine defense systems that regulate homeostasis under stress. Everything that has been previously studied for MPhA can be considered as preclinical testing, including clinical research, which can be regarded as the pilot studies. This was allowed because MPhA in Russia is registered as a parapharmaceutical agent and therefore standardized according to established requirements. However, due to the high efficiency of MPhA, a detailed study of the chemical composition and standardization of it is required, including the composition of Schisandra chinensis Baill (Schisandraceae) active components, which turned out to be translocated into MPhA as a result of the extraction technology developed. So, for MPhA identification and standardization we detected the secondary metabolites in the herbal formula MPhA as well as in fruits extract of Schisándra chinénsis using high-performance liquid chromatography in combination with mass spectrometry. Chromatography was performed on an ACQUITY UPLC BEH C18 column in a gradient mode. A TSQ Vantage triple quadrupole mass spectrometer with electrospray ionization was used. Lignans Schizandrin and Schizantherin A were identified in the MPhA as well as in Schisándra chinénsis fruits extract obtained by the technology developed. The determined secondary metabolites can be used for standardization and quality testing of the herbal formula MPhA. In addition, we performed in silico analyzes of Schizandrin and Schizantherin A biological activity spectra using computer program PASS (Prediction of Activity Spectra for Substances). Schizandrin and Schizantherin A activities, according the scientific literature and in silico analysis, correspond to the properties studied for MPhA which therefore fits into the concept of a drug – homeostasis regulator adaptogen for preventive oncology.
已在体外、体内和临床研究中研究了由N.N.Blokhin肿瘤学中心开发的用于预防肿瘤学的稳态调节因子多羟基蟾蜍适配体(MPhA)的原始草药配方,该配方含有五味子的植物成分。MPhA的多靶点效应是通过优化神经、免疫和内分泌防御系统的功能来实现的,这些系统在压力下调节体内平衡。之前对MPhA进行的所有研究都可以被视为临床前测试,包括临床研究,这些研究可以视为试点研究。这是允许的,因为MPhA在俄罗斯注册为副药物制剂,因此根据既定要求进行了标准化。然而,由于MPhA的高效性,需要对其化学组成和标准化进行详细研究,包括五味子科活性成分的组成,由于开发的提取技术,这些成分被转化为MPhA。因此,为了鉴定和标准化MPhA,我们使用高效液相色谱法结合质谱法检测了草药配方MPhA以及五味子果实提取物中的次级代谢产物。色谱法在ACQUITY UPLC BEH C18柱上以梯度模式进行。使用TSQ Vantage三重四极杆质谱仪进行电喷雾电离。在MPhA以及通过开发的技术获得的五味子果实提取物中鉴定出木质素Schizandrin和Schizanherin A。所测定的次级代谢产物可用于中药配方MPhA的标准化和质量检测。此外,我们使用计算机程序PASS(物质活性谱预测)对五味子甲素和五味子甲素的生物活性谱进行了计算机分析。根据科学文献和计算机分析,Schizandrin和Schizanherin A的活性与MPhA的研究性质相对应,因此符合预防性肿瘤学的药物稳态调节适应原的概念。
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引用次数: 0
Effects of cardiopulmonary bypass on liver function in patients undergoing cardiac surgery 体外循环对心脏手术患者肝功能的影响
Pub Date : 2023-05-04 DOI: 10.18137/cardiometry.2023.27.194199
A. P. Reddy, R. Sunitha, P. Thangavel, J. Ramkumar, S. Miller
Cardiopulmonary bypass (CPB) might have several systemic impacts on organs such as the liver. This prospective research was designed to investigate the occurrence & significance of this shift in more depth.40 patients of cardiopulmonary bypass were chosen at random for the research. After coronary artery bypass grafting, total bilirubin, direct bilirubin, Alkaline Phosphatase (ALP), SGOT, & SGPT were determined preoperatively & post operation after 24, 48 hours. The liver function tests’ (LFT) post-operative value, in relation to above factors, was compared with preoperative value using t test. The results show a statistically significant increase (p ≤ 0.05) in total bilirubin, direct bilirubin, Alkaline Phosphatase, SGOT, & SGPT on post-operative days 1 & 2 in patients who had complex surgeries & valve replacement surgeries while on CPB. Low cardiac output may be related with a transient rise in hepatic enzyme levels following surgery. Throughout the post-operative period, hepatic enzyme levels were higher in patients with longer CPB durations.
体外循环(CPB)可能会对肝脏等器官产生多种系统性影响。这项前瞻性研究旨在调查这种转变在更多部门的发生和意义。随机选择40名体外循环患者进行研究。冠状动脉搭桥术后,术前和术后24、48小时测定总胆红素、直接胆红素、碱性磷酸酶(ALP)、SGOT和SGPT。肝功能测试(LFT)的术后价值与上述因素有关,并用t检验与术前价值进行比较。结果显示,在CPB期间进行复杂手术和瓣膜置换手术的患者,术后第1天和第2天,总胆红素、直接胆红素、碱性磷酸酶、SGOT和SGPT有统计学意义的增加(p≤0.05)。心输出量低可能与手术后肝脏酶水平的短暂升高有关。在整个术后期间,CPB持续时间较长的患者肝脏酶水平较高。
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引用次数: 0
Interaction between the mother and the fetus in the aspect of immunology 从免疫学角度看母亲与胎儿的相互作用
Pub Date : 2023-05-04 DOI: 10.18137/cardiometry.2023.27.233236
T. Onbysh, M. Vilkova, E.E. Dubovik, E. A. Nosov
The article deals with the interaction between the mother and the fetus in the aspect of immunology. The immunological problems which the maternal immune system may encounter in pregnancy and their potential negative effects on the fetal health are also of interest to us. Therefore, it is necessary to consider the features of the interaction between the fetus and the mother, which will allow assessing the prospects for future research in the field of the interaction between the maternal and fetal immune systems for more effective prevention and treatment of immunological problems in pregnancy.
本文从免疫学的角度探讨了母婴之间的相互作用。母体免疫系统在妊娠期可能遇到的免疫问题及其对胎儿健康的潜在负面影响也是我们关注的问题,这将允许评估未来在母体和胎儿免疫系统之间的相互作用领域的研究前景,以更有效地预防和治疗妊娠期的免疫问题。
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引用次数: 0
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Cardiometry
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