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Possibilities of using neural network analysis in the diagnosis of dry eye syndrome 利用神经网络分析诊断干眼症的可能性
Pub Date : 2024-06-01 DOI: 10.29413/abs.2024-9.2.16
E. Taskina, A. A. Solovyova, V. A. Mudrov, S. V. Kharintseva
The prevalence rate of dry eye syndrome varies from 6.5 to 95 %. Diagnostic criteria are based on different methods and/or their combinations and are characterized by heterogeneity.The aim of the study. To identify the risk factors for the development of dry eye syndrome in order to create a technology for early diagnosis of the degree of the disease in young people without concomitant ocular and general somatic pathology.Materials and methods. Fifty patients aged 24 [22; 27] years were examined. We carried out an ophthalmological examination, including autorefractometry, visometry, biomicroscopy, the Norn test, a survey using the author’s questionnaire, and an assessment of the degree of dry eye syndrome using the Ocular Surface Disease Index (OSDI). Three study groups were formed: control group (OSDI = 0–13 points); group 1 – patients with OSDI = 14–22 points; group 2 – patients with OSDI > 22 points.Results. When examining presented independent variables, screen time had the highest normalized importance (100 %), followed by tear film breakup time (58.4 %), smoking (24.3 %), night shifts (22.5 %) and using soft contact lenses (11.1 %). The technology for early diagnosis of the degree of dry eye syndrome is implemented on the basis of a multilayer perceptron, the percentage of incorrect predictions during its training process was 8.0 %. The structure of the trained neural network included 8 input neurons (the value of screen time and tear film breakup time, the presence or absence of smoking, night shifts and/or the use of soft contact lenses), two hidden layers containing 3 and 2 units, respectively, and 3 output neurons.Conclusion. The proposed neural network has no difficulties in assessing the early diagnosis of the severity of dry eye syndrome and can be used in clinical practice.
干眼症的发病率从 6.5% 到 95% 不等。诊断标准基于不同的方法和/或其组合,具有异质性。确定干眼症发病的危险因素,以便在没有同时出现眼部和全身病变的年轻人中建立一种早期诊断干眼症程度的技术。我们对 50 名 24 [22; 27] 岁的患者进行了检查。我们进行了眼科检查,包括自动折射仪、视力测定仪、生物显微镜、诺恩试验,使用作者的问卷进行了调查,并使用眼表疾病指数(OSDI)评估了干眼症的程度。研究共分为三组:对照组(OSDI=0-13分);第一组--OSDI=14-22分的患者;第二组--OSDI大于22分的患者。在研究自变量时,屏幕时间的标准化重要性最高(100%),其次是泪膜破裂时间(58.4%)、吸烟(24.3%)、夜班(22.5%)和使用软性隐形眼镜(11.1%)。早期诊断干眼症程度的技术是在多层感知器的基础上实现的,其训练过程中预测错误的比例为 8.0%。训练好的神经网络结构包括 8 个输入神经元(屏幕时间和泪膜破裂时间值、是否吸烟、夜班和/或使用软性隐形眼镜)、两个分别包含 3 个和 2 个单元的隐藏层以及 3 个输出神经元。拟议的神经网络在评估干眼症严重程度的早期诊断方面没有困难,可用于临床实践。
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引用次数: 0
HIPEC application potential in the treatment of extensive carcinomatosis in ovarian cancer (retrospective study) HIPEC 在治疗卵巢癌广泛癌变中的应用潜力(回顾性研究)
Pub Date : 2024-06-01 DOI: 10.29413/abs.2024-9.2.15
S. Radostev, L. A. Kolomiets, A. Shelekhov, R. A. Zubkov, D. Morikov, А. A. Medvednikov
Background. The high prevalence of advanced forms of cancer currently requires new treatment approaches. Only modern high-tech surgical procedures can provide means for improving the results of treatment.The aim. To study the results of treatment of patients with ovarian cancer with symptoms of peritoneal carcinomatosis using the HIPEC (Hyperthermic IntraPEritoneal Chemotherapy) method.Materials and methods. The study was conducted in Irkutsk Regional Cancer Center and included 88 patients. They were divided into 2 groups: group 1 – primary cytoreductive surgery (CRS) with the HIPEC method (41 patients); group 2 – primary cytoreductive surgery (47 patients). The most important criterion was the peritoneal cancer index (PCI). If the PCI was ≤ 14, we chose cytoreductive surgery with or without HIPEC.Results. PCI analysis showed differences in its values between the study groups (CRS – 10.17 ± 0.952; CRS + HIPEC – 12.93 ± 0.744; p = 0.002). There was an increase in length of stay in patients who underwent major surgeries in combination with HIPEC (21.8 ± 0.9 days versus 14.5 ± 0.6 days in the CRS group; p = 0.001). The CRS + HIPEC group had a longer duration of surgery (394.88 ± 19.935 min vs. 172.98 ± 11.514 min in the CRS group; p = 0.001). There was an increase in the overall percentage of postoperative complications in the CRS + HIPEC group – up to 26.8 % without statistically significant differences with the CRS group – 8.5 % (p = 0.082). The median time of relapse onset in the CRS + HIPEC group was 26 ± 4.3 months, while in the CRS group it was 18 ± 2.6 months.Conclusion. Using HIPEC method has proven its significance in increasing diseasefree survival.
背景。目前,晚期癌症的高发病率需要新的治疗方法。只有现代高科技外科手术才能为改善治疗效果提供手段。研究采用 HIPEC(腹膜内热化疗)方法治疗伴有腹膜癌症状的卵巢癌患者的效果。研究在伊尔库茨克州癌症中心进行,共纳入 88 名患者。他们被分为两组:第1组--采用HIPEC方法的初级细胞复性手术(CRS)(41名患者);第2组--初级细胞复性手术(47名患者)。最重要的标准是腹膜癌指数(PCI)。如果PCI≤14,我们就选择使用或不使用HIPEC的腹腔镜手术。PCI分析显示,研究组之间的数值存在差异(CRS - 10.17 ± 0.952;CRS + HIPEC - 12.93 ± 0.744;P = 0.002)。接受大手术并同时接受 HIPEC 治疗的患者住院时间延长(CRS 组为 21.8 ± 0.9 天,CRS 组为 14.5 ± 0.6 天;P = 0.001)。CRS+HIPEC组的手术时间更长(394.88±19.935分钟对CRS组的172.98±11.514分钟;P = 0.001)。CRS+HIPEC组的术后并发症总比例增加了,高达26.8%,与CRS组的8.5%相比,差异无统计学意义(p = 0.082)。CRS+HIPEC组的中位复发时间为26±4.3个月,而CRS组为18±2.6个月。结论:HIPEC方法在提高无病生存率方面具有重要意义。
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引用次数: 0
Effect of composite collagen containing hydrogel on the functional activity of fibroblasts after acid-induced in vitro injury 含复合胶原蛋白的水凝胶对酸性体外损伤后成纤维细胞功能活性的影响
Pub Date : 2024-06-01 DOI: 10.29413/abs.2024-9.2.24
P. A. Markov, P. Eremin, I. Gilmutdinova, A. I. Greben, E. Kostromina, А. S. Sokolov, I. A. Artemyeva
It is well known that the acidity of the microenvironment has a significant impact on the functional activity of cells involved in tissue repair. To date, the effect of biomaterials containing components of the human dermis intercellular matrix on fibroblasts under acidosis has not been fully studied.The aim of the study. To evaluate the effect of a composite hydrogel containing dermal components on the functional activity of intact fibroblasts and fibroblasts with acid-induced dysfunction.Materials and methods. To simulate the physicochemical conditions of acute inflammation, human fibroblasts were incubated for an hour at 39 °C in a nutrient medium overacidified to pH = 6. The morphometric characteristics of human skin fibroblasts were assessed using light and fluorescence microscopy methods. The number of apoptotic cells and proliferation index were assessed using flow cytometry.Results. It has been established that exposure of fibroblasts to an acidic medium inhibits their adhesive properties and reduces the rate of cell growth. The introduction of hydrogel into a cell suspension with damaged cells restores adhesive properties and cell growth. In the fibroblast population, after acid exposure, the number of living cells decreases, and the number of apoptotic cells increases. Cultivation of damaged fibroblasts in the presence of a composite hydrogel increases the number of living cells in the population and reduces the number of apoptotic cells. Acid-induced fibroblast damage reduces the proliferative activity index. It was revealed that the introduction of hydrogel into the culture medium stimulates the proliferative activity of both intact and damaged fibroblasts. The results obtained indicate that a composite hydrogel consisting of extracellular matrix components is capable of restoring the functional activity of fibroblasts damaged as a result of exposure to an acidic medium. The results obtained can be used to create biomaterials that increase the efficiency of skin regeneration in cases of excessively intense acute inflammation.
众所周知,微环境的酸度对参与组织修复的细胞的功能活动有重大影响。迄今为止,含有人体真皮细胞间基质成分的生物材料在酸中毒条件下对成纤维细胞的影响尚未得到充分研究。评估含有真皮成分的复合水凝胶对完整成纤维细胞和酸诱导功能障碍成纤维细胞功能活性的影响。为模拟急性炎症的理化条件,将人的成纤维细胞在 39 °C、过酸化至 pH = 6 的营养培养基中培养一小时。使用光学显微镜和荧光显微镜评估人皮肤成纤维细胞的形态特征。使用流式细胞术评估了凋亡细胞的数量和增殖指数。已经证实,成纤维细胞暴露在酸性介质中会抑制其粘附性并降低细胞生长速度。在含有受损细胞的细胞悬浮液中加入水凝胶可恢复粘附性和细胞生长。成纤维细胞暴露于酸性介质后,活细胞数量减少,凋亡细胞数量增加。在有复合水凝胶存在的情况下培养受损的成纤维细胞,可增加群体中活细胞的数量,减少凋亡细胞的数量。酸引起的成纤维细胞损伤降低了增殖活性指数。研究表明,在培养基中加入水凝胶可刺激完整和受损成纤维细胞的增殖活性。研究结果表明,由细胞外基质成分组成的复合水凝胶能够恢复因暴露于酸性培养基而受损的成纤维细胞的功能活性。研究结果可用于制造生物材料,在急性炎症过度剧烈的情况下提高皮肤再生的效率。
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引用次数: 0
Some aspects of laboratory diagnostics of ophthalmodemodecosis 眼病实验室诊断的几个方面
Pub Date : 2024-03-27 DOI: 10.29413/abs.2024-9.1.15
D. A. Popova, Y. V. Kursakova
Demodicosis occupies a leading position among all dermatoses. According to ICD-10, it is not distinguished as a separate disease; it belongs to the class of parasitic diseases. The relevance of studying the problem of ophthalmodemodecosis is caused by its high prevalence and contagiousness, chronic course, an open issue of the role of the Demodex mite in the occurrence of inflammatory eye diseases, as well as the lack of effective methods for treating and preventing this pathology. In addition, Demodex causes discomfort and contributes to the occurrence of cosmetic defects, which in turn worsens the patient’s quality of life.The aim. To present a review of the literature data and our own results of laboratory diagnostics of ophthalmodemodecosis.Materials and methods. The article presents clinical cases of demodectic eyelid lesions with different disease outcomes in case of similar treatment. Laboratory diagnostics included drawing up an acarogram. Epilated eyelashes were used as a material for detecting mites on eyelids. Counting of individuals was carried out using light microscopy; all forms of mite development were taken into account. The work presents the statistics on the frequency of examination of patients with suspected demodicosis at different times of the year, confirming the seasonality of this disease. The literature review included data on the history of studying the Demodex mite, existing hypotheses and theories about its pathogenesis, as well as the information on domestic and foreign methods of treating ophthalmodecosis, including modern hardware techniques.Results. Demodex mites play a significant role in the development of blepharitis and blepharoconjunctivitis. It is important to consider that demodicosis can occur against the background of inflammatory eye diseases of another etiology. Therapy for  ophthalmodemodecosis currently remains complex, lengthy and  ineffective. When assessing the results of an acarogram, any detected stages of a mite are clinically significant, and there isn’t a direct relationship between the number of detected mites and the severity of clinical manifestations in all cases.
脱皮症在所有皮肤病中占主要地位。根据《国际疾病分类》(ICD-10),它不作为一种单独的疾病,而是属于寄生虫病。研究眼部蜕皮病问题的意义在于它的高发病率和传染性、慢性过程、蜕皮螨在炎症性眼病发生中的作用这一未决问题,以及缺乏治疗和预防这种病症的有效方法。此外,螨虫还会引起不适,导致外观缺陷的发生,进而恶化患者的生活质量。材料与方法。文章介绍了眼睑脱畸形病变的临床病例,这些病例在接受类似治疗的情况下疾病结果各不相同。实验室诊断包括绘制眼尖图。用脱毛的睫毛作为检测眼睑螨虫的材料。使用光学显微镜对螨虫个体进行计数,并考虑到螨虫发育的所有形式。该研究对一年中不同时期疑似脱皮症患者的检查频率进行了统计,证实了这种疾病的季节性。文献综述包括德氏螨的研究历史数据、关于其发病机制的现有假说和理论,以及国内外治疗眼螨病的方法,包括现代硬件技术的相关信息。螨虫在睑缘炎和睑结膜炎的发病中起着重要作用。重要的是要考虑到螨虫病可能是在其他病因引起的炎症性眼病的背景下发生的。目前,眼脱皮症的治疗仍然复杂、漫长且效果不佳。在评估螨虫图结果时,任何阶段的螨虫检测结果都具有临床意义,但并非所有病例中检测到的螨虫数量与临床表现的严重程度都有直接关系。
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引用次数: 0
Intraocular dirofilariasis: Surgical approaches, features of the clinical course (clinical case) 眼内丝虫病:手术方法、临床病程特点(临床病例)
Pub Date : 2024-03-27 DOI: 10.29413/abs.2024-9.1.14
E. V. Arkhipov, V. A. Zaika, S. V. Kuzmin, D. Samsonov, M. D. Nefedieva, K. R. Zhuravskaya
The  aim. To  present a  clinical case of  surgical treatment of  parasitic invasion of the vitreous body caused by dirofilaria.Material and methods. One patient with intraocular dirofilariasis got operated underwent surgical treatment including vitrectomy, phacoemulsification with implantation of an intraocular lens. At the stage of vitrectomy, a whole helminth was removed from the vitreal cavity using collet tweezers for subsequent typing. The uncorrected visual acuity of the right eye at the time of treatment was 0.4, of the left eye – 0.45.Results. The  postoperative period had no  signs of  an  active inflammatory reaction. 4 months after surgical treatment, at a follow-up visit, visual acuity of the left eye reached 1.0. According to the parasitological study, a female Dirofilaria repens was identified. In the postoperative period, the areas of pronounced chorioretinal atrophy in the peripheral parts of the retina were visualized, which may be a consequence of mechanical contact of the parasite or the toxic effects of its metabolic products.Conclusion. This  clinical example demonstrates the  possibility of  infection with the  ocular form of  dirofilariasis in  a  region that is  atypical for  the  presence of this helminth. Despite the positive outcome of the disease, in the presented patient, the long-term presence of the parasite in the vitreal cavity led to the formation of chorioretinal atrophy in the peripheral retina, which confirms the need for timely diagnosis and surgical treatment.
目的介绍一例手术治疗由双丝蚴引起的玻璃体内寄生虫入侵的临床病例。一名眼内双丝蚴病患者接受了手术治疗,包括玻璃体切除术、超声乳化术和眼内人工晶体植入术。在玻璃体切除术阶段,使用夹头镊子从玻璃体腔中取出整条蠕虫,以便随后进行分型。治疗时右眼的未矫正视力为 0.4,左眼为 0.45。术后没有出现活动性炎症反应的迹象。手术治疗 4 个月后,复诊时左眼视力达到 1.0。根据寄生虫学研究,确定为雌性狄罗非拉寄生虫。术后,视网膜周边部位出现了明显的脉络膜萎缩,这可能是寄生虫机械接触或其代谢产物毒性作用的结果。这个临床病例表明,在一个非典型双丝蚴病存在的地区,有可能感染眼部双丝蚴病。尽管该病的治疗效果良好,但由于寄生虫长期存在于玻璃体腔内,导致周围视网膜形成脉络膜萎缩,因此需要及时诊断和手术治疗。
{"title":"Intraocular dirofilariasis: Surgical approaches, features of the clinical course (clinical case)","authors":"E. V. Arkhipov, V. A. Zaika, S. V. Kuzmin, D. Samsonov, M. D. Nefedieva, K. R. Zhuravskaya","doi":"10.29413/abs.2024-9.1.14","DOIUrl":"https://doi.org/10.29413/abs.2024-9.1.14","url":null,"abstract":"The  aim. To  present a  clinical case of  surgical treatment of  parasitic invasion of the vitreous body caused by dirofilaria.Material and methods. One patient with intraocular dirofilariasis got operated underwent surgical treatment including vitrectomy, phacoemulsification with implantation of an intraocular lens. At the stage of vitrectomy, a whole helminth was removed from the vitreal cavity using collet tweezers for subsequent typing. The uncorrected visual acuity of the right eye at the time of treatment was 0.4, of the left eye – 0.45.Results. The  postoperative period had no  signs of  an  active inflammatory reaction. 4 months after surgical treatment, at a follow-up visit, visual acuity of the left eye reached 1.0. According to the parasitological study, a female Dirofilaria repens was identified. In the postoperative period, the areas of pronounced chorioretinal atrophy in the peripheral parts of the retina were visualized, which may be a consequence of mechanical contact of the parasite or the toxic effects of its metabolic products.Conclusion. This  clinical example demonstrates the  possibility of  infection with the  ocular form of  dirofilariasis in  a  region that is  atypical for  the  presence of this helminth. Despite the positive outcome of the disease, in the presented patient, the long-term presence of the parasite in the vitreal cavity led to the formation of chorioretinal atrophy in the peripheral retina, which confirms the need for timely diagnosis and surgical treatment.","PeriodicalId":505136,"journal":{"name":"Acta Biomedica Scientifica","volume":"29 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140373901","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
Effect of subchronic exposure to manganese on mineral metabolism in Wistar rats 亚慢性接触锰对 Wistar 大鼠矿物质代谢的影响
Pub Date : 2024-03-27 DOI: 10.29413/abs.2024-9.1.21
T. Kazakova, O. Marshinskaia, S. Notova
Background. The presence of increased manganese concentrations in soils and water intakes areas for drinking and household purposes in a number of the Russian Federation subjects indicates the  chronic influence of this metal on all segments of the population. This situation is aggravated by violation of the optimal nutrition principles, which leads to changes in the organism absorption of micronutrients. In this regard, the study of the elemental status of an organism against the background of manganese exposure is of particular importance.The aim. To study the effects of subchronic exposure to manganese on the mineral status of Wistar rats.Materials and methods. To  conduct the study, 20  mature rats were selected, from which two groups were formed – control (n = 10) and experimental (n = 10). Animals in the control group received a general diet, animals in the experimental group received a diet with additional administration of manganese sulfate at a dose of 1433 mg/kg for 28 days. At the end of the preparatory period, blood and brain samples were taken to determine the content of chemical elements using inductively coupled plasma mass spectrometry and of metal-ligand manganese forms using high-performance liquid chromatography combined with inductively coupled plasma mass spectrometry.Results. It has been established that subchronic oral exposure to manganese leads to an increase in the content of this microelement in the blood serum and to a decrease in the levels of calcium, potassium, magnesium, iron and copper. In the cerebral cortex, the level of manganese, lead, mercury and strontium increases against the background of a decrease in iron and iodine levels. An increase in the gross content of manganese in blood serum leads to an overload of the main high-molecular carriers and initiates the formation of low-molecular forms of manganese.Conclusion. Subchronic oral exposure to manganese leads to the accumulation of this microelement in the body of animals and to the development of an imbalance of a number of macro- and microelements.
背景。俄罗斯联邦一些地区的土壤和饮用水及家庭用水中锰浓度的增加表明,这种金属对所有人群都有长期影响。违反最佳营养原则会导致机体对微量元素的吸收发生变化,从而加剧这种状况。因此,在锰暴露的背景下研究机体的元素状况尤为重要。研究亚慢性接触锰对 Wistar 大鼠矿物质状况的影响。为了进行这项研究,选取了 20 只成年大鼠,从中分成两组--对照组(n = 10)和实验组(n = 10)。对照组的动物接受普通饮食,实验组的动物在饮食中添加剂量为 1433 毫克/千克的硫酸锰,持续 28 天。在准备期结束时,采集血液和大脑样本,利用电感耦合等离子体质谱法测定化学元素的含量,并利用高效液相色谱法结合电感耦合等离子体质谱法测定金属配体锰的含量。已经证实,亚慢性口服锰暴露会导致血清中这种微量元素含量的增加以及钙、钾、镁、铁和铜含量的降低。在大脑皮层中,锰、铅、汞和锶的含量增加,而铁和碘的含量下降。血清中锰总含量的增加导致主要的高分子载体超载,并开始形成低分子形式的锰。亚慢性口服锰导致这种微量元素在动物体内积累,并导致多种宏量和微量元素失衡。
{"title":"Effect of subchronic exposure to manganese on mineral metabolism in Wistar rats","authors":"T. Kazakova, O. Marshinskaia, S. Notova","doi":"10.29413/abs.2024-9.1.21","DOIUrl":"https://doi.org/10.29413/abs.2024-9.1.21","url":null,"abstract":"Background. The presence of increased manganese concentrations in soils and water intakes areas for drinking and household purposes in a number of the Russian Federation subjects indicates the  chronic influence of this metal on all segments of the population. This situation is aggravated by violation of the optimal nutrition principles, which leads to changes in the organism absorption of micronutrients. In this regard, the study of the elemental status of an organism against the background of manganese exposure is of particular importance.The aim. To study the effects of subchronic exposure to manganese on the mineral status of Wistar rats.Materials and methods. To  conduct the study, 20  mature rats were selected, from which two groups were formed – control (n = 10) and experimental (n = 10). Animals in the control group received a general diet, animals in the experimental group received a diet with additional administration of manganese sulfate at a dose of 1433 mg/kg for 28 days. At the end of the preparatory period, blood and brain samples were taken to determine the content of chemical elements using inductively coupled plasma mass spectrometry and of metal-ligand manganese forms using high-performance liquid chromatography combined with inductively coupled plasma mass spectrometry.Results. It has been established that subchronic oral exposure to manganese leads to an increase in the content of this microelement in the blood serum and to a decrease in the levels of calcium, potassium, magnesium, iron and copper. In the cerebral cortex, the level of manganese, lead, mercury and strontium increases against the background of a decrease in iron and iodine levels. An increase in the gross content of manganese in blood serum leads to an overload of the main high-molecular carriers and initiates the formation of low-molecular forms of manganese.Conclusion. Subchronic oral exposure to manganese leads to the accumulation of this microelement in the body of animals and to the development of an imbalance of a number of macro- and microelements.","PeriodicalId":505136,"journal":{"name":"Acta Biomedica Scientifica","volume":"23 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140374764","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
Ideas about the stressfulness of the parental role in potential parents: objective and subjective determinants 潜在父母对父母角色压力的看法:客观和主观决定因素
Pub Date : 2024-03-27 DOI: 10.29413/abs.2024-9.1.17
I. Tikhonova, N. S. Shipova, Yu. V. Misiyuk
Studying stress factors of childbirth intentions is an important parameter in population development policy making. There is no data on the comparison of the relative importance of different types of determinants and stress inducing factors of parenting in the scientific literature.The aim. To study the factors determining the ideas about the stressfulness of the parental role among modern youth.Methods. The  sample consisted of  364  students with no  parenting experience. Three groups were identified, differing in their orientation towards having children: a group with a focus on single-child parenting (257 people); group with childfree focus (32 people); group with a focus on multi-child parenting (75 people). The following methods were used: socio-demographic questionnaire; “Parental Stress Scale” (J.O. Berry, W. Jones, 1995; adapted by Yu.V. Misiyuk, I.V. Tikhonova, 2022); “Intensive Parenting Attitudes Questionnaire (M. Liss, H.H. Schiffrin, V.H. Mackintosh, H. Miles-McLean, M.J. Erchull, 2013; adapted by Yu.V. Misiyuk, 2022); express version of the “World Assumptions Scale” (R. Yanoff-Bulman; modified by M.A. Padun, A.V. Kotelnikova; author’s semi-structured interview.Results. We  analyzed the  ideas about  the  stress that  is  associated with fulfilling the  parental role. Parameters that potentially act as  the  factors determining the stressfulness of parenthood are considered. The specificity of ideas on parental stress and its determinants is analyzed in accordance with the dominant orientation towards childbearing.Conclusion. Ideas about the stressfulness of the parental role are determined by objective (age, status of personal relationships, education) and subjective (assessment of family relationship, attitudes towards the need to stimulate the child’s development, essentialism and  satisfaction from  raising children) factors, but  subjective ones have the greatest weight. The specificity of the determination of ideas about parental stress depending on the orientation towards childbearing has been revealed.
研究生育意愿的压力因素是人口发展政策制定中的一个重要参数。在科学文献中,没有关于不同类型的决定因素和育儿压力诱导因素的相对重要性比较的数据。研究现代青年对父母角色压力观念的决定因素。样本由 364 名没有养育子女经验的学生组成。确定了三个群体,他们对生育子女的取向各不相同:注重单子女养育的群体(257 人);注重无子女养育的群体(32 人);注重多子女养育的群体(75 人)。使用的方法如下:社会人口学问卷;"父母压力量表"(J.O. Berry、W. Jones,1995 年;Yu.V. Misiyuk、I.V. Tikhonova,2022 年改编);"强化养育态度问卷"(M. Liss、H.H. Schiffrin、V.H. Mackintosh、H. Miles-McLean、M.J. Erchull,2013 年;Yu.V. Misiyuk,2022 年改编);"世界假设量表"(R. Yanoff-Bulman;M.A. Padun、A.V. Kotelnikova 修改;作者的半结构式访谈。我们分析了与履行父母职责相关的压力观念。我们考虑了可能决定为人父母压力的因素。根据生育的主导取向,分析了有关父母压力及其决定因素的观点的特殊性。关于父母角色压力的想法是由客观因素(年龄、个人关系状况、教育程度)和主观因素(对家庭关系的评价、对刺激孩子发展的必要性的态度、本质主义和养育孩子的满足感)决定的,但主观因素的影响最大。根据生育取向确定父母压力观念的特殊性已经得到揭示。
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引用次数: 0
Prevention and correction of behavioral disorders in rats with metabolic syndrome using a complex phytoadaptogen 利用复合植物适应原预防和纠正代谢综合征大鼠的行为紊乱
Pub Date : 2024-03-27 DOI: 10.29413/abs.2024-9.1.23
Z.V. Dzampaeva, F. Datieva, E. Takoeva, M. Nartikoeva
The aim of the study. To assess the possibility of correction and prevention of behavioral disorders in rats with metabolic syndrome using a complex phytoadaptogen (CPA).Material and methods. The experiment was carried out on 30 male Wistar rats randomized into 3 groups: group 1 – control; group 2 – metabolic syndrome (MS); group 3 – treatment of metabolic syndrome using CPA. In groups 2 and 3, animals were on a high-carbohydrate and high-fat diet for 16 weeks. Group 3 received CPA for 14 days in drinking water after 16 weeks of a diet. CPA consists of official tinctures of Glycyrrhiza glabra, Rhodiola rosea, Acantopanax senticosus at a ratio of 1:2:1. Behavior was analyzed through the “open field” test using Realtimer software (Open Science, Russia). Data were analyzed using GraphPad Prism 8.03 software (GraphPad, USA).Results. The experiment proved that metabolic syndrome is accompanied by increased anxiety (decreased horizontal (p  =  0.017) and  vertical (p  =  0.017) motor activity) and fear (increased periods of immobility (p = 0.011)) in the open field. When corrected with a complex phytoadaptogen, the time spent in the open and closed arms of the maze did not differ statistically significantly from the values of similar control indicators.Conclusion. Based on the data obtained in the group 3 (no statistically significant differences with control) – decreased manifestations of fear and anxiety (increased orientation and research activity) – we can talk about the effectiveness of complex phytoadaptogens as an anxiolytic. The mechanisms underlying this result remain to be explored, emphasizing the role of the autonomic nervous system, leptin and ghrelin in behavior and the influence of complex phytoadaptogens on them.
研究目的评估使用复合植物适应原(CPA)纠正和预防代谢综合征大鼠行为紊乱的可能性。实验以 30 只雄性 Wistar 大鼠为对象,随机分为 3 组:第 1 组--对照组;第 2 组--代谢综合征 (MS);第 3 组--使用 CPA 治疗代谢综合征。第 2 组和第 3 组的动物连续 16 周食用高碳水化合物和高脂肪饮食。第 3 组动物在饮食 16 周后,在饮用水中添加 14 天的 CPA。CPA由甘草、红景天和刺五加的正式酊剂组成,比例为1:2:1。使用 Realtimer 软件(Open Science,俄罗斯)通过 "空场 "测试对行为进行分析。数据使用 GraphPad Prism 8.03 软件(GraphPad,美国)进行分析。实验证明,代谢综合征伴随着焦虑(水平(p = 0.017)和垂直(p = 0.017)运动活动减少)和恐惧(静止不动时间增加(p = 0.011))。在使用复合植物适应原进行校正后,在迷宫的开放臂和封闭臂中花费的时间与类似对照指标的数值没有显著的统计学差异。根据第 3 组获得的数据(与对照组相比无显著统计学差异)--恐惧和焦虑表现减少(定向力和研究活动增加)--我们可以认为复合植物适应原具有抗焦虑的功效。这一结果的内在机制还有待探索,重点是自律神经系统、瘦素和胃泌素在行为中的作用以及复合植物适应剂对它们的影响。
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引用次数: 0
The effect of melatonin on the Bcl-2 and Bad proteins expression in ovarian corpus luteum cells after exposure to experimental hyperthermia 褪黑激素对暴露于实验性高热后卵巢黄体细胞中 Bcl-2 和 Bad 蛋白表达的影响
Pub Date : 2024-03-27 DOI: 10.29413/abs.2024-9.1.20
S. Michurina, S. I. Kolesnikov, I. Ishchenko, S. Arkhipov
Background. There  is growing interest in  determining the  role of  melatonin in the regulation of proliferation and apoptosis of ovarian cells at various diseases and destabilizing influences. It is believed that the choice between the implementation of  a  cell  death or  survival program determines the  ratio of  anti-apoptotic and pro-apoptotic proteins.The aim. To identify the effect ofmelatonin onthe expression ofanti-apoptotic Bcl-2 and pro-apoptotic Bad and the Bcl-2/Bad ratio in the ovarian luteocytes of Wistar rats in the acute (day 3) and recovery (days 7 and 14) periods after a single exposure to experimental hyperthermia.Methods. Warming up took no  more than 17  minutes. Melatonin was injected subcutaneously (0.1 mg in 0.2 ml of physiological solution) for 3 days after experimental hyperthermia. Comparison groups included rats with physiological solution injection (control) and  animals after experimental hyperthermia + physiological solution injection. The Bad and Bcl-2 expression was determined immunohistochemically on days 3, 7 and 14 after experimental hyperthermia + physiological solution or melatonin injection.Results. On the day 3 after experimental hyperthermia, the effect of the hormone was not detected. A week after experimental hyperthermia + melatonin injection, the Bad expression area decreased more significantly than in rats after experimental hyperthermia + physiological solution injection, which led to an increase in Bcl-2/ Bad ratio. This indicated an increase in anti-apoptotic protection, blocking the development of the internal apoptosis pathway at this time. 2 weeks after experimental hyperthermia + physiological solution injection, the Bcl-2 area decreased more significantly than the Bad area. As a result, the Bcl-2/Bad ratio decreased almost 2-fold compared to the control group. This indicated the activation of the “mitochondrial branch” of luteocyte apoptosis. 2 weeks after experimental hyperthermia + melatonin injection, the Bad and Bcl-2 areas decreased synchronously, which restored Bcl-2/ Bad to control values.Conclusion. The  melatonin injection after experimental hyperthermia shifts the ratio of Bcl-2/Bad expression areas towards an increase in anti-apoptotic Bcl2 already a  week after the  recovery period and  promotes earlier normalization of Bcl-2/Bad to physiological levels (as early as 2 weeks after experimental hyperthermia + melatonin injection).
背景。人们对确定褪黑激素在各种疾病和不稳定影响下调节卵巢细胞增殖和凋亡的作用越来越感兴趣。人们认为,在执行细胞死亡或存活程序之间的选择决定了抗凋亡蛋白和促凋亡蛋白的比例。确定褪黑激素对Wistar大鼠卵巢黄体细胞中抗凋亡Bcl-2和促凋亡Bad的表达以及Bcl-2/Bad比值的影响。热身不超过 17 分钟。实验性热疗后 3 天,大鼠皮下注射褪黑素(0.2 毫升生理溶液中含 0.1 毫克褪黑素)。比较组包括注射生理溶液的大鼠(对照组)和实验性热疗+生理溶液注射后的动物。在实验性热疗+生理溶液或注射褪黑素后的第3、7和14天,用免疫组化方法测定Bad和Bcl-2的表达。实验性热疗后第 3 天,未检测到激素的作用。实验性热疗+注射褪黑素一周后,Bad表达区的减少比实验性热疗+生理溶液注射后的大鼠更明显,这导致了Bcl-2/Bad比值的增加。这表明抗凋亡保护作用增强,阻断了此时内部凋亡途径的发展。实验性热疗+生理盐水注射 2 周后,Bcl-2 面积比 Bad 面积减少得更明显。因此,与对照组相比,Bcl-2/Bad 比值下降了近 2 倍。这表明黄体细胞凋亡的 "线粒体分支 "被激活。实验性高热+注射褪黑素2周后,Bad和Bcl-2区域同步下降,Bcl-2/Bad恢复到控制值。实验性高热后注射褪黑素会使Bcl-2/Bad表达区的比例在恢复期一周后就转向抗凋亡Bcl2的增加,并促使Bcl-2/Bad更早地恢复到生理水平(最早在实验性高热+注射褪黑素2周后)。
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引用次数: 0
Organizational aspects of medical rehabilitation of patients with respiratory tuberculosis 呼吸系统结核病人医疗康复的组织问题
Pub Date : 2024-03-27 DOI: 10.29413/abs.2024-9.1.19
T. V. Siraeva, O. G. Komissarova, V. V. Romanov
Background. Despite the visible successes of domestic phthisiology at the present time, the problem of medical rehabilitation of patients with tuberculosis remains relevant. In recent years, approaches to medical rehabilitation of patients with various diseases have changed significantly, which entail the need to consider a complex of rehabilitation measures for patients with tuberculosis from the perspective of the Procedures for organizing medical rehabilitation in adults and children and their integration into phthisiatric practice.The aim. To study the organizational aspects of medical rehabilitation of patients with respiratory tuberculosis in the world and the Russian Federation.Methods. We carried out an analysis of domestic and foreign literature, regulatory documents on the organization of rehabilitation for tuberculosis patients for 2018–2023 in electronic databases PubMed/Medline, Google Scholar using terms “tuberculosis, pulmonary/rehabilitation” in English and Russian languages.The  results show a  growing amount of  factual information demonstrating the positive effect of pulmonary rehabilitation in patients with respiratory diseases, including tuberculosis. The analysis revealed defects in the organization of the medical rehabilitation system in the structure of medical care for tuberculosis patients in the Russian Federation. This concerns problems of routing, phasing, organizational models, human and material resources, standardization of the main components of the rehabilitation process, the significance and effectiveness of certain rehabilitation measures, which leads to low availability of rehabilitation care for tuberculosis patients. Deficiencies in the regulatory framework prevent the integration of medical rehabilitation into the practice of TB services.Conclusion. Modern issues of organizing rehabilitation care for patients with tuberculosis require further study and  improvement. The  development of  a  system of medical rehabilitation of patients with tuberculosis helps to increase the effectiveness of treatment, to reduce the number of complications, disability, mortality due to tuberculosis, and to increase the duration and quality of life of patients.
背景。尽管目前国内的结核病学取得了有目共睹的成就,但结核病患者的医疗康复问题依然存在。近年来,各种疾病患者的医疗康复方法发生了显著变化,因此有必要从成人和儿童医疗康复组织程序及其与咽喉病学实践相结合的角度来考虑肺结核患者的综合康复措施。研究世界和俄罗斯联邦呼吸道结核病患者医疗康复的组织方面。我们在电子数据库 PubMed/Medline、Google Scholar 中以英语和俄语 "结核病、肺病/康复 "为关键词,对 2018-2023 年国内外文献、有关结核病患者康复组织的规范性文件进行了分析。结果显示,越来越多的事实信息表明,肺康复对包括结核病在内的呼吸系统疾病患者具有积极作用。分析表明,在俄罗斯联邦肺结核患者医疗保健结构中,医疗康复系统的组织存在缺陷。这涉及路线、分阶段、组织模式、人力和物力资源、康复过程主要组成部分的标准化、某些康复措施的重要性和有效性等问题,导致肺结核患者康复治疗的可用性较低。监管框架的缺陷阻碍了将医疗康复纳入结核病服务实践。为结核病患者组织康复护理的现代问题需要进一步研究和改进。建立肺结核病人医疗康复系统有助于提高治疗效果,减少并发症、残疾和肺结核导致的死亡率,延长病人的生存时间,提高病人的生活质量。
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引用次数: 0
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