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Description of the Incidence among Population of Industrial Cities in the Irkutsk Region 伊尔库茨克地区工业城市人口发病率描述
Pub Date : 2020-05-09 DOI: 10.29413/abs.2020-5.2.12
A. Lisovtsov, Ya. A. Leschenko
The industrial cities of Irkutsk region are a type of socio-ecological systems, the population of which for a long time lives under the combined influence of adverse technogenic and socio-economic factors. The aim of the study was to assess the characteristics of the general incidence of the population of industrial cities in the Irkutsk region (Angarsk, Shelekhov) in the first and second decades of the XXI century. Methods. The morbidity indicators for the appeal of the population for medical care presented by healthcare institu- tions in statistical form N 12 were analyzed. We evaluated the characteristics of diseases detected for the first time inlife (primary incidence). To identify trends in the dynamics of morbidity indicators, the method of regression analysis (linear and quadratic functions with a free term) was used. Results. In the dynamics of the general indicator of the primary incidence in both studied cities, no tendencies for steady growth or decrease were revealed. At the same time, in the dynamics of indicators for some classes of diseases, there were statistically significant trends in the increase in incidence (classes of diseases of the musculoskeletal system, diseases of the genitourinary system, respiratory diseases), as well as trends in the decrease in incidence (classes of infectious diseases, neoplasms and skin diseases). Conclusion. The changes in the structure of primary morbidity that have occurred over 14 years indicate pathomor- phism of the pathology, for which the population is seeking medical help. An increase in the prevalence of diseases of the musculoskeletal system, diseases of the genitourinary organs and others among the population can be caused by both the aging processes of the population and changes in lifestyle (especially young people) that occur under the influence of negative factors of the sociocultural environment and others.
伊尔库茨克地区的工业城市是一种社会生态系统,其人口长期生活在不利的技术和社会经济因素的综合影响下。本研究的目的是评估二十一世纪头二十年伊尔库茨克地区(安加尔斯克、舍勒霍夫)工业城市人口总体发病率的特点。方法。分析了卫生保健机构n12统计表格中人口就医诉求的发病率指标。我们评估了生命中首次发现的疾病的特征(原发性发病率)。为了确定发病率指标的动态趋势,使用了回归分析方法(线性和带自由项的二次函数)。结果。两个城市的原发性发病率总指标的动态变化均未显示出稳定增长或下降的趋势。与此同时,在某些类别疾病的指标动态中,有统计上显著的发病率上升趋势(肌肉骨骼系统疾病、泌尿生殖系统疾病、呼吸系统疾病),以及发病率下降趋势(传染病、肿瘤和皮肤病)。结论。14年来发生的原发性发病结构的变化表明了病理的病理性,因此人们正在寻求医疗帮助。在人口中,肌肉骨骼系统疾病、泌尿生殖器官疾病和其他疾病的发病率增加可能是由于人口老龄化进程和在社会文化环境和其他负面因素的影响下发生的生活方式变化(特别是年轻人)造成的。
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引用次数: 1
Diagnostic Criteria for Macular Edema Associated with Venous Occlusions 黄斑水肿伴静脉阻塞的诊断标准
Pub Date : 2020-05-09 DOI: 10.29413/abs.2020-5.2.8
A. Shchuko, V. Bukina, A. V. Borisova, T. Iureva
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引用次数: 0
Puncture Surgical Technologies in the Treatment of Facet Syndrome for Spondylarthrosis in the Lumbar Spine (Literature Review) 腰椎椎体关节病小关节综合征的穿刺手术治疗技术(文献综述)
Pub Date : 2020-05-09 DOI: 10.29413/abs.2020-5.2.6
V. Potapov, Z. Koshkareva, A. Zhivotenko, A. Gorbunov, V. Sorokovikov
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引用次数: 0
The Effectiveness of Laser Vaporization in the Treatment of Intervertebral Hernias of the Lumbar Spine 激光汽化治疗腰椎椎间疝的疗效观察
Pub Date : 2020-05-09 DOI: 10.29413/abs.2020-5.2.7
A. Gorbunov, Z. Koshkareva, A. Zhivotenko, V. Potapov, O. Sklyarenko, B. Damdinov, S. D. Glotov
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引用次数: 1
Relationship of Cerebral Hemodynamics and Cerebral Bioelectrical Activity in Patients with Cervical Osteochondrosis 颈椎病患者脑血流动力学与脑生物电活动的关系
Pub Date : 2020-05-09 DOI: 10.29413/abs.2020-5.2.5
I. N. Kinash, T. K. Verkhozina, E. G. Ippolitova
Introduction. Osteochondrosis of the cervical spine is a very common disease that causes a significant decrease in the quality of life of patients. In the case of pronounced changes in the cervical spine with osteochondrosis, there is a violation of blood circulation in the cerebral cortex, which leads to pronounced clinical symptoms. ActA BiomedicA ScientificA, 2020, Том 5, No 2 Неврология и нейрохирургия 29 The aim of this study was to identify a correlation between bioelectrical activity and cerebral hemodynamics in patients with osteochondrosis of the cervical spine. Materials and methods. The examination involved 25 patients of the neurosurgical department who received conservative treatment for exacerbation of osteochondrosis of the cervical spine, and 25 volunteers without a history of diseases of the spine and joints. The cerebral bioelectrical activity and blood flow indicators were recorded in the pool of the common carotid and vertebral arteries. Results. In the main group and the clinical comparison group, the rheographic index and the peripheral vascular resistance index were studied, which characterize both the volume pulse blood filling of the vascular bed and the tone of small and medium caliber arteries. At the same time, the EEG rhythm indices were analyzed: α-, β-, δ-, and θ-waves. An analysis of the intersystem interaction of blood flow indices and the biopotentials of the cortical rhythm of the brain in the main group showed a mismatch in the intra-system connections, which corresponds to the period of the general stress of the body. An analysis of the correlation between the indicators of electroencephalography and rheoencephalography in the control group revealed a stable system of correlation between the indicators, showing intersystem and intrasystem consistency and reflecting a high level of reserve capacity of the body and the state of steady adaptation to adverse factors. Conclusion. The use of simultaneous recording of cerebral hemodynamics and brain biopotentials in patients with osteochondrosis of the cervical spine will allow clinicians to correctly assess the functional state of the central nervous system and to prescribe adequate treatment in a timely manner.
介绍。颈椎骨软骨病是一种非常常见的疾病,会导致患者的生活质量显著下降。如果颈椎出现明显的改变并伴有骨软骨病,则大脑皮层的血液循环受到破坏,从而导致明显的临床症状。生物医学学报,2020,Том 5, No . 2 Неврология * нейрохирургия 29本研究的目的是确定颈椎骨软骨病患者的生物电活动与脑血流动力学之间的相关性。材料和方法。检查对象为25例因颈椎骨软骨病加重而接受保守治疗的神经外科患者和25例无脊柱、关节疾病史的志愿者。记录颈总动脉池和椎动脉池的脑生物电活动和血流指标。结果。主要组和临床对照组分别研究表征血管床容积脉搏充血和中小口径动脉张力的流变学指数和外周血管阻力指数。同时分析脑电图节律指标:α-、β-、δ-、θ-波。对主组血流量指数和脑皮层节律生物电位的系统间相互作用的分析显示,系统内连接不匹配,这与身体的一般应激期相对应。通过对对照组脑电图与脑流变图指标的相关性分析,发现指标间存在稳定的系统相关性,表现出系统间和系统内的一致性,反映了机体的高水平储备能力和对不利因素的稳定适应状态。结论。同时记录颈椎骨软骨病患者的脑血流动力学和脑生物电位将使临床医生能够正确评估中枢神经系统的功能状态,并及时制定适当的治疗方案。
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引用次数: 0
Expression of CD25+ and CD95+ Surface Markers on Peripheral Blood Lymphocytes in Patients with Vibration Disease 振动病患者外周血淋巴细胞CD25+和CD95+表面标志物的表达
Pub Date : 2020-05-09 DOI: 10.29413/abs.2020-5.2.4
S. Kurchevenko, G. Bodienkova
Vibration disease occupies one of the leading places among occupational diseases. The development and course of vi - bration disease is accompanied by disorders in immune system. Aim of the study is to provide a comparative assessment of cells with markers of the early (CD25+) and late (CD95+) stage of lymphocyte activation and to compare them with the phenotypic composition of lymphocytes in patients with vibration disease. Materials and methods. The study includes men aged 36–60 years with vibration disease from exposure to local vibration (26 people) and from combined exposure to local and general vibration (28 people). Results. The most pronounced changes in the system of lymphocyte apoptosis are observed in patients with vibration disease from the combined effects of local and general vibration, manifested by the increase in the number of CD25+ and CD95+-lymphocytes. Increase of quantity of CD25+ at patients with a vibration disease from impact of local vibra tion and from the combined impact of local and general vibration is caused by increase in their number on lymphocytes what the direct correlation dependence between quantity of CD25+-lymphocytes and the number of CD3+, CD4+, CD8+, CD16+, CD20+-lymphocytes testifies to. Conclusions. In patients with vibration disease from the combined effects of local and general vibration, the increase in the number of CD95+ is due to an increase in their density on mature T-lymphocytes, as evidenced by the inverse relationship between the level of CD95+ and the CD3+-lymphocytes. The obtained data should be taken into account in order to develop new effective methods of prevention, treatment and prediction of the course of vibration pathology.
振动病在职业病中占主导地位。振动病的发展和过程都伴随着免疫系统的紊乱。本研究的目的是对具有淋巴细胞活化早期(CD25+)和晚期(CD95+)标记的细胞进行比较评估,并将其与振动病患者淋巴细胞的表型组成进行比较。材料和方法。该研究包括年龄在36-60岁之间的男性,他们因暴露于局部振动(26人)而患有振动病,同时暴露于局部和整体振动(28人)。结果。振动病患者淋巴细胞凋亡系统的变化最明显的是局部振动和全身振动的共同作用,表现为CD25+和CD95+-淋巴细胞数量的增加。振动病患者受局部振动影响及局部振动与全身振动共同影响时CD25+数量增加是由于其对淋巴细胞数量增加所致,CD25+-淋巴细胞数量与CD3+、CD4+、CD8+、CD16+、CD20+淋巴细胞数量之间存在直接的相关依赖关系。结论。在局部和全身振动共同作用的振动病患者中,CD95+数量的增加是由于成熟t淋巴细胞上CD95+密度的增加,CD95+水平与CD3+-淋巴细胞呈负相关关系。为了开发新的有效的预防、治疗和预测振动病理过程的方法,应综合考虑所获得的数据。
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引用次数: 0
Lipid Peroxidation in the Pre-Reactive Period of Cold Injury 冷损伤前反应期的脂质过氧化
Pub Date : 2020-05-09 DOI: 10.29413/abs.2020-5.2.1
V. Nikolaev, S. Sofronova, E. Rumyantsev, Z. Alekseeva, N. Chirikova, N. A. Sleptsova, S. A. Fedorova
Pathological processes in the pre-reactive period of cold injury have not been studied. The purpose of this study is to assess the morphological and biochemical parameters of blood in the body of patients in the pre-reactive period of cold injury. Material and methods. We examined patients with cold injury in the pre-reactive period. Determined: diene conjugates, malonic dialdehyde, the total content of low molecular weight antioxidants, superoxide dismutase activity, catalase, glutathione peroxidase, glutathione reductase, using a SPECORD 40 spectrophotometer. The serum biochemical parameters in the serum were determined by biochemical automator analysis. Statistical processing of the data was performed using IBM SPSS Statistics 19. Results and discussion. Features of the biochemical profile of blood in the pre-reactive period of cold injury in the human body are an increase in concentration of glucose and triacylglycerides in blood, an increase in transaminase activity, as aresult of inflammatory and destructive processes, a decrease in the cholesterol concentration in the blood of patients. At the same time, the pre-reactive period of cold injury is characterized by an increase in monocytes compared with the control, which, in combination with hypoxia, leads to an intensification of lipid peroxidation processes. In addition, the antioxidant protection in the pre-reactive period in the body of patients increased slightly. Conclusion. According to the results of our research, already at the stage of the pre-reactive period of cold injury there is a significant intensification of free radical lipid oxidation processes.
冷损伤前反应期的病理过程尚未研究。本研究的目的是评估冷损伤前反应期患者体内血液的形态学和生化参数。材料和方法。我们检查了反应前期的冷损伤患者。测定:二烯偶联物,丙二醛,低分子量抗氧化剂总含量,超氧化物歧化酶活性,过氧化氢酶,谷胱甘肽过氧化物酶,谷胱甘肽还原酶,使用SPECORD 40分光光度计。采用生化自动仪检测血清生化指标。采用IBM SPSS Statistics 19对数据进行统计处理。结果和讨论。在人体冷损伤反应前,血液生化特征是血液中葡萄糖和甘油三酯浓度升高,转氨酶活性升高,这是炎症和破坏过程的结果,患者血液中胆固醇浓度降低。与此同时,与对照组相比,冷损伤前反应期的特点是单核细胞增加,这与缺氧相结合,导致脂质过氧化过程加剧。此外,患者体内反应前期的抗氧化保护作用略有增加。结论。根据我们的研究结果,在冷损伤的反应前阶段,自由基脂质氧化过程已经显著增强。
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引用次数: 0
Mexametric Assessment of Melanin Level in Children's Skin 儿童皮肤黑色素水平的计量评估
Pub Date : 2020-05-09 DOI: 10.29413/abs.2020-5.2.2
V. Shamrikova, E. Sorokina, E. Dubrovskaya, Y. A. Krakhaleva, E. A. Kurniavkina, Y. Krinitsyna, A. Yakubovich, I. Sergeeva
Background. High predisposition to sunburn in childhood and associated increased risk of malignant skin tumors development, decrease with age. There is a likelihood of a relationship between the described trends and dynamic age related changes in functional state of melanocytes and melanin. Aim: to evaluate the level of melanin in the skin in children of different age. Materials and methods. The study involved 78 children aged from 7 to 17 years, without any disorders of skin pig - mentation. Three groups of observations were formed: Group 1 – 28 children from 7 to 9 years, Group 2 – 25 children from 10 to 12 years, Group 3 – 25 children from 16 to 17 years. The melanin level was evaluated in the skin of face, body and extremities using mexametry. Results. The highest level of skin melanin was observed in forearms and lower legs in all age groups (up to 28.3 ± 10.8, 23.3 ± 8.6 and 26.7 ± 10.6 c.u. in Group 1, 2 and 3 respectively), the lowest – in cheeks and chest (up to 8.0 ± 4.7, 4.4 ± 3.4 and 9.5 ± 4.1 c.u. in Group 1, 2 and 3 respectively). There were relationships between skin site and level of melanin, but no relationships between level of melanin and gender or age. Findings. The level of melanin in the skin in children aged from 7 to 17 years is individual and depends on the location of the skin area, but does not depend on gender or age. The distribution of melanin in the skin is stable and does not change over time. of Melanin
背景。儿童期易患晒伤和相关的恶性皮肤肿瘤发展风险增加,随着年龄的增长而降低。所描述的趋势与黑素细胞和黑色素功能状态的动态年龄相关变化之间可能存在关系。目的:探讨不同年龄儿童皮肤黑色素水平的变化。材料和方法。这项研究涉及78名年龄在7到17岁之间的儿童,他们没有任何皮肤疾病。分成三组观察:第1组- 28名7 - 9岁的儿童,第2组- 25名10 - 12岁的儿童,第3组- 25名16 - 17岁的儿童。采用测量法测定面部、全身及四肢皮肤黑色素水平。结果。各组皮肤黑色素水平最高的部位为前臂和下肢(1、2、3组分别为28.3±10.8、23.3±8.6和26.7±10.6 c.u.),最低的部位为脸颊和胸部(1、2、3组分别为8.0±4.7、4.4±3.4和9.5±4.1 c.u.)。皮肤部位和黑色素水平之间存在关系,但黑色素水平与性别或年龄之间没有关系。发现。7至17岁儿童皮肤中的黑色素水平是因人而异的,取决于皮肤区域的位置,但与性别或年龄无关。黑色素在皮肤中的分布是稳定的,不会随着时间的推移而改变。的黑色素
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引用次数: 1
Free Radical Oxidation and Sleep Disorders in Andro- and Menopause (Literature Review) 自由基氧化与绝经期睡眠障碍(文献综述)
Pub Date : 2020-03-17 DOI: 10.29413/abs.2020-5.1.4
N. Semenova, I. Madaeva, L. Kolesnikova
This review presents data on changes in the physiology of sleep during reproductive aging. It is noted that insomnia and obstructive sleep apnea syndrome (OSAS) are the main sleep disorders. The results of foreign and domestic studies in the field of free radical oxidation during sleep deprivation in animal models are presented, indicating the dependence of processes on the duration of sleep deprivation. The largest number of studies of free radical processes in a person with somnological pathology was carried out in the study of OSAS. Blood, urine, saliva, condensate of exhaled air can be biomaterial for determining the parameters of free radical oxidation. It was shown that the intensity of oxidative stress depends on the severity of OSAS, as evidenced by the positive correlation of the level of active products of thiobarbituric acid, the products of oxidation of proteins and carbonyl groups with the apnea/hypopnea index, determining the development of not only oxidative, but also carbonyl stress in patients with a severe degree OSAS. Biomarkers such as thioredoxin, malondialdehyde, superoxide dismutase, and reduced iron have shown a more stable relationship between increased oxidative stress and OSA. Despite the results obtained, the question of the association of oxidative stress and hypoxia in OSA remains debatable, which is associated with the opposite results of some studies. Insomnia, which occurs mainly in females, is accompanied by a high level of end products of lipid peroxidation with a decrease in the activity of antioxidants such as paraoxonase, an enzymatic component of the glutathione system. Along with this, menopausal women present low levels of uric acid, which correlates with high scores of the Pittsburgh sleep quality index questionnaire. Recent studies have identified an association between the activity of the «lipoperoxidation – antioxidants» system and the Clock 3111T/C gene polymorphism in menopausal Caucasian women, indicating the protective role of the minor allele.
这篇综述介绍了生殖衰老过程中睡眠生理学变化的数据。值得注意的是,失眠和阻塞性睡眠呼吸暂停综合征(OSAS)是主要的睡眠障碍。本文介绍了国内外在动物模型中睡眠剥夺过程中自由基氧化的研究结果,表明该过程与睡眠剥夺持续时间有关。对睡眠病理患者体内自由基过程的研究最多的是对OSAS的研究。血液、尿液、唾液、呼出空气的冷凝物可作为测定自由基氧化参数的生物材料。结果表明,氧化应激的强度取决于OSAS的严重程度,硫代巴比妥酸活性产物、蛋白质氧化产物和羰基氧化产物的水平与呼吸暂停/低通气指数呈正相关,这不仅决定了重度OSAS患者氧化应激的发展,也决定了羰基应激的发展。生物标志物如硫氧还蛋白、丙二醛、超氧化物歧化酶和还原铁已显示出氧化应激增加与OSA之间更稳定的关系。尽管获得了这些结果,但氧化应激和缺氧在OSA中的关联问题仍然存在争议,这与一些研究的相反结果有关。失眠主要发生在女性身上,伴随着高水平的脂质过氧化终产物,以及抗氧化剂活性的降低,如对氧化酶(谷胱甘肽系统的一种酶成分)。与此同时,更年期妇女的尿酸水平较低,这与匹兹堡睡眠质量指数问卷的高分有关。最近的研究已经确定了绝经期高加索妇女的“脂质过氧化-抗氧化剂”系统的活性与Clock 3111T/C基因多态性之间的关联,表明了小等位基因的保护作用。
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引用次数: 2
Comparative Analysis of Blood and Marrow Cellular Structure of White Mice Infected With Bacillus Anthracis Different Genotypes 不同基因型炭疽芽孢杆菌感染小白鼠血液和骨髓细胞结构的比较分析
Pub Date : 2020-03-17 DOI: 10.29413/abs.2020-5.1.10
V. .. Dubrovina, T. P. Starovoitova, E. V. Kravets, T. Ivanova, Z. F. Dugarzhapova, O. Gavrilova, O. V. Yur’eva, T. T. Shkaruba, S. Balakhonov
Background. Detection of the pathogenicity factors is one of the actual directions in studying of the anthrax causative agent. First of all, it includes the presence of tripartite toxin, capsule and the related structural and regulatory genes. Their presence or absence is defined by structural changes in cellular structure of blood and immunocomplex organs of a macroorganism.Objective: To conduct a comparative analysis of subpopulational structure of marrow and peripheral blood cells at anthrax infection in experimental animals and to trace dynamics of the infectious process caused by Bacillus anthracis of different genotypes.Methods. Comparative examination of subpopulational structure of red marrow and peripheral blood cells of white mice in dynamics of the infectious process caused by B. anthracis of different genotypes was conducted. Also, neutrophil maturing index and leucoerythrocytic correlation were calculated in red marrow. Degree of manifestation of neutrophil pathological granularity was revealed in peripheral blood smears stained by the Freifeld’s method. Statistical processing of the received data was conducted using the computer program “Statistics”, version 6 (Novosibirsk). Authentic results were considered if the error probability was less than 0.05 (р < 0.05) in relation to the control.Results. It is revealed that alterations in white mice infected by B. anthracis strains with the same set of plasmids are significantly various.Conclusion. The resulted data permit to assume that the distinction of pathological alterations in peripheral blood and red marrow is probably connected with the other factors of the pathogen invasiveness like enzymatic activity, ability to adhesion and many others.
背景。致病性因子的检测是炭疽病原体研究的实际方向之一。首先包括三方毒素、荚膜及相关结构和调控基因的存在。它们的存在与否取决于大型生物的血液和免疫复合物器官的细胞结构的结构变化。目的:对实验动物炭疽感染时骨髓和外周血细胞亚群结构进行比较分析,探讨不同基因型炭疽芽孢杆菌引起的感染过程动态。对不同基因型炭疽芽胞杆菌感染过程中小白鼠红细胞和外周血亚群结构进行了比较研究。同时计算红骨髓中性粒细胞成熟指数和白细胞相关性。外周血涂片Freifeld染色显示中性粒细胞病理颗粒的表现程度。使用计算机程序“Statistics”第6版(Novosibirsk)对接收到的数据进行统计处理。如果相对于对照结果的误差概率小于0.05(< 0.05),则认为结果是真实的。结果表明,同一组质粒感染炭疽芽胞杆菌的小白鼠,其基因的变化有显著差异。结果数据允许假设外周血和红骨髓病理改变的区别可能与病原体侵袭性的其他因素有关,如酶活性、粘附能力和许多其他因素。
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引用次数: 0
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Acta Biomedica Scientifica (East Siberian Biomedical Journal)
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