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The role of polymorphism of AGT genes (rs4762) and GNB3 (rs5443) in the development of essential hypertension AGT基因(rs4762)和GNB3基因(rs5443)多态性在原发性高血压发生中的作用
Pub Date : 2022-10-27 DOI: 10.24061/2413-0737.xxvi.3.103.2022.4
K. Voroniuk, L. Sydorchuk
Assess the role of the polymorphism of AGT genes (rs4762) and GNB3 genes (rs5443) in the development of the essential arterial hypertension separately and by combining their polymorphic variants.Material and methods. The case-control study involved 100 patients with EAH stage II, 1-3 degrees of blood pressure (BP), high and very high cardiovascular risk. Among the patients, 21% (21) constituted men, and 79%(79) were women. The mean age of patients was 59.86±6.22 y.o. The control group comprised 60 almost healthy individuals, relevant in age (49.13±6.28y.o.) and gender distribution (63% - women, 37% - men). To study of polymorphism of AGT (rs4762) and GNB3 (rs5443) genes, we performed a qualitative polymerase chain reaction (PCR) in real time.Results. In patients with EAG residents of Northern Bukovyna mutated T-allele of AGT gene (rs4762) is found in 15,97% of cases, which is more frequent than in practically healthy by 9,72% (p=0,023); mutations of AGT gene in homozygous species in the control group have not met at all. Binary logistic regression confirmed an increase in the risk of inheriting EAH according to dominant and additive models in carriers of the minor T-allele of the AGT gene (rs4762) almost 3 times higher than in homozygotes for the major C-allele (р=0,04 і р=0,03). Inheritance of EAH is not associated with polymorphic variants of the GNB3 gene (rs5443). Conclusions. Тhe T-allele of the AGT gene (rs4762) increases the risk of development of EAH almost 3 times, while the polymorphic variants of the GNB3 gene (rs5443) are not the predictors of the emergence of EAH in the population.
分别评估AGT基因(rs4762)和GNB3基因(rs5443)多态性在原发性动脉性高血压发病中的作用,并结合其多态性变异进行评估。材料和方法。病例对照研究纳入100例EAH II期患者,血压1-3度(BP),心血管风险高和极高。其中男性21例,占21%,女性79例,占79%。患者平均年龄为59.86±6.22岁,对照组为60例基本健康者,年龄(49.13±6.28岁)和性别分布(女性63%,男性37%)相关。为了研究AGT (rs4762)和GNB3 (rs5443)基因的多态性,我们采用了实时定量PCR方法。在北布科维纳地区的EAG患者中,发现AGT基因t等位基因(rs4762)突变的病例占15.97%,比实际健康人多9.72% (p= 0.023);对照组纯合子种的AGT基因突变完全没有发生。根据显性模型和加性模型,二元逻辑回归证实,携带AGT基因次要t等位基因(rs4762)的人遗传EAH的风险几乎是携带主要c等位基因的纯合子的3倍(χ = 0.04 χ = 0.03)。EAH的遗传与GNB3基因的多态性变异(rs5443)无关。结论。Тhe AGT基因的t等位基因(rs4762)使EAH发生的风险增加了近3倍,而GNB3基因(rs5443)的多态性变异并不是人群中EAH发生的预测因子。
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引用次数: 1
Possibilities of differential diagnostics of livores mortis and bruises at different stages of the time since death using laser polarization methods 激光偏振法鉴别诊断死后不同阶段兽尸和瘀伤的可能性
Pub Date : 2022-10-27 DOI: 10.24061/2413-0737.xxvi.3.103.2022.3
V. Voronov
One of the urgent problems of forensic medicine remains the detection of hemorrhages in soft tissues during examinations of decayed corpses, because late cadaveric phenomena significantly distort the primary morphological picture, thereby complicating the examination. A change in the color of the skin after a few days or later after death most often makes the macroscopic diagnosis of hemorrhages impossible, in particular, their differentiation with livores mortis.The aim of work. To investigate the possibilities of detecting and differentiating bruises in areas of livores mortis at different stages of the time since death by the Muller matrix analysis of polarization images of optically anisotropic polycrystalline networks of human soft tissues. Material and methods. Skin sections with subcutaneous fatty tissue were collected from corpses of persons who died from mechanical injuries. The obtained samples were divided into two groups: intact samples of livores mortis at the stages of hypostasis and imbibition and with existing hemorrhages with a known time since death. Tissue research was carried out using a laser polarimeter of a standard scheme.Results. According to the results of the study, it was established that the values of the statistical moments of the 3rd and 4th orders (S3, S4) of the intensity distributions of laser images of the skin show a statistically significant (р1<0,001) difference between intact areas and when bruises and livores mortis are combined. The values of asymmetry and excess (S3 from 1,23±0,032 to 1,56±0,038; S4 from 1,49±0,024 to 1,94±0,021) for intact samples of livores mortis changed with increasing interval of time since death. Similar changes in S3 and S4 (S3 from 1,54±0,031 to 1,83±0,037; S3from 1,82±0,026 to 2,11±0,023) for skin samples in the areas of localization of livores mortis with existing bruises.Conclusions. Thus, it can be stated that the application of the Mueller matrix analysis method of polarization images of optically anisotropic polycrystalline networks of soft human tissues is effective in detecting and differentiating bruises in the areas of cadaveric spots at different stages of the postmortem interval by conducting a statistical analysis of the values of the statistical moments of 3rd and 4th order.
法医医学的一个紧迫问题仍然是在腐烂尸体的检查中发现软组织出血,因为尸体后期的现象严重扭曲了原始形态学图像,从而使检查复杂化。在死亡后几天或更晚的时间内皮肤颜色的变化通常使肉眼无法诊断出血,特别是与死畜性坏死的鉴别。工作的目的。利用Muller矩阵分析人体软组织光学各向异性多晶体网络的偏振图像,探讨在死后不同阶段检测和鉴别尸死动物瘀伤的可能性。材料和方法。从机械损伤死亡的人的尸体上收集有皮下脂肪组织的皮肤切片。所获得的标本分为两组:一组是处于分泌和吸吸阶段的完整的死狮标本,另一组是死亡后已知时间的出血标本。使用标准方案的激光偏振计进行组织研究。根据研究结果,确定皮肤激光图像强度分布的3阶和4阶(S3, S4)统计矩值在完整区域与合并瘀伤和死畜时具有统计学意义( 1< 0.001)。不对称和过剩(S3)值从1,23±0,032到1,56±0,038;随着死亡时间间隔的增加,完整腐尸标本的S4从1,49±0,024到1,94±0,021不等。S3和S4的变化相似(S3从1,54±0,031到1,83±0,037;从1,82±0,026到2,11±0,023),在已有瘀伤的死狮局部区域的皮肤样本中。由此可见,利用人体软组织光学各向异性多晶网络偏振图像的Mueller矩阵分析方法,通过对三阶和四阶统计矩的值进行统计分析,可以有效地检测和区分死后不同阶段尸体斑点区域的瘀伤。
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引用次数: 0
The influence of time management on the efficiency of the teacher's work 时间管理对教师工作效率的影响
Pub Date : 2022-05-23 DOI: 10.24061/2413-0737.xxvi.1.101.2022.12
O. Mykhaloiko, V. Gryb, M. Kupnovytska-Sabadosh, I. Mykhaloiko, I. Mykhaloiko
Objective. The problem of rational use of time in the teacher's work is quite relevant because the pace of life in modern realities is associated with overload, high demands, and a constant shortage of time, which negatively affects the productivity and quality of the work process.The aim: to analyze the literature on methods and laws of time management, which will help optimize the work of the teacher.Research methods: monitoring of scientific literature related to the rational distribution of time. Results. The principles of saving time are generalized, the importance of goal setting is specified; correctness of priority determination of tasks; emphasis is placed on detecting and eliminating "time thieves"; the importance of monitoring the implementation of the tasks has been proved.Conclusions. The main thing in the practical organization of the teacher's time is the sequence of planning stages, goal setting, decision making, implementation of plans, and control over their performance. Acquisition of time management skills leads to the formation of conscious self-control, concentration, determination, discipline, which increase efficiency.
目标。在教师的工作中合理利用时间的问题是相当相关的,因为现代现实生活的节奏与超负荷、高要求和时间的不断短缺有关,这对工作过程的生产力和质量产生了负面影响。目的:对时间管理的方法和规律进行文献分析,以优化教师的工作。研究方法:监测与时间合理分布有关的科学文献。结果。概括了节约时间的原则,明确了目标设定的重要性;任务优先级确定的正确性;重点是发现和消灭“时间窃贼”;监测任务执行情况的重要性得到了证明。在教师时间的实际组织中,主要是计划阶段的顺序,目标设定,决策,计划的实施,以及对其绩效的控制。获得时间管理技能可以形成有意识的自我控制、专注、决心和纪律,从而提高效率。
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引用次数: 0
Structure of cardiac pathology and some comorbidities, clinical, anamnestic, laboratory and functional characteristics of patients with СOVID-19 (own experience) СOVID-19患者的心脏病理结构及一些合并症、临床、记忆、实验室及功能特点(亲身体会)
Pub Date : 2022-05-23 DOI: 10.24061/2413-0737.xxvi.1.101.2022.8
V. Shumakov, I. Malynovska, N. Tereshchenko, L. Babiy, O. Pogurelska, O. Voloshyna, Y. Kovalchuk, A. Abatiu, Y. Kuzmenko, L. Kisilevich, T. Simagina
Objective. Ɍo study clinical, anamnestic, laboratory and functional indices of patients (pts) with COVID-19 who hospitalized in the transformed unit on the basis of the department of myocardial infarction (MI) and cardiac rehabilitation (CR). Materials and methods. The study included 36 pts with COVID-19: the 1 st group (n = 19) consisted of pts ≤ 65 (57.8 ± 7.8) years, the 2nd group (n = 16) -> 65 (72.5 ± 7.0) years. 4 pts were transferred to the intensive care (2 of them died). Biochemical data, blood samples, indices of ECG, EchoCG, blood oxygen saturation were analyzed. 25 pts underwent computed tomography (ɋɌ). Ferritin, procalcitonin and troponin levels were determined according to indications. In addition to cardiac drugs, medications to treat COVID-19 were prescribed. All pts received pronoposition, oxygen support, exercise therapy, apparatus breathing exercises with resistance on inhalation and exhalation as CR. Results. Arterial hypertension (AH) was diagnosed in 15 (78.9%) pts in the 1st group and in 14 (87.5%) pts in the 2nd group, diabetes mellitus (DM) - in 3 (15.8%) and 5 ( 31.3%) pts, atrial fibrillation (AF) - in 10 (52.6%) and 14 (87.5%) (ɪ=0.03), heart failure (HF) above stage I - in 7 (36.8 %) and in 13 (81.2%) pts (ɪ=0.01), respectively. There was a slight increase in erythrocyte sedimentation rate, growth of stab leukocytes and platelets up to (277,8±102,3 and 182,0±55,8)·109/l (ɪ=0,002) in 1st and 2nd group with decrease of lymphocytes. The CRP level increased almost in two times (9.2 ± 6.1 mg / ml) in 1st group and up to (15,6±7,6 mg / ml) in 2nd group (ɪ=0.01) with values of D-dimer 0,29 ± 0.13 and 0,85±0,23 ng / ml (ɪ=0.09), respectively. At the CT scan lung lesions was 27% and 41% (ɪ=0.06), respectively, without clear relationship with blood oxygen saturation: SpO2 at admission was 92% in both groups with an increase of more than 95% at discharge in patients of 1st group and in the majority of patients in 2nd group (ɪ=0,07). The patients were treated in accordance to the current protocols. The stay in clinic was 11.4 and 15.4 days in 1st in 2nd group. Conclusions1. At admission 30.6% of patients were in a serious condition, while a prehospital diagnosis of COVID-19 was established in 57.7%. 2. In the structure of cardiac pathology and comorbidity, acute infection with SARS COV-2 occurred on the background of AH in 82.9% of patients, AF - in 25.7%, heart failure stage IIA - in 57.1%, diabetes - 22.9%. Except of AH, these conditions were significantly more frequent in the group of older patients and were accompanied with higher levels of CRP (3 times higher than normal) and D-dimer, as well as the area of lung lesions according to CT (41% compared to 27% in the first group) in the absence of a relationship with the index of blood oxygen saturation, which increased from ≤92.0% to 94.9% in the older group and up to 97.6% in the group of patients ≤ 65 years of age at discharged.3. COVID-19 therapy was carried out due to curr
目标。Ɍo以心肌梗死(MI)和心脏康复(CR)科为基础,对改造单位住院的COVID-19患者的临床、记忆、实验室和功能指标进行研究。材料和方法。研究纳入36例COVID-19患者:第一组(n = 19)患者年龄≤65(57.8±7.8)岁,第二组(n = 16)患者年龄> 65(72.5±7.0)岁。4例患者转重症监护,其中2例死亡。分析生化指标、血样、心电图、超声心动图、血氧饱和度等指标。25名患者行计算机断层扫描(ɋɌ)。根据适应症测定铁蛋白、降钙素原和肌钙蛋白水平。除了心脏药物外,还开了治疗COVID-19的药物。所有患者均接受前位、供氧支持、运动治疗、器械呼吸练习和呼吸阻力作为CR。第一组有动脉高血压(AH) 15例(78.9%),第二组有14例(87.5%),糖尿病(DM) 3例(15.8%)和5例(31.3%),房颤(AF) 10例(52.6%)和14例(87.5%)(χ =0.03),ⅰ期以上心力衰竭(HF) 7例(36.8%)和13例(81.2%)(χ =0.01)。第1组和第2组红细胞沉降率略有升高,白细胞和血小板的生长分别为(277,8±102,3和182,0±55,8)·109/l (k =0,002),淋巴细胞减少。CRP水平在第1组几乎两倍升高(9.2±6.1 mg / ml),在第2组高达(15.6±7.6 mg / ml) (/ / 0.01), d -二聚体分别为0.29±0.13和0.85±0.23 ng / ml(/ / 0.09)。CT扫描时肺部病变分别为27%和41% (χ =0.06),与血氧饱和度无明显关系:两组患者入院时SpO2均为92%,出院时第一组患者SpO2升高95%以上,第二组大部分患者SpO2升高95%以上(χ = 0.07)。所有患者均按照现行方案进行治疗。1、2组患者临床停留时间分别为11.4、15.4天。Conclusions1。入院时病情严重的占30.6%,院前诊断为COVID-19的占57.7%。2. 在心脏病理结构和合并症中,82.9%的患者在AH背景下发生急性SARS - COV-2感染,25.7%的患者发生AF -, 57.1%的患者发生心力衰竭IIA期-,22.9%的患者发生糖尿病。除了啊,这些条件更频繁的老年患者,并伴随着较高的CRP正常(3倍)和肺动脉栓塞,肺损伤的面积以及根据CT在第一组(41%相比27%)在缺乏与血氧饱和度指数的关系,从≤92.0%增加到94.9%在年长组和97.6%组患者在discharged.3≤65岁。根据现行方案,2019冠状病毒病治疗于2021年进行。所有患者均接受抗凝剂治疗,60%的患者使用地塞米松(老年患者组使用频率是老年患者组的两倍),74.3%的患者使用维生素D, 77.1%的患者使用抗生素,老年患者的住院时间较长(3天)。
{"title":"Structure of cardiac pathology and some comorbidities, clinical, anamnestic, laboratory and functional characteristics of patients with СOVID-19 (own experience)","authors":"V. Shumakov, I. Malynovska, N. Tereshchenko, L. Babiy, O. Pogurelska, O. Voloshyna, Y. Kovalchuk, A. Abatiu, Y. Kuzmenko, L. Kisilevich, T. Simagina","doi":"10.24061/2413-0737.xxvi.1.101.2022.8","DOIUrl":"https://doi.org/10.24061/2413-0737.xxvi.1.101.2022.8","url":null,"abstract":"Objective. Ɍo study clinical, anamnestic, laboratory and functional indices of patients (pts) with COVID-19 who hospitalized in the transformed unit on the basis of the department of myocardial infarction (MI) and cardiac rehabilitation (CR). Materials and methods. The study included 36 pts with COVID-19: the 1 st group (n = 19) consisted of pts ≤ 65 (57.8 ± 7.8) years, the 2nd group (n = 16) -> 65 (72.5 ± 7.0) years. 4 pts were transferred to the intensive care (2 of them died). Biochemical data, blood samples, indices of ECG, EchoCG, blood oxygen saturation were analyzed. 25 pts underwent computed tomography (ɋɌ). Ferritin, procalcitonin and troponin levels were determined according to indications. In addition to cardiac drugs, medications to treat COVID-19 were prescribed. All pts received pronoposition, oxygen support, exercise therapy, apparatus breathing exercises with resistance on inhalation and exhalation as CR. Results. Arterial hypertension (AH) was diagnosed in 15 (78.9%) pts in the 1st group and in 14 (87.5%) pts in the 2nd group, diabetes mellitus (DM) - in 3 (15.8%) and 5 ( 31.3%) pts, atrial fibrillation (AF) - in 10 (52.6%) and 14 (87.5%) (ɪ=0.03), heart failure (HF) above stage I - in 7 (36.8 %) and in 13 (81.2%) pts (ɪ=0.01), respectively. There was a slight increase in erythrocyte sedimentation rate, growth of stab leukocytes and platelets up to (277,8±102,3 and 182,0±55,8)·109/l (ɪ=0,002) in 1st and 2nd group with decrease of lymphocytes. The CRP level increased almost in two times (9.2 ± 6.1 mg / ml) in 1st group and up to (15,6±7,6 mg / ml) in 2nd group (ɪ=0.01) with values of D-dimer 0,29 ± 0.13 and 0,85±0,23 ng / ml (ɪ=0.09), respectively. At the CT scan lung lesions was 27% and 41% (ɪ=0.06), respectively, without clear relationship with blood oxygen saturation: SpO2 at admission was 92% in both groups with an increase of more than 95% at discharge in patients of 1st group and in the majority of patients in 2nd group (ɪ=0,07). The patients were treated in accordance to the current protocols. The stay in clinic was 11.4 and 15.4 days in 1st in 2nd group. Conclusions1. At admission 30.6% of patients were in a serious condition, while a prehospital diagnosis of COVID-19 was established in 57.7%. 2. In the structure of cardiac pathology and comorbidity, acute infection with SARS COV-2 occurred on the background of AH in 82.9% of patients, AF - in 25.7%, heart failure stage IIA - in 57.1%, diabetes - 22.9%. Except of AH, these conditions were significantly more frequent in the group of older patients and were accompanied with higher levels of CRP (3 times higher than normal) and D-dimer, as well as the area of lung lesions according to CT (41% compared to 27% in the first group) in the absence of a relationship with the index of blood oxygen saturation, which increased from ≤92.0% to 94.9% in the older group and up to 97.6% in the group of patients ≤ 65 years of age at discharged.3. COVID-19 therapy was carried out due to curr","PeriodicalId":9270,"journal":{"name":"Bukovinian Medical Herald","volume":"79 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74010654","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
Possibilities of driver and passenger identification as a result of a comprehensive analysis of injuries inside the interior of a class J car in a head-on collision 对迎面碰撞中J类汽车内部的损伤进行综合分析,从而确定驾驶员和乘客身份的可能性
Pub Date : 2021-12-29 DOI: 10.24061/2413-0737.xxv.4.100.2021.5
V. Zozulia
Objective. To establish the possibility of identification of the driver and passenger as a result of a comprehensive analysis of injuries inside the interior of a class J car in a head-on collision.Materials and methods. 179 fatal traffic accidents were analyzed, of which the injuries of the driver and passenger in a frontal collision in the cabin of a class J car in accordance with the European Economic Classification were considered. Visual inspection and forensic examination were used. The detected damage was entered into the Microsoft Access database. Statistical analysis was performed in Microsoft Excel.Results. The analysis of the received damages by the driver and the passenger showed that in practice in salon of the modern car of a class J, specific signs of identification very seldom meet. Characteristic for the driver are ruptures of the lungs resulting from interaction with the steering column respectively, fractures of the ribs on the right and left, fractures of the sternum. The distribution of limb injuries was marked by a predominance of right-hand orientation - due to contact with the center console: soft tissue injuries of the right arm and right leg. Passengers are characterized by injuries of the left side - the result of interaction with the center console, respectively, were observed: head injury on the left, ruptures of the spleen, damage to soft tissues and bones on the left.Conclusions. Identification of the driver and passenger requires a comprehensive recording and analysis of the damage. Characteristic for the driver are ruptures of the lungs as a result of interaction with the steering column, respectively, fractures of the ribs on the right and left, fractures of the sternum. The distribution of driver limb injuries was marked by a predominance of right-hand orientation due to contact with the center console: soft tissue injuries of the right arm and right leg. Passengers are characterized by injuries of the left side - the result of interaction with the center console, respectively, were observed as follows: head injury on the left, ruptures of the spleen, damage to soft tissues and bones on the left.
目标。通过对一辆迎头相撞的J类汽车内部的损伤进行全面分析,确定识别驾驶员和乘客的可能性。材料和方法。对179起致命交通事故进行了分析,其中考虑了按照欧洲经济分类标准的J类轿车客舱正面碰撞对驾驶员和乘客的伤害。采用目视检查和法医检查。检测到的损坏被输入到Microsoft Access数据库中。在Microsoft excel中进行统计分析。对司机和乘客所受损害的分析表明,在J类现代汽车沙龙实践中,满足特定识别标志的情况很少。司机的特点是肺部分别因与转向柱相互作用而破裂,左右肋骨骨折,胸骨骨折。肢体损伤的分布以右侧为主-由于与中控台接触:右臂和右腿软组织损伤。乘客的特点是左侧受伤——与中控台相互作用的结果,分别观察到:左侧头部受伤,脾脏破裂,左侧软组织和骨骼损伤。识别司机和乘客需要对损坏进行全面的记录和分析。驾驶员的特点是肺部破裂,分别是与转向柱相互作用的结果,左右肋骨骨折,胸骨骨折。驾驶员肢体损伤的分布以与中控台接触的右侧损伤为主:右臂和右腿软组织损伤。乘客的特点是左侧受伤-与中控台相互作用的结果分别观察如下:左侧头部受伤,脾脏破裂,左侧软组织和骨骼损伤。
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引用次数: 0
The role of eosinophil-mediated inflammation in the formation of respiratory remodeling in patients with bronchial asthma of school age children 嗜酸性粒细胞介导的炎症在学龄期儿童支气管哮喘患者呼吸重构形成中的作用
Pub Date : 2021-12-29 DOI: 10.24061/2413-0737.xxv.4.100.2021.3
T. Dubetska, O. Koloskova, G. Bilyk
Objective. To investigate the features of inflammatory changes in the airways, taking into account remodeling markers, determined directly in the sputum of school age children with bronchial asthma, and to optimize the management of this disease.Material and methods. To study the features of the formation of airway remodeling 75 children with persistent bronchial asthma were comprehensively examined on the basis of the Regional Communal Non-Commercial Enterprise "Chernivtsi Regional Children's Clinical Hospital". The children were divided into 2 clinical groups depending on the level of vasoendothelial growth factor (VEGF) and matrix metalloproteinase 9 (MMP-9) in the sputum supernatant. The first (I) group included 37 schoolchildren whose VEGF concentration exceeded 80.0 ng / ml, and MMP-9 was more than 5.2 ng / ml. The second (II) comparison group was formed by 38 children in whom BA was not accompanied by accumulation of airway remodeling markers in the sputum supernatant above the indicated distribution point.Research results. The features of the formation of airway remodeling based on the accumulation of sputum markers such as VEGF> 80.0 ng / ml, MMP-9> 5.2 ng / ml were established. It was shown that bronchial remodeling is associated with a decrease in the group of patients with mild persistent asthma, loss of control over its symptoms, prevalence of family allergic history burdens according to both parental pedigrees and the negative effect of maternity smoking. The most sensitive marker in the verification of bronchial remodeling turned out to be a high marginal content of total IgE (> 750 IU / ml) in blood serum (test sensitivity - 95.8% (95% CI 89.7-98.8), which is advisable to combine in the diagnostic algorithm with more specific tests to optimize airway remodeling verification and develop personalized treatment strategies.Conclusion. The formation of bronchial remodeling in bronchial asthma in school age children is associated with the eosinophilic nature of bronchial inflammation, which is accompanied by an increase in the level of blood eosinophilia (> 10%) and sputum (on average 10.5 ± 1.0%) with an increase in myeloperoxidase activity and signs of degranulation of acidophilic granulocytes in sputum, as well as a high marginal concentration of total IgE (> 750 IU / ml) in blood serum in 95.8% of patients.
目标。探讨学龄期支气管哮喘患儿痰液中直接测定的气道炎症变化特征,并考虑重塑标志物,优化本病的治疗。材料和方法。为研究支气管哮喘患儿气道重构的形成特点,在地区公益性非商业企业切尔涅夫茨地区儿童临床医院对75例持续性支气管哮喘患儿进行了综合检查。根据痰上清中血管内皮生长因子(VEGF)和基质金属蛋白酶9 (MMP-9)水平将患儿分为2个临床组。第一(I)组37名学童,VEGF浓度超过80.0 ng / ml, MMP-9大于5.2 ng / ml。第二(II)组38名学童,BA不伴有痰上清在指示分布点以上气道重塑标志物的积累。研究的结果。建立了基于痰标志物VEGF> 80.0 ng / ml、MMP-9> 5.2 ng / ml积累形成气道重塑的特征。研究表明,支气管重塑与轻度持续性哮喘患者、症状失控患者、父母谱系中家庭过敏史负担的患病率以及母亲吸烟的负面影响的减少有关。验证支气管重构最敏感的指标是血清中总IgE的高边缘含量(> 750 IU / ml)(试验敏感性为95.8% (95% CI 89.7-98.8),在诊断算法中可结合更具体的试验,优化气道重构验证,制定个性化治疗策略。支气管重建的形成在学龄儿童支气管哮喘与支气管炎症的嗜酸性性质有关,这是伴随着增加血液中嗜酸性粒细胞(> 10%)和痰(平均10.5±1.0%)和髓过氧化物酶活动的增加和脱粒的痰中嗜酸性粒细胞的迹象,以及高总IgE的边际浓度(> 750国际单位/毫升)在95.8%的患者的血清。
{"title":"The role of eosinophil-mediated inflammation in the formation of respiratory remodeling in patients with bronchial asthma of school age children","authors":"T. Dubetska, O. Koloskova, G. Bilyk","doi":"10.24061/2413-0737.xxv.4.100.2021.3","DOIUrl":"https://doi.org/10.24061/2413-0737.xxv.4.100.2021.3","url":null,"abstract":"Objective. To investigate the features of inflammatory changes in the airways, taking into account remodeling markers, determined directly in the sputum of school age children with bronchial asthma, and to optimize the management of this disease.Material and methods. To study the features of the formation of airway remodeling 75 children with persistent bronchial asthma were comprehensively examined on the basis of the Regional Communal Non-Commercial Enterprise \"Chernivtsi Regional Children's Clinical Hospital\". The children were divided into 2 clinical groups depending on the level of vasoendothelial growth factor (VEGF) and matrix metalloproteinase 9 (MMP-9) in the sputum supernatant. The first (I) group included 37 schoolchildren whose VEGF concentration exceeded 80.0 ng / ml, and MMP-9 was more than 5.2 ng / ml. The second (II) comparison group was formed by 38 children in whom BA was not accompanied by accumulation of airway remodeling markers in the sputum supernatant above the indicated distribution point.Research results. The features of the formation of airway remodeling based on the accumulation of sputum markers such as VEGF> 80.0 ng / ml, MMP-9> 5.2 ng / ml were established. It was shown that bronchial remodeling is associated with a decrease in the group of patients with mild persistent asthma, loss of control over its symptoms, prevalence of family allergic history burdens according to both parental pedigrees and the negative effect of maternity smoking. The most sensitive marker in the verification of bronchial remodeling turned out to be a high marginal content of total IgE (> 750 IU / ml) in blood serum (test sensitivity - 95.8% (95% CI 89.7-98.8), which is advisable to combine in the diagnostic algorithm with more specific tests to optimize airway remodeling verification and develop personalized treatment strategies.Conclusion. The formation of bronchial remodeling in bronchial asthma in school age children is associated with the eosinophilic nature of bronchial inflammation, which is accompanied by an increase in the level of blood eosinophilia (> 10%) and sputum (on average 10.5 ± 1.0%) with an increase in myeloperoxidase activity and signs of degranulation of acidophilic granulocytes in sputum, as well as a high marginal concentration of total IgE (> 750 IU / ml) in blood serum in 95.8% of patients.","PeriodicalId":9270,"journal":{"name":"Bukovinian Medical Herald","volume":"3 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79564215","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
Rrelationship between endothelial function, thickness of "intima media" with some clinical and metabolic parameters in hypertensive patients depending on genetic predictors 高血压患者内皮功能、“中膜”厚度与某些临床和代谢参数的遗传预测关系
Pub Date : 2021-12-29 DOI: 10.24061/2413-0737.xxv.4.100.2021.16
A. Sydorchuk
Objective. Тo study the relationship between endothelial function, "intima-media" thickness (IMT) of carotid arteries, some anthropometric, clinical and metabolic parameters in patients with essential arterial hypertension (EAH) depending on the genes polymorphism NOS3 (rs2070744) and GNB3 (rs5443).Material and methods. 100 patients with EAH and 48 practically healthy subjects (control group) participated in the study. All participants underwent clinical and laboratory examinations. The correlation values of Endothelium-Dependent Flow-Mediated Dilation of the Brachial Artery (FMD BA), total nitric oxide metabolites (NO), Soluble Vascular Cell Adhesion Molecule (sVCAM-1), the transcriptional activity of NOS3 gene, and carotid IMT were studied. GNB3 (rs5443) and NOS3 (rs2070744) genotyping were performed by Real-Time PCR. Results. In EAH patients with dominant T-allele carriers of the NOS3 gene (rs2070744) and/or C-allele of the GNB3 gene (rs5443) FMD BA inversely correlates with the triglycerides level (r =-0.45; p=0.042) and carotid IMT (r=-0.88-/-0.44/; P≤0.006-0.001). In the carriers of mutation C-allele of the NOS3 gene and TT-genotype of the GNB3 gene – with sVCAM-1 (r=-0.41; p=0.009), atherogenic index (r=-0.69; p=0.013) and diastolic arterial pressure (r=-0.84; p=0.036).Conclusion. Matrix correlations of endothelial function, IMT with clinical and metabolic parameters in EAH patients showed the dependence of connections on the allelic state of the genes NOS3 (rs2070744) and GNB3 (rs5443).
目标。Тo通过基因多态性NOS3 (rs2070744)和GNB3 (rss5443)研究原发性动脉高血压(EAH)患者颈动脉内皮功能、“内膜-中膜”厚度(IMT)、一些人体测量学、临床和代谢参数之间的关系。材料和方法。100例EAH患者和48例实际健康者(对照组)参与研究。所有参与者都进行了临床和实验室检查。研究内皮依赖性血流介导的肱动脉舒张(FMD BA)、总一氧化氮代谢产物(NO)、可溶性血管细胞粘附分子(sVCAM-1)、NOS3基因转录活性与颈动脉IMT的相关值。采用Real-Time PCR对GNB3 (rss5443)和NOS3 (rs2070744)进行基因分型。结果。在NOS3基因(rs2070744)和/或GNB3基因(rss5443)的显性t等位基因携带者的EAH患者中,FMD BA与甘油三酯水平呈负相关(r =-0.45;p=0.042)和颈动脉IMT (r=-0.88-/-0.44/;P≤0.006 - -0.001)。NOS3基因c -等位基因和GNB3基因tt -基因型突变携带者中sVCAM-1 (r=-0.41;P =0.009),动脉粥样硬化指数(r=-0.69;P =0.013)和舒张压(r=-0.84;.Conclusion p = 0.036)。EAH患者内皮功能、IMT与临床和代谢参数的矩阵相关性显示,连接依赖于基因NOS3 (rs2070744)和GNB3 (rs5443)的等位基因状态。
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引用次数: 0
Variant anatomy of the muscles of the anterior compartment of the leg in human fetuses at 4-6 months 4-6个月胎儿腿前房室肌肉的变异解剖
Pub Date : 2021-12-29 DOI: 10.24061/2413-0737.xxv.4.100.2021.6
T. Komar
The objective is to find out the variant anatomy of the muscles of the anterior compartment of the leg in human fetuses at 4-6 months.Material and methods. The study was performed on 28 preparations of human fetuses of 81.0-230.0 mm parietal-coccygeal length (PCL) using macro-microscopic preparation, morphometry and statistical analysis.Results. The study of the structure and topography of the muscles of the anterior compartment of the leg in 26 human fetuses at 4-6 months revealed the classic sites of origin and attachment, the typical shape, and the number of muscles. Rare variants of the muscles of the anterior compartment of the leg have been found in two fetuses.Conclusions. The individual characteristics of the muscles of the anterior compartment of the lower leg in human fetuses are variations in their structure, shape, number, place of origin, and attachment. In most of the fetuses studied, the muscles of the anterior compartment of the lower leg had a classical origin, but the length and area of attachment varied with a tendency to lengthen and expand. The fetus of 105.0 mm PCL lateral and medial heads of the tibialis anterior muscle were detected, and an additional lower head of the long extensor muscle of the fingers was observed in the fetus of 175.0 mm PCL.
目的是找出在4-6个月的人类胎儿腿前室肌肉的变异解剖结构。材料和方法。对28例81.0 ~ 230.0 mm顶骨尾骨长度(PCL)的人胎进行了宏显微制备、形态计量学和统计学分析。对26例4-6个月胎儿的腿前房室肌肉的结构和地形进行了研究,揭示了其典型的起源和附着部位、典型的肌肉形状和数量。在两个胎儿中发现了罕见的腿前房室肌肉变异。人类胎儿小腿前房室肌肉的个体特征是其结构、形状、数量、起源位置和附着的变化。在大多数被研究的胎儿中,小腿前腔室的肌肉有一个经典的起源,但附着的长度和面积变化,有延长和扩大的趋势。105.0 mm PCL胎儿胫骨前肌外侧和内侧头,175.0 mm PCL胎儿手指长伸肌下头增加。
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引用次数: 0
Evaluation of the daily profile of blood pressure and features of hemodynamics in patients with hypertension and osteoarthritis 高血压和骨关节炎患者每日血压变化和血流动力学特征的评估
Pub Date : 2021-12-29 DOI: 10.24061/2413-0737.xxv.4.100.2021.17
D. Sobko, T. Ilashchuk, I. Okipniak
The objective is to assess the severity and features of arterial hypertension (AH) in patients who suffer from osteoarthritis (OA) using indicators of daily blood pressure monitoring (DBPM) and echocardiography (echoCG).Material and methods. According to the purpose and objectives of our dissertation research, a total of 130 people of different ages and genders with hypertension and OA were examined. Of these, group I included 60 patients with hypertension combined with OA. Group II consisted of 30 patients with hypertension without concomitant OA. Group III included 30 people with OA without concomitant hypertension. The control group consisted of 10 healthy people.Results. The results of the study show a burdened course of hypertension in the case of its combination with OA compared with patients with hypertension not combined with OA. The percentage of blood pressure in the subjects of group I is higher due to a slight decrease at night compared with patients of group II, in which there was a steady increase in blood pressure at night. Interventricular septal thickness rates in group I are 8% (p < 0,05) higher than in group II. Indicators of LА size in patients with combined pathology (group II) by 12,5% (p < 0,05) are higher than similar in patients with hypertension without concomitant OA (group I). The LV wall is moderately thickened in the subjects of group I, which is 9% (p < 0,05) higher than the same indicator in patients of group II, in whom the LV wall is slightly thickened. In the subjects of group III indicators corresponded to the norm or the upper limit of the norm. In addition, in patients of group I there is in inverse correlation (r = -0.31, p < 0.05) between the mean daily average daily blood pressure and ghrelin. An inverse correlation was also found between serum melatonin concentrations and average DBP data (r = -0.49, p < 0.05).Conclusions. The results of DBPM and echocardiography in patients with hypertension combined with OA indicate a mutually burdened course of these diseases, which increases the risk of complications from the cardiovascular system. Therefore, these non-invasive research methods can be used for early diagnosis of hypertension progression and selection of appropriate drug correction.
目的是利用每日血压监测(DBPM)和超声心动图(echoCG)指标评估骨关节炎(OA)患者动脉高血压(AH)的严重程度和特征。材料和方法。根据本文研究的目的和目标,共对130名不同年龄和性别的高血压和OA患者进行了检查。其中,I组包括60例高血压合并OA患者。第二组为30例无OA的高血压患者。第三组包括30例OA患者,但不伴有高血压。对照组由10名健康人组成。研究结果显示,与未合并OA的高血压患者相比,合并OA的高血压病程加重。与夜间血压稳定升高的II组患者相比,I组患者夜间血压略有下降,其血压百分比较高。I组室间隔厚度率比II组高8% (p < 0.05)。合并病理患者(II组)LА大小指标比无OA的高血压患者(I组)高12.5% (p < 0.05),左室壁中度增厚组(I组)比左室壁轻度增厚组(II组)高9% (p < 0.05)。在被试中,第三组指标对应于常模或常模的上限。另外,I组患者的日均血压与胃饥饿素呈负相关(r = -0.31, p < 0.05)。血清褪黑素浓度与平均DBP数据呈负相关(r = -0.49, p < 0.05)。高血压合并OA患者的DBPM和超声心动图结果表明,这两种疾病的病程相互负担,增加了心血管系统并发症的风险。因此,这些无创的研究方法可以用于早期诊断高血压的进展和选择适当的药物纠正。
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引用次数: 0
Experience of an applied use of stem cells 有应用干细胞的经验
Pub Date : 2021-12-29 DOI: 10.24061/2413-0737.xxv.4.100.2021.21
D. Proniaiev, V. Voloshyn, V. Melnyk, N. Yemelianenko, M. Kavun, M. Perepeliuk, K. Yakovets
The literary review deals with analyzing the information found in the scientific literature concerning the practical use of stem cells for the treatment of different diseases. The most essential and promising source of stem cells is umbilical blood. Practical use of stem cells is of particular difficulty. An important effect of stem cells that must be kept in mind is a specific aberration of their properties in the experiments carried out "in vivo" and "in vitro". Induced pluripotential stem cells have become mainly spread to be introduced into practice. It is associated with the fact that, as a rule, this type of cells is genetically compatible with a certain organism. This literary review presents both the major historical landmarks in the development of science concerning the applied use of stem cells and the latest data of the scientific literature. Joseph Altman’s discovery of adult neurogenesis, who confirmed the existence of stem cells of the brain, has become sensational. One of the most investigated issues is the process of differentiation of the human pluripotential stem cells into neurons and astrocytes. This differentiation was first described in 2001. In this respect, the liver is of special interest to cellular biologists who deal with stem cells. Two types of cells in the liver of an adult claim to be stem cells: hepatocytes under extreme conditions (partial hepatectomy) acquire properties of unipotential stem cells able to form only one type of differential cells of a lower level; poorly differentiated oval cells possessing biopotential properties, that is, able to form both hepatocytes and cholangiocytes. In dentistry and oral surgery, transplantation of mesenchymal stem cells can be used for the restoration of bone tissue or regeneration of the dental tissue. During transplantation, stem cells isolated from the bone marrow can provide restoration of the damaged osseous tissue of the face, and cells isolated from the tooth pulp restore dentin. Our review of scientific literature concerning the questions of investigation of stem cells is indicative of considerable interest of scientists in this issue. It should be noted that foreign scientific literature on the issue prevails considerably. It is reasonable to indicate that amount of scientific research carried out by our domestic scientists is not adequate. Thus, considering the above, the subject of our study is rather relevant.
文献综述涉及分析在科学文献中发现的有关实际使用干细胞治疗不同疾病的信息。干细胞最重要和最有希望的来源是脐血。干细胞的实际应用尤其困难。必须记住的干细胞的一个重要作用是,在“体内”和“体外”进行的实验中,它们的特性会发生特殊的畸变。诱导多能干细胞已成为广泛应用于临床的主要手段。这与这样一个事实有关:作为一种规则,这种类型的细胞在基因上与某种生物体是相容的。这篇文献综述既介绍了干细胞应用科学发展的主要历史里程碑,也介绍了科学文献的最新数据。约瑟夫·奥特曼(Joseph Altman)发现了成人神经发生,证实了大脑干细胞的存在,引起了轰动。人类多能干细胞向神经元和星形胶质细胞的分化过程是目前研究最多的问题之一。这种差异在2001年首次被描述。在这方面,肝脏是处理干细胞的细胞生物学家特别感兴趣的。成人肝脏中的两种细胞声称是干细胞:极端条件下的肝细胞(部分肝切除术)获得单电位干细胞的特性,只能形成一种较低水平的分化细胞;低分化卵形细胞具有生物电位特性,即既能形成肝细胞又能形成胆管细胞。在牙科和口腔外科中,间充质干细胞移植可用于骨组织的修复或牙组织的再生。在移植过程中,从骨髓中分离的干细胞可以修复受损的面部骨组织,从牙髓中分离的细胞可以修复牙本质。我们对有关干细胞研究问题的科学文献的回顾表明,科学家对这个问题相当感兴趣。应该指出的是,关于这个问题的外国科学文献相当普遍。有理由指出,我们国内科学家进行的科学研究数量不足。因此,考虑到上述情况,我们的研究课题是相当相关的。
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