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The role of Caucasian, Iranian and Steppe populations in shaping the diversity of autosomal gene pool of the Eastern Caucasus 高加索、伊朗和草原人群在形成东高加索常染色体基因库多样性中的作用
IF 0.2 Q4 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-05-01 DOI: 10.24075/brsmu.2023.017
E. Balanovska, I. Gorin, V. Petrushenko, G. Ponomarev, RO Belov, EA Pocheshkhova, VA Salaev, NA Iskandarov, VYu Pylev
Eastern Caucasus is home to more than 30 peoples speaking Caucasian, Iranian and Turkic languages. Fusion of multiple migration flows together with the complex population structure of the Eastern Caucasus make it more difficult to analyze its gene pool: this is the most poorly studied one among all regions of the Caucasus. The study is aimed to identify the main patterns of the autosomal gene pool variation in this region. A total of 356 genomes of 29 ethnic groups were studied using the large panels of SNP markers: 243 genomes of 22 peoples of the Eastern Caucasus and 113 genomes of 7 peoples living in adjacent regions. The bioinformatics analysis involved the use of the ADMIXTURE ancestral component method and the gene pool variability principal component analysis (РСА). The hypothesis of three genetic strata, the interaction of which forms the structure of gene pool of the Eastern Caucasus, was put forward. The “Dagestan” stratum carries information about the gene pool of the ancient autochthonous population of the Eastern Caucasus. The “Iranian” stratum represents the legacy of ancient and middle-aged migrations surges of the Iranian-speaking population: it constitutes three quarters of the gene pool of modern Azerbaijan and about one third of the Dagestan peoples' gene pool. The “Steppe” stratum represents a negligible influence of the Eurasian steppe. Interaction of three genetic strata is only indirectly related to the peoples' linguistic affiliation, however, the association with linguistics is more obvious in the Caucasian-speaking peoples. Four genetically distinct groups of indigenous population of the Eastern Caucasus have been identified, the combination of which should be included in the characteristics of its autosomal gene pool: 1) Dargins, Laks; 2) Avars, Lezghins, Tabasarans, Aghuls, Rutul people, Tsakhur people; 3) Kumyks, Tat people and Azerbaijanis living in Dagestan; 4) Azerbaijanis and Talysh living in Azerbaijan. The directions of further research have been defined.
东高加索地区有30多个讲高加索、伊朗和突厥语的民族。多种移民流的融合,加上东高加索复杂的人口结构,使分析其基因库变得更加困难:这是高加索所有地区中研究最差的一个。本研究旨在确定该地区常染色体基因库变异的主要模式。使用SNP标记的大面板共研究了29个民族的356个基因组:东高加索22个民族的243个基因组和居住在邻近地区的7个民族的113个基因组。生物信息学分析包括使用ADMIXTURE祖先成分法和基因库变异性主成分分析(РСА)。提出了由三个成因层相互作用形成东高加索地区基因库结构的假说。“达吉斯坦”地层携带着关于东高加索古代本地人口基因库的信息。“伊朗人”阶层代表了讲伊朗语人口中老年移民激增的遗产:它构成了现代阿塞拜疆四分之三的基因库,约占达吉斯坦人基因库的三分之一。“草原”地层代表了欧亚草原微不足道的影响。三个基因阶层的相互作用只与民族的语言归属间接相关,但与语言学的联系在高加索语民族中更为明显。已经确定了东高加索土著人口的四个遗传上不同的群体,其组合应包括在其常染色体基因库的特征中:1)达金斯、拉克斯;2) Avars人、Lezghins人、Tabasarans人、Aghuls人、Rutul人、Tsakhur人;3) 居住在达吉斯坦的Kumyks、Tat人和阿塞拜疆人;4) 居住在阿塞拜疆的阿塞拜疆人和塔利什人。进一步研究的方向已经确定。
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引用次数: 0
Predicting the blastocyst development rate during assisted reproductive technologies based on semen microbiota 基于精液微生物群的辅助生殖技术中胚泡发育率预测
IF 0.2 Q4 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-04-01 DOI: 10.24075/brsmu.2023.015
E. Panacheva, E. Kudryavtseva, D. Zornikov, EE Plotko, VM Petrov, E. Voroshilina
Obtaining enough good and excellent quality embryos is one of the key factors for achieving pregnancy using assisted reproductive technologies. This work was aimed at developing a mathematical model for predicting good and excellent quality embryos based on semen microbiota assessment in normozoospermia. The study included 127 men whose semen was used for in vitro fertilization (IVF). Patients were divided into 2 groups depending on the proportion of good-quality blastocyst developed on the 5th day of culturing (good-quality blastocyst development rate, GBDR). The 1st group included 57 patients with GBDR ≥ 40%, the 2nd group included 70 patients with GBDR < 40%. All patients’ semen was assessed at the day of fertilization. Semen parameters were evaluated in accordance with the WHO standards and semen microbiota composition was determined by means of real-time PCR. Discriminant analysis was used for development of the prognostic model. We developed a method for predicting efficiency of the embryological IVF stage in normozoospermia: EGO-Pro-N prognostic index (Embryos of GOod and Excellent quality Prognosis in Normozoospermia). If the EGO-Pro-N value is greater than 0.212, the probability of receiving GBDR ≥ 40% is low. Conversely, if the EGO-Pro-N value is less than or equal to 0.212, the probability is high. Sensitivity and specificity of the method were 71.9% and 70.0% respectively, accuracy was 70.9%. The developed model allows us to predict good and excellent quality embryos based on comprehensive semen microbiota assessment in normozoospermia before IVF.
获得足够的优质胚胎是使用辅助生殖技术实现妊娠的关键因素之一。本工作旨在建立一个基于正常精子症精液微生物群评估的预测优质和优质胚胎的数学模型。这项研究包括127名男性,他们的精液被用于体外受精(IVF)。根据培养第5天优质囊胚发育率(good-quality blastocyst development rate, GBDR)将患者分为2组。第一组纳入GBDR≥40%患者57例,第二组纳入GBDR < 40%患者70例。所有患者的精液在受精当天进行评估。按照WHO标准评价精液参数,采用实时荧光定量PCR法测定精液微生物群组成。判别分析用于发展预后模型。我们开发了一种预测正常精子症胚胎IVF阶段效率的方法:EGO-Pro-N预后指数(正常精子症胚胎良好和极好预后)。如果EGO-Pro-N值大于0.212,则接受GBDR≥40%的概率较低。反之,如果EGO-Pro-N值小于等于0.212,则概率较高。方法灵敏度为71.9%,特异度为70.0%,准确度为70.9%。开发的模型使我们能够在体外受精前根据对正常精子症患者精液微生物群的综合评估来预测优质和优质胚胎。
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引用次数: 0
Sources and impact of human brain potential variability in the brain-computer interface 脑机接口中人脑电位变异性的来源和影响
IF 0.2 Q4 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-04-01 DOI: 10.24075/brsmu.2023.013
IP Ganin, A. Vasilyev, TD Glazova, A. Kaplan
In the brain-computer interface based on the P300 wave (P300 BCI), the selection of the command by the user becomes possible due to focusing the user's attention on the external stimulus/command and extraction of the response to this stimulus in the form of the event-related potential (ERP) components from EEG. To obtain the ERP signal, stimuli should be repeated many times, however, in view of the existing variability in latency of the response to certain stimuli, the averaged ERPs may give a distorted view of the nature of such responses and reduce accuracy of the interface. The study was aimed to develop an effective method for identification of the effects of the ERP components' latency variability and for accounting these effects in the P300 BCI, as well as to identify the possible impact of psychophysiological factors on the nature of ERP variability. We have conducted a BCI-based study of 19 healthy subjects involving extraction and adjustment of latency in the N1 and P300 spatial components, which play a key role in the command classification in the P300 BCI, to explore the mechanisms underlying variability. Such an approach ensured higher accuracy compared to the use of conventional EEG leads, and the highest increase of 10% was observed when using the minimum number of the stimulus repetitions. Furthermore, modifications of the interface allowing one to ensure a higher level of the user's focus on the task and a more accurate visual fixation on the target objects contributed to the increase in the amplitude of the ERP components by reducing variability of the responses to single stimuli. The findings emphasize the important role of the processes underlying the ERP components' variability and provide an effective tool for scientific exploration of such processes and the development of advanced BCI systems.
在基于P300波(P300 BCI)的脑机接口中,通过将用户的注意力集中在外部刺激/命令上,并从脑电图中以事件相关电位(ERP)分量的形式提取对该刺激的响应,从而使用户选择命令成为可能。为了获得ERP信号,刺激应该重复多次,然而,鉴于对某些刺激的反应潜伏期存在可变性,平均ERP可能会对这些反应的性质产生扭曲的看法,并降低界面的准确性。本研究的目的是建立一种有效的方法来识别ERP组件的潜伏期变异性的影响,并在P300 BCI中计算这些影响,以及确定心理生理因素对ERP变异性性质的可能影响。本文以19名健康受试者为研究对象,对P300脑机接口命令分类中起关键作用的N1和P300空间分量的潜伏期进行提取和调整,探讨其变异机制。与使用传统脑电图导联相比,这种方法确保了更高的准确性,当使用最少的刺激重复次数时,观察到最高的10%的增加。此外,界面的修改允许人们确保用户对任务的高度关注和对目标物体的更准确的视觉固定,通过减少对单一刺激的反应的可变性,有助于增加ERP组件的振幅。研究结果强调了ERP组件变异性背后的过程的重要作用,并为科学探索这些过程和开发先进的脑机接口系统提供了有效的工具。
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引用次数: 0
Genetic characterization of Aerococcus sp. 1KP-2016 strain isolated from a patient with bloodstream infection 从一名血液感染患者中分离的Aerococcus sp.1KP-2016菌株的遗传特征
IF 0.2 Q4 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-04-01 DOI: 10.24075/brsmu.2023.012
AV Chaplin, I. Chagina, AS Pimenova, N. Gadua, N. Kargaltseva, O. Borisova, E. Donskikh, LI Kafarskaya
Aerococcus genus bacteria are often associated with human urinary tract and bloodstream infections. The Aerococcus sp. 1KP-2016 strain isolated from the buffy coat had the 16S rRNA sequence that was a 98.7% (and less) match with the previously described members of this genus. The purpose of this study was to perform whole genome sequencing of Aerococcus 1KP-2016 followed by phylogenetic reconstruction. We have shown that Aerococcus 1KP-2016 belongs to the new species of the Aerococcus genus that is closest to Aerococcus viridans and Aerococcus urinaeequi. The genomic sequence, which consists of 2.042 million bps with GC content at 38.5%, was deposited in the DBJ/EMBL/GenBank under identifier NEEY00000000.
气球菌属细菌通常与人类尿路和血液感染有关。从血沉棕黄层分离的Aerococcus sp.1KP-2016菌株具有与该属先前描述的成员98.7%(或更低)匹配的16S rRNA序列。本研究的目的是对Aerococcus 1KP-2016进行全基因组测序,然后进行系统发育重建。我们已经证明,Aerococcus 1KP-2016属于Aerococcuss属的一个新种,它与病毒性Aerococus viridans和尿性Aerococcusurinaequi最为接近。基因组序列由204.2万bps组成,GC含量为38.5%,以标识符NEEY00000000存放在DBJ/EMBL/GenBank中。
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引用次数: 0
Single-stage endovitreal surgery of retinal detachment complicated by macular hole involving the short-term perfluorocarbon tamponade 短期全氟化碳填塞治疗视网膜脱离并发黄斑裂孔的一期玻璃体内手术
IF 0.2 Q4 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-04-01 DOI: 10.24075/brsmu.2023.016
K. Takhchidi, N. Takhchidi, N. Mahno
Rhegmatogenous retinal detachment complicated by macular hole is a rare disorder that is the most challenging in terms of vitreoretinal surgery, and good anatomical outcome is not always associated with high visual functions. Today, vitrectomy, involving macular hole closure with autologous platеlet-rich plasma, sealing peripheral retinal tears, and subsequent vitreal cavity tamponade with vitreous substitutes, is considered to be the most effective method for surgical treatment of this disorder. Despite variability of surgical approaches to treatment of rhegmatogenous retinal detachment complicated by macular holes, the search for safe and effective surgical technique, allowing one to achieve benificial morphological and functional outcome with minimal damage to the retinal structures and to minimize the patient's rehabilitation period, is still relevant. The clinical case reported demonstrates the possibility of performing single-stage endovitreal treatment of retinal detachment complicated by macular hole using the autologous conditioned plasma in combination with the short-term perfluorocarbon tamponade. The results of using this technique show its reliability and superior efficiency and ensure good morphological and functional outcome in the postoperative period: restored macular architectonics, macular hole closure, anatomic retinal adhesion, and improved visual functions.
孔源性视网膜脱离合并黄斑孔是一种罕见的疾病,是玻璃体视网膜手术中最具挑战性的疾病,良好的解剖结果并不总是与高视觉功能相关。目前,玻璃体切除术被认为是手术治疗这种疾病最有效的方法,包括用自体富血小板血浆封闭黄斑孔,封闭周围视网膜撕裂,然后用玻璃体替代物填塞玻璃体腔。尽管治疗孔源性视网膜脱离合并黄斑孔的手术方法存在差异,但寻找安全有效的手术技术,在对视网膜结构损伤最小的情况下获得有益的形态学和功能结果,并最大限度地缩短患者的康复期,仍然是有意义的。本临床病例报告表明,自体条件血浆联合短期全氟碳填塞治疗视网膜脱离合并黄斑裂孔的单期玻璃体治疗是可行的。使用该技术的结果显示其可靠性和优越的效率,并确保术后良好的形态学和功能结果:黄斑结构恢复,黄斑孔闭合,解剖性视网膜粘连,视觉功能改善。
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引用次数: 0
Comparison of the oncolytic activity of recombinant vaccinia virus strains LIVP-RFP and MVA-RFP against solid tumors 重组痘苗病毒株LIVP-RFP与MVA-RFP对实体瘤溶瘤活性的比较
IF 0.2 Q4 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-04-01 DOI: 10.24075/brsmu.2023.010
Y. Shakiba, ER Naberezhnaya, DV Kochetkov, G. Yusubalieva, P. Vorobyev, P. Chumakov, VP Baklaushev, A. Lipatova
Among oncolytic viruses, modified vaccinia virus Ankara (MVA), a highly attenuated vaccinia virus (VV) is a well-studied variant with promising results in preclinical and clinical trials. The Lister VV strain from the Moscow Institute of Viral Preparations (LIVP) has been studied to a lesser extent than MVA and has a different oncolytic property from MVA. The aim of this work was to compare the oncolytic efficacy of LIVP and MVA strains against solid tumors. We developed recombinant variants LIVP-RFP and MVA-RFP; to enhance onco-selectivity thymidine kinase (TK) gene was inactivated by insertion of red fluorescent protein (RFP) gene to the TK locus. The replication kinetics and oncolytic activity of the obtained recombinant strains were evaluated in vitro and in vivo on tumor cell lines and mouse syngeneic tumor models of metastatic mouse 4T1 mammary adenocarcinoma, CT26 colon adenocarcinoma, and B16 melanoma. Both MVA-RFP and LIVP-RFP showed high replication efficiency in tumor cells and pronounced oncolytic activity against B16 melanoma and 4T1 breast adenocarcinoma allografts. In relation to 4T1, which is a model of triple negative human breast cancer, LIVP-RFP showed more than 50% increased cytotoxicity in in vitro tests compared to MVA-RFP, as well as a significant slowdown in the progression of 4T1 allografts and an increase in animal survival in experiments in vivo. Thus, the LIVP strain may be more promising than MVA as a platform for the development of recombinant oncolytic viruses for the breast cancer treatment.
在溶瘤病毒中,改良痘苗病毒安卡拉(MVA)是一种高度减毒的痘苗病毒(VV),是一种研究充分的变体,在临床前和临床试验中取得了有希望的结果。来自莫斯科病毒制剂研究所(LIVP)的李斯特菌VV菌株的研究程度低于MVA,并且具有与MVA不同的溶瘤特性。这项工作的目的是比较LIVP和MVA菌株对实体瘤的溶瘤效果。我们开发了重组变体LIVP-RFP和MVA-RFP;为了提高肿瘤选择性,通过将红色荧光蛋白(RFP)基因插入TK基因座来灭活胸苷激酶(TK)基因。在转移性小鼠4T1乳腺腺癌、CT26结肠癌和B16黑色素瘤的肿瘤细胞系和小鼠同基因肿瘤模型上,在体外和体内评估获得的重组菌株的复制动力学和溶瘤活性。MVA-RFP和LIVP-RFP在肿瘤细胞中均显示出高复制效率,并对B16黑色素瘤和4T1乳腺腺癌同种异体移植物具有显著的溶瘤活性。关于作为三阴性人类癌症模型的4T1,与MVA-RFP相比,LIVP-RFP在体外测试中显示出超过50%的细胞毒性增加,并且在体内实验中4T1同种异体移植物的进展显著减慢,动物存活率增加。因此,作为开发用于乳腺癌症治疗的重组溶瘤病毒的平台,LIVP菌株可能比MVA更有前景。
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引用次数: 1
Metabolic engineering is a promising way to generate highly effective producers of bioactive substances 代谢工程是产生高效生物活性物质生产者的一种很有前途的方法
IF 0.2 Q4 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-04-01 DOI: 10.24075/brsmu.2023.014
A. Blokhina, KA Palkina, E. Shakhova, AK Malyshevskaia, Z. Osipova, N. Myshkina
Medicines play an indisputable role in life extension and improvement of the quality of life. To obtain medicinal compounds, researchers traditionally rely on natural sources and chemical synthesis, however, currently developing biotechnological methods allow one to introduce the group of genes encoding new metabolic pathways into the genomes of heterologous hosts and regulate activity of the hosts' intrinsic metabolic pathways. Such an approach makes it possible to reproduce biosynthesis of bioactive substances in heterologous hosts, the approach combines the benefits of conventional methods and works around the shorcomings of those. In our view, the use of metabolic engineering to obtain medicinal compounds is becoming increasingly important for their production.
药物在延长生命和提高生活质量方面发挥着无可争议的作用。为了获得药用化合物,研究人员传统上依赖于天然来源和化学合成,然而,目前正在开发的生物技术方法允许将编码新代谢途径的基因组引入异源宿主的基因组中,并调节宿主内在代谢途径的活性。这种方法使在异源宿主中复制生物活性物质的生物合成成为可能,该方法结合了传统方法的优点,并围绕着这些方法的结合而工作。在我们看来,利用代谢工程获得药用化合物对其生产越来越重要。
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引用次数: 0
Effects of the metaplasticity-based theta-burst transcranial stimulation protocols on working memory performance 基于化塑性的θ突发经颅刺激方案对工作记忆表现的影响
IF 0.2 Q4 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-04-01 DOI: 10.24075/brsmu.2023.011
I. Bakulin, A. Zabirova, A. Poydasheva, D. Sinitsyn, D. Lagoda, N. Suponeva, M. Piradov
The study of the metaplasticity-based transcranial magnetic stimulation (TMS) protocols is an extensively studied approach to increase the effectiveness of stimulation. However, the effects of protocols with different intervals between the TMS blocks on cognitive functions are poorly understood. The study was aimed to assess the effects of two theta-burst transcranial stimulation (iTBS) protocols with short and long intervals between blocks on the working memory (WM) performance in healthy volunteers. A total of 16 participants were underwent a single TMS session of each protocol, which were applied in random order (iTBS 0–15 — two iTBS blocks over the left dorsolateral prefrontal cortex (DLPFC) iTBS with an interval of 15 min between blocks followed by stimulation of the vertex area in 60 min after the first block; iTBS 0–60 — iTBS block over the left DLPFC iTBS, block of the vertex stimulation after 15 min, and the second block of iTBS over the left DLPFC iTBS 60 min after the first one; iTBS 0 — one block of iTBS over the left DLPFC iTBS and two blocks of the vertex stimulation; control protocol — three blocks of the vertex stimulation with similar intervals). WM was assessed using the n-back test before the first block and after the second and the third stimulation blocks. No significant effects of protocols on WM or differences between protocols in alterations of test results and the responder rates to TMS between protocols were observed. The trend toward statistical signficance was reported for the protocol with short interval (iTBS 0–15). Furthermore, low reproducibility of individual iTBS effect was reported. The study of protocols with short intervals between blocks involving larger cohort of volunteers and taking into account the other factors potentially influencing the effect of the protocol (number of blocks and duration of a single block) seems to be promising.
基于化塑性的经颅磁刺激(TMS)方案的研究是一种广泛研究的提高刺激有效性的方法。然而,TMS块之间具有不同间隔的协议对认知功能的影响尚不清楚。该研究旨在评估两个θ突发经颅刺激(iTBS)方案对健康志愿者工作记忆(WM)表现的影响。共有16名参与者接受了每种方案的单一TMS会话,这些会话以随机顺序应用(iTBS 0–15——左背外侧前额叶皮层(DLPFC)iTBS上的两个iTBS块,块之间的间隔为15分钟,然后在第一个块之后的60分钟内刺激顶点区域;iTBS 0–60——左侧DLPFC iTBS上的iTBS块,15分钟后的顶点刺激块,以及第一个iTBS后60分钟左侧DLPFC iTBS上第二个iTBS块;iTBS 0——左DLPFC iTBS上的一个iTBS块和两个顶点刺激块;控制协议——具有相似间隔的顶点刺激的三个块)。在第一个刺激块之前以及在第二个和第三个刺激块之后使用n-back测试来评估WM。没有观察到方案对WM的显著影响,也没有观察到协议之间在测试结果和TMS应答率变化方面的差异。报告了短间隔方案(iTBS 0–15)的统计学显著性趋势。此外,据报道,个别iTBS效应的再现性较低。研究区块间隔较短的方案,涉及更大的志愿者队列,并考虑到可能影响方案效果的其他因素(区块数量和单个区块的持续时间),似乎是有希望的。
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引用次数: 1
Features of reactivity of the EEG mu rhythm in children with autism spectrum disorders in helping behavior situations 孤独症谱系障碍儿童在帮助行为情境下脑电图节律的反应性特征
IF 0.2 Q4 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-03-01 DOI: 10.24075/brsmu.2023.009
V. Pavlenko, AI Kaida, VN Klinkov, A. Mikhailova, LS Orekhova, AA Portugalskaya
One of the subjects being discussed by the professional community currently is the role possibly played by the mirror neuron system (MNS) in the violation of social behavior of children with autism spectrum disorders (ASD). The MNS is known to shape the perception of emotions of others and understanding and imitation of their actions. Mu rhythm desynchronization in EEG is considered to be the indicator of the MNS activation. The purpose of this study was to identify the features of reactivity of the EEG mu rhythm within an individually determined frequency range in preschoolers with ASD in situations requiring instrumental, emotional and altruistic helping behavior (HB). The study involved children 4–7 years old with ASD (n = 26) and their normally developing peers without the condition (n = 37). Although in most cases, HB was more pronounced in the group of normally developing children, the differences between the groups are significant only for altruistic HP (p < 0.01), and for the situation requiring complex altruistic and emotional HP it approaches significance (p = 0.09). Evaluation of the mu rhythm reactivity indices showed that the tasks invoking complex altruistic and emotional HB bring this indicator down significantly in children with ASD compared to the group of normally developing participants, as shown by the central leads of the left and right hemispheres and the parietal lead of the right hemisphere (C3: p = 0.02 ; C4: p = 0.03; P4: p = 0.03). It is assumed that the detected features stem from the impaired functioning of the MNS and the downstream regulation to the MNS from prefrontal cortex and other areas of the neocortex. The data obtained can be used in development of EEG biofeedback training protocols for children with ASD.
镜像神经元系统(MNS)在自闭症谱系障碍(ASD)儿童违反社会行为中可能发挥的作用是目前医学界讨论的主题之一。众所周知,MNS可以塑造对他人情绪的感知,以及对他人行为的理解和模仿。脑电图中的Mu节律不同步被认为是MNS激活的标志。本研究的目的是确定ASD学龄前儿童在需要工具性、情绪性和利他性帮助行为(HB)的情况下,在个体确定的频率范围内的脑电图mu节律的反应性特征。该研究涉及4-7岁患有ASD的儿童(26名)和他们正常发育的同龄人(37名)。虽然在大多数情况下,HB在正常发育儿童组中更为明显,但只有在利他性HP组中差异显著(p < 0.01),在需要复杂利他性和情绪性HP的情况下差异接近显著(p = 0.09)。节律反应性指标的评估表明,与正常发育组相比,复杂利他性和情绪性HB诱发任务显著降低了ASD儿童的该指标,左、右半球中央导联和右半球顶叶导联显示(C3: p = 0.02;C4: p = 0.03;P4: p = 0.03)。假设检测到的特征源于MNS功能受损以及前额叶皮层和其他新皮层区域对MNS的下游调节。所获得的数据可用于开发ASD儿童的脑电图生物反馈训练方案。
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引用次数: 0
Midterm severe forefoot deformity treatment outcomes in elderly patients 老年患者中重度前掌畸形的治疗效果
IF 0.2 Q4 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-02-01 DOI: 10.24075/brsmu.2023.008
K. Egiazaryan, A. Ratjev, EA Miroschnikova, E. Zhavoronkov, AS Abilemets
Severe complex deformities of the forefoot in elderly patients with no rheumatoid arthritis result in the pronounced decrease in quality of life, chronic pain, reduced mobility, failure to get shoes for everyday use, exacerbation of the concomitant somatic diseases. The use of conventional joint preservation techniques in such patients often leads to the deformity relapse, persistent pain, and the need for revision surgery that is often impossible due to worsening of the patients' general somatic status and local functional status. The study was aimed to improve surgical outcomes in elderly patients with no rheumatoid arthritis who had severe forefoot deformities. The prospective cohort study that involved allocation to the retrospective group for comparison of surgical outcomes in 65 patients was carried out in 2016–2019. The results obtained before and after surgery were assessed using the FFI, AOFAS Hallux, and AOFAS Lesser Toes scores. The Maryland scores were used to assess the outcomes during the postoperative period. The study revealed significant differences in treatment outcomes based on the AOFAS Hallux (p = 0.0001), AOFAS Lesser Toes (p = 0.0001), FFI (p = 0.0001), and Maryland (p = 0.0001) scores. In view of the elderly patients' specific nature, the radical surgical techniques that do not ensure joint preservation may be considered as effective and predictable methods of correction aimed at reducing the rate of revision surgeries. These techniques represent a one-step method to improve the quality of life of elderly patients.
没有类风湿性关节炎的老年患者前掌严重复杂畸形会导致生活质量显著下降、慢性疼痛、行动能力下降、无法获得日常使用的鞋子以及伴随的身体疾病恶化。在这类患者中使用传统的关节保存技术通常会导致畸形复发、持续疼痛,并且由于患者的总体身体状况和局部功能状况恶化,需要进行翻修手术,而这通常是不可能的。这项研究旨在改善没有类风湿性关节炎、前掌严重畸形的老年患者的手术效果。2016年至2019年进行了一项前瞻性队列研究,将65名患者分配到回顾性组,以比较手术结果。使用FFI、AOFAS Hallux和AOFAS Lesser Toes评分评估手术前后的结果。马里兰评分用于评估术后期间的结果。该研究显示,基于AOFAS Hallux(p=0.0001)、AOFAS Lesser Toes(p=0.0001。鉴于老年患者的特殊性,不能确保关节保存的激进手术技术可能被认为是有效和可预测的矫正方法,旨在降低翻修手术的发生率。这些技术代表了一种一步到位的方法来提高老年患者的生活质量。
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引用次数: 0
期刊
Bulletin of Russian State Medical University
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