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Biobanking in the hospital of a multidisciplinary research medical center as a potential for a wide research range. Part I. Organizational and methodological aspects 多学科研究医疗中心医院的生物库为广泛的研究提供了潜力。第 I 部分:组织和方法方面
Q3 Social Sciences Pub Date : 2023-12-09 DOI: 10.15829/1728-8800-2023-3749
A. I. Borisova, O. Kopylova, M. S. Pokrovskaya, I. Efimova, A. V. Pustelenin, А. I. Ershova, O. Drapkina
Aim. To develop an algorithm and manage total biobanking of samples of whole blood, serum and plasma of patients in the hospital of the National Medical Research Center for Therapy and Preventive Medicine in order to create a detailed biosample collection through the integration of electronic medical records and a biobank database.Material and methods. The study includes all patients admitted to the hospital of the National Medical Research Center for Therapy and Preventive Medicine in various departments who signed informed consent for biobanking. Clinical information is collected as part of patient examination and stored in electronic medical records in the Medialog medical information system. Biobanking of blood and related products is carried out in accordance with standard operating procedures. From each patient, 12 aliquots of serum and blood plasma are stored, as well as 1 tube of whole blood with ethylenediaminetetraacetic acid potassium salt. Information about biospecimens, patient identification numbers and storage location coordinates are contained in the biobank database.Results. An algorithm for total biobanking of biomaterial and data from inpatients has been developed and put into practice. This collection is associated with large biomedical data stored in a medical information system, laboratory information system and biobank. The combined databases make it possible to search for samples in the collection according to specified criteria.Conclusion. The collection developed can be used for a wide range of studies by forming patient samples according to the necessary criteria. The developed algorithm for total biobanking in a hospital can be used in various medical centers equipped with biobanks.
目的开发一种算法,并对国家治疗与预防医学研究中心医院患者的全血、血清和血浆样本进行全面的生物银行管理,以便通过整合电子病历和生物银行数据库建立详细的生物样本收集。研究对象包括国立治疗与预防医学研究中心医院各科室所有签署生物样本库知情同意书的住院患者。临床信息作为患者检查的一部分进行收集,并存储在 Medialog 医疗信息系统的电子病历中。血液和相关产品的生物库按照标准操作程序进行。每位患者的 12 份等分血清和血浆,以及 1 管乙二胺四乙酸钾全血都被储存起来。生物样本信息、患者识别号和存储位置坐标都包含在生物样本库数据库中。已开发出一种对住院病人的生物材料和数据进行全面生物银行管理的算法,并已付诸实施。这种收集方法与存储在医疗信息系统、实验室信息系统和生物库中的大量生物医学数据相关联。通过这些数据库的组合,可以根据指定的标准搜索样本库中的样本。所开发的样本库可用于广泛的研究,根据必要的标准采集病人样本。所开发的医院整体生物库算法可用于配备生物库的各种医疗中心。
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引用次数: 0
Personal characteristics of predisposition to destructive behavior 易发生破坏性行为的个人特征
Q3 Social Sciences Pub Date : 2023-12-02 DOI: 10.15829/1728-8800-2023-3804
I. M. Plugina, E. G. Abakarova, A. S. Lukyanov
Aim. To identify personal characteristics determining the subject’s destructive behavior.Material and methods. Students from Stavropol State Medical University and North-Caucasus Federal University (n=609) took part in the study. The following diagnostic methods were used: a tendency to abnormal behavior (A. N. Orel), a meaning-life orientation test (D. A. Leontyev), a self-attitude test (S. R. Panteleev), a self-organization of activity questionnaire (E. Yu. Mandrikova).Results. We established that the sample corresponds to the characteristics of age-psychological and socio-professional development. The greatest severity by type of deviant behavior was found among respondents who are prone to overcoming norms and rules, and among those who have a reduced tendency to control emotional reactions. The least pronounced were tendencies to delinquent and addictive behavior, the tendency to aggression and violence. The dominant trends in this context are students’ understanding of the emotional richness of their ives, and the average psychological portrait of the respondent reflects their focus on themselves when implementing life’s tasks. On average, students are open to change, accept and value themselves, focus on their own strengths when planning and implementing future activities. They are focused on the present, understand the need to define the goals in life and activity. The study of individual parameters of personal characteristics and the severity of destructive behavior types made it possible to describe models of the relationship between these phenomena.Conclusion. The study showed that the current situation in the development of society is accompanied by risk factors that cause states of emotional stress and maladaptation, which has a negative impact on mental health and behavior. Diagnosis of personal characteristics and the severity of destructive behavior types in students made it possible to describe models of the relationship between these phenomena through regression analysis. A reflexive analysis of the results obtained made it possible to reveal an invariant part of personal characteristics in models of destructive behavior and the presence of certain personal characteristics that can manifest themselves in the variable part of a model of destructive behavior.
目的确定决定受试者破坏行为的个人特征。斯塔夫罗波尔国立医科大学和北高加索联邦大学的学生(人数=609)参加了研究。研究使用了以下诊断方法:异常行为倾向(A. N. Orel)、意义-生活取向测试(D. A. Leontyev)、自我态度测试(S. R. Panteleev)、自我组织活动问卷(E. Yu. Mandrikova)。我们发现,样本符合年龄、心理和社会职业发展的特点。按偏差行为的类型划分,容易违反规范和规则的受访者以及情绪反应控制能力较弱的受访者的偏差行为最为严重。最不明显的是犯罪和成瘾行为倾向,以及攻击和暴力倾向。这方面的主要趋势是学生理解其生活中丰富的情感,被调查者的平均心理特征反映了他们在执行生活任务时对自身的关注。平均而言,学生乐于改变,接受并重视自己,在计划和实施未来活动时注重自己的长处。他们关注当下,理解确定生活和活动目标的必要性。通过对个人特征参数和破坏性行为类型严重程度的研究,可以描述这些现象之间的关系模式。研究表明,社会发展的现状伴随着风险因素,这些风险因素会导致情绪紧张和适应不良的状态,从而对心理健康和行为产生负面影响。对学生个人特征和破坏性行为类型严重程度的诊断,使得通过回归分析描述这些现象之间的关系模型成为可能。对所得结果的反思性分析揭示了破坏性行为模型中个人特征的不变部分,以及在破坏性行为模型的可变部分可能表现出的某些个人特征。
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引用次数: 0
Ageism patterns in generation Z cohort in the context of soft skill development as exemplified by medical students 以医学生为例,从软技能发展的角度看 Z 世代群体的年龄歧视模式
Q3 Social Sciences Pub Date : 2023-12-02 DOI: 10.15829/1728-8800-2023-3766
N. V. Sevastyanova, K. I. Proshchaev, A. Ilnitsky, N. А. Mokicheva, L. S. Lokinskaya, M. Y. Shaposhnikova
The article discusses the question of identifying ageism patterns among medical students, where it is contrasted with soft skills, especially in jobs involving human-human collaborations. Modern medical students are representatives of the generation Z. This generation will determine the trends in the development of society and healthcare, in particular, for the coming decades. Understanding these trends will make it possible to specifically manage soft skills, make adjustments to medical curricula, enhancing their competitive ability to face the global labor market.
文章讨论了在医学生中识别年龄歧视模式的问题,并将其与软技能进行对比,尤其是在涉及人与人合作的工作中。现代医科学生是 Z 世代的代表。这一代人将决定未来几十年社会发展的趋势,尤其是医疗保健行业。了解这些趋势,就有可能有针对性地管理软技能,调整医学课程,提高他们面对全球劳动力市场的竞争能力。
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引用次数: 0
Video-ecological approach to the infographics use in education 在教育中使用信息图表的视频生态方法
Q3 Social Sciences Pub Date : 2023-12-02 DOI: 10.15829/1728-8800-2023-3738
L. S. Podymova, N. A. Podymov, E. A. Alisov, T. А. Golovyatenko
Aim. To determine prerequisites, content and strategic methods for implementing the author’s video-ecological approach to the infographics use in education.Material and methods. The subject of the study was the video-ecological approach as a pedagogical system that determines the features of infographics in education. The theoretical methods involved in content creation of the video-ecological approach were the following methods: idealization, abstraction, deduction, extrapolation. The following empirical research methods were also used: sample observation, experimental conversation, questionnaire. The methods are in demand in the context of correlating digitalization and ecologization as modern trends in educational process.Results. The video-ecological approach to the infographics use in education is presented taking into account other approaches that have become widespread at the present stage: research, narrative, competence-based, functional-activity, psychodidactic. The article contains the definition and characteristics of the structural and content filling of the epistemic spaces of video-ecological approach. Particular importance is attached to the study of prerequisites for the development of a video-ecological approach. Ecological principles of visual worldview are extrapolated into strategic techniques for implementing the videoecological approach in educational practice: interpretation of infographics, data visualization, critical analysis and creation of infographics.Conclusion. The video-ecological approach is considered by the authors as an effective theoretical and methodological basis for the infographics use in education. The results are of interest to the scientific and pedagogical community, teachers, administrative workers of educational organizations, pedagogical students. 
目的确定在教育中使用信息图表的前提条件、内容和战略方法。研究的主题是视频生态学方法,作为一种教学系统,它决定了信息图表在教育中的特点。视频生态方法的内容创作所涉及的理论方法如下:理想化、抽象、演绎、外推。还使用了以下实证研究方法:抽样观察法、实验对话法、问卷调查法。在将数字化和生态化作为教育过程中的现代趋势的背景下,需要使用这些方法。文章介绍了在教育中使用信息图表的视频生态方法,同时考虑到了现阶段广泛使用的其他方法:研究、叙事、基于能力、功能活动、心理教学。文章介绍了视频生态方法认识空间的结构和内容填充的定义和特点。文章特别重视对发展视频生态方法的先决条件的研究。将视觉世界观的生态原则推导为在教育实践中实施视频生态方法的战略技术:信息图表的解读、数据可视化、批判性分析和信息图表的创作。作者认为视频生态学方法是在教育中使用信息图表的有效理论和方法基础。科学界和教育界、教师、教育组织的行政人员、师范生都对这些成果感兴趣。
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引用次数: 0
Competency-based education of specialists at a medical university 以能力为基础的医科大学专家教育
Q3 Social Sciences Pub Date : 2023-12-02 DOI: 10.15829/17288800-2023-3665
D. Isakova, O. A. Rusakova, K. Zavedensky, E. S. Shchegolenkova, D. Dolganov, M. V. Lyapina, K. A. Vikulova, T. Vasilkova, I. M. Petrov
The training of medical specialists needs systemic transformation. Educational organizations must create conditions for developing research competencies and innovative activities among future healthcare, as well as implement transversal formats for attracting and managing talented youth at all stages of professional development. To create a passport of educational program competencies and describe the results of educational activities, the "Competency Standard" database has been developed. The aim was to classify groups and categories of competencies, including the subject’s competencies (both educational and project), the competencies of activity development, and transversal competences applicable in any type of educational and project activities. Project-based training for students makes it possible to form following priority competencies in medicine and pharmacy: analytical, research, professional, communicative, digital, managerial and entrepreneurial. Project-based learning and new educational formats are used as an transversal technology in the implementation of innovative programs, the target audience of which is students with increased educational potential, claiming a portfolio of high-quality competencies. 
医学专家的培养需要系统性改革。教育机构必须创造条件,培养未来医护人员的研究能力和创新活动,并在专业发展的各个阶段实施横向模式,吸引和管理有才能的年轻人。为了创建教育计划能力护照并描述教育活动的成果,我们开发了 "能力标准 "数据库。其目的是对能力进行分组和分类,包括主体能力(教育和项目能力)、活动发展能力以及适用于任何类型教育和项目活动的横向能力。对学生进行基于项目的培训可以培养医学和药学领域的以下重点能力:分析能力、研究能力、专业能力、交流能力、数字能力、管理能力和创业能力。以项目为基础的学习和新的教育形式被用作实施创新计划的横向技术,其目标受众是具有更大教育潜力的学生,他们要求获得高质量的能力组合。
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引用次数: 0
Water aerobic training in cardiac rehabilitation programs 心脏康复计划中的水中有氧训练
Q3 Social Sciences Pub Date : 2023-11-29 DOI: 10.15829/1728-8800-2023-3808
A. L. Persiyanova- Dubrova, M. Bubnova, I. Matveeva, D. M. Aronov
Water aerobic training can be considered as an additional method of exercise in the rehabilitation of cardiovascular patients. The review examines the physiological effects of water training, the potential of its use in different categories of cardiac patients, its advantages, dosing the load and monitoring its intensity in the aquatic environment. The practical aspects of aqua aerobic training are discussed, and research data on its safety and effectiveness in cardiac rehabilitation programs is provided.
水中有氧训练可被视为心血管病人康复中的一种额外锻炼方法。这篇综述探讨了水中训练的生理效应、在不同类别心脏病患者中的应用潜力、其优势、负荷剂量以及在水中环境中的强度监测。还讨论了水中有氧训练的实用性,并提供了有关其在心脏康复计划中的安全性和有效性的研究数据。
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引用次数: 0
Validation of genetic risk scores for obesity on a sample of the population of Russian regions 在俄罗斯地区人口样本中验证肥胖遗传风险评分
Q3 Social Sciences Pub Date : 2023-11-29 DOI: 10.15829/1728-8800-2023-3755
A. Kiseleva, A. G. Soplenkova, V. Kutsenko, E. Sotnikova, Yu.V. Vyatkin, А. A. Zharikova, A. Ershova, M. Zaichenoka, V. Ramensky, O. Skirko, S. Smetnev, O. Kopylova, А. S. Limonova, A. Blokhina, M. S. Pokrovskaya, S. Shalnova, A. N. Meshkov, O. Drapkina
Aim. To validate and evaluate the accuracy of 15 genetic risk scores (GRSs) for obesity, created in populations of European origin in the sample of two European Russia regions. Material and methods. Genetic testing has been performed using next generation sequencing on a sample from the Russian population (n=1179). The study included 15 GRS associated with body mass index (BMI) or waist-to-hip ratio adjusted for BMI (WHRadjBMI).Results. The predictive power of 8 out of 9 GRSs for obesity based on BMI remains the same for the Russian population. The predictive power of 6 GRSs for obesity based on WHRadjBMI is lower in the Russian population than in the reference sample. GRS reproducibility increases with the size of initial samples and number of variants included in the GRS increase. The use of GRSs for obesity based on BMI in the Russian population created on European populations is justified.Conclusion. For the first time in Russia, 15 obesity GRSs developed in European populations have been validated. The data obtained on the effectiveness of the considered GRS can be used in the future to improve the obesity prediction and prevention in Russia.
目的以俄罗斯两个欧洲地区为样本,验证和评估在欧洲血统人群中创建的 15 个肥胖遗传风险评分(GRS)的准确性。材料和方法。利用新一代测序技术对俄罗斯人口样本(n=1179)进行了基因检测。研究包括 15 项与体重指数(BMI)或根据体重指数调整的腰臀比(WHRadjBMI)相关的 GRS。在俄罗斯人群中,基于体重指数的 9 个 GRS 中的 8 个对肥胖的预测能力保持不变。在俄罗斯人群中,基于 WHRadjBMI 的 6 个肥胖指数的预测能力低于参考样本。随着初始样本量的增加和GRS中包含的变异体数量的增加,GRS的重现性也随之增加。在俄罗斯人群中使用基于欧洲人群体重指数的肥胖基因组测序是合理的。在俄罗斯,首次验证了在欧洲人群中开发的 15 个肥胖基因组测序。所获得的关于所考虑的肥胖风险预测系统有效性的数据可用于改善俄罗斯的肥胖预测和预防工作。
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引用次数: 0
Premature coronary artery disease and severe hypertriglyceridemia in a patient with monogenic diabetes: a case report 单基因糖尿病患者过早出现冠状动脉疾病和严重的高甘油三酯血症:病例报告
Q3 Social Sciences Pub Date : 2023-11-29 DOI: 10.15829/1728-8800-2023-3768
V. I. Mikhailina, A. N. Meshkov, A. Kiseleva, A. Ershova, M. Zaichenoka, E. S. Luboyatnikova, M. S. Pokrovskaya, O. Drapkina
Aim. Maturity- onset diabetes of the young (MODY) is a group of monogenic diseases with an autosomal dominant inheritance. This is a rarely diagnosed disease, occurring in 1 of 10 thousand adults and in 1 of 23 thousand children. Brief description. We present a case report of a patient with a monogenic diabetes HNF4A-MODY, severe hypertriglyceridemia, progressive premature coronary artery disease and a HNF4A gene pathogenic variant (ENST00000316099.8:c.1145dup).Discussion. This case demonstrates the effectiveness of triple hypoglycemic therapy, including empagliflozin for the treatment of monogenic diabetes. Despite the fact that the patient with diabetes reached the target glycated hemoglobin level, the combination of the disease with other cardiovascular risk factors (hypertension, hypertriglyceridemia, obesity, smoking, male sex) led to the progression of coronary and peripheral atherosclerosis. Considering the data of genetic testing, returning to sulfonylurea therapy should be considered. It is important for patient to follow a strict lipid-lowering diet and taking combination lipid-lowering therapy (rosuvastatin, fenofibrate and omega-3 polyunsaturated fatty acids) in order to achieve the target level of low-density lipoprotein cholesterol <1,4 mmol/l and triglycerides <1,7 mmol/l.
目的。青年成熟期糖尿病(MODY)是一组常染色体显性遗传的单基因疾病。这种疾病很少确诊,成人发病率为万分之一,儿童发病率为 2.3 万分之一。简要说明。我们报告了一例患有单基因糖尿病 HNF4A-MODY、严重高甘油三酯血症、进行性早发冠心病和 HNF4A 基因致病变异(ENST00000316099.8:c.1145dup)的患者。本病例证明了包括恩格列净在内的三联降糖疗法治疗单基因糖尿病的有效性。尽管糖尿病患者达到了目标糖化血红蛋白水平,但该病与其他心血管危险因素(高血压、高甘油三酯血症、肥胖、吸烟、男性)的结合导致了冠状动脉和外周动脉粥样硬化的进展。考虑到基因检测数据,应考虑恢复磺脲类药物治疗。患者必须严格遵守降脂饮食,并接受联合降脂治疗(洛伐他汀、非诺贝特和欧米加-3 多不饱和脂肪酸),以达到低密度脂蛋白胆固醇<1.4 毫摩尔/升和甘油三酯<1.7 毫摩尔/升的目标水平。
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引用次数: 0
Analysis of the humoral and cell-mediated immune response in heterologous and homologous SARS-CoV-2 revaccination 异源和同源 SARS-CoV-2 再接种的体液和细胞介导免疫反应分析
Q3 Social Sciences Pub Date : 2023-11-29 DOI: 10.15829/1728-8800-2023-3764
O. Drapkina, M. G. Chashchin, S. Berns, A. Gorshkov, O. V. Zhdanova, L. N. Ryzhakova, O. Litinskaya
The effectiveness of humoral and cell-mediated immunity as a result of primary vaccination for Severe Acute Respiratory Syndrome- related CoronaVirus 2 (SARS-CoV-2), as well as the effectiveness of revaccination, is an important research problem. Studying and selecting optimal revaccination regimens will allow for long-term protection against coronavirus disease 2019 (COVID-19).Aim. To study the severity of humoral and cell-mediated immune response in various (homo- and heterologous) SARS-CoV-2 revaccination regimens as part of a prospective observational study 18 and 24 months after primary vaccination.Material and methods. The study was carried out within the prospective registry SATURN, which included individuals who received various SARS-CoV-2 revaccination (homo- and heterologous regimens) based on a combination of two following vaccines: Gam- COVID-Vac and CoviVac. Depending on the chosen regimen, 3 following groups were formed: group I (n=106) — participants with a homologous Gam- COVID-Vac regimen at each stage of vaccination and revaccination; group II (n=54) — participants with a heterologous regimen of sequential administration of Gam- COVID-Vac and CoviVac at the stage of vaccination and revaccination; group III (n=40) — participants with a homologous CoviVac regimen at the stage of vaccination and revaccination. At the first visit, all participants underwent a medical history collection, examination, and identification of potential contraindications to vaccination. At each subsequent visit, the level of anti- SARS-CoV-2 S-glycoprotein IgG antibodies was additionally determined. At visits 1, 3 and 5, the activity of specifically sensitized T-lymphocytes to the surface and nuclear antigen of SARS-CoV-2 was assessed. The IgG concentration was analyzed using the Abbott Architect SARS-CoV-2 IgG reagent kit, while T-cell immunity was assessed using the T-Spot.COVID test system (Oxford Immunotec). Visit 1 corresponded to the 1st stage of primary vaccination, visit 2 — 2nd stage of primary vaccination, visit 3 (12 months after visit 1) — 1st stage of revaccination, visit 3 (21 days after visit 3) — 2nd stage of revaccination, visit 5 –18 months after primary vaccination, visit 6 — 24 months after primary vaccination.Results. The average level of anti- SARS-CoV-2 S-glycoprotein IgG antibodies in group I at visit 3 was 520 [478; 540] BAU/ml, in group II — 499 [199,5; 540] BAU/ml and in group III — 456 [389; 509,5] BAU/ml. The values were comparable to those obtained at visit 6. However, in group II, IgG level at visit 5 was significantly higher compared to visit 6 (p=0,001). The greatest decrease by visit 5 in the number of active T cells responding to SARS-CoV-2 Spike stimulation was recorded in group III (5,00 [0,50; 11,50] vs 1,00 [0,00; 5,50]; relative changes -80,0%; p=0,067). Also, among patients in group III, there was a significant decrease in the number of active T cells responding to stimulation with SARS-CoV-2 nucleocapsid (10,00 [3
严重急性呼吸系统综合征相关冠状病毒 2 型(SARS-CoV-2)初次接种后体液免疫和细胞介导免疫的有效性以及再次接种的有效性是一个重要的研究课题。研究和选择最佳的再接种方案将使2019年冠状病毒病(COVID-19)得到长期保护。研究各种(同源和异源)SARS-CoV-2再接种方案中体液和细胞介导免疫反应的严重程度,作为初种疫苗接种18和24个月后前瞻性观察研究的一部分。这项研究是在前瞻性登记系统 SATURN 的范围内进行的,其中包括接受了基于以下两种疫苗组合的各种 SARS-CoV-2 再预防接种(同源和异源方案)的人:Gam- COVID-Vac 和 CoviVac。根据所选方案的不同,分为以下三组:第一组(人数=106)--在疫苗接种和再接种的各个阶段接种 Gam- COVID-Vac 的同源方案;第二组(人数=54)--在疫苗接种和再接种阶段接种 Gam- COVID-Vac 和 CoviVac 的异源方案;第三组(人数=40)--在疫苗接种和再接种阶段接种 CoviVac 的同源方案。在首次就诊时,所有参与者都接受了病史收集、检查和潜在接种禁忌症的鉴定。在随后的每次就诊中,都会额外测定抗 SARS-CoV-2 S 糖蛋白 IgG 抗体的水平。在第 1 次、第 3 次和第 5 次就诊时,评估特异性致敏 T 淋巴细胞对 SARS-CoV-2 表面抗原和核抗原的活性。用雅培 Architect SARS-CoV-2 IgG 试剂盒分析 IgG 浓度,用 T-Spot.COVID 测试系统(牛津免疫技术公司)评估 T 细胞免疫力。第 1 次接种对应于第一阶段的初次接种,第 2 次接种--第二阶段的初次接种,第 3 次接种(第 1 次接种后 12 个月)--第一阶段的再次接种,第 3 次接种(第 3 次接种后 21 天)--第二阶段的再次接种,第 5 次接种--初次接种后 18 个月,第 6 次接种--初次接种后 24 个月。第 3 次接种时,I 组抗 SARS-CoV-2 S 糖蛋白 IgG 抗体的平均水平为 520 [478; 540] BAU/ml,II 组为 499 [199,5; 540] BAU/ml,III 组为 456 [389; 509,5] BAU/ml。这些数值与第 6 次就诊时的数值相当。然而,在第二组中,第 5 次就诊时的 IgG 水平明显高于第 6 次就诊时的水平(P=0,001)。第 5 次就诊时,对 SARS-CoV-2 Spike 刺激有反应的活性 T 细胞数量下降幅度最大的是第 III 组(5,00 [0,50; 11,50] vs 1,00 [0,00; 5,50]; 相对变化 -80,0%; p=0,067)。此外,在第三组患者中,对 SARS-CoV-2 nucleocapsid 刺激有反应的活性 T 细胞数量明显减少(10,00 [3,00; 22,50] vs 1,00 [0,00; 11,50]; 相对变化 -90,0%; p=0,0160)。第一组和第二组的参与者在第五次就诊时的结果与第三次就诊时相比保持稳定。在所有研究组中,SARS-CoV-2 S-糖肽 IgG 含量与活性 T 细胞数量之间均无明显关系。对SARS-CoV-2尖峰刺激有反应的活性T细胞水平与对SARS-CoV-2核苷酸刺激有反应的活性T细胞水平之间存在很强的正相关关系:第一组(ρ=0,807;p<0,001)、第二组(ρ=0,748;p<0,001)和第三组(ρ=0,902;p<0,001)。使用同源和异源 SARS-CoV-2 疫苗接种,在第一阶段疫苗接种 18 和 24 个月后,体液和细胞介导水平相对稳定。再次接种同源疫苗(两个阶段都接种 CoviVac)确保了抗 SARS-CoV-2 S-糖肽 IgG 抗体水平的稳定。然而,在长期接种过程中,对 SARS-CoV-2 表面抗原和核抗原刺激做出反应的活性 T 细胞数量显著减少。
{"title":"Analysis of the humoral and cell-mediated immune response in heterologous and homologous SARS-CoV-2 revaccination","authors":"O. Drapkina, M. G. Chashchin, S. Berns, A. Gorshkov, O. V. Zhdanova, L. N. Ryzhakova, O. Litinskaya","doi":"10.15829/1728-8800-2023-3764","DOIUrl":"https://doi.org/10.15829/1728-8800-2023-3764","url":null,"abstract":"The effectiveness of humoral and cell-mediated immunity as a result of primary vaccination for Severe Acute Respiratory Syndrome- related CoronaVirus 2 (SARS-CoV-2), as well as the effectiveness of revaccination, is an important research problem. Studying and selecting optimal revaccination regimens will allow for long-term protection against coronavirus disease 2019 (COVID-19).Aim. To study the severity of humoral and cell-mediated immune response in various (homo- and heterologous) SARS-CoV-2 revaccination regimens as part of a prospective observational study 18 and 24 months after primary vaccination.Material and methods. The study was carried out within the prospective registry SATURN, which included individuals who received various SARS-CoV-2 revaccination (homo- and heterologous regimens) based on a combination of two following vaccines: Gam- COVID-Vac and CoviVac. Depending on the chosen regimen, 3 following groups were formed: group I (n=106) — participants with a homologous Gam- COVID-Vac regimen at each stage of vaccination and revaccination; group II (n=54) — participants with a heterologous regimen of sequential administration of Gam- COVID-Vac and CoviVac at the stage of vaccination and revaccination; group III (n=40) — participants with a homologous CoviVac regimen at the stage of vaccination and revaccination. At the first visit, all participants underwent a medical history collection, examination, and identification of potential contraindications to vaccination. At each subsequent visit, the level of anti- SARS-CoV-2 S-glycoprotein IgG antibodies was additionally determined. At visits 1, 3 and 5, the activity of specifically sensitized T-lymphocytes to the surface and nuclear antigen of SARS-CoV-2 was assessed. The IgG concentration was analyzed using the Abbott Architect SARS-CoV-2 IgG reagent kit, while T-cell immunity was assessed using the T-Spot.COVID test system (Oxford Immunotec). Visit 1 corresponded to the 1st stage of primary vaccination, visit 2 — 2nd stage of primary vaccination, visit 3 (12 months after visit 1) — 1st stage of revaccination, visit 3 (21 days after visit 3) — 2nd stage of revaccination, visit 5 –18 months after primary vaccination, visit 6 — 24 months after primary vaccination.Results. The average level of anti- SARS-CoV-2 S-glycoprotein IgG antibodies in group I at visit 3 was 520 [478; 540] BAU/ml, in group II — 499 [199,5; 540] BAU/ml and in group III — 456 [389; 509,5] BAU/ml. The values were comparable to those obtained at visit 6. However, in group II, IgG level at visit 5 was significantly higher compared to visit 6 (p=0,001). The greatest decrease by visit 5 in the number of active T cells responding to SARS-CoV-2 Spike stimulation was recorded in group III (5,00 [0,50; 11,50] vs 1,00 [0,00; 5,50]; relative changes -80,0%; p=0,067). Also, among patients in group III, there was a significant decrease in the number of active T cells responding to stimulation with SARS-CoV-2 nucleocapsid (10,00 [3","PeriodicalId":9545,"journal":{"name":"Cardiovascular Therapy and Prevention","volume":"10 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139210466","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
Markers of heart failure with preserved ejection fraction in patients with unexplained dyspnea 不明原因呼吸困难患者中射血分数保留型心力衰竭的标志物
Q3 Social Sciences Pub Date : 2023-11-29 DOI: 10.15829/1728-8800-2023-3769
A. A. Ivanova, E. A. Rogozhkina, Y. S. Timofeev, O. N. Dzhioeva, O. Drapkina
Aim. To evaluate the prevalence of clinical, history, laboratory and ultrasound markers of heart failure with preserved ejection fraction (HFpEF) in patients with unexplained dyspnea, as well as to identify markers of structural myocardial remodeling in this group of patients.Material and methods. This retrospective study included 504 patients aged 18 to 84 years who were hospitalized from July 1, 2022 to March 31, 2023. Patients were divided into two groups depending on the presence of dyspnea. A comparative analysis of ultrasound parameters was carried out in order to identify myocardial structural remodeling.Results. A number of associated conditions and metabolic disorders, which are known to be risk factors for HFpEF, were detected more often in patients with unexplained dyspnea and myocardial remodeling. A model to determine the probability of structural remodeling was developed. Two most significant indicators were dyspnea and diabetes.Conclusion. This study demonstrated the relationship between unexplained dyspnea and structural myocardial remodeling. Identification of certain clinical and morphological signs of HFpEF in such patients requires apprehensive attitude and in-depth examination in order to rule out it.
目的评估不明原因呼吸困难患者中射血分数保留型心力衰竭(HFpEF)的临床、病史、实验室和超声标记物的患病率,并确定这类患者的心肌结构重塑标记物。这项回顾性研究纳入了 504 名年龄在 18 至 84 岁之间、于 2022 年 7 月 1 日至 2023 年 3 月 31 日期间住院治疗的患者。根据是否存在呼吸困难,患者被分为两组。对超声参数进行了对比分析,以确定心肌结构重塑情况。在不明原因呼吸困难和心肌重塑的患者中,更常发现一些相关疾病和代谢紊乱,而这些疾病和紊乱是已知的高频心衰的危险因素。我们建立了一个模型来确定结构重塑的概率。两个最重要的指标是呼吸困难和糖尿病。这项研究证明了不明原因的呼吸困难与结构性心肌重塑之间的关系。在此类患者中识别 HFpEF 的某些临床和形态学体征需要采取谨慎的态度和深入的检查,以排除 HFpEF。
{"title":"Markers of heart failure with preserved ejection fraction in patients with unexplained dyspnea","authors":"A. A. Ivanova, E. A. Rogozhkina, Y. S. Timofeev, O. N. Dzhioeva, O. Drapkina","doi":"10.15829/1728-8800-2023-3769","DOIUrl":"https://doi.org/10.15829/1728-8800-2023-3769","url":null,"abstract":"Aim. To evaluate the prevalence of clinical, history, laboratory and ultrasound markers of heart failure with preserved ejection fraction (HFpEF) in patients with unexplained dyspnea, as well as to identify markers of structural myocardial remodeling in this group of patients.Material and methods. This retrospective study included 504 patients aged 18 to 84 years who were hospitalized from July 1, 2022 to March 31, 2023. Patients were divided into two groups depending on the presence of dyspnea. A comparative analysis of ultrasound parameters was carried out in order to identify myocardial structural remodeling.Results. A number of associated conditions and metabolic disorders, which are known to be risk factors for HFpEF, were detected more often in patients with unexplained dyspnea and myocardial remodeling. A model to determine the probability of structural remodeling was developed. Two most significant indicators were dyspnea and diabetes.Conclusion. This study demonstrated the relationship between unexplained dyspnea and structural myocardial remodeling. Identification of certain clinical and morphological signs of HFpEF in such patients requires apprehensive attitude and in-depth examination in order to rule out it.","PeriodicalId":9545,"journal":{"name":"Cardiovascular Therapy and Prevention","volume":"5 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139210190","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
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Cardiovascular Therapy and Prevention
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