[Pattern dynamics of bacteriemia and sepsis pathogens in ICU patients of emergency service].

The results of microbiological tests of 2382 blood specimens from 698 patients of three ICUs of the N. V. Sklifosovsky Research Institute of Emergency Service were analysed for a period of 2009 to 2012. No microbial growth was detected in 1160 specimens (48.7%). In the subsequent tests 816 isolates were used. The quota of grampositive isolates in the pathogen pattern decreased from 51.68 to 35.9% and that of gramnegative isolates increased from 38.26 to 48.1%. The number of the Candida isolates increased from 7.38 to 15.2%. The frequency of the S. aureus and Enterococcus spp. isolates lowered from 26.2 to 13.3% and from 15.4 to 11.5% respectively. The quota of K. pneumoniae isolates and Acinetobacter spp. increased from 8.1 to 18.9% and from 14.1 to 17.4% respectively. Most of the S. aureus isolates were methicillin resistant. All the staphylococcal isolates were susceptible to vancomycin and linezolid. All the strains of K. pneumoniae isolated in 2009-2012 produced extended spectrum beta-lactamases. In 2012 7.8% the K. pneumoniae isolates were resistant to carbapenems. In 2012 25.5% of the Acinetobacter spp. isolates were susceptible to carbapenems and 70.2% were susceptible to cefoperazon/sulbactam.

[Antibiotic susceptibility of isolates from blood of patients in intensive care units of emergency medical service].

The microbiological tests of 769 blood samples from 220 patients, treated in 4 intensive care units of the N.V. Sklifosovsky Research Institute for Emergency Medical Service within a period from January 2009 to June 2010, were analysed. Etiologically significant microorganisms were detected in 323 samples (42%). 253 isolates were used in the analysis. Grampositive and gramnegative pathogens were detected in 47 and 42% of the cases respectively. Candida and anaerobic organisms were isolated in 8 and 3% of the cases respectively. Staphylococcus aureus and enterococci were isolated in 24 and 15% of the cases respectively. Nonfermenting gramnegative bacteria and enterobacteria were revealed in 25 and 17% of the cases respectively. Differences in the spectrum of the sepsis pathogens depending on the patients contingent were shown. The maximum summary susceptibility of the grampositive cocci was observed with respect to vancomycin and linezolid and that of the gramnegative bacteria was stated with respect to imipenem and meropenem.

[Effect of Mg ions and spermine on ATP-dependent Ca2+ transport in myometrial intracellular structures. I. Comparative study of Ca2+ accumulation in mitochondria and sarcoplasmic reticulum]. / Vliianie ionov Mg i spermina na ATP-zavisimyi transport Ca2+ vo vnutrikletochnykh strukturakh miometriia. 1. Sravnitel'noe izuchenie akkumuliatsii Ca2+ v mitokhondriiakh i sarkoplazmaticheskom retikulume.

In experiments, which were carried out with the use of a radioactive label (45Ca2+) on the suspension of rat uterus myocytes treated by digitonin solution (0.1 mg/ml), influence of Mg ions and spermine on Mg2+, ATP-dependent Ca2+ transport in mitochondria and sarcoplasmic reticulum was investigated. Ca2+ accumulation in mitochondria (1324 +/- 174 pmol Ca2+/10(6) cells for 1 min - the control) was tested as such which was not sensitive to thapsigargin (100 nM) and was blocked by ruthenium red (10 microM). Oxalate-stimulated Ca2+ accumulation in sarcoplasmic reticulum (136 +/- 17 pmol Ca2+/10(6) cells for 1 min - the control) was tested as such which was not sensitive to ruthenium red and was blocked by thapsigargin. It has been shown, that initial speed and level of energy-dependent Ca2+ accumulation in mitochondria considerably exceeded the values of these parameters for sarcoplasmic reticulum Ca2+-accumulation system. Ca2+ accumulation kinetic in mitochondria was characterized by a steady-state phase (for 5-10 min. of incubation) while accumulation kinetic of this cation in sarcoplasmic reticulum corresponded to zero order reaction. Increase of Mg2+ concentration up to 5 mM led to activation of Ca2+-accumulation systems in mitochondria and sarcoplasmic reticulum (values of activation constants K(Mg) for Mg2+ were 2.8 and 0.6 mM, accordingly). Concentration dependence of spermine action on Ca2+ accumulation in mitochondria was described by a dome-shaped curve with a maximum at 1 mM spermine. In case of sarcoplasmic reticulum Ca2+ pump only the inhibition phase was tested at spermine concentration above 1 mM. However values of inhibition constants for both transporting systems were practically identical--5.2 +/- 0.6 and 5.7 +/- 0.7 mM, accordingly. Hence, Mg ions carry out the important role in regulation of energy-dependent Ca2+ transporting systems both in uterus smooth muscle mitochondria and sarcoplasmic reticulum. Spermine acts first of all on mitochondrial calcium uniporter.

[Influence of Mg ions and spermine on ATP-dependent Ca2+ transport in myometrial intracellular structures. II. Comparative study of spermine, Mg ions and cyclosporin A effects on Ca2+ transport in mitochondria]. / Vliianie ionov Mg i spermina na ATR-zavisimyi transport Ca2+ vo vnutrikletochnykh strukturakh miometriia. II. Sravnitel'noe izuchenie deistviia spermina, ionov Mg i tsiklosporina A na transport Ca2+ v mitokhondriiakh.

In experiments carried out with the use of the radioactive label (45Ca2+) on suspension of the rat uterus myocytes processed by digitonin solution (0.1 mg/ml), influence of spermine and cyclosporin A on Mg2+, ATP-dependent Ca2+ transport in mitochondria at different Mg2+ concentration were investigated. Ca2+ accumulation in mitochondria was tested as such which was not sensitive to thapsigargin (100 nM) and was blocked by ruthenium red (10 microM). It has been shown, that spermine (1 mM) stimulates Mg2+, ATP-dependent Ca2+ accumulation in mitochondria irrespective of Mg2+ concentration (3 or 7 mM) in the incubation medium. At the same time cyclosporin A (5 microM) effects on Ca2+ accumulation in mitochondria depend on Mg2+ concentration in the incubation medium: at 3 mM Mg2+ the stimulating effect was observed, and at 7 mM Mg2+ - the inhibitory one. In conditions which led to the increase of nonspecific mitochondrial permeability and, accordingly, to dissipation of electrochemical potential (it was reached by 5 min. preincubation of myocytes suspension in the medium that contained 10 microM Ca2+, 2 mM phosphate and 3 or 7 mM Mg2+, but not ATP) significant inhibition of Mg2+, ATP-dependent Ca2+ accumulation in mitochondria was observed. The inhibition to the greater degree was observed when medium ATP and Mg2+ were absent simultaneously in the preincubation. Thus the quality of spermine effects on Ca2+ accumulation was kept: stimulation in the presence both of 3 mM and 7 mM Mg2+. Ca2+ accumulation did not reach the control level when 3 mM Mg2+ and 1 mM spermine was present and ATP absent in the preincubation medium. However, in the presence of 7 mM Mg2+ and 1 mM spermine practically full restoration (up to a control level) of Ca2+ accumulation was observed. At the same time with other things being equal such restoration was not observed at simultaneous absence of ATP and Mg2+ in the preincubation medium. The quality of cyclosporin A effects on Ca2+ accumulation in mitochondria was also kept: stimulation - in the presence of 3 mM Mg2+, inhibition - in the presence of 7 mM Mg2+ in the preincubation medium. And, at last, in the presence of cyclosporin A irrespective of the fact which preincubation medium was used, Ca2+ accumulation level practically did not depend on Mg2+ concentration.

[Effect of ethanol on intracellular Ca2+ metabolism]. / Effect of ethanol on intracellular Ca2+ metabolism.

The aim of this review is to summarize current thinking on ethanol effects on the Ca2+ homeostasis in the excitable tissue cells. It has been shown that acute exposure to ethanol decreases cytoplasmic Ca2+ concentration due to Ca2+ channels inhibition and Ca2+ pumps activation. Whereas chronic exposure to ethanol increases the intracellular Ca2+ concentration in cells due to activation of passive Ca2+ transport systems and inhibition of energy-dependent Ca2+ transport systems. The emphasis is place on a possible role of pharmacologic agents that preserve Ca2+ homeostasis in protecting against ethanol-induced diseases.

[Effect of ethanol on accumulation of Ca ions in intracellular structures of rat myometrium under conditions of first creating ethanol-dependent models]. / Effektronoe vliianie étanola na akkululiatsiiu ionov Ca vo vnutrikletochnykh strukturakh miometriia krys v usloviiakh predvaritel'nogo sozdaniia étanolzavisimykh modelei.

In the experiments which have been conducted on digitonin-treated myometrium cell suspensions of nonpregnant rats the direct influence of ethanol in concentration 0-10% on the Ca2+ accumulation in mitochondria and endoplasmic reticulum have been studied. Studies have been conducted on the different models, such as, control (model I), subacute (model II), acute (model III) and chronic ethanol consumption (model IV). It has been shown for all models that the dependence of Ca2+ accumulation by mitochondria on the concentration of ethanol in incubation medium is bell-shaped. Acute and chronic ethanol consumption resulted in statistically reliable decrease in the amount of accumulated cations. Nevertheless the I50 values were the same for the models I-III and were 8-9%, although in the case of model IV this one was only 4.0 +/- 0.6%. The increase of ethanol concentration in the incubation medium caused of Ca2+ accumulation decreasing in the endoplasmic reticulum for all studied models, the values of I50 also decreased for models II-IV (2.8 +/- 0.2; 2.5 +/- 0.2 and 2.3 +/- 0.3% respectively) relative to the control (3.8 +/- 0.2%). At the level of model I oxytocin-inhibited component of the endoplasmic reticulum Ca2+ uptake was more stable to the ethanol effects than oxytocin-independent one. Although the sensitivity of the first one to the ethanol effects at the level of models II-IV rose, that parameter for the oxytocin-independent component was not changed. The mechanisms of ethanol effects on Ca2+ accumulation in the myometrium intracellular structures have been discussed.

[Effect of chronic craving for ethanol on accumulation of calcium ions in intracellular structures of rat myometrium]. / Vliianie khornicheskogo potrebleniia étanola na akkumuliatsiiu ionov kal'tsiia vo vnutrikletochnykh strukturakh miometriia krys.

In the experiments on the impregnant estrogenized rats the effect of chronic ethanol intake on Ca(2+)-accumulative mitochondrial systems and endoplasmatic systems of myometrium was estimated. It was defined that in chronic alcohol consumption the transport activity of mitochondria Ca(2+)-accumulative systems didn't prevail over endoplasmatic reticulum Ca(2+)-accumulative activity. Therewith mitochondria and endoplasmatic Ca(2+)-transport system was essentially disturbed. In the tested conditions Mg2+, ATP-dependent sensitivity of calcium pump to oxytocin inhibiting action was shown to disappear.

[Effect of ethanol on the activity of the energy-dependent Ca2+-transporting system of myometrial cells]. / Vliianie étanola na aktivnost' énergozavisimykh Ca2+-transportiruiushchikh sistem kletok miometriia.

In order of estimating some regularities of ethanol direct (effectory) effect to transmembrane calcium metabolism in the myometrium the action of this substance on the energy-dependent Ca(2+)-transporting systems of the uterine myocytes subcellular structures has been studied. The systems of Mg2+, ATP-dependent Ca2+ transport regarding their sensitivity to ethanol inhibitory effect were displayed as satisfying the following sequences: endoplasmic reticulum calcium pump > plasma membrane solubilized Ca2+, Mg2+, ATP-ase > mitochondrial Ca(2+)-accumulating system = plasma membrane calcium pump. Alongside with the latter, the oxytocin-insensitive component of Mg2+, ATP-dependent Ca2+ accumulation in the endoplasmic reticulum was defined to be less resistant to inhibitory effect of ethanol if compared with the oxytocin-sensitive one. On the base of the data received some mechanisms of ethanol effectory action on the intracellular calcium homeostasis in the myometrium cells are under the discussion.

[Accumulation of Ca ions in intracellular structures of rat myometrium during subacute, acute, and chronic administration of ethanol]. / Akkumuliatsiia ionov Ca vo vnutrikletochnykh strukturakh mimetriia krys pri podostrom, ostrom i khronichskom vvedenii étanola.

The effects of subacute, acute and chronic ethanol exposure on the activity of Ca(2+)-accumulating systems of mitochondria and endoplasmic reticulum in myometrial cells of nonpregnant estrogen-treated rats were studied. It has been shown that the activity of Ca(2+)-accumulating system of mitochondria was higher than the activity of Ca(2+)-accumulating system of endoplasmic reticulum in myometrial cells from control, acute and subacute treated with ethanol rats. Under ethanol chronical assumption both Ca(2+)-accumulation in mitochondria and Ca(2+)-transporting activity of endoplasmic reticulum are inhibited. In the latter ease Mg2+, ATP-dependent Ca(2+)-pump lost its sensitivity to oxytocin.

[The entomological and acarological situation in Nizhegorod Province]. / Entomologicheskaia i akarologicheskaia situatsiia v Nizhnegorodskoi oblasti.

Ixodes, persulcatus, I. ricinus, D. reticulatus, D. marginatus, H. concinna were recorded in different regional environmental regions. The northern districts of the region are endemic for tick-borne encephalitis (TBE) and Ixodes tick-borne borreliosis (ITBB). The infection of ticks with TBE virus is 0.25%, that with Borrelia is 10.3% of the total number of the examinees. In 1997 TBE and TTBB morbidity rates were 1.91 and 2.0 per 100,000, respectively. Data on the phenology of prevailing Anopheles messeae are given. Human malaria contamination may take 99-102 days (the first ten days of June to the second ten days of September). The large size of malaria mosquitoes and the presence of imported cases of malaria make it possible to deteriorate the malaria epidemiological situation. The larvicidal activity of a preparation derived from shepherd's-purse (Capsella bursa pastoris) [correction of caseweed (Bursae pastoris)] was tested. 80-85% deaths of larvae of second-third ages occurred 48 hours after treatment with the preparation, 1 kg/ha.

[Effector action of ethanol on the accumulation of Ca2+ in intracellular structures of uterine smooth muscle]. / Effektornoe deistvie étanola na akkumuliatsiiu Ca2+ vo vnutrikletochnykh strukturakh gladkoi myshtsy matki.

The work is devoted to the investigation of ethanol direct effect on the transmembrane Ca2+ metabolism in the intracellular structures of myometrium. In the experiments in vitro it has been shown that the Mg2+, ATP-dependent system for Ca2+ accumulation in endoplasmic reticulum is more sensitive then Ca(2+)-accumulating system in mitochondria. It has also been found that the oxytocin insensitive part of Mg2+, ATP-dependent Ca2+ accumulation of the endoplasmic reticulum is less resistant to ethanol inhibition than the oxytocin sensitive one. The data above revealed allow to discuss mechanism of ethanol action on the intracellular Ca2+ homeostasis in myometrium.

[Energy-dependent Ca2+-transport in intracellular smooth muscle structures]. / Energozavisimyi transport Ca2+ vo vnutrikletochnykh strukturakh gladkoi myshtsy.

In experiments performed on digitonin-treated myometrium cells the existence of intracellular energy-dependent Ca(2+)-transporting system has been identified. The mitochondria-linked energy-dependent accumulation of Ca2+ was inhibited by ruthenium red and sodium azide with Ki of 0.7 +/- 0.3 microM and 1.1 +/- 0.4 mM, respectively. The Ca2+ ionophore A23187 added to the incubation medium following the termination of the accumulation process by ruthenium red caused a discharge of Ca2+ accumulated from the mitochondria. In the endoplasmic reticulum there exists a Mg2+,ATP-dependent Ca(2+)-pump which is potentiated by oxalate, immune to ruthenium red and sodium azide and inhibited by thapsigargin with Ki < 20 nM. In the absence of oxalate, the component of mitochondrial accumulation of Ca2+ was 3-4 times higher that of the endoplasmic reticulum. These results indicate that under the conditions used the calcium capacity of mitochondria was significantly higher than that of the endoplasmic reticulum. It is suggested that mitochondria serve as a high capacity intracellular Ca(2+)-accumulating store protecting smooth muscle cells from Ca2+ overload under some abnormal states. Under normal physiological conditions the endoplasmic reticulum serves as the major intracellular store involved in the pharmacomechanical coupling in the smooth muscle of the myometrium.