[Trends in the incidence of mental and behavioral disorders during the COVID-19 pandemic in Penza Oblast]. / Dinamika zabolevaemosti psikhicheskimi rasstroistvami i rasstroistvami povedeniya v period pandemii COVID-19 v Penzenskoi oblasti.

OBJECTIVE: An analysis of the trend of overall and primary incidence of mental and behavioral disorders, including those caused by the use of psychoactive substances, in different age groups during the COVID-19 pandemic in Penza Oblast. MATERIAL AND METHODS: The data were obtained from statistical report №12 for Penza Oblast. These included the overall and primary incidence of mental and behavioral disorders (MBD), as well as substance use-related MBD (MBDSUR), as calculated per 100.000 people for the period 2015 to 2022. The period 2015 to 2019 was the reference period and 2020 to 2022 was the pandemic period. The calculation was carried out by age groups: children (0-14 years), adolescents (15-17 years), adults (over 18 years), adults over working age (from 55 years for women and from 60 years for men). Statistical processing of the results included regression analysis, calculation of incidence forecast for 2023-2025, and assessment of the significance of the changes using the t-criterion. RESULTS: The decrease in the overall incidence of MBD in adults was highly deterministic (R2=0.82; p=0.012) and significant between 2017-2018 (p=0.009), 2018-2019 (p=0.001) and 2019-2020 (p=0.004). High determination with a logarithmic trend line was characteristic of almost all models, except for the primary incidence of MBD in children and overall incidence of MBDSUR in adults over working age, including after 2020. Among adolescents, the overall incidence of MBDSUR decreased significantly from 2015 to 2022 (p=0.042). CONCLUSION: There was no significant increase in the incidence of MBD, including MBDURS, during the pandemic. At the same time, there was a trend towards the decrease in adults, as well as the increase in the primary incidence of MBD in children and the overall incidence of MBDSUR in adults over working age, which determines the need for further identification of risk factors and development of specific rehabilitation measures for patients in these groups.

[Application of narrow-band optical radiation with a wavelength of 650 nm in complex treatment of children with developmental speech delay]. / Primenenie uzkopolosnogo opticheskogo izlucheniya s dlinoi volny 650 nm v kompleksnom lechenii detei s zaderzhkoi rechevogo razvitiya.

OBJECTIVE: To substantiate the use of photochromotherapy (narrow-band optical radiation with an average wavelength of 650 nm) in the complex treatment of children with developmental speech delay on the type of general speech underdevelopment (GSU) of I and II degree. MATERIAL AND METHODS: A number of children equal 70 aged from 4 to 6 years with developmental speech delay were examined. All patients were randomized into 2 clinically comparable groups: the 1st (study) group included 35 patients who received medical treatment in accordance with clinical recommendations in combination with the use of narrow-band optical radiation with an average wavelength of 650nm for 10 days; the 2nd (comparison) group consisted of 35 subjects who received standard drug therapy according to the established clinical recommendations. All patients underwent a comprehensive clinical examination and a special neurological investigation, including electroencephalography and electromyography, as well as an assessment of the development of speech functions and dynamic coordination of gesture, the level of social and communication skills development and neuropsychological processes. RESULTS: The following data were obtained during the complex treatment with the inclusion of narrow-band optical radiation with an average wavelength of 650 nm (red radiation): statistically significant improvement of speech development (p<0.05); improvement of values of social adaptation skills of medium (71%) (Z=2.769; p=006) and low level (29%) (Z=2.691; p=0.007); significant positive dynamics of speech status (Z=3.911; p=0.000); spontaneous activity relief at rest, indicating normalization of muscle tone. CONCLUSION: The inclusion of photochromotherapy in standard therapeutic regimens for children with developmental speech delay on the GSU type of I, II degrees contributes to a significantly confirmed pronounced clinical improvement and can be recommended for practical health care.

[The role of inflammation in the development of diabetic polyneuropathy and the possibility of its correction]. / Rol' vospaleniya v razvitii diabeticheskoi polineiropatii i vozmozhnost' ego korrektsii.

OBJECTIVE: To study the effect of the combined drug Cytoflavin on the mechanisms of nonspecific inflammation in the treatment of diabetic polyneuropathy (DPN) with an assessment of the dynamics of the TNF-α index. MATERIAL AND METHODS: An open comparative prospective observation of patients with a history of DPN for more than 5 years and a high level of TNF-α was carried out. All patients underwent basic oral combined hypoglycemic therapy, the main group used the combined drug Cytoflavin 10 ml (per 200 ml 0.9% NaCl) for 10 days, followed by the transition to the enteral form of the drug, 2 tablets 2 times a day for 1 months The main indication for the appointment of Cytoflavin was the presence of comorbid pathology in the form of cerebrovascular disease in all studied patients. The severity of clinical symptoms of DPN, the quality of life (QOL) of patients, as well as the dynamics of the level of TNF-α as an indicator reflecting the process of inflammation were assessed. RESULTS: As a result of the treatment in the study group, there was an improvement in QoL, a decrease in the severity of sensory complaints and a decrease in the level of TNF-α, which may indicate a possible anti-inflammatory mechanism of the combined drug Cytoflavin. CONCLUSION: Cytoflavin can inhibit inflammation and reduce the severity of sensitive disorders in patients with DPN.

[Efficiency of the attention networks and severity of positive and negative symptoms in schizophrenia]. / Effektivnost' setei vnimaniya i vyrazhennost' pozitivnoi i negativnoi simptomatiki pri shizofrenii.

OBJECTIVE: To examine the characteristics of the event related potentials during the attention network test in patients with schizophrenia depending on the severity of positive and negative symptoms. MATERIAL AND METHODS: The study included 20 patients with schizophrenia, 10 of them with a predominance of positive symptoms and 10 patients with a predominance of negative symptoms. All patients were diagnosed with paranoid schizophrenia (F20.0). Attention function was assessed using the attention network test with parallel recording of evoked responses. Differences in the amplitude and latency of N100 potential when presented with different types of cues, as well as P300 potential when identifying a congruent and incongruent flanker were analyzed. RESULTS: A comparative analysis of N100 potential for neutral cues and flankers showed significantly lower amplitude and longer latency in the group of patients with a predominance of negative symptoms (Cz channel).The amplitude of the evoked N100 response upon presentation of central and spatial cues was significantly higher in the group of patients with a predominance of positive symptoms. An analysis of P300 potential in Fz channel with congruent and incongruent flankers revealed no differences in the amplitude of both stimuli in the group of patients with a predominance of negative symptoms, while the amplitude of the evoked response to congruent and incongruent flankers was significantly higher in the group with a predominance of positive symptoms. In the group of patients with a predominance of positive symptoms, an inverse flanker response was established - P300 amplitude was significantly higher upon presentation of an incongruent flanker. CONCLUSION: The specific characteristics of evoked responses describing the features of such systems of attention as vigilance, orientation and conflict resolution have been established.

Bjurböle L/LL4 ordinary chondrite properties studied by Raman spectroscopy, X-ray diffraction, magnetization measurements and Mössbauer spectroscopy.

Bjurböle L/LL4 ordinary chondrite was studied using scanning electron microscopy with energy dispersive spectroscopy, Raman spectroscopy, X-ray diffraction, magnetization measurements and Mössbauer spectroscopy. The phase composition and the relative iron fractions in the iron-bearing phases were determined. The unit cell parameters for olivine, orthopyroxene and clinopyroxene are similar to those observed in the other ordinary chondrites. The higher contents of forsterite and enstatite were detected by Raman spectroscopy. Magnetization measurements showed that the temperature of the ferrimagnetic-paramagnetic phase transition in chromite is around 57 K and the saturation magnetic moment is ~7 emu/g. The values of the 57Fe hyperfine parameters for all components in the Bjurböle Mössbauer spectrum were determined and related to the corresponding iron-bearing phases. The relative iron fractions in Bjurböle and the 57Fe hyperfine parameters of olivine, orthopyroxene and troilite were compared with the data obtained for the selected L and LL ordinary chondrites. The Fe2+ occupancies of the M1 and M2 sites in silicate crystals were determined using both X-ray diffraction and Mössbauer spectroscopy. Then, the temperatures of equilibrium cation distribution were determined, using two independent techniques, for olivine as 666 K and 850 K, respectively, and for orthopyroxene as 958 K and 1136 K, respectively. Implications of X-ray diffraction, magnetization measurements and Mössbauer spectroscopy data for the classification of the studied Bjurböle material indicate its composition being close to the LL group of ordinary chondrites.

[Unspecified encephalitis in HIV-infected patients: clinical and postmortem evaluation].

BACKGROUND: The search for an aetiology of central nervous system (CNS) lesions In HIV patients can be extremely challenging. AIM: To establish the nature and character of CNS lesion according to the data of pathological examination of deceased HIV-patients who had an antemortem clinical diagnosis of unspecified encephalitis. MATERIALS AND METHODS: We analysed clinical and laboratory data of 225 HIV-patients admitted to the ICU at the Infectious Clinical Hospital №2 (Moscow, 2018). The principal diagnosis was unspecified encephalitis characterized by cerebral oedema. Had died 183 (67.9%) patients. We conducted pathological examination in 43 (23.5%). RESULTS: CNS lesions occurred in 331 patients (58.8% of 563 ICU). The antemortem diagnosis established were as follows: 12.1% toxoplasmosis; 6.6% HIV-encephalitis; 5.1% CNS lymphoma; 3.6% cryptococcal meningoencephalitis; 3.0% cytomegaloviral diseases; 2.1% progressive multifocal leukoencephalopathy. The cause of the pathology remained unidentified in 225 patients (68% with CNS lesions). Majority of patients were ART-naive. Post-mortem verification was conducted in 29 (67.4%) deceased patients, of which HIV-encephalitis 34.5%, toxoplasmosis 10.3%, progressive multifocal leukoencephalopathy 3.4%. The nature of brain damage in the remaining 20.7% cases was not established even after post-mortem investigation. Productive lepto-meningitis 8 (27.6%), indicating a prolonged duration of the inflammatory process. In the brain 48.1% patients with subacute and productive changes, had a pre-hospital time of more than 30 days, in contrast to 11.1% of patients who had acute pathological processes in the CNS (p0.05). Autopsy didnt reveal any inflammatory changes in the brain in 14 (32.6%) patients, though cerebral oedema 93.3%, haemorrhagic syndrome 60% cases. CONCLUSION: Accurate retrospective identification of the aetiology of CNS lesions combined with assessing in vivo characterisation of the pathological process plays an essential role in subsequent formation of diagnostic approaches in pathologies of the CNS in HIV-patients.

Characterization of Kemer L4 meteorite using Raman spectroscopy, X-ray diffraction, magnetization measurements and Mössbauer spectroscopy.

The bulk interior of Kemer L4 ordinary chondrite was characterized for the first time by means of optical microscopy, scanning electron microscopy with energy dispersive spectroscopy, Raman spectroscopy, X-ray diffraction, magnetization measurements and Mössbauer spectroscopy with a high velocity resolution. The main and minor iron-bearing phases were found as well as ferrihydrite as a result of weathering. The Fe2+ partitioning among the M1 and M2 sites in olivine, orthopyroxene and clinopyroxene was determined from the X-ray diffraction. The ratios of Fe2+ occupancies for these crystals were estimated from both X-ray diffraction and Mössbauer spectroscopy data and appeared to be in a good agreement. The distribution coefficients KD and the temperatures of equilibrium cation distribution Teq were also evaluated for olivine and orthopyroxene from two independent techniques and were in a good consistence: KD = 1.77, Teq = 441 K (X-ray diffraction) and KD = 1.77, Teq = 439 K (Mössbauer spectroscopy) for olivine and KD = 0.10, Teq = 806 K (X-ray diffraction) and KD = 0.09, Teq = 787 K (Mössbauer spectroscopy) for orthopyroxene. The fusion crust of Kemer L4 was studied using X-ray diffraction, magnetization measurements and Mössbauer spectroscopy. Magnesioferrite and probably maghemite were found in the fusion crust in addition to other phases observed in the bulk interior.

Variability of Chelyabinsk meteoroid stones studied by Mössbauer spectroscopy and X-ray diffraction.

The meter-scale variations of material properties of the 20-m sized Chelyabinsk meteoroid are critical for understanding why the meteoroid fragmented the way it did and caused the devastating airburst that sent over 1600 people to the hospital for treatment of glass cuts and minor injuries on February 15, 2013. From a range of differently looking unweathered meteorite fragments that were recovered shortly after the event, these material differences were probed by means of optical and scanning electron microscopy, X-ray diffraction (XRD), and the high velocity resolution Mössbauer spectroscopy. All main and some minor iron-bearing phases were identified on the basis of XRD data and Mössbauer spectra. The Fe2+ partitioning between the M1 and M2 sites in silicate phases was determined independently using XRD and Mössbauer data. Different meteorite fragments show a range of 570-1180 K in the temperature of the Fe2+ and Mg2+ equilibrium distribution between the M1 and M2 sites in olivine, while that in orthopyroxene falls in the range 870-1180 K (these ranges were estimated using both techniques). This fact points out a slightly different thermal history of these minerals before they accumulated in different parts of the Chelyabinsk meteoroid. The Chelyabinsk meteoroid is a fragmental breccia from materials formed at different depths in their parent body, or from materials that experienced different annealing temperatures in impacts. In addition, the fusion crust from two fragments, studied by XRD and Mössbauer spectroscopy, experienced a different thermal history during entry, suggesting that the fragment with mixed light and dark lithologies was located deeper inside the initial meteoroid than the fragment with only light lithology, or fragmented less readily.

In vivo optoacoustic temperature imaging for image-guided cryotherapy of prostate cancer.

The objective of this study is to demonstrate in vivo the feasibility of optoacoustic temperature imaging during cryotherapy of prostate cancer. We developed a preclinical prototype optoacoustic temperature imager that included pulsed optical excitation at a wavelength of 805 nm, a modified clinical transrectal ultrasound probe, a parallel data acquisition system, image processing and visualization software. Cryotherapy of a canine prostate was performed in vivo using a commercial clinical system, Cryocare® CS, with an integrated ultrasound imaging. The universal temperature-dependent optoacoustic response of blood was employed to convert reconstructed optoacoustic images to temperature maps. Optoacoustic imaging of temperature during prostate cryotherapy was performed in the longitudinal view over a region of 30 mm (long) × 10 mm (deep) that covered the rectum, the Denonvilliers fascia, and the posterior portion of the treated gland. The transrectal optoacoustic images showed high-contrast vascularized regions, which were used for quantitative estimation of local temperature profiles. The constructed temperature maps and their temporal dynamics were consistent with the arrangement of the cryoprobe and readouts of the thermal needle sensors. The temporal profiles of the readouts from the thermal needle sensors and the temporal profile estimated from the normalized optoacoustic intensity of the selected vascularized region showed significant resemblance, except for the initial overshoot, that may be explained as a result of the physiological thermoregulatory compensation. The temperature was mapped with errors not exceeding ±2 °C (standard deviation) consistent with the clinical requirements for monitoring cryotherapy of the prostate. In vivo results showed that the optoacoustic temperature imaging is a promising non-invasive technique for real-time imaging of tissue temperature during cryotherapy of prostate cancer, which can be combined with transrectal ultrasound-the current standard for guiding clinical cryotherapy procedure.

Opportunistic diseases in patients with HIV infection in the intensive care unit.

AIM: The aim of the study was to analyze the incidence and prevalence of opportunistic diseases and comorbidities in patients admitted in the intensive care unit. MATERIALS AND METHODS: A specialized intensive care unit (ICU) for patients with severe HIV infection was set up in 2014 at the infectious diseases 2nd state hospital Moscow. It provides intensive care and treatments for HIV patients with severe co-morbidities and opportunistic infections. Retrospective analysis of medical records from 2014-2016 was carried out. Also carried out was a comparative study of the most common presentation of secondary diseases with available data of HIV patients in Russia from 1993-1997. RESULTS: The number of patients treated increased from 455 to 852, and the death rate in the department decreased from 64.8 to 50.2% since it began operating. The opportunistic infections noted were cytomegalovirus, pneumocystis pneumonia, esophageal candidiasis, tuberculosis and toxoplasmosis of the brain. The most common comorbidities were chronic hepatitis C and mixed form of chronic hepatitis with cirrhosis complications. Despite the vast diagnostic possibilities, bacterial pneumonia and encephalitis of unknown origin significantly occurred. Comparative study of secondary disease since the early 1990s revealed a significant increase in cerebral toxoplasmosis (from 1.7 to 10.4%), pneumocystis pneumonia (from 5.2 to 16.0%) and encephalitis of unspecified etiology (from 13.8 to 39.4%). CONCLUSION: Disease severity among HIV patients is increasing. CMV and pneumocystis pneumonia were predominant opportunistic diseases. There were significant changes in the presentation of secondary diseases compared to data from 1993-1997.

Comparison of iron-bearing minerals in ordinary chondrites from H, L and LL groups using Mössbauer spectroscopy with a high velocity resolution.

Ordinary chondrites from H, L and LL groups were studied using Mössbauer spectroscopy with a high velocity resolution. Mössbauer parameters of spectral components were obtained using new fitting model excluding the effect of previous misfits of troilite component. Obtained parameters were related to corresponding iron-bearing minerals in ordinary chondrites. The differences of these minerals content as well as small differences in the hyperfine parameters of the same iron-bearing minerals were revealed for different meteorites. The temperatures of equilibrium cations distribution in silicates were estimated and suitable parameters for classification of H, L and LL chondrites were supposed using Mössbauer parameters.

[A case of progressive multifocal leukoencephalopathy in a HIV-infected female patient]. / Sluchai progressiruyushchei mnogoochagovoi leikoentsefalopatii u VICh-infitsirovannoi patsientki.

Progressive multifocal leukoencephalopathy (PML) caused by JC virus is a severe central nervous lesion developing in the presence of obvious immunodeficiency. In most cases, the disease results in a fatal outcome within a few months. Antiretroviral therapy is currently considered to be the only method for the prevention and treatment of PML in HIV-infected patients. The paper describes a positive experience in treating the HIV-infected female patient with the established diagnosis of PML.

[Experience of Regional Vascular Centre in assisting patients with severe cerebrovascular accidents in Novosibirsk]. / Opyt raboty regional'nogo sosudistogo tsentra po okazaniiu pomoshchi bol'nym s ostrym narusheniem mozgovogo krovoobrashcheniia v Novosibirske.

The analysis of the work of the neurological department of the Novosibirsk regional vascular center of City Clinical Hospital #1 for the period from 2013 to 2015 was done. We analyzed the annual reports of the regional vascular center, dynamics of cerebrovascular disease patterns, lethality, about the provision of medical care to patients with stroke, the use of high-tech methods of diagnosis and treatment. Ascertain the progress achieved and the perspectives of further improving the quality of care to patients with stroke due to wider use of methods of rehabilitation in the acute stage of stroke.

[CHRONOBIOLOGICAL ACTIVITY OF AQUEOUS EXTRACTS OF THE ABOVE-GROUND PART OF AGRIMONIA PILOSA L. IN RATS.]

It is established that lithium is accumulated in the above-ground part of agrimony (Agrimoniapilosa L.), the aqueous extract of which exhibits lithium-specific chronobiological activity in rats. The chronobiological study was carried out during the winter solstice on 40 adult male rats divided into three groups: control (intact animals treated with purified water and the extract purified from lithium) and two test groups. Animals in the test groups were administered the aqueous extract of A. pilosa in the morning (8.00 am) and evening (19.00 pm) in amount corresponding to receiving lithium hydroxybutyrate in a dose of 10 mg/kg (p.o.). From the sixth to seventh day of experiment, without canceling this treatment, pilot testing (open field test, rectal temperature measurement) was started at 9 am and continued every 4 h over a period of 48 hours. The primary chronograms were statistically processing by analysis of variance, spectral analysis, and cosinor analysis. The quantitative determination of lithium in the above-ground part of A. pilosa L., its extract and brain of animals was carried out by flame photometry on a SOLAAR Series S spectrometer (Thermo Scientific Co., United States) equipped with a flaming atomizer operating in increased deuterium background correction emission mode. It was found that aqueous extract of the above-ground part of A. pilosa L. contained up to 8.5 ± 0.4 µg/g lithium; in the extract purified by ion-exchange chromatography, this amount was reduced to 1.4 ± 0.2 pg/g. All control animals exhibited external and internal desynchronism. Under the action of herbal extract, the daily dynamics of behavioral activity and rectal temperature in animals acquired a rhythmic character and became consistent with the external day-night cycle.

[A trace element analysis of hair in stroke with comorbid depression and cognitive impairment]. / Mikroélementnyĭ sostav volos pri insul'te s komorbidnymi depressivnymi i kognitivnymi narusheniiami.

AIM: To identify changes in the concentration of trace elements in hair of post stroke patients with comorbid depression and cognitive impairment. MATERIAL AND METHODS: Authors examined macro - and trace element hair composition of 63 stroke patients with comorbid depressive and cognitive disorders. The quantity determination was performed by atomic emission spectroscopy. RESULTS: An increase in hair concentrations of conditionally toxic elements Cd and Pb, essential trace elements Cu, Fe, Mn and decrease in concentrations of Zn were found in the patients with comorbid depression compared to reference values. CONCLUSION: Post stroke patients with comorbid depression and cognitive impairment had disturbances of the metabolism of trace elements involved in the intrinsic systems of homeostasis.

[Heterogeneity of acute myeloid leukemia with the translocation t(8;21)(q22;q22)].

AIM: To characterize the clinical and hematological variability of acute myeloid leukemia (AML) with t(8;21) and to identify the signs associated with the likelihood of its relapse. SUBJECTS AND METHODS: The results of examining 44 patients aged 11 to 70 years were analyzed; the efficiency of treatment was evaluated in 36. Their karyotypes were studied using the standard GTG method. Polymerase chain reaction (PCR) was employed to assess the mutational status of the FLT3, NPM1, NRAS and c-Kit genes. Qualitative PCR was used to reveal the chimeric transcript RUNX1/RUNX1T1. RESULTS: The M2 variant was verified using the French-American-British classification in 82% of cases. One patient was diagnosed with secondary AML. Additional chromosomal aberrations were found in 50% of the patients. The most common breakages were loss of one of the sex chromosomes (34.1%) and damage of chromosome 9 (16.6%). Gene mutations were detected in single cases. Following 2 7+3 induction chemotherapy (CT) cycles, complete remission (CR) was achieved in 97% of cases (3 patients with cytopenia died). Eight (25%) patients developed a relapse mainly within the first 7 months after achieving CR. The characteristic signs of relapse cases were the inefficiency of the first cycle of remission induction (RI), the absence of high-dose consolidation, damage of chromosome 9, D816V mutation in exone 17 of the c-Kit gene. Antirecurrent CT was ineffective in 5 patients. The median overall survival (OS) in patients with early recurrence was 10 months. That in the patients who were recorded to have CR was not achieved; 5-year OS was 57.8%. Chromosome 9 aberration was ascertained to have a negative impact on OS parameters (p=0.003). CONCLUSION: Patients with AML with t(8;21) is a group heterogeneous with respect to age, the morphological nature of blast cells, the pattern of the disease, the presence and type of additional chromosomal aberrations, mutations in individual genes, and clinical course. Those who are unresponsive to the first RI cycle and have additional chromosome 9 damages should be regarded as potential candidates for allogeneic hematopoietic stem cell transplantation.

[Association between bone mineral density and erosive and destructive changes in patients with rheumatoid arthritis: preliminary results].

AIM: To obtain information on and to study an association between the erosive and destructive changes in the hand and foot joints, bone mineral density (BMD) in different parts of the skeleton and the X-ray alterations in the thoracic and lumbar vertebrae of patients with rheumatoid arthritis (RA). SUBJECTS AND METHODS: The investigation enrolled 66 women with a valid RA diagnosis, whose mean age was 51.6 +/- 9.6 years and the disease duration was 13.2 +/- 9.1 years. All the patients underwent clinical, laboratory, and X-ray studies assessing the progression of joint changes by the Sharp/van der Heijde method and estimating the vertebral body deformity index by the Genant technique, and BMD in 3 skeletal regions by dual-energy X-ray absorptiometry employing a Holovic Discovery A device. RESULTS: With X-ray higher-stage RA and higher Sharp total scores, regardless of age, there was a decrease in BMD in all skeletal areas and an increase in the number of patients with deformities of vertebrae and osteoporosis (OP) in at least one of the analyzed skeletal part. Thus, OP was found in 29% of the patients with Stages I and II RA and in 65% of those with Stages IV; deformities of vertebrae were in 12 and 22%, respectively. Comparative analysis of BMD and erosive and destructive changes in the patient groups different in age at onset of the disease has established that its young onset (from 16 to 30 years) and long duration have a negative effect on bone status. Femoral neck BMD in these patients is significantly lower than that in patients who were ill at older age (31-50 or over 50 years) (0.661 +/- 0.080, 0.739 +/- 0.111, and 0.713 +/- 0.120 g/cm2, respectively) and the Sharp total score was higher (181.1 +/- 91.3, 100.5 +/- 71.5 and 103.9 +/- 74.5, respectively). The patients' mean age in these groups at the study inclusion was 46.7 +/- 12.1, 51.9 +/- 6.7, and 60.3 +/- 3.3 years, respectively. CONCLUSION: With the longer disease duration, regardless of the age of patients with RA, there are increases in both Sharp total scores, X-ray RA stage, and the number of patients with OP, deformities of thoracic and lumbar vertebrae (however, there is no evidence of significant differences), BMD decrease in all skeletal parts.

[The specific features of the immunophenotype of blast cells in patients with de novo normal karyotype acute myeloid leukemia and FLT3-ITD mutation].

AIM: To study the specific features of de novo acute myeloid leukemia (AML) with FLT3-ITD mutation. SUBJECTS AND METHODS: The results of examination were analyzed in 101 patients. Bone marrow morphological specimens were stained with Pappenheim stain. The karyotype was investigated using the standard GTG-banding method. Blast cells were immunotyped in a five-color analysis on a Cytomics FC 500 laser flow cytofluorometer. RESULTS: FLT3-ITD mutation was identified in 21 patients who had a varying morphological nature of blasts, different karyotype variants, and frequently additional NPM1 gene mutation. The distinctive property of 10 patients with normal karyotype and FLT3-ITD mutation (without NPM1 gene mutation) was the larger number of cases with high expression of HLA-DR and CD7 than in the control group that included 18 patients with normal karyotype AML without FLT3-ITD nutation: 50% versus 6.2% (p = 0.007) and 100% versus 55.6% (p = 0.014), respectively. CONCLUSION: Normal karyotype AML with FLT3-ITD mutation is a group that is homogeneous in the biological phenotype of leukemia cells.

[Cytogenetic profile in patients with primary myelodysplastic syndrome].

AIM: To analyze the prevalence of chromosome aberrations presented in the revised International Prognostic Scoring System (R-IPSS) in patients with de novo myelodysplastic syndrome (MDS). Subjects and methods. Chromosome aberrations were analyzed in 197 patients aged 14 to 86 years (median age 64 years) with de novo MDS. RESULTS: Karyotype abnormalities were revealed in 129 (65.5%) patients with de novo MDS. According to the IPSS criteria, the karyotypes found 52 (26.4%) patients were assigned to an intermediate prognostic group whereas in accordance with the R-IPSS guidelines, an intermediate karyotype group included chromosome abnormalities in 32 (16.2%) patients. Out of 5 R-IPSS prognostic types, the favorable karyotype group was the largest (48.2%). The very favorable and unfavorable karyotype groups comprised few patients with MDS: 3 and 3.6%, respectively. Despite the fact that it was not mentioned in the R-IPSS, a monosomal karyotype was verified in 24 (12.2%) patients There was a correlation of the (normal and complex) karyotype with bone marrow blast counts (r=0.469; p=0.000), but not with age. CONCLUSION: A variety of cytogenetic damages cannot identify the prognostic potential of all chromosome aberrations occurring in patients with MDS even if prognostic factors increased up to 5.

[Comparative antioxidant and antihypoxic activities of new 1,4-dihydro-4-oxopyrimidine derivative--compound PDMpT.HCl and mexidol].

Compound PDMpT.HCI reduces intensity of lipoperoxidation, activates antioxidant system and increases animal life expectancy under hypoxic circumstance.