[The influence of Cytoflavin therapy on the cerebral hemodynamics in patients with various stages of hypertensive disease]. / Vliianie terapii preparatom tsitoflavin na sostoianie tserebral'noi gemodinamiki pri razlichnykh stadiiakh gipertonicheskoi bolezni.

AIM: To study an influence of cytoflavin therapy on the cerebral hemodynamics in patients with various stages of hypertensive disease (HD). MATERIAL AND METHODS: One hundred and forty patients with HD, I-III stages, were randomized into 2 groups: patients of group 1 received complex treatment (antihypertensive therapy and cytoflavin), patients of group 2 were treated with antihypertensive therapy. The control group consisted of 30 healthy people. The changes in cerebral hemodynamics using the algorithm of the complex ultrasound study of cerebral vascular system were assessed. RESULTS: Disturbances of hemodynamics at all structural/functional levels of cerebral vascular system were found in all HD stages. There were a decrease in the blood flow through the common carotid, inner carotid, spinal and middle cerebral arteries, reactivity of veins of Rosenthal, blood flow through veins of Rosenthal and inner jugular veins and an increase of blood flow through spinal veins. The hemodynamic study showed that in group 1 there was the increase of blood flow through common carotid, inner carotid, middle cerebral arteries in stage I and through spinal arteries in stage I-II of HD; improvement of the reactivity of veins of Rosenthal, restoration of blood flow parameters through the veins of Rosenthal and inner jugular veins to control values, the decrease in blood flow velocity through the spinal veins in all HD stages. CONCLUSION: HD is accompanied by the damage of all structural/functional levels of cerebral vascular system. The use of cytoflavin in the complex therapy of HD exerts a positive influence on the cerebral hemodynamics reducing the severity of arterial insufficiency in the initial stages of disease, improving microcirculation and venous hemodynamics in all HD stages.

[Effect of cytoflavin on the clinical and autonomic-psychological manifestations of hypertensive disease].

AIM: To evaluate the impact of incorporating cytoflavin in a treatment regimen for patients with different stages of hypertensive disease (HD). SUBJECTS AND METHODS: The results of treatment were analyzed in 140 patients with HD (53 with Stage I, 50 with Stage II, and 37 with Stage III). According to the treatment regimen, the patients were divided into 2 groups. A study group (n=74) received combination treatment involving antihypertensive therapy and cytoflavin intravenously dropwisely in a single dose of 200 ml of 5% glucose solution for 10 days, then 2 tablets twice daily for 60 days, with a total cycle time being 70 days. A comparison group (n=66) had antihypertensive therapy only. Thirty apparently healthy individuals (a control group) were examined to have reference values. All the patients were examined using conventional clinical and laboratory studies. The patients' complaints and neurological status were assessed using respective questionnaires over time - before and after treatment. RESULTS: The incorporation of cytoflavin in a treatment regimen was ascertained to reduce the degree of anxiety, depressive, dissomnic, and cognitive disorders, improves quality of life in patients with Stage I HD, and lowers the degree of asthenic and autonomic disorders in all disease stages. CONCLUSION: The found efficacy and safety of the drug may recommend its incorporation in combination therapy regimens for Stages I-III HD.

Health state of medical personnel in MRI- tomography offices.

The study covered health state of medical personnel exposed to magnetic field in MRI-tomography offices. Findings are changes in functioning of cardiovascular and central nervous systems in a personnel group working with tomographs, that prove tension of adaptation processes due to occupational factors.

Features of work conditions on small and medium business enterprises.

Physiologic and hygienic evaluation covered work conditions on small business enterprises of retail and minor wholesale trade. Major unfavorable occupational factor for minor retail seller of foods is work process hardiness (up to 85% of <>). This work affects the workers' state, with 100% reports of the health state changes by the end of the working day. Physiologic parameter <> in the trade workers generally was assigned to allowable (2 grade) criterion, but such parameters as work contents (work covers solving complicated problems), work in tight time conditions, responsibility and long working hours are assigned to first jeopardy degree (3.1). Minor retail trade enterprises appeared to have no work and rest schedule, that is an additional risk factor. Microclimate parameters inside the rooms are the same as outdoors, therefore necessity is to provide artificial sanitary technical systems of ventilation and heating in projects of minor retail trade networks.

[Clinical and morphologic efficacy of a complex antioxidant and energy correction therapy of different duration in brain infarction: results of a multicenter randomized trial].

AIM: To compare clinical and morphological results of treatment of ischemic stroke in three groups of patients which differed by the forms and duration of an antioxidant therapy. MATERIAL AND METHODS: A randomized clinical trial was performed in 8 vascular centers of the Russian Federation in 2010-2014. It included 373 patients with ischemic stroke in the carotid territory. Patients were randomized into 3 groups to receive different regimens of antioxidant therapy as an adjunct to standard therapy: control group (ascorbic acid; 132 patients); cytoflavin (20 ml per day for 10 days; 133 patients); cytoflavin (the dose was decreased to 10 ml per day from 11th to 20th day) (108 patients). Patient's condition was assessed in 1, 10 and 21 day by a complex of clinical, laboratory and instrumental methods. RESULTS AND CONCLUSION: The analysis of CT in 1th and 21th day revealed a significant 1,5-1,7- fold decrease in the cerebral ischemic lesion in both groups treated with cytoflavin with no significant morphologic changes in the ascorbic acid group. The percentage of patients with ischemic lesion, increased during days 1-21, was 2-fold higher in the ascorbic acid group compared to cytoflavin groups. Morphologic changes were correlated with clinical variables and outcome. In patients with ≥14 points on NIH scale on admission, prolonged 20 day cytoflavin therapy was associated with a more prominent improvement of neurologic, functional and cognitive status compared to 10-day cytoflavin infusion. No differences in clinical variables were observed in patients with mild symptoms (<14 points on NIH scale on admission) receiving cytoflavin for 10 and 20 days.

[IDENTIFICATION OF RISK FACTORS IN THE PRODUCTION OF SYNTHETIC RUBBER].

There was performed the identification of risk factors at the production of synthetic rubbers, priority factor of them is chemical. Results of researches testify to need of continuous monitoring of exposure of chemicals on atmospheric air of the residential territory for the purpose of securance of hygienic and ecological safety of the city.

[Efficacy of the energy-modifier cytoflavin in the treatment of patients with hypertensive encephalopathy].

AIM: To evaluate the efficacy of cytoflavin in the treatment of patients with hypertensive encephalopathy (HE). SUBJECTS AND METHODS: One hundred and forty patients aged 39 to 73 years, diagnosed with HE, were examined and randomized to 2 groups. A study group (n = 74) received cytoflavin in a dose of 2 tablets b.i.d. on days 1 to 25 days inclusive during standard basic therapy. A comparison group (n = 66 persons) had standard basic therapy only. A control group consisted of 30 apparently healthy individuals. The investigators studied the frequency of headache, dizziness, and other complaints and the intensity of cephalalgic syndrome, by using a visual analog scale, the quality of life by the Medical Outcomes Study 36-Item Short-Form Health Survey (MOS SF-36) questionnaire, that of sleep by the subjective sleep characteristics questionnaire elaborated at the Moscow City Somnological Center, the level of asthenia by a subjective asthenia rating scale (Multidimensional Fatigue Inventory (MFI-20), and autonomic status, by applying objective and subjective scales on days 1 and 25 of therapy. RESULTS: The study has shown that cytoflavin used in the above dose for 25 days reduces the frequency and magnitude of complaints of headache, dizziness, "venous" complaints, the degree of autonomic and asthenic disorders, and impairments in the quality of sleep and life in the patients with HE at all disease stages. A stepwise discriminant analysis has indicated that the degree of cephalgic syndrome, and autonomic disorders, and worse sleep quality are the most effective points for using the energy-modifier cytoflavin. CONCLUSION: HE treatment based on the current pathogenetic principles may have a preventive impact on the development of HE or slow down the rate of its progression.

[Cytoflavin® effect on endothelium function and cerebral hemodynamics in patients with hypertensive enceplalopathy].

One hundred forty patients (the average age of 46.7 ± 7.7 years) with hypertensive encephalopathy (HE) were observed. 74 patients of the main group received Cytoflavin in a dose of 2 tablets twise a day in the standard basic therapy. 66 patients of the reference group received the basic therapy alone. The arterial endothelium function was estimated and ultrasonic examination of the hemodynamics at five structurally functional levels of the cerebral vascular course was used. All the patients with HE had endothelial dysfunction, bloodstream depression in the arterial course of the brain vascular system, decreased reactivity of the intracranial veins, difficulty in venous outflow. In the course of the therapy with Cytoflavin restotation of the arterial endothelial function in the patients with HE I stage, the linear and volume speed of bloodstream in the main and intracranial cerebral arteries in the patients with HE I-II stages, restoration of the intracranial veins reactivity, the linear speed of bloodstream in intracranial veins in the patients with all three stages of HE, the linear speed of bloodstream in the main veins up to the control values in the patients with I-III stages of HE were observed. Interrelation between the values of the cerebral hemodynamics and the state of the endothelium function was shown.

[Efficacy of cytoflavin in patients with hypertonic encephalopathy and constitutional venous insufficiency].

We examined 60 patients with constitutional venous insufficiency, suffering from hypertensive encephalopathy of I and II stages, mean age 43,4± 6,3 years. Patients of the main group (n=30) received Cytoflavin (2 tablets twice a day) and standard therapy (acetylsalicylic acid and antihypertensive drugs). Thirty patients of the parallel group received only standard therapy. At the 25th day of the study, there were the decrease in the number of complaints, including specific "venous complaints", the reduction of cephalalgia syndrome, asthenic and autonomic disorders; the improvement of quality of life and better cerebral hemodynamics on all structural and functional levels.

Laser-induced photopatterning of organic-inorganic TiO2-based hybrid materials with tunable interfacial electron transfer.

Hybrid organic-inorganic materials based on TiO(2) gels demonstrate high photosensitivity. Associated with their stable photochromic behavior, these make them suitable for laser-induced photopatterning. We show that the electronic coupling along the extended interface between the inorganic, TiO(2)-based gel, and the organic, poly(hydroxyethyl methacrylate) networks allows (i) a rapid scavenging of the photo-excited holes by the polymer, (ii) an efficient trapping of the photo-exited electrons as small polarons (Ti(3+)) that develop "dark" absorption continuum covering the spectral range from 350 nm (UV) to 2.5 microm (IR), and (iii) long-term (over months) conservation of trapped charges at high number density. Furthermore, we give the proof that the electron transfer depends on the material microstructure, which can be affected by the material chemistry and processing. Undeniably, a delay between the gelation of the system and the organic polymerization step allows tuning the photochromic responses of the resulting nanocomposites. A comparison is made between the prepared gel-based samples and a reference sample, which is obtained by the organic copolymerization of functional precondensed inorganic building units, titanium oxo-clusters, Ti(16)O(16)(OEt)(24)(OEMA)(8) with hydroxyethyl methacrylate. The experiments show the highest values of quantum yield (12%) and Ti(3+) concentration (1.7 x 10(20) cm(-3) or 14% of titanium atoms) attained in samples where the organic polymerization is induced after gelation. This behavior is explained by a strong coupling between the organic and the inorganic components of the hybrid towards the hole exchange and a poor coupling towards the electron exchange.

Chemical activity of photoinduced Ti3+ centers in titanium oxide gels.

We report on the chemical activity of trapped electrons in wet titanium oxide gels. These electrons are generated under the band gap irradiation of gels in the spectral range between 3.25 and 4.4 eV and stored as Ti3+ centers that absorb in the visible. Chemical processes in photoirradiated gels are generally similar to those earlier reported in TiO2 colloids; however, peculiarities exist. In particular, a high internal surface of gels strongly enhances interface reactions. Measurements of UV-visible absorption kinetics allow conclusions to be made about extremely high available traps concentration and the activity of all trapped electrons toward nitrate and nitrite anion reduction according to a heterogeneous photocatalytic mechanism.

Light-induced charge separation and storage in titanium oxide gels.

We report on the interaction of light with a particular class of media--wet gels, which in contrast to sols of nanoparticles possess a macroscopic bulk structure, and which differ from conventional solids by the existence of the internal liquid-solid interface. We show, taking an absorption cross section of trapped electrons from Safrany, Gao, and Rabani [J. Phys. Chem. B 104, 5848 (2000)], that a separation of charges with quantum efficiency as high as 46% appears under the band-gap irradiation of titanium oxide gels: electrons are stored in the gel network as Ti3+ centers, whereas holes are stored in the liquid phase. Under a prolonged UV-laser irradiation, more than 14% of Ti4+ centers can be converted into Ti3+ . Their lifetime can be extremely long and exceeds months at room temperature. The trapped electrons are responsible for a "dark" absorption continuum covering the spectral range from 350 nm to 2.5 mum .

[Complex hygienic evaluation of drivers' work conditions]. / Kompleksnaia gigienicheskaia otsenka uslovii truda voditelei.

Drivers' work is characterized by various occupational hazards--higher psychoemotional strain associated with risk of traffic accidents, unfavorable microclimate, dusty and polluted air, static physical load.