[Mortality of the Penza region population from diseases of the liver and biliary tract in 2021-2022]. / Smertnost' naseleniya Penzenskoi oblasti ot boleznei pecheni i zhelchevyvodyashchikh putei v 2021­2022 gg.

A study was made of the structure of mortality of the population of the Penza region from diseases of the liver and biliary tract in 2021-2022. Data on registered deaths were analyzed, the main cause of which was non-tumor diseases of the liver and biliary tract (excluding hepatitis B, C). Statistical calculations were carried out using the STATISTICA program. Between April 2021 and April 2022, 285 deaths from diseases of the liver and biliary tract were identified. The proportion of the male population prevails over the female and is 57.5%. The largest number of deaths occurs in persons aged 45 to 59 years, the smallest - in people over the age of 90 years. There were no deaths from diseases of the liver and bile ducts among minors. Among the initial causes of death in the studied sample, cirrhosis of the liver (K74.6) is in the lead - 75.4%, in second place are gallbladder stones with acute cholecystitis (K80.0) - 4.9%, then - chronic hepatitis (K73.8) - 4.2%. The categories of the population that are at risk for mortality from diseases of the liver and biliary tract have been identified. Among males, the risk group is people aged 45-59 years, among women - 18-44 years. The risk of death among men is 14% higher than among women. The most likely cause of death is cirrhosis of the liver (the terminal stage of chronic liver pathology).

[The problems of organization of medical care of crews of passenger ships in the system of inner water transport of the Russian Federation].

The purpose of the study was to analyze organization of medical care of crews of passenger ships of inner water transport of the Russian Federation and to examine morbidity according to appeal for medical care of the crew during navigation. The analysis of organization of medical care in inner water transport covered the corresponding normative legal base of the late 1980s to present times. The search and analysis of available publications concerning issues of organization and provision of medical care to passenger river transport crews during and out of navigation was carried out. The estimation of morbidity statistics was implemented according data of medical log journal of out-patient reception of members of the crew of river cruise ship during navigation. The normative legal base of provision of medical care to crews of water river transport during navigation and on shore, and training and employment systems of ship physicians requires substantial revision. On average, 1.5 initial visits for medical assistance during navigation is for 1 crew members. The repeated visits accounted for significant proportion (48.0%) of all crew visits. The largest percentage of visits was related to rank-and-file staff (74.0%). In the structure of causes of visiting out-patient medical unit on board the first place is for injuries (22.0%), respiratory diseases follow (18.0%) and diseases of musculoskeletal system are third (11.0%). In the Russian Federation, the system of medical care support of the crews of water passenger transport requires a serious improvement. The structure of morbidity of the crew of a passenger river vessel during navigation (the prevalence of injuries, respiratory diseases, diseases of the musculoskeletal system) is determined by unfavorable factors of professional activity of sailors and dictates the specifics of training of ship physicians. It is necessary to work further the normative legal base regulating medical care of the crew during navigation and on the coast, training and employment of ship medical personnel, and developing and approval of unified quality standards for organizations (institutions) involved into medical support of inner water transport workers.

Selection of stable expressed reference genes in native and vitrified/thawed human ovarian tissue for analysis by qRT-PCR and Western blot.

PURPOSE: To select reference genes with stable messenger RNA (mRNA) expression for quantitative real-time reverse transcription-polymerase chain reaction (qRT-PCR) analysis of vitrified/thawed human ovarian tissue and to evaluate in human ovarian tissue the levels of key proteins which are commonly used as reference proteins. METHODS: Pieces of ovarian tissue were obtained during laparoscopy from patients (n = 10, 24-36 years old) who suffered from types of cancer that does not affect reproductive system. Tissue strips from the intact group were immediately placed into liquid nitrogen. Tissue strips from the second group were successively placed into solutions with cryoprotective agents. Then, these strips were rapidly placed into liquid nitrogen. After thawing, ovarian tissue strips were cultured during 2 h in complete growth medium. Gene expression levels were measured using quantitative RT-PCR. Also, protein levels of three key reference genes were measured using Western blot. Statistical analysis of obtained data was performed by BestKeeper, NormFinder, and geNorm software utilities; correlation coefficients were also calculated. RESULTS: The most suitable reference genes for qRT-PCR analysis of human cortical ovarian tissue after cryopreservation by vitrification are genes of ribosomal proteins RPL4, RPLP0, RPS18, and heat shock protein HSP90AB1. The protein levels of three commonly used reference genes (ACTB, GAPDH, and HSP90) were measured in two groups of samples of human ovarian tissue: intact and vitrified/thawed. The levels of ACTB, GAPDH, and HSP90 proteins were similar in native and vitrified/thawed samples. CONCLUSION: Selection of suitable reference genes is the first aim of any research dedicated to the investigation of gene expression, because the interpretation of obtained results largely depends on selection of appropriate reference genes. Nowadays, there are many mathematical approaches allowing to select not only single reference gene but also a group of the most stably expressed reference genes. The use of mathematical models which take into account multiple reference genes will allow to obtain more accurate data on the expression of target genes.

Effect of Vitrification on Functional Morphology and Viability of the Ovarian Tissue.

The results of a complex morphofunctional study with markers of proliferation (PCNA and Ki-67), angiogenesis (CD31 and CD34), and structural integrity of mesenchymal cells (vimentin) suggest that the pool of primordial follicles was well preserved in vitrified ovarian tissue and that viability of its cellular components can be rapidly restored during incubation at 37°C within 4 h after thawing.

Female fertility preservation strategies: cryopreservation and ovarian tissue in vitro culture, current state of the art and future perspectives.

In the present review, the main strategies of female fertility preservation are covered. Procedures of fertility preservation are necessary for women who suffer from diseases whose treatment requires the use of aggressive therapies, such as chemotherapy and radiotherapy. These kinds of therapy negatively influence the health of gametes and their progenitors. The most commonly used method of female fertility preservation is ovarian tissue cryopreservation, followed by the retransplantation of thawed tissue. Another approach to female fertility preservation that has been actively developed lately is the ovarian tissue in vitro culture. The principal methods, advantages and drawbacks of these two strategies are discussed in this article.

[The Study of Psychological Characteristics of Children and Adolescents with Digestive Diseases].

OBJECTIVE: The present study was aimed at the psychological characteristics of children with different chronic diseases of the digestive system and the identification of key factors influencing the formation of their personality. METHODS: The continuous prospective study of psychological peculiarities of 125 patients (7-17 y.o.) with diseases of the digestive system who have been monitored at Scientific Centre of Children's Health (Moscow) was performed. As research methods were used: analysis of medical and pedagogical documentation, participant observation, educational experiment, interview, questionnaires and projective methods. RESULTS: The study involved 125 patients aged 7-17 years (12.4 averagely) with diseases of the digestive system including teens--68 (54%), primary school pupil--57 (46%). The number of boys significantly prevailed over the number of girls (2:1). The study confirmed the existence of a close relationship and mutual influence of three factors: the physical condition, social situation of development, and individual psychological characteristics of children. According to the psychological characteristics the children can be combined in three groups: Group I (47 of 125 people; 37.6%) - children with bad psychological status. This is most typicalfor children with active form of chronic diseases requiring intensive medical assistance (37 of 47people; 78.7%). Group II (59 of 125 people; 47.2%)--children with instable psychological condition, with risk of neurotization. This group mainly comprises patients with chronic diseases at the stage of unstable clinical remission with preserved or compensated functions of organism bodies and systems or with incomplete compensation of functions requiring long term supportive treatment (45 of 59 people; 76.3%). Group III--patients with rather stable psychological condition (19 of 125 people; 15.2%). It comprises patients with rather stable psychological condition, anyway, with expressed psychological vulnerability in stress situation. Most children suffer from chronic diseases of different etiology at the stage of clinical remission with rare aggravations, with preserved or compensated functions, provided there are no aggravations of the basic disease (17of 19 people; 89.5%). CONCLUSION: Most children with diseases of the digestive system have the psychological difficulties, while their identity is often formed in the distorted social conditions. Therefore, these children need psychological and pedagogical support, as well the special psychological and pedagogical conditions for the realization of their mental and cognitive capacities. To put together a program of psychological and educational assistance we should take into account the child's age at the moment of occurrence of the disease, etiology, duration and severity of the illness, the nature and degree of non-compliance of social environmental.

[Shell Variability of the Terrestrial Mollusk Chondrula tridens (Pulmonata, Enidae) in the Forest-Steppe Zone of the Volga Upland].

Shell variability of the steppe mollusk Chondrula tridens from 18 micropopulations in the forest-steppe zone of the Volga Upland was studied. It was found that larger specimens of Ch. tridens with well-developed teeth inhabit the central and eastern parts of the territory. Specimens in the northwestern part of the upland are characterized by small shells, the highest degree of roundness, and mostly reduced teeth in the mouth. The main factors that determine variability in the size and proportions of shells are the average daily temperatures increasing from the northwest to the south, the reduction in the total precipitation, the decrease in the soil moisture content, and, possibly, the increased content of carbonates in the soil.

[Genetic changes in yeast cells Saccharomyces irradiated by fast neutrons with different dose rate].

No neutron dose rate effects in the wide range of 10(-3) Gy/s to 10(6) Gy/s were observed in yeast diploid cells for induction of mitotic segregation and crossing-over. The RBE values for these effects were determined as doses ratio (Dgamma/D(n)) at maximum effects. The RBE were 2.2-1.9 for neutrons of the reactor BR-10 (E = = 0.85 MeV) and the pulse reactor BARS-6 (E = 1.44 MeV). The RBE values for genetic effects were 1.0 at the equal survival level for neutrons and gamma-rays 60Co.

[Study of dose-rate effects of neutron radiation in a wild-type and a repair-deficient yeasts saccharomyces].

We report here a comparative analysis of RBE for lethality of a single pulse (duration 65 micros) of fast neutron with ultra high dose rates (up to 6 x 10(6) Gy/s) and continuous neutron radiation (3.6 x 10(3) s) of the pulse reactor BARS-6. Three diploid strains, one haploid strain and three diploid repair-deficient strains (rad52-1/rad52-1; rad54/rad54; rad2/rad2) were used. The RBE values (D(0gamma)/1D(0n)) of a single pulse and continuous neutron irradiation were equal (1.7-1.8) with maximum RBE (4.1-3.1) in region of low doses (shoulder region). Haploid cells were found to be more (3 times) sensitive to both gamma-rays and neutrons than the wild type. There was no obvious decrease in the RBE of 1.9 in highly sensitive haploid cells as compared with highly resistant diploid cells. The repair-deficient strains (rad52-1/rad52-1; rad54/rad54) were more (up to 10 fold) sensitive to both neutrons and gamma-rays as compared with their parent line. The RBE values of 1.5-1.7 of neutrons for these mutants (independent by of the mode of irradiation) were found. The repair-deficient mutant rad2/rad2 had similar sensitivity as a wild type and a RBE value was 2.0. We have concluded that biological effectiveness of the neutrons of pulse reactor BARS-6 was independent of the dose-rate, differing up to 10(8) fold. The RBE didn't vary significantly with the capacity of cells to repair DNA damages.

[Biological effectiveness of pulsed and continuous neutron radiation for Saccharomyces yeast cells]. / Biologicheskaia éffektivnost' impul'snogo i nepreryvnogo neitronnogo izlucheniia dlia kletok drozhzhei Saccharomyces.

The article presents the data on biological effectiveness of neutrons generated by the pulsed reactor BARS-6 (dose-rate up to 6 x 10(6) Gy/s) in comparison with fast neutrons of the reactor BR-10 (dose-rate 6.3 x 10(-2) Gy/s). It was shown for yeast cells of a wild type that the RBE values of pulsed neutrons varied insignificantly with a dose (2.0-1.7) white for continuous neutron irradiation clear RBE dependence on the dose was observed. It was also found that the yeast cells had identical capability of postirradiation recovery in non-nutrient medium (LHR) following both gamma-irradiation and neutron exposure irrespective of neutron dose-rate.