Phylogeny and morphology of some European cyathocotylid digeneans (Trematoda: Diplostomoidea).

The Cyathocotylidae Mühling, 1898 is a family of primitive diplostomoid trematodes important for understanding the evolution of the superfamily Diplostomoidea. However, cyathocotylids remain poorly studied with the use of molecular techniques. In this study we sequenced the 5.8S + ITS2 region, 28S rRNA, and cox1 genes of two cyathocotylid species and obtained new morphological data on them. We propose Georduboisia nom. nov. instead of the preoccupied name Duboisia Szidat, 1936 (junior homonym of Duboisia Stremme, 1911). Adults of Georduboisia cf. teganuma (Ishii, 1935) and Paracoenogonimus ovatus Katsurada, 1914 were collected from fish-eating birds in the south of the European part of Russia. Georduboisia cf. teganuma was very similar to G.teganuma but differed from it in the shape of the testes. The 28S rRNA gene dataset provided the best-resolved phylogeny of the Cyathocotylidae to date. In the phylogram based on partial sequences of this gene, P. ovatus was close to members of Holostephanoides Dubois, 1983, Neogogatea Chandler & Rausch, 1947 and Gogatea Szidat, 1936. Georduboisia cf. teganuma clustered with members of Cyathocotyle Mühling, 1896 and Holostephanus Szidat, 1936. Phylogenetic analysis based on the 5.8S + ITS2 dataset showed that adults of P. ovatus examined in our study were conspecific with the metacercariae from the musculature of fish collected in Hungary and Italy. It also revealed probable misidentifications of larvae and adults of cyathocotylids whose sequences are deposited in GenBank NCBI.

Severe decline in abundance of Cyathostoma lari, a parasite of the nasal and orbital sinuses of gulls, at their central European nesting grounds.

Cyathostoma lari is a parasite of the nasal and orbital sinuses of gulls and other hosts in Europe and Canada. Here, we provide an overview of previously published data on the prevalence and infection intensity of C. lari in gulls. Furthermore, based on our data, we analyze the spatiotemporal trends in the prevalence and intensity of infection by C. lari in Chroicocephalus ridibundus in Czechia (central Europe; data from 1964 to 2014) and compare them with those obtained from five species of gulls in Karelia (Northwest Russia; data from 2012-2020). Based on our preliminary observations, we hypothesized that C. lari is subject to a decline in certain regions, but this decline is not necessarily applicable throughout its distribution range. We found that the C. lari population crashed in specific parts of its distribution range. The reasons are unknown, but the observed population changes correspond with the diet switch of their core host in Czechia, C. ridibundus. We previously observed a diet switch in Czech C. ridibundus from earthworms (intermediate hosts of C. lari) to other types of food. This diet switch affected both young and adult birds. Nevertheless, it may not necessarily affect populations in other regions, where they depend less on earthworms collected from agrocenoses affected by agrochemicals and trampling. Correspondingly, we found that these changes were limited only to regions where the gulls feed (or fed) on arable fields. In Karelia, where arable fields are scarce, gulls likely continue to feed on earthworms and still display high infection rates by C. lari. Therefore, C. lari, a parasite of the nasal and orbital sinuses of gulls, nearly disappeared from their central European nesting grounds but is still present in better-preserved parts of its distribution range.

[Sleep disorders and fatigue in patients with different forms of myotonic dystrophy type 1]. / Narusheniya sna i utomlyaemost' u patsientov s raznymi formami miotonicheskoi distrofii 1-go tipa.

OBJECTIVE: To characterize sleep disorders in children and adults with different forms of myotonic dystrophy type 1 (DM1), to assess their impact on cognitive functions, excessive daytime sleepiness (EDS) and fatigue, to determine the relationship of EDS, fatigue, and sleep disorders with the quality of life of patients. MATERIAL AND METHODS: The study included 48 adults and 9 children with confirmed DM1. Patients underwent an assessment of clinical and anamnestic data, neurological, cognitive status, severity of EDS, fatigue, quality of life according to international scales and questionnaires. Polysomnography was performed to identify sleep disorders. RESULTS: Obstructive sleep apnea syndrome (OSAS) was found in 78% of children and 79.2% of adults. The severity of OSAS in adults, in contrast to children, was influenced by obesity (p<0.001), the severity of muscle weakness (p=0.033), especially the neck muscles (p=0.018). In patients with OSAS and nocturnal hypoxemia, an increase in the duration of the 1st stage of sleep (p=0.008) and in the microactivation index (p=0.005) was revealed. EDS and fatigue were present in 31 (64.6%) and 34 (70.8%) adults, respectively, in 9 (18.8%) they emerged at the onset of the disease. The greater severity of muscle symptoms, anxiety, depression contributed to increased fatigue in adults and the presence of obesity and type 2 diabetes mellitus contributed to EDS. Increased fatigue affects the quality of life to a greater extent than EDS and sleep disturbances. CONCLUSION: OSAS, the development of which is facilitated by the presence of muscle weakness and obesity, is the leading syndrome among the spectrum of sleep disorders in all age groups. Cognitive and emotional impairments are not the result of sleep apnea, but rather develop because of a primary CNS lesion. The presence of increased fatigue reduced the quality of life of patients.

[The second stage of rehabilitation of post-infectious myelopathy after a new coronavirus infection]. / Vtoroi etap reabilitatsii postinfektsionnoi mielopatii posle perenesennoi novoi koronavirusnoi infektsii.

After suffering a new coronavirus infection (COVID-19), patients develop damage to various organs and systems, including the central nervous system. One of the rare and little-described complications is spinal cord injury. PURPOSE OF THE STUDY: Description of a clinical case of post-infectious myelopathy in a young patient after a new coronavirus infection. MATERIAL AND METHODS: Patient L., 28 years old, was admitted for rehabilitation treatment at the Regional Medical and Rehabilitation Center with a diagnosis of post-infectious myelopathy, acute period, lower central paraplegia. The patient underwent a comprehensive clinical and instrumental monitoring, including an assessment of the anamnesis, complaints, physical condition, and neurological status. The dynamics of the patient's condition was assessed using the rehabilitation routing scale, as well as the Rivermead mobility index, functional categories of walking, the Hauser walking index, the Berg balance scale, and the Frenchay hand test. RESULTS: After completion of the rehabilitation course, the patient showed positive dynamics in the form of an increase in exercise tolerance up to 40 minutes; increase in strength and volume of active movements in the lower extremities. Positive dynamics was revealed on all scales assessed. CONCLUSION: Due to the fact that the number of complications of COVID-19 is growing, it is necessary to inform doctors about the possibility of such a complication as myelopathy in order to timely diagnosis and effective treatment, which will reduce the incidence associated with spinal cord dysfunction.

No strict host specificity: Brain metacercariae Diplostomum petromyzifluviatilis Müller (Diesing, 1850) are conspecific with Diplostomum sp. Lineage 4 of Blasco-Costa et al. (2014).

Metacercariae of Diplostomum petromyzifluviatilis (Digenea, Diplostomidae) from the brain of European river lamprey Lampetra fluviatilis from the Baltic Sea basin and Arctic lamprey Lethenteron camtschaticum from the White Sea basin were studied with the use of genetic and morphological methods. Phylogenetic analysis based on cox1 marker showed that the parasites of both lamprey species were conspecific with Diplostomum sp. Lineage 4 of Blasco-Costa et al. (2014). The name Diplostomum petromyzifluviatilis Müller (Diesing, 1850) has historical precedence as a species described from the brain of lampreys and should be used in genus nomenclature. There were no morphological qualitative differences between the metacercariae from the two lamprey species but those from L. fluviatilis were larger than those from L. camtschaticum. We expanded the data on the second intermediate hosts and the localization of D. petromyzifluviatilis, showing that its metacercariae occur not only in the brain of lampreys but also in the brain and the retina of three-spined stickleback Gasterosteus aculeatus and the vitreous humour of the perch Perca fluviatilis across the European part of the Palearctic.

[The disorder of cerebral circulation in patients of able-bodied age].

The study was organized to evaluate influence of risk factors on hospital mortality in patients with acute stroke because incidence of stroke in patients of able-bodied age is increasing. All cases of in-patient care of patients of able-bodied age with acute stroke (n=4118) in the Tyumen Oblast clinical hospital № 2 during 2010-2018 were analyzed. The study was based on sampling data from hospital medical records. During the analyzed period, decreasing of in-patient lethality up to 34.9% in patients of able-bodied age was observed. During the period of "therapeutic window" 60% of patients of able-bodied age admitted died. The multivariate analysis was applied to assess influence of different factors on in-patient mortality. The presence of coronary heart disease increases risk of mortality up to 47.5%, Exp(Beta)=1.475, employment - up to 66.8%, Exp(Beta)=1.668 as compared to baseline risk. The presence of arterial hypertension and remoteness of symptom onset in ln (hours) (hospital admission) decreases mortality risk up to approximately 39.7%, Exp (Beta)=0.603 and up to 24.0%, Exp (Beta)=0.760, respectively (specificity - 75.86%, sensitivity - 72.18%; overall diagnostic accuracy - 75.23%). In patients of working age the presence of coronary heart disease and elder age are risk factors of stroke. The presence of coronary heart disease and employment are risk factors of in-patient mortality. Whereas presence of hypertension and employment decreases risk of lethal outcome.

[The efficiency of functioning of regional vascular center in case of acute disorder of cerebral blood circulation].

The acute stroke is one of leading causes of mortality and disability both in Russia Federation and worldwide. The specialized vascular centers and units proved to be effective in improving diagnostics, treatment and functional outcome inpatients in various countries. The purpose of article is to evaluate efficacy of regional vascular center (RVC) in Tyumen. The functioning of RVC in 2011-2017 was assessed using purposefully developed and implemented score card of medical care quality assessment in vascular centers. The epidemiological data for 2007-2017 was obtained from statistical materials of the Department of Health of Tyumen oblast. The epidemiological parameters were calculated both in absolute units by simple summing up of cases of illness and in relative units per number of population. It was established that all diagnostic and treatment procedures in RVC were implemented according actual medical standards. The significant increase of the percentage of patients hospitalized during first three hours after the onset of stroke symptoms was established. The patients receiving thrombolytic therapy was observed, with an improvement of functional status of patients upon discharge. The significant improvement of early diagnosis of cerebrovascular diseases (CVD) in the service area of RVC was demonstrated. The development and implementation of the plan of a regional vascular center placement and stroke patient routing enabled optimization of medical care accessibility to this group of patients and increased identification of CVD.

Morphology and phylogeny of Henneguya oviperda infecting oocytes of Esox lucius, with description of parasite-induced histopathology.

Henneguya oviperda (Cohn, 1895) (Myxozoa: Myxobolidae) is a parasite infecting oocytes of the northern pike Esox lucius Linnaeus, 1758 (Actinopterygii: Esocidae). Infected oocytes are surrounded by all oocyte layers, some of them thinner and less visible than intact oocytes. A mature plasmodium of H. oviperda fills the entire internal space of the oocytes at the secondary growth phase, rendering the nucleus and organelles of the latter undetectable. Apart from the observed degradation of internal structures, alterations in the envelopes of the infected oocytes, and the deformation of the intact oocytes adjacent to them, no other developmental anomalies have been found in the reproductive products of female northern pike. Mature spores of H. oviperda have oval bodies with polar capsules of almost equal size and caudal projections that are on average equal to the spore body length. Phylogenetic analysis comparing 18S rDNA sequences placed H. oviperda into a clade of esocid-infecting species of the genus Henneguya and also supported H. psorospermica as a sister species.

Agrobacterial tumors interfere with nodulation and demonstrate the expression of nodulation-induced CLE genes in pea.

CLAVATA (CLV) system including CLV1-like kinase and CLE-peptides is the part of the AON (autoregulation of nodulation) that controls nodule number in legume plants. Moreover, CLV system plays a key role in meristems, where it regulates the expression of WOX genes in organizing centers. Recently, we found that WOX5 homolog in pea is also expressed in nodules and in tumors induced by Agrobacterium tumefaciens. Based on this, we hypothesized that both nodules and agrobacterial tumors may be regulated by and may trigger the same components of AON, including the same WOX and CLV genes. Here, we found that pea plants with agrobacterial tumors induced prior to rhizobial inoculation had reduced the number of nodules. This effect was absent in pea sym29 mutant defective in CLV1-like kinase, the key component of AON. That suggests that agrobacterial tumors may produce a signal activating CLV1-like kinase and thereby decrease the nodule number. Since CLE peptides are known to act upstream of CLV1-like kinase, expression analysis of CLE genes has been performed both in developing nodules and tumors. Overall, 45 CLE genes were identified, and among them nine nodulation-induced CLEs were found in pea. In agrobacterial tumors, no expression of nodule-specific CLE genes the homologues of which inhibit nodulation in other legumes was observed. However, increased expression of two other nodulation-induced CLE genes was observed in agrobacterial tumors, suggesting that CLE genes are expressed in tumors that may still contribute to autoregulatory processes suppressing nodulation.

[A regional experience of the optimization of neurological care for the rural population]. / Regional'nyi opyt optimizatsii nevrologicheskoi pomoshchi sel'skomu naseleniiu.

At present, the problem of disparity of healthcare, including neurological care, in urban and rural settings is highly relevant. Medical care after acute stroke or other chronic disabling diseases (epilepsy, Parkinson's disease) in rural settings is quite challenging due to the lack of access to specialized medical treatment facilities, low level of resources in medical and obstetric centers, low quality of healthcare, personnel turnover in rural healthcare and insufficient coverage of population with outpatient follow-up services. The most promising optimization approaches, which proved to be effective both abroad and in the Russian Federation, including Tyumen district, are the development of multidisciplinary mobile teams and telemedicine. Introduction of these approaches provides an increased access of rural population to specialized medical care, which leads to improvement in overall population health status.

[MORPHOLOGICAL VARIABILITY OF PROTEOCEPHALUS PERCAE (MÜLLER 1780) PARASITIZING COREGONID FISHES].

Morphological variability of Proteocephalus percae from native host--perch Perca fluviatilis and two species of coregonids (whitefish Coregonus lavaretus and Arctic cisco C. autumnalis) from fish farms of Karelia were studied. Parasite groups from 3 host species differed by morphometric parameters. Morphological structure of P. percae from native host included three morphs, those numbers were almost equal. Parasite groups of whitefish and Arctic cisco differed from that of perch in morphological structure and dominance of different morphs. Changes of the P. percae morphological structure was related to differences in ecological niches of three hosts of parasite. This reflects the initial stages of microevolution. The results obtained allow us to estimate an adaptive response of parasitic worms to new host species settling to pond.

[Ecological and Biochemical Aspects of Parasite-Host Interactions in Transformed Aquatic Bodies: A Case Study of the Cestode Triaenophorus nodulosus and Its Host, the Northern Pike Esox lucius].

The lysosomal enzyme activities of the cestode Triaenophorus nodulosus and its host, the pike, in-aquatic bodies with different degrees of technogenic transformation (Northern Karelia, Russia) have been studied. As has been shown, iron-ore waste causes an increase in the acid phosphatase, nuclease, and beta-galactosidase activities of the host and a decrease in its beta-glucosidase and cathepsin D activities. As a rule, the changes in the same cestode enzyme activities are the opposite. With a decrease in the technogenic load, most of the studied characteristics display the trend of approaching the corresponding values observed in a clean lake. It is assumed that the host plays a leading role in the biochemical adaptation of the parasite and its host to mineral environmental pollution.

[HELMINTHS OF THE COMMON ROACH (RUTILUS RUTILUS LINNAEUS, 1758) AND THE EUROPEAN PERCH (PERCA FLUVIALITIS LINNAEUS, 1758) IN THE LAKE TERKHIIN TSAGAAN (MONGOLIA)].

The article provides data about helminthes of the common roach and the European perch in the Lake Terkhiin Tsagaan (Mongolia). Six parasite species were found. Data on the occurrence of the trematode species and larvae of Streptocara crassicauda are obtained for the first time. Species composition of Diplostomum spp. metacercariae parasitizing in fish eyes is updated.

[PARASITES OF THE COMMON ROACH (RUTILUS RUTILUS L.) UNDER THE IMPACT OF INDUSTRIAL POLLUTION OF A LAKE].

The consequences of man-induced transformation of Lake Kostomukshskoe (tailings dump) related to increased mineralization and entry of highly dispersed dredge material not typical for northern lakes were studied using roach parasites as the example. It was found that the roach parasite fauna has been losing rare and scant parasite species of different taxonomic groups, mainly helminthes with an indirect life cycle. Common and dominant species of myxosporidians, monogeneans, trematodes of genera Diplostomum and Tylodelphys have been preserved. The chances of survival are higher for those parasites with direct life cycle. Also the parasite species whose larvae can actively penetrate the host have been survived. The species Ligula intestinalis, Philometra rishta, Pseudocapillaria tomentosa had reported very rare. Fish are infected with these parasites by feeding of Copepoda and oligochaetes.

NEW DATA ON BIRD HELMINTHS IN MONGOLIA.

For the first time the data on helminths in piscivorous birds (the great cormorant and the Mongolian gull) in Mongolia were obtained. Surveys yielded 11 species (Cestoda--2, Trematoda--6, Nematoda--3). The cormorant hosted 5 helminth species, the herring gull--6 species.

[Morphological variability and the structure of pre-reproductive age group of the cestode Proteocephalus torulosus from Altai osman (Oreoleuciscus, Cyprinidae) in water bodies of Mongolia].

Morphological variability of immature Proteocephalus torulosus was studied for the first time. On the basis of scolex shape, three phenotypes were distinguished: clavate, rounded, and lanceolate. The clavate phenotype was found to be dominant, the rounded one is small in number, and the lanceolate one is rare. The wide ranges of morphometric variability were established. The clavate phenotype differs from the rounded one by its higher variability. The high morphologic variability of immature P. torulosus is comparable to that in adult mature parasites from Altai osman, the Central Asian endemic from the genus Oreoleuciscus. The conclusion is made on the influence of extremely changeable environmental condition in the region on the parasite and host adaptations during their co-evolution.

[Parasites of the Osprey (Pandion haliaetus) in northwestern Russia].

New data on Ospey parasites in Karelian Republic are given. One specimen was investigated. Two parasite species--Nematostrigea serpens and Diplostomum pseudospathaceum were found. Trematoda D. pseudospathaceum was recorded in Osprey parasite fauna for the first time.

[Specific features of the numbers and structure of the population of Proteocephalus longicollis (Zeder 1800) (Cestoda: Proteocephalidea)--a mass parasite of whitefish Coregonus lavaretus L. under conditions of technogenic pollution of the water body].

The numbers, age structure, and morphological variation of the cestode Proteocephalus longicollis from whitefish of a natural water body (Kamennoe Lake) and those of Kostomuksha Lake polluted with wastes of the mining industry (Northern Karelia) have been studied. In the polluted water body, a high infestation of whitefish and domination of larval stages in the structure of the parasite population have been established. It is shown that under conditions of pollution, only one of the variations ofscolex signs dominates in the structure of phenotypic diversity. The size indices of cestodes are reliably smaller as compared with cestodes from the natural water body. The data obtained indicate that technogenic pollution determines a decrease in the intrapopulation diversity of P. longiocollis, and a decrease in the values of morphometric characters indicates inhibition of the morphophysiological state of individuals.

[Trematodes fauna of waterfowl birds in Karelia].

Trematode fauna of waterfowl birds of Karelia comprises 23 species; 8 of them are described from the region for the first time. Descriptions and figures of Urogonimus macrostomus, Neoeucotyle zakharovi, Hypoderaeum conoideum, Echinostoma robustum, Orchipedum tracheicola, Prostogonimus cuneatus P. ovatus, and P. rarus are given.