Journal of Ural Medical Academic Science
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Published By Bulletin Of The Ural Medical Academie Science

2500-0918, 2073-9125

2021 ◽  
Vol 18 (1) ◽  
pp. 52-59
Author(s):  
A.I. Taleeva ◽  
◽  
I.T. Madumarova ◽  
N.V. Zvyagina ◽  
◽  
...  

The dynamic development of the modern world requires the processing and development of a large enough amount of information in a short period of time, which leads to a violation of the psychophysiological and psycho-emotional balance of the person. Violation of the psycho-emotional state leads to the development of increased anxiety. Students need to learn a lot of information in a very short time. The time limit affects students as a stress factor, leads to increased stress and therefore negatively affects the quality of work and in general on the whole body. The aim of the study is to determine the success of cognitive tasks by students of the Northern (Arctic) Federal University with different levels of anxiety in different time conditions. The study used a psychophysiological testing device to determine the level of situational and personal anxiety, to assess the psycho-emotional state used the technique of simple visual-motor reaction, to determine the success of the cognitive task were presented words with one missing letter.


2021 ◽  
Vol 18 (1) ◽  
pp. 13-19
Author(s):  
A.I. Rabadanova ◽  

The steady growth in the number of drug addicts, especially among young people, dictates the need to find ways to prevent and treat this disease. In this regard, there is a need for a more detailed study of the mechanisms of the course of this disease using modern research methods, such as atomic force microscopy and fluorescence analysis of amino acid residues. Purpose of the work: to reveal the structural and functional state of erythrocyte membranes in drug addiction. Materials and methods. The studies were carried out on the erythrocyte membranes of 60 subjects suffering from heroin addiction. The shape and topography of the erythrocyte surface were studied, and spectral analysis of the proteins of the erythrocyte membranes was carried out. Results. The conducted AFM studies of erythrocyte membranes indicate the heterogeneity of the surface mechanical properties of the erythrocyte membranes of drug addicts. The data obtained indicate an acceleration of the aging process of erythrocytes in drug addiction, which goes in two ways: the formation of outgrowths on the plasmolemma, which subsequently die off (echinocytes) and invagination of the plasmolemma of erythrocytes (spherocytes). The fluorescence spectrum of amino acids in erythrocytes of drug addicts is characterized by a significant decrease in the intensity of almost all peaks and a shift of the fluorescence peak to the short-wave region. Findings. With drug addiction, changes in the structural integrity of red blood cells are noted. In people with drug addiction, in comparison with healthy people, there is a higher variability of the morphology of erythrocytes, which is expressed in a significant increase in the proportion of echinocytes and spherocytes against the background of a significant decrease in the number of discocytes. For the membrane proteins of erythrocytes of drug addicts, conformational changes are characteristic, manifested in a decrease in the intensity of fluorescence of aromatic amino acids, which indicates their structural modification and significant vulnerability of the hematopoietic system. They are largely determined by changes in the fluorescence intensity of tryptophan and, to a lesser extent, tyrosine, which indicates the preservation of the three-dimensional structure of the protein.


2021 ◽  
Vol 18 (1) ◽  
pp. 4-12
Author(s):  
O.N. Kottsova ◽  
◽  
N.Yu. Anikina ◽  
A.V. Gribanov ◽  
◽  
...  

This article presents the sexual characteristics of cerebral energy metabolism in young residents of the Arctic zone according to the distribution of the level of direct constant potential (DC-potential level) of the brain. The study involved 60 people (27 men and 33 women) aged 30-34 years, born and living in the Arctic territory. Assessment of cerebral energy exchange was carried out using a 5-channel hardware-software diagnostic complex «NeuroKM». The distribution of the DC-potential level was analyzed by mapping monopolar values and calculating their gradients. For statistical data processing, the SPSS Statistics26 software package was used. The obtained DC-potentials level results were compared with the average statistical standard values. As a result of the study, gender differences in cerebral energy exchange were revealed in working-age residents born and living in the Arctic zone, depending on gender. In the group of men, there is a higher intensity of cerebral energy exchange in the whole cerebral cortex, the absence of pronounced hemispheric dominance, activation of the central and frontal cortex. In women, there is no predominance of energy exchange in any one area, there are low total indicators, activation of the central and occipital regions of the cortex; connection of the central cortex with the temporal, right-hemisphere dominance of cerebral energy exchange processes. Conclusion. Men are characterized by centralization and tension of regulatory systems, which can be an unfavorable factor in ensuring long-term adaptation to the climatic conditions of the Arctic. Women have a more optimal level of cerebral energy exchange.


2021 ◽  
Vol 18 (1) ◽  
pp. 35-42
Author(s):  
E.A. Novikova ◽  
◽  
V.Y. Krokholev ◽  
O.V. Kostromina ◽  
S.M. Demidov ◽  
...  

Aim. In this article, we analyzed the age-related features of molecular- biological subtypes in 499 patients with invasive breast cancer. Materials and research methods. All cases were divided into 5 molecular- biological subtypes based on immunohistochemical studies of hormone receptors, Her2, Ki-67. Luminal (A and B) with the expression of estrogen and/or progesterone receptors (ER+/PR+), accounting for about 50-80% of all breast cancer cases and potentially sensitive, especially luminal A, to hormone therapy. Research results. The analysis showed that in our study the proportion of the Luminal A subtype was lower than the generally accepted values of 37.4% of all studied breast cancer cases. In the group of women under 40 years of age (with preserved menstrual-ovarian function), cases of Luminal A subtype were significantly less common (9.03%) compared to the groups of 41-50 years (p<0.006), 51-60 years (p<0.001), and over 60 (p<0.001). There was also a decrease in the proportion of Luminal A subtype among patients older than 60 years (p=0.0064). No significant differences were found between the groups 41-50 and over 60 years of age (p=0.1868).


2021 ◽  
Vol 18 (1) ◽  
pp. 60-67
Author(s):  
N.V. Krivenko ◽  
◽  
V.G. Elishev ◽  
A.S. Shershever ◽  
I.V. Borzunov ◽  
...  

In the framework of the strategic tasks for the country to increase the level of scientific and technological development and enhance innovation, it is of scientific interest to study these processes using the example of healthcare as the most dynamically developing social sphere. Aim of the study: to consider the possibilities of interaction between medical and economic science in the process of introducing innovations in regional health care. Materials and methods. The paper uses systemic and integrative approaches, methods of comparative and statistical analysis, and modern IT solutions. Results. The article proposes a classification of innovations in medicine and confirms the effectiveness of the integrated use of organizational, informational, medical, non-medical innovations in the industry, which helps reduce morbidity, disability, and mortality of the population at the macro- and meso-levels. Conclusions. The authors’ approach to the study of innovations in the regional healthcare system substantiates the feasibility of integrating medical and economic science from the perspective of not only medical, but also economic effects at the social level. The authors’ approach has been tested on the example of the oncological service of the Sverdlovsk region, proving the achievement of high medical, social, economic effects at the regional level as a result of the integrative interaction of medical and economic science.


2021 ◽  
Vol 18 (1) ◽  
pp. 20-28
Author(s):  
I.V. Smelova ◽  
◽  
E.S. Golovneva ◽  
T.G. Kravchenko ◽  
V.I. Petukhova ◽  
...  

The regulatory effect of mast cells on the state of thyroid gland in hypothyroidism and laser therapy remains unclear. Aim: to study the secretory processes of mast cells in relationship with the indicators of functional activity of thyroid gland. Materials and methods. Experimental groups: (55 rats) 1) intact rats, 2) hypothyroidism (thiamazole 25mg/kg) 3) hypothyroidism and 0.5W laser exposure, 4) hypothyroidism and 2.0W laser exposure. Histological samples of the thyroid gland were removed on the 1, 7, and 30 days. Histological sections were stained with toluidine blue. Morphometric data analysis included descriptive statistics and non-parametric tests (Mann Whitney, Spearman correlation coefficient). Results. The increase in the granular saturation of mast cells and the average histochemical coefficient was observed in the hypothyroidism group, the degranulation index increased by day 30. After 0.5 W laser exposure, there was a decrease in the granular content in mast cells and an increase in the degranulation index; the granular saturation increased by day 30. After 2.0 W laser exposure, the content of granules in mast cells decreased on day 1, and on days 7 and 30 it was higher than in the hypothyroidism group; the degranulation index decreased by day 30. The correlation was revealed between the indicators of granule accumulation in a mast cell, the index of mast cell degranulation, the thyroid epithelium height, and relative vascular area. Conclusions. The synthesis processes prevailed over secretion for mastocytes in thiamazole hypothyroidism. 0.5 W laser exposure was more effective for stimulation of the secretory processes in mast cells compared to 2.0 W exposure. The secretory activity of mast cells was associated with the functional activity of thyroid gland, which confirms their regulatory role in tissue repair after thiamazole induced hypothyroidism modeling.


2021 ◽  
Vol 18 (1) ◽  
pp. 43-51
Author(s):  
A.A. Khisamova ◽  

Introduction. Turmeric (Curcuma longa) is a medicinal plant and seasoning in Asia. Curcumin (diferuloylmethane) is the main active ingredient; a hydrophobic bioactive component contains in the rhizomes of turmeric (Curcuma longa). In recent years, curcumin has attracted tremendous attention not only for its use in cooking, but also for pleiotropic biological and pharmacological effects. However, its poor water solubility, low bioavailability and rapid metabolism are serious disadvantages for implementation in therapeutic practice. Therefore, researchers are attempting to increase the biological and pharmacological activity of curcumin using effective delivery systems and the addition of bioenhancers. Aim. Generalization and analysis of data presented in the databases PubMed, Web of science, Scopus, Google Scholar on methods of increasing the solubility and bioavailability of curcumin in the development of pharmaceutical compositions based on it. Materials and methods. Materials and methods. The object of research and search in the PubMed, Web of science, Scopus, Google Scholar databases was the substance curcumin, obtained from plant raw materials of long turmeric (Curcuma longa). We analyzed the data presented in the open press for the last 20 years (2000-2021), the request included indicators of the solubility and bioavailability of curcumin in vitro and in vivo. Conclusion. Various pharmaceutical studies of the use of oral combinations, including solid dispersions, nano/microparticles, polymer micelles, nanosuspensions, lipid-based nanocarriers, cyclodextrins, conjugates, have been developed to improve the oral bioavailability of curcumin. They have been shown to increase the solubility of curcumin, improve intestinal stability, and alter the absorption pathway.


2021 ◽  
Vol 18 (1) ◽  
pp. 29-34
Author(s):  
A.V. Vinogradov ◽  
◽  
S.V. Sazonov ◽  
A.V. Rezaykin ◽  
A.G. Sergeev ◽  
...  

Aim: to determine the age dynamics of morphological subtypes of acute myeloid leukemia in adult patients. Materials and methods. The study group consisted of 132 patients (including 34 aged 15 to 45 years, 46 aged 45-60 years, 52 aged over 60 years) with newly diagnosed AML. Patients with acute promyelocytic leukemia were not included in the study. The diagnosis was made in accordance with WHO recommendations and FAB classification criteria. In all cases, morphological verification was performed, including cytological, cytochemical studies and immunophenotyping. Detection of chromosomal abnormalities was performed using standard cytogenetic and real-time polymerase chain reaction methods. Point mutations were screened in 7 genes: c-KIT, DNMT3A, FLT3, NRAS, NPM1, TP53 and WT1 by direct sequencing method. Results. The distribution of morphological variants of AML according to the FAB classification was as follows: M2 — 47.7%, M4 — 26.5%, M1 — 7.6%, M0 — 4.5%, M6 — 4.5%, M5 — 3.0%, M4eo — 2.3%, blastic plasmacytoid dendritic cell neoplasm — 1.5%, acute myelofibrosis — 0.8%, acute hybrid leukemia — 0.8%. Complex genetic abnormalities were detected in 18.2%, specific chromosome abnormalities associated with a favorable prognosis — 7.6%, specific chromosome abnormalities associated with an unfavorable prognosis — 5.3%, normal cytogenetics — 28.8%. Mutations in the FLT3 gene were detected in 15.0%, NPM1 — 14.3%, DNMT3A — 12.5%, NRAS — 12.2%, TP53 — 9.6%, c-KIT — 5.7%, WT1 — 4.2%. It was revealed that the frequency of acute myeloid leukemias with monocytic differentiation (M4, M4eo and M5 according to FAB) had a statistically significant tendency to decrease with increasing age: in the subgroup of patients younger than 45 years, it was 44.1%, in the age of 45-60 years — 32.6%, in the age of 60 years and older — 23.1%. These differences correlated with the age-related dynamics of the frequency of genetic abnormalities in AML, including a decrease in the frequency of NPM1 gene mutations and specific chromosomal aberrations, as well as an increase in the frequency of TP53 abnormalities in older age groups.


2020 ◽  
Vol 17 (2) ◽  
pp. 110-120
Author(s):  
N.D. Sorokina ◽  
◽  
L.R. Shahalieva ◽  
S.S. Pertsov ◽  
L.V. Polma ◽  
...  

One of the most common causes of chronic pain in the facial region, including in the trigeminal nerve link, which is not associated with dental diseases, is pain dysfunction of the temporomandibular joint. At the same time, there is evidence in the literature that there are relationships between pain dysfunction of the temporomandibular joint, abnormal occlusion, cervical-muscular tonic phenomena, postural disorders, dysfunction of the Autonomous nervous system and cochleovestibular manifestations. At the same time, neurophysiological indicators of functional disorders in the maxillofacial region and intersystem interactions in pain dysfunction of the temporomandibular joint are insufficiently studied.Goal. The aim of the work is to evaluate the neurophysiological features of trigeminal afferentation in terms of trigeminal somatosensory evoked potentials (TSWP) and the auditory conducting system of the brain in terms of acoustic stem evoked potentials (ASVP) in distal occlusion of the dentition with pain dysfunction of the temporomandibular joint (TMJ) in comparison with physiological occlusion in students 18-21 years old. Material and methods. The main study included 41 students with distal occlusion (21 girls and 20 boys), (grade II Engl, symmetrically right and left in 14 people, and grade II Engl on the left and grade I on the right in 12 people, grade I on the left and grade II on the right in 15 people). All respondents with distal occlusion and who were practically healthy signed an informed consent to participate in the study. We used complex orthodontic methods of examination, subjective degree of severity and intensity of pain in the TMJ, assessment of the Autonomous nervous system (samples and tests), and neurophysiological methods for assessing TSVP and ASVP. Results. Significant differences in ASEP parameters were found in the group of respondents with distal occlusion in the form of a decrease in the latency period of peak I, III, and V compared to physiological occlusion, that correlated with the subjective assessment (in points) of cochleovestibular disorders. According to the TSVP study, a decrease in the duration of latent periods was found, which indicates an increased excitability of non-specific brain stem structures at the medullo-ponto-mesencephalic level compared to the control group. Conclusions. The results obtained are supposed to be used for differential diagnostics, including such dental diseases as TMJ pain dysfunction, occlusion abnormalities accompanied by pain syndrome. Additional functional diagnostics of multi-modal VP of the brain (acoustic evoked potentials, trigeminal evoked potentials) can be performed in conjunction with indicators of autonomic nervous system dysfunction, with parameters of severity of clinical symptoms of cochleovestibular disorders, musculoskeletal dysfunction the maxillofacial area, with indicators of pain, which will determine the tactics and effectiveness of subsequent treatment.


2020 ◽  
Vol 17 (3) ◽  
pp. 243-248
Author(s):  
I.Yu. Maklakova ◽  
◽  
V.V. Bazarniy ◽  
D.Yu. Grebnev ◽  
◽  
...  

The aim of this study was to study the effect of combined MMSC and HSC transplantation on liver regeneration under conditions of toxic carbon tetrachloride damage. Materials and methods. The study was performed on white male mice with toxic liver damage by intraperitoneal administration of carbon tetrachloride at a dose of 50 µl per mouse once. An hour after modeling liver damage, placental MMSCs and HSCs were administered intravenously at a dose of 4 million cells/kg and 330 thousand cells/kg, respectively, suspended in 0.2 ml of 0.9% NaCl solution. Control group animals were given 0.9% NaCl solution-0.2 ml intravenously. On days 1, 3, and 7 after cell transplantation, changes in inflammatory activity in the liver were evaluated, and mitotic and apoptotic indices were determined. On the 7th day after the introduction of cells, the activity of DNA repair enzymes of the PARP family was analyzed. Results. Combined MMSC and HSC transplantation leads to a decrease in the index of inflammatory activity in the liver due to a decrease in necrosis, hepatocyte dystrophy, and a decrease in infiltration. As a result of the study, an increase in the activity of PARP repair enzymes was found, which led to a decrease in programmed cell death. Also, cotransplantation of MMSCs and HSCs was accompanied by increased mitotic activity of hepatocytes. Conclusion. Cotransplantation of MMSCs and HSCs under conditions of toxic liver damage reduces the inflammatory response, stimulates the mitotic activity of hepatocytes, and increases the activity of enzymes of the DNA repair system. Activation of the liver's reparative system, in turn, reduces the programmed death of hepatocytes.


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