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1.
Nature ; 612(7939): 240-245, 2022 12.
Artigo em Inglês | MEDLINE | ID: mdl-36477133

RESUMO

Systems of correlated particles appear in many fields of modern science and represent some of the most intractable computational problems in nature. The computational challenge in these systems arises when interactions become comparable to other energy scales, which makes the state of each particle depend on all other particles1. The lack of general solutions for the three-body problem and acceptable theory for strongly correlated electrons shows that our understanding of correlated systems fades when the particle number or the interaction strength increases. One of the hallmarks of interacting systems is the formation of multiparticle bound states2-9. Here we develop a high-fidelity parameterizable fSim gate and implement the periodic quantum circuit of the spin-½ XXZ model in a ring of 24 superconducting qubits. We study the propagation of these excitations and observe their bound nature for up to five photons. We devise a phase-sensitive method for constructing the few-body spectrum of the bound states and extract their pseudo-charge by introducing a synthetic flux. By introducing interactions between the ring and additional qubits, we observe an unexpected resilience of the bound states to integrability breaking. This finding goes against the idea that bound states in non-integrable systems are unstable when their energies overlap with the continuum spectrum. Our work provides experimental evidence for bound states of interacting photons and discovers their stability beyond the integrability limit.

2.
Pharmacogenomics J ; 21(4): 435-439, 2021 08.
Artigo em Inglês | MEDLINE | ID: mdl-33608663

RESUMO

Citalopram is commonly prescribed to patients suffering from major depressive disorder. Some of them do not respond adequately to therapy with citalopram, while many of them experience type A adverse drug reactions. Current research revealed that CYP2C19 isoenzyme is involved in the biotransformation of citalopram. The objective of our study was to investigate the impact of 681G>A polymorphism of the CYP2C19 gene on the efficacy, safety and the concentration/dose indicator of citalopram. Our study enrolled 130 patients with major depressive disorder and comorbid alcohol use disorder (average age-38.7 ± 14.1 years). Therapy regimen included citalopram in an average daily dose of 31.1 ± 14.4 mg per week. Therapy efficacy and safety were evaluated using the international psychometric scales. For genotyping, we performed the real-time polymerase chain reaction. Our findings revealed the statistically significant results in terms of the treatment efficacy evaluation (HAMD scores at the end of the treatment course): (GG) 8.0 [8.0; 9.0] and (GA) 10.0 [9.0; 11.0], p < 0.001. In the safety profile (the UKU scores), the statistical significance was also obtained: (GG) 3.0 [3.0; 4.0] and (GA) 5.0 [4.0; 5.0], p < 0.001. We revealed a statistical significance for concentration/dose indicator of citalopram in patients with different genotypes: (GG) 2.543 [1.659; 4.239] and (GA) 4.196 [2.643; 5.753], p < 0.001). The effect of CYP2C19 genetic polymorphism on the efficacy and safety profiles of citalopram was demonstrated in a group of 130 patients with major depressive disorder.


Assuntos
Citalopram/uso terapêutico , Citocromo P-450 CYP2C19/genética , Transtorno Depressivo Maior/tratamento farmacológico , Transtorno Depressivo Maior/genética , Polimorfismo Genético/genética , Inibidores Seletivos de Recaptação de Serotonina/uso terapêutico , Adulto , Genótipo , Humanos , Masculino
3.
Phys Rev Lett ; 125(11): 112501, 2020 Sep 11.
Artigo em Inglês | MEDLINE | ID: mdl-32976008

RESUMO

In the standard model of particle physics, the weak interaction is described by vector and axial-vector couplings only. Nonzero scalar or tensor interactions would imply an additional contribution to the differential decay rate of the neutron, the Fierz interference term. We derive a limit on this hypothetical term from a measurement using spin-polarized neutrons. This method is statistically less sensitive than the determination from the spectral shape but features much cleaner systematics. We obtain a limit of b=0.017(21) at 68.27% C.L., improving the previous best limit from neutron decay by a factor of four.

4.
Phys Rev Lett ; 125(12): 120504, 2020 Sep 18.
Artigo em Inglês | MEDLINE | ID: mdl-33016760

RESUMO

Quantum algorithms offer a dramatic speedup for computational problems in material science and chemistry. However, any near-term realizations of these algorithms will need to be optimized to fit within the finite resources offered by existing noisy hardware. Here, taking advantage of the adjustable coupling of gmon qubits, we demonstrate a continuous two-qubit gate set that can provide a threefold reduction in circuit depth as compared to a standard decomposition. We implement two gate families: an imaginary swap-like (iSWAP-like) gate to attain an arbitrary swap angle, θ, and a controlled-phase gate that generates an arbitrary conditional phase, ϕ. Using one of each of these gates, we can perform an arbitrary two-qubit gate within the excitation-preserving subspace allowing for a complete implementation of the so-called Fermionic simulation (fSim) gate set. We benchmark the fidelity of the iSWAP-like and controlled-phase gate families as well as 525 other fSim gates spread evenly across the entire fSim(θ,ϕ) parameter space, achieving a purity-limited average two-qubit Pauli error of 3.8×10^{-3} per fSim gate.

5.
Phys Rev Lett ; 123(21): 210501, 2019 Nov 22.
Artigo em Inglês | MEDLINE | ID: mdl-31809160

RESUMO

We demonstrate diabatic two-qubit gates with Pauli error rates down to 4.3(2)×10^{-3} in as fast as 18 ns using frequency-tunable superconducting qubits. This is achieved by synchronizing the entangling parameters with minima in the leakage channel. The synchronization shows a landscape in gate parameter space that agrees with model predictions and facilitates robust tune-up. We test both iswap-like and cphase gates with cross-entropy benchmarking. The presented approach can be extended to multibody operations as well.

6.
Sud Med Ekspert ; 61(3): 31-34, 2018.
Artigo em Russo | MEDLINE | ID: mdl-29863717

RESUMO

The application of the screening techniques for the purpose of chemical toxicological and forensic chemical analysis has the objective to detect and identify the life-threatening substances within the shortest possible time period for distinguishing them from a large number of other chemical compounds amenable to the toxicological evaluation. Such methods acquire special importance for forensic chemical expertise in the cases of a negative result of the primary examination. The present article provides information about the history of development of the screening techniques.


Assuntos
Análise Química do Sangue/métodos , Substâncias Perigosas/análise , Ensaios de Triagem em Larga Escala/métodos , Toxicologia Forense/métodos , Humanos
7.
Phys Rev Lett ; 118(5): 057702, 2017 Feb 03.
Artigo em Inglês | MEDLINE | ID: mdl-28211704

RESUMO

By analyzing the dissipative dynamics of a tunable gap flux qubit, we extract both sides of its two-sided environmental flux noise spectral density over a range of frequencies around 2k_{B}T/h≈1 GHz, allowing for the observation of a classical-quantum crossover. Below the crossover point, the symmetric noise component follows a 1/f power law that matches the magnitude of the 1/f noise near 1 Hz. The antisymmetric component displays a 1/T dependence below 100 mK, providing dynamical evidence for a paramagnetic environment. Extrapolating the two-sided spectrum predicts the linewidth and reorganization energy of incoherent resonant tunneling between flux qubit wells.

8.
Vestn Oftalmol ; 133(5): 16-23, 2017.
Artigo em Russo | MEDLINE | ID: mdl-29165408

RESUMO

Mitomycin-C (MMC) is the most frequently used agent for prevention of excessive scarring at the osteotomy site after endoscopic endonasal dacryocystorhinostomy (EEDCR), which, however, being applied during the final stage of the surgery, shows questionable effectiveness. AIM: to evaluate the effectiveness of a new administration route of mitomycin C in EEDCR. MATERIAL AND METHODS: The study included 86 patients (95 cases) in the age range of 62.3±9 years with primary acquired nasolacrimal duct obstruction. All patients underwent P.J. Wormald modification of EEDCR and were further divided into 2 groups. In group 1, MMC was injected into the nasal cavity and lacrimal sac mucosa, while in group 2 it was applied locally according to the standard procedure. To measure tissue concentrations of MMC, mucosal biopsies were taken in patients of Group 1. Systemic absorption of MMC was studied through blood samples in both groups. Clinical efficacy was assessed in 14±5 months after surgery. RESULTS: immediately after injection, the average tissue concentration of mitomicyn C in patients of Group 1, was 390±10 µg/g and 30 minutes later - 120±20 µg/g. No mitomycin C was found in Day 1 tissue samples and in any of the blood samples. Positive clinical results were reported in 97.9% of cases from Group 1 and in 87.2% of cases from Group 2. CONCLUSION: The method of injecting MMC during the final stage of EEDCR has proved clinically effective and safe and can be recommended for use in clinical practice.


Assuntos
Cicatriz , Dacriocistorinostomia , Obstrução dos Ductos Lacrimais , Mitomicina/administração & dosagem , Complicações Pós-Operatórias/prevenção & controle , Idoso , Antibióticos Antineoplásicos/administração & dosagem , Cicatriz/etiologia , Cicatriz/prevenção & controle , Dacriocistorinostomia/efeitos adversos , Dacriocistorinostomia/métodos , Feminino , Humanos , Injeções/métodos , Obstrução dos Ductos Lacrimais/diagnóstico , Obstrução dos Ductos Lacrimais/terapia , Masculino , Pessoa de Meia-Idade , Ducto Nasolacrimal/patologia , Ducto Nasolacrimal/cirurgia , Cirurgia Endoscópica por Orifício Natural/efeitos adversos , Cirurgia Endoscópica por Orifício Natural/métodos , Resultado do Tratamento
9.
Gig Sanit ; 96(2): 114-7, 2017.
Artigo em Russo | MEDLINE | ID: mdl-29446590

RESUMO

At present due to the environmental contamination by heavy metals there is a great interest to investigate the processes of their both accumulation in plants and toxic effect on biochemical indices. Therefore the objective of this research was the analysis of the alteration of the system of antioxidant protection ofplants in conditions of soil contamination by copper and zinc. Research object were germinants of oat in amount of300 plants in each variant of the experiment. For the performance of the experiment, the sand was equally contaminated by sulfates of Cu and Zn in concentration of 2 MPC on its gross content in soil. The experiment lastedfor 2 weeks. For the implementation of the objective of research there was analyzed the contentof both Cu and Zn in plants exposed to soil contamination. Additionally there was performed an analysis of as the content of lipids peroxidation products, phenols and flavonoids; as well the activity ofperoxidase, catalase and photosynthetic system. Under the soil contamination by copper and zinc corresponding to 2 MPC the accumulation of heavy metals was established to be happening in plants. If compared copper accumulation was higher than zinc accumulation that can be explained by the high migration capability of zinc. Under combined impact of two metals there was revealed their antagonistic interaction. There was established an elevated content of lipids peroxidation products in cells as a sequence of the accumulation of heavy metals in plants. As a result of the elevation of the content of lipids peroxidation products there was revealed a raised activity ofphotosynthetic apparatus and antioxidant system (carotenoids, catalase and peroxidase) in the cell. The decrease of the content ofphenols and flavonoids is related with the usage of this system of antioxidant protection for the neutralization of lipids peroxidation processes.


Assuntos
Cobre , Peroxidação de Lipídeos/efeitos dos fármacos , Fotossíntese/efeitos dos fármacos , Fenômenos Fisiológicos Vegetais/efeitos dos fármacos , Zinco , Antioxidantes/análise , Antioxidantes/metabolismo , Cobre/análise , Cobre/química , Poluentes Ambientais/efeitos adversos , Poluentes Ambientais/análise , Poluição Ambiental/efeitos adversos , Flavonoides/análise , Flavonoides/metabolismo , Humanos , Metais Pesados/análise , Metais Pesados/química , Fenóis/análise , Fenóis/metabolismo , Poluentes do Solo/efeitos adversos , Poluentes do Solo/análise , Poluentes do Solo/química , Zinco/análise , Zinco/química
10.
Sud Med Ekspert ; 60(5): 23-26, 2017.
Artigo em Russo | MEDLINE | ID: mdl-28980550

RESUMO

The confirmation of the fact of alcohol abuse is currently an important problem of both medical and social significance. Of all biological markers of alcohol consumption presently in use, blood phosphatidylethanol (PEth) is considered to be most sensitive and specific one. Therefore it has promising prospects for the further application. There is no universally accepted method for the calculation of the phosphatidylethanol concentration in human blood. For this reason, the present article places emphasis on the comparative characteristic of various methods for the determination of this substance.


Assuntos
Alcoolismo , Glicerofosfolipídeos/sangue , Detecção do Abuso de Substâncias/métodos , Alcoolismo/sangue , Alcoolismo/diagnóstico , Biomarcadores/sangue , Pesquisa Comparativa da Efetividade , Humanos
11.
Phys Rev Lett ; 117(13): 138002, 2016 Sep 23.
Artigo em Inglês | MEDLINE | ID: mdl-27715114

RESUMO

We present results of a coherent x-ray diffractive imaging experiment performed on a single colloidal crystal grain. The full three-dimensional (3D) reciprocal space map measured by an azimuthal rotational scan contained several orders of Bragg reflections together with the coherent interference signal between them. Applying the iterative phase retrieval approach, the 3D structure of the crystal grain was reconstructed and positions of individual colloidal particles were resolved. As a result, an exact stacking sequence of hexagonal close-packed layers including planar and linear defects were identified.

12.
Genetika ; 52(3): 320-31, 2016 Mar.
Artigo em Russo | MEDLINE | ID: mdl-27281852

RESUMO

The black honeybee Apis mellifera mellifera L. is today the only subspecies of honeybee which is suitable for commercial breeding in the climatic conditions of Northern Europe with long cold winters. The main problem of the black honeybee in Russia and European countries is the preservation of the indigenous gene pool purity, which is lost as a result of hybridization with subspecies, A. m. caucasica, A. m. carnica, A. m. carpatica, and A. m. armeniaca, introduced from southern regions. Genetic identification of the subspecies will reduce the extent of hybridization and provide the gene pool conservation of the black honeybee. Modern classification of the honeybee mitotypes is mainly based on the combined use ofthe DraI restriction endonuclease recognition site polymorphism and sequence polymorphism of the mtDNA COI-COII region. We performed a comparative analysis of the mtDNA COI-COII region sequence polymorphism in the honeybees ofthe evolutionary lineage M from Ural and West European populations of black honeybee A. m. mellifera and Spanish bee A. m. iberiensis. A new approach to the classification of the honeybee M mitotypes was suggested. Using this approach and on the basis of the seven most informative SNPs of the mtDNA COI-COII region, eight honeybee mitotype groups were identified. In addition, it is suggested that this approach will simplify the previously proposed complicated mitotype classification and will make it possible to assess the level of the mitotype diversity and to identify the mitotypes that are the most valuable for the honeybee breeding and rearing.


Assuntos
Abelhas/genética , Genoma Mitocondrial , Genótipo , Polimorfismo de Nucleotídeo Único , Animais , Abelhas/classificação , Pool Gênico
13.
Genetika ; 52(8): 931-42, 2016 Aug.
Artigo em Russo | MEDLINE | ID: mdl-29368906

RESUMO

Local populations of the black honeybee Apis mellifera mellifera from the Urals and the Volga region were examined in comparison with local populations of southern honeybee subspecies A. m. caucasica and A. m. carpatica from the Caucasus and the Carpathians. Genetic analysis was performed on the basis of the polymorphism of nine microsatellite loci of nuclear DNA and the mtDNA COI­COII locus. On the territory of the Urals and the Volga region, five extant populations (reserves) of the black honeybee A. m. mellifera were identified, including the Burzyanskaya, Tatyshlinskaya, Yuzhno-Prikamskaya, Visherskaya, and Kambarskaya populations. These five populations are the basis of the modern gene pool of the black honeybee A. m. mellifera from the Urals and the Volga region. The greatest proportion of the remaining indigenous gene pool of A. m. mellifera (the core of the gene pool of the population of A. m. mellifera) is distributed over the entire territory of Perm krai and the north of the Republic of Bashkortostan. For the population of A. m. mellifera from the Urals and the Volga region, the genetic standards were calculated, which will be useful for future population studies of honeybees.


Assuntos
Abelhas/genética , DNA Mitocondrial/genética , Filogenia , Animais , Federação Russa
14.
Voen Med Zh ; 337(2): 54-8, 2016 Feb.
Artigo em Russo | MEDLINE | ID: mdl-27263213

RESUMO

The authors give an approval of military personnel biosphere research, which is necessary for prevention and early detection of substance misuse among military personnel of the Armed Forces. The article provides documents, regulating procedure of the chemico-toxicological analysis of a biological material, and staging of early detection of substance misuse among conscripts and professional soldiers. The authors gave information about main current problems of this activity, revealed its disadvantages and detected prevention measures.


Assuntos
Medicina Militar/métodos , Militares , Entorpecentes/análise , Psicotrópicos/análise , Transtornos Relacionados ao Uso de Substâncias/diagnóstico , Humanos
15.
Genetika ; 51(7): 792-8, 2015 Jul.
Artigo em Russo | MEDLINE | ID: mdl-26410933

RESUMO

For the last two centuries, beekeepers in Russia and Europe have been introducing bees from the southern regions to the northern ones, subjecting the genetic pool of the dark European bee Apis mellifera mellifera L. subspecies to extensive hybridization. In order to reconfirm on the genetic level the previously published morphological data on the native bee population in the Urals, the Bashkortostan Republic, and the Perm Krai, we analyzed the polymorphism of the mitochondrial (mtDNA COI-COII intergenic locus) and nuclear (two microsatellite loci, ap243 and 4a110) DNA markers. Four local populations of the dark European bee A. m. mellifera surviving in the Urals have been identified, and their principal genetic characteristics have been determined. Data on the genetic structure and geographical localization of the areals of the dark European bee local populations in the Urals may be of use in restoring the damaged genetic pool of A. m. mellifera in Russia and other northern countries.


Assuntos
Abelhas/genética , DNA Mitocondrial , Genética Populacional , Repetições de Microssatélites , Animais , Bashkiria , DNA Intergênico , Complexo IV da Cadeia de Transporte de Elétrons/genética , Frequência do Gene , Hibridização Genética , Polimorfismo Genético , Federação Russa
16.
Tsitologiia ; 57(12): 847-54, 2015.
Artigo em Russo | MEDLINE | ID: mdl-26995961

RESUMO

P53 protein is considered to be the major tumor suppressor in human cells. Cancer cells do not survive if the p53-mediated signaling pathways function properly. However, about half of all malignancies still express wild type p53. One of the explanations to this is that p53 is suppressed by overexpression of p53-specific E3-ubiquitin ligases: Mdm2, MdmX, Pirh2 and Cop1. Pharmacological inhibition of protein-protein interactions between p53 and these negative regulators is a promising therapeutic approach to treat cancers retaining wild type p53. To date, a series of chemical inhibitors of p53 interactions with Mdm2 and MdmX E3-ubiquitin ligases have been discovered and characterized. Several of them are in the early stages of clinical trials. Despite this fact, their clinical efficacy may be hampered by a number of reasons, including tumor-specific expression of multiple isoforms of the target E3-ligases, which become inert to treatment with small molecules. This and other biochemical mechanisms of possible resistance of tumor cells with wild type p53 to small molecules against its negative regulators will be discussed in this review.


Assuntos
Antineoplásicos/farmacologia , Regulação Neoplásica da Expressão Gênica , Neoplasias/tratamento farmacológico , Proteínas Nucleares/genética , Proteínas Proto-Oncogênicas c-mdm2/genética , Proteínas Proto-Oncogênicas/genética , Proteína Supressora de Tumor p53/genética , Proteínas de Ciclo Celular , Humanos , Imidazóis/farmacologia , Neoplasias/genética , Neoplasias/metabolismo , Neoplasias/patologia , Proteínas Nucleares/antagonistas & inibidores , Proteínas Nucleares/metabolismo , Piperazinas/farmacologia , Ligação Proteica/efeitos dos fármacos , Proteínas Proto-Oncogênicas/antagonistas & inibidores , Proteínas Proto-Oncogênicas/metabolismo , Proteínas Proto-Oncogênicas c-mdm2/antagonistas & inibidores , Proteínas Proto-Oncogênicas c-mdm2/metabolismo , Transdução de Sinais , Proteína Supressora de Tumor p53/antagonistas & inibidores , Proteína Supressora de Tumor p53/metabolismo , Ubiquitina-Proteína Ligases/antagonistas & inibidores , Ubiquitina-Proteína Ligases/genética , Ubiquitina-Proteína Ligases/metabolismo
17.
Tsitologiia ; 57(12): 876-9, 2015.
Artigo em Russo | MEDLINE | ID: mdl-26995965

RESUMO

Transcription factor p63 is a member of the p53 protein family. Due to the high degree of structural similarity p53, p63, and p73 are known to have overlapping functions relating to cell cycle regulation, apoptosis and tumor transformation. Furthermore, p63 plays crucial role in epidermal tissue development and differentiation. Pirh2 (product of RCHY1 gene) is an E3 ubiquitin ligase modifying all three members of the p53 family resulting in their subsequent proteasomal degradation. Our results demonstrate that p63, similar to p53, is able to regulate expression levels of Pirh2. Importantly, Pirh2 expression is activated only by transcriptionally active isoform of p63--TAp63, but not the N-terminally truncated ΔNp63.


Assuntos
Regulação da Expressão Gênica , Complexo de Endopeptidases do Proteassoma/metabolismo , Fatores de Transcrição/genética , Proteínas Supressoras de Tumor/genética , Ubiquitina-Proteína Ligases/genética , Ubiquitina/genética , Sequência de Aminoácidos , Apoptose/genética , Pontos de Checagem do Ciclo Celular/genética , Diferenciação Celular , Linhagem Celular Tumoral , Proteínas de Ligação a DNA/genética , Proteínas de Ligação a DNA/metabolismo , Células HCT116 , Humanos , Dados de Sequência Molecular , Proteínas Nucleares/genética , Proteínas Nucleares/metabolismo , Ligação Proteica , Proteólise , Deleção de Sequência , Transdução de Sinais , Fatores de Transcrição/química , Fatores de Transcrição/metabolismo , Transcrição Gênica , Proteína Tumoral p73 , Proteína Supressora de Tumor p53/genética , Proteína Supressora de Tumor p53/metabolismo , Proteínas Supressoras de Tumor/química , Proteínas Supressoras de Tumor/metabolismo , Ubiquitina/metabolismo , Ubiquitina-Proteína Ligases/metabolismo , Ubiquitinação
18.
Voen Med Zh ; 335(12): 62-5, 2014 Dec.
Artigo em Russo | MEDLINE | ID: mdl-25804086

RESUMO

The article is dedicated to the 20th anniversary of the Federal government health resort institution of the Federal Drug Control Service of the Russian Federation (FGI "Health resort "Podmoskovie" of the Federal Drug Control Service of the Russian Federation). In this health resort were developed treatment programs for patients with abnormalities of the cardiovascular, respiratory and digestive systems; methods of ultrasonic, laser and magnetic therapy, atmospheric hypoxic, herbal medicine, speleotherapy are employed. Widely used natural healing factors of Ruza district of the Moscow region such as climate therapy, treatment with mineral water group of X type of Smolensk from own wells and balneo-mudtherapy. Over the past 20 years 70 000 patients received an appropriate treatment in this health resort.


Assuntos
Órgãos Governamentais/história , Órgãos Governamentais/organização & administração , Programas Governamentais , Estâncias para Tratamento de Saúde/história , Regulamentação Governamental , Estâncias para Tratamento de Saúde/legislação & jurisprudência , História do Século XX , História do Século XXI , Militares , Federação Russa
19.
Science ; 384(6691): 48-53, 2024 Apr 05.
Artigo em Inglês | MEDLINE | ID: mdl-38574139

RESUMO

Understanding universal aspects of quantum dynamics is an unresolved problem in statistical mechanics. In particular, the spin dynamics of the one-dimensional Heisenberg model were conjectured as to belong to the Kardar-Parisi-Zhang (KPZ) universality class based on the scaling of the infinite-temperature spin-spin correlation function. In a chain of 46 superconducting qubits, we studied the probability distribution of the magnetization transferred across the chain's center, [Formula: see text]. The first two moments of [Formula: see text] show superdiffusive behavior, a hallmark of KPZ universality. However, the third and fourth moments ruled out the KPZ conjecture and allow for evaluating other theories. Our results highlight the importance of studying higher moments in determining dynamic universality classes and provide insights into universal behavior in quantum systems.

20.
Angiol Sosud Khir ; 19(2): 74-82, 2013.
Artigo em Russo | MEDLINE | ID: mdl-23863793

RESUMO

OBJECTIVES: 1) To show the role and place of endovenous radiofrequency obliteration (RFO) in removing the vertical reflux in the varicose major superficial large-diameter veins. 2) To assess the outcomes of treatment of patients with varicose disease and to determine their correlation with the scales VCSS, VSDS and CEAP. MATERIAL AND METHODS: Endovascular methods, the technique of endovascular radiofrequency (RFO) ClosureFAST belongs to, are intended to within the shortest terms remove reflux without disturbing the patient's habitual way of life and along with it to improve the main aspects of quality of life.From 2009 to 2011, we operated on 110 patients (a total of 135 extremities). The mean age amounted to 41 years. Patients with an ostium-adjacent venous diameter of less than 1.3 cm were excluded from the sample, 37% of patients had various trophic impairments, 41% of patients had various concomitant somatic pathology, and 17% of patients had the body weight index (BWI) exceeding 30. Diagnosis and severity of the disease were formed with due regard for the scales of disease severity VCSS, VSDS and CEAP, as well as the worked out diagnostic algorithm. The venous status was evaluated by the findings of the objective examination and triplex angioscanning. The groups of patients with reflux along the altered venous segments were distributed as follows: 32.6% of patients - the superior vena cava with the classical course, 8% - the inferior vena cava, 7% - vein of Giacomini, 16% - the anterior accessory vein, 8% - the anterior lateral inflow, 28.4% - the extrafascial course of the vessel. The pain factor according to the analogue scale amounted to 0.8. In the postoperative period, the patients were followed up and examined on day 3, day 10 and then after 1, 3, 6, 12 months and more. RESULTS: RFO was successfully used in patients in all venous basins irrespective of the diameter and anatomical course of the venous structures. In 98% of cases we managed to achieve occlusion with the removal of the reflux within the terms of up to one year. Regress of clinical symptoms and improvement of quality of life were reflected in the VCSS. 100% of patients returned to the habitual activity on the day of operation. CONCLUSION: RFO with obvious efficacy may be used in various topographical areas of lower limbs regardless of the veins' diameter and their anatomical course. RFO is a method of choice in patients with high BMI and accompanying somatic pathology. Ambulatory follow up of patients with severe somatic pathology is possible, independently of decompensation of venous pathology. Clinical scales of the disease severity VCSS and VSDS are convenient in use, clearly reflecting the dynamics of the disease in the pre- and postoperative periods, which makes it possible to recommend them for wide application along with other scales on studying quality of life.


Assuntos
Ablação por Cateter/métodos , Procedimentos Endovasculares/métodos , Varizes/cirurgia , Adulto , Idoso , Feminino , Seguimentos , Humanos , Masculino , Pessoa de Meia-Idade , Flebografia , Estudos Retrospectivos , Índice de Gravidade de Doença , Resultado do Tratamento , Ultrassonografia Doppler em Cores , Varizes/diagnóstico , Adulto Jovem
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