[The effect of applying clinical organizational telemedicine technology management of anti-tuberculous care on dynamics of tuberculosis morbidity and mortality].

The tuberculosis is the most important medical and social problem among globally dangerous epidemiological phenomena. the tuberculosis ranks 9th place in the structure of mortality and disability of population and 1st place among causes of death from single infectious agent.The purpose of the study was to analyze dynamics of total morbidity and mortality because of tuberculosis against the background of the implementation of telemedicine clinical organizational technology in phthisiology care 2007-2021.The official Regional and Federal data of Rosstat for 2007-2021 were used. The indicators of total morbidity and mortality of population caused by tuberculosis in the Sverdlovsk Oblast were established. The research methods were content analysis, dynamic series analysis, graphical analysis, statistical differences analysis.In the Sverdlovsk Oblast, the morbidity and mortality of tuberculosis exceeded national average indicators by 1.2-1.5 times. In 2007-2021, as a result of implementation of clinical organizational telemedicine technology in managing phthisiology care, total morbidity and mortality of population caused by tuberculosis decreased up to 2.275 and 2.97 times respectively. The rate of decrease of analyzed epidemiological indicators generally correlated with national average data with statistical validity of difference t≥2.In regions with unfavorable epidemiological indicators of tuberculosis, application of innovative technologies in management of clinical organizational processes is required. The development and implementation of clinical organizational telemedicine technology for managing regional phthisiology care contributes to significant reduction of morbidity and mortality of tuberculosis and optimizes sanitary and epidemiological well-being.

Forecasting Trends in the Tuberculosis Epidemic Situation in the Region of the Russian Federation by Dynamic Simulation Model.

The spread of a new coronavirus infection in the last two years together with HIV infection preserves and even increases the potential for the spread of tuberculosis in the world. Sverdlovsk oblast (SO) of Russian Federation is the region with high levels of HIV and tuberculosis (TB). The search for new methods of forecasting of the future epidemic situation for tuberculosis has become particularly relevant. The aim was to develop an effective method for predicting the epidemic situation of tuberculosis using an artificial intelligence (AI) method in the format of a dynamic simulation model based on AI technologies. Statistical data was loaded from the state statistical reporting on TB patients for the period 2007-2017. The parameters were controlled through a system of inequalities. The proposed SDM made it possible to identify and reliably calculate trends of TB epidemiological indicators. Comparison of the predicted values made in 2017 with the actual values of 2018-2021 revealed a reliable coincidence of the trend of movement of TB epidemiological indicators in the region, the maximum deviation was no more than 14.82%. The forecast results obtained with SDM are quite suitable for practical use. Especially, in operational resource planning of measures to counteract the spread of tuberculosis at the regional level.

Development and large volume production of extremely high current density YBa2Cu3O7 superconducting wires for fusion.

The fusion power density produced in a tokamak is proportional to its magnetic field strength to the fourth power. Second-generation high temperature superconductor (2G HTS) wires demonstrate remarkable engineering current density (averaged over the full wire), JE, at very high magnetic fields, driving progress in fusion and other applications. The key challenge for HTS wires has been to offer an acceptable combination of high and consistent superconducting performance in high magnetic fields, high volume supply, and low price. Here we report a very high and reproducible JE in practical HTS wires based on a simple YBa2Cu3O7 (YBCO) superconductor formulation with Y2O3 nanoparticles, which have been delivered in just nine months to a commercial fusion customer in the largest-volume order the HTS industry has seen to date. We demonstrate a novel YBCO superconductor formulation without the c-axis correlated nano-columnar defects that are widely believed to be prerequisite for high in-field performance. The simplicity of this new formulation allows robust and scalable manufacturing, providing, for the first time, large volumes of consistently high performance wire, and the economies of scale necessary to lower HTS wire prices to a level acceptable for fusion and ultimately for the widespread commercial adoption of HTS.

Control of sub-terahertz gyrotron frequency by modulation-anode voltage: Comparison of theoretical and experimental results.

This paper presents a comparison of simple self-consistent theory data and experimental results aimed to study the influence of the anode voltage on the frequency of the subterahertz gyrotron with the goal of frequency stabilization. Numerical simulations of the electron beam formation and beam-wave interaction in a 0.26 THz gyrotron are performed. The experimental dependence of the gyrotron frequency tuning on mod-anode voltage is in agreement with theoretical predictions.

First experimental tests of powerful 250 GHz gyrotron for future fusion research and collective Thomson scattering diagnostics.

A 250 GHz continuous-wave (CW) gyrotron has been developed at the IAP RAS jointly with GYCOM Ltd., as a prototype of the microwave source for the envisaged prospective nuclear fusion power plants (DEMO). The main applications of such a tube are electron cyclotron resonance heating and electron cyclotron resonance current drive of magnetically confined plasma as well as its diagnostics based on collective Thomson scattering in various reactors for controlled thermonuclear fusion (e.g., tokamaks and stellarators). The results of the preliminary experimental tests in a pulsed mode of operation are presented. The microwave power of up to 330 kW with an efficiency of 30% without collector depression was obtained. At an accelerating voltage of 55 kV and an electron beam current of 12.5 A (which corresponds to the design parameters for CW operation), the measured output power was about 200 kW. The TEM00 mode content evaluated at the tube output is not less than 98.6%.

Experimental tests of a 263 GHz gyrotron for spectroscopic applications and diagnostics of various media.

A 263 GHz continuous-wave (CW) gyrotron was developed at the IAP RAS for future applications as a microwave power source in Dynamic Nuclear Polarization / Nuclear magnetic resonance (DNP/NMR) spectrometers. A new experimental facility with a computerized control was built to test this and subsequent gyrotrons. We obtained the maximum CW power up to 1 kW in the 15 kV/0.4 A operation regime. The power about 10 W, which is sufficient for many spectroscopic applications, was realized in the low current 14 kV/0.02 A regime. The possibility of frequency tuning by variation of the coolant temperature about 4 MHz/1 °C was demonstrated. The spectral width of the gyrotron radiation was about 10(-6).

Laser-induced ultrafast spin reorientation in the antiferromagnet TmFeO3.

All magnetically ordered materials can be divided into two primary classes: ferromagnets and antiferromagnets. Since ancient times, ferromagnetic materials have found vast application areas, from the compass to computer storage and more recently to magnetic random access memory and spintronics. In contrast, antiferromagnetic (AFM) materials, though representing the overwhelming majority of magnetically ordered materials, for a long time were of academic interest only. The fundamental difference between the two types of magnetic materials manifests itself in their reaction to an external magnetic field-in an antiferromagnet, the exchange interaction leads to zero net magnetization. The related absence of a net angular momentum should result in orders of magnitude faster AFM spin dynamics. Here we show that, using a short laser pulse, the spins of the antiferromagnet TmFeO3 can indeed be manipulated on a timescale of a few picoseconds, in contrast to the hundreds of picoseconds in a ferromagnet. Because the ultrafast dynamics of spins in antiferromagnets is a key issue for exchange-biased devices, this finding can expand the now limited set of applications for AFM materials.

[Extrachromosomal structures containing small nuclear RNP and coilin in the late vitellogenic oocytes of hibernating grass frogs]. / Ekstrakhromosomnye struktury, soderzhashchie malye iadernye RNP i koilin, v iadrakh pozdnikh vitellogennykh ootsitov zimuiushchikh travianykh liagushek.

We have studied extrachromosomal structures in the germinal vesicle (GV) of the late vitellogenic oocytes of hibernating frogs Rana temporaria. During this period of oogenesis, chromosomes are completely inactivated to be surrounded by a fibrillar karyosphere capsule (Gruzova, Parfenov, 1993). Using immunostaining and in situ nucleic acid hybridization, we have identified three types of extrachromosomal structures: Cajal bodies (CB), nucleoli, and micronucleoli. Immunostaining of GV spreads has revealed that CB and nucleoli contain coilin, a marker protein for CB. The nucleoli were also positively stained with antibodies against Sm-epitope and trimetylguanosine cap of small nuclear (sn) RNP. According to the results of in situ nucleic acid hybridization, the nucleoli contain U6 snRNA. To further investigate a distribution of coilin in GV of the late vitellogenic oocytes of R. temporaria, we injected myc-tagged transcripts of full length human coilin (Wu et al., 1994) into the cytoplasm of oocytes and followed the pathway of the newly translated protein with an antibody specific for the tag. Immunofluorescent staining of spread GV contents demonstrated a specific staining of the nucleoli within 3 h after injection. We suggest that the newly synthesized myc-coilin may be phosphorilated and targeted to the nucleoli.

[Surgical rehabilitation of a patient with corneal perforation in keratoconjunctivitis sicca syndrome]. / Khirurgicheskaia reabilitatsiia bol'noi s perforatsiei rogovoi obolochki pri sindrome sukhogo keratokon"iunktivita.

The authors describe effective surgical rehabilitation of a female patient with corneal perforation and subsequent complicated cataract developing against the background of chronic deficiency of lacrimal production associated with Sjogren's syndrome which developed in the presence of rheumatoid arthritis. Treatment with artificial tears during complex pre- and postoperative therapy prevented serious complications and made unnecessary the preliminary interventions aimed at inhibition of lacrimal production. Long remission of the underlying disease and stability of visual functions during 2 years evidence the efficiency of rehabilitative measures.

Observation of the transverse optical plasmon in SmLa0.8Sr0.2CuO4-delta.

We present microwave and infrared measurements on SmLa0.8Sr0.2CuO4-delta, which are direct evidence for the existence of a transverse optical plasma mode, observed as a peak in the c-axis optical conductivity. This mode appears as a consequence of the existence of two different intrinsic Josephson couplings between the CuO2 layers, one with a Sm2O2 block layer, and the other one with a (La,Sr)2O2-delta block layer. From the frequencies and the intensities of the collective modes we determine the value of the compressibility of the two dimensional electron fluid in the copper oxygen planes.

An immunoelectron study of karyosphere and nuclear bodies in oocytes of mealworm beetle, Tenebrio molitor (Coleoptera: polyphaga).

The karyosphere and nuclear bodies (NBs) were studied in Tenebrio molitor oocytes using immunoelectron cytochemistry. During early diplotene (previtellogenic stage), oocyte chromosomes begin to unite in a small nuclear volume forming the karyosphere. In vitellogenic oocyte nuclei, the chromatin undergoes condensation, and the karyosphere acquires a ring-shaped structure. The karyosphere is the only structure containing DNA in the oocyte nucleus. Pre-mRNA splicing factors [small nuclear ribonucleoproteins (snRNPs) and SC35] are not found in the karyosphere itself. In previtellogenic oocyte nuclei, these factors are present in NBs and in a fibrogranular substance surrounding the chromosomes in the early stages of karyosphere formation. At this stage, larger fibrillar NBs contain the non-snRNP splicing factor SC35. Smaller roundish NBs were shown to contain snRNPs. Some NBs with the same morphology contain neither snRNPs nor SC35. In the vitellogenic oocyte, there are fibrogranular NBs containing both snRNPs and SC35 splicing factors, fibrillar NBs containing snRNPs only, and complex NBs containing both. Complex NBs are often connected with the ring-shaped karyosphere. Based on the obtained immunoelectron data, we suggest that T. molitor oocyte NBs containing both snRNPs and the non-snRNP splicing factor SC35 are homologs of the well-characterized B-snurposomes in amphibian germinal vesicles and clusters of interchromatin granules in mammalian oocyte nuclei. Other NBs containing only snRNPs are suggested to represent a special class of insect oocyte snurposomes. The nuclear organelles mentioned seem to play a role as storage domains for pre-mRNA splicing factors during T. molitor oogenesis.

[Intranuclear structures containing RNA maturation factors in early vitellogenic oocytes of Rana temporaria]. / Vnutriiadernye struktury, soderzhashchie faktory sozrevaniia RNK, v rannikh vitellogennykh ootsitakh travianoi liagushki.

We have examined the distribution of RNA processing factors in the germinal vesicle (GV) of the common frog Rana temporaria during early vitellogenesis by immunostaining on light- and electronmicroscopic levels and by in situ nucleic acid hybridization. Small nuclear RNPs (snRNP) and factor SC35 involved in pre-mRNA splicing occur in lampbrush chromosome loops and numerous granules 1-3 microns in size. These granules are identical to B snurposomes of Xenopus laevis and Notophtalmus viridescens described earlier (Wu et al., 1991). Some of B snurposomes are attached to homologous loops of lampbrush chromosomes. Immunofluorescent study of Cajal bodies/coiled bodies (CB) showed that sometimes CB have B snurposomes attached to their surface. In this case splicing factor SC35 is found in B snurposomes and B-like inclusions in CB matrix. In CB without attached B snurposomes splicing factor SC35 localizes throughout the whole organelle. Staining of GV spreads with antibodies against nucleolar protein NO38 revealed this protein in CB, nucleoli and micronucleoli. Using in situ nucleic acid hybridization and immunofluorescent staining we have found that on GV spreads from hibernating frogs B snurposomes contact nucleoli. Nucleoli contain snRNP. These data suggest that nucleoli may be storage sites of snRNPs during natural inactivation of RNA synthesis. During winter season in Rana temporaria GV nucleoli become compacted and a number of micronucleoli (less than 2 microns) dramatically increases. Analysis of micronucleoli showed that they contain rRNA, protein NO38, trace amount of U3 small nucleolar RNA and do not contain fibrillarin, involved as U3 in pre-rRNA processing. We suggest that decrease of rRNA synthesis during frog hibernation results in transformation of part of nucleoli in micronucleoli.

Divalent metal cation binding properties of human prothymosin alpha.

The divalent cation binding properties of human prothymosin alpha, an abundant nuclear protein involved in cell proliferation, were evaluated. By using prothymosin alpha retardation on a weak cation chelating resin charged with various divalent cations, specific binding of Zn2+ ions by prothymosin alpha was observed. This finding was further confirmed by the equilibrium dialysis analysis which demonstrated that, within the micromolar range of Zn2+ concentrations, prothymosin alpha could bind up to three zinc ions in the presence of 100 mM NaCl and up to 13 zinc ions in the absence of NaCl. Equilibrium dialysis analysis also revealed that prothymosin alpha could bind Ca2+, although the parameters of Ca2+ binding by prothymosin alpha were less pronounced than those of Zn2+ binding in terms of the number of metal ions bound, the KD values, and the resistance of the bound metal ions to 100 mM NaCl. The effects of Zn2+ and Ca2+ on the interaction of prothymosin alpha with its putative partners, Rev of HIV type 1 and histone H1, were examined. We demonstrated that Rev binds prothymosin alpha, and that prothymosin alpha binding to Rev but not to histone H1 was significantly enhanced in the presence of zinc and calcium ions. Our data suggest that the modes of prothymosin alpha interaction with Rev and histone H1 are distinct and that the observed zinc and calcium-binding properties of prothymosin alpha might be functionally relevant.

[Efficiency of removing a transparent lens in high myopia]. / O tselesoobraznosti udaleniia prozrachnogo khrustalika pri miopii vysokoi stepeni.

Results of removal of a transparent lens in high myopia are analyzed. The operation was performed in two stages according to V. S. Belyaev and T. S. Ilyina. The second stage of the operation (lens extraction) was performed by the extracapsular method, which prevented vitreous prolapse into the anterior chamber in all cases and ruled out the possibility of detachment of the posterior plate of the vitreous and retina. Simple technique of the operation, good remote results, no need in expensive instruments or equipment recommend this operation for any ophthalmological department performing extracapsular cataract extractions.

[Cataract extraction in a patient with sympathetic uveitis after immunity correcting therapy]. / Ekstraktsiia katarakty u bol'nogo s simpaticheskim uveitom posle provedeniia immunokorregiruiushchei terapii.

A complicated cataract on the only eye was effectively extracted in a patient with uveitis running a sluggish course with manifest disorders of T-cell immunity. Immune correction in combination with routine therapy of uveitis helped prepare the patient to surgery for cataract and attain good results.

[The coiled bodies and satellite microbodies of the oocyte nuclei in hibernating Rana temporaria frogs contain actin]. / Skruchennye tel'tsa (coiled bodies) i mikrotel'tsa-satellity iader ootsitov zimuiushchikh liagushek Rana temporaria soderzhat aktin.

Immunocytochemical analysis of preparation of dispersed nuclei content in oocytes of III-IV stages of oogenesis, in terms of Dumont (1972), from hibernating grass frogs using monoclonal antibodies against actin, revealed two types of intranuclear structures containing this protein: coiled bodies (CB) and satellite microbodies (SM). Staining of these preparations with Rhodamin-phalloidin, known specifically to interact with fibrillar actin, did not reveal it in these structures. Results of our biochemical studies, using protease ESP32 specifically cutting only globular actin, are suggesting that both CB and SM contain globular actin. Gall et al. (1975) proposed that CB may be involved in assembling and sorting of small nuclear RNA for the three main RNA processing pathways: pre-mRNA splicing, pre-rRNA processing, and histone pre-mRNA 3'-end formation. Our finding of actin in CB allows a suggestion on actin involvement in the transport of RNA processing complexes from CB to some actual places where processing of RNA takes place. According to our previous data (Tsvetkov, Parfenov., 1994), SM participate in the karyosphere capsule formation. This process is preceded by SM fusion triggered presumably by actin.

[Spheres from the oocyte nuclei of the house cricket and the damselfly contain pre-mRNA splicing and pre-rRNA processing factors]. / Sfery iz iader ootsitov domovogo sverchka i strekozy-krasotki soderzhat faktory splaisinga pre-mRNK i protsessina pre-pRNK.

By the method of immunocytochemistry it has been shown that spheres from cricket and damselfly oocyte nuclei contain small nuclear RNA (snRNA) and fibrillarin, a protein involved in pre-rRNA processing. Besides, in cricket oocyte spheres coilin has been revealed, a protein which is part of intranuclear structures in somatic cells called coiled bodies. By the method of nucleic acid hybridization in situ, U1, U2 and U6 snRNAs were identified in spheres of cricket oocytes. Concentration of U2 snRNA was much higher compared to U1 and U6 snRNA. After a longtime (24h) incubation of cricket's ovary in the medium containing 3H-uridin, spheres remained unlabelled by contrast with a heavily labelled karyoplasm. Thus, the data obtained show a homology between spheres from the studied insects and coiled bodies of somatic cells, spheres from amphibian oocytes, and prenucleolar bodies in nuclei formed in vitro in Xenopus laevis egg extracts after adding DNA.

Is the sphere organelle/coiled body a universal nuclear component?

We present evidence for the essential homology of four nuclear organelles that have previously been described under four different names: coiled bodies in mammalian somatic nuclei, prenucleolar bodies in nuclei assembled in vitro in Xenopus egg extract, sphere organelles in amphibian germinal vesicles (GVs), and Binnenkörper in insect GVs. Each of these organelles contains coilin or a coilin-related protein plus a variety of small nuclear ribonucleoproteins. We suggest that the sphere organelle/coiled body is a "universal" nuclear component in the sense that it is involved in common nuclear processes and hence will be found in one form or another in most eukaryotic cells. We postulate that it functions in the assembly and sorting of snRNP complexes for three RNA processing pathways: pre-mRNA splicing, rRNA processing, and histone pre-mRNA 3' end formation. Specifically, the sphere organelle/coiled body may be the initial site for assembly of processing complexes, which are then sorted to other places in the nucleus, where the actual RNA processing takes place.