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1.
Mol Psychiatry ; 23(9): 1968, 2018 09.
Artigo em Inglês | MEDLINE | ID: mdl-28948969

RESUMO

This article1 has been retracted by the editor because an investigation by the National Institutes of Health concluded that the data represented by Figures 2a-c and 3e and Figure 4a were falsified. JT Arnold, SI Rapoport, RN Ertley, and RP Bazinet agree with this retraction. JS Rao and H-J Lee could not be reached for comment.

2.
Pharmacogenomics J ; 17(6): 563, 2017 12.
Artigo em Inglês | MEDLINE | ID: mdl-29053139

RESUMO

This corrects the article DOI: 10.1038/sj.tpj.6500391.

4.
Klin Med (Mosk) ; 95(1): 78-84, 2017.
Artigo em Russo | MEDLINE | ID: mdl-30299071

RESUMO

The present study was aimed to develop and introduce in medical practice the first Russian kit for the C-urea breath test of Helicobacter pylori. The newly created kit was given the commercial name «HELICARB¼ and successfully passed technical, toxicological, clinical, and laboratory testing. The optimal dose of 13C-urea was determined and various devices needed to perform the test were compared. The results were approved by the Federal Service for Supervision in the health sector Roszdravnadzor) that issued the Registration certificate № RZN 2016/3773 (order № 1641 of 02.29.2016), which gives the right to manufacture and use the «HELICARB¼ test kit at the territory of the Russian Federation.


Assuntos
Testes Respiratórios , Infecções por Helicobacter/diagnóstico , Helicobacter pylori , Testes Respiratórios/instrumentação , Testes Respiratórios/métodos , Aprovação de Equipamentos , Desenho de Equipamento , Helicobacter pylori/isolamento & purificação , Helicobacter pylori/fisiologia , Humanos , Federação Russa
5.
Klin Med (Mosk) ; 94(1): 10-5, 2016.
Artigo em Russo | MEDLINE | ID: mdl-27172715

RESUMO

Biological potential of childbearing in the women of late reproductive age is limited by natural impairment and loss offertility. Despite a considerable progress in clinical application of new diagnostic and reproductive technologies, the problem of infertility remains a most serious challenge. Women's age is one of the main factors responsible for the outcome of in vitro fertilization. The low effectiveness of in vitro fertilization programs is attributed to discoordination in the hypothalamic-pituitary system, depletion of ovarian resources, and deterioration of quality of reproductive material. Bearing in mind the role of melatonin in synchronizing circadian and seasonal biorhythms and regulating physiological and pathological processes, it is natural to suggest its role in the enhancement of efficiency of in vitro fertilization programs for women of late reproductive age.


Assuntos
Fertilização in vitro/métodos , Infertilidade Feminina , Melatonina/metabolismo , Reprodução/fisiologia , Fatores Etários , Feminino , Fertilidade/fisiologia , Humanos , Infertilidade Feminina/etiologia , Infertilidade Feminina/metabolismo , Infertilidade Feminina/fisiopatologia , Infertilidade Feminina/terapia , Saúde Reprodutiva
6.
Klin Med (Mosk) ; 94(7): 527-32, 2016.
Artigo em Russo | MEDLINE | ID: mdl-30289218

RESUMO

We investigated the association of polymorphisms of genes tumor necrosis factors and their receptors (-308G/A TNFa, +250A/G Lta, +36 A/G TNFR1, +1663 A/G TNFR2) with the predisposition to the development of essential hypertension (EH) and the features of its clinical course in patients with metabolic syndrome. It has been demonstrated that the molecular genetic marker +36G TNFR1 (OR=1,25) is involved in the formation EH in individuals with metabolic syndrome. The risk of stage III EH in patients with metabolic syndrome is enhanced by genetic variants -308GA TNFa (OR=2,72), -308A TNFa (OR=2,72), +250G Lta (OR=1,80), and combinations thereof -308A TNFa with +1663G TNFR2 (OR=3,85), +250G Lta with +36G TNFR1 (OR=3,85), +250G Lta with +1663G TNFR2 (OR=3,85) while protective properties are inherent in -308GG TNFa (OR=0,32), +250AA Lta (OR=0,45), -308G TNFa (OR=0,37), +250A Lta (OR=0,56) and a combination of genetic markers -308GG TNFa with +250A Lta (OR=0,31), -308G TNFa with +250AA Lta (OR=0,39), -308G TNFa with +250A Lta (OR=0,31).


Assuntos
Hipertensão , Síndrome Metabólica , Receptores do Fator de Necrose Tumoral , Fator de Necrose Tumoral alfa/genética , Adulto , Idoso , Feminino , Marcadores Genéticos , Predisposição Genética para Doença , Humanos , Hipertensão/complicações , Hipertensão/genética , Masculino , Síndrome Metabólica/complicações , Síndrome Metabólica/genética , Pessoa de Meia-Idade , Polimorfismo Genético , Receptores do Fator de Necrose Tumoral/classificação , Receptores do Fator de Necrose Tumoral/genética , Federação Russa
7.
Klin Med (Mosk) ; 94(5): 333-8, 2016.
Artigo em Russo | MEDLINE | ID: mdl-30289643

RESUMO

The article is a review of recent epidemiological observations concerning the prevalence of overweight and obesity in different countries among people of different gender, age. social and ethnic groups. It also presents and analyses health risks and comorbidities leading to disability and death as reported by domestic and foreign researchers. It was found that obesity has multifactorial pathogenesis directly related to energy balance, consumed and expended calories. The need of a multidisciplinary approach to the treatment and prevention of the disease is emphasized taking into consideration the influence of the environment and increasing urbanization on the development of the pathology as well as the role of government efforts to stimulate physical activity of the population in the framework of integral interdisciplinary programs and control over the quality of food. The priority areas for the correction of overweight include optimization of motor activity and diet correction.


Assuntos
Estilo de Vida , Obesidade , Serviços Preventivos de Saúde/organização & administração , Comportamento de Redução do Risco , Causalidade , Humanos , Obesidade/epidemiologia , Obesidade/prevenção & controle , Prevalência
8.
Klin Med (Mosk) ; 94(6): 450-4, 2016.
Artigo em Russo | MEDLINE | ID: mdl-30289663

RESUMO

Most clinicians consider duodenum ulcer as a psychosomatic disease. Objective: To show the interdependence of this condition and mental disorders and their relation to disturbances of melatonin production . Materials and Methods: 15 patients with seasonal DU and 15 healthy subjects of the control group were examined during 3 years using laboratory, endoscopic, and standard psychodiagnostic methods. Results. It was found that all patients with exacerbation of DU experienced enhanced anxiety, reduced background mood, and impaired quality of life based on general health and mental health scoring scales. The circadian rhythm of melatonin production was markedly distorted throughout the observation period but especially during exacerbations of the disease. Conclusions. The results indicate a high degree of correlation between DU and mental disorders caused by impaired production of melatonin. It suggests common etiological mechanisms of DU and psychosomatic symptom complex.


Assuntos
Ansiedade , Depressão , Úlcera Duodenal , Melatonina , Transtornos Psicofisiológicos , Qualidade de Vida , Ansiedade/diagnóstico , Ansiedade/fisiopatologia , Fenômenos Cronobiológicos , Ritmo Circadiano , Depressão/diagnóstico , Depressão/fisiopatologia , Úlcera Duodenal/diagnóstico , Úlcera Duodenal/fisiopatologia , Úlcera Duodenal/psicologia , Duodenoscopia/métodos , Feminino , Humanos , Masculino , Melatonina/análise , Melatonina/biossíntese , Pessoa de Meia-Idade , Testes Psicológicos , Transtornos Psicofisiológicos/diagnóstico , Transtornos Psicofisiológicos/metabolismo , Transtornos Psicofisiológicos/fisiopatologia , Estatística como Assunto , Inquéritos e Questionários
10.
Klin Med (Mosk) ; 93(1): 62-5, 2015.
Artigo em Russo | MEDLINE | ID: mdl-26031152

RESUMO

The study with the use of the CES-D scale revealed the combination of depression and metabolic syndrome in 24% of the examined patients. The HADS scale showed depression in 16% of the interviewed patients. Based on the two scales, depression was documented in 32% of the patients. The chance of development of metabolic disorders in case of depression was estimated as 2.4 (95%); CI--1.3-4.6. Urinary 6-COMT level at 4.00 correlated with its total nocturnal and daytime concentrations and with sleep disorders (r = -0.41; r = -0.48; r = -0.43 respectively). Daytime sleepiness correlated with the daytime 6-COMT level (r = -0.32). The score values by the CES-D scale correlated with daytime 6-COMT level (r = -0.23). Multiple regression analysis showed that reduced melatonin level deteriorates quality of nocturnal sleep and increases the risk of depression (R = 0.4. coefficient ß = -0.413 (p<0.04) and F = 4.5).


Assuntos
Depressão/epidemiologia , Síndrome Metabólica/epidemiologia , Adulto , Comorbidade , Humanos , Masculino , Pessoa de Meia-Idade
11.
Klin Med (Mosk) ; 92(4): 35-40, 2014.
Artigo em Russo | MEDLINE | ID: mdl-25269207

RESUMO

The study showed that ulcer disease in patients with metabolic syndrome is characterized by painless clinical course, bowel disorders in the form of constipation, enhanced appetite, unmotivated requirement for hypoglycemic therapy predisposition to complications along with activation of the inflammatory process in duodenal mucosa, high H. pylori count. The data obtained were used to develop the age-specific strategy for the treatment of elderly patients with duodenal ulcer and concomitant metabolic syndrome.


Assuntos
Comorbidade , Úlcera Duodenal/fisiopatologia , Síndrome Metabólica/fisiopatologia , Polimedicação , Fatores Etários , Idoso , Úlcera Duodenal/tratamento farmacológico , Úlcera Duodenal/epidemiologia , Humanos , Masculino , Síndrome Metabólica/tratamento farmacológico , Síndrome Metabólica/epidemiologia , Pessoa de Meia-Idade
12.
Klin Med (Mosk) ; 92(7): 5-11, 2014.
Artigo em Russo | MEDLINE | ID: mdl-25775898

RESUMO

The basis of the highly effective method for diagnostics of many dangerous diseases with the use of breathing tests and stable 13C isotope-labeled preparations has been developed in Russia during the past years. The technology for manufacturing 13C-preparations using domestically produced starting materials satisfies the requirements for isotopes in this and many foreign countries. New instruments for respiratory tests and diagnostic methods make it possible to carry out diagnostics in large populations including that in the course of regular medical examination. This paper reports high efficacy of 13C-based breath tests for diagnostics of gastrointestinal disorders, possibilities and prospects for their further application in oncology, endocrinology, pulmonology, neurology, cardiology, surgery, etc. Special attention is given to the use of 13C-magnetic resonance techniques for visualization of tumours and blood vessels, studies of metabolic processes and energy balance in man and animals with the use of 13C-biomarkers. The main advantages of these new diagnostic approaches are high accuracy, safety (for both patients and personnel), simplicity, and possibility of application in different fields of medicine.


Assuntos
Testes Respiratórios/métodos , Isótopos de Carbono , Análise Espectral , Isótopos de Carbono/farmacologia , Humanos , Medicina Interna , Reprodutibilidade dos Testes , Especialidades Cirúrgicas , Análise Espectral/instrumentação , Análise Espectral/métodos
13.
Klin Med (Mosk) ; 92(7): 12-8, 2014.
Artigo em Russo | MEDLINE | ID: mdl-25775899

RESUMO

This review is designed to analyse current views of physicians representing different fields of medicine (psychoanalysis, pathological anatomy, psychiatry, etc.) on the problem of psychosomatic diseases with reference to its history, past and present concepts, etiopathogenetic mechanisms of these conditions. The authors propose to use the results of analysis as a basis for considering psychosomatic diseases as a singular etiopathogenetic entity resulting from dysregulation of rhythm-organizing structures.


Assuntos
Gastroenteropatias , Transtornos Psicofisiológicos , Medicina Psicossomática , Atitude do Pessoal de Saúde , Gastroenteropatias/diagnóstico , Gastroenteropatias/etiologia , Gastroenteropatias/fisiopatologia , História do Século XX , Humanos , Psicanálise/história , Transtornos Psicofisiológicos/diagnóstico , Transtornos Psicofisiológicos/etiologia , Transtornos Psicofisiológicos/fisiopatologia , Transtornos Psicofisiológicos/psicologia , Psicofisiologia , Medicina Psicossomática/história , Medicina Psicossomática/métodos
14.
Klin Med (Mosk) ; 92(10): 26-32, 2014.
Artigo em Russo | MEDLINE | ID: mdl-25782318

RESUMO

It was shown that parameters of metabolic syndrome as predictors of lethal vascular outcomes of arterial hypertension (AH) in Belarus are significantly different fiom those proposed in WHO recommendations (1999). The glucose level of informative value in WHO recommendations is 6.1 mmol/l versus 5.6 mmol/l in Belarus, total cholesterol 5.0 and 5.9 mmol/l respectively. A more detailed verification of the value of both parameters is needed for the patients in Belarus and Russia depending on age and sex using non-linear models. We used a comprehensive approach to prognosis of the risk of vascular lethal outcomes of AH as a component of metabolic syndrome with the evaluation of results of clinical and laboratory examination as well as orthostatic reactions in patients of different age groups. Construction of the prognostic algorithm "Classification tree" taking account of orthostatic reactions enhances the correctness of lethal outcome prognosis up to 81.8%. The study revealed the prognostic value of systolic and diastolic arterial pressure in the supine position (15 min of active aortostatic sample) for prognostication of vascular lethal outcomes. Further studies are needed on the role of orthostatic reactions in AH patients of old age together with clinical and laboratory parameters in the prognostication of outcomes of various cardiovascular diseases.


Assuntos
Síndrome Coronariana Aguda , Hipertensão , Hipotensão Ortostática , Síndrome Metabólica/fisiopatologia , Acidente Vascular Cerebral , Síndrome Coronariana Aguda/epidemiologia , Síndrome Coronariana Aguda/etiologia , Idoso , Glicemia/análise , Colesterol/sangue , Feminino , Humanos , Hipertensão/complicações , Hipertensão/diagnóstico , Hipertensão/metabolismo , Hipertensão/fisiopatologia , Hipotensão Ortostática/diagnóstico , Hipotensão Ortostática/etiologia , Hipotensão Ortostática/metabolismo , Hipotensão Ortostática/fisiopatologia , Estimativa de Kaplan-Meier , Masculino , Pessoa de Meia-Idade , Prognóstico , Modelos de Riscos Proporcionais , República de Belarus/epidemiologia , Medição de Risco , Fatores de Risco , Federação Russa/epidemiologia , Acidente Vascular Cerebral/epidemiologia , Acidente Vascular Cerebral/etiologia , Ureia/sangue
15.
Klin Med (Mosk) ; 92(8): 14-9, 2014.
Artigo em Russo | MEDLINE | ID: mdl-25790691

RESUMO

Biological rhythms are driven by the hypothalamic circadian pacemaker. Its action is mediated through epiphyseal melatonin that transmits regulatory signals directly to target organs. Circadian fluctuations of arterial pressure suggest participation of melatonin in regulation of this important indicator of cardiovascular activity. Melatonin is a key endogenous hypotensive factor. Some studies demonstrated that additional prescription ofmelatonin to patients with nocturnal hypertension refractory to traditional hypotensive agents significantly lowered arterial pressure during sleep. Moreover, melatonin was shown to exert meteo- and magnetoprotective action and thereby reduce the dependence ofpatients with arterial hypertension on the adverse environmental factors.


Assuntos
Anti-Hipertensivos/farmacologia , Ritmo Circadiano/fisiologia , Hipertensão/tratamento farmacológico , Melatonina/farmacologia , Melatonina/fisiologia , Sono/fisiologia , Humanos
16.
Klin Med (Mosk) ; 92(11): 59-64, 2014.
Artigo em Russo | MEDLINE | ID: mdl-25796949

RESUMO

13C-urease breath tests have been extensively used in world-wide gastroenterological practice since the 1990s. We have been using them since 2000, but their clinical application in Russia is far from being universal. Moreover, their results are significantly different from those obtained by other methods for determining H. pylori. The authors report original data on the peculiarities of occurrence of this pathogen in its carriers.


Assuntos
Testes Respiratórios , Isótopos de Carbono , Gastroenteropatias/etiologia , Infecções por Helicobacter , Helicobacter pylori/fisiologia , Análise Espectral/métodos , Adulto , Testes Respiratórios/instrumentação , Testes Respiratórios/métodos , Criança , Pesquisa Comparativa da Efetividade , Saúde da Família , Feminino , Gastroenteropatias/diagnóstico , Gastroenteropatias/fisiopatologia , Gastroenteropatias/terapia , Infecções por Helicobacter/complicações , Infecções por Helicobacter/diagnóstico , Infecções por Helicobacter/microbiologia , Humanos , Masculino , Conduta do Tratamento Medicamentoso , Valor Preditivo dos Testes , Federação Russa
17.
Klin Med (Mosk) ; 91(2): 29-33, 2013.
Artigo em Russo | MEDLINE | ID: mdl-23718061

RESUMO

The clinical significance and potential of respiratory tests for diagnostics of Helicobacter pylori infection was estimated in 76 patients. Results of 13C and 14C-urease tests were in especially good agreement with those oh histological studies. The 13C-urease test should be preferred in the examination of both in-patients and out-patients whereas NH3-urease test is much inferior to 13C and 14C-urease tests in terms of informative value.


Assuntos
Infecções por Helicobacter/diagnóstico , Helicobacter pylori/patogenicidade , Testes Respiratórios/instrumentação , Testes Respiratórios/métodos , Feminino , Infecções por Helicobacter/enzimologia , Infecções por Helicobacter/fisiopatologia , Humanos , Masculino , Pessoa de Meia-Idade , Testes de Função Respiratória , Urease
18.
Klin Med (Mosk) ; 91(9): 40-5, 2013.
Artigo em Russo | MEDLINE | ID: mdl-24437154

RESUMO

Disordered eating behavior, nutritional regime, and food habits lead to deterioration of quality of life especially in patients with digestive problems. The role of nutrition in etiology and pathogenesis of dyspepsia is currently the subject of increasing research interest that extends to gustatory sensitivity, diurnal nutritional rhythms, and psychological characteristic of the patients with dyspeptic syndrome and obesity This study included 68 patients (42 women and 26 men) aged 20-60 (mean 46.2 +/- 4.6) years with dyspeptic syndrome and 26 practically healthy subjects (1st control). Study group 1 included 28 patients with dyspepsia and normal BMI, group 2 was comprised of 40 dyspeptic patients with obesity. Disordered diurnal nutritional rhythms and food intake regime were documented in 24 (86%) and 36 (90%) patients of study groups 1 and 2 respectively compared with 10 (50%) in the 1st control group. Gustatory thresholds were changed in 21 (75%) and 38 (95%) patients of study groups 1 and 2. These data suggest that changes in diurnal nutritional rhythm and gustatory sensitivity are related to eating preferences and can play a role in pathogenesis of obesity and dyspepsia. It implies the necessity of their correction by relevant therapeutic and preventive treatments.


Assuntos
Ritmo Circadiano/fisiologia , Dispepsia/psicologia , Comportamento Alimentar , Obesidade/psicologia , Qualidade de Vida , Adulto , Índice de Massa Corporal , Dispepsia/complicações , Comportamento Alimentar/psicologia , Feminino , Seguimentos , Humanos , Masculino , Pessoa de Meia-Idade , Obesidade/complicações , Adulto Jovem
19.
Klin Med (Mosk) ; 91(7): 52-4, 2013.
Artigo em Russo | MEDLINE | ID: mdl-24437171

RESUMO

The patient's age is a key factor determining success of in vitro fertilization. The ovarian reserve and oocyte quality are known to decrease with age. Much attention has been given recently to the role of epiphysis and its hormone, melatonin, in synchronization of daily and seasonal biorhythms in anti-stress protection and neuroregulation of reproductive processes. The aim of our work was to study melatonin levels in infertile women of reproductive age. We also measured sex hormones, anti-Mullerian hormone, FSH, and LH in blood and melatonin sulfate in urine at 8 points (RIA). Women of advanced reproductive age showed markedly reduced melatonin secretion due to functional disorders in the hypothalamic-pituitary-gonadal axis. Results of the study suggest the necessity of prescription of exogenous melatonin to the patients included in assisted reproduction programs for the improvement of their efficacy.


Assuntos
Infertilidade Feminina/metabolismo , Melatonina/metabolismo , Adulto , Fatores Etários , Feminino , Humanos , Infertilidade Feminina/sangue , Infertilidade Feminina/urina
20.
Klin Med (Mosk) ; 91(10): 28-34, 2013.
Artigo em Russo | MEDLINE | ID: mdl-25696947

RESUMO

The data on myocardial infarction morbidity in Vladikavkaz for 2007-2010 were analysed with reference to solar and geomagnetic activity. Time series of morbidity in men and women were constructed and their seasonal constituent was distinguished. It was found that the number of myocardial infarctions increases on day with enhanced geomagnetic activity especially among subjects aged 50-69 years. Regression analysis of the relationship between the number of sunspots and myocardial infarctions yielded the equation of piecewise linear regression showing that 42% of the cases were due to the changes in the number of sunspots. Medium strength negative correlation was found between the number of myocardial infarctions and the recurrence index of Bz-component of the interplanetary magnetic field. It suggests an important role of chaotic dynamics of external factors in the development of myocardial infarction.


Assuntos
Campos Magnéticos/efeitos adversos , Infarto do Miocárdio/epidemiologia , Atividade Solar , Adulto , Idoso , Idoso de 80 Anos ou mais , Feminino , Humanos , Incidência , Masculino , Pessoa de Meia-Idade , Federação Russa/epidemiologia
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