[Non-contact navigated laser retinopexy for peripheral retinal tears and rhegmatogenous degenerations: first experience]. / Pervyi opyt beskontaktnoi navigatsionnoi lazernoi retinopeksii perifericheskikh razryvov i regmatogennykh degeneratsii setchatki.

PURPOSE: To evaluate the first outcomes of non-contact navigated laser retinopexy for peripheral tears and rhegmatogenous degenerations of the retina. MATERIAL AND METHODS: This prospective single-center interventional pilot study included 58 patients (68 eyes), among which 19 males and 39 females aged 47.5±16.9 years with peripheral retinal degenerations and symptomatic retinal tears who received non-contact laser retinopexy with the Navilas 577s navigated laser system and non-contact PRP widefield objective. All patients (68 eyes) underwent laser treatment for the following disorders: horseshoe tear in 13 eyes, retinal hole in 11 eyes, operculated retinal hole in 3 eyes, lattice degeneration in 19 eyes, snail track degeneration in 1 eye, vitreoretinal tufts in 16 eyes, and progressing bullous retinoschisis in 5 eyes. Pain intensity was assessed using a four-point verbal rating scale. RESULTS: All patients were followed up for 5 to 21 months (9.0±3.3 months on average). Stable condition of the retina was observed in 65 cases (95.5%). In 3 eyes (4.4%), newly formed retinal tears prompted additional laser treatment: horseshoe tear in 2 eyes and retinal hole in 1 eye. The mean pain score during non-contact navigated laser retinopexy was 0.9±0.5. No complications associated with laser treatment were observed. CONCLUSION: Non-contact navigated laser retinopexy performed with the Navilas 577s navigated laser system is a safe and well-tolerated procedure with effectiveness comparable to conventional laser retinopexy.

[THE ROLE OF QUORUM-SENSING IN REGULATION OF FORMATION OF BIO- FILMS BY VIBRIO CHOLERAE].

Materials regarding quorum-sensing that is the main regulator of inter-cellular communications in V cholerae are presented. Information transmission between separate vibrios is executed via autoinductors. Their interaction with regulatory proteins facilitates gene activation that take part in formation of biofilms of Vcholerae which ensures their survival and spread.

[EFFECT OF ANTIBACTERIAL PREPARATIONS ON VIBRIO CHOLERAE EL TOR BIOFILMS].

AIM: Study the effect of antibacterial preparations on biofilms of Vibrio cholerae El Tor. MATERIALS AND METHODS: Sensitivity of V cholerae El Tor (6 strains) to various concentrations of antibacterial preparations (doxycycline,.tetracycline, levomycetin, rifampicin, gentamycin, ceftazidime) was determined (MD 4.2.2495-09). Transmission electron microscopy was used for visualization of the effect of preparations on biofilms. RESULTS: The values of minimal inhibiting concentrations of antibacterial preparations against biofilms have increased by 5 - 100 times compared with plankton cultures. Certain smoothing of strands between the bacterial cell and substrate, alteration of vibrios' form, reduction of electron density of the matrix with an increase of its transparency were observed during electron-microscopy of the effect of antibacterial preparations on the biofilm. CONCLUSION: Study of the effect of antibacterial preparations on biofilms could increase effectiveness of rational antibiotics therapy of infec- tions by selection of preparations that disrupt functioning of microbial communities.

[The analysis of biofilms Vibrio choleraе using technique of transmissive electronic microscopy.]

The cholera continues to be one of the priority problems of world health care that determines necessity of its permanent monitoring and also further investigation of this infection in microbiological and ecological aspects. The phenomenon of biofilm formation plays a significant role among mechanisms permitting comma bacillus year by year to retain its ecological niche and to spread in various basins over a period of decades. The application of techniques of electronic microscopy played a decisive role in studying the process of biofilm formation. The transmission electronic microscopy has a number of significant advantages, but studying of biofilms using the given technique has certain limitations and peculiarities affecting derivable results. The purpose of study is modeling of biofilms of comma bacillus using a new original technique and analyzing them implementing transmission electronic microscopy. An original substrate was developed to cultivate biofilms of comma bacillus adjusted to convenient sampling preparation for transmission electronic microscopy. The application of the given technique manifold simplifies the process sampling preparation and permits to retain at most the native structure of biofilms. By means of combining alternatives of contrasting and comparing of obtained results the role of various components in the process of biofilm formation is determined. Also, the structure of matrix of biofilms and morphologic phasic picture of process of biofilm formation of comma bacillus is demonstrated. The electronic microscopic indications of biofilm forms of comma bacillus are marked out. The presented data supports optimization of studying biofilms using transmission electronic microscopy and better understanding phenomenon of biofilm formation.

[ACTUAL PROBLEMS OF EPIDEMIOLOGIC CONTROL, LABORATORY DIAGNOSTICS AND PROPHYLAXIS OF CHOLERA IN RUSSIAN FEDERATION].

Main problems of system of epidemiologic control for cholera active in Russian Federation, as well as laboratory diagnostics and vaccine prophylaxis of this especially dangerous infection, that had emerged in the contemporary period of the ongoing 7th pandemic of cholera, are discussed. Features of the genome of natural strains of Vibrio cholerae of El Tor biovar, that possess a poten- tial epidemic threat, as well as problems, that have emerged during isolation of these strains from samples of water of surface water bodies during their monitoring, are also examined. The main direction of enhancement of the system of epidemiologic control for cholera consist in develop- ment of a new algorithm of differentiation of administrative territories of Russian Federation by types of epidemic manifestations, as well as optimization of monitoring of environment objects. Integration of modern highly informative technologies into practice, as well as development of new generation diagnostic preparations based on DNA-chips and immunechips is necessary to increase effectiveness of the conducted operative and retrospective diagnostics in the contemporary period. Creation of national cholera vaccine, ensuring simultaneous protection from cholera causative agents of both O1 and O139 serogroups, is also required.

[The modeling of biofilms of comma bacillus on solid surfaces (glass and plastic) and their visualization in light and luminescent microscopes].

Nowadays, necessity is shown up concerning modeling of certain ecological processes actually emerging in various biotops and hence step-by-step study of development of biofilms on solid surfaces (glass and plastic). To implement such kind of studies the light and luminescent microscopy are the most available and rather informative tools. The study used strains V.cholerae O1 and O139 serogroups with different genetic characteristics. The biofilms were developed on cover glass and/or plastic plates which were placed in bottles with tap autoclave water in vertical position in special device. The lifetime visualization of stages of development of biofilm was implemented using luminescent microscopy by coloring biofilm with solution of acridine yellow. The biofilms colored with Congo read and fuchsine were analyzed using light microscopy. The light and luminescent microscopy permit investigating biofilms in dynamics at various stages of development, to evaluate condition of its physiological functioning in quantitative and qualitative dimensions and to trace synthesis of exopolysaccharides in different serogroups of vibrios that has significance in prognosis of velocity of occurrence of biofilms on abiotic objects.

[VIBRIO CHOLERAE CHITINOLYTIC COMPLEX:THE COMPOSITION AND THE ROLE IN PERSISTANCE].

Reviewed the paper are the composition and functions of Vibrio cholerae chitinolytic complex which play an important role in the maintaining and creating new forms of vibrios in the environ- ment, it is better adapted to survive in environmental.

[GIS: CAPABILITIES OF DATA ANALYSIS OF PHENO- AND GENOTYPING Of EL TOR 01 SEROGROUP CHOLERA VIBRIOS ISOLATED FROM AQUATIC OBJECTS OF THE ENVIRONMENT IN RUSSIA FEDERATION].

AIM: Application of the authors' GIS <> for systematization of atoxigenic strains ofserogroup 01 choleravibrios (ctxAB-tcpA-, ctxAB-tcpA+), isolated from aquatic objects of the environment by pheno- and genotype. MATERIALS AND METHODS: A sample of 304 Vibrio cholerae 01 strains was studied. Isolation of 39 genes related to pathogenicity was carried out Discrimination ability of a set of genes was determined by Simpson formula. Cluster analysis was carried out by UPGMA method. RESULTS: Analysis of multi-year data on aquatic V cholerae Ο1 strains in country's subject was carried out using GIS. Apossibility of systematization ofphenotypes of the isolated strains by defined parameters was shown. An experimental program for detectior of presence/lack ofvarious genes and their combinations for genotyping was developed. Conclusion GIS was established to allow to carry out analysis of phenotypes by defined parameters, as well as implement approximate systematization of genotypes of atoxigenic strains of cholera vibrios Ο1 by optimally sufficient detection of 14 genes.

[ROLE OF BIOFILMS IN SURVIVAL AND PRESERVATION OF VIRULENCE OF CHOLERA VIBRIOS IN THE ENVIRONMENT AND HUMAN ORGANISM].

Materials regarding.biofilms of cholera vibrios are presented. Formation of biofilms is shown to be a significant pathogenicity factor and one of the main strategies, increasing survival of cholera vibrios in human organism and the environment.

[Epidemiological Surveillance of Cholera in Russia During the Period of the Seventh Pandemic].

In this work basic stages of formation of the epidemiological surveillance of cholera in Russia are described. In 1990-s for the first time zoning by epidemic manifestations of cholera was carried out at the level of subjects forming parts of Russia and other Republics of the Soviet Union with the introduction of differential tactics of epidemiological surveillance. Improvement of epidemiological surveillance of cholera was aimed at harmonization with the IHR (2005), integration of epidemiological surveillance of cholera and social-hygienic monitoring of water objects of I and II categories. Characterization of isolated Vibrio cholerae strains (1990-2014) on the genomic basis determined the emergence of new VNTR-genotypes of V. cholerae O1 ctxAB+ tcpA+, responsible for outbreaks, simultaneously with isolation of V. cholerae 01 ctxAB-tcpA-strains during monitoring of environmental objectsfor cholera. A viewpoint is considered of the beginning of the eighth cholera pandemic in the context of emergence of V. cholerae El Tor strains with CTXφ prophage carrying ctxB gene of cholera toxin of classical biovar. Main directions offurther enhancement ofepidemiological surveillance include the study of basic data structures used in the epidemiological surveillance system, the use of zoning of municipal units offederal subjects with corresponding surveillance tactics and expected economic effect.

[DETERMINATION OF TYPES OF EPIDEMIC MANIFESTATIONS OF CHOLERA IN REGIONS OF THE CRIMEA FEDERAL DISTRICT (REPUBLIC OF CRIMEA)].

The aim of the study was determination of the type of epidemic manifestations of cholera in the Republic of Crimea based on evaluation of epidemic manifestations of cholera risk of introduction and spread of the infection. It was concluded, that, based on the cholera outbreaks, that had taken place, contamination of surface water bodies (fresh and sea) and sewage by Vibrio cholerae O1 ctxA+ and Vibrio cholerae O1 ctXA- potential epidemic danger of introduction of the infection by various types of international transport, population migration, the presence of epidemiologic risk in realization of water pathway of transmission of cholera causative agent and several other social conditions, the Republic of Crimea remains in the group of territories of type I by epidemic manifestations of cholera.

[Sensitivity to antibacterial preparations of Vibrio cholerae El Tor strains isolated from the environmental objects in Russia in 2005 - 2012].

AIM: Analysis of antibiotic resistance profiles of Vibrio cholerae O1 strains isolated from the environmental objects in the territory of Russia in 2005 - 2012. MATERIALS AND METHODS: Antibiotocograms of 52 strains of V. cholerae were determined by serial dilution method in dense nutrient medium. Interpretation of the results was carried out in accordance with guidelines MI 4.2.2495-09 (2009). RESULTS: All the cultures turned out to be sensitive to tetracyclines, ciprofloxacin, cephalosporins: Isolates from Stavropol region were resistant to furazolidone (33.3%), trimethoprim/sulfamethoxazole (100%). Strains resistant to ampicillin, streptomycin, rifampicin (7%), furazolidone (43%), trimethoprim/sulfamethoxazole (100%) were isolated in Primorsky region. In Irkutsk region and Kalmykia--to furazolidone and trimethoprim/sulfamethoxazole (11 - 89%), ampicillin (8.3 - 11%). Analysis of antibioticograms gives evidence on the occurrence in the studied strains of 1 to 5 r-determinants of antibiotic resistance in various combinations. CONCLUSION: The data obtained give evidence on preservation of the tendency to expand the specter of antibiotic resistance in V. cholerae O1 isolated from environmental objects that necessitates a more rational and effective use of antibacterial preparations, determination of antiobioticogram for every isolated culture, strict bacteriologic control during the course of etiotropic therapy for the prevention of increase of number of resistant strains.

[Hydrogen peroxide as an inductor of uncultivable state of Vibrio cholerae eltor in an experiment].

The influence of hydrogen peroxide on the dynamics of transition into uncultivable state (UCS) and on the reversion of V. cholerae and their subcultures, resistant to hydrogen peroxide, was studied. The transition of the initial cultures in river and distilled water into UCS took place earlier than that in resistant to hydrogen peroxide variants. The capacity for reversion to hydrogen peroxide resistant subcultures preserved, on the average, 2 - 3 times longer. An increase in the level of hydrogen peroxide in uncultivable populations was found to be 2.7 - 4.4 times. Subcultures, resistant to hydrogen peroxide, in the vegetative form had lower characteristics of peroxide concentrations than in uncultivable form (UCF), but somewhat higher than in initial variants. In revertants the concentration of hydrogen peroxide was lower in UCF, but somewhat higher than in vegetative cultures. The dynamics of the formation of UCF by cholera vibrios, with different degree of stability to the action of hydrogen peroxide, the accumulation of hydrogen peroxide in uncultivable populations, the deceleration of transition into uncultivable forms, an accumulation of hydrogen peroxide and an increase in the time of the reversion of clones, resistant to hydrogen peroxide, made it possible to suggest that the accumulation of hydrogen peroxide was possible to make an essential contribution to the formation of UCF of cholera vibrios in an experiment.

[Dynamics of the reversible transition of Vibrio cholerae into the uncultivable state in the presence of organic and inorganic microcosmic components].

The dynamics of the transition of V. cholerae into the uncultivable state in distilled, river and tap water, containing organic and inorganic components added, was studied. As additives, potassium nitrate, potassium phosphate, magnesium sulfate, ammonium chloride, lysine, alpha-ketoglutarate, succinic acid, catalase were used. The study of the influence of biotic factors on transition into the uncultivable state was carried out in the presence of one-celled green algae Scenedesmus quadricauda or infusoria Paramecium caudatum. The linear dependence of speed of transition into the uncultivable form on the concentration of cells was noted. The composition of the microcosmic medium was also found to have some influence on the speed of transition into the uncultivable form and on the reversibility of this process. The presence of organic substances, such as peptone solution or destroyed cells of phyto- and zooplankton, in the microcosmic medium prolonged the time of transition into the uncultivable form and produced a positive effect on the capacity of the population to reversion. In respect of live biotic components, no such dependence was found. Inorganic additives prolonged the time of transition into the uncultivable state, but did not promote reversion.

[Hemolytic activity of Vibrio cholerae eltor and V. cholerae O139 toxigenic and nontoxigenic strains]. / Gemoliticheskaia aktivnost' toksikogennykh i netoksikogennykh shtammov Vibrio cholerae eltor i V.cholerae O139 serogruppy.

A total of 20 ctx- and 16 ctx+ V. cholerae eltor strains, 20 ctx- and 22 ctx+ V. cholerae O139 strains were under study. Hemolytic activity was tested in modified Greig test with sheep, guinea pig and rabbit red blood cells. The comparative study of the hemolytic properties of V. cholerae O1 and O139 under different conditions of cultivation demonstrated their capacity of lysing sheep red blood cells (SRBC) irrespective of the presence of toxigenic properties. A wider spectrum of lytic activity of ctx- strains in Greig test with respect to red blood cells of different animals and the capacity of lysing SRBC, most resistant to the action of toxin, may be due to a considerably greater content of Hly+ clones in their population.

[The cultivation of Vibrio cholerae with green algae in an experiment]. / Kul'tivirovanie Vibrio cholerae s zelenymi vodorosliami v éksperimente.

Relationships between Vibrio cholerae of different origin and some serogroups with green algae Scenedesmus quadricauda in mineral medium at two temperatures have been experimentally studied. Differences in the relationships of various strains with green algae under the above-mentioned experimental conditions have been established. The study has shown that a decrease in the concentration and the death of vct+ and vct- vibrios of all strains under study occur in the linear phase of the development of algae. 3 V. cholerae strains, serogroups O139 (vct+) and O50 (vct-), have been shown to be capable of survival under the conditions mix cultivation with algae for 50-100 days. The perish of green algae is supposed to increase the survival time and multiplication of V. cholerae under experimental conditions.