This study aimed to investigate the energy supply of athletes,who had a mild form of coronavirus infection(COVID-19)under cycling ergometric load(CEL)to substantiate the timing of recovery,as well as to determine the ...This study aimed to investigate the energy supply of athletes,who had a mild form of coronavirus infection(COVID-19)under cycling ergometric load(CEL)to substantiate the timing of recovery,as well as to determine the volume and intensity of physical activity.Eighty-seven athletes aged from 18 to 28 years old,involved in cyclic sports,were examined.Group I consisted of 52 athletes with COVID-19,and group Ⅱ consisted of 37 healthy self-isolating athletes.In addition to the comprehensive examination,the tested athletes underwent special examinations:the study of diagnostic material using methods of nucleic acid amplification,spirography and spiroergometry,electrocardiography(ECG),and CEL.The results of athletes from both groups did not differ significantly(p>0.5)in the 1^(st),2^(nd),and 3^(rd) examinations.The second examination revealed a discrepancy between functional reserves and the load performed,as evidenced by the difference in the recovery rate of most indicators,the results of the third examination in the long-term period(6 months)showed that the athletes of the first group did not have any violations of the parameters of the respiratory function(RF)and cardiovascular system at rest,after performing CEL,as well as in the recovery period.The results suggest that the full resumption of training loads and participation in competitions are possible only with the complete normalization of the functional state of the cardiorespiratory system.The most informative indicators are:minute ventilation(V E),heart rate(HR),oxygen pulse(OP),and coefficient of oxygen utilization(COU).展开更多
Optogenetics has revolutionized the field of neuroscience by enabling precise control of neural activity through light-sensitive proteins known as opsins.This review article discusses the fundamental principles of opt...Optogenetics has revolutionized the field of neuroscience by enabling precise control of neural activity through light-sensitive proteins known as opsins.This review article discusses the fundamental principles of optogenetics,including the activation of both excitatory and inhibitory opsins,as well as the development of optogenetic models that utilize recombinant viral vectors.A considerable portion of the article addresses the limitations of optogenetic tools and explores strategies to overcome these challenges.These strategies include the use of adeno-associated viruses,cell-specific promoters,modified opsins,and methodologies such as bioluminescent optogenetics.The application of viral recombinant vectors,particularly adeno-associated viruses,is emerging as a promising avenue for clinical use in delivering opsins to target cells.This trend indicates the potential for creating tools that offer greater flexibility and accuracy in opsin delivery.The adaptations of these viral vectors provide advantages in optogenetic studies by allowing for the restricted expression of opsins through cell-specific promoters and various viral serotypes.The article also examines different cellular targets for optogenetics,including neurons,astrocytes,microglia,and Schwann cells.Utilizing specific promoters for opsin expression in these cells is essential for achieving precise and efficient stimulation.Research has demonstrated that optogenetic stimulation of both neurons and glial cells-particularly the distinct phenotypes of microglia,astrocytes,and Schwann cells-can have therapeutic effects in neurological diseases.Glial cells are increasingly recognized as important targets for the treatment of these disorders.Furthermore,the article emphasizes the emerging field of bioluminescent optogenetics,which combines optogenetic principles with bioluminescent proteins to visualize and manipulate neural activity in real time.By integrating molecular genetics techniques with bioluminescence,researchers have developed methods to monitor neuronal activity efficiently and less invasively,enhancing our understanding of central nervous system function and the mechanisms of plasticity in neurological disorders beyond traditional neurobiological methods.Evidence has shown that optogenetic modulation can enhance motor axon regeneration,achieve complete sensory reinnervation,and accelerate the recovery of neuromuscular function.This approach also induces complex patterns of coordinated motor neuron activity and promotes neural reorganization.Optogenetic approaches hold immense potential for therapeutic interventions in the central nervous system.They enable precise control of neural circuits and may offer new treatments for neurological disorders,particularly spinal cord injuries,peripheral nerve injuries,and other neurodegenerative diseases.展开更多
We read with the great interest the study by Ababneh et al in which inducedmesenchymal stem cell-derived exosomes were shown to exhibit a stronger andmore sustained anti-proliferative effect by inducing a senescence-l...We read with the great interest the study by Ababneh et al in which inducedmesenchymal stem cell-derived exosomes were shown to exhibit a stronger andmore sustained anti-proliferative effect by inducing a senescence-like state withoutapoptosis.The results obtained by the authors highlight the features of theeffects of senescent drift induction in surrounding tissues.In the light of thesefindings,the role of the properties of extracellular matrix and cellular glycocalyxin responses of human tumors to therapy remain uninvestigated.These extracellularbarriers appear to be significant obstacles to effective cancer therapy,especiallyin relation to the use of unique properties of tumor microenvironment forthe immunotherapy-resistant cancer treatment.展开更多
Enteric viruses are the most common cause of acute gastroenteritis （AGE） in young children and a significant public health problem globally. Hospital admissions of children under 5 years of age with diarrhea are pri...Enteric viruses are the most common cause of acute gastroenteritis （AGE） in young children and a significant public health problem globally. Hospital admissions of children under 5 years of age with diarrhea are primarily associated with group A rotavirus （RVA） infection. In this retrospective study, the population structure of viruses linked to AGE etiology in young children hospitalized with AGE in Moscow was evaluated, and molecular characterization of RYA strains was performed. Fecal specimens were collected from children under 5 years old hospitalized with AGE between 2009 and 2014 in Moscow, Russia. Multiplex real-time reverse transcription PCR was used to detect enteric viruses and for G/[P]-genotyping of isolated RVAs. Sequencing of RVA VP7 and VP4 cDNA fragments was used to validate the data obtained by PCR- genotyping. The main causes for hospitalization of children with AGE were RVA （40.1%）, followed by noroviruses （11.4%）, while adenoviruses, astroviruses, sapoviruses, enteroviruses, and orthoreoviruses were detected in 4.7%, 1.9%, 1.4%, 1.2%, and 0.2% of samples tested, respectively. Nosocomial infections, predominantly associated with RVAs and noroviruses, were detected in 24.8% of cases and occurred significantly more frequently in younger infants. The predominant RVA genotype was G4P[8], detected in 38.7% of RVA-positive cases, whereas genotypes G1P[8], G9P[8], G3P[8], and G2P[4] were found in 11.8%, 6.6%, 4.2%, and 3.3% of cases, respectively. Together, the presence of circulating RVA strains with rare VP7 and VP4 gene variants （G6 and P[9]） highlights the need to conduct continuous epidemiological monitoring of RVA infection.展开更多
The results of a survey of different population groups in urban areas of the Moscow Region (industry workers, residents of areas with increased anthropogenic load of mercury and conditionally pristine areas, cohorts o...The results of a survey of different population groups in urban areas of the Moscow Region (industry workers, residents of areas with increased anthropogenic load of mercury and conditionally pristine areas, cohorts of pregnant women and children) to assess the contents of mercury in samples of various diagnostic biomaterials taken during the course of research are presented. Mercury concentrations in venous and umbilical cord blood, urine, hair, and nails were determined by means of instrumental neutron activation analysis and cold vapor atomic absorption spectrometry. Peculiarities of selection, transportation, storage, and preparation for analysis of samples of hair, nails, urine and umbilical venous blood are described. The determined concentrations of mercury in the studied diagnostic biomaterials are compared with normal and thresholds values. Although increased mercury concentrations were observed in some cases, no significant exposure of mercury was evident in general in the study towns. A positive correlation between the degree of consumption of seafood during pregnancy and a high content of mercury in the analyzed diagnostic biomaterials was shown.展开更多
Statement of the Problem: As you know, there exist two different states in the brain’s mental activity: true and false. In recent years, a progressive method of wavelet transformation of the electroencephalogram (EEG...Statement of the Problem: As you know, there exist two different states in the brain’s mental activity: true and false. In recent years, a progressive method of wavelet transformation of the electroencephalogram (EEG) has been developed, which enabled us to establish the fundamental possibility of direct objective registration of the human brain’s mental activity. Earlier, we created an experimental model and software for recognizing true and false mental responses of a person based on the EEG wavelet transformation and described it in the article. The developed experimental model and information software made it possible to compare the two mental states of brain activity by electroencephalographic indicators, one of which is false and the other is true. The goal is to develop a fundamentally new information technology for recognizing true and false states in the brain’s mental activity based on the wavelet transformation of the electroencephalogram. Results: It was revealed that the true and false states of the brain can be distinguished using the method of continuous wavelet transformation and calculation of the EEG wavelet energy. It is shown that the main differences between true and false mental responses are observed in the delta and alpha ranges of the EEG. In the EEG delta rhythm, the wavelet energy is reliably higher in case of a false answer compared to a true one. In the EEG alpha rhythm, the wavelet energy is significantly higher with a true answer than a false one. Practical significance of the research: The data obtained open up the fundamental possibility of identifying true and false mental states of the brain on the basis of continuous wavelet transformation and calculation of the EEG wavelet energy.展开更多
Rheumatoid arthritis(RA)is a chronic autoimmune disease that affects approxi-mately 0.46%of the global population.Conventional therapeutics for RA,including disease-modifying antirheumatic drugs(DMARDs),nonsteroidal a...Rheumatoid arthritis(RA)is a chronic autoimmune disease that affects approxi-mately 0.46%of the global population.Conventional therapeutics for RA,including disease-modifying antirheumatic drugs(DMARDs),nonsteroidal anti-inflammatory drugs(NSAIDs),and corticosteroids,frequently result in unintended adverse effects.Dexamethasone(DEX)is a potent glucocorticoid used to treat RA due to its anti-inflammatory and immunosuppressive properties.Liposomal delivery of DEX,particu-larly when liposomes are surface-modified with targeting ligands like peptides or sialic acid,can improve drug efficacy by enhancing its distribution to inflamed joints and minimizing toxicity.This study investigates the potential of liposomal drug delivery systems to enhance the efficacy and targeting of DEX in the treatment of RA.Results from various studies demonstrate that liposomal DEX significantly inhibits arthritis progression in animal models,reduces joint inflammation and damage,and alleviates cartilage destruction compared to free DEX.The liposomal formulation also shows better hemocompatibility,fewer adverse effects on body weight and immune organ index,and a longer circulation time with higher bioavailability.The anti-inflammatory mechanism is associated with the downregulation of pro-inflammatory cytokines like tumor necrosis factor-α(TNF-α)and B-cell-activating factor(BAFF),which are key players in the pathogenesis of RA.Additionally,liposomal DEX can induce the expres-sion of anti-inflammatory cytokines like interleukin-10(IL-10),which has significant anti-inflammatory and immunoregulatory properties.The findings suggest that lipo-somal DEX represents a promising candidate for effective and safe RA therapy,with the potential to improve the management of this debilitating disease by providing targeted delivery and sustained release of the drug.展开更多
BACKGROUND Ischemic heart disease(IHD)impacts the quality of life and has the highest mortality rate of cardiovascular diseases globally.AIM To compare variations in the parameters of the single-lead electrocardiogram...BACKGROUND Ischemic heart disease(IHD)impacts the quality of life and has the highest mortality rate of cardiovascular diseases globally.AIM To compare variations in the parameters of the single-lead electrocardiogram(ECG)during resting conditions and physical exertion in individuals diagnosed with IHD and those without the condition using vasodilator-induced stress computed tomography(CT)myocardial perfusion imaging as the diagnostic reference standard.METHODS This single center observational study included 80 participants.The participants were aged≥40 years and given an informed written consent to participate in the study.Both groups,G1(n=31)with and G2(n=49)without post stress induced myocardial perfusion defect,passed cardiologist consultation,anthropometric measurements,blood pressure and pulse rate measurement,echocardiography,cardio-ankle vascular index,bicycle ergometry,recording 3-min single-lead ECG(Cardio-Qvark)before and just after bicycle ergometry followed by performing CT myocardial perfusion.The LASSO regression with nested cross-validation was used to find the association between Cardio-Qvark parameters and the existence of the perfusion defect.Statistical processing was performed with the R programming language v4.2,Python v.3.10[^R],and Statistica 12 program.RESULTS Bicycle ergometry yielded an area under the receiver operating characteristic curve of 50.7%[95%confidence interval(CI):0.388-0.625],specificity of 53.1%(95%CI:0.392-0.673),and sensitivity of 48.4%(95%CI:0.306-0.657).In contrast,the Cardio-Qvark test performed notably better with an area under the receiver operating characteristic curve of 67%(95%CI:0.530-0.801),specificity of 75.5%(95%CI:0.628-0.88),and sensitivity of 51.6%(95%CI:0.333-0.695).CONCLUSION The single-lead ECG has a relatively higher diagnostic accuracy compared with bicycle ergometry by using machine learning models,but the difference was not statistically significant.However,further investigations are required to uncover the hidden capabilities of single-lead ECG in IHD diagnosis.展开更多
Integrating exhaled breath analysis into the diagnosis of cardiovascular diseases holds significant promise as a valuable tool for future clinical use,particularly for ischemic heart disease(IHD).However,current resea...Integrating exhaled breath analysis into the diagnosis of cardiovascular diseases holds significant promise as a valuable tool for future clinical use,particularly for ischemic heart disease(IHD).However,current research on the volatilome(exhaled breath composition)in heart disease remains underexplored and lacks sufficient evidence to confirm its clinical validity.Key challenges hindering the application of breath analysis in diagnosing IHD include the scarcity of studies(only three published papers to date),substantial methodological bias in two of these studies,and the absence of standardized protocols for clinical imple-mentation.Additionally,inconsistencies in methodologies—such as sample collection,analytical techniques,machine learning(ML)approaches,and result interpretation—vary widely across studies,further complicating their reprodu-cibility and comparability.To address these gaps,there is an urgent need to establish unified guidelines that define best practices for breath sample collection,data analysis,ML integration,and biomarker annotation.Until these challenges are systematically resolved,the widespread adoption of exhaled breath analysis as a reliable diagnostic tool for IHD remains a distant goal rather than an immi-nent reality.展开更多
Burkitt’s lymphoma(BL)is among the most common pediatric cancers in Sub-Saharan African children,accounting for 30-50%of malignancies in Sub-Saharan African children,with a strong etiological link with Epstein-Barr v...Burkitt’s lymphoma(BL)is among the most common pediatric cancers in Sub-Saharan African children,accounting for 30-50%of malignancies in Sub-Saharan African children,with a strong etiological link with Epstein-Barr virus(EBV)infection.The disease is especially aggressive in nature,with more than 70%mortality when diagnosed at advanced stages which is frequent and resulting from poor healthcare infrastructure and limited access to diagnostic facilities.Liquid biopsy approaches,which detect tumor-derived components in bodily fluids,offer promising potential for early,minimally invasive detection of EBV-positive BL.Emerging evidence suggests liquid biopsy methods can reduce diagnostic delays from weeks to≤48 h without compromising>85%concordance with tissue biopsy,demonstrated in Malawi and Kenyan pilot trials(2021-2023).According to the WHO-AFRO report(2023),due to administrative and cost burdens,only 15%of regional clinics are offering liquid biopsy testing as liquid biopsy test costs approximately 120/test as compared to histopathology,which costs$35.This review critically evaluates the technical and implementation challenges associated with developing liquid biopsy assays specifically tailored for BL detection in resource-limited settings across Sub-Saharan Africa.We discuss recent technological advances in circulating tumor DNA(ctDNA)analysis,EBV biomarker detection as technical validations of ctDNA and EBV marker assays have 90-95%sensitivity in early studies,and point-of-care diagnostics,alongside the logistical,economic,and sociocultural barriers to their effective implementation.Additionally,we propose strategic frameworks for overcoming these challenges through collaborative international partnerships,capacity building initiatives,and context-appropriate technology adaptation.Through all these cross-sector partnerships and approaches could transform BL outcomes by enabling stage-shift to 80%early-stage diagnoses,reducing mortality rates by 50%,potentially doubling survival rates in high-burden regions.展开更多
BACKGROUND Left ventricular noncompaction(LVNC)is a genetic cardiomyopathy.It is characterized by intensely developed trabeculae in the ventricles with deep intertrabecular lacunae.LVNC manifests as arrhythmias and he...BACKGROUND Left ventricular noncompaction(LVNC)is a genetic cardiomyopathy.It is characterized by intensely developed trabeculae in the ventricles with deep intertrabecular lacunae.LVNC manifests as arrhythmias and heart failure with a predisposition for thrombus formation.AIM To study predictors of arrhythmic,thromboembolic events and adverse outcomes(death/transplantation)in adult patients with LVNC.METHODS Adult patients with LVNC were included(n=125;mean follow-up:14 months).Electrocardiography,echocardiography,and 24-hour electrocardiography monitoring were performed.Other procedures were conducted for some patients including:Coronary angiography;cardiac magnetic resonance imaging;cardiac computed tomography;genetic testing;myocardial pathological examination;and anti-cardiac antibody level estimation.Primary endpoints were death,heart transplantation,combined endpoint(death+transplantation),and sudden cardiac death.Secondary endpoints were intracardiac thrombosis,embolic events,myocardial infarction,sustained ventricular tachycardia(VT),and implantable cardioverter-defibrillator intervention.RESULTS LVNC manifestations included non-sustained VT,thrombosis/embolism,sustained VT, and sudden cardiac death. Non-sustained VT was associated with the New York Heart Association(NYHA) chronic heart failure (CHF) class, poor R-wave progression, superimposed myocarditis, and highermortality. Thrombosis/embolism was associated with NYHA CHF class ≥ 3, right ventricular end-diastolicdiameter ≥ 3 cm, right atrium volume ≥ 67 mL, left ventricle end-diastolic diameter ≥ 6.3 cm, and velocity timeintegral ≤ 11.2 cm. Sustained VT was associated with premature ventricular contractions (PVCs), low QRS voltage,and atrioventricular block. PVCs > 500/day were predictive of defibrillator intervention. Fatal outcomes wereassociated with E wave/A wave ratio > 1.9, left ventricle ejection fraction < 35%, NYHA CHF class ≥ 3, VT, andmyocarditis.CONCLUSIONFrequent PVCs, non-sustained VT, low QRS voltage, and signs of systolic dysfunction on echocardiogram arepredictors of life-threatening events in patients with LVNC.展开更多
Background:Postoperative complications,particularly those involving lymphatic drainage,remain a significantchallenge for patients undergoing axillary lymphadenectomy(ALND)as part of breast cancer surgery.Thesecomplica...Background:Postoperative complications,particularly those involving lymphatic drainage,remain a significantchallenge for patients undergoing axillary lymphadenectomy(ALND)as part of breast cancer surgery.Thesecomplications can delay the initiation of adjuvant therapies,increase healthcare costs,and negatively affectpatients’quality of life.This study evaluated the use of a latex-based tissue adhesive(LTA)as an intraoperativestrategy to prevent seroma formation and prolonged lymphorrhea following axillary dissection.Methods:In this prospective study,65 female patients diagnosed with stage Ⅱb-Ⅲ breast cancer and clinicallyconfirmed axillary lymph node involvement were enrolled.Participants were divided into two groups.The studygroup(n=33)received an intraoperative application of LTA without drainage,while the control group(n=32)underwent standard ALND with placement of a silicone vacuum drain.Postoperative outcomes assessed includedlymphatic drainage volume,number of aspirations,duration of lymphorrhea,length of hospital stay,and incidence of complications.Results:Use of the LTA significantly reduced both the volume and duration of postoperative lymphorrhea.Bypostoperative day 10,the average wound exudate volume in the LTA group was 8.2±3.3 mL,compared to54.1±3.9 mL in the control group—an 84.8%reduction.The LTA group also experienced shorter hospital staysand fewer cases of postoperative seroma requiring intervention.Conclusion:LTA appears to be a safe,effective,and practical intraoperative technique for preventing lymphaticcomplications after ALND.Its use may reduce dependence on drainage systems,shorten hospitalization,andsupport earlier initiation of adjuvant therapies,ultimately improving surgical outcomes and patient recovery.展开更多
Objective:This review examined the co-morbidity of malaria and hypertension in Nigerian adults,with a focus on epidemiological trends,genetic and environmental risk factors,pathophysiological mechanisms,and systemic h...Objective:This review examined the co-morbidity of malaria and hypertension in Nigerian adults,with a focus on epidemiological trends,genetic and environmental risk factors,pathophysiological mechanisms,and systemic healthcare barriers.Methods:A qualitative synthesis of peer-reviewed literature,national health surveys,and institutional reports published between 2000 and 2025 was conducted using thematic analysis.While centered on Nigeria,the review incorporated comparative insights from global studies on renin angiotensin aldosterone system polymorphisms,co-infection dynamics,and health service inequalities.Results:The findings indicate overlapping risk factors including renin angiotensin aldosterone system gene polymorphisms,urbanization,and poverty.Angiotensin Ⅱ demonstrates dual functions,contributing both to malaria suppression and to hypertension pathogenesis.Clinical challenges include diagnostic overlap,adverse drug interactions,and disparities in service delivery between rural and urban populations.These challenges particularly affect older adults and highlight systemic gaps in access,workforce distribution,and policy alignment.Conclusion:The dual burden of malaria and hypertension in Nigeria requires integrated disease management strategies that address both communicable and non-communicable disease risks.Urgent priorities include multisectoral policy reforms,expanded rural health investments,and the adoption of precision medicine approaches guided by genetic profiling.The implications extend to clinical practice through co-screening and tailored treatment protocols and to public health policy,where integrated frameworks are essential to reducing inequities and improving long-term outcomes.展开更多
Improving the efficiency of athletic performance and reducing the likelihood of overtraining are primarily determined goals that can be achieved by the correct organization of the training process.The nature of adapta...Improving the efficiency of athletic performance and reducing the likelihood of overtraining are primarily determined goals that can be achieved by the correct organization of the training process.The nature of adaptation to physical stress is associated with the specificity,focus,and degree of biochemical and functional changes that occur during muscular work.In this study,we aimed to develop a diagnostic model for predicting metabolic processes in athletes based on standard biochemical blood analysis indicators.The study involved athletes from the track and field athletics team(men,n=42,average age was[22.55±3.68]years).Blood samples were collected in the morning at the beginning and end of the training week during the annual cycle.During the entire period,3625 laboratory parameter tests were conducted.Capillary blood sampling in athletes was conducted from the distal phalanx of the finger after overnight fasting,according to standard diagnostic procedures.To determine the predominance of anabolic or catabolic processes,equations were derived from a linear discriminant function.The discriminant function of predicting metabolic processes in athletes has a high information capacity(92.1%),as confirmed by the biochemical results of neuroendocrine system activity,which characterized the body's stage of adaptive regulatory mechanisms in response to stress factors.The classification matrix used to predict the metabolic processes based on the results of the discriminant function calculation demonstrates the statistical significance of the model(p<0.01).Consequently,an informative mathematical model was developed,which enabled the reliable and timely prediction of the prevalence of one of the metabolic activity phases in the athlete's body.The use of the developed model will also allow us to assess the nature of adaptation to specific muscular work,identify an athlete's weaknesses,forecast the success of their performance,and timely adjust both the training process and the recovery program.展开更多
Dear Editor,Bronchial asthma (BA) is a common chronic inflammatory disease of the airways,characterized by variable obstruction and airway hyperreactivity.It is a heterogeneous lung disease characterized by variabilit...Dear Editor,Bronchial asthma (BA) is a common chronic inflammatory disease of the airways,characterized by variable obstruction and airway hyperreactivity.It is a heterogeneous lung disease characterized by variability in both clinical symptoms and the underlying cellular and molecular mechanisms[1].展开更多
The development of actuators based on ionic polymers as soft robotics,artificial muscles,and sensors is currently considered one of the most urgent topics.They are lightweight materials,in addition to their high effic...The development of actuators based on ionic polymers as soft robotics,artificial muscles,and sensors is currently considered one of the most urgent topics.They are lightweight materials,in addition to their high efficiency,and they can be controlled by a low power source.Nevertheless,the most popular ionic polymers are derived from fossil-based resources.Hence,it is now deemed crucial to produce these actuators using sustainable materials.In this review,the use of ionic polymeric materials as actuators is reviewed through the emphasis on their role in the domain of renewablematerials.The reviewencompasses recent advancements inmaterial formulation and performance enhancement,alongside a comparative analysis with conventional actuator systems.It was found that renewable polymeric actuators based on ionic gels and conductive polymers are easier to prepare compared to ionic polymermetal composites.In addition,the proportion of actuator manufacturing utilizing renewable materials rose to 90%,particularly for ion gel actuators,which was related to the possibility of using renewable polymers as ionic or conductive substances.Moreover,the possible improvements in biopolymeric actuators will experience an annual rise of at least 10%over the next decade,correlating with the growth of their market,which aligns with the worldwide goal of reducing global warming.Additionally,compared to fossil-derived polymers,the decomposition rate of renewable materials reaches 100%,while biodegradable fossil-based substances can exceed 60%within several weeks.Ultimately,this review aims to elucidate the potential of ionic polymeric materials as a viable and sustainable solution for future actuator technologies.展开更多
Background: The full-thickness excision of malignant lower-eyelid tumors,particularly those with posterior lamellar involvement,presents a reconstructive challenge.Traditional grafts often have limitations,prompting i...Background: The full-thickness excision of malignant lower-eyelid tumors,particularly those with posterior lamellar involvement,presents a reconstructive challenge.Traditional grafts often have limitations,prompting interest in biocompatible alternatives,such as biodegradable diplene membranes.This study introduces a novel modification to the standard protocol: the use of diplene membranes enriched with Solcoseryl,a metabolically active agent that enhances angiogenesis,reduces inflammation,and accelerates epithelialization.Methods: Twenty-seven patients(mean age,68.96 ± 8.09 years) with histologically confirmed malignant lowereyelid tumors underwent reconstruction using diplene membranes combined with Solcoseryl.The outcomes were compared with those of a previously reported cohort treated with Diplene alone.The follow-up period ranged from 3 to 12 months.Results: All patients achieved successful restoration of eyelid support with high aesthetic satisfaction.The Solcoseryl group demonstrated significantly faster epithelialization(mean 9.8 ± 1.2 days),improved microcirculatory parameters,and no serious complications.Minor hematomas occurred in two cases(7.4%).Conclusion: The modified Diplene–Solcoseryl membrane enhanced wound healing and biocompatibility during lower-eyelid reconstruction by transforming the membrane into a bioactive scaffold.This innovation offers superior functional and aesthetic outcomes compared to standard diplene use and represents a significant advancement in oculoplastic and oncological reconstructive surgery.展开更多
Background: The lumbar artery perforator(LAP) flap is an important autologous option in breast reconstruction.As the lumbar perforator flap is relatively new in this field,several questions remain regarding preoperati...Background: The lumbar artery perforator(LAP) flap is an important autologous option in breast reconstruction.As the lumbar perforator flap is relatively new in this field,several questions remain regarding preoperative preparation,especially concerning computed tomography(CT) and magnetic resonance imaging of the donor site.The objective of this study was to aid the surgical approach to the LAP flap in female patients by precisely determining the characteristics of the lumbar perforators.Methods: We retrospectively reviewed the computed tomographic angiography images of 20 patients who underwent evaluation of the perforator positions from the four lumbar arteries.Four characteristics were studied:length,diameter,path of the lumbar pedicle,and thickness of the tissues available for transfer.Results: We analyzed 20 CT images,identifying 149 perforating vessels of the lumbar artery.The most suitable perforator for flap harvesting was the L4 perforator,which exhibited a larger diameter,a greater number of perforasomes,and a higher percentage of the cutaneous-septal tract.Conclusion: The LAP flap is a viable option for breast reconstruction and as a free flap in women.The L4 perforator artery is the most suitable for harvesting,owing to its superior perfusion capacity,diameter,and course;however,an interposition graft may be required to lengthen the vascular pedicle.展开更多
Hemorrhoids are one of the most common anorectal disorders.Early hemorrhoids are treated conservatively,but advanced hemorrhoids are usually treated with surgery.However,in the last decade,we have worked extensively i...Hemorrhoids are one of the most common anorectal disorders.Early hemorrhoids are treated conservatively,but advanced hemorrhoids are usually treated with surgery.However,in the last decade,we have worked extensively in the field of conservative management of hemorrhoids.From our experience,we could manage a large proportion of advanced hemorrhoids without surgery by a treatment concept(TONEFACT)with a high satisfaction rate.Evidence for the TONEFACT approach primarily comes from observational studies and a prospective,nonrandomized study of 85 patients.This has been shown to improve defecation time and reduce prolapse symptoms in early-stage hemorrhoids,leading to fewer surgical interventions.Although promising,these observations lack validation from more extensive randomized controlled trials to draw firm conclusions.In this opinion review,without using much data,we will discuss our viewpoint based on our experience as specified by the journal guidelines.展开更多
文摘This study aimed to investigate the energy supply of athletes,who had a mild form of coronavirus infection(COVID-19)under cycling ergometric load(CEL)to substantiate the timing of recovery,as well as to determine the volume and intensity of physical activity.Eighty-seven athletes aged from 18 to 28 years old,involved in cyclic sports,were examined.Group I consisted of 52 athletes with COVID-19,and group Ⅱ consisted of 37 healthy self-isolating athletes.In addition to the comprehensive examination,the tested athletes underwent special examinations:the study of diagnostic material using methods of nucleic acid amplification,spirography and spiroergometry,electrocardiography(ECG),and CEL.The results of athletes from both groups did not differ significantly(p>0.5)in the 1^(st),2^(nd),and 3^(rd) examinations.The second examination revealed a discrepancy between functional reserves and the load performed,as evidenced by the difference in the recovery rate of most indicators,the results of the third examination in the long-term period(6 months)showed that the athletes of the first group did not have any violations of the parameters of the respiratory function(RF)and cardiovascular system at rest,after performing CEL,as well as in the recovery period.The results suggest that the full resumption of training loads and participation in competitions are possible only with the complete normalization of the functional state of the cardiorespiratory system.The most informative indicators are:minute ventilation(V E),heart rate(HR),oxygen pulse(OP),and coefficient of oxygen utilization(COU).
基金supported by a grant from the Russian Science Foundation,No.23-75-10041(to MY)。
文摘Optogenetics has revolutionized the field of neuroscience by enabling precise control of neural activity through light-sensitive proteins known as opsins.This review article discusses the fundamental principles of optogenetics,including the activation of both excitatory and inhibitory opsins,as well as the development of optogenetic models that utilize recombinant viral vectors.A considerable portion of the article addresses the limitations of optogenetic tools and explores strategies to overcome these challenges.These strategies include the use of adeno-associated viruses,cell-specific promoters,modified opsins,and methodologies such as bioluminescent optogenetics.The application of viral recombinant vectors,particularly adeno-associated viruses,is emerging as a promising avenue for clinical use in delivering opsins to target cells.This trend indicates the potential for creating tools that offer greater flexibility and accuracy in opsin delivery.The adaptations of these viral vectors provide advantages in optogenetic studies by allowing for the restricted expression of opsins through cell-specific promoters and various viral serotypes.The article also examines different cellular targets for optogenetics,including neurons,astrocytes,microglia,and Schwann cells.Utilizing specific promoters for opsin expression in these cells is essential for achieving precise and efficient stimulation.Research has demonstrated that optogenetic stimulation of both neurons and glial cells-particularly the distinct phenotypes of microglia,astrocytes,and Schwann cells-can have therapeutic effects in neurological diseases.Glial cells are increasingly recognized as important targets for the treatment of these disorders.Furthermore,the article emphasizes the emerging field of bioluminescent optogenetics,which combines optogenetic principles with bioluminescent proteins to visualize and manipulate neural activity in real time.By integrating molecular genetics techniques with bioluminescence,researchers have developed methods to monitor neuronal activity efficiently and less invasively,enhancing our understanding of central nervous system function and the mechanisms of plasticity in neurological disorders beyond traditional neurobiological methods.Evidence has shown that optogenetic modulation can enhance motor axon regeneration,achieve complete sensory reinnervation,and accelerate the recovery of neuromuscular function.This approach also induces complex patterns of coordinated motor neuron activity and promotes neural reorganization.Optogenetic approaches hold immense potential for therapeutic interventions in the central nervous system.They enable precise control of neural circuits and may offer new treatments for neurological disorders,particularly spinal cord injuries,peripheral nerve injuries,and other neurodegenerative diseases.
文摘We read with the great interest the study by Ababneh et al in which inducedmesenchymal stem cell-derived exosomes were shown to exhibit a stronger andmore sustained anti-proliferative effect by inducing a senescence-like state withoutapoptosis.The results obtained by the authors highlight the features of theeffects of senescent drift induction in surrounding tissues.In the light of thesefindings,the role of the properties of extracellular matrix and cellular glycocalyxin responses of human tumors to therapy remain uninvestigated.These extracellularbarriers appear to be significant obstacles to effective cancer therapy,especiallyin relation to the use of unique properties of tumor microenvironment forthe immunotherapy-resistant cancer treatment.
基金RVA G/[P]-genotypes was at the expense of the Russian Science Foundation(Grant No.16-15-10332)
文摘Enteric viruses are the most common cause of acute gastroenteritis （AGE） in young children and a significant public health problem globally. Hospital admissions of children under 5 years of age with diarrhea are primarily associated with group A rotavirus （RVA） infection. In this retrospective study, the population structure of viruses linked to AGE etiology in young children hospitalized with AGE in Moscow was evaluated, and molecular characterization of RYA strains was performed. Fecal specimens were collected from children under 5 years old hospitalized with AGE between 2009 and 2014 in Moscow, Russia. Multiplex real-time reverse transcription PCR was used to detect enteric viruses and for G/[P]-genotyping of isolated RVAs. Sequencing of RVA VP7 and VP4 cDNA fragments was used to validate the data obtained by PCR- genotyping. The main causes for hospitalization of children with AGE were RVA （40.1%）, followed by noroviruses （11.4%）, while adenoviruses, astroviruses, sapoviruses, enteroviruses, and orthoreoviruses were detected in 4.7%, 1.9%, 1.4%, 1.2%, and 0.2% of samples tested, respectively. Nosocomial infections, predominantly associated with RVAs and noroviruses, were detected in 24.8% of cases and occurred significantly more frequently in younger infants. The predominant RVA genotype was G4P[8], detected in 38.7% of RVA-positive cases, whereas genotypes G1P[8], G9P[8], G3P[8], and G2P[4] were found in 11.8%, 6.6%, 4.2%, and 3.3% of cases, respectively. Together, the presence of circulating RVA strains with rare VP7 and VP4 gene variants （G6 and P[9]） highlights the need to conduct continuous epidemiological monitoring of RVA infection.
文摘The results of a survey of different population groups in urban areas of the Moscow Region (industry workers, residents of areas with increased anthropogenic load of mercury and conditionally pristine areas, cohorts of pregnant women and children) to assess the contents of mercury in samples of various diagnostic biomaterials taken during the course of research are presented. Mercury concentrations in venous and umbilical cord blood, urine, hair, and nails were determined by means of instrumental neutron activation analysis and cold vapor atomic absorption spectrometry. Peculiarities of selection, transportation, storage, and preparation for analysis of samples of hair, nails, urine and umbilical venous blood are described. The determined concentrations of mercury in the studied diagnostic biomaterials are compared with normal and thresholds values. Although increased mercury concentrations were observed in some cases, no significant exposure of mercury was evident in general in the study towns. A positive correlation between the degree of consumption of seafood during pregnancy and a high content of mercury in the analyzed diagnostic biomaterials was shown.
文摘Statement of the Problem: As you know, there exist two different states in the brain’s mental activity: true and false. In recent years, a progressive method of wavelet transformation of the electroencephalogram (EEG) has been developed, which enabled us to establish the fundamental possibility of direct objective registration of the human brain’s mental activity. Earlier, we created an experimental model and software for recognizing true and false mental responses of a person based on the EEG wavelet transformation and described it in the article. The developed experimental model and information software made it possible to compare the two mental states of brain activity by electroencephalographic indicators, one of which is false and the other is true. The goal is to develop a fundamentally new information technology for recognizing true and false states in the brain’s mental activity based on the wavelet transformation of the electroencephalogram. Results: It was revealed that the true and false states of the brain can be distinguished using the method of continuous wavelet transformation and calculation of the EEG wavelet energy. It is shown that the main differences between true and false mental responses are observed in the delta and alpha ranges of the EEG. In the EEG delta rhythm, the wavelet energy is reliably higher in case of a false answer compared to a true one. In the EEG alpha rhythm, the wavelet energy is significantly higher with a true answer than a false one. Practical significance of the research: The data obtained open up the fundamental possibility of identifying true and false mental states of the brain on the basis of continuous wavelet transformation and calculation of the EEG wavelet energy.
文摘Rheumatoid arthritis(RA)is a chronic autoimmune disease that affects approxi-mately 0.46%of the global population.Conventional therapeutics for RA,including disease-modifying antirheumatic drugs(DMARDs),nonsteroidal anti-inflammatory drugs(NSAIDs),and corticosteroids,frequently result in unintended adverse effects.Dexamethasone(DEX)is a potent glucocorticoid used to treat RA due to its anti-inflammatory and immunosuppressive properties.Liposomal delivery of DEX,particu-larly when liposomes are surface-modified with targeting ligands like peptides or sialic acid,can improve drug efficacy by enhancing its distribution to inflamed joints and minimizing toxicity.This study investigates the potential of liposomal drug delivery systems to enhance the efficacy and targeting of DEX in the treatment of RA.Results from various studies demonstrate that liposomal DEX significantly inhibits arthritis progression in animal models,reduces joint inflammation and damage,and alleviates cartilage destruction compared to free DEX.The liposomal formulation also shows better hemocompatibility,fewer adverse effects on body weight and immune organ index,and a longer circulation time with higher bioavailability.The anti-inflammatory mechanism is associated with the downregulation of pro-inflammatory cytokines like tumor necrosis factor-α(TNF-α)and B-cell-activating factor(BAFF),which are key players in the pathogenesis of RA.Additionally,liposomal DEX can induce the expres-sion of anti-inflammatory cytokines like interleukin-10(IL-10),which has significant anti-inflammatory and immunoregulatory properties.The findings suggest that lipo-somal DEX represents a promising candidate for effective and safe RA therapy,with the potential to improve the management of this debilitating disease by providing targeted delivery and sustained release of the drug.
基金Supported by Government Assignment,No.1023022600020-6RSF Grant,No.24-15-00549Ministry of Science and Higher Education of the Russian Federation within the Framework of State Support for the Creation and Development of World-Class Research Center,No.075-15-2022-304.
文摘BACKGROUND Ischemic heart disease(IHD)impacts the quality of life and has the highest mortality rate of cardiovascular diseases globally.AIM To compare variations in the parameters of the single-lead electrocardiogram(ECG)during resting conditions and physical exertion in individuals diagnosed with IHD and those without the condition using vasodilator-induced stress computed tomography(CT)myocardial perfusion imaging as the diagnostic reference standard.METHODS This single center observational study included 80 participants.The participants were aged≥40 years and given an informed written consent to participate in the study.Both groups,G1(n=31)with and G2(n=49)without post stress induced myocardial perfusion defect,passed cardiologist consultation,anthropometric measurements,blood pressure and pulse rate measurement,echocardiography,cardio-ankle vascular index,bicycle ergometry,recording 3-min single-lead ECG(Cardio-Qvark)before and just after bicycle ergometry followed by performing CT myocardial perfusion.The LASSO regression with nested cross-validation was used to find the association between Cardio-Qvark parameters and the existence of the perfusion defect.Statistical processing was performed with the R programming language v4.2,Python v.3.10[^R],and Statistica 12 program.RESULTS Bicycle ergometry yielded an area under the receiver operating characteristic curve of 50.7%[95%confidence interval(CI):0.388-0.625],specificity of 53.1%(95%CI:0.392-0.673),and sensitivity of 48.4%(95%CI:0.306-0.657).In contrast,the Cardio-Qvark test performed notably better with an area under the receiver operating characteristic curve of 67%(95%CI:0.530-0.801),specificity of 75.5%(95%CI:0.628-0.88),and sensitivity of 51.6%(95%CI:0.333-0.695).CONCLUSION The single-lead ECG has a relatively higher diagnostic accuracy compared with bicycle ergometry by using machine learning models,but the difference was not statistically significant.However,further investigations are required to uncover the hidden capabilities of single-lead ECG in IHD diagnosis.
基金Supported by The government assignment,No.1023022600020-6The Ministry of Science and Higher Education of the Russian Federation Within The Framework of State Support for The Creation and Development of World-Class Research Center“Digital Biodesign and Personalized Healthcare,”No.075-15-2022-304RSF grant,No.24-15-00549.
文摘Integrating exhaled breath analysis into the diagnosis of cardiovascular diseases holds significant promise as a valuable tool for future clinical use,particularly for ischemic heart disease(IHD).However,current research on the volatilome(exhaled breath composition)in heart disease remains underexplored and lacks sufficient evidence to confirm its clinical validity.Key challenges hindering the application of breath analysis in diagnosing IHD include the scarcity of studies(only three published papers to date),substantial methodological bias in two of these studies,and the absence of standardized protocols for clinical imple-mentation.Additionally,inconsistencies in methodologies—such as sample collection,analytical techniques,machine learning(ML)approaches,and result interpretation—vary widely across studies,further complicating their reprodu-cibility and comparability.To address these gaps,there is an urgent need to establish unified guidelines that define best practices for breath sample collection,data analysis,ML integration,and biomarker annotation.Until these challenges are systematically resolved,the widespread adoption of exhaled breath analysis as a reliable diagnostic tool for IHD remains a distant goal rather than an immi-nent reality.
文摘Burkitt’s lymphoma(BL)is among the most common pediatric cancers in Sub-Saharan African children,accounting for 30-50%of malignancies in Sub-Saharan African children,with a strong etiological link with Epstein-Barr virus(EBV)infection.The disease is especially aggressive in nature,with more than 70%mortality when diagnosed at advanced stages which is frequent and resulting from poor healthcare infrastructure and limited access to diagnostic facilities.Liquid biopsy approaches,which detect tumor-derived components in bodily fluids,offer promising potential for early,minimally invasive detection of EBV-positive BL.Emerging evidence suggests liquid biopsy methods can reduce diagnostic delays from weeks to≤48 h without compromising>85%concordance with tissue biopsy,demonstrated in Malawi and Kenyan pilot trials(2021-2023).According to the WHO-AFRO report(2023),due to administrative and cost burdens,only 15%of regional clinics are offering liquid biopsy testing as liquid biopsy test costs approximately 120/test as compared to histopathology,which costs$35.This review critically evaluates the technical and implementation challenges associated with developing liquid biopsy assays specifically tailored for BL detection in resource-limited settings across Sub-Saharan Africa.We discuss recent technological advances in circulating tumor DNA(ctDNA)analysis,EBV biomarker detection as technical validations of ctDNA and EBV marker assays have 90-95%sensitivity in early studies,and point-of-care diagnostics,alongside the logistical,economic,and sociocultural barriers to their effective implementation.Additionally,we propose strategic frameworks for overcoming these challenges through collaborative international partnerships,capacity building initiatives,and context-appropriate technology adaptation.Through all these cross-sector partnerships and approaches could transform BL outcomes by enabling stage-shift to 80%early-stage diagnoses,reducing mortality rates by 50%,potentially doubling survival rates in high-burden regions.
文摘BACKGROUND Left ventricular noncompaction(LVNC)is a genetic cardiomyopathy.It is characterized by intensely developed trabeculae in the ventricles with deep intertrabecular lacunae.LVNC manifests as arrhythmias and heart failure with a predisposition for thrombus formation.AIM To study predictors of arrhythmic,thromboembolic events and adverse outcomes(death/transplantation)in adult patients with LVNC.METHODS Adult patients with LVNC were included(n=125;mean follow-up:14 months).Electrocardiography,echocardiography,and 24-hour electrocardiography monitoring were performed.Other procedures were conducted for some patients including:Coronary angiography;cardiac magnetic resonance imaging;cardiac computed tomography;genetic testing;myocardial pathological examination;and anti-cardiac antibody level estimation.Primary endpoints were death,heart transplantation,combined endpoint(death+transplantation),and sudden cardiac death.Secondary endpoints were intracardiac thrombosis,embolic events,myocardial infarction,sustained ventricular tachycardia(VT),and implantable cardioverter-defibrillator intervention.RESULTS LVNC manifestations included non-sustained VT,thrombosis/embolism,sustained VT, and sudden cardiac death. Non-sustained VT was associated with the New York Heart Association(NYHA) chronic heart failure (CHF) class, poor R-wave progression, superimposed myocarditis, and highermortality. Thrombosis/embolism was associated with NYHA CHF class ≥ 3, right ventricular end-diastolicdiameter ≥ 3 cm, right atrium volume ≥ 67 mL, left ventricle end-diastolic diameter ≥ 6.3 cm, and velocity timeintegral ≤ 11.2 cm. Sustained VT was associated with premature ventricular contractions (PVCs), low QRS voltage,and atrioventricular block. PVCs > 500/day were predictive of defibrillator intervention. Fatal outcomes wereassociated with E wave/A wave ratio > 1.9, left ventricle ejection fraction < 35%, NYHA CHF class ≥ 3, VT, andmyocarditis.CONCLUSIONFrequent PVCs, non-sustained VT, low QRS voltage, and signs of systolic dysfunction on echocardiogram arepredictors of life-threatening events in patients with LVNC.
文摘Background:Postoperative complications,particularly those involving lymphatic drainage,remain a significantchallenge for patients undergoing axillary lymphadenectomy(ALND)as part of breast cancer surgery.Thesecomplications can delay the initiation of adjuvant therapies,increase healthcare costs,and negatively affectpatients’quality of life.This study evaluated the use of a latex-based tissue adhesive(LTA)as an intraoperativestrategy to prevent seroma formation and prolonged lymphorrhea following axillary dissection.Methods:In this prospective study,65 female patients diagnosed with stage Ⅱb-Ⅲ breast cancer and clinicallyconfirmed axillary lymph node involvement were enrolled.Participants were divided into two groups.The studygroup(n=33)received an intraoperative application of LTA without drainage,while the control group(n=32)underwent standard ALND with placement of a silicone vacuum drain.Postoperative outcomes assessed includedlymphatic drainage volume,number of aspirations,duration of lymphorrhea,length of hospital stay,and incidence of complications.Results:Use of the LTA significantly reduced both the volume and duration of postoperative lymphorrhea.Bypostoperative day 10,the average wound exudate volume in the LTA group was 8.2±3.3 mL,compared to54.1±3.9 mL in the control group—an 84.8%reduction.The LTA group also experienced shorter hospital staysand fewer cases of postoperative seroma requiring intervention.Conclusion:LTA appears to be a safe,effective,and practical intraoperative technique for preventing lymphaticcomplications after ALND.Its use may reduce dependence on drainage systems,shorten hospitalization,andsupport earlier initiation of adjuvant therapies,ultimately improving surgical outcomes and patient recovery.
文摘Objective:This review examined the co-morbidity of malaria and hypertension in Nigerian adults,with a focus on epidemiological trends,genetic and environmental risk factors,pathophysiological mechanisms,and systemic healthcare barriers.Methods:A qualitative synthesis of peer-reviewed literature,national health surveys,and institutional reports published between 2000 and 2025 was conducted using thematic analysis.While centered on Nigeria,the review incorporated comparative insights from global studies on renin angiotensin aldosterone system polymorphisms,co-infection dynamics,and health service inequalities.Results:The findings indicate overlapping risk factors including renin angiotensin aldosterone system gene polymorphisms,urbanization,and poverty.Angiotensin Ⅱ demonstrates dual functions,contributing both to malaria suppression and to hypertension pathogenesis.Clinical challenges include diagnostic overlap,adverse drug interactions,and disparities in service delivery between rural and urban populations.These challenges particularly affect older adults and highlight systemic gaps in access,workforce distribution,and policy alignment.Conclusion:The dual burden of malaria and hypertension in Nigeria requires integrated disease management strategies that address both communicable and non-communicable disease risks.Urgent priorities include multisectoral policy reforms,expanded rural health investments,and the adoption of precision medicine approaches guided by genetic profiling.The implications extend to clinical practice through co-screening and tailored treatment protocols and to public health policy,where integrated frameworks are essential to reducing inequities and improving long-term outcomes.
基金financed by the Ministry of Science and Higher Education of the Russian Federation within the framework of state support for the creation and development of World-Class Research Centers‘Digital Biodesign and Personalized Healthcare’No 75-15-2022-305.
文摘Improving the efficiency of athletic performance and reducing the likelihood of overtraining are primarily determined goals that can be achieved by the correct organization of the training process.The nature of adaptation to physical stress is associated with the specificity,focus,and degree of biochemical and functional changes that occur during muscular work.In this study,we aimed to develop a diagnostic model for predicting metabolic processes in athletes based on standard biochemical blood analysis indicators.The study involved athletes from the track and field athletics team(men,n=42,average age was[22.55±3.68]years).Blood samples were collected in the morning at the beginning and end of the training week during the annual cycle.During the entire period,3625 laboratory parameter tests were conducted.Capillary blood sampling in athletes was conducted from the distal phalanx of the finger after overnight fasting,according to standard diagnostic procedures.To determine the predominance of anabolic or catabolic processes,equations were derived from a linear discriminant function.The discriminant function of predicting metabolic processes in athletes has a high information capacity(92.1%),as confirmed by the biochemical results of neuroendocrine system activity,which characterized the body's stage of adaptive regulatory mechanisms in response to stress factors.The classification matrix used to predict the metabolic processes based on the results of the discriminant function calculation demonstrates the statistical significance of the model(p<0.01).Consequently,an informative mathematical model was developed,which enabled the reliable and timely prediction of the prevalence of one of the metabolic activity phases in the athlete's body.The use of the developed model will also allow us to assess the nature of adaptation to specific muscular work,identify an athlete's weaknesses,forecast the success of their performance,and timely adjust both the training process and the recovery program.
文摘Dear Editor,Bronchial asthma (BA) is a common chronic inflammatory disease of the airways,characterized by variable obstruction and airway hyperreactivity.It is a heterogeneous lung disease characterized by variability in both clinical symptoms and the underlying cellular and molecular mechanisms[1].
基金funded by the Russian Science Foundation(RSF),grantNo.24-23-00558,https://rscf.ru/en/project/24-23-00558/(accessed on 04 February 2025).
文摘The development of actuators based on ionic polymers as soft robotics,artificial muscles,and sensors is currently considered one of the most urgent topics.They are lightweight materials,in addition to their high efficiency,and they can be controlled by a low power source.Nevertheless,the most popular ionic polymers are derived from fossil-based resources.Hence,it is now deemed crucial to produce these actuators using sustainable materials.In this review,the use of ionic polymeric materials as actuators is reviewed through the emphasis on their role in the domain of renewablematerials.The reviewencompasses recent advancements inmaterial formulation and performance enhancement,alongside a comparative analysis with conventional actuator systems.It was found that renewable polymeric actuators based on ionic gels and conductive polymers are easier to prepare compared to ionic polymermetal composites.In addition,the proportion of actuator manufacturing utilizing renewable materials rose to 90%,particularly for ion gel actuators,which was related to the possibility of using renewable polymers as ionic or conductive substances.Moreover,the possible improvements in biopolymeric actuators will experience an annual rise of at least 10%over the next decade,correlating with the growth of their market,which aligns with the worldwide goal of reducing global warming.Additionally,compared to fossil-derived polymers,the decomposition rate of renewable materials reaches 100%,while biodegradable fossil-based substances can exceed 60%within several weeks.Ultimately,this review aims to elucidate the potential of ionic polymeric materials as a viable and sustainable solution for future actuator technologies.
文摘Background: The full-thickness excision of malignant lower-eyelid tumors,particularly those with posterior lamellar involvement,presents a reconstructive challenge.Traditional grafts often have limitations,prompting interest in biocompatible alternatives,such as biodegradable diplene membranes.This study introduces a novel modification to the standard protocol: the use of diplene membranes enriched with Solcoseryl,a metabolically active agent that enhances angiogenesis,reduces inflammation,and accelerates epithelialization.Methods: Twenty-seven patients(mean age,68.96 ± 8.09 years) with histologically confirmed malignant lowereyelid tumors underwent reconstruction using diplene membranes combined with Solcoseryl.The outcomes were compared with those of a previously reported cohort treated with Diplene alone.The follow-up period ranged from 3 to 12 months.Results: All patients achieved successful restoration of eyelid support with high aesthetic satisfaction.The Solcoseryl group demonstrated significantly faster epithelialization(mean 9.8 ± 1.2 days),improved microcirculatory parameters,and no serious complications.Minor hematomas occurred in two cases(7.4%).Conclusion: The modified Diplene–Solcoseryl membrane enhanced wound healing and biocompatibility during lower-eyelid reconstruction by transforming the membrane into a bioactive scaffold.This innovation offers superior functional and aesthetic outcomes compared to standard diplene use and represents a significant advancement in oculoplastic and oncological reconstructive surgery.
文摘Background: The lumbar artery perforator(LAP) flap is an important autologous option in breast reconstruction.As the lumbar perforator flap is relatively new in this field,several questions remain regarding preoperative preparation,especially concerning computed tomography(CT) and magnetic resonance imaging of the donor site.The objective of this study was to aid the surgical approach to the LAP flap in female patients by precisely determining the characteristics of the lumbar perforators.Methods: We retrospectively reviewed the computed tomographic angiography images of 20 patients who underwent evaluation of the perforator positions from the four lumbar arteries.Four characteristics were studied:length,diameter,path of the lumbar pedicle,and thickness of the tissues available for transfer.Results: We analyzed 20 CT images,identifying 149 perforating vessels of the lumbar artery.The most suitable perforator for flap harvesting was the L4 perforator,which exhibited a larger diameter,a greater number of perforasomes,and a higher percentage of the cutaneous-septal tract.Conclusion: The LAP flap is a viable option for breast reconstruction and as a free flap in women.The L4 perforator artery is the most suitable for harvesting,owing to its superior perfusion capacity,diameter,and course;however,an interposition graft may be required to lengthen the vascular pedicle.
文摘Hemorrhoids are one of the most common anorectal disorders.Early hemorrhoids are treated conservatively,but advanced hemorrhoids are usually treated with surgery.However,in the last decade,we have worked extensively in the field of conservative management of hemorrhoids.From our experience,we could manage a large proportion of advanced hemorrhoids without surgery by a treatment concept(TONEFACT)with a high satisfaction rate.Evidence for the TONEFACT approach primarily comes from observational studies and a prospective,nonrandomized study of 85 patients.This has been shown to improve defecation time and reduce prolapse symptoms in early-stage hemorrhoids,leading to fewer surgical interventions.Although promising,these observations lack validation from more extensive randomized controlled trials to draw firm conclusions.In this opinion review,without using much data,we will discuss our viewpoint based on our experience as specified by the journal guidelines.
