Search

Aim: Evaluation of the efficacy and safety of the modified refralon administration protocol for the relief of paroxysmal atrial fibrillation (AF)., Materials and Methods: The study included 39 patients (19 men, mean age 6312.8 years). All patients, after excluding contraindications in the intensive care unit, were injected intravenously with refralon at an initial dose of 5 mg/kg. If AF was preserved and there were no contraindications, after 15 min, repeated administration was performed at a dose of 5 mg/kg (total dose of 10 mg/kg). After another 15 min, while maintaining AF and the absence of contraindications, the third injection of the drug was performed at a dose of 10 mg/kg (total dose of 20 mg/kg). In the absence of relief and the absence of contraindications, another injection of refralon at a dose of 10 mg/kg was performed after another 15 min (in this case, the maximum total dose of 30 mg/kg was reached). After each injected bolus and before the introduction of the next one, the ECG parameters and the general condition of the patient were assessed. The patient was monitored for 24 hours to exclude the arrhythmogenic effect and other possible adverse events., Results: Restoration of sinus rhythm (SR) was noted in 37 patients out of 39 (95%). Of these, 19 people (48.7%) had SR recovery after the administration of a minimum dose of refralone of 5 mg/kg. The effectiveness of the total dose of 10 mg/kg was 76.9%, the dose of 20 mg/kg was 89.7%, and the dose of 30 mg/kg was 95%. Only two patients did not recover HR after administration of the maximum dose of refralon 30 mg/kg. Pathological prolongation of the QTc interval (500 ms) was recorded in 5% of patients. Not a single case of ventricular arrhythmogenic action (induction of Torsade de pointes) has been reported. Bradyarrhythmias (pauses, bradycardia) were registered in 13% of cases, were of a transient nature., Conclusion: Refralon has a high efficiency of relief (95%) of paroxysmal AF, while in almost half of cases (48.7%), SR recovery is achieved using the minimum dose of refralon 5 mg/kg. Despite the prolongation of the QTc500 ms recorded in 5% of cases, none of the patients developed Torsade de pointes after administration of the drug.

Objective: This study aimed to assess the level of anti-1-adrenergic receptor autoantibodies in patients with ventricular arrhythmias with no signs of organic heart disease and with presence of cardiovascular pathology in comparison with a group of healthy volunteers., Material and Methods: The study included 44 patients with ventricular arrhythmias with no signs of organic heart disease ("idiopathic"), 34 patients with diagnosed dilated cardiomyopathy (DCM) of inflammatory origin, 35 patients with coronary heart disease and ventricular arrhythmias, 12patients with coronary heart disease with no ventricular arrhythmias, and 19 healthy volunteers (control group). The level of autoantibodies against the 1-adrenergic receptor was determined by the developed competitive cell-based enzyme-linked immunosorbent assay (ELISA) and by the standard ELISA using peptides corresponding to the second extracellular loop of the 1-adrenergic receptor., Results: Elevated level of autoantibodies detected by a competitive cell-based ELISA was observed in 62% of patients with DCM compared to 21% of healthy volunteers (p=0.0006). In patients with "idiopathic" ventricular arrhythmias, the level of 1-adrenergic receptor autoantibodies was lower than in healthy subjects (p=0.003). Coronary heart disease patients with or without ventricular arrhythmias exhibited no differences from the control group. The number of significantly positive signals in peptide-based ELISA did not exceed 10% in any of the groups. No correlation between the data from competitive cell-based ELISA and peptide-based ELISA was found., Conclusions: This study demonstrated that competitive cell-based ELISA technique can be applied for detection of 1-adrenergic receptor autoantibodies. The results in DCM patients generally correspond to the expected. Decreased level of autoantibodies in patients with "idiopathic" ventricular arrhythmias indicates that this disease is related to changes in the immune system. Such relation is not observed in the case of coronary heart disease patients.

There are conditions for forming a diphyllobothriasis focus in the basin of the lower Don. In terms of the population affliction, low risk for its infection and the size of copepods, the focus is differentiated as an Oligocopepoda one of low epidemiological intensity. Its formation is favoured by the activation of the population's migration, favourable ecological and biological conditions for the existence of intermediate and supplementary hosts, the population's habit of having ill-disinfected fish, the pathways of infected material delivery into the reservoirs, the survival periods for broad tape-worm eggs, which are sufficient for diphyllobothriasis pathogens to develop their biological cycle under the conditions of Rostov Province.

"Demographic and socio-professional characteristics of some age and sex groups of [the] employed population of the Ukraine are considered. A conclusion is made that it is necessary to take into account labour activity...as a main productive force...." (SUMMARY IN ENG), (excerpt)

Thin-layer chromatographic examinations of blood lipids and phospholipids were carried out in 28 patients with delirium tremens (at the height of the psychosis) treated and not treated with hemodes. The results of the examination were compared with those obtained from a control group of 17 healthy subjects. The examinations revealed marked disturbances of lipid metabolism at the peak of the psychosis that manifested themselves in a drop of the concentrations of all fractions determined. It was found that despite the intensification of the therapy these disturbances often continued to progress during the first 24 hours of the treatment, and only the use of hemodes contributed to normalization of many biochemical processes. This allows one to regard hemodes as a lipotropic agent active at the level of cell membranes and favouring the elimination of basic pathogenetic factors of delirium tremens.

Frequency and character of the distribution of acrocentric chromosome associations are determined in 40 phenotypically healthy native inhabitants of the Latvian SSR (20 males and 20 females). The ability to associations is the lowest for chromosomes 15 and 22 and the highest for chromosomes 21, 14 and 13. It is found that a tendency to associations between chromosomes 21-21 (P less than 0.05) and 13-21 (P less than 0.01) is not of an accidental character.