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Local inflammatory response to gastroesophageal reflux:Association of gene expression of inflammatory cytokines with esophageal multichannel intraluminal impedance-pH data

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World Journal of clinical Cases 2022年第26期10卷 9254-9263页

作者： Sergey Morozov Tatyana Sentsova Department of Gastroenterology Hepatology and NutritionFederal Research Center of NutritionBiotechnology and Food SafetyMoscow 115446Russia Department of Hospital pediatrics No.2 Russian National Research Medical University named after N.I.PirogovMoscow 117997Russia

BACKGROUND Gene expression of inflammatory cytokines may take part in the pathophysiology of different forms of gastroesophageal reflux disease(GERD).AIM To explore gene expression of inflammatory cytokines in esophageal mucosa in patients with erosive esophagitis(EE)and non-erosive forms of GERD(NERD)and its association with data of esophageal multichannel intraluminal impedancepH(MII-pH)*** This was a single-center prospective *** mucosa samples were taken from the lower part of the esophagus during *** of interleukin(IL)-1β,IL-10,IL-18,tumor necrosis factorα(TNFA),toll-like receptor 4(TLR4),GATA binding protein 3(GATA3),differentiation cluster 68(CD68)andβ-2 microglobulin genes in esophageal mucosa was assessed with ImmunoQuantex ***-pH measurements were performed on all the *** of GERD was confirmed by the results of the MII-pH *** on the endoscopy,patients were allocated to the groups of EE and *** control group consisted of non-symptomatic subjects with normal endoscopy and MII-pH *** used nonparametric statistics to compare the differences between the *** of expression of the mentioned genes with the results of the MII-pH data was assessed with Spearman’s rank *** Data from 60 patients with GERD and 10 subjects of the control group were available for the *** expression of IL-18(5.89±0.4 vs 5.28±1.1,P=0.04)and GATA3(2.92±0.86 vs 2.23±0.96,P=0.03)was found in the EE group compared to *** of IL-1β,IL-18,TNFA,and TLR4 was lower(P<0.05)in the control group compared to EE and *** acid exposure correlated with the expression of IL-1β(Spearman’s rank r=0.29),IL-18(r=0.31),TNFA(r=0.35),GATA3(r=0.34),TLR4(r=0.29),and CD68(r=0.37).Mean esophagealрНcorrelated inversely with the expression of IL-18,TNFA,GATA3,TLR4,and *** association of gene expression with the number of gastroesophageal refluxes was ***

关键词： Gastroesophageal reflux disease Gene expression Cytokines Erosive esophagitis Non-erosive gastroesophageal reflux disease Esophageal multichannel intraluminal impedance-pH Gastroesophageal reflux

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Atrial fibrillation among russian men and women aged 55 years and older:prevalence,mortality,and associations with biomarkers in a population-based study

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Journal of Geriatric Cardiology 2020年第2期17卷 74-84页

作者： Maria A.Shkolnikova Dmitri A.Jdanov Rukizhat A.Ildarova Natalia V.Shcherbakova Ekaterina B.Polyakova Evgeny N.Mikhaylov Svetlana A.Shalnova Vladimir M.Shkolnikov veltischev research and clinical institute for pediatrics of the pirogov russian national research medical university MoscowRussian Federation Laboratory of Demographic Data Max Planck Institute for Demographic ResearchRostockGermany International Laboratory for Population and Health Research University Higher School of EconomicsMoscowRussian Federation Arrhythmia Department and Neuromodulation Laboratory Almazov National Medical Research CentreSaint-PetersburgRussian Federation national research Center for Preventive Medicine MoscowRussian Federation

Objective To examine the prevalence of atrial fibrillation(AF),its impacts on cardiovascular disease(CVD)and all-cause mortality,and the associations between AF and inflammatory and serum biomarkers in a population-based sample of *** The study is a secondary analysis of data from the Stress,Aging and Health in Russia(SAHR)survey that includes information on 1800 individuals with an average age of 68.5 years at baseline,and on their subsequent mortality during 7.4 years on *** is detected by 12-lead electrocardiogram(ECG)and 24-hour Holter *** statistical analysis includes proportional hazard and logistic regression *** Of the 1732 participants with relevant Holter data,AF was detected in 100(74 by ECG and Holter,26 by Holter only).The prevalence of AF was 5.8%for men and 7.4%for *** fully adjusted model showed strongly elevated hazard of CVD and all-cause mortality in men and women with long non-self-limiting AF(LAF).LAF was found to be negatively associated with elevated total and lowdensity lipoprotein cholesterol and to be positively associated with elevated markers of inflammation in *** The study assessed for the first time the prevalence and the risks of death related to AF among older *** was shown to be a strong and independent predictor of CVD and all-cause *** is unlikely to contribute to the large excess male mortality in *** finding that one-quarter of AF cases were detected only by Holter monitoring demonstrates the usefulness of diagnostics with prolonged ECG registration.

关键词： Aging Atrial fibrillation Gender differences Holter monitoring Mortality Prevalence

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clinical significance of molecular subtypes of gastrointestinal tract adenocarcinoma

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World Journal of Gastrointestinal Oncology 2022年第3期14卷 628-645页

作者： Ekaterina Olegovna Ignatova Evgenii Kozlov Maxim Ivanov Vladislav Mileyko Sofia Menshikova Henian Sun Mikhail Fedyanin Alexey Tryakin Ivan Stilidi Department of Second Chemotherapy Federal State Budgetary Institution“N.N.Blokhin National Medical Research Center of Oncology”of the Ministry of Health of the Russian FederationMoscow 115478MoscowRussia Department of Oncogenetics Research Centre for Medical Genetics Research Centre for Medical GeneticsMoscow 115522MoscowRussia OncoAtlas LLC Moscow 121069MoscowRussia Department of Biological and medical Physics Moscow Institute of Physics and TechnologyMoscow 141700MoscowRussia Department of Anticancer Drug Treatment AO K31 CityMoscow 121552MoscowRussia pirogov russian national research medical university(pirogov medical university) Moscow 117997MoscowRussia

Adenocarcinomas of the gastrointestinal tract(esophagus,stomach,and colon)represent a heterogeneous group of diseases with distinct etiology,clinical features,treatment approaches,and *** are ongoing to isolate molecular genetic subtypes,perform complete biological characterization of the tumor,determine prognostic groups,and find predictive markers to the effectiveness of *** molecular genetic classifications were created for esophageal adenocarcinoma[The Cancer Genome Atlas(TCGA)],stomach cancer(TCGA,Asian Cancer research Group),and colon cancer(Colorectal Cancer Subtyping Consortium).In 2018,isolation of TCGA molecular genetic subtypes for adenocarcinomas of the gastrointestinal tract(esophagus,stomach,and colon)highlighted the need for further studies and clinical validation of subtyping of gastrointestinal ***,this approach has *** aim of our work was to critically analyze integration of molecular genetic subtyping of gastrointestinal adenocarcinomas in clinical practice.

关键词： Esophageal adenocarcinoma Gastric cancer Colon cancer Gene sequencing,Gene expression profiling Molecular subtypes

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Intestinal microbiome changes in an infant with right atrial isomerism and recurrent necrotizing enterocolitis:A case report and review of literature

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World Journal of clinical Cases 2022年第29期10卷 10583-10599页

作者： Aleksandra Kaplina Ekaterina Zaikova Artem Ivanov Yulia Volkova Tatiana Alkhova Vladimir Nikiforov Alexander Latypov Marina Khavkina Tatiana Fedoseeva Tatiana Pervunina Yulia Skorobogatova Svetlana Volkova Vladimir Ulyantsev Olga Kalinina Stanislav Sitkin Natalia Petrova research Laboratory of Physiology and Diseases of Newborns Almazov National Medical Research CentreSt.Petersburg 197341Russia research Laboratory of Autoimmune and Autoinflammatory Diseases Almazov National Medical Research CentreSt.Petersburg 197341Russia Vladimir Ulyantsev International Laboratory of Computer TechnologiesITMO UniversitySt.Petersburg 197101Russia Department of Cardiovascular Surgery for Children Almazov National Medical Research CentreSt.Petersburg 197341Russia Department of Neonatal Physiology with an ICU Ward Almazov National Medical Research CentreSt.Petersburg 197341Russia Pediatric Cardiac Intensive Care Unit Almazov National Medical Research CentreSt.Petersburg 197341Russia Neonatal and Preterm Special Care Unit(2nd Stage Care) Almazov National Medical Research CentreSt.Petersburg 197341Russia institute of Perinatology and pediatrics Almazov National Medical Research CentreSt.Petersburg 197341Russia Express Laboratory of Perinatal Centre Almazov National Medical Research CentreSt.Petersburg 197341Russia clinical Diagnostic Laboratory Almazov National Medical Research CentreSt.Petersburg 197341Russia Epigenetics and Metagenomics Group Institute of Perinatology and PediatricsAlmazov National Medical Research CentreSt.Petersburg 197341Russia Department of Internal Diseases Gastroenterology and DieteticsNorth-Western State Medical University named after I.I.MechnikovSt.Petersburg 191015Russia

BACKGROUND Necrotizing enterocolitis(NEC)is a multifactorial disease that predominantly affects premature *** dysbiosis plays a critical role in NEC pathogenesis in premature *** main risk factor for NEC in term infants is mesenteric hypoperfusion associated with ductaldependent congenital heart disease(CHD)that eventually leads to intestinal *** incidence of NEC in neonates with critical CHD is 6.8%-13%.However,the role of the intestinal microbiome in NEC pathogenesis in infants with ductal-dependent CHD remains *** SUMMARY A male term neonate with right atrial isomerism underwent modified Blalock-Taussig shunt placement on the 14^(th)day of life and had persistent mesenteric hypoperfusion after *** patient had episodes of NEC stageⅡA on the 1^(st)and 28^(th)days after cardiac *** microbial composition was analyzed before and after cardiac surgery by sequencing region V4 of the 16S rRNA *** surgery,species belonging to genera Veillonella and Clostridia and class Gammaproteobacteria were detected,Bifidobacteriaceae showed a low *** first NEC episode was associated with postoperative hemodynamic instability,intestinal ischemiareperfusion injury during cardiopulmonary bypass,and a high abundance of Clostridium paraputrificum(Clostridium sensu stricto I)(56.1%).Antibacterial therapy after the first NEC episode resulted in increased abundance of Gammaproteobacteria,decreased abundance of Firmicutes,and low alpha *** changes in the microbial composition promoted the growth of Clostridium sensu strictoⅠ(72.0%)before the second NEC *** A high abundance of Clostridium sensu strictoⅠand mesenteric hypoperfusion may have contributed to NEC in the present case.

关键词： Necrotizing enterocolitis Congenital heart disease Ivemark syndrome Heterotaxy Right atrial isomerism Intestinal microbiome Case report

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Psychosocial treatments for schizophrenia:insights from russian theoretical psychology

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上海精神医学 2020年第5期33卷 286-289页

作者： Natalia Semenova Laboratory of Psychological Counseling and Psychotherapy Moscow Research Institute of Psychiatry Psychosocial Faculty Pirogov Russian National Research Medical University Medical Faculty

INTRODUCTION While the biological approach remained at the forefront in russian/Soviet psychiatry,several valuable theoretical approaches were developed in russian/Soviet *** development,however,did not cross the border of the psychiatric *** clinical implications of these psychological constructs for the psychosocial treatment of severe mental illness (SMI) were overlooked.

关键词： motivation psychiatry psychology schizophrenia

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Regenerative medicine of pancreatic islets

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World Journal of Gastroenterology 2020年第22期26卷 2948-2966页

作者： Irina V Arutyunyan Timur Kh Fatkhudinov Andrey V Makarov Andrey V Elchaninov Gennady T Sukhikh national medical research Center for Obstetrics Gynecology and Perinatology named after Academician V.I.Kulakov of Ministry of Healthcare of Russian FederationMoscow 117997Russia research institute of Human Morphology Moscow 117418Russia Peoples Friendship university of Russia Moscow 117198Russia pirogov russian national research medical university Ministry of Healthcare of the Russian FederationMoscow 117997Russi

The pancreas became one of the first objects of regenerative medicine,since other possibilities of dealing with the pancreatic endocrine insufficiency were clearly *** number of people living with diabetes mellitus is currently approaching half a billion,hence the crucial relevance of new methods to stimulate regeneration of the insulin-secretingβ-cells of the islets of *** restrictions on the islet regeneration are very tight;nevertheless,the islets are capable of physiological regeneration viaβ-cell self-replication,direct differentiation of multipotent progenitor cells and spontaneousα-toβ-orδ-toβ-cell conversion(trans-differentiation).The existing preclinical models ofβ-cell dysfunction or ablation(induced surgically,chemically or genetically)have significantly expanded our understanding of reparative regeneration of the islets and possible ways of its *** ultimate goal,sufficient level of functional activity ofβ-cells or their substitutes can be achieved by two prospective broad strategies:β-cell replacement andβ-cell ***“regeneration”strategy aims to maintain a preserved population ofβ-cells through in situ exposure to biologically active substances that improveβ-cell survival,replication and insulin secretion,or to evoke the intrinsic adaptive mechanisms triggering the spontaneous non-β-toβ-cell ***“replacement”strategy implies transplantation ofβ-cells(as non-disintegrated pancreatic material or isolated donor islets)orβ-like cells obtained ex vivo from progenitors or mature somatic cells(for example,hepatocytes orα-cells)under the action of small-molecule inducers or by genetic *** believe that the huge volume of experimental and clinical studies will finally allow a safe and effective solution to a seemingly simple goal-restoration of the functionally activeβ-cells,the innermost hope of millions of people globally.

关键词： Pancreas Islets of langerhans β-cells Regeneration Replacement Transplantation Reprogramming

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Disease modifying treatment of spinal cord injury with directly reprogrammed neural precursor cells in non-human primates

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World Journal of Stem Cells 2021年第5期13卷 452-469页

作者： Vladimir P Baklaushev Oleg V Durov Vladimir A Kalsin Eugene V Gulaev Sergey V Kim Ilya L Gubskiy Veronika A Revkova Ekaterina M Samoilova Pavel A Melnikov Dzhina D Karal-Ogly Sergey V Orlov Alexander V Troitskiy Vladimir P Chekhonin Alexander V Averyanov Jan-Eric Ahlfors Biomedical research Federal Research and Clinical Center of Specialized Medical Care and Medical TechnologiesFMBA of RussiaMoscow 115682MoskvaRussia Department of Neurosurgery Federal Research and Clinical Center of Specialized Medical Care and Medical TechnologiesFMBAMoscow 115682MoskvaRussia Department of Anesthesiology N.N.Blokhin Russian Cancer Research CentreMoscow 115478MoskvaRussia Radiology and clinical Physiology Scientific research Center Federal center of brain research and neurotechnologies of the Federal Medical Biological AgencyMoscow 117997Russia Department of Neurobiology Serbsky National Medical Research Center for Psychiatry and NarcologyMoscow 119992MoskvaRussia Department of Primatology Russian Acad Med SciResearch Institute of Medical PrimatologySochi 119992SochiRussia Department of Vascular Surgery Federal Research and Clinical Center of Specialized Medical Care and Medical TechnologiesFMBA of RussiaMoscow 115682MoskvaRussia Department of Basic and Applied Neurobiology V.P.Serbsky Federal Medical Research Center for Psychiatry and NarcologyRussia Department of medical Nanobiotechnology Pirogov Russian National Research Medical University(RNRMU)Moscow 115682MoskvaRussia New World Laboratories Laval H7V 4A7QuebecCanada

BACKGROUND The development of regenerative therapy for human spinal cord injury(SCI)is dramatically restricted by two main challenges:the need for a safe source of functionally active and reproducible neural stem cells and the need of adequate animal models for preclinical *** reprogramming of somatic cells into neuronal and glial precursors might be a promising solution to the first *** use of non-human primates for preclinical studies exploring new treatment paradigms in SCI results in data with more translational relevance to human *** To investigate the safety and efficacy of intraspinal transplantation of directly reprogrammed neural precursor cells(drNPCs).METHODS Seven non-human primates with verified complete thoracic SCI were divided into two groups:drNPC group(n=4)was subjected to intraspinal transplantation of 5 million drNPCs rostral and caudal to the lesion site 2 wk post injury,and lesion control(n=3)was injected identically with the equivalent volume of *** Follow-up for 12 wk revealed that animals in the drNPC group demonstrated a significant recovery of the paralyzed hindlimb as well as recovery of somatosensory evoked potential and motor evoked potential of injured *** resonance diffusion tensor imaging data confirmed the intraspinal transplantation of drNPCs did not adversely affect the morphology of the central nervous system or cerebrospinal fluid *** immunohistochemical analysis showed that drNPCs maintained SOX2 expression characteristic of multipotency in the transplanted spinal cord for at least 12 wk,migrating to areas of axon growth *** Our data demonstrated that drNPC transplantation was safe and contributed to improvement of spinal cord function after acute SCI,based on neurological status assessment and neurophysiological recovery within 12 wk after *** functional improvement described was not associated with neuronal differentiation of th

关键词： Direct cell reprogramming Neural precursor cells Directly reprogrammed neural precursor cells Spinal cord injury Nonhuman primates Regenerative therapy,Evoked potentials

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Global Pediatric Pulmonology Alliance recommendation to strengthen prevention of pediatric seasonal influenza under COVID-19 pandemic

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World Journal of pediatrics 2020年第5期16卷 433-437页

作者： Kun-Ling Shen Leyla Namazova-Baranova Yong-Hong Yang Gary Wing Kin Wong Lanny J.Rosenwasser Lance E.Rodewald Anne Eng Neo Goh Eitan Kerem Chris O'Callaghan T.Bernard Kinane Basil Elnazir Rina Triasih Rosemary Horne Anne B Chang Jim Buttery Ruth A.Etzel Kazunobu Ouchi Hilary Hoey Varinder Singh Genesis C.Rivera Spencer SLi Yu Guan Ling Cao Yue-Jie Zheng Lu-Zhao Feng Wu Zhong Zheng-De Xie Bao-Ping Xu Rong-Jun Lin Gen Lu Qiang Qin Chun-Mei Zhu Su-Yun Qian Gang Liu Cheng-Song Zhao Zhuang Wei Yu-Hong Zhao Global Pediatric Pulmonology Alliance(GPPA)Expert Panel on Infectious Diseases&COVID-19 China national clinical research Center of Respiratory Diseases Department of Respiratory Medicine of Beijing Children's HospitalCapital Medical UniversityNational Center for Children's HealthBeijingChina pediatrics and Child Health research institute Central Clinical HospitalRussian Academy of SciencesMoscowRussian Federation Department of Respiratory Shenzhen Children's HospitalShenzhenChina Chinese university of Hong Kong Hong Kong SARChina UMKC School of Medicine Kansas CityMOUSA national Immunization Program Chinese Center for Disease Control and PreventionBeijingChina K Women's and Children's Hospital SingaporeSingapore Department of pediatrics Hadassah Hebrew University Medical CenterJerusalemIsrael UCL Great Ormond Street institute of Child Health and Great Ormond Street Hospital(GOSH)BRC University College LondonLondonUK Massachusetts General Hospital for Children BostonMAUSA Children's Health Ireland and Trinity College Dublin DublinIreland Department of Paediatric Faculty of MedicinePublic Health and NursingUniversitas Gadjah Mada/Dr.Sardjito HospitalYogyakartaIndonesia Monash university MelbourneAustralia Queensland Children's Hospital BrisbaneAustralia Monash Children's Hospital Menzies School of Health ResearchMelbourneAustralia George Washington university WashingtonDCUSA Department of pediatrics Kawasaki Medical SchoolKurashiki-CityJapan Department of pediatrics University of Dublin Trinity CollegeDublinIreland Lady Hardinge medical College and Assoc Kalawati Saran Children's Hospital New DelhiIndia Center for medical and Allied Health Sciences New Era UniversityQuezon Citythe Philippines Global Pediatric Pulmonology Alliance Hong Kong SARChina Department of Respiratory the Children's Hospital Affiliated to the Capital Institute of PediatricsBeijingChina School of Population Medicine and Public Health Chinese Academy of Medical Sciences/Peking Union Medical CollegeBeijingChina national Engineering research Center for the Emergency Drug BeijingChina Nati

The World Health Organization(WHO)announced COVID-19 as a global pandemic in March of 2020[1].The COVID-19 pandemic may persist for a long period of *** prevention and control becomes a complex and challenging task,and such efforts should be *** general measures,such as social distancing,face masks,respiratory hygiene and hand sanitization,will bear fruits for decreasing spread of other respiratory illnesses including influenza,the specific prevention through vaccination is a key focus especially in the upcoming winter and spring seasons[2].

关键词： prevention influenza sustained

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Global Pediatric Pulmonology Alliance(GPPA)proposal for COVID-19 vaccination in children

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World Journal of pediatrics 2021年第5期17卷 458-461页

作者： Lance E.Rodewald Kun-Ling Shen Yong-Hong Yang Gary Wing-Kin Wong Leyla Namazova-Baranova Lanny J.Rosenwasser Adel S.Alharbi Anne B.Chang Jim Buttery Basil Elnazir Ruth A.Etzel Anne Goh Hilary Hoey Rosemary Home Eitan Kerem Antonella Muraro Chris O’Callaghan Kazunobu Ouchi Varinder Singh Jiu-Yao Wang Spencer Li Yu Guanon Yue-Jie Zheng Zhengde Xie Gen Lu Yi Jiang Xing-Wang Li Rong-Meng Jiang Xiao-Chuan Wang Ji-Kui Deng Xiao-Xia Lu Bao-Ping Xu Zhuang Wei Lu-Zhao Feng Zheng-Yan Zhao the Global Pediatric Pulmonology Alliance(GPPA)Counci Global Pediatric Pulmonology Alliance(GPPA)Expert Panel on Infectious Diseases and COVID-19 national Immunization Program Chinese Center for Disease Control and Prevention.BeijingChina China national clinical research Center of Respiratory Diseases Department of RespiratoryBeijing Children's hospital.Capital Medical UniversityNational Center for Children's HealthBeijingChina Beijing Children's Hospital Capital Medical UniversityNational Center for Children's HealthBeijingChina Chinese university of Hong Kong.Hong Kong SAR China pediatrics and Child Health research institute Central Clinical HospitalRussian Academy of SciencesMoscowRussian Federation university of Missouri-Kansas City School of Medicine Kansas CityMOUSA Prince Sultan Military medical City(PSMMC) Ministry of DefenseRiyadhSaudi Arabia Queensland Children's Hospital.Brisbane Australia and Menzies School of Health ResearchDarwinAustralia Monash Children's Hospital Monash UniversityMelbourneAustralia Children's Health Ireland and Trinity College Dublin DublinIreland George Washington university WashingtonDCUSA KK Women’s and Children’s Hospital SingaporeSingapore Department of pediatrics University of Dublin Trinity CollegeDublinIreland Monash university MelbourneAustralia Department of pediatrics Hadassah Hebrew University Medical CenterJerusalem.Israel Food Allergy Referral Centre Veneto Region Padua university Hospital PaduaItaly UCL Great Ormond Street institute of Child Health Great Ormond Street Hospital(GOSH)BRCUniversity College LondonLondonUK Department of pediatrics.Kawasaki medical School Kurashiki-cityJapan Lady Hardinge medical College and Assoc Kalawati Saran Children's Hospital Bangla Sahib MargNew DelhiIndia College of Medicine National Cheng Kung UniversityTainan CityTaiwanChina VITUP International Hospital DalianLiaoningChina China Medicine Education Association Pediatric Committee BeijingChina Department of Respiratory Disease Shenzhen Children's Hospital.ShenzhenChina research Unit of Critical Infection in Children Chinese Academy of Medical Sciences2019RU016National Clinical Rese

Coronavirus disease 2019(COVID-19)remains a global *** of August 18,2021,the number of reported cases has exceeded 207 million globally,with more than 4.3 million ***-19 has brought devastating losses to human *** overall crude mortality rate is 1-3%.Although pediatric deaths from COVID-19 are rare,they do occur,as over 9,000 children have died from COVID-19 globally to date[1].With the gradual and broad application of COVID-19 vaccines around the world,the rising proportion of cases among children and unvaccinated young adults demands *** to World Health Organization surveillance data.

关键词： mortality globally Alliance

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Study of Lipocalin-2 Associated with Neutrophilic Gelatinases (uNGAL) in the Urine in Children with the Microbial Inflammatory Diseases of Kidneys and Urinary Tract

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Journal of Biosciences and Medicines 2015年第12期3卷 19-25页

作者： E. D. Bondarenko A. V. Eremeeva V. V. Dlin A. A. Korsunsky S. B. Orekhova S. Gurbanova Postgraduate Student of the Chair of pediatrics and Children’s Infectious Diseases SBEI HPE I.M. Sechenov First MSMU Flat 7 18/3 Malye Kamenshiki St. Moscow Docent of the Chair of pediatrics and Children’s Infectious Diseases SBEI HPE I.M. Sechenov First MSMU 8/2 Trubetskaya St. Moscow Deputy Director for Science Scientific Research Clinical Institute of Pediatrics N.I. Pirogov Russian National Research Medical University RNRMU 2 Taldomskaya St. Moscow Head of pediatrics and Children’s Infectious Diseases Department SBEI HPE I.M. Sechenov First MSMU 8/2 Trubetskaya St. Moscow Pediatric Department G.N. Speransky City Children’s Hospital № 9 29 Shmitovskiy Passage Moscow medical Plaza Clinic 75A Vagifa Av. Baku Azerbaijan

Purpose of the study: research of the clinical and diagnostic significance of determination of Lipocalin-2 associated with neutrophilic gelatinases (uNGAL) in the urine of children with urinary tract infection (UTI) and pyelonephritis. Materials and methods: We examined 30 children with acute pyelonephritis and UTI aged 1 to 16 years (average age 7.32 ± 4.52) including 26 girls and 4 boys. Verification of the diagnosis was conducted on the basis of clinical and laboratory data, medical history and instrumental examination of patients. All children were divided into 2 groups: 1st group—15 children with acute pyelonephritis, 2nd group—15 children with urinary tract infection. uNGAL was measured in the urine by enzyme-linked immunosorbent assay (EISA) (BioVendor Laboratoty Medicine). Results: It is found, that the urine level of NGAL depends on the damage degree of renal parenchyma. The correlation of medium strength was found between the excretion level of uNGAL during the acute period of pyelonephritis and the detection of renal scars according to the DMSA-nephroscintigraphy data. In the group of children with the acute pyelonephritis the direct correlation of medium strength was found between the excretion level of uNGAL/creatinine and leukocytosis value and also with the CRP blood level. Conclusion: The results allow us to recommend the determination of the excretion level of uNGAL/creatinine as an additional non-invasive marker for the early detection of renal parenchyma injury.

关键词： Lipocalin-2 Associated with Neutrophilic Gelatinases (NGAL) Acute Pyelonephritis Urinary Tract Infection Children

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