Publications by authors named "Tsibul'kin A"

The article analyzes the results of evaluation of diagnostic value of enzyme-linked immunosorbent assay for detection of antituberculosis antibodies with purpose to diagnose tuberculosis of lungs separately in groups of both HIV-positive and HIV-negative persons. A moderate diagnostic value of enzyme-linked immunosorbent assay is established under screening for tuberculosis of lungs in HIV-negative patients. The evidence of reliability of results depended mainly of actual form of tuberculosis of lungs.

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The clinical and hematological manifestations and functional state of the immune system were comparatively evaluated in patients with concomitant HIV/tuberculosis (TB) infection (n = 84) and in those with HIV infection without tuberculosis (n = 106). The course of concomitant HIV-TB infection was ascertained to differ from HIV monoinfection in a diversity of additional exposures that aggravated the patients' general condition. These included: the parameters of a long proceeding inflammatory process, which were accompanied by the signs of the infection-toxic syndrome, inflammatory changes in the hemogram, by a sharp stimulation of the nonspecific link of immunity.

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The paper presents the results of studying the time course of changes in tuberculosis antibodies by enzyme immunoassay (EIA) and immune blotting (IB) in 34 patients with pulmonary tuberculosis. In 76.5% of cases, EIA were established to reveal tuberculosis antibodies whose concentration is most pronounced in lung tissue destruction.

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Aim: To ascertain clinical and laboratory signs of immune disorders in patients with rheumatoid arthritis (RA), their healthy blood relatives and healthy females without autoimmune disease family history.

Material And Methods: Immune status was studied in 66 RA patients, their 56 female relatives of the first and 10 female relatives of the second degree of kinship, 63 healthy females without family history of autoimmune disorders. Immune response was assessed conventionally.

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This paper reviews one of the complicated problems of the anatomy of the autonomic nervous system--the structure of human ciliary ganglion (CG). The literature data as well as the results obtained by the department and personally by the authors, are analyzed in three aspects: (a) human CG external structure and topography; (b) CG anatomy in animals and (c) characteristic of neurocytes of human and animal CG. The evidence indicating the absence of sympathetic root in both humans and animals, is presented.

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Xymedone produced therapeutic effect in patients with atopic bronchial asthma. The drug action was manifested by a decrease in the IgE level and an increase in gamma-interferon level. Adding xymedone to lymphocytes cultivated with phytohemagglutinin revealed stimulating action of this drug on the delayed-type hypersensitivity.

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A modification of von Willebrand' factor/ristocetin cofactor activity test is proposed. Agglutination of formalin-treated platelets is monitored in the aggregation analyzer from changes in the light transmission in the specimen. The test is sensitive and reproducible.

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It was demonstrated in experiments on guinea pigs that a 30 mg/kg dose of ximedon changes the content of SH-groups in immunocompetent cells depending on the duration of drug administration and the organ to which the cells under test belong. Maximum increase of the SH-groups was recorded in the thymocytes. The dynamics of changes in Ca(2+)-ATPase activity repeated the fluctuations in the SH-group content in the splenic and bone marrow cells.

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Experiments with guinea pig immunocompetent cells and nonadherent and adherent mononuclear fractions of the peripheral blood of healthy donors, and patients with rheumatoid arthritis and purulent surgical infection disclosed different levels of Ca(2+)-ATPase activity. Thymectomy in adult guinea pigs led to diminution of activity of the enzyme in all lymphoid organs. The effect of ximedon (30 mg/kg) on Ca(2+)-ATPase activity depended on the thymus and duration of treatment with the drug, and was of a two-phase character.

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As many as 105 patients with rheumatoid arthritis were examined for function of tissue and circulating neutrophils. The effect of serum factors on the nature of inflammation and synovial fluid was estimated both in the joint and in the focus of aseptic inflammation. The defense mechanisms of regulating inflammation, different trends in the effects of serum and synovial fluid on cell migration and oxygen metabolism were revealed, relations between the phenomena under study and the disease activity and local inflammation were defined.

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Heparin elevates the level of NBT-positive monocytes in donors and patients with osteoarthrosis deformans and rheumatoid arthritis. Patient's rheumatoid arthritis cells were found the most sensitive to heparin. Excessive heparin-dependent activity of monocytes in this case reflects the activity of the rheumatoid process, the NBT test with heparin being more sensitive in the diagnosis of disease activity than measurement of red cell sedimentation rate or of blood C-reactive protein, gamma- and alpha 2-globulin levels.

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The role of the kinin system in the development of extra- and intracerebral complications in the acute period of severe craniocerebral trauma was studied from complex clinical and biochemical examination. The authors substantiate the expediency of applying corrective antiproteolytic therapy, in which case the predominant trend of its action--inhibition of kinin production in the vascular bed or on the tissue level--must be taken into account. The time, duration, and methods of Contrykal administration were developed.

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Single injection of hydrocortisone to guinea-pigs provoked a remarkable transitory T-lymphocytopenia with transition of T- lymphocytes into the bone marrow during the early stages. On the contrary, the content of B-lymphocytes in the peripheral blood gradually rose and exceeded the normal level twice as much by the end of the first day. Histological analysis did not reveal any signs of massive destruction of lymphocytes.

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Experiments on formation of circulatory immune complexes followed by activation of the complement components were made on sensitized guinea-pigs after intravenous injection of human gamma-globulin as specific antigen. epsilon-Aminocaproic acid did not affect the formation of circulatory immune complexes but significantly inhibited complement activation. Contrykal did not alter the formation of the immune complexes but slightly inhibited activation of the complement components.

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The effect of testosterone-propionate on the lymphoid tissue and humoral immunological response to SRBC was studied in 224 golden hamsters of both sex. The hormone was injected intramuscularly in a dose of 1 and 5 mg every other day (a total of 10 injections). Testosterone caused thymus atrophy, hypoplasia of the spleen, reduction of the absolute B lymphocyte count in the bone marrow, forming cell count and a fall of the serum hemolysin titre in the immunized animals.

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Comparative study of the activity dynamics of the components of the kallikrein-kinin system in portions of blood flowing to the brain and draining from it and in the cerebrospinal fluid was carried out in 26 patients with a severe craniocerebral trauma. It was found that activation of the system is displayed by a considerable increase in spontaneous esterase activity, a fall in the activity of kallikrein inhibitors, and a decrease in the content of prekallikrein and kininogen. The degree of activation depends on the severity of the lesion, reaches the maximum level by the 3rd--4th day of the development of the pathological process, and is manifested most fully in blood draining from the brain.

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