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Biomedical subjects

A F Darenkov

Publications and source records attributed to A F Darenkov.

At least 19 recordsLinked to original sources

Liposoluble vitamins E and A in human renal cortex and renal cell carcinomas.

Vitamin E was quantified in renal cell carcinomas (RCC) and in 'intact' renal cortex, obtained from 31 patients subjected either to unilateral nephrectomy or to partial resection of the only kidney. Histologically, 14 tumors consisted predominantly of clear cells (group 1) and 17 of other cell types (group 2). In both groups, a significant increase in vitamin E concentration, as compared to the 'intact' cortex, was observed: 167.8 +/- 27.9 and 68.2 +/- 15.2 micrograms/g wet tissue weight (mean +/- SEM) for groups 1 and 2, respectively, versus 10.1 +/- 0.53 micrograms/g wet tissue weight for the cortex. Although the total lipid content was also increased in tumors (especially in group 1), the vitamin E concentration in tumor tissue, calculated per milligram of total lipids, proved to be much higher in both groups than in 'intact' cortex. A significant positive correlation was observed between vitamin E and total lipid content in group 1 and 2 carcinomas. It was also found that vitamin E accumulation in RCC is unlikely to be attributed to an enhanced lipid deposit in the tumor cells. Thus, in 8 tumors of group 2 the vitamin E levels were markedly enhanced although these tumors did not differ from the cortex in total lipid concentrations. Vitamin A content determined in 17 carcinomas, when calculated per milligram of total lipids, was the same as in 'intact' cortex.

Adult

[Regulation of prostatic growth, pathogenesis of prostatic adenoma and cancer].

This review discusses the molecular mechanism of the regulation of prostate growth, maintenance of the prostate integrity and possible disturbances in these processes leading to the development of prostatic cancer and benign hyperplasia. The role of hormones, growth factors, oncogenes is described in more details. The participation of the angiotensin converting enzyme and renin-angiotensin systems in the regulation of polyamine synthesis in the prostate and the regulation of prostate growth is assumed.

Adult

[Ligenten--a combination drug with anesthetic and antibacterial action for local use in urology and gynecology].

Ligenten gel is a combined dosage form containing gentamicin (a broad spectrum antibiotic), lidocaine (an anesthetic) and ethonium (an antiseptic). The hydrogel sodium carboxymethylcellulose in combination with polyvinylpyrrolidone is used as the ligenten base. The clinical trials in urologic and gynecologic patients showed that ligenten had a high therapeutic efficacy in the treatment of inflammatory diseases, as well as an anesthetic action in instrumental examinations and surgical endoscopic manipulations.

Adult

[Content of vitamins E and A in tumor tissue in kidney cancer].

Vitamin E was quantified in tumor tissue obtained from 17 patients with renal cell carcinoma (RCC). The tumors consisted of two groups: (I) represented primarily by clear cells (10 cases) and (II) without predominant appearance of those cells (7 cases). Vitamin E concentration in tumor tissue was compared with that in intact tissue sites of the kidney. The vitamin content in intact renal medulla was shown to be 1.5 times higher than in intact cortex. Vitamin E level in group I tumors was shown to be on average 15 and 10 times as much as in intact renal cortex and medulla, respectively. The vitamin concentration in group II tumors, as compared with the above intact renal tissues, was 7- and 5-fold higher, respectively. In spite of the high tumor total lipids levels, the vitamin E concentration, calculated per mg total lipids, was still higher in tumor tissue than in the normal renal tissues. This finding was especially demonstrable for the group I tumors. In the benign renal tumor angiomyolipoma vitamin E concentration, calculated on a wet weight basis, was higher than in intact renal tissue, but no differences were observed when a per total lipids calculation was performed. Vitamin A concentration determined in the tumor samples obtained from 6 patients was the same as in intact cortex.

Carcinoma, Renal Cell

[The efficacy of Ligenten gel in the prevention and treatment of infectious-inflammatory diseases of the urogenital organs].

A new therapeutic in the form of a gel named ligenten was studied. The gel active components are lidocain, gentamicin and ethonium. Ligenten was shown to have a marked local anesthetic action when administered transurethrally. As a prophylactic agent the gel was highly active against the majority of the causative agents of renal infections due to cystoscopy, catheterization and bougienage of the urethra. Ligenten provided a sufficient anesthetic effect in transurethral operations but did not prevent superinfection due to the hospital strains. Marked antiinflammatory and reparative actions of the gel especially in the treatment of ulcerous cystitis were observed.

Adult

[Clinical efficacy of cefixime (results of multicenter trials)].

Multicentre trials of cefixime (Cefspan, Fujisawa Pharmaceutical Co., Ltd., Japan) were performed in 1992. The trials involved 137 children and 269 adult patients with inflammatory infections of the respiratory organs and urinary tracts and otorhinolaryngologic affections. Positive clinical and bacteriological results of the trials were stated in 76-90 per cent of the cases. The adverse reactions such as skin eruption and dyspepsia were rare and did not require the specific treatment.

Adolescent

Pathophysiological effects of a limulus amoebocyte-lysate-positive substance during haemodialysis.

The washing solution of a dialyser was collected after recirculation of pyrogen-free water through the blood compartment, and the amount of limulus amoebocyte lysate-(LAL)-positive material was measured. Our study shows that the amount of LAL-positive substance on the cuprophane membrane of DIP-02-02 dialyser (USSR) is 5 times greater than in the case of cuprophane membrane of D2 hollow-fibre dialyser (Fresenius). There appears to be an acute increase (0.1 ng/ml) followed by a decline to normal values of LAL-positive substance concentration in the blood of patients in the first hour of haemodialysis using a DIP-02-02 dialyser. We conjecture that the cause of monocyte activation during haemodialysis is the LAL-positive material of the dialyser membrane, which in turn may induce the activation of lipid peroxidation and the increase of prostaglandin E production. However, it is not possible to exclude the likelihood that the origin of endotoxin-like LAL-positive substances lies in the dialysate.

Adult

[Antimicrobial activity of pefloxacin in comparison with other quinolones].

The antibiotic sensitivity of 338 microbial cultures isolated from patients with inflammatory renal and urinary diseases was studied. 66.3 per cent of the isolates proved to be poly-resistant which corresponded to rurological patient specificity. It was shown that abactal (pefloxacin, LEK, Yugoslavia) had a higher antimicrobial activity than the nonfluorinated quinolones especially against Staphylococci and a lower antimicrobial activity than the fluorinated quinolones in vitro. The abactal sensitivity to Pseudomonas aeruginosa amounted only to 23 per cent which was likely to be due to development of cross-resistance to ofloxacin. 1/3 of the polyresistant isolates were sensitive to abactal. The activity of abactal weakly depended on the medium pH. The MBC was generally no more than 2 MICs.

Anti-Infective Agents

[Inactivation of aminoglycosides by beta-lactams of the penicillin and cephalosporin groups].

Interaction of carbenicillin with kanamycin, gentamicin, tobramycin, and amikacin, as well as that of cefotaxime with the same aminoglycosides were studied. It was shown that carbenicillin inactivated aminoglycosides in a patient's plasma, urine, rH 5.3-8.44, and in buffer solutions, pH 3.7, 7.5 and 9.25. The inactivation level was the least in acid media. The mechanism of the inactivation was elucidated: opening of the carbenicillin beta-lactam ring occurred at the start.

Aminoglycosides

Ultrasonic scanning in the evaluation of scrotal swellings.

Typical ultrasonic images of normal testes, hydrocele and cysts of the epididymis, tumors and inflammatory diseases of the testis and epididymis, and injuries of the scrotal organs obtained in the study of 137 patients are presented. The method is simple, harmless and informative. Grey scale scanning was carried out using a water bath, which gives more complete data on the structure of the testis and its epididymis as compared to routine B-mode scanning. Ultrasonography is a reliable aid to the urologist in the diagnosis of scrotal swellings.

Cysts

Radioisotope studies in the diagnosis of acute complications in the post-transplantation stage.

The possibilities of radionuclide investigations with various labelled compounds (125I- and 131I-hippuran, 99mTc-albumin, 99mTc-DTPA, 99mTc-citrate, 99mTc-calcium gluconate) in the diagnosis of acute complications of the post-transplantation period are discussed on the basis of observations in 105 recipients in whom acute complications arising in different stages of the post-transplantation period required diagnostic differentiation between various syndromes, i.e. renal arterial or venous thrombosis, ureteral occlusion, failure of ureterocystoanastomosis, acute renal failure, infarct, carbuncle or abscess of the transplant, acute rejection, rupture of the transplanted kidney. The sequence of radionuclide studies in the individual syndromes by means of the gamma-camera and computer processing is set down and the value of these methods in the diagnosis of complications arising in the early or late stage of the post-transplantation period are discussed.

Humans