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Biomedical subjects

V S Shirinskiĭ

Publications and source records attributed to V S Shirinskiĭ.

At least 19 recordsLinked to original sources
PubMed2004

[Clinical and immunological characteristics of primary and secondary antiphospholipid syndrome].

A prospective study was made of 93 patients with antiphospholipid syndrome (APS), including 34 patients with primary APS (PAPS) and 59 with secondary APS (SAPS) associated with exanthematous lupus erythematosus (ELE). According to the clinical outcomes, PAPS is heterogeneous since the clinical and laboratory signs of ELE or lupus-like syndrome occurred in two thirds of the patients with PAPS. The clinical manifestations of PAPS and ELE-associated SAPS differed at the height of disease: the signs of vascular diseases were prevalent in patients with PAPS and ELE-associated systemic manifestations were predominant in those with SAPS. In the patients with APS who further developed ELE, unlike those with PAPS showed a high incidence of transient erythema and arthralgias. The levels of serological markers in patients with APS at its height did not differ. As compared with healthy individuals, patients with APS were found to have the similar changes in the nonspecific immunological parameters manifested by absolute lymphopenia, by the diminished Fc-phagocytosis of monocytes and neutrophils, by the elevated levels of circulating immune complexes, and by the high biocidal activity of neutrophils. There were no significant differences in the immunity of patients with PAPS and in those with SAPS.

Adolescent↗
PubMed2004

[Results of Befnorin clinical trails in healthy volunteers].

Clinical trails of Befnorin based on the human recombinant TNF-beta elaborated at the Research Design and Technology Institute of Biologically Active Substances, "Vector" State Research Center of Virology and Biotechnology, were carried out on healthy volunteers in compliance with a decision passed by the Committee of Medical and Immunobiological Preparations, Russia's Health Ministry. Single Befnorin doses of 5-10(4) U, 10(5) U, 5-10(5) U, and 10(6) U were administered as intramuscular injections. Clinical, biochemical and immunological parameters were registered for 7 days after a single dose. The drug had an impact on the below immunity indices: Fc-phagocytosis of monocytes, migration index and migration inhibition index. The dose of 10(5) U was proven to be most effective and safe. Supposedly, the drug can be effective in the treatment of herpetic diseases.

Adjuvants, Immunologic↗
PubMed2002

[Nerve regulation of the heart rhythm in patients with chronic inflammation].

AIM: To study nervous regulation of cardiac rate variability (CRV) in patients with chronic inflammation (CI). MATERIAL AND METHODS: The computer version of CRV assessment was used in the study of 79 CI patients and 40 healthy controls. RESULTS: Nervous regulation of cardiac rhythm in CI patients at rest is characterized with imbalance of autonomic nervous system functions: potent sympathetic effects and weak parasympathetic effects in patients with herpes simplex virus infection; stability of parasympathetic influences with sympathetic variability in patients with chronic bronchitis. Using the emotional and physical tests it was found that there is a deficiency of sympathetic effects in patients with chronic bronchitis and parasympathetic dysfunction in patients with HSV infection. CONCLUSION: It is thought valid to include vegetotropic drugs in therapy of patients with chronic inflammation.

Adaptation, Physiological↗
PubMed2002

[Nerve regulation of cardiac rhythm in rheumatoid arthritis and multiple sclerosis patients].

AIM: To study nervous regulation of cardiac rhythm (CR) in patients with rheumatoid arthritis (RA) and multiple sclerosis (MS). MATERIAL AND METHODS: Nervous regulation of cardiac rhythm was studied in 57 patients with RA and MS vs 40 healthy subjects. RESULTS: It was found that nervous regulation of CR in RA and MS patients at rest is characterized by imbalance of functions of the autonomic nervous system with enhancement of ergotropic effects in patients with RA and deficiency of trophotropic impacts in growing ergotropic component in patients with MS. Stress tests led to dysfunction of CR central regulation with disturbed activity of the subcortical nervous centers (SNC) and autonomic maintenance of the processes, were characterized in emotional stress by insufficient activity of SNC and enhancement of parasympathetic effects in RA patients, hyperactivation of SNC with intensification of sympathetic impacts in MS patients manifesting in destabilizing effect of the sympathetic nervous system in both groups of patients. CONCLUSION: The findings should be taken into consideration when vegetotropic drugs are used in the treatment of RA and MS patients.

Adult↗
PubMed2001

[Normobaric hypoxy-therapy of patients with bronchial asthma].

Conventional drug therapy for moderate atopic or mixed bronchial asthma was combined with normobaric hypoxytherapy (NBHT) in 32 patients (a course of 10 sessions) and was not combined in 20 control patients. Clinical results show that NBHT enhances response to conventional therapy of moderate bronchial asthma as confirmed by a significant relief of the clinical symptoms, by a significant rise of volumic and flow parameters of external respiration function, a fall in the number of CD 20+ B cells, low level of serum IgE, increased number of phagocyting neutrophils and cells carrying erythroblast antigen in peripheral blood.

Adult↗
PubMed2000

[Immune status of patients with chronic bronchitis and neurocirculatory asthenia].

AIM: To study changes in immune system of patients with various forms of chronic bronchitis (CB) and neurocirculatory asthenia (NCA). MATERIAL AND METHODS: Neurological and immunological examinations were made in 84 patients with CB exacerbation and 51 control subjects. RESULTS: It was found that 60% of CB patients had NCA. No negative effects of NCA on immune system in CB patients were registered. Suppression of immune system and secondary immunodeficiency occurred more frequently in CB patients without signs of NCA. 40% of CB patients had vagotonic NCA in which immunological disorders manifested most clearly. CONCLUSION: Vegetative disorders in CB patients do not affect immunological system. Functional testing of autonomic nervous system is suggested for prediction of immune system condition.

Adult↗
PubMed1999

[Characteristics of secondary immunodeficiency in patients with neurocirculatory dystonia].

AIM: Investigation of clinical-laboratory parameters of secondary immunodeficiency (SID) in patients with neurocirculatory dystonia (NSD). MATERIALS AND METHODS: Vegetative and immunological statuses were assessed in 104 males aged 30 to 57 years with NSD exposed to 0.01-0.1 Gy radiation after the Chernobyl accident. RESULTS: The patients were diagnosed to have SID the types and forms of which differed with NSD type. Symptoms of SID were evident in 29, 18, 13 and 83% of patients with mixed, hypotonic, hypertonic NSD, NSD without somatic disorders, respectively. CONCLUSION: As 85% of the examinees had SID, it is necessary to treat NSD with immunomodulation adjusted to each NSD type.

Adjuvants, Immunologic↗
PubMed1999

[Changes in functional activity of blood neutrophils in pollenosis patients: effects of specific immunotherapy].

AIM: The study of effective and regulatory functions of neutrophilic granulocytes in patients with pollenosis exacerbation, correction of the impaired neutrophil function with standard treatment and specific immunotherapy (SIT). MATERIALS AND METHODS: The study included 103 healthy donors (controls) and 122 patients with pollenosis aggravation. 69 of the latter received symptomatic treatment. 53 patients received preseasonal SIT with water-salt extracts of the pollen allergens. RESULTS: The untreated pollenosis patients had hyperproduction of interleukin-1 (IL-1) by nonstimulated blood neutrophils associated with elevation of NBT-reduction and lowering of phagocytic activity in decreasing count of Fc- and Ca-receptors. Effective SIT produced recovery of phagocytic activity, the number of Fc- and Ca-receptors, IL-1-activity of cell supernatants. CONCLUSION: One of the SIT targets in pollenosis patients is neutrophilic granulocytes.

Adolescent↗
PubMed1999

[The immune status characteristics of patients with autonomic disorders].

The state of immune system was examined in 133 patients with different clinical variants of vegetovascular dystonia (VVD). The following disorders were found: T-lymphopenia, increased concentrations of immunoglobulins A and M, elevated functional activity of monocytes in peripheral blood. The most pronounced T-lymphopenia was found in patients with vagoinsular form of VVD. The signs of secondary immunodeficiency were observed in patients with autonomic dysfunction. Their frequency and structure depended on the type and form of VVD. The most frequent laboratory signs of secondary immunodeficiency were registered in sympathoadrenal VVD form without clinical signs of somatic pathology.

Adult↗
PubMed1998

[Seasonal changes of secondary immunodeficiency in patients with vascular dystonia].

The examination of 60 patients with vascular dystonia (VD) and immunological disorders shows that secondary immunodeficiency is not a stable condition. It is associated with seasons of the year and VD variants. Secondary immunodeficiency is more pronounced in winter. A correlation exists between mixed vegetative vascular dystonia and combined T-lymphocyte secondary immunodeficiency in winter. The findings may help in planning immunotherapy in "critical seasons" for patients with vegetative disorders.

Adult↗
PubMed1993

[The problem of secondary immunodeficiencies in patients with chronic bronchitis].

The paper concerns the problem of secondary immunodeficiency (SID) in chronic bronchitis (CB) patients. Clinical and laboratory criteria of SID are suggested with clinical illustrations covering 57 cases. SID was diagnosed in 80.7% of the examinees and was associated with reduced quantitative and functional parameters of T-lymphocytes, imbalance in subpopulations of regulatory T-lymphocytes. Observations of the patients during their treatment with immunostimulants showed the changes to be reversible, accompanied frequently with parallel rise in serum immunoglobulins, circulating immune complexes.

Antibody Formation↗
PubMed1992

[Immunological disorders in different clinical variants of rheumatoid arthritis].

The authors present the current data on the disorders of immune functions in patients suffering from rheumatoid arthritis (RA). Provide evidence for the pathogenetic heterogeneity of the known clinical patterns of RA, mainly seronegative and seropositive varieties, with special reference to the differences in the lowering of the activity of nonspecific T suppressors, to the influence of the factor of necrosis of alpha-tumor and alpha- and beta-interferons on B lymphocyte proliferation, and to the effects of synovial exudate from seropositive and seronegative patients. Demonstrate the results of integral estimation of the disorders of several characteristics of the immune system in RA patients with the use of the image recognition program. It is concluded that the clinical polymorphism of RA is specified by the pathogenetic heterogeneity of the disease based on varieties of combined normal and altered functions of different components of the immune system.

Arthritis, Rheumatoid↗
PubMed1991

[Dependability of the immune system and the problem of secondary immunologic deficiency].

Based on the own materials and reported data the author defines the reliability of the immune system, regards possible mechanisms that ensure the reliability. Acquired immunodeficiency is viewed as the result of a decrease of the reliability of the immune system. The author defines the acquired immunodeficiency syndrome, bases the clinical and laboratory criteria for diagnosing the acquired immunodeficiency syndrome. Describes the principles of the treatment of the acquired immunodeficiency syndrome.

Humans↗