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Biomedical subjects

N B Serebrianaia

Publications and source records attributed to N B Serebrianaia.

At least 19 recordsLinked to original sources

[A syphilis marker study of blood component donors].

Laboratory testing of donor blood is the key point in prevention of hemotransmissive syphilis. The probability of using diagnostic EIA kit RecombiBest antipallidum-strip (AO Vektor-Best, Novosibirsk) is assessed. Ninety-two donor sera were tested. For assessing the sensitivity of the test system, 11 sera of syphilis patients were titrated by double dilutions 1:10 to 1:1280 for each strip. In parallel with this, antibodies to T. pallidum were assessed in the precipitation microtest. EIA proved to be not only highly specific, but more sensitive than precipitation microtest. Antibodies to T. pallidum are detected by EIA in serum dilutions at least two times higher than the minimal titers in the precipitation test. Thus, the above diagnostic kit is recommended for screening of donors of blood and its components.

Antibodies, Bacterial↗

[The Lewis antigen system as a marker of IHD risk].

Prevalence of Lewis antigens and phenotypes has been investigated in 60 healthy donors and 74 patients with ischemic heart disease. It was found that phenotype Le(a-b-) marks high risk and phenotype Le(a-b+) is a resistance marker for development of ischemic heart disease. It would be valid to elucidate relationships between Lewis system and pathogenesis of internal diseases.

Adult↗

[The Epstein-Barr virus in patients with infectious endocarditis].

Serological markers of Epstein-Barr virus (EBV) infection has been investigated in 28 patients with infectious endocarditis. In 75% of patients IgM antibodies to "early" antigen of the virus which are the marker of active viral infection occurred vs 6.2% among healthy blood donors. Specific for infectious endocarditis reaction profile (anti-EBV combination in one person) indicates reactivation of latent viral infection. The conclusion is made on the necessity of further investigation of both the role of EBV in pathogenesis of pyoseptic diseases and immunologic mechanisms for reactivation of latent viral infections.

Antibodies, Viral↗

[The activation mechanisms in cytomegalovirus infection].

Antibodies to cytomegalovirus class IgG and IgM and level of tumor necrosis factor (TNF) in the serum were measured in 81 patients with severe surgical infections. In patients with acute lung abscess TNF level was twice higher and activation of cytomegalovirus infection (specific IgM) was three times more frequent than in patients with infectious endocarditis. The conclusion is made that severe surgical infections inducing progressive immunodeficiency create conditions for activation of latent viral infections, cytomegalovirus, in particular). Recommendations on prevention of hemotransmissible cytomegalovirus infection are presented.

Acute Disease↗

[Determination of the rhesus classification of the blood].

The article describes the new two-stage method of determining of Rh-factor belonging. At the first stage tsoliclon "Anti-D-super" (monoclonic anti-D-antibody class IgM) was used. At the second stage Rh-factor belonging is determined in test-tube, using standard universal reagent for definition Rh-factor RhO (D). Combination of negative results at the first stage with positive ones at the second stage is a sign of partial antigen D, most probably category VI. The persons with partial D are qualified as Rh-positive donors and Rh-negative recipients.

Antibodies, Monoclonal↗

[The immunogenetic status of patients with infectious endocarditis].

On the basis of a deep clinico-immunological examination of 23 patients with septic endocarditis it was established that HLA B35 antigen and haplotype A2-B35 are the most probable markers of the genetic predisposition to the development of infective endocarditis. Immune deficiency is accompanied by a decreased content of T-helpers, decreased activity of natural killers and phagocytic activity of granulocytes. A combination of a genetically determined defect of the immune response with a modification of histocompatibility antigens by infective agents, drugs (narcotics, antigens etc.) and other factors are thought to be of pathogenetic significance in the development of infective endocarditis.

Adolescent↗

[The histocompatibility problem in military blood transfusions].

One of the basic approaches which provides for the increase of immunological safety of hemocomponental therapy is the use of donor-recipient histocompatible blood. The decisive factor in the organism's individuality is HLA-antigen system. Antigen incompatibility of donor's and recipient's tissues in HLA-antigen causes the development of delayed hypersensitivity and sensibilization of the recipient, which provoke a number of complications and posttransfusion reactions. Histocompatibility is the key problem for modern transfusiology and transplantology.

ABO Blood-Group System↗

[The problem of cytomegalovirus infection in military blood transfusions].

The actuality of a problem of cytomegaloviral infection in military transfusiology is substantiated by the increasing number of immunocompromised recipients, mass use of hemocomponent therapy in prophylaxis and correction of anemia, thrombohemorrhagic and immunodeficient syndromes. Cytomegaloviral infection in the recipients of hemocomponents may have unfavourable consequences, such as the development of mononucleosis, enhanced sensitivity to opportunistic infectious agents as a result of virus-induced immunodepression, graft rejection, risk of the development of oncologic diseases, atherosclerosis, disorders in the processes of reparation and regeneration. In the northwestern part of Russia the cytomegaloviral antigens are disclosed in 65-75% of men, age 18-23. Actual tasks are the following: put into practice cytomegaloviral antigens test for donors, make a wide use of effective leukocytic filters for leukocyte removal from hemotransfusional medium, minimize posttransfusion immunosuppression, determine recipients who need transfusions of hemocomponents prepared from seronegative donors.

Adolescent↗

[The hepatitis C problem in transfusions in military medicine].

The article contains data on viral hepatitis C, its etiological factor, epidemiology, methods of diagnosis and prophylaxis. It's high time to conduct 100% screening control of donors for viral hepatitis C antibody, using national test system of fermental analysis. The authors worked out the method of "dry drop" to study the serum for hepatitis C virus antibody.

Blood Donors↗

[Immunoenzyme analysis of the Willebrand factor using monoclonal antibodies].

A method for measuring Willebrand's factor protein has been developed, based on indirect solid-phase enzyme immunoassay with Soviet monoclonal antibodies to this factor. Normal Willebrand's factor level in the plasma has been found 55-161 percent. The method has been tried in patients with Willebrand's disease and with oncologic diseases.

Antibodies, Monoclonal↗

[Specific and substitute markers of hepatitis C in screening donor blood].

The efficacy of specific and substitute markers of hepatitis C was compared in donor blood screening. 2615 blood donors were examined using two EIA kits for detection of HCV antibodies. The presence of nonspecific markers of non-A non-B hepatitis was also checked. 1.3% of the donors were found to carry HCV antibodies. This necessitates donor blood testing for anti-HCV antibodies using EIA. Such measure reduces three-fold the risk of the virus transmission with blood components and preparations. The preference should be given to more sensitive test systems of the second generation, whereas less sensitive, but more specific, test systems are more valuable for accurate diagnosis and treatment effects assessment in HCV infection. It would be appropriate to perform compulsory examinations for HCV infection in medical staff. This will entail efforts on development of the infection diagnostic verification criteria and preventive measures.

Biomarkers↗

[Optical properties of Compoplast 300 polymer containers].

The paper presents the results of investigations into the spectral wall transmission ratio of Compoplast 300 containers, which have been made on a SF-46 spectrophotometer in a wavelength of 190 to 1100 nm. It is concluded that it should be borne in mind the fact that a part of radiation is absorbed by the container walls while developing the photomodification conditions of hemocomponents. The authors emphasize that the manufacture of hemocontainers made from the polymer materials which have a high ultraviolet radiation transmission ratio is very promising.

Blood Preservation↗