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Goltsov Sergey
I serve the art of medical doubt

METHOD FOR DETERMINING SUBPOPULATION COMPOSITION OF SKIN CELLS AND OBTAINING SKIN CYTOIMMUNOGRAM

FIELD: medicine.

SUBSTANCE: method for determining the subpopulation composition of skin cells and obtaining the skin cytoimmunogram comprises sampling a skin biopsy specimen to a depth of 2 mm, homogenizing the tissue in a 0.9% aqueous solution of sodium chloride at a temperature of +23…+25°C, extracting the homogenate, filtering the homogenate through an inert filtering partition with a pore diametre of 20 mcm, centrifuging the homogenate at 400 g for 5 minutes at a temperature +23…+25°C. After centrifugation, the viability of the skin cells is determined, the skin cells are incubated for 20 minutes with monoclonal antibodies fluorochrome-labeled for flow cytometry, phenotyping of the skin cells is carried out, the number of skin cells of a specific phenotype - skin cytoimmunogram - are determined: keratinocytes CD49f+, among them activated CD49f+HLA-DR+; fibroblasts (fibrocytes) CD45-CD14-CD44+, among them activated CD45-CD14-CD44+CD80+; mast cells CD249+, among them activated CD249+CD63+; monocytes (macrophages) CD45+CD14+, among them activated CD45+CD14+HLA-DR+; intra-epidermal macrophages CD207+, among them activated CD207+CD80+, CD207+HLA-DR+, CD207+CD80+HLA-DR+; endothelial cells CD146+, among them activated CD146+CD34+, CD146+HLA-DR+, CD146+CD54+, CD146+CD54+HLA-DR+; lymphocyte populations: T-lymphocytes CD45+CD3+, T-helpers CD45+CD3+CD4+CD8-, T-suppressors CD45+CD3+CD4-CD8+, B-lymphocytes CD45+CD3-CD19+, NK-lymphocytes CD45+CD3-CD16+CD56+.

EFFECT: application of this method allows to make a quantitative and functional characteristic of all the skin constituent elements for use in diagnosis.

 

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Is the patient rather alive than dead?
Is the patient rather alive than dead?

Recently I have been asked this question.

This has made me ponder. As you know only dead people do not perspire… If this question has been asked, if it concerns somebody including me and if my feelings give rise to new thoughts then he is rather alive. From the perspective of the doctor stating the facts of the patients being discontent of the quality of the medical care provided he may be dead!

But as the woman cannot be just a little bit pregnant then a person cannot be half or partly alive or dead. Besides ...

Волшебный сюрреализм Копакабаны

Что это? What’s happened?
It’s incredible! Es increíble! – хотелось прокричать на всех языках каждый миг этого дня, потому как поверить в случившееся сложно.

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The article makes it clear that the problems of public health service are strategic in nature. That is why only tactical strategic decisions on its development can significantly influence such basic indicators as the sickness rate, the life-span and the ability to work of the population. The conceptual nature of public health service, substantiating the necessity of its conceptual restructuring, is revealed. The scenario of public health service innovative upgrade based on the conceptual technologies, taking into account of the system approach and the cultural context in their inseparability is suggested.

Keywords: Public health care, conceptual restructuring, innovative scenario, system approach, the cultural context

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The creation of fertile innovative ecological environment in the country is constrained by barriers of a conceptual nature. The article identifies four groups of such barriers. The authors propose a strategy for overcoming them based on a comparison of functions necessary for the innovative development of social practices and the natural mechanisms of a new life birth. This allows us to formulate a number of pragmatic recommendations for creating an innovative eco-environment for a wide range of industries. By analogy with natural dynamics of obstetrics, the approach is called placental

Keywords: Innovation, innovation infrastructure, acceleration, eco-environment, placenta, development.