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Efficacy of surgical treatment of patients with strictures of the bulbomembraneous portion of the urethra by R. Turner-Warwick in G. Webster modification was studied in 30 patients operated in 2008-2009. Efficacy of the operation was assessed by uroflowmetry and urethrography findings. Follow-up covered 3 to 20 months (median 10 months). Posttraumatic urethral strictures arose after car accident in 89% cases. Mean length of the destruction defect was 2.7 cm (1.5-5.5 cm). Efficacy of surgical treatment reached 96.7%. Erectile dysfunction due to the operation developed in 2 of 23 (8.6%) patients. Thus, urethroplasty by Turner-Warwick in Webster modification is effective and safe in the treatment of posttraumatic strictures of the posterior urethra and can be used widely in specialized centers for urethral surgery.

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The investigation included 98 patients with the level of prostate specific antigen (PSA) of blood serum from 0 to 10 ng/ml and with the diagnosis confirmed by the systemic 12-points prostate biopsy. The data obtained clearly show that the PSA density of the transition zone is a potentially true predictor for the early prostate cancer diagnosis in patients with low and middle PSA level (from 0 to 10 ng/ml). When the threshold level of the PSE density in the transition zone is 0.35 ng/ml/cc, its sensitivity and specificity are higher than these indices for the PSA density.

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Low specificity of PSA for early diagnosis of prostate cancer (PC) is the cause of search for new tests. The aim of our study was to develop the logistic regression model and estimate the value of the regression equation as a diagnostic tool for prostate cancer detection. A total of 518 male patients aged 47-83 years (mean 65.5 +/- 6.5 years) who had undergone TRUS-guided 12-core systematic transrectal prostate biopsy were included in the study. PC detection rate in our study was 43.8%. The logistic regression model with PC detection as a response and age, prostate volume, PSA, induration on DRE and hypoechoic lesion on TRUS as effects was designed. With regression equation PC probability for any patient was calculated. The regression equation was tested as a PC diagnostic tool. As the combination of model effects (chi-square 87.9; p < 0.0001; R2 = 0.124) any of the effects independently may predict prostate cancer detection. The obtained regression equation is: P(Pca) = 1/{1 + 2.718(-[-4.029 + (0.068 x AGE) + (0.022 x PSA) + (-0013 x PROSTATE VOLUME) + (0.375 x DRE) + (0.254 x TRUS)])} Accuracy (area under ROC-curve) of our regression equation as a PC detection diagnostic tool was 73%. Probability cutoff of 0.26 leads to sensitivity of 90% and specificity of 30% and eliminates 12% of unnecessary biopsies in patients with benign prostate diseases (chi-square 10.91; p < 0.0001). Thus, the obtained logistic regression equation may be used as a PC diagnostic tool in the suspects. Multicenter trial may improve regression equation diagnostic performance.

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Changes in the level of heat shock proteins (HSP) in cells of freshwater protists, amoebae Amoeba proteus and ciliates Paramecium jenningsi, in response to changes in the environmental salinity were investigated. Changes in salinity levels were considered as a stress factor. The immunoblotting method revealed a polypeptide antigen cross-reacting with antibodies against bovine HSP70 in total protein extracts of both intact cells and cells subjected to salinity stress. The same polypeptide antigen was revealed in A. proteus cells subjected to heat shock. Therefore, it may be supposed that the polypeptide revealed after salinity shock is a heat shock protein related to the vertebrate HSP70. Under the impact of stress factor, well acclimated protists mostly spend their own previously accumulated HSP70. A conclusion is made that freshwater protists, living under conditions of increased salinity, appear to be preadapted to changes in environmental factors.

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Prostate biopsy specimens from 64 patients were studied. In most cases with minimal prostate adenocarcinoma, the tumor was limited by the organ and of moderate malignancy.

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The method is proposed for minimizing loss of material of needle biopsy of the prostate by means of a container during fixation. This allous (1) saving all the fragments, (2) to increase the surface of the material in the micropreparation and (3) to put into one paraffin block several columns and thus to decrease the cost of histological study.

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The BASP1 protein is one of the acidic (pI 4.3-4.6) acid-soluble brain proteins; it is predominant in growth cones and presynaptic regions of neurons. This group also includes GAP-43/B-50 neuronal protein. However, primary structures of BASP1 and GAP-43/B-50 are different. Hydrophobicity of BASP1 protein is due to N-terminal myristic acid residue. BASP1 molecules purified from various animal species possess significant regions of homology; however, polyclonal antibodies raised against BASP1 from various species were species-specific. Hence, BASP1 molecules of various animals species include specific antigenic determinants located outside of the homology regions. Apart from brain, BASP1 was detected in several other tissues including lymphoid organs (spleen, thymus), kidney, and testis. Physico-chemical characteristics of brain BASP1 (myristoylation, pI, and isoforms) were identical with the proteins from other tissues. This suggests that BASP1 can have similar functions in various tissues.

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