67 results on '"Stefanova T"'
Search Results
2. POS0563 INFLUENCE OF ACTIVE VERSUS PLACEBO CONTROL ON TREATMENT RESPONSES IN RANDOMIZED CONTROLLED TRIALS IN RHEUMATOID ARTHRITIS
- Author
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Stimakovits, N. M., primary, Kerschbaumer, A., additional, Smolen, J. S., additional, Stefanova, T., additional, Chwala, E., additional, and Aletaha, D., additional
- Published
- 2022
- Full Text
- View/download PDF
3. Prevalence of Childhood Obesity by Country, Family Socio-Demographics, and Parental Obesity in Europe: The Feel4Diabetes Study
- Author
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Moschonis, G. Siopis, G. Anastasiou, C. Iotova, V. Stefanova, T. Dimova, R. Rurik, I. Radó, A.S. Cardon, G. De Craemer, M. Lindström, J. Moreno, L.A. De Miguel-Etayo, P. Makrilakis, K. Liatis, S. Manios, Y.
- Abstract
The Feel4Diabetes study recruited 12,193 children (age: 8.20 ±1.01 years) and their parents from six European countries as part of the broader attempt to prevent type 2 diabetes. The current work collected data pre-intervention to identify the prevalence of childhood obesity by country and describe its association with socio-demographic characteristics and parental obesity status. One in four children were overweight or obese, and one in four families had at least one obese parent. Multivariate logistic regression examined the associations between childhood obesity, family socio-demographics, and parental obesity status. Children had a higher chance of being overweight or obese if they were living in “low income” countries (OR: 2.11, 95% CI: 1.62, 2.74) and countries “under economic crisis” (OR: 2.48, 95% CI: 1.89, 3.24) compared to “high-income” countries; if their fathers completed fewer than nine years of education (OR: 2.16, 95% CI: 1.54, 3.05) compared to children whose fathers had a higher level (>14 years) of education; and if one (OR: 2.46, 95% CI: 0.32, 0.62) or both of their parents (OR: 6.83, 95% CI: 5.15, 9.05) were obese. Future childhood obesity prevention-programs should target the whole family while taking into consideration the socioeconomic and weight status of parents. Future research should examine these associations in more countries and in socio-demographically diverse populations in order to facilitate the generalisability of the present study’s findings. © 2022 by the authors. Licensee MDPI, Basel, Switzerland.
- Published
- 2022
4. Step Count Associations between Adults at Risk of Developing Diabetes and Their Children: The Feel4Diabetes Study
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Flores-Barrantes, P. Cardon, G. Iglesia, I. Moreno, L.A. Androutsos, O. Manios, Y. Kivelä, J. Lindström, J. De Craemer, M. Schwarz, P. Makrilakis, K. Annemans, L. Ko, W. Karatzi, K. Moschonis, G. Kanellakis, S. Mavrogianni, C. Tsoutsoulopoulou, K. Katsarou, C. Karaglani, E. Qira, I. Skoufas, E. Maragkopoulou, K. Tsiafitsa, A. Sotiropoulou, I. Tsolakos, M. Argyri, E. Nikolaou, M. Vampouli, E.-A. Filippou, C. Apergi, K. Filippou, A. Katerina, G. Dimitriadis, E. Laatikainen, T. Wikström, K. Valve, P. Levälahti, E. Virtanen, E. Pennanen, T. Olli, S. Nelimarkka, K. Van Stappen, V. Huys, N. Willems, R. Shadid, S. Timpel, P. Liatis, S. Dafoulas, G. Lambrinou, C.-P. Giannopoulou, A. Karuranga, E. Civeira, F. Bueno, G. De Miguel-Etayo, P. González-Gil, E.M. Miguel-Berges, M.L. Giménez-Legarre, N. Ayala-Marín, A.M. Seral-Cortés, M. Baila-Rueda, L. Cenarro, A. Jarauta, E. Mateo-Gallego, R. Iotova, V. Tankova, T. Usheva, N. Tsochev, K. Chakarova, N. Galcheva, S. Dimova, R. Bocheva, Y. Radkova, Z. Marinova, V. Bazdarska, Y. Stefanova, T. Rurik, I. Ungvari, T. Jancsó, Z. Nánási, A. Kolozsvári, L. Semánova, C. Bíró, É. Antal, E. Radó, S. Martinez, R. Tong, M. Feel4Diabetes Study Group
- Subjects
education - Abstract
Background: Shared risk factors of type 2 diabetes mellitus (T2DM) between parents at risk and their children, such as low physical activity levels, should be addressed to prevent the development of the disease. The aim of this study was to determine the association of objectively measured step counts per day between parents at risk of developing T2DM and their 6- to 10-year-old children. Methods: The baseline data from the Feel4Diabetes study were analyzed. Dyads of children and one parent (n = 250, 54.4% girls and 77.6% mothers) from Belgium were included. Step counts per day during 5 consecutive days from parents and their children were objectively measured with ActiGraph accelerometers. Results: Adjusted linear regression models indicated that parents’ and children’s step counts were significantly associated during all days (β = 0.245), weekdays (β = 0.205), and weekend days (β = 0.316) (P ≤ .002 in all cases). Specifically, mother–daughter associations during all days and weekend days and father–son step counts during weekdays and when considering all days were significant. Conclusion: There is a positive association between step counts from adults at risk of developing T2DM and their children, especially in the mother–daughter and father–son dyads. © 2021 Human Kinetics, Inc.
- Published
- 2021
5. Feel4Diabetes healthy diet score: Development and evaluation of clinical validity
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Virtanen, E. Kivelä, J. Wikström, K. Lambrinou, C.-P. De Miguel-Etayo, P. Huys, N. Vraukó-Tóth, K. Moreno, L.A. Usheva, N. Chakarova, N. Rado, S.A. Iotova, V. Makrilakis, K. Cardon, G. Liatis, S. Manios, Y. Lindström, J. Manios, Y. Cardon, G. Lindström, J. Schwarz, P. Makrilakis, K. Annemans, L. Garamendi, I. Karatzi, K. Androutsos, O. Moschonis, G. Kanellakis, S. Mavrogianni, C. Tsoutsoulopoulou, K. Katsarou, C. Karaglani, E. Qira, I. Skoufas, E. Maragkopoulou, K. Tsiafitsa, A. Sotiropoulou, I. Tsolakos, M. Argyri, E. Nikolaou, M. Vampouli, E.-A. Filippou, C. Apergi, K. Filippou, A. Katerina, G. Dimitriadis, E. Laatikainen, T. Wikström, K. Kivelä, J. Valve, P. Levälahti, E. Virtanen, E. Pennanen, T. Olli, S. Nelimarkka, K. Van Stappen, V. Huys, N. Willems, R. Shadid, S. Timpel, P. Liatis, S. Dafoulas, G. Lambrinou, C.-P. Giannopoulou, A. Rabemananjara, L. De Sabata, M.S. Ko, W. Civeira, F. Bueno, G. De Miguel-Etayo, P. Gonzalez-Gil, E.Mª. Miguel-Berges, M.L. Giménez-Legarre, N. Flores-Barrantes, P. Ayala-Marín, A.M. Seral-Cortés, M. Baila-Rueda, L. Cenarro, A. Jarauta, E. Mateo-Gallego, R. Iotova, V. Tankova, T. Usheva, N. Tsochev, K. Chakarova, N. Galcheva, S. Dimova, R. Bocheva, Y. Radkova, Z. Marinova, V. Bazdarska, Y. Stefanova, T. Rurik, I. Ungvari, T. Jancsó, Z. Nánási, A. Kolozsvári, L. Semánova, C. Bíró, É. Antal, E. Radó, S. Martinez, R. Tong, M. Feel4Diabetes research group
- Abstract
Background: The aim of this paper is to present the development of the Feel4Diabetes Healthy Diet Score and to evaluate its clinical validity. Methods: Study population consisted of 3268 adults (63% women) from high diabetes risk families living in 6 European countries. Participants filled in questionnaires at baseline and after 1 year, reflecting the dietary goals of the Feel4Diabetes intervention. Based on these questions the Healthy Diet Score was constructed, consisting of the following components: breakfast, vegetables, fruit and berries, sugary drinks, whole-grain cereals, nuts and seeds, low-fat dairy products, oils and fats, red meat, sweet snacks, salty snacks, and family meals. Maximum score for each component was set based on its estimated relative importance regarding T2DM risk, higher score indicating better quality of diet. Clinical measurements included height, weight, waist circumference, heart rate, blood pressure, and fasting blood sampling, with analyses of glucose, total cholesterol, HDL-cholesterol, LDL-cholesterol, and triglycerides. Analysis of (co) variance was used to compare the Healthy Diet Score and its components between countries and sexes using baseline data, and to test differences in clinical characteristics between score categories, adjusted for age, sex and country. Pearson's correlations were used to study the association between changes from baseline to year 1 in the Healthy Diet Score and clinical markers. To estimate reproducibility, Pearson's correlations were studied between baseline and 1 year score, within the control group only. Results: The mean total score was 52.8 ± 12.8 among women and 46.6 ± 12.8 among men (p < 0.001). The total score and its components differed between countries. The change in the Healthy Diet Score was significantly correlated with changes in BMI, waist circumference, and total and LDL cholesterol. The Healthy Diet Score as well as its components at baseline were significantly correlated with the values at year 1, in the control group participants. Conclusion: The Feel4Diabetes Healthy Diet Score is a reproducible method to capture the dietary information collected with the Feel4Diabetes questionnaire and measure the level of and changes in the adherence to the dietary goals of the intervention. It gives a simple parameter that associates with clinical risk factors in a meaningful manner. Trial registration: Clinicaltrials.gov NCT02393872. Registered March 20, 2015. © 2020 The Author(s).
- Published
- 2020
6. Feel4Diabetes healthy diet score: Development and evaluation of clinical validity
- Author
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Virtanen, E., Kivelä, J., Wikström, K., Lambrinou, C.P., De Miguel-Etayo, P., Huys, N., Vraukó-Tóth, K., Moreno, L.A., Usheva, N., Chakarova, N., Rado, S.A., Iotova, V., Makrilakis, K., Cardon, G., Liatis, S., Manios, Y., Lindström, J., Schwarz, P., Annemans, L., Garamendi, I., Karatzi, K., Androutsos, O., Moschonis, G., Kanellakis, S., Mavrogianni, C., Tsoutsoulopoulou, K., Katsarou, C., Karaglani, E., Qira, I., Skoufas, E., Maragkopoulou, K., Tsiafitsa, A., Sotiropoulou, I., Tsolakos, M., Argyri, E., Nikolaou, M., Vampouli, E.A., Filippou, C., Apergi, K., Filippou, A., Katerina, G., Dimitriadis, E., Laatikainen, T., Valve, P., Levälahti, E., Pennanen, T., Olli, S., Nelimarkka, K., Van Stappen, V., Willems, R., Shadid, S., Timpel, P., Dafoulas, G., Giannopoulou, A., Rabemananjara, L., De Sabata, M.S., Ko, W., Moreno, L., Civeira, F., Bueno, G., Gonzalez-Gil, E.Mª., Miguel-Berges, M.L., Giménez-Legarre, N., Flores-Barrantes, P., Ayala-Marín, A.M., Seral-Cortés, M., Baila-Rueda, L., Cenarro, A., Jarauta, E., Mateo-Gallego, R., Tankova, T., Tsochev, K., Galcheva, S., Dimova, R., Bocheva, Y., Radkova, Z., Marinova, V., Bazdarska, Y., Stefanova, T., Rurik, I., Ungvari, T., Jancsó, Z., Nánási, A., Kolozsvári, L., Semánova, C., Bíró, É., Antal, E., Radó, S., Martinez, R., Tong, M., and Feel4Diabetes, research, group
- Abstract
Background: The aim of this paper is to present the development of the Feel4Diabetes Healthy Diet Score and to evaluate its clinical validity. Methods: Study population consisted of 3268 adults (63% women) from high diabetes risk families living in 6 European countries. Participants filled in questionnaires at baseline and after 1 year, reflecting the dietary goals of the Feel4Diabetes intervention. Based on these questions the Healthy Diet Score was constructed, consisting of the following components: breakfast, vegetables, fruit and berries, sugary drinks, whole-grain cereals, nuts and seeds, low-fat dairy products, oils and fats, red meat, sweet snacks, salty snacks, and family meals. Maximum score for each component was set based on its estimated relative importance regarding T2DM risk, higher score indicating better quality of diet. Clinical measurements included height, weight, waist circumference, heart rate, blood pressure, and fasting blood sampling, with analyses of glucose, total cholesterol, HDL-cholesterol, LDL-cholesterol, and triglycerides. Analysis of (co) variance was used to compare the Healthy Diet Score and its components between countries and sexes using baseline data, and to test differences in clinical characteristics between score categories, adjusted for age, sex and country. Pearson''s correlations were used to study the association between changes from baseline to year 1 in the Healthy Diet Score and clinical markers. To estimate reproducibility, Pearson''s correlations were studied between baseline and 1 year score, within the control group only. Results: The mean total score was 52.8 ± 12.8 among women and 46.6 ± 12.8 among men (p < 0.001). The total score and its components differed between countries. The change in the Healthy Diet Score was significantly correlated with changes in BMI, waist circumference, and total and LDL cholesterol. The Healthy Diet Score as well as its components at baseline were significantly correlated with the values at year 1, in the control group participants. Conclusion: The Feel4Diabetes Healthy Diet Score is a reproducible method to capture the dietary information collected with the Feel4Diabetes questionnaire and measure the level of and changes in the adherence to the dietary goals of the intervention. It gives a simple parameter that associates with clinical risk factors in a meaningful manner.
- Published
- 2020
7. Effective strategies for childhood obesity prevention via school based, family involved interventions: A critical review for the development of the Feel4Diabetes-study school based component
- Author
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Lambrinou, C.-P. Androutsos, O. Karaglani, E. Cardon, G. Huys, N. Wikström, K. Kivelä, J. Ko, W. Karuranga, E. Tsochev, K. Iotova, V. Dimova, R. De Miguel-Etayo, P. M. González-Gil, E. Tamás, H. Jancsó, Z. Liatis, S. Makrilakis, K. Manios, Y. Cardon, G. Lindström, J. Schwarz, P. Makrilakis, K. Annemans, L. Garamendi, I. Karatzi, K. Androutsos, O. Moschonis, G. Kanellakis, S. Mavrogianni, C. Tsoutsoulopoulou, K. Katsarou, C. Karaglani, E. Qira, I. Skoufas, E. Maragkopoulou, K. Tsiafitsa, A. Sotiropoulou, I. Tsolakos, M. Argyri, E. Nikolaou, M. Vampouli, E.-A. Filippou, C. Apergi, K. Filippou, A. Katerina, G. Dimitriadis, E. Lindström, J. Laatikainen, T. Wikström, K. Hovi, P. Kivelä, J. Valve, P. Levälahti, E. Virtanen, E. Cardon, G. Van Stappen, V. Huys, N. Annemans, L. Willems, R. Shadid, S. Schwarz, P. Timpel, P. Makrilakis, K. Liatis, S. Dafoulas, G. Lambrinou, C.-P. Giannopoulou, A. Rabemananjara, L. De Sabata, M.S. Ko, W. Garamendi, I. Moreno, L. Civeira, F. Bueno, G. De Miguel-Etayo, P. Gonzalez-Gil, E.Mª. Miguel-Berges, M.L. Giménez-Legarre, N. Flores-Barrantes, P. Ayala-Marín, A.M. Seral-Cortés, M. Baila-Rueda, L. Cenarro, A. Jarauta, E. Mateo-Gallego, R. Iotova, V. Tankova, T. Usheva, N. Tsochev, K. Chakarova, N. Galcheva, S. Dimova, R. Bocheva, Y. Radkova, Z. Marinova, V. Bazdarska, Y. Stefanova, T. Rurik, I. Ungvari, T. Jancsó, Z. Nánási, A. Kolozsvári, L. Semánova, C. Bíró, É. Antal, E. Radó, S. Martinez, R. Tong, M.
- Abstract
Background: Although there are many interventions targeting childhood obesity prevention, only few have demonstrated positive results. The current review aimed to gather and evaluate available school-based intervention studies with family involvement targeting dietary, physical activity and sedentary behaviors among primary schoolchildren and their families, in order to identify the most effective strategies. Methods: Studies published between 2000 and January 2015 were retrieved from scientific electronic databases and grey literature. The databases used included MEDLINE/PubMed, Web-of-Science, CINAHL and Scopus. Included studies had to be experimental controlled studies and had duration over 1 school year, had family involvement, combined PA and dietary behaviors and were implemented in school setting. A complementary search was executed to update the review to cover the period from February 2015 to January 2019. Results: From the studies examined (n = 425), 27 intervention programs (33 publications) fulfilled the inclusion criteria. Among these, 15 presented significant effect on weight status and/ or overweight/ obesity or clinical indices, 3 presented significant effect on most energy balance-related behaviors (EBRBs) while 9 presented significant effect on some/few EBRBs or determinants. Strategies implemented in effective interventions were: teachers acting as role-models and being actively involved in the delivery of the intervention, school policies supporting the availability of healthy food and beverage choices and limiting unhealthy snacks, changes in the schoolyard, in the recess rules and in the physical education classes to increase physical activity, and involving parents in the intervention via assignments, meetings, informative material and encouraging them to improve the home environment. Use of incentives for children, social marketing techniques, collaboration with local stakeholders were found to increase effectiveness. Programs that focused only on educational sessions and material for parents, without promoting relevant environmental and policy changes, were found to be less effective. Cultural adaptations have been suggested to increase the intervention's acceptance in specific or vulnerable population groups. Conclusions: Several effective strategies were identified in the reviewed programs. Outcomes of the current review were taken into account in developing the Feel4Diabetes-intervention and summed up as recommendations in the current work in order to facilitate other researchers designing similar childhood obesity prevention initiatives. © 2020 The Author(s).
- Published
- 2020
8. Cu/Zn-superoxide dismutase from the fungal strain Humicola lutea 103 improves ram spermatozoa functions in vitro
- Author
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Stefanov, R., Angelova, M., Stefanova, T., Subev, M., Dolashka, P., Voelter, W., and Zachariev, Z.
- Published
- 2004
9. Detection and characterization of a novel antibacterial substance produced by a Lactobacillus delbrueckii strain 1043
- Author
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Miteva, V., Ivanova, I., Budakov, I., Pantev, A., Stefanova, T., Danova, S., Moncheva, P., Mitev, V., Dousset, X., and Boyaval, P.
- Published
- 1998
10. Tuberculin sensitivity and morphological immune response in guinea pigs after application of minimal sensitizing dose of BCG vaccine, substrain Sofia SL222
- Author
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Bachvarova, M., primary, Stefanova, T., additional, Nikolaeva, S., additional, and Chouchkova, M., additional
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- 2009
- Full Text
- View/download PDF
11. Cu/Zn-superoxide dismutase from the fungal strain Humicola lutea 103 improves ram spermatozoa functions in vitro
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Stefanov, R., primary, Angelova, M., additional, Stefanova, T., additional, Subev, M., additional, Dolashka, P., additional, Voelter, W., additional, and Zachariev, Z., additional
- Published
- 2009
- Full Text
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12. Species Affiliation of Dairy Lactobacilli with Angiotensin Converting Enzyme Inhibitory Activity
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Stefanova, T., primary, Urshev, Z., additional, Dimitrov, Z., additional, Fatchikova, N., additional, and Minkova, S., additional
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- 2009
- Full Text
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13. Development of Prototype Fermented Milk Products with Angiotensin-Converting Enzyme Inhibitory Activity
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Stefanova, T., primary, Urshev, Z., additional, Minkova, S., additional, and Dimitrov, Z., additional
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- 2009
- Full Text
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14. Protective Effect of Polyphenol-Rich Extract on Acute Lung Injury in Influenza Virus Infected Mice
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Serkedjieva, J., primary, Stefanova, T., additional, Krumova, E., additional, and Tancheva, L., additional
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- 2009
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15. LIQUID-LIQUID EXTRACTION AND SPECTROPHOTOMETRIC CHARACTERIZATION OF A NEW TERNARY ION-ASSOCIATION COMPLEX OF IRON(III).
- Author
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Gavazov, K., Stefanova, T., and Toncheva, G.
- Subjects
- *
SPECTROPHOTOMETRY , *LIQUID-liquid extraction , *CHLOROFORM , *IONS , *ABSORPTION - Abstract
Complex formation and liquid-liquid extraction in a system containing iron(III), 4-nitrocatechol (4NC), 2,3,5-triphenyl-2H-tetrazolium chloride (TTC), water, and chloroform were studied. The effect of some experimental parameters (pH, shaking time, concentration of reagents) was investigated, and the optimum conditions for Fe(III) extraction as an ion-association complex, (TT+)3[Fe3+(4NC)3]3-, were found. The following key constants were calculated: constant of distribution (Log KD=1.49±0.02), constant of association (Log β=11.3±0.1), and constant of extraction (Log Kex=12.8±0.1). Some additional characteristics concerning the application of 4NC and TTC for extractive-spectrophotometric determination of Fe(III) were estimated as well: absorption maximum (λ=435 nm), apparent molar absorptivity (ε=2.7×104 l mol-1 cm-1), Sandell's sensitivity (SS=2.0 ng cm-2), recovery factor (R %=94.3±0.2), limit of detection (LOD=0.11 μg cm-3), and limit of quantification (LOQ=0.37 mg cm-3). Beer's law was obeyed for Fe(III) concentrations up to 2.0 μg ml-1 with a correlation coefficient of 0.9990. [ABSTRACT FROM AUTHOR]
- Published
- 2013
16. A Project of Astronomy Teaching in the Secondar Schools
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Nikolov, N.S., primary and Stefanova, T., additional
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- 1990
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17. Recovery of Cu-concentrates from waste galvanic copper sludges
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Jandova, J., Stefanova, T. a., and Niemczykova, R.
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- 2000
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18. Designing an artificial ecological mesocosm for the study of Cd and Pb impact on the immune system of experimental animals
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Baykov, B., Gugova, M., Stoyanov, M., Neychev, H., Stefanova, T., and Nicolova, N.
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- 1996
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19. Phenylmethoxybis(tetrazolium) ion-association complexes with an anionic indium(III) — 4-(2-pyridylazo)resorcinol chelate
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Stefanova Teodora and Gavazov Kiril
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indium ,liquid-liquid extraction ,spectrophotometry ,ion-associate ,ditetrazolium salts ,Chemistry ,QD1-999 - Published
- 2013
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20. Liquid-liquid extraction and spectrophotometric characterization of some new ternary ion-association complexes of gallium(III) and indium(III)
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Gavazov, K. B., Stojnova, K. T., Stefanova, T. S., Toncheva, G. K., Vanya Lekova, and Dimitrov, A. N.
21. Pharmacovigilance Risk Assessment to Radiopharmaceuticals
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Evgeni Grigorov, Stefanova, T., and Lebanova, H.
22. Understanding pedestrian behaviour at railway level crossings: Is there a need for more research?
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James Freeman, Rakotonirainy, A., Stefanova, T., and Mcmaster, M.
23. Liquid-liquid extraction and spectrophotometric characterization of a new ternary ion-association complex of iron(III
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Gavazov, K., Stefanova, T., and Galya Toncheva
24. EFFECT OF X-RAYS ON PROPERTIES OF POINT-CONTACT GERMANIUM DIODES
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Stefanova, T
- Published
- 1964
25. Influence of active versus placebo control on treatment responses in randomised controlled trials in rheumatoid arthritis.
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Kerschbaumer A, Stimakovits NM, Smolen JS, Stefanova T, Chwala E, and Aletaha D
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- Humans, Methotrexate therapeutic use, Piperidines therapeutic use, Randomized Controlled Trials as Topic, Antirheumatic Agents therapeutic use, Arthritis, Rheumatoid drug therapy
- Abstract
Objectives: To investigate whether treatment effects of pharmaceutical compounds compared with placebo controls are systematically different to the effects of the same compounds compared with active treatment controls in rheumatoid arthritis (RA) clinical trials., Methods: We systematically identified randomised controlled trials (RCTs) in RA, and matched active treatment arms with comparable regimens, populations, background therapy, and outcome reporting, by the nature of their control group (active comparator or placebo). Medline, EMBASE and CENTRAL were used to identify RCTs investigating disease modifying anti-rheumatic drug therapies until December 2021. Using mixed-model logistic regression we estimated OddsRatios (OR) for achieving an American College of Rheumatology (ACR) 20/50/70% response at weeks 12 and 24. Risk of bias was assessed using the Cochrane Tool., Results: We screened 8328 studies and included 40 for analysis after detailed review of 590 manuscripts; unique compounds had significantly higher responses in active comparator trials compared with their effects observed in placebo controlled trials, with ORs of 1.67 (95% CI 1.46 to 1.91; p<0.001) for ACR20, 1.50 (95% CI 1.29 to 1.75; p<0.001) for ACR50 and 1.65 (95% CI 1.30 to 2.10; p<0.001) for ACR70 (week 12); corresponding ORs for ACR 20, 50, and 70 (week 24) were 1.93 (95% CI 1.50 to 2.48; p<0.001), 1.75 (95% CI 1.32 to 2.33; p<0.001) and 1.68 (95% CI 1.21 to 2.34; p<0.001), respectively. Sensitivity analyses showed consistent results., Conclusion: Placebo controlled trials lead to smaller effect sizes of active compounds in RCTs compared with the same compound in head-to-head trials. This difference may be explained by potential nocebo effects in placebo-controlled settings and needs to be considered when interpreting head-to-head and placebo-controlled trials, by patients, investigators, sponsors and regulatory agencies., Competing Interests: Competing interests: AK: Speakers bureau, Consultancy: AbbVie, Amgen, Bristol-Myers Squibb, Eli Lilly, Gilead, Janssen, Merck Sharp and Dohme, Novartis, UCB and Pfizer. NMS: Nothing to declare. TS: Nothing to declare. EC: Nothing to declare. JSS: received grants from Abbvie, Astra-Zeneca, Janssen, Lilly, Novartis, Roche and honoraria from Abbvie, Amgen, Astra-Zeneca, Astro, BMS, Celgene, Celltrion, Chugai, Gilead, ILTOO, Janssen, Lilly, MSD, Novartis-Sandoz, Pfizer, Roche, Samsung, Sanofi, UCB. DA received grants from Abbvie, Amgen, Lilly, Novartis, Roche, SoBi, Sanofi; and honoraria (speakers bureau/consultancy) from Abbvie, Amgen, Lilly, Janssen, Merck, Novartis, Pfizer, Roche, Sandoz., (© Author(s) (or their employer(s)) 2023. No commercial re-use. See rights and permissions. Published by BMJ.)
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- 2023
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26. Associations between soft-drink consumption and lifestyle patterns in overweight and obese European adults: Feel4Diabetes Study.
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Reppas K, Papamichael MM, Boutsikou T, Cardon G, Iotova V, Stefanova T, Dimova R, Imre R, Radó ASI, Liatis S, Makrilakis K, Moreno L, Wikström K, and Manios Y
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- Adult, Male, Female, Humans, Body Mass Index, Cross-Sectional Studies, Carbonated Beverages, Life Style, Diet, Overweight epidemiology, Overweight complications, Obesity epidemiology, Obesity etiology
- Abstract
Objectives: The purpose of this study was to identify lifestyle patterns that are characteristic of overweight and obese European adults in the context of educational level., Methods: This was a cross-sectional study of dietary data from 1235 men and 10 343 women. Dietary intake, educational level, and physical activity were assessed using questionnaires. A principal component analysis was used to derive lifestyle patterns, and associations with being overweight or obese (OW/OB) and waist circumference (WC) were explored by applying a multivariate logistic regression., Results: Overall, 35% of women and 68% of men were OW/OB, of whom 30% and 40%, respectively, had ≤12 y of education. The principal component analysis derived 2 distinct dietary patterns (healthy vs. unhealthy). The daily intake of fruits (fresh, canned, and juice) and vegetables was found to be associated with lower odds of being OW/OB and WC in women only. In contrast, the daily intake of diet soft drinks was associated with higher odds of being OW/OB in women and men, but the daily intake of sweets was associated with higher odds of WC in women only. In both sexes, having >12 y of education was inversely associated with being OW/OB. No associations were observed for regular soft-drink intake., Conclusions: A healthy dietary pattern constituting of a daily intake of fruits and vegetables was inversely associated with being OW/OB in women. Conversely, a diet soft-drink intake was positively associated with being OW/OB in both sexes, probably because of a reduction in overall energy intake. More studies are recommended to clarify the effectiveness of diet soft-drink consumption in controlling caloric intake and as a healthier alternative to regular soft drinks and sweets., (Copyright © 2022 Elsevier Inc. All rights reserved.)
- Published
- 2022
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27. The Feel4Diabetes intervention: effectiveness on 24-hour physical behaviour composition in families at risk for diabetes development.
- Author
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Cardon G, Chastin S, Van Stappen V, Huys N, Stefanova T, Chakarova N, Kivelä J, Alberto Moreno L, Sándor Istvánné R, Androutsos O, Manios Y, and De Craemer M
- Subjects
- Child, Male, Humans, Adult, Middle Aged, Female, Sedentary Behavior, Exercise, Parents education, Europe epidemiology, Diabetes Mellitus, Type 2 prevention & control
- Abstract
The Feel4Diabetes project conducted a 2-year intervention aiming to encourage healthy behaviours in families in six European countries. Within this paper, the intervention effect was evaluated after the first intervention year on 24-hour physical behaviour composition in Belgian families at risk for type 2 diabetes. Parents' and children's levels of physical activity (PA) and sedentary behaviour (SB) were objectively measured and sleep duration was self-reported. Valid data were obtained in 82 children (mean age: 8.2 ± 0.84; 50.0% boys) and 72 parents (mean age: 40.1 ± 5.5; 27.8% fathers). Data were analysed using a compositional data approach, and mixed models were used to take clustering into account. Results showed that for children, the mean baseline composition of the 24-hour day in sleep, SB, light and moderate-to-vigorous PA for the intervention group was (11 hours 18 minutes; 6 hours 33 minutes; 5 hours 02 minutes, 1 hour 08 minutes) and for the control group (11 hours 18 minutes; 6 hours 35 minutes; 5 hours 04 minutes; 1 hour 06 minutes), respectively. For parents, the mean baseline composition was for the intervention group (8 hours 12 minutes; 9 hours 36 minutes; 5 hours 43 minutes; 27 minutes) and for the control group (8 hours 00 minute; 9 hours 00 minute; 6 hours 27 minutes; 33 minutes). No significant intervention effects were found on 24-hour physical behaviour composition of either parents or children (p = 0.19 and p = 0.21, respectively). A relatively small study population and a poor attendance rate among parents could maybe explain the lack of effectiveness. More effective strategies are needed to retain vulnerable families in interventions. Furthermore, future approaches to improve the 24-hour physical behaviour composition should maybe focus more specifically on PA, SB and sleep, and involve teachers, children and parents in the design of the intervention. Trial registration: NCT02393872 in ClinicalTrials.gov., (© The Author(s) 2022. Published by Oxford University Press. All rights reserved. For permissions, please email: journals.permissions@oup.com.)
- Published
- 2022
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28. Prevalence of Childhood Obesity by Country, Family Socio-Demographics, and Parental Obesity in Europe: The Feel4Diabetes Study.
- Author
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Moschonis G, Siopis G, Anastasiou C, Iotova V, Stefanova T, Dimova R, Rurik I, Radó AS, Cardon G, De Craemer M, Lindström J, Moreno LA, De Miguel-Etayo P, Makrilakis K, Liatis S, Manios Y, and On Behalf Of The Feel Diabetes-Study Group
- Subjects
- Body Mass Index, Child, Europe epidemiology, Family Characteristics, Humans, Overweight epidemiology, Parents, Prevalence, Diabetes Mellitus, Type 2 epidemiology, Diabetes Mellitus, Type 2 etiology, Diabetes Mellitus, Type 2 prevention & control, Pediatric Obesity epidemiology
- Abstract
The Feel4Diabetes study recruited 12,193 children (age: 8.20 ±1.01 years) and their parents from six European countries as part of the broader attempt to prevent type 2 diabetes. The current work collected data pre-intervention to identify the prevalence of childhood obesity by country and describe its association with socio-demographic characteristics and parental obesity status. One in four children were overweight or obese, and one in four families had at least one obese parent. Multivariate logistic regression examined the associations between childhood obesity, family socio-demographics, and parental obesity status. Children had a higher chance of being overweight or obese if they were living in “low income” countries (OR: 2.11, 95% CI: 1.62, 2.74) and countries “under economic crisis” (OR: 2.48, 95% CI: 1.89, 3.24) compared to “high-income” countries; if their fathers completed fewer than nine years of education (OR: 2.16, 95% CI: 1.54, 3.05) compared to children whose fathers had a higher level (>14 years) of education; and if one (OR: 2.46, 95% CI: 0.32, 0.62) or both of their parents (OR: 6.83, 95% CI: 5.15, 9.05) were obese. Future childhood obesity prevention-programs should target the whole family while taking into consideration the socioeconomic and weight status of parents. Future research should examine these associations in more countries and in socio-demographically diverse populations in order to facilitate the generalisability of the present study’s findings.
- Published
- 2022
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29. Complete Genome Sequence, Genome Stability and Phylogeny of the Vaccine Strain Mycobacterium bovis BCG SL222 Sofia.
- Author
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Panaiotov S, Hodzhev Y, Tolchkov V, Tsafarova B, Mihailov A, and Stefanova T
- Abstract
Mycobacterium bovis bacillus Calmette-Guérin (BCG) is the only live attenuated vaccine available against tuberculosis. The first BCG vaccination was done exactly 100 years ago, in 1921. The BCG vaccine strains used worldwide represent a family of daughter sub-strains with distinct genotypic characteristics. BCG SL222 Sofia is a seed lot sub-strain descending from the Russian BCG-I (seed lot 374a) strain and has been used for vaccine production in Bulgaria since 1972. Here, we report the assembled circular genome sequence of Mycobacterium bovis BCG SL222 Sofia and phylogeny analysis with the most closely related BCG sub-strains. The full circular genome of BCG SL222 Sofia had a length of 4,370,706 bp with an average GC content of 65.60%. After 49 years of in vitro evolution in a freeze-dried condition, we identified four SNP mutations as compared to the reference BCG-I (Russia-368) sequence. BCG vaccination is of central importance for the TB elimination programs in many countries. Since 1991, almost 40 million vaccine doses of the BCG SL222 Sofia have been distributed annually through the United Nations Children's Fund (UNICEF) and the Pan American Health Organization (PAHO) to approximately 120 countries. The availability of the complete reference genome sequence for M. bovis BCG SL222 Sofia, a WHO reference reagent for the Russian BCG-I sub-strain, will facilitate the identity assurance of the genomic stability, will contribute to more consistent manufacturing, and has an important value in standardization and differentiation of sub-strains used in vaccine production. We propose to rename the sub-strain BCG SL222 Sofia to BCG-Sofia for practical and common use.
- Published
- 2021
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30. Complete Genome Sequence of Mycobacterium bovis BCG SL222 Sofia, the First WHO Reference Reagent for the M. bovis BCG Vaccine of the Russian BCG-I Substrain.
- Author
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Panaiotov S, Hodzhev Y, Tolchkov V, Mihailov A, Kofinov R, Kantardjiev T, and Stefanova T
- Abstract
Mycobacterium bovis BCG SL222 Sofia is a substrain descending from the Russian BCG-I vaccine strain. Here, we report the complete genome sequence of BCG SL222 Sofia, which will facilitate identity assurance and will contribute to more consistent manufacturing, standardization, and differentiation of substrains used in vaccine production., (Copyright © 2021 Panaiotov et al.)
- Published
- 2021
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31. Efficacy outcomes in phase 2 and phase 3 randomized controlled trials in rheumatology.
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Kerschbaumer A, Smolen JS, Herkner H, Stefanova T, Chwala E, and Aletaha D
- Subjects
- Drug Development, Humans, Logistic Models, Outcome Assessment, Health Care, Treatment Outcome, Antirheumatic Agents therapeutic use, Arthritis, Psoriatic drug therapy, Arthritis, Rheumatoid drug therapy, Clinical Trials, Phase II as Topic, Clinical Trials, Phase III as Topic, Randomized Controlled Trials as Topic
- Abstract
Phase 3 trials are the mainstay of drug development across medicine but have often not met expectations set by preceding phase 2 studies. A systematic meta-analysis evaluated all randomized controlled, double-blind trials investigating targeted disease-modifying anti-rheumatic drugs in rheumatoid and psoriatic arthritis. Primary outcomes of American College of Rheumatology (ACR) 20 responses were compared by mixed-model logistic regression, including exploration of potential determinants of efficacy overestimation. In rheumatoid arthritis, phase 2 trial outcomes systematically overestimated subsequent phase 3 results (odds ratio comparing ACR20 in phase 2 versus phase 3: 1.39, 95% confidence interval: 1.25-1.57, P < 0.001). Data for psoriatic arthritis trials were similar, but not statistically significant (odds ratio comparing ACR20 in phase 2 versus phase 3: 1.35, 95% confidence interval: 0.94-1.94, P = 0.09). Differences in inclusion criteria largely explained the observed differences in efficacy findings. Our findings have implications for all stakeholders in new therapeutic development and testing, as well as potential ethical implications.
- Published
- 2020
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32. Risk assessment of some heavy metals in mussels (Mytilus galloprovincialis) and veined rapa whelks (Rapana venosa) for human health.
- Author
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Zhelyazkov G, Yankovska-Stefanova T, Mineva E, Stratev D, Vashin I, Dospatliev L, Valkova E, and Popova T
- Subjects
- Animals, Black Sea, Bulgaria, Food Contamination analysis, Gastropoda chemistry, Humans, Mytilus chemistry, Risk Assessment, Seafood analysis, Gastropoda drug effects, Metals, Heavy analysis, Mytilus drug effects, Water Pollutants, Chemical analysis
- Abstract
The purpose of the present study was to analyze the concentrations of lead, cadmium and mercury in mussels (Mytilus galloprovincialis) and veined rapa whelks (Rapana venosa) caught in the Varna Bay of Black Sea and to evaluate the risk for human health from the presence of the three heavy metals. The highest average concentrations in mussels were those of cadmium (0.280 mg/kg), followed by lead (0.251 mg/kg) and mercury (0.017 mg/kg). Veined rapa whelks also showed highest levels of cadmium (1.113 mg/kg), followed by lead (0.045 mg/kg) and mercury (0.034 mg/kg). EDI values for adults consuming mussels and veined rapa whelks were below the published RfDo and PTWI values. All THQ and HI values were below 1. The consumption of M. galloprovincialis and R. venosa caught in the Varna Bay, Black Sea, did not pose any risk for the health of adult people as lead, cadmium and mercury were concerned., (Copyright © 2018 Elsevier Ltd. All rights reserved.)
- Published
- 2018
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33. Heme-Exposed Pooled Therapeutic IgG Improves Endotoxemia Survival.
- Author
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Djoumerska-Alexieva I, Roumenina LT, Stefanova T, Vassilev T, and Dimitrov JD
- Subjects
- Animals, Anti-Inflammatory Agents pharmacology, Antibody Specificity, Endotoxemia mortality, Humans, Immunoglobulin G drug effects, Immunoglobulin G immunology, Inflammation Mediators, Lipopolysaccharides, Mice, Survival Rate, Endotoxemia drug therapy, Heme pharmacology, Immunoglobulin G therapeutic use, Inflammation drug therapy, Sepsis drug therapy
- Abstract
Antibody repertoires of healthy humans and animals contain a fraction of antibodies able to acquire additional polyspecificity following exposure to several biologically relevant redox molecules (free heme, reactive oxygen species, ferrous ions, HOCl, etc.). The physiological role of these "hidden" polyspecific antibodies is poorly understood. Similar to inherently polyspecific antibodies, those with induced polyspecificicty may also have immunoregulatory properties. We have previously shown that a pooled human IgG preparation, modified by the exposure to ferrous ions, acquires the ability to significantly improve survival of animals with polymicrobial sepsis or aseptic systemic inflammation induced by bacterial lipopolysaccharide or zymosan administration. In the present study, we have analyzed the effects of administration of heme-exposed pooled human IgG in the same models of sepsis and aseptic systemic inflammation. The administration of a single dose of heme-exposed pooled IgG has resulted in a significant increase in the survival of mice with endotoxinemia, but not in those with polymicrobial sepsis and zymosan-induced severe generalized inflammation. Finally, we have provided evidence that the anti-inflammatory effect of heme-exposed IgG can be explained by scavenging of pro-inflammatory mediators.
- Published
- 2017
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34. Systems-based approach to investigate unsafe pedestrian behaviour at level crossings.
- Author
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Stefanova T, Burkhardt JM, Filtness A, Wullems C, Rakotonirainy A, and Delhomme P
- Subjects
- Adolescent, Adult, Aged, Female, Focus Groups, Humans, Male, Middle Aged, Queensland, Risk Management, Systems Theory, Young Adult, Accidents, Traffic psychology, Accidents, Traffic statistics & numerical data, Dangerous Behavior, Environment Design, Pedestrians psychology, Pedestrians statistics & numerical data, Railroads, Risk-Taking, Safety, Walking psychology, Walking statistics & numerical data
- Abstract
Crashes at level crossings are a major issue worldwide. In Australia, as well as in other countries, the number of crashes with vehicles has declined in the past years, while the number of crashes involving pedestrians seems to have remained unchanged. A systematic review of research related to pedestrian behaviour highlighted a number of important scientific gaps in current knowledge. The complexity of such intersections imposes particular constraints to the understanding of pedestrians' crossing behaviour. A new systems-based framework, called Pedestrian Unsafe Level Crossing framework (PULC) was developed. The PULC organises contributing factors to crossing behaviour on different system levels as per the hierarchical classification of Jens Rasmussen's Framework for Risk Management. In addition, the framework adapts James Reason's classification to distinguish between different types of unsafe behaviour. The framework was developed as a tool for collection of generalizable data that could be used to predict current or future system failures or to identify aspects of the system that require further safety improvement. To give it an initial support, the PULC was applied to the analysis of qualitative data from focus groups discussions. A total number of 12 pedestrians who regularly crossed the same level crossing were asked about their daily experience and their observations of others' behaviour which allowed the extraction and classification of factors associated with errors and violations. Two case studies using Rasmussen's AcciMap technique are presented as an example of potential application of the framework. A discussion on the identified multiple risk contributing factors and their interactions is provided, in light of the benefits of applying a systems approach to the understanding of the origins of individual's behaviour. Potential actions towards safety improvement are discussed., (Copyright © 2015 Elsevier Ltd. All rights reserved.)
- Published
- 2015
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35. The oxidative stress response of the filamentous yeast Trichosporon cutaneum R57 to copper, cadmium and chromium exposure.
- Author
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Lazarova N, Krumova E, Stefanova T, Georgieva N, and Angelova M
- Abstract
Despite the intensive research in the past decade on the microbial bioaccumulation of heavy metals, the significance of redox state for oxidative stress induction is not completely clarified. In the present study, we examined the effect of redox-active (copper and chromium) and redox-inactive (cadmium) metals on the changes in levels of oxidative stress biomarkers and antioxidant enzyme defence in Trichosporon cutaneum R57 cells. This filamentous yeast strain showed significant tolerance and bioaccumulation capability of heavy metals. Our findings indicated that the treatment by both redox-active and redox-inactive heavy metal induced oxidative stress events. Enhanced concentrations of Cu
2+ , Cr6+ and Cd2+ caused acceleration in the production of reactive oxygen species (ROS), increase in the level of oxidatively damaged proteins and accumulation of reserve carbohydrates (glycogen and trehalose). Cell response against heavy metal exposure also includes elevation in the activities of antioxidant enzymes, superoxide dismutase and catalase, which are key enzymes for directly scavenging of ROS. Despite the mentioned changes in the stress biomarkers, T. cutaneum did not show a significant growth diminution. Probably, activated antioxidant defence contributes to the yeast survival under conditions of heavy metal stress.- Published
- 2014
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36. Tyrosine kinase inhibitor tyrphostin AG490 retards chronic joint inflammation in mice.
- Author
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Gyurkovska V, Stefanova T, Dimitrova P, Danova S, Tropcheva R, and Ivanovska N
- Subjects
- Animals, Animals, Newborn, Bone Remodeling, Bone and Bones metabolism, Cell Differentiation, Cytokines metabolism, Enzyme Inhibitors chemistry, Enzyme Inhibitors pharmacology, Intercellular Signaling Peptides and Proteins metabolism, Interleukin-17 blood, Interleukin-6 blood, Janus Kinase 2 metabolism, Mice, Mice, Inbred ICR, Osteoclasts cytology, Osteoclasts metabolism, Phosphorylation, Protein-Tyrosine Kinases antagonists & inhibitors, RANK Ligand metabolism, STAT3 Transcription Factor metabolism, Synovial Fluid metabolism, Inflammation drug therapy, Joints drug effects, Tyrphostins pharmacology
- Abstract
Tyrphostin AG490 is a Janus kinase (JAK) 2 inhibitor that is clinically used as an anticancer agent and is also effective in various models of inflammatory and autoimmune diseases. In this study, we examined the effects of tyrphostin AG490 on the development of collagenase-induced osteoarthritis (CIOA). Our results showed that tyrphostin-ameliorated cartilage and bone destructions. This effect was associated with decreased expression of signal transducers and activators of transcription 3 (STAT3), phosphorylated JAK2, Dickkopf homolog 1, and receptor activator of nuclear factor κB ligand (RANKL) in the joints of arthritic mice. Tyrphostin AG490 suppressed STAT3 phosphorylation and the expression of tumor necrosis factor-related apoptosis-inducing ligand and RANKL by synovial fluid cells. The drug inhibited RANKL-induced osteoclast differentiation in vitro. Molecules, such as tyrphostin AG490 that limit bone erosion and influence osteoclast generation, might have therapeutic utility in joint degenerative disorders.
- Published
- 2014
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37. Quality control and safety assessment of BCG vaccines in the post-genomic era.
- Author
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Stefanova T
- Abstract
A hundred and five years ago, Albert Calmette and Camille Guérin began a daunting task, which is unmatched even today, that led to the most widely used vaccine in human history. Despite a century of scientific advances, BCG (an acronym for Bacillus Calmette-Guérin) remains the only vaccine for prevention of tuberculosis. Due to the fact that the use of BCG vaccines will continue, either as a stand-alone or as a prime vaccine in prime-boost immunization strategies, the World Health Organization (WHO) has underlined the necessity for further work toward better characterization, evaluation and quality control of the BCG vaccine, taking into account recent advances in genetics and molecular biology. The potential benefit of such improved characterization could be addressed to better and easier differentiation between sub-strains used by different manufacturers. It may help to ensure consistency of production in terms of genetic stability and it may also help the clinical evaluation of new antituberculosis vaccines. Last but not least, the state-of-the-art technologies could facilitate the quality control performed by the manufacturers and by National Control Authorities as well.
- Published
- 2014
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38. Phagocytosis and killing of Salmonella by 7-hydroxycoumarin activated macrophages.
- Author
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Stefanova T, Nikolova N, Neychev H, and Zlabinger G
- Subjects
- Animals, Cells, Cultured, Cytotoxicity, Immunologic drug effects, Female, Immunomodulation, Macrophage Activation drug effects, Macrophages immunology, Macrophages metabolism, Macrophages microbiology, Macrophages ultrastructure, Mice, Mice, Inbred BALB C, Microscopy, Electron, Phagocytosis immunology, Salmonella Infections, Animal immunology, Salmonella enterica pathogenicity, Umbelliferones adverse effects, Umbelliferones chemistry, Macrophages drug effects, Phagocytosis drug effects, Salmonella Infections, Animal drug therapy, Salmonella enterica immunology, Umbelliferones administration & dosage
- Abstract
Coumarin and its derivatives have potent immunomodulatory activities. Here we describe the parameters of the protective effect of 7-hydroxycoumarin (7-OHC) in experimental Salmonella enterica Serovar Typhimurium infection in mice. The protective effect depended on the duration of treatment reaching its maximum after 10 days of pretreatment and lasted for at least 15 days after its end. Electron microscopy studies revealed that 7-OHC induced ultrastructural changes in macrophages consistent with their activation as well as faster destruction of ingested salmonellae. Superoxide and hydrogen peroxide secretion by macrophages was decreased in both healthy and Salmonella-infected 7-OHC treated animals, which is in line with the current view that some coumarins possess antioxidant and radical scavenging activity. Thus, 7-OHC pretreatment also appears beneficial to the host by limiting the harmful tissue damaging and immunosuppressive effects of the oxidative stress during a Salmonella infection but still activates the microbicidal capacity of exposed phagocytes.
- Published
- 2012
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39. A fungal Cu/Zn-containing superoxide dismutase enhances the therapeutic efficacy of a plant polyphenol extract in experimental influenza virus infection.
- Author
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Serkedjieva J, Stefanova T, and Krumova E
- Subjects
- Animals, Female, Geranium, Hydrogen Peroxide metabolism, Influenza A virus, Male, Mice, Mice, Inbred ICR, Polyphenols, Flavonoids therapeutic use, Orthomyxoviridae Infections drug therapy, Phenols therapeutic use, Plant Extracts therapeutic use, Plants, Medicinal, Respiratory Tract Infections drug therapy, Superoxide Dismutase pharmacology
- Abstract
The combined protective effect of a polyphenol-rich extract, isolated from Geranium sanguineum L. (PC), and a novel naturally glycosylated Cu/Zn-containing superoxide dismutase, produced from the fungal strain Humicula lutea 103 (HL-SOD), in the experimental influenza A virus infection (EIVI) in mice, induced with the virus A/Aichi/2/68 (H3N2), was investigated. The combined application of HL-SOD and PC in doses, which by themselves do not defend significantly mice in EIVI, resulted in a synergistically increased protection, determined on the basis of protective indices and amelioration of lung injury. Lung weights and consolidation as well as infectious lung virus titers were all decreased significantly parallel to the reduction of the mortality rates; lung indices were raised. The excessive production of reactive oxygen species (ROS) by alveolar macrophages (aMphi) as well as the elevated levels of the lung antioxidant enzymes superoxide dismutase (SOD) and catalase (CAT), induced by EIVI, were brought to normal. For comparative reasons the combined protective effect of PC and vitamin C was investigated. The obtained results support the combined use of antioxidants for the treatment of influenza virus infection and in general indicate the beneficial protective role of combinations of viral inhibitors of natural origin with diverse modes of action.
- Published
- 2010
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40. Synthesis, characterization and cytotoxic/cytostatic activity of La(III) and Dy(III) complexes.
- Author
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Kostova I and Stefanova T
- Subjects
- Acenocoumarol chemical synthesis, Animals, Antineoplastic Agents chemical synthesis, Cell Line, Tumor, Cell Proliferation, Cell Survival, Cytostatic Agents toxicity, Dose-Response Relationship, Drug, Drug Design, Drug Screening Assays, Antitumor, Dysprosium toxicity, Humans, Lanthanum toxicity, Ligands, Magnetic Resonance Spectroscopy, Mice, Spectrum Analysis, Raman, Structure-Activity Relationship, Acenocoumarol chemistry, Acenocoumarol toxicity, Antineoplastic Agents chemistry, Antineoplastic Agents toxicity, Cytostatic Agents chemistry, Dysprosium chemistry, Lanthanum chemistry
- Abstract
New La(III) and Dy(III) complexes of deprotonated 4-hydroxy-3[1-(4-nitrophenyl)-3-oxobutyl]-2H-1-benzopyran-2-one (Acenocoumarol) were synthesized and characterized using FT-IR, FT-Raman, (1)H NMR spectra, and elemental analyses. The ligand and its lanthanide(III) complexes were tested for their cytotoxic/cytostatic activity against two tumor cell lines and peritoneal mouse macrophages. The La(III) and Dy(III) complexes exhibit good activity against melanoma B16 and fibrosarcoma L929 and they are stronger inhibitors of tumor cell proliferation compared to the ligand without influencing normal cell viability and NO release by mouse peritoneal macrophages., (Copyright 2009 Elsevier GmbH. All rights reserved.)
- Published
- 2010
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41. Immunological potential of Helix vulgaris and Rapana venosa hemocyanins.
- Author
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Dolashka-Angelova P, Stefanova T, Livaniou E, Velkova L, Klimentzou P, Stevanovic S, Salvato B, Neychev H, and Voelter W
- Subjects
- Amino Acid Sequence, Animals, Antibody Formation, Cattle, Hemocyanins chemistry, Hemocyanins isolation & purification, Hemocyanins metabolism, Hemolymph chemistry, Hemolymph immunology, Immunization, Secondary, Mice, Mice, Inbred C57BL, Molecular Sequence Data, Mollusca, Peptides chemistry, Peptides immunology, Protein Isoforms immunology, Protein Structure, Secondary, Protein Structure, Tertiary, Rabbits, Sequence Alignment, Serum Albumin, Bovine metabolism, Trinitrobenzenesulfonic Acid metabolism, Adjuvants, Immunologic chemistry, Adjuvants, Immunologic isolation & purification, Hemocyanins immunology
- Abstract
A new hemocyanin was isolated from the hemolymph of garden snails Helix vulgaris, composed of two isoforms, HvH1 and HvH2 separated on an ion exchange column DEAE-Sepharose 6CL. Structural and immunological properties of Helix vulgaris hemocyanin were studied in comparison with molluscan Hcs Rapana venosa and Megathura crenulata. The possibility of using HvH and RvH as carriers of small molecules (haptens) in immunizing protocols was studied in comparison with KLH, which is a widely used, highly immunogenic carrier protein. By using HvH as a carrier of the well-known hapten TNBS (2,4,6-trinitrobenzene sulfonic acid), an increasing with time production of hapten-specific TFN-gamma was detected in splenocyte cultures of mice, which lasted longer than in case of KLH and RvH carriers. Also, use of HvH or RvH as a carrier of the hapten ProT alpha[101-109] (i.e., the synthetic C-terminal fragment of the poorly immunogenic protein prothymosin alpha) showed that antisera of higher titres than that of the control conjugate (ProT alpha[101-109]-KLH) were obtained immediately after the second bleeding. HvH and RvH may prove to be useful for the development of new antiviral, antibacterial and antitumor vaccines, since they seem to launch strong and specific immune response against the conjugated antigens.
- Published
- 2008
- Full Text
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42. Enhanced resistance to Salmonella enterica serovar Typhimurium infection in mice after coumarin treatment.
- Author
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Stefanova T, Nikolova N, Michailova A, Mitov I, Iancov I, Zlabinger GJ, and Neychev H
- Subjects
- Animals, Coumarins blood, Coumarins immunology, Interferon-gamma immunology, Interleukin-12 immunology, Liver drug effects, Liver immunology, Liver microbiology, Macrophages drug effects, Macrophages immunology, Macrophages microbiology, Mice, Mice, Inbred BALB C, Monocytes drug effects, Monocytes immunology, Neutrophils drug effects, Neutrophils immunology, Phagocytosis drug effects, Phagocytosis immunology, Reactive Nitrogen Species metabolism, Salmonella typhi immunology, Spleen drug effects, Spleen immunology, Spleen microbiology, Th1 Cells drug effects, Th1 Cells immunology, Tumor Necrosis Factor-alpha immunology, Typhoid Fever microbiology, Typhoid Fever prevention & control, Umbelliferones blood, Umbelliferones immunology, Coumarins pharmacology, Salmonella typhi isolation & purification, Typhoid Fever immunology, Umbelliferones pharmacology
- Abstract
Coumarin and its derivatives are naturally occurring substances with multiple biological activities. Here we demonstrate that prophylactic peroral administration of coumarin or 7-hydroxycoumarin (7-OHC) enhances resistance to subsequent lethal Salmonella enterica Serovar Typhimurium infection in mice. 7-OHC decreased bacterial load in liver and spleen, and enhanced phagocytosis and bacterial killing by macrophages when applied in vitro and in vivo. 7-OHC treatment induced significant NO release in peritoneal macrophage cultures. The observed protective effect correlated with the induction of Th1-associated cytokines, such as IL-12, IFN-gamma, and TNF-alpha. These data demonstrate a clear immunomodulatory potential of coumarins which might have important therapeutic implications to enhance resistance to infection.
- Published
- 2007
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43. Effect of a plant polyphenol-rich extract on the lung protease activities of influenza-virus-infected mice.
- Author
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Serkedjieva J, Toshkova R, Antonova-Nikolova S, Stefanova T, Teodosieva A, and Ivanova I
- Subjects
- Animals, Female, Male, Mice, Mice, Inbred ICR, Orthomyxoviridae Infections enzymology, Polyphenols, Superoxides metabolism, Antiviral Agents pharmacology, Flavonoids pharmacology, Geranium, Influenza A Virus, H3N2 Subtype, Lung enzymology, Orthomyxoviridae Infections drug therapy, Phenols pharmacology, Plant Extracts pharmacology, Protease Inhibitors pharmacology
- Abstract
Influenza infection was induced in white mice by intranasal inoculation of the virus A/Aichi/2/68 (H3N2). The lung protease and the protease-inhibitory activities were followed for 9 days after infection. The intranasal application of a polyphenol-rich extract (PC) isolated from Geranium sanguineum L. induced a continuous rise in the anti-protease activity but did not cause substantial changes in the lung protease activity of healthy mice. Influenza virus infection triggered a slight reduction in protease activity in the lungs at 5 and 48 h post infection (p.i.) and a marked increase at 24 h and 6 day p.i.. Protease inhibition in the lungs was reduced at 24 and 48 h p.i. and an increase was observed at 5 h and 6 and 9 days p.i.. PC treatment brought both activities to normal levels. The restoration of the examined parameters was consistent with a prolongation of mean survival time and reduction of mortality rate, infectious virus titre and lung consolidation. PC reinstated superoxide production by alveolar macrophages and increased their number in virus-infected mice. The favourable effect on the protease and the protease-inhibitory activities in the lungs of influenza-virus-infected mice apparently contributes to the overall protective effect of PC in the murine experimental influenza A/Aichi infection. The antiviral effect of the individual constituents was evaluated.
- Published
- 2007
- Full Text
- View/download PDF
44. Genetic composition of Mycobacterium bovis BCG substrain Sofia.
- Author
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Stefanova T, Chouchkova M, Hinds J, Butcher PD, Inwald J, Dale J, Palmer S, Hewinson RG, and Gordon SV
- Subjects
- BCG Vaccine, Bulgaria, Child, Humans, Minisatellite Repeats genetics, Mycobacterium bovis classification, Mycobacterium bovis isolation & purification, Oligonucleotide Array Sequence Analysis methods, Phylogeny, United Nations, Genome, Bacterial, Mycobacterium bovis genetics
- Published
- 2003
- Full Text
- View/download PDF
45. A Lactobacillus helveticus plasmid detects restriction fragment length polymorphism in different bacterial species.
- Author
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Gancheva AG, Miteva VI, and Stefanova TT
- Subjects
- Bacteria classification, Base Sequence, Molecular Sequence Data, Nucleic Acid Hybridization, Restriction Mapping, Bacteria genetics, DNA Probes, Lactobacillus genetics, Plasmids genetics, Polymorphism, Restriction Fragment Length
- Abstract
A small cryptic Lactobacillus helveticus plasmid, pLBL4, was able to reveal restriction fragment length polymorphism in different bacterial species including Lactobacillus species, Bacillus species, and Escherichia coli when used as a DNA probe. The observed polymorphism was a result of the combined hybridization of several microsatellite sequences. The 6-bp sequence (TTGTTT) was repeated 12 times, seven of which were concentrated within the region between 1791 and 1997 bp of the plasmid sequence. The polymorphic patterns generated with pLBL4 differed from those obtained with M13 DNA in the larger number of bands observed. The results presented here open the possibility of using pLBL4 as a new broad-spectrum polymorphic DNA probe for fingerprint analysis.
- Published
- 2000
- Full Text
- View/download PDF
46. Characterization of bacteriocins produced by strains from traditional Bulgarian dairy products.
- Author
-
Miteva V, Stefanova T, Budakov I, Ivanova I, Mitev V, Gancheva A, and Ljubenov M
- Subjects
- Bacterial Typing Techniques, Bulgaria, DNA Fingerprinting, DNA, Bacterial analysis, Food Microbiology, Lactobacillus classification, Lactobacillus genetics, Nucleic Acid Hybridization, Phylogeny, Plasmids genetics, Streptococcus classification, Streptococcus genetics, Bacteria drug effects, Bacteriocins biosynthesis, Bacteriocins pharmacology, Dairy Products microbiology, Lactobacillus metabolism, Streptococcus metabolism
- Abstract
A result of extensive screening of over 300 strains from the Collection of ELBY Bulgaricum, PLC, thirty six strains were selected as producers of bacteriocins, active closely related lactic acid bacterial species and some food spoilage bacteria. The selected strains belong to L. helveticus, L. bulgaricus and S. thermophilus, which are rare bacteriocin producers. Nineteen nonidentified producers were characterized by molecular taxonomic approaches--M13 fingerprinting, repetitive PCR, ribotyping and hybridization with species-specific probes, which allowed to affiliate them to the species L. delbrueckii. Several strains were found to harbour plasmids of different size. The estimated activity against food borne pathogens makes the isolated substances perspective as safe food preservatives and the producing strains could be used as components of starters with improved quality.
- Published
- 1998
- Full Text
- View/download PDF
47. Cryptic plasmids from Lactobacillus helveticus and their evolutionary relationship.
- Author
-
Pridmore D, Stefanova T, and Mollet B
- Subjects
- Amino Acid Sequence, Base Sequence, Biological Evolution, Conserved Sequence, Molecular Sequence Data, Sequence Alignment, Sequence Analysis, DNA, Lactobacillus genetics, Plasmids genetics
- Abstract
Three different cryptic plasmids from Lactobacillus helveticus have been identified and their DNA sequences determined. Analysis and comparisons of their primary structures revealed stretches of DNA with considerable homology. Thus, large portions of the plasmid non-coding sequences were conserved at 80-90% identity between the different plasmids identified so far in L. helveticus. Nevertheless, different plasmids found in a same host strain utilise different genes of replication, probably acquired during evolution from different replicons from Gram-positive bacterial origins. A remnant structure of such a possible genetic integration of a foreign replication gene into one of the plasmids of L. helveticus was identified.
- Published
- 1994
- Full Text
- View/download PDF
48. M13 DNA fingerprinting, a new tool for classification and identification of Lactobacillus spp.
- Author
-
Miteva VI, Abadjieva AN, and Stefanova TT
- Subjects
- Blotting, Southern, DNA Probes, DNA, Bacterial isolation & purification, Electrophoresis, Polyacrylamide Gel, Lactobacillus genetics, Nucleic Acid Hybridization, Species Specificity, DNA Fingerprinting methods, Lactobacillus classification, Lactobacillus isolation & purification
- Abstract
The optimal conditions for the application of M13 DNA fingerprinting to the genus Lactobacillus were determined. Comparative fingerprint analysis of representative strains of Lactobacillus delbrueckii subsp. delbrueckii, Lact. delbrueckii subsp. lactis, Lact. delbrueckii subsp. bulgaricus, Lact. helveticus and Lact. casei permitted the differentiation of species, subspecies and individual strains and the quantitative determination of their genetic relatedness. The results confirm the high specificity of M13 DNA fingerprinting and indicate that it might be used in the classification of Lactobacillus spp.
- Published
- 1992
- Full Text
- View/download PDF
49. [Changes in the plasma cortisol level during neuroleptanalgesia and thyroid operations].
- Author
-
Stefanova T, Gosheva-Antomova Ts, and Ianeva M
- Subjects
- Adolescent, Adult, Female, Humans, Hyperthyroidism blood, Hyperthyroidism surgery, Intraoperative Period, Male, Middle Aged, Time Factors, Hydrocortisone blood, Neuroleptanalgesia, Thyroidectomy
- Published
- 1981
50. [Fluorometric method of determining urinary estrogens].
- Author
-
Stefanova T and Mutafchieva M
- Subjects
- Chromatography, Gel, Female, Humans, Male, Spectrometry, Fluorescence methods, Estrogens urine
- Abstract
The authors describe a method for determination of estrogens in urine of nonpregnant women and men. The method includes enzymic hydrolysis of urine, gel filtration of Sefadex G25, extraction with organic solvents and modifies Kober reaction with spectrofluorometric determination. The technique of the method is not complex, the usage of reagents is small and is suitable for everyday work.
- Published
- 1978
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