4 research outputs found
Experience of Reconstruction of Yakut Womenβs Clothing of the 17th-18th Centuries (based on the Materials of At-Daban (At-Byran) VI Burial)
The experience of carrying out a hypothetical reconstruction of women's clothing "tangalai" XVII-XVIII centuries is considered. It is reported that this sample of clothing was found during archaeological research in 2016 in the area of At-Byran, Khangalassky district of the Republic of Sakha (Yakutia). Earlier it was revealed that the tangalai was part of the brideβs costume, which means an indispensable element of the wedding ceremony. As a result of studies of the Yakut burials of the XVII-XVIII centuries, it was established that the tangalai was included in the complex of accompanying material during the funeral rite of a married woman. An analysis of ethnographic literature, the results of field scientific research, available visual sources was made, fragments of clothing stored in museums extracted from funerary monuments were studied. As the study showed, the tangalai from the At-Daban VI burial has similar features with samples of similar shoulder-clothes found and studied earlier: general principles of decor, color scheme, and peculiarities of the location of sewn jewelry. Distinctive features: a lowered waist line and narrow bibs were revealed. Based on a detailed study of the original source, masters of decorative and applied art carried out a hypothetical reconstruction of the tangalaya. Attention was paid to leather processing, seams, design features. Unsaved pieces of clothing were recreated using existing analogues
ΠΠΎΠ²ΡΠ΅ Π΄Π°Π½Π½ΡΠ΅ ΠΎ ΡΡΠ°Π½ΡΡΠΎΡΠΌΠ°ΡΠΈΠΈ ΡΡΠΎΠΊΠ° Π²ΠΎΠ΄Ρ ΠΈ Π½Π°Π½ΠΎΡΠΎΠ² Π² Π΄Π΅Π»ΡΡΠ΅ ΡΠ΅ΠΊΠΈ ΠΠ΅Π½Ρ ΠΏΠΎ ΠΈΡΠΎΠ³Π°ΠΌ ΡΠΊΡΠΏΠ΅Π΄ΠΈΡΠΈΠΎΠ½Π½ΡΡ ΠΈΠ·ΠΌΠ΅ΡΠ΅Π½ΠΈΠΉ Π² Π°Π²Π³ΡΡΡΠ΅ 2022 Π³.
Field hydrological measurements were performed in the Lena River delta from the 10th to the 16th of August 2022. 25 values of water discharge and 58 suspended sediment concentrations (SSC) were measured, multiple chemical composition water samples were taken, along with samples of bottom and bank river sediments, and thermal abrasion coasts were highlighted. Particle size and chemical composition analyses of the sediment samples were carried out. The aim of the study was to estimate the water flow distribution in the delta and to determine the directional SSC, sediment particle size and chemical composition changes along the delta and inside the depth of the river flow, and define the roles of the local hydrological and morphological factors of river flow transformation. Moreover, field measurements are crucial for SSC estimation and monitoring based on satellite image data. The laboratory analyses included particle size definition in suspended and bottom sediment samples, organic matter and SSC definition. The August 2022 expedition results were compared to the previous surveys. It was established that the flow distribution around the Stolb island corresponds with that of 2016: the Bykovsky, Trophimovsky, Tumatsky and Oleneksky branches receive 24.9β25.5, 58β59.2, 6 and 6.6 % of the water discharge from the Kusur gauging station on the Lena River, respectively. However, the role of the Main channel was slightly overestimated. The new data includes water discharges in the branches around the Samoilovsky island and in the channel systems of the Oleneksky and Tumatsky branches. SSC was relatively low and amounted to around 12β24 mg/l, rising from the water surface to the bottom 1.2β2 times. SSC decreased along the course of the Oleneksky and Tumatsky branches (1.5 and 1.1 times, respectively) due to the ratio between SSC and the potential stream transport capacity. SSC rose along the course of the Bykovsky branch, even though it wasnβt shown by the Landsat-8 satellite image (16th of August 2022). A significant sediment source in the delta are eroded and thermo eroded shores of the edoma island systems. The average sediment size proved to be from 0.011 to 0.019 mm. SSC does not vary much around the main channel and the nearest branches. Important relations between SSC, optical turbidity and ADCP backscatter intensity were estimated. The coarse diameter of 30 bottom sediment samples was 0.46 mm. The largest sediments were discovered in the Bykovsky branch, while the smallest sediments were found in the smaller transverse branches. Along the Tumatsky and Oleneksky branches the bottom sediments alternate from fine to medium sands.Π‘ΡΠ°ΡΡΡ ΡΠΎΠ΄Π΅ΡΠΆΠΈΡ Π²Π°ΠΆΠ½ΡΠ΅ ΠΈΡΠΎΠ³ΠΈ ΠΏΠΎΠ»Π΅Π²ΡΡ
ΠΈ ΠΊΠΎΠΌΠΏΠ»Π΅ΠΊΡΠ½ΡΡ
Π³ΠΈΠ΄ΡΠΎΠ»ΠΎΠ³ΠΈΡΠ΅ΡΠΊΠΈΡ
ΠΈΡΡΠ»Π΅Π΄ΠΎΠ²Π°Π½ΠΈΠΉ, ΠΏΡΠΎΠ²ΠΎΠ΄ΠΈΠ²ΡΠΈΡ
ΡΡ Π² Π΄Π΅Π»ΡΡΠ΅ Ρ. ΠΠ΅Π½Ρ Ρ 10 ΠΏΠΎ 16 Π°Π²Π³ΡΡΡΠ° 2022 Π³. ΠΡΠ»ΠΈ ΠΈΠ·ΠΌΠ΅ΡΠ΅Π½Ρ 25 ΡΠ°ΡΡ
ΠΎΠ΄ΠΎΠ² Π²ΠΎΠ΄Ρ ΠΈ ΠΊΠΎΠ½ΡΠ΅Π½ΡΡΠ°ΡΠΈΠΈ Π²Π·Π²Π΅ΡΠ΅ΠΉ Π²Π±ΡΠ΅ΡΠ½ΡΡ
Π²ΠΎΠ΄Π°Ρ
, ΠΎΡΠΎΠ±ΡΠ°Π½Ρ ΠΏΡΠΎΠ±Ρ Π²ΠΎΠ΄Ρ, ΠΎΠ±ΡΠ°Π·ΡΡ Π΄ΠΎΠ½Π½ΠΎΠ³ΠΎ ΠΈ Π±Π΅ΡΠ΅Π³ΠΎΠ²ΠΎΠ³ΠΎ Π³ΡΡΠ½ΡΠΎΠ² Π½Π° Π³ΡΠ°Π½ΡΠ»ΠΎΠΌΠ΅ΡΡΠΈΡΠ΅ΡΠΊΠΈΠΉ ΠΈ Ρ
ΠΈΠΌΠΈΡΠ΅ΡΠΊΠΈΠΉ ΡΠΎΡΡΠ°Π², ΠΎΡΠΌΠ΅ΡΠ΅Π½Ρ ΡΠ°Π·ΠΌΡΠ²Π°Π΅ΠΌΡΠ΅ Π±Π΅ΡΠ΅Π³Π°. Π¦Π΅Π»ΡΡ ΠΈΡΡΠ»Π΅Π΄ΠΎΠ²Π°Π½ΠΈΠΉ Π±ΡΠ»ΠΎ ΠΈΠ·ΡΡΠ΅Π½ΠΈΠ΅ ΡΠ°ΡΠΏΡΠ΅Π΄Π΅Π»Π΅Π½ΠΈΡΠ±ΡΡΠΎΠΊΠ° Π²ΠΎΠ΄Ρ ΠΈ Π½Π°Π½ΠΎΡΠΎΠ² ΠΠ΅Π½Ρ ΠΌΠ΅ΠΆΠ΄Ρ Π΄Π΅Π»ΡΡΠΎΠ²ΡΠΌΠΈ ΡΡΠΊΠ°Π²Π°ΠΌΠΈ, ΠΈΠ·ΠΌΠ΅Π½Π΅Π½ΠΈΠΉ ΠΌΡΡΠ½ΠΎΡΡΠΈ Π²ΠΎΠ΄Ρ, Π³ΡΠ°Π½ΡΠ»ΠΎΠΌΠ΅ΡΡΠΈΡΠ΅ΡΠΊΠΎΠ³ΠΎ ΠΈ Ρ
ΠΈΠΌΠΈΡΠ΅ΡΠΊΠΎΠ³ΠΎ ΡΠΎΡΡΠ°Π²Π° Π½Π°Π½ΠΎΡΠΎΠ² ΠΎΡ Π²Π΅ΡΡΠΈΠ½Ρ ΠΊ ΠΌΠΎΡΡΠΊΠΎΠΌΡ ΠΊΡΠ°Ρ Π΄Π΅Π»ΡΡΡ, ΠΏΠΎ Π³Π»ΡΠ±ΠΈΠ½Π΅ ΠΈ ΡΠΈΡΠΈΠ½Π΅ ΠΏΠΎΡΠΎΠΊΠ°, ΡΠΎΠ»ΠΈ Π² Π½ΠΈΡ
ΠΌΠ΅ΡΡΠ½ΡΡ
Π³ΠΈΠ΄ΡΠΎΠ»ΠΎΠ³ΠΎ-ΠΌΠΎΡΡΠΎΠ»ΠΎΠ³ΠΈΡΠ΅ΡΠΊΠΈΡ
ΠΈ ΡΠ΅ΡΠΌΠΎΠ°Π±ΡΠ°Π·ΠΈΠΎΠ½Π½ΡΡ
ΠΏΡΠΎΡΠ΅ΡΡΠΎΠ². ΠΠΎΠ»ΡΡΠ΅Π½Π½ΡΠ΅ Π½Π°ΡΡΡΠ½ΡΠ΅ Π΄Π°Π½Π½ΡΠ΅ Π½Π΅ΠΎΠ±Ρ
ΠΎΠ΄ΠΈΠΌΡ Π΄Π»Ρ ΠΏΠΎΠ·Π½Π°Π½ΠΈΡ ΠΎΡΠΎΠ±Π΅Π½Π½ΠΎΡΡΠ΅ΠΉ ΡΠΎΠ²ΡΠ΅ΠΌΠ΅Π½Π½ΠΎΠ³ΠΎ ΡΠ°ΡΡΡΠ΅Π΄ΠΎΡΠΎΡΠ΅Π½ΠΈΡ ΡΡΠΎΠΊΠ° Π²ΠΎΠ΄Ρ ΠΈ Π½Π°Π½ΠΎΡΠΎΠ² Π² ΠΎΠ³ΡΠΎΠΌΠ½ΠΎΠΉ ΠΈ ΠΌΠ½ΠΎΠ³ΠΎΡΡΠΊΠ°Π²Π½ΠΎΠΉ Π΄Π΅Π»ΡΡΠ΅ ΠΠ΅Π½Ρ, Π΅Π³ΠΎ ΠΈΠ·ΠΌΠ΅Π½Π΅Π½ΠΈΠΉ Ρ ΠΌΠΎΠΌΠ΅Π½ΡΠ° ΠΏΠΎΡΠ»Π΅Π΄Π½ΠΈΡ
ΡΡΠ°ΡΠΈΠΎΠ½Π°ΡΠ½ΡΡ
ΠΈ ΡΠΊΡΠΏΠ΅Π΄ΠΈΡΠΈΠΎΠ½Π½ΡΡ
ΠΈΠ·ΠΌΠ΅ΡΠ΅Π½ΠΈΠΉ, Π΄Π»Ρ Π΄Π΅ΡΠΈΡΡΠΈΡΠΎΠ²Π°Π½ΠΈΡ ΡΠΏΡΡΠ½ΠΈΠΊΠΎΠ²ΡΡ
ΡΠ½ΠΈΠΌΠΊΠΎΠ², ΡΠ°Π·ΡΠ°Π±ΠΎΡΠΊΠΈ ΠΈΠ½ΡΡΡΡΠΌΠ΅Π½ΡΠ°ΡΠΈΡ Π΄Π»Ρ ΠΏΠ΅ΡΠ΅ΡΡΠ΅ΡΠ° ΠΏΠΎΠ²Π΅ΡΡ
Π½ΠΎΡΡΠ½ΡΡ
ΠΈΠ·ΠΌΠ΅ΡΠ΅Π½ΠΈΠΉ Π² ΠΎΡΡΠ΅Π΄Π½Π΅Π½Π½ΡΠ΅ ΠΏΠΎ ΡΠ΅ΡΠ΅Π½ΠΈΡ ΠΏΠΎΡΠΎΠΊΠ°
ΠΠ»ΠΈΠ½ΠΈΠΊΠΎ-ΡΠΏΠΈΠ΄Π΅ΠΌΠΈΠΎΠ»ΠΎΠ³ΠΈΡΠ΅ΡΠΊΠΈΠ΅ ΠΎΡΠΎΠ±Π΅Π½Π½ΠΎΡΡΠΈ Π²Π½Π΅Π±ΠΎΠ»ΡΠ½ΠΈΡΠ½ΠΎΠΉ ΠΏΠ½Π΅Π²ΠΌΠΎΠ½ΠΈΠΈ Π² ΠΏΠ΅ΡΠΈΠΎΠ΄ ΡΠΏΠΈΠ΄Π΅ΠΌΠΈΠΈ ΡΠ΅ΡΠΏΠΈΡΠ°ΡΠΎΡΠ½ΡΡ Π²ΠΈΡΡΡΠ½ΡΡ ΠΈΠ½ΡΠ΅ΠΊΡΠΈΠΉ
Community-acquired pneumonia (CAP) is one of the most common lower respiratory tract diseases. An increase in the CAP incidence has been reported to be associated with epidemics of acute respiratory viral infections (ARVI).Aim. Πssess clinical and epidemiological features of CAP in patients admitted to hospital during an ARVI epidemic.Methods. A cross-sectional study included 208 patient records. Medical history, physical examination, laboratory and imaging data were analyzed. CAP severity was assessed by CRB-65 scale and the systemic inflammatory response syndrome (SIRS) criteria.Results. Most CAP patients (75%) were of active working age; all presented signs of ARVI upon admission. Nasal mucosa diagnostic smears have revealed type A influenza viruses: H1N1 β 5 (83.3%) and H3N2 β 1 (16.7%) cases. 195 (93.8%) patients were not vaccinated against influenza. X-rays showed that unilateral (81.7%) and lobular pneumonia (55.8%) were the most common CAP types. 93.2% patients had nonsevere CAP, according to CRB-65. But 88 (42.3%) subjects qualified for SIRS upon admission. Concomitant conditions as risk factors of an adverse course of CAP were present in 89 patients (42.8%). Sputum analysis, if available, most frequently identified Streptococcus pneumoniae (23 cases or 38.9%) as a causative agent. Antibacterial drugs (ABD) used to treat CAP were ceftriaxone 206 (99%), macrolides 188 (90.4%), and fluoroquinolones 94 (45.2%). The initial antibacterial treatment regimens were: 186 (89.4%) prescriptions of ceftriaxone + macrolides, 16 (7.7%) prescriptions of ceftriaxone alone, and 6 (2.9%) prescriptions of levofloxacin. A switch between ABDs was reported in 78 (37.5%) cases, including 61 switches to fluoroquinolones. The median ABD administration duration was 10 (8 β 13) days.Conclusion. Most of the hospitalized CAP patients were of working age and not vaccinated against influenza. Streptococcus pneumoniae was the most common causative agent. PCR (polymerase chain reaction) smear analysis was performed only in 6 patients with ARVI, which does not allow us to assess the role of viruses and viral-bacterial associations in the etiology of CAP. In spite of non-severe CAP, all hospitalizations were justified, due to multiple risk factors of unfavorable prognosis of CAP and epidemiological factors. Most patients received a combination of generation 3 cephalosporins and macrolides as the initial therapy for CAP.ΠΠ½Π΅Π±ΠΎΠ»ΡΠ½ΠΈΡΠ½Π°Ρ ΠΏΠ½Π΅Π²ΠΌΠΎΠ½ΠΈΡ (ΠΠ) β ΠΎΠ΄Π½ΠΎ ΠΈΠ· Π½Π°ΠΈΠ±ΠΎΠ»Π΅Π΅ ΡΠ°ΡΠΏΡΠΎΡΡΡΠ°Π½Π΅Π½Π½ΡΡ
Π·Π°Π±ΠΎΠ»Π΅Π²Π°Π½ΠΈΠΉ Π½ΠΈΠΆΠ½ΠΈΡ
Π΄ΡΡ
Π°ΡΠ΅Π»ΡΠ½ΡΡ
ΠΏΡΡΠ΅ΠΉ. Π ΠΎΡΡ Π·Π°Π±ΠΎΠ»Π΅Π²Π°Π΅ΠΌΠΎΡΡΠΈ ΠΠ ΡΠΎΠΏΡΡΠΆΠ΅Π½ Ρ ΠΏΠ΅ΡΠΈΠΎΠ΄Π°ΠΌΠΈ ΡΠΏΠΈΠ΄Π΅ΠΌΠΈΠΉ ΠΎΡΡΡΡΡ
ΡΠ΅ΡΠΏΠΈΡΠ°ΡΠΎΡΠ½ΡΡ
Π²ΠΈΡΡΡΠ½ΡΡ
ΠΈΠ½ΡΠ΅ΠΊΡΠΈΠΉ (ΠΠ ΠΠ).Π¦Π΅Π»ΡΡ ΡΠ°Π±ΠΎΡΡ ΡΠ²ΠΈΠ»Π°ΡΡ ΠΎΡΠ΅Π½ΠΊΠ° ΠΊΠ»ΠΈΠ½ΠΈΠΊΠΎ-ΡΠΏΠΈΠ΄Π΅ΠΌΠΈΠΎΠ»ΠΎΠ³ΠΈΡΠ΅ΡΠΊΠΈΡ
ΠΎΡΠΎΠ±Π΅Π½Π½ΠΎΡΡΠ΅ΠΉ ΠΠ Ρ ΠΏΠ°ΡΠΈΠ΅Π½ΡΠΎΠ², Π³ΠΎΡΠΏΠΈΡΠ°Π»ΠΈΠ·ΠΈΡΠΎΠ²Π°Π½Π½ΡΡ
Π² ΡΡΠ°ΡΠΈΠΎΠ½Π°Ρ Π² ΠΏΠ΅ΡΠΈΠΎΠ΄ ΡΠΏΠΈΠ΄Π΅ΠΌΠΈΠΈ ΠΠ ΠΠ.ΠΠ°ΡΠ΅ΡΠΈΠ°Π»Ρ ΠΈ ΠΌΠ΅ΡΠΎΠ΄Ρ. ΠΡΠΎΠ°Π½Π°Π»ΠΈΠ·ΠΈΡΠΎΠ²Π°Π½Ρ ΠΈΡΡΠΎΡΠΈΠΈ Π±ΠΎΠ»Π΅Π·Π½ΠΈ ΠΏΠ°ΡΠΈΠ΅Π½ΡΠΎΠ² (n = 208) β Π΄Π°Π½Π½ΡΠ΅ Π°Π½Π°ΠΌΠ½Π΅Π·Π°, ΠΎΡΠΌΠΎΡΡΠ°, Π»Π°Π±ΠΎΡΠ°ΡΠΎΡΠ½ΡΡ
ΠΈ ΠΈΠ½ΡΡΡΡΠΌΠ΅Π½ΡΠ°Π»ΡΠ½ΡΡ
ΠΈΡΡΠ»Π΅Π΄ΠΎΠ²Π°Π½ΠΈΠΉ. Π’ΡΠΆΠ΅ΡΡΡ ΠΠ ΠΎΠΏΡΠ΅Π΄Π΅Π»ΡΠ»Π°ΡΡ ΠΏΡΠΈ ΠΏΠΎΠΌΠΎΡΠΈ ΡΠΊΠ°Π»Ρ ΠΎΡΠ΅Π½ΠΊΠΈ ΡΡΠ΅ΠΏΠ΅Π½ΠΈ ΡΡΠΆΠ΅ΡΡΠΈ ΠΠ ΠΈ Π²ΡΠ±ΠΎΡΠ° ΠΌΠ΅ΡΡΠ° Π»Π΅ΡΠ΅Π½ΠΈΡ ΠΏΠ°ΡΠΈΠ΅Π½ΡΠ° ΠΏΠΎ ΡΠΊΠ°Π»Π΅ CRB-65 CRB-65 ΠΈ ΠΊΡΠΈΡΠ΅ΡΠΈΠ΅Π² ΡΠΈΠ½Π΄ΡΠΎΠΌΠ° ΡΠΈΡΡΠ΅ΠΌΠ½ΠΎΠΉ Π²ΠΎΡΠΏΠ°Π»ΠΈΡΠ΅Π»ΡΠ½ΠΎΠΉ ΡΠ΅Π°ΠΊΡΠΈΠΈ (Π‘Π‘ΠΠ ).Π Π΅Π·ΡΠ»ΡΡΠ°ΡΡ. ΠΡΠΌΠ΅ΡΠ΅Π½ΠΎ, ΡΡΠΎ 75 % ΠΏΠ°ΡΠΈΠ΅Π½ΡΠΎΠ² Ρ ΠΠ Π±ΡΠ»ΠΈ ΡΡΡΠ΄ΠΎΡΠΏΠΎΡΠΎΠ±Π½ΠΎΠ³ΠΎ Π²ΠΎΠ·ΡΠ°ΡΡΠ°, Ρ Π²ΡΠ΅Ρ
Π²ΡΡΠ²Π»Π΅Π½Ρ ΠΏΡΠΈΠ·Π½Π°ΠΊΠΈ ΠΠ ΠΠ. ΠΡΠΈ Π΄ΠΈΠ°Π³Π½ΠΎΡΡΠΈΠΊΠ΅ ΠΌΠ°Π·ΠΊΠΎΠ² ΠΈΠ· ΠΏΠΎΠ»ΠΎΡΡΠΈ Π½ΠΎΡΠ° ΠΎΠ±Π½Π°ΡΡΠΆΠ΅Π½Ρ Π²ΠΈΡΡΡΡ Π³ΡΠΈΠΏΠΏΠ° ΡΠΈΠΏΠ° Π: H1N1 β Ρ 5 (83,3 %) ΠΈ H3N2 β Ρ 1 (16,7 %); 195 (93,75 %) ΠΏΠ°ΡΠΈΠ΅Π½ΡΠΎΠ² Π½Π΅ Π±ΡΠ»ΠΈ Π²Π°ΠΊΡΠΈΠ½ΠΈΡΠΎΠ²Π°Π½Ρ ΠΏΡΠΎΡΠΈΠ² Π³ΡΠΈΠΏΠΏΠ°. Π Π΅Π½ΡΠ³Π΅Π½ΠΎΠ»ΠΎΠ³ΠΈΡΠ΅ΡΠΊΠΈ ΡΠ°ΡΠ΅ Π²ΡΡΠ²Π»ΡΠ»ΠΈΡΡ ΠΎΠ΄Π½ΠΎΡΡΠΎΡΠΎΠ½Π½ΡΡ (81,7 %) ΠΈ Π΄ΠΎΠ»Π΅Π²Π°Ρ (55,8 %) ΠΏΠ½Π΅Π²ΠΌΠΎΠ½ΠΈΡ; Ρ 93,2 % ΠΏΠ°ΡΠΈΠ΅Π½ΡΠΎΠ² Π½Π°Π±Π»ΡΠ΄Π°Π»ΠΎΡΡ Π½Π΅ΡΡΠΆΠ΅Π»ΠΎΠ΅ ΡΠ΅ΡΠ΅Π½ΠΈΠ΅ ΠΠ ΠΏΠΎ ΡΠΊΠ°Π»Π΅ CRB-65. ΠΡΠΈΡΠ΅ΡΠΈΠΈ Π‘Π‘ΠΠ Π²ΡΡΠ²Π»Π΅Π½Ρ Π² 88 (42,3 %), ΡΠΎΠΏΡΡΡΡΠ²ΡΡΡΠ°Ρ ΠΏΠ°ΡΠΎΠ»ΠΎΠ³ΠΈΡ ΠΊΠ°ΠΊ ΡΠ°ΠΊΡΠΎΡ ΡΠΈΡΠΊΠ° (Π€Π ) Π½Π΅Π±Π»Π°Π³ΠΎΠΏΡΠΈΡΡΠ½ΠΎΠ³ΠΎ ΡΠ΅ΡΠ΅Π½ΠΈΡ ΠΠ β Π² 89 (42,8 %) ΡΠ»ΡΡΠ°ΡΡ
. ΠΡΠΈ Π±Π°ΠΊΡΠ΅ΡΠΈΠΎΠ»ΠΎΠ³ΠΈΡΠ΅ΡΠΊΠΎΠΌ ΠΈΡΡΠ»Π΅Π΄ΠΎΠ²Π°Π½ΠΈΠΈ ΠΌΠΎΠΊΡΠΎΡΡ ΡΠ°ΡΠ΅ ΠΎΠ±Π½Π°ΡΡΠΆΠΈΠ²Π°Π»ΡΡ Streptococcus pneumoniae β 23 (38,9 %). ΠΠ°ΠΈΠ±ΠΎΠ»Π΅Π΅ ΡΠ°ΡΡΠΎ Π² ΡΡΠ°ΡΠΈΠΎΠ½Π°ΡΠ΅ ΠΈΡΠΏΠΎΠ»ΡΠ·ΠΎΠ²Π°Π»ΠΈΡΡ ΡΠ»Π΅Π΄ΡΡΡΠΈΠ΅ Π°Π½ΡΠΈΠ±Π°ΠΊΡΠ΅ΡΠΈΠ°Π»ΡΠ½ΡΠ΅ ΠΏΡΠ΅ΠΏΠ°ΡΠ°ΡΡ (ΠΠΠ): ΡΠ΅ΡΡΡΠΈΠ°ΠΊΡΠΎΠ½ β Ρ 206 (99 %), ΠΌΠ°ΠΊΡΠΎΠ»ΠΈΠ΄Ρ β Ρ 188 (90,4 %), ΡΡΠΎΡΡ
ΠΈΠ½ΠΎΠ»ΠΎΠ½Ρ β Ρ 94 (45,2 %) Π±ΠΎΠ»ΡΠ½ΡΡ
. Π ΠΊΠ°ΡΠ΅ΡΡΠ²Π΅ ΡΡΠ°ΡΡΠΎΠ²ΠΎΠΉ Π°Π½ΡΠΈΠ±Π°ΠΊΡΠ΅ΡΠΈΠ°Π»ΡΠ½ΠΎΠΉ ΡΠ΅ΡΠ°ΠΏΠΈΠΈ (ΠΠΠ’) ΠΏΡΠΈΠΌΠ΅Π½ΡΠ»ΡΡ ΡΠ΅ΡΡΡΠΈΠ°ΠΊΡΠΎΠ½ + ΠΌΠ°ΠΊΡΠΎΠ»ΠΈΠ΄ β Ρ 186 (89,4 %), ΡΠ΅ΡΡΡΠΈΠ°ΠΊΡΠΎΠ½ β Ρ 16 (7,7 %), Π»Π΅Π²ΠΎΡΠ»ΠΎΠΊΡΠ°ΡΠΈΠ½ β Ρ 6 (2,9 %) ΠΏΠ°ΡΠΈΠ΅Π½ΡΠΎΠ². Π 37,5 % ΡΠ»ΡΡΠ°Π΅Π² ΠΏΡΠΎΠΈΠ·Π²Π΅Π΄Π΅Π½Π° ΡΠΌΠ΅Π½Π° ΠΎΠ΄Π½ΠΎΠ³ΠΎ ΠΠΠ Π½Π° Π΄ΡΡΠ³ΠΎΠΉ, Π² 88,5 % β Π΄ΠΎΠ±Π°Π²Π»Π΅Π½Ρ ΡΡΠΎΡΡ
ΠΈΠ½ΠΎΠ»ΠΎΠ½Ρ. ΠΡΠΎΠ΄ΠΎΠΆΠΈΡΠ΅Π»ΡΠ½ΠΎΡΡΡ ΠΊΡΡΡΠΎΠ² ΠΠΠ’ ΡΠΎΡΡΠ°Π²ΠΈΠ»Π° 10 (8β13) Π΄Π½Π΅ΠΉ.ΠΠ°ΠΊΠ»ΡΡΠ΅Π½ΠΈΠ΅. ΠΠ°ΠΈΠ±ΠΎΠ»Π΅Π΅ ΡΠ°ΡΡΡΠΌ Π²ΠΎΠ·Π±ΡΠ΄ΠΈΡΠ΅Π»Π΅ΠΌ ΠΠ ΡΠ²Π»ΡΠ»ΡΡ Streptococcus pneumoniae. ΠΠΈΠ°Π³Π½ΠΎΡΡΠΈΠΊΠ° ΠΌΠ°Π·ΠΊΠΎΠ² ΠΌΠ΅ΡΠΎΠ΄ΠΎΠΌ ΠΏΠΎΠ»ΠΈΠΌΠ΅ΡΠ°Π·Π½ΠΎΠΉ ΡΠ΅ΠΏΠ½ΠΎΠΉ ΡΠ΅Π°ΠΊΡΠΈΠΈ ΠΏΡΠΎΠ²ΠΎΠ΄ΠΈΠ»Π°ΡΡ ΡΠΎΠ»ΡΠΊΠΎ Ρ 6 Π±ΠΎΠ»ΡΠ½ΡΡ
ΠΠ ΠΠ, ΡΡΠΎ Π½Π΅ ΠΏΠΎΠ·Π²ΠΎΠ»ΡΠ΅Ρ ΠΎΡΠ΅Π½ΠΈΡΡ ΡΠΎΠ»Ρ Π²ΠΈΡΡΡΠΎΠ² ΠΈ Π²ΠΈΡΡΡΠ½ΠΎ-Π±Π°ΠΊΡΠ΅ΡΠΈΠ°Π»ΡΠ½ΡΡ
Π°ΡΡΠΎΡΠΈΠ°ΡΠΈΠΉ Π² ΡΡΠΈΠΎΠ»ΠΎΠ³ΠΈΠΈ ΠΠ. ΠΠ΅ΡΠΌΠΎΡΡΡ Π½Π° Π½Π΅ΡΡΠΆΠ΅Π»ΠΎΠ΅ ΡΠ΅ΡΠ΅Π½ΠΈΠ΅ ΠΠ Ρ Π±ΠΎΠ»ΡΡΠΈΠ½ΡΡΠ²Π° ΠΏΠ°ΡΠΈΠ΅Π½ΡΠΎΠ², Π²ΡΠ΅ Π³ΠΎΡΠΏΠΈΡΠ°Π»ΠΈΠ·Π°ΡΠΈΠΈ Π² ΡΡΠ°ΡΠΈΠΎΠ½Π°Ρ ΡΠ²Π»ΡΠ»ΠΈΡΡ ΠΎΠ±ΠΎΡΠ½ΠΎΠ²Π°Π½Π½ΡΠΌΠΈ Π½Π°Π»ΠΈΡΠΈΠ΅ΠΌ ΠΌΠ½ΠΎΠΆΠ΅ΡΡΠ²Π΅Π½Π½ΡΡ
Π€Π Π½Π΅Π±Π»Π°Π³ΠΎΠΏΡΠΈΡΡΠ½ΠΎΠ³ΠΎ ΠΏΡΠΎΠ³Π½ΠΎΠ·Π° ΠΠ ΠΈ ΡΠΏΠΈΠ΄Π΅ΠΌΠΈΠΎΠ»ΠΎΠ³ΠΈΡΠ΅ΡΠΊΠΈΡ
ΠΏΠΎΠΊΠ°Π·Π°Π½ΠΈΠΉ. Π ΠΊΠ°ΡΠ΅ΡΡΠ²Π΅ ΡΡΠ°ΡΡΠΎΠ²ΠΎΠΉ ΡΠ΅ΡΠ°ΠΏΠΈΠΈ ΠΠ Π±ΠΎΠ»ΡΡΠΈΠ½ΡΡΠ²ΠΎ ΠΏΠ°ΡΠΈΠ΅Π½ΡΠΎΠ² ΠΏΠΎΠ»ΡΡΠ°Π»ΠΈ ΠΊΠΎΠΌΠ±ΠΈΠ½Π°ΡΠΈΡ ΡΠ΅ΡΠ°Π»ΠΎΡΠΏΠΎΡΠΈΠ½ΠΎΠ² III ΠΏΠΎΠΊΠΎΠ»Π΅Π½ΠΈΡ ΠΈ ΠΌΠ°ΠΊΡΠΎΠ»ΠΈΠ΄ΠΎΠ²