49 research outputs found

    WAYS OF RATIONAL USE OF WATER RESOURCES IN THE OIL INDUSTRY

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    This article talks about promising ways of development of petrochemical and oil refining industry and efficient use of water resources. Water affects most segments of the petroleum industry, and therefore efficient water management plays a key role in oil and gas exploitation. In most process industries, water is vital to many operations and is used for a variety of purposes such as product preparation, cooling, high purity water makeup water systems, general plant service water, waste handling/conveyance, potable/sanitary service, and fire protection, The water to be managed is produced together with hydrocarbons, formed as a by-product during oil and gas processing. Water has been identified as one of the top four challenges facing the exploitation of one of the largest crude oil fields (oil sands extraction). Large volumes stored in tailings ponds from oil-sand separation must be managed with a long-term view, as dike failure can cause a major environmental disaster

    The frequency of multiple pregnancies in the maternity hospital of the Ryazan region

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    The aim of the study - to study the number of twin births and to analyze the frequency of cesarean sectionЦСль исслСдования - ΠΈΠ·ΡƒΡ‡ΠΈΡ‚ΡŒ количСство Ρ€ΠΎΠ΄ΠΎΠ² с Ρ€ΠΎΠΆΠ΄Π΅Π½ΠΈΠ΅ΠΌ Π΄Π²ΠΎΠ΅Π½ ΠΈ ΠΏΡ€ΠΎΠ°Π½Π°Π»ΠΈΠ·ΠΈΡ€ΠΎΠ²Π°Ρ‚ΡŒ частоту провСдСния кСсарСва сСчСния

    Π˜Π½Ρ„ΠΎΡ€ΠΌΠ°Ρ‚ΠΈΠ²Π½ΠΎΡΡ‚ΡŒ ΠΌΠ°Ρ€ΠΊΠ΅Ρ€ΠΎΠ² ΠΌΠ΅Ρ‚Π°Π±ΠΎΠ»ΠΈΠ·ΠΌΠ° ΠΆΠ΅Π»Π΅Π·Π° Π² Π΄ΠΈΡ„Ρ„Π΅Ρ€Π΅Π½Ρ†ΠΈΠ°Π»ΡŒΠ½ΠΎΠΉ диагностикС Π°Π½Π΅ΠΌΠΈΠΈ воспалСния Ρƒ Π΄Π΅Ρ‚Π΅ΠΉ с хроничСской HBV-ΠΈΠ½Ρ„Π΅ΠΊΡ†ΠΈΠ΅ΠΉ

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    Objective: To assess diagnostic importance of iron metabolism markers in the progression of anemia of inflammation (AI) in children with chronic HBV infection.Materials and methods: Among 148 examined children with chronic HBV infection 140 had AI, 60.7% of them with refractory (RA) and 39.3% with non-refractory (nRA) progression variant. Complete blood count was performed using hematologic automatic analyzer. Virologic verification of HBV was done by ELISA and PCR. ELISA was used to determine 25-hepcidin, serum iron, ferritin, trasferrin, sTfR, IL-1, IL-6. The index sTfR/log10Ft was calculated.Results: Performing the examination of children with chronic HBV infection we determined high prevalence of AI, equal to 94.6%, which was characterized by normocyte normochromic progression, thrombocytopenia, thrombocrit decrease in case of RA, and microcyte hypochromic progression with erythrocyte anisocytosis in case of nRA. Despite the high inflammatory index induced by HBV viral replication, children with RA had characteristic decrease in 25-hepcidin and transferrin parameters with background high values of ferritin, while nRA was characterized by rise of 25-hepcidin and transferrin spectrum with low values of serum iron and ferritin.Conclusions. In the genesis of AI in chronic HBV cases two pathogenic variants were determined: true iron deficiency with ferromarkers in the type of IDA characteristic for nRA and redistribution iron deficiency compliant to hemosiderosis characteristic for RA. Priority in the differential diagnosis of AI variants is given to the comparison of sTfR/log10Ft index parameters (RA<1.0; nRA>2.0) with reference level of 25-hepcidin<28,68ng/ml in case of RA, and >56,37ng/ml in case of nRA.ЦСль: ΠΎΡ†Π΅Π½ΠΈΡ‚ΡŒ Π΄ΠΈΠ°Π³Π½ΠΎΡΡ‚ΠΈΡ‡Π΅ΡΠΊΡƒΡŽ Π·Π½Π°Ρ‡ΠΈΠΌΠΎΡΡ‚ΡŒ ΠΌΠ°Ρ€ΠΊΠ΅Ρ€ΠΎΠ² ΠΌΠ΅Ρ‚Π°Π±ΠΎΠ»ΠΈΠ·ΠΌΠ° ΠΆΠ΅Π»Π΅Π·Π° Π² Ρ‚Π΅Ρ‡Π΅Π½ΠΈΠΈ Π°Π½Π΅ΠΌΠΈΠΈ воспалСния ΠΏΡ€ΠΈ хроничСской HBV-ΠΈΠ½Ρ„Π΅ΠΊΡ†ΠΈΠΈ Ρƒ Π΄Π΅Ρ‚Π΅ΠΉ.ΠœΠ°Ρ‚Π΅Ρ€ΠΈΠ°Π»Ρ‹ ΠΈ ΠΌΠ΅Ρ‚ΠΎΠ΄Ρ‹: обслСдовано 148 Π΄Π΅Ρ‚Π΅ΠΉ с хроничСской HBV-ΠΈΠ½Ρ„Π΅ΠΊΡ†ΠΈΠ΅ΠΉ. Π£ 140 Π΄Π΅Ρ‚Π΅ΠΉ выявлСна анСмия воспалСния, ΠΈΠ· Π½ΠΈΡ… 60,7% с Ρ€Π΅Ρ„Ρ€Π°ΠΊΡ‚Π΅Ρ€Π½Ρ‹ΠΌ (РА), 39,3% с Π½Π΅Ρ€Π΅Ρ„Ρ€Π°ΠΊΡ‚Π΅Ρ€Π½Ρ‹ΠΌ (нРА) Π²Π°Ρ€ΠΈΠ°Π½Ρ‚ΠΎΠΌ тСчСния. ΠžΠ±Ρ‰ΠΈΠΉ Π°Π½Π°Π»ΠΈΠ· ΠΊΡ€ΠΎΠ²ΠΈ ΠΏΡ€ΠΎΠ²ΠΎΠ΄ΠΈΠ»ΠΈ Π½Π° гСматологичСском автоматичСском Π°Π½Π°Π»ΠΈΠ·Π°Ρ‚ΠΎΡ€Π΅. Π’ΠΈΡ€ΡƒΡΠΎΠ»ΠΎΠ³ΠΈΡ‡Π΅ΡΠΊΡƒΡŽ Π²Π΅Ρ€ΠΈΡ„ΠΈΠΊΠ°Ρ†ΠΈΡŽ HBV ΠΏΡ€ΠΎΠ²ΠΎΠ΄ΠΈΠ»ΠΈ ΠΌΠ΅Ρ‚ΠΎΠ΄ΠΎΠΌ ИЀА ΠΈ ПЦР. ΠœΠ΅Ρ‚ΠΎΠ΄ΠΎΠΌ ИЀА опрСдСляли гСпсидин-25, сывороточноС ΠΆΠ΅Π»Π΅Π·ΠΎ, Ρ„Π΅Ρ€Ρ€ΠΈΡ‚ΠΈΠ½ (Ft), трансфСррин (Tf), растворимыС трансфСрриновыС Ρ€Π΅Ρ†Π΅ΠΏΡ‚ΠΎΡ€Ρ‹ (sTfR), ΠΏΡ€ΠΎΠ²ΠΎΡΠΏΠ°Π»ΠΈΡ‚Π΅Π»ΡŒΠ½Ρ‹Π΅ Ρ†ΠΈΡ‚ΠΎΠΊΠΈΠ½Ρ‹ (IL-1, IL-6). Вычислялся индСкс sTfR/log10Ft.Π Π΅Π·ΡƒΠ»ΡŒΡ‚Π°Ρ‚Ρ‹: Π² Ρ…ΠΎΠ΄Π΅ исслСдования Π΄Π΅Ρ‚Π΅ΠΉ с хроничСской HBV-ΠΈΠ½Ρ„Π΅ΠΊΡ†ΠΈΠ΅ΠΉ установлСна высокая частота Π°Π½Π΅ΠΌΠΈΠΈ воспалСния – 94,6%, которая ΠΏΡ€ΠΈ РА Ρ…Π°Ρ€Π°ΠΊΡ‚Π΅Ρ€ΠΈΠ·ΠΎΠ²Π°Π»Π°ΡΡŒ Π½ΠΎΡ€ΠΌΠΎΡ†ΠΈΡ‚Π°Ρ€Π½Ρ‹ΠΌ Π½ΠΎΡ€ΠΌΠΎΡ…Ρ€ΠΎΠΌΠ½Ρ‹ΠΌ Ρ‚Π΅Ρ‡Π΅Π½ΠΈΠ΅ΠΌ, Ρ‚Ρ€ΠΎΠΌΠ±ΠΎΡ†ΠΈΡ‚ΠΎΠΏΠ΅Π½ΠΈΠ΅ΠΉ ΠΈ сниТСниСм Ρ‚Ρ€ΠΎΠΌΠ±ΠΎΠΊΡ€ΠΈΡ‚Π°, ΠΏΡ€ΠΈ нРА – ΠΌΠΈΠΊΡ€ΠΎΡ†ΠΈΡ‚Π°Ρ€Π½Ρ‹ΠΌ Π³ΠΈΠΏΠΎΡ…Ρ€ΠΎΠΌΠ½Ρ‹ΠΌ Ρ‚Π΅Ρ‡Π΅Π½ΠΈΠ΅ΠΌ с Π°Π½ΠΈΠ·ΠΎΡ†ΠΈΡ‚ΠΎΠ·ΠΎΠΌ эритроцитов. НСсмотря Π½Π° высокий Π²ΠΎΡΠΏΠ°Π»ΠΈΡ‚Π΅Π»ΡŒΠ½Ρ‹ΠΉ индСкс, ΠΈΠ½Π΄ΡƒΡ†ΠΈΡ€ΠΎΠ²Π°Π½Π½Ρ‹ΠΉ HBV-вирусной Ρ€Π΅ΠΏΠ»ΠΈΠΊΠ°Ρ†ΠΈΠ΅ΠΉ, для Π΄Π΅Ρ‚Π΅ΠΉ с РА Ρ…Π°Ρ€Π°ΠΊΡ‚Π΅Ρ€Π½ΠΎ сниТСниС Π·Π½Π°Ρ‡Π΅Π½ΠΈΠΉ гСпсидина-25 ΠΈ трасфСрриновых ΠΏΠ°Ρ€Π°ΠΌΠ΅Ρ‚Ρ€ΠΎΠ² Π½Π° Ρ„ΠΎΠ½Π΅ высоких Π·Π½Π°Ρ‡Π΅Π½ΠΈΠΉ Ρ„Π΅Ρ€Ρ€ΠΈΡ‚ΠΈΠ½Π°, для нРА – ΠΏΠΎΠ²Ρ‹ΡˆΠ΅Π½ΠΈΠ΅ гСпсидина-25 ΠΈ трансфСрринового спСктра Π½Π° Ρ„ΠΎΠ½Π΅ сниТСнных Π·Π½Π°Ρ‡Π΅Π½ΠΈΠΉ сывороточного ΠΆΠ΅Π»Π΅Π·Π° ΠΈ Ρ„Π΅Ρ€Ρ€ΠΈΡ‚ΠΈΠ½Π°.Π—Π°ΠΊΠ»ΡŽΡ‡Π΅Π½ΠΈΠ΅. ΠŸΡ€ΠΈ хроничСской HBV-ΠΈΠ½Ρ„Π΅ΠΊΡ†ΠΈΠΈ Ρƒ Π΄Π΅Ρ‚Π΅ΠΉ Π² Π³Π΅Π½Π΅Π·Π΅ развития Π°Π½Π΅ΠΌΠΈΠΈ воспалСния установлСно Π΄Π²Π° патогСнСтичСских Π²Π°Ρ€ΠΈΠ°Π½Ρ‚Π°: «истинный» Π΄Π΅Ρ„ΠΈΡ†ΠΈΡ‚ ΠΆΠ΅Π»Π΅Π·Π° с раскладкой Ρ„Π΅Ρ€Ρ€ΠΎΠΌΠ°Ρ€ΠΊΠ΅Ρ€ΠΎΠ² ΠΏΠΎ Ρ‚ΠΈΠΏΡƒ ΠΆΠ΅Π»Π΅Π·ΠΎΠ΄Π΅Ρ„ΠΈΡ†ΠΈΡ‚Π½ΠΎΠΉ Π°Π½Π΅ΠΌΠΈΠΈ, Ρ…Π°Ρ€Π°ΠΊΡ‚Π΅Ρ€Π½Ρ‹ΠΉ для нРА, ΠΈ ΠΏΠ΅Ρ€Π΅Ρ€Π°ΡΠΏΡ€Π΅Π΄Π΅Π»ΠΈΡ‚Π΅Π»ΡŒΠ½Ρ‹ΠΉ Π΄Π΅Ρ„ΠΈΡ†ΠΈΡ‚ ΠΆΠ΅Π»Π΅Π·Π° ΠΏΠΎ Ρ‚ΠΈΠΏΡƒ гСмосидСроза, свойствСнный для РА. ΠŸΡ€ΠΈΠΎΡ€ΠΈΡ‚Π΅Ρ‚ΠΎΠΌ Π² Π΄ΠΈΡ„Ρ„Π΅Ρ€Π΅Π½Ρ†ΠΈΠ°Π»ΡŒΠ½ΠΎΠΉ диагностикС Π²Π°Ρ€ΠΈΠ°Π½Ρ‚ΠΎΠ² Π°Π½Π΅ΠΌΠΈΠΈ воспалСния являСтся сопоставлСниС ΠΏΠ°Ρ€Π°ΠΌΠ΅Ρ‚Ρ€ΠΎΠ² индСкса sTfR/log10Ft (РА<1,0; нРА>2,0) с ΠΎΡ€ΠΈΠ΅Π½Ρ‚ΠΈΡ€ΠΎΠ²ΠΎΡ‡Π½Ρ‹ΠΌ ΡƒΡ€ΠΎΠ²Π½Π΅ΠΌ гСпсидина-25: ΠΏΡ€ΠΈ РА<28,68ng/ml, ΠΏΡ€ΠΈ нРА>56,37ng/ml. БвоСврСмСнная Π΄ΠΈΡ„Ρ„Π΅Ρ€Π΅Π½Ρ†ΠΈΠ°Π»ΡŒΠ½Π°Ρ диагностика Π²Π°Ρ€ΠΈΠ°Π½Ρ‚ΠΎΠ² тСчСния Π°Π½Π΅ΠΌΠΈΠΈ воспалСния позволяСт ΠΈΡΠΊΠ»ΡŽΡ‡ΠΈΡ‚ΡŒ нСобоснованноС Π½Π°Π·Π½Π°Ρ‡Π΅Π½ΠΈΠ΅ ΠΏΡ€Π΅ΠΏΠ°Ρ€Π°Ρ‚ΠΎΠ² ΠΆΠ΅Π»Π΅Π·Π° ΠΈ ΡΠΏΠΎΡΠΎΠ±ΡΡ‚Π²ΠΎΠ²Π°Ρ‚ΡŒ сниТСнию развития ΠΏΡ€ΠΎΠ³Ρ€Π΅ΡΡΠΈΡ€ΡƒΡŽΡ‰ΠΈΡ… Ρ„ΠΎΡ€ΠΌ хроничСской HBV-ΠΈΠ½Ρ„Π΅ΠΊΡ†ΠΈΠΈ Ρƒ Π΄Π΅Ρ‚Π΅ΠΉ.

    Π₯роничСский Π³Π΅ΠΏΠ°Ρ‚ΠΈΡ‚ Π² Ρƒ Π΄Π΅Ρ‚Π΅ΠΉ – носитСлСй Π³Π΅Π½Π° Π³Π΅ΠΌΠΎΡ…Ρ€ΠΎΠΌΠ°Ρ‚ΠΎΠ·Π° HFE

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    Purpose: to establish the frequency and clinical significance of mutant variations of the HFE gene polymorphism in chronic hepatitis B (CHB) in children with iron overload syndrome (IOS).Materials and methods: 60 children with chronic hepatitis B with iron overload syndrome (IOS) were examined. When distributing children into groups, we took into account the criteria we developed for assessing the degree of life expectancy in children with CHB: CST>0.5 – mild degree of life expectancy (43,3% of children), CSTΛƒ0.5 – mild degree of life expectancy (43,3% of children), CSTΛ‚0,5 – moderate severity of life expectancy (31,7% of children) and CSTΛ‚0,2 – severe degree of SPL (25,0%). Virological verification of HBV was performed by ELISA and PCR. Using PCR Real Time and molecular genetic analysis, HFE gene C282Y, H63D, S65C mutations were detected from amplified DNA using the PRONTO Hemochromatosis reagent kit (Israel). The transferrin saturation coefficient (CST) was calculated using the formula CST = sTfR / log10.Ft. Results:Results: The study of the hemochromatosis gene HFE showed that the overwhelming majority (84,0%) of children with CHB with IOS were carriers of heterozygous, phenotypically different, mutant types. And only 16,0% of sick children were homozites of the wild (normal) HFE gene. Analysis of the phenotypic polymorphism of the hemochromatosis gene HFE revealed the presence of three point heterozygous mutations: H63D, S65C and combined variations in H63D / S65C, the latter of which is associated with severe forms of CHB and severe IOS.Conclusion. Children with CHB with IOS are characterized by a high incidence of heterozygous mutations in the HFE gene, the phenotypic manifestations of which were S65C, H63D, H63D / S65C. The comparability of the heterozygous combined mutation H63D / S65C with severe forms of CHB and a severe degree of IOS gives grounds to consider this phenotype of the HFE gene as a factor in the progression of the disease.ЦСль: ΡƒΡΡ‚Π°Π½ΠΎΠ²ΠΈΡ‚ΡŒ частоту ΠΈ ΠΊΠ»ΠΈΠ½ΠΈΡ‡Π΅ΡΠΊΡƒΡŽ Π·Π½Π°Ρ‡ΠΈΠΌΠΎΡΡ‚ΡŒ ΠΌΡƒΡ‚Π°Π½Ρ‚Π½Ρ‹Ρ… Π²Π°Ρ€ΠΈΠ°Ρ†ΠΈΠΉ ΠΏΠΎΠ»ΠΈΠΌΠΎΡ€Ρ„ΠΈΠ·ΠΌΠ° Π³Π΅Π½Π° HFE ΠΏΡ€ΠΈ хроничСском Π³Π΅ΠΏΠ°Ρ‚ΠΈΡ‚Π΅ Π’ Ρƒ Π΄Π΅Ρ‚Π΅ΠΉ с синдромом ΠΏΠ΅Ρ€Π΅Π³Ρ€ΡƒΠ·ΠΊΠΈ ΠΆΠ΅Π»Π΅Π·ΠΎΠΌ.ΠœΠ°Ρ‚Π΅Ρ€ΠΈΠ°Π»Ρ‹ ΠΈ ΠΌΠ΅Ρ‚ΠΎΠ΄Ρ‹: обслСдовано 60 Π΄Π΅Ρ‚Π΅ΠΉ, Π±ΠΎΠ»ΡŒΠ½Ρ‹Ρ… хроничСским Π³Π΅ΠΏΠ°Ρ‚ΠΈΡ‚ΠΎΠΌ Π’ с синдромом ΠΏΠ΅Ρ€Π΅Π³Ρ€ΡƒΠ·ΠΊΠΈ ΠΆΠ΅Π»Π΅Π·ΠΎΠΌ. ΠŸΡ€ΠΈ распрСдСлСнии Π΄Π΅Ρ‚Π΅ΠΉ Π½Π° Π³Ρ€ΡƒΠΏΠΏΡ‹ ΡƒΡ‡ΠΈΡ‚Ρ‹Π²Π°Π»ΠΈΡΡŒ Ρ€Π°Π·Ρ€Π°Π±ΠΎΡ‚Π°Π½Π½Ρ‹Π΅ Π½Π°ΠΌΠΈ ΠΊΡ€ΠΈΡ‚Π΅Ρ€ΠΈΠΈ ΠΎΡ†Π΅Π½ΠΊΠΈ стСпСни синдрома ΠΏΠ΅Ρ€Π΅Π³Ρ€ΡƒΠ·ΠΊΠΈ ΠΆΠ΅Π»Π΅Π·ΠΎΠΌ Ρƒ Π΄Π΅Ρ‚Π΅ΠΉ с хроничСским Π³Π΅ΠΏΠ°Ρ‚ΠΈΡ‚ΠΎΠΌ Π’: КНВ>0,5 – лСгкая ΡΡ‚Π΅ΠΏΠ΅Π½ΡŒ синдрома ΠΏΠ΅Ρ€Π΅Π³Ρ€ΡƒΠ·ΠΊΠΈ ΠΆΠ΅Π»Π΅Π·ΠΎΠΌ (43,3% Π΄Π΅Ρ‚Π΅ΠΉ), КНВ<0,5 – срСднСтяТСлая ΡΡ‚Π΅ΠΏΠ΅Π½ΡŒ синдрома ΠΏΠ΅Ρ€Π΅Π³Ρ€ΡƒΠ·ΠΊΠΈ ΠΆΠ΅Π»Π΅Π·ΠΎΠΌ (31,7% Π΄Π΅Ρ‚Π΅ΠΉ) ΠΈ КНВ><0,2 – тяТСлая ΡΡ‚Π΅ΠΏΠ΅Π½ΡŒ синдрома ΠΏΠ΅Ρ€Π΅Π³Ρ€ΡƒΠ·ΠΊΠΈ ΠΆΠ΅Π»Π΅Π·ΠΎΠΌ (25,0%). Π’ΠΈΡ€ΡƒΡΠΎΠ»ΠΎΠ³ΠΈΡ‡Π΅ΡΠΊΡƒΡŽ Π²Π΅Ρ€ΠΈΡ„ΠΈΠΊΠ°Ρ†ΠΈΡŽ HBV ΠΏΡ€ΠΎΠ²ΠΎΠ΄ΠΈΠ»ΠΈ ΠΌΠ΅Ρ‚ΠΎΠ΄ΠΎΠΌ ИЀА ΠΈ ПЦР. ΠœΠ΅Ρ‚ΠΎΠ΄ΠΎΠΌ PCR Real Time ΠΈ молСкулярно-гСнСтичСского Π°Π½Π°Π»ΠΈΠ·Π° ΠΏΡ€ΠΎΠ²ΠΎΠ΄ΠΈΠ»ΠΈ Π΄Π΅Ρ‚Π΅ΠΊΡ†ΠΈΡŽ ΠΌΡƒΡ‚Π°Ρ†ΠΈΠΉ C282Y, H63D, S65C Π³Π΅Π½Π° HFE ΠΈΠ· Π°ΠΌΠΏΠ»ΠΈΡ„ΠΈΡ†ΠΈΡ€ΠΎΠ²Π°Π½Π½ΠΎΠΉ Π”ΠΠš с использованиСм Π½Π°Π±ΠΎΡ€Π° Ρ€Π΅Π°ΠΊΡ‚ΠΈΠ²ΠΎΠ² Β«PRONTO HemochromatosisΒ» (Israel). Вычисляли коэффициСнт насыщСния трансфСррина (КНВ) ΠΏΠΎ Ρ„ΠΎΡ€ΠΌΡƒΠ»Π΅ КНВ= sTfR/log10.Ft. Π Π΅Π·ΡƒΠ»ΡŒΡ‚Π°Ρ‚Ρ‹: исслСдованиС Π³Π΅Π½Π° Π³Π΅ΠΌΠΎΡ…Ρ€ΠΎΠΌΠ°Ρ‚ΠΎΠ·Π° HFE ΠΏΠΎΠΊΠ°Π·Π°Π»ΠΎ, Ρ‡Ρ‚ΠΎ ΠΏΠΎΠ΄Π°Π²Π»ΡΡŽΡ‰Π΅Π΅ Π±ΠΎΠ»ΡŒΡˆΠΈΠ½ΡΡ‚Π²ΠΎ (84,0%) Π΄Π΅Ρ‚Π΅ΠΉ, Π±ΠΎΠ»ΡŒΠ½Ρ‹Ρ… хроничСским Π³Π΅ΠΏΠ°Ρ‚ΠΈΡ‚ΠΎΠΌ Π’ с синдромом ΠΏΠ΅Ρ€Π΅Π³Ρ€ΡƒΠ·ΠΊΠΈ ΠΆΠ΅Π»Π΅Π·ΠΎΠΌ являлись носитСлями Π³Π΅Ρ‚Π΅Ρ€ΠΎΠ·ΠΈΠ³ΠΎΡ‚Π½Ρ‹Ρ…, Ρ€Π°Π·Π»ΠΈΡ‡Π½Ρ‹Ρ… ΠΏΠΎ Ρ„Π΅Π½ΠΎΡ‚ΠΈΠΏΡƒ, ΠΌΡƒΡ‚Π°Π½Ρ‚Π½Ρ‹Ρ… Ρ‚ΠΈΠΏΠΎΠ². И Ρ‚ΠΎΠ»ΡŒΠΊΠΎ 16,0% Π±ΠΎΠ»ΡŒΠ½Ρ‹Ρ… Π΄Π΅Ρ‚Π΅ΠΉ являлись Π³ΠΎΠΌΠΎΠ·ΠΈΡ‚Π°ΠΌΠΈ Π΄ΠΈΠΊΠΎΠ³ΠΎ (Π½ΠΎΡ€ΠΌΠ°Π»ΡŒΠ½ΠΎΠ³ΠΎ) Π³Π΅Π½Π° HFE. Анализ фСнотипичСского ΠΏΠΎΠ»ΠΈΠΌΠΎΡ€Ρ„ΠΈΠ·ΠΌΠ° Π³Π΅Π½Π° Π³Π΅ΠΌΠΎΡ…Ρ€ΠΎΠΌΠ°Ρ‚ΠΎΠ·Π° HFE выявил Π½Π°Π»ΠΈΡ‡ΠΈΠ΅ 3 Ρ‚ΠΎΡ‡Π΅Ρ‡Π½Ρ‹Ρ… Π³Π΅Ρ‚Π΅Ρ€ΠΎΠ·ΠΈΠ³ΠΎΡ‚Π½Ρ‹Ρ… ΠΌΡƒΡ‚Π°Ρ†ΠΈΠΉ: H63D, S65C ΠΈ сочСтанных Π²Π°Ρ€ΠΈΠ°Ρ†ΠΈΠΉ H63D/S65C, послСдний ΠΈΠ· ΠΊΠΎΡ‚ΠΎΡ€Ρ‹Ρ… сопряТСн с Π²Ρ‹Ρ€Π°ΠΆΠ΅Π½Π½Ρ‹ΠΌΠΈ Ρ„ΠΎΡ€ΠΌΠ°ΠΌΠΈ Π₯Π“Π’ ΠΈ тяТСлой ΡΡ‚Π΅ΠΏΠ΅Π½ΡŒΡŽ Π‘ΠŸΠ–. Π—Π°ΠΊΠ»ΡŽΡ‡Π΅Π½ΠΈΠ΅. Для Π΄Π΅Ρ‚Π΅ΠΉ, Π±ΠΎΠ»ΡŒΠ½Ρ‹Ρ… хроничСским Π³Π΅ΠΏΠ°Ρ‚ΠΈΡ‚ΠΎΠΌ Π’ с синдромом ΠΏΠ΅Ρ€Π΅Π³Ρ€ΡƒΠ·ΠΊΠΈ ΠΆΠ΅Π»Π΅Π·ΠΎΠΌ, Ρ…Π°Ρ€Π°ΠΊΡ‚Π΅Ρ€Π½Π° высокая частота развития Π³Π΅Ρ‚Π΅Ρ€ΠΎΠ·ΠΈΠ³ΠΎΡ‚Π½Ρ‹Ρ… ΠΌΡƒΡ‚Π°Ρ†ΠΈΠΉ Π³Π΅Π½Π° HFE, фСнотипичСским проявлСниСм ΠΊΠΎΡ‚ΠΎΡ€Ρ‹Ρ… явились S65C, H63D, H63D/S65C. Π‘ΠΎΠΏΠΎΡΡ‚Π°Π²ΠΈΠΌΠΎΡΡ‚ΡŒ Π³Π΅Ρ‚Π΅Ρ€ΠΎΠ·ΠΈΠ³ΠΎΡ‚Π½ΠΎΠΉ сочСтанной ΠΌΡƒΡ‚Π°Ρ†ΠΈΠΈ H63D/S65C с Π²Ρ‹Ρ€Π°ΠΆΠ΅Π½Π½Ρ‹ΠΌΠΈ Ρ„ΠΎΡ€ΠΌΠ°ΠΌΠΈ Π₯Π“Π’ ΠΈ тяТСлой ΡΡ‚Π΅ΠΏΠ΅Π½ΡŒΡŽ Π‘ΠŸΠ– Π΄Π°Π΅Ρ‚ основаниС Ρ€Π°ΡΡΠΌΠ°Ρ‚Ρ€ΠΈΠ²Π°Ρ‚ΡŒ Π΄Π°Π½Π½Ρ‹ΠΉ Ρ„Π΅Π½ΠΎΡ‚ΠΈΠΏ Π³Π΅Π½Π° HFE ΠΊΠ°ΠΊ Ρ„Π°ΠΊΡ‚ΠΎΡ€ прогрСссирования заболСвания.>Λƒ 0,5 – лСгкая ΡΡ‚Π΅ΠΏΠ΅Π½ΡŒ синдрома ΠΏΠ΅Ρ€Π΅Π³Ρ€ΡƒΠ·ΠΊΠΈ ΠΆΠ΅Π»Π΅Π·ΠΎΠΌ (43,3% Π΄Π΅Ρ‚Π΅ΠΉ), ΠšΠΠ’Λ‚ 0,5 – срСднСтяТСлая ΡΡ‚Π΅ΠΏΠ΅Π½ΡŒ синдрома ΠΏΠ΅Ρ€Π΅Π³Ρ€ΡƒΠ·ΠΊΠΈ ΠΆΠ΅Π»Π΅Π·ΠΎΠΌ (31,7% Π΄Π΅Ρ‚Π΅ΠΉ) ΠΈ ΠšΠΠ’Λ‚ 0,2 – тяТСлая ΡΡ‚Π΅ΠΏΠ΅Π½ΡŒ синдрома ΠΏΠ΅Ρ€Π΅Π³Ρ€ΡƒΠ·ΠΊΠΈ ΠΆΠ΅Π»Π΅Π·ΠΎΠΌ (25,0%). Π’ΠΈΡ€ΡƒΡΠΎΠ»ΠΎΠ³ΠΈΡ‡Π΅ΡΠΊΡƒΡŽ Π²Π΅Ρ€ΠΈΡ„ΠΈΠΊΠ°Ρ†ΠΈΡŽ HBV ΠΏΡ€ΠΎΠ²ΠΎΠ΄ΠΈΠ»ΠΈ ΠΌΠ΅Ρ‚ΠΎΠ΄ΠΎΠΌ ИЀА ΠΈ ПЦР. ΠœΠ΅Ρ‚ΠΎΠ΄ΠΎΠΌ PCR Real Time ΠΈ молСкулярно-гСнСтичСского Π°Π½Π°Π»ΠΈΠ·Π° ΠΏΡ€ΠΎΠ²ΠΎΠ΄ΠΈΠ»ΠΈ Π΄Π΅Ρ‚Π΅ΠΊΡ†ΠΈΡŽ ΠΌΡƒΡ‚Π°Ρ†ΠΈΠΉ C282Y, H63D, S65C Π³Π΅Π½Π° HFE ΠΈΠ· Π°ΠΌΠΏΠ»ΠΈΡ„ΠΈΡ†ΠΈΡ€ΠΎΠ²Π°Π½Π½ΠΎΠΉ Π”ΠΠš с использованиСм Π½Π°Π±ΠΎΡ€Π° Ρ€Π΅Π°ΠΊΡ‚ΠΈΠ²ΠΎΠ² Β«PRONTO HemochromatosisΒ» (Israel). Вычисляли коэффициСнт насыщСния трансфСррина (КНВ) ΠΏΠΎ Ρ„ΠΎΡ€ΠΌΡƒΠ»Π΅ КНВ= sTfR/log10.Ft.Π Π΅Π·ΡƒΠ»ΡŒΡ‚Π°Ρ‚Ρ‹: исслСдованиС Π³Π΅Π½Π° Π³Π΅ΠΌΠΎΡ…Ρ€ΠΎΠΌΠ°Ρ‚ΠΎΠ·Π° HFE ΠΏΠΎΠΊΠ°Π·Π°Π»ΠΎ, Ρ‡Ρ‚ΠΎ ΠΏΠΎΠ΄Π°Π²Π»ΡΡŽΡ‰Π΅Π΅ Π±ΠΎΠ»ΡŒΡˆΠΈΠ½ΡΡ‚Π²ΠΎ (84,0%) Π΄Π΅Ρ‚Π΅ΠΉ, Π±ΠΎΠ»ΡŒΠ½Ρ‹Ρ… хроничСским Π³Π΅ΠΏΠ°Ρ‚ΠΈΡ‚ΠΎΠΌ Π’ с синдромом ΠΏΠ΅Ρ€Π΅Π³Ρ€ΡƒΠ·ΠΊΠΈ ΠΆΠ΅Π»Π΅Π·ΠΎΠΌ являлись носитСлями Π³Π΅Ρ‚Π΅Ρ€ΠΎΠ·ΠΈΠ³ΠΎΡ‚Π½Ρ‹Ρ…, Ρ€Π°Π·Π»ΠΈΡ‡Π½Ρ‹Ρ… ΠΏΠΎ Ρ„Π΅Π½ΠΎΡ‚ΠΈΠΏΡƒ, ΠΌΡƒΡ‚Π°Π½Ρ‚Π½Ρ‹Ρ… Ρ‚ΠΈΠΏΠΎΠ². И Ρ‚ΠΎΠ»ΡŒΠΊΠΎ 16,0% Π±ΠΎΠ»ΡŒΠ½Ρ‹Ρ… Π΄Π΅Ρ‚Π΅ΠΉ являлись Π³ΠΎΠΌΠΎΠ·ΠΈΡ‚Π°ΠΌΠΈ Π΄ΠΈΠΊΠΎΠ³ΠΎ (Π½ΠΎΡ€ΠΌΠ°Π»ΡŒΠ½ΠΎΠ³ΠΎ) Π³Π΅Π½Π° HFE. Анализ фСнотипичСского ΠΏΠΎΠ»ΠΈΠΌΠΎΡ€Ρ„ΠΈΠ·ΠΌΠ° Π³Π΅Π½Π° Π³Π΅ΠΌΠΎΡ…Ρ€ΠΎΠΌΠ°Ρ‚ΠΎΠ·Π° HFE выявил Π½Π°Π»ΠΈΡ‡ΠΈΠ΅ 3 Ρ‚ΠΎΡ‡Π΅Ρ‡Π½Ρ‹Ρ… Π³Π΅Ρ‚Π΅Ρ€ΠΎΠ·ΠΈΠ³ΠΎΡ‚Π½Ρ‹Ρ… ΠΌΡƒΡ‚Π°Ρ†ΠΈΠΉ: H63D, S65C ΠΈ сочСтанных Π²Π°Ρ€ΠΈΠ°Ρ†ΠΈΠΉ H63D/S65C, послСдний ΠΈΠ· ΠΊΠΎΡ‚ΠΎΡ€Ρ‹Ρ… сопряТСн с Π²Ρ‹Ρ€Π°ΠΆΠ΅Π½Π½Ρ‹ΠΌΠΈ Ρ„ΠΎΡ€ΠΌΠ°ΠΌΠΈ Π₯Π“Π’ ΠΈ тяТСлой ΡΡ‚Π΅ΠΏΠ΅Π½ΡŒΡŽ Π‘ΠŸΠ–.Π—Π°ΠΊΠ»ΡŽΡ‡Π΅Π½ΠΈΠ΅. Для Π΄Π΅Ρ‚Π΅ΠΉ, Π±ΠΎΠ»ΡŒΠ½Ρ‹Ρ… хроничСским Π³Π΅ΠΏΠ°Ρ‚ΠΈΡ‚ΠΎΠΌ Π’ с синдромом ΠΏΠ΅Ρ€Π΅Π³Ρ€ΡƒΠ·ΠΊΠΈ ΠΆΠ΅Π»Π΅Π·ΠΎΠΌ, Ρ…Π°Ρ€Π°ΠΊΡ‚Π΅Ρ€Π½Π° высокая частота развития Π³Π΅Ρ‚Π΅Ρ€ΠΎΠ·ΠΈΠ³ΠΎΡ‚Π½Ρ‹Ρ… ΠΌΡƒΡ‚Π°Ρ†ΠΈΠΉ Π³Π΅Π½Π° HFE, фСнотипичСским проявлСниСм ΠΊΠΎΡ‚ΠΎΡ€Ρ‹Ρ… явились S65C, H63D, H63D/S65C. Π‘ΠΎΠΏΠΎΡΡ‚Π°Π²ΠΈΠΌΠΎΡΡ‚ΡŒ Π³Π΅Ρ‚Π΅Ρ€ΠΎΠ·ΠΈΠ³ΠΎΡ‚Π½ΠΎΠΉ сочСтанной ΠΌΡƒΡ‚Π°Ρ†ΠΈΠΈ H63D/S65C с Π²Ρ‹Ρ€Π°ΠΆΠ΅Π½Π½Ρ‹ΠΌΠΈ Ρ„ΠΎΡ€ΠΌΠ°ΠΌΠΈ Π₯Π“Π’ ΠΈ тяТСлой ΡΡ‚Π΅ΠΏΠ΅Π½ΡŒΡŽ Π‘ΠŸΠ– Π΄Π°Π΅Ρ‚ основаниС Ρ€Π°ΡΡΠΌΠ°Ρ‚Ρ€ΠΈΠ²Π°Ρ‚ΡŒ Π΄Π°Π½Π½Ρ‹ΠΉ Ρ„Π΅Π½ΠΎΡ‚ΠΈΠΏ Π³Π΅Π½Π° HFE ΠΊΠ°ΠΊ Ρ„Π°ΠΊΡ‚ΠΎΡ€ прогрСссирования заболСвания

    The potential risks and impact of the start of the 2015–2016 influenza season in the WHO European Region: a rapid risk assessment

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    Background: Countries in the World Health Organization (WHO) European Region are reporting more severe influenza activity in the 2015–2016 season compared to previous seasons. Objectives: To conduct a rapid risk assessment to provide interim information on the severity of the current influenza season. Methods: Using the WHO manual for rapid risk assessment of acute public health events and surveillance data available from Flu News Europe, an assessment of the current influenza season from 28 September 2015 (week 40/2015) up to 31 January 2016 (week 04/2016) was made compared with the four previous seasons. Results: The current influenza season started around week 51/2015 with higher influenza activity reported in Eastern Europe compared to Western Europe. There is a strong predominance of influenza A(H1N1)pdm09 compared to previous seasons, but the virus is antigenically similar to the strain included in the seasonal influenza vaccine. Compared to the 2014/2015 season, there was a rapid increase in the number of severe cases in Eastern European countries with the majority of such cases occurring among adults aged < 65Β years. Conclusions: The current influenza season is characterized by an early start in Eastern European countries, with indications of a more severe season. Currently circulating influenza A(H1N1)pdm09 viruses are antigenically similar to those included in the seasonal influenza vaccine, and the vaccine is expected to be effective. Authorities should provide information to the public and health providers about the current influenza season, recommendations for the treatment of severe disease and effective public health measures to prevent influenza transmission

    Practices of financial income accounting in budget organizations

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    This article describes the fixed assets recognition in budget organizations and their practical aspects. There are practical recommendations for the recognition and accounting of fixed assets in budget organization

    Modern Teaching Methods Inmathematics

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    It is well known the difficulty of teaching and learning Mathematics in schools. But, over the last years,teacher’s teaching style has changed significantly. The traditional way that Mathematics was delivered(through memorization and repeating techniques) is replaced by the modern way (applied way) of teachingand learning Mathematics. The aim of this paper is to describe the positive impact and the importance ofmodern teaching methods. This paper recommends that all Maths teachers should use modern, interactive methods in order to improve the performance of their students

    Syntactic graduonymy

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    This article is dedicated to the existence of graduonymy, which is considered as one of the modern linguistics’ new notions, in syntax. Moreover, graduonymic relations among syntactic units and phenomena, and their peculiarities are investigated; they are proved by some examples

    Some differences of the poetic and poetic and prosaic variants of the poem

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    In the given article the differences in the poetic and prose variants of the poem β€œSaddy Iskandary” on the example of the concept β€œgift” are analyze

    НСчіткС модСлювання для ΠΎΡ†Ρ–Π½ΡŽΠ²Π°Π½Π½Ρ Ρ– прогнозування індСксу стійкості ΡΠΎΡ†Ρ–Π°Π»ΡŒΠ½ΠΎΠ³ΠΎ сСрСдовища

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    The fuzzy approach to evaluate the index of social environment sustainability and forecast of the index condition in the future by fuzzy markov model is offered. Fuzzy methods are applied on the basis of a new database of the indicators, which allow to reflect not only a statics, but also dynamics of the social environment development.ΠŸΡ€Π΅Π΄Π»ΠΎΠΆΠ΅Π½ Π½Π΅Ρ‡Π΅Ρ‚ΠΊΠΈΠΉ ΠΏΠΎΠ΄Ρ…ΠΎΠ΄ ΠΊ ΠΎΡ†Π΅Π½ΠΈΠ²Π°Π½ΠΈΡŽ индСкса устойчивости ΡΠΎΡ†ΠΈΠ°Π»ΡŒΠ½ΠΎΠΉ срСды ΠΈ ΠΏΡ€ΠΎΠ³Π½ΠΎΠ·ΠΈΡ€ΠΎΠ²Π°Π½ΠΈΠ΅ состояния индСкса Π² ΡΠ»Π΅Π΄ΡƒΡŽΡ‰Π΅ΠΌ Π³ΠΎΠ΄Ρƒ посрСдством Π½Π΅Ρ‡Π΅Ρ‚ΠΊΠΎΠΉ ΠœΠ°Ρ€ΠΊΠΎΠ²ΡΠΊΠΎΠΉ ΠΌΠΎΠ΄Π΅Π»ΠΈ. НСчСткиС ΠΌΠ΅Ρ‚ΠΎΠ΄Ρ‹ ΠΏΡ€ΠΈΠΌΠ΅Π½Π΅Π½Ρ‹ Π½Π° основС Π½ΠΎΠ²ΠΎΠΉ Π±Π°Π·Ρ‹ ΠΏΠΎΠΊΠ°Π·Π°Ρ‚Π΅Π»Π΅ΠΉ, ΠΏΠΎΠ·Π²ΠΎΠ»ΡΡŽΡ‰ΠΈΡ… ΠΎΡ‚Ρ€Π°ΠΆΠ°Ρ‚ΡŒ Π½Π΅ Ρ‚ΠΎΠ»ΡŒΠΊΠΎ статику, Π½ΠΎ ΠΈ Π΄ΠΈΠ½Π°ΠΌΠΈΠΊΡƒ развития ΡΠΎΡ†ΠΈΠ°Π»ΡŒΠ½ΠΎΠΉ срСды.Π—Π°ΠΏΡ€ΠΎΠΏΠΎΠ½ΠΎΠ²Π°Π½ΠΎ Π½Π΅Ρ‡Ρ–Ρ‚ΠΊΠΈΠΉ ΠΏΡ–Π΄Ρ…Ρ–Π΄ Π΄ΠΎ ΠΎΡ†Ρ–Π½ΡŽΠ²Π°Π½Π½Ρ індСксу сталості ΡΠΎΡ†Ρ–Π°Π»ΡŒΠ½ΠΎΠ³ΠΎ сСрСдовища Ρ‚Π° прогнозування стану індСксу Π² наступному Ρ€ΠΎΡ†Ρ– Π·Π° допомогою Π½Π΅Ρ‡Ρ–Ρ‚ΠΊΠΎΡ— ΠœΠ°Ρ€ΠΊΡ–Π²ΡΡŒΠΊΠΎΡ— ΠΌΠΎΠ΄Π΅Π»Ρ–. НСчіткі ΠΌΠ΅Ρ‚ΠΎΠ΄ΠΈ застосовано Π½Π° основі Π½ΠΎΠ²ΠΎΡ— Π±Π°Π·ΠΈ ΠΏΠΎΠΊΠ°Π·Π½ΠΈΠΊΡ–Π², Ρ‰ΠΎ Π΄ΠΎΠ·Π²ΠΎΠ»ΡΡŽΡ‚ΡŒ Π²Ρ–Π΄ΠΎΠ±Ρ€Π°ΠΆΠ°Ρ‚ΠΈ Π½Π΅ Ρ‚Ρ–Π»ΡŒΠΊΠΈ статику, Π°Π»Π΅ ΠΉ Π΄ΠΈΠ½Π°ΠΌΡ–ΠΊΡƒ Ρ€ΠΎΠ·Π²ΠΈΡ‚ΠΊΡƒ ΡΠΎΡ†Ρ–Π°Π»ΡŒΠ½ΠΎΠ³ΠΎ сСрСдовища
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