23 research outputs found
PROFIL WISATAWAN MUSEUM RADYA PUSTAKA SURAKARTA
Anggit Margaret, C9407031 2011. Profil Wisatawan Museum
Radya Pustaka Surakarta. Program Studi Diploma III Usaha Perjalanan
Wisata Fakultas Sastra Dan Seni Rupa Universitas Sebelas Maret Surakarta.
Penelitian tugas akhir ini mengkaji tentang Profil Wisatawan di
Museum Radya Pustaka Surakarta. Tujuan dari penelitian ini adalah untuk
mengetahui dari daerah mana saja wisatawan yang berkunjung ke Museum
Radya Pustaka, bagaimana ciri-ciri wisatawan yang berkunjung ke Museum
Radya Pustaka serta harapan-harapan yang diinginkan wisatawan terhadap
Museum Radya Pustaka.
Penelitian dilakukan dengan metode kualitatif. Pengumpulan data
dilakukan melalui wawancara dengan narasumber wisatawan yang berkujung
di Museum Radya Pustaka Surakarta tempat penulis melakukan penelitian,
serta studi pustaka dan studi dokumen guna menambah sumber data.
Hasil penelitian menunjukkan bahwa (1) Sebagian besar wisatawan
yang datang berasal dari Semarang sebesar 32%. (2) Mayoritas wisatawan
yang berkunjung ke Museum Radya Pustaka berusia antara 17-25 tahun dan
kebanyakan dari mereka adalah pelajar atau mahasiswa dengan prosentase
52%. (3) Sebagian besar wisatawan yang datang ke Museum Radya Pustaka
adalah bertujuan untuk melakukan penelitian yaitu sebesar 34%. (4) Harapan
wisatawan yang berkunjung terhadap kelangsungan Museum Radya Pustaka
sebagian besar adalah agar ditingkatkan lagi pengelolaan dan keamanan
museum, agar kejadian hilangnya benda-benda koleksi museum tidak terulang
lagi dikemudian hari.
Kesimpulan dari hasil penelitian ini bahwa wisatawan yang berkujung
ke Museum Radya Pustaka Surakarta mayoritas berasal dari Semarang,
mayoritas berusia 17-25 tahun dan kebanyakan dari mereka adalah berprofesi
sebagai pelajar dan mahasiswa. Kebanyakan wisatawan yang datang bertujuan
untuk melakukan penelitian, serta harapan wisatawan terhadap Museum
Radya Pustaka adalah supaya lebih ditingkatkan lagi pengelolaan dan
keamanan museum
Π‘Π»ΠΈΡΠ½ΠΈΡ ΠΈΠ·ΠΎΠ±ΡΠ°ΠΆΠ΅Π½ΠΈΠΉ ΠΊΠΎΠΌΠΏΡΡΡΠ΅ΡΠ½ΠΎΠΉ ΡΠΎΠΌΠΎΠ³ΡΠ°ΡΠΈΠΈ ΠΈΒ Π΄ΠΈΡΡΡΠ·ΠΈΠΎΠ½Π½ΠΎ-Π²Π·Π²Π΅ΡΠ΅Π½Π½ΠΎΠΉ ΠΌΠ°Π³Π½ΠΈΡΠ½ΠΎ-ΡΠ΅Π·ΠΎΠ½Π°Π½ΡΠ½ΠΎΠΉ ΡΠΎΠΌΠΎΠ³ΡΠ°ΡΠΈΠΈ Π΄Π»Ρ Π²ΠΈΠ·ΡΠ°Π»ΠΈΠ·Π°ΡΠΈΠΈ Π²ΠΏΠ΅ΡΠ²ΡΠ΅ Π²ΡΡΠ²Π»Π΅Π½Π½ΡΡ , ΡΠ΅Π·ΠΈΠ΄ΡΠ°Π»ΡΠ½ΡΡ ΠΈΒ ΡΠ΅ΡΠΈΠ΄ΠΈΠ²Π½ΡΡ Ρ ΠΎΠ»Π΅ΡΡΠ΅Π°ΡΠΎΠΌ ΡΡΠ΅Π΄Π½Π΅Π³ΠΎ ΡΡ Π°
Background:Β At present,Β computedΒ tomographyΒ (CT)Β is recognizedΒ asΒ method for primary diagnosis of middle ear disorders. More accurate diagnosisΒ ofΒ cholesteatomaΒ is basedΒ onΒ aΒ sequenceΒ of non-echoΒ Β planarΒ diffusion-weighted magneticΒ resonance imaging. The choice of the typeΒ of surgery depends on cholesteatoma size and location. Aim: To assess the possibility of fusion of CT and magneticΒ resonance images (MRI) to determine theΒ precise location of theΒ middle ear cholesteatoma. Materials and methods: The CT and diffusion-weighted (DW) images of 24 patientsΒ with chronic suppurative otitis media, including 12 with newly diagnosed and 12 with relapsing cholesteatoma were fused. The patients underwent theΒ standardΒ CT andΒ MRI, including DW-MRI.Β CTΒ andΒ DW-MRIΒ imagesΒ wereΒ fused with determination of exact size and location of cholesteatoma in the middle ear cavity. Results: The exact location and size of the cholesteatoma were identified. The study results were compared with intraoperative data. The use of fused CT and DW imagesΒ hadΒ theΒ sensitivity in determination of cholesteatoma location and size of 96%, specificity of 100%, positive predictive value of 100%, and negativeΒ of 96%, which all were higher than the corresponding values for CT and MRI assessments. Conclusion: Fusion of CT and DW-MRI allows for determination of the precise localization of cholesteatoma, partial exclusion of false-positiveΒ resultsΒ Β correlateΒ Β andΒ Β forΒ comparisonΒ Β of theΒ lesion with important boneΒ landmarks. The method may beΒ useful for theΒ surgeonΒ bothΒ in planning of primary surgery, as well as for repeated revision of the postoperative cavity.ΠΠΊΡΡΠ°Π»ΡΠ½ΠΎΡΡΡ. Π‘Π΅Π³ΠΎΠ΄Π½Ρ ΠΌΠ΅ΡΠΎΠ΄ΠΎΠΌ ΠΏΠ΅ΡΠ²ΠΈΡΠ½ΠΎΠΉ Π΄ΠΈΠ°Π³Π½ΠΎΡΡΠΈΠΊΠΈΒ ΠΏΠ°ΡΠΎΠ»ΠΎΠ³ΠΈΠΈΒ ΡΡΠ΅Π΄Π½Π΅Π³ΠΎΒ ΡΡ
Π° ΠΏΡΠΈΠ·Π½Π°Π½Π° ΠΊΠΎΠΌΠΏΡΡΡΠ΅ΡΠ½Π°ΡΒ ΡΠΎΠΌΠΎΠ³ΡΠ°ΡΠΈΡ (ΠΠ’). ΠΠ»Ρ ΡΡΠΎΡΠ½Π΅Π½Π½ΠΎΠΉ Π΄ΠΈΠ°Π³Π½ΠΎΡΡΠΈΠΊΠΈ Ρ
ΠΎΠ»Π΅ΡΡΠ΅Π°ΡΠΎΠΌΡ ΠΈΡΠΏΠΎΠ»ΡΠ·ΡΠ΅ΡΡΡ ΠΏΠΎΡΠ»Π΅Π΄ΠΎΠ²Π°ΡΠ΅Π»ΡΠ½ΠΎΡΡΡΒ Β Β Β Π½Π΅ΡΡ
ΠΎΠΏΠ»Π°Π½Π°ΡΠ½ΠΎΠ³ΠΎΒ Β Β Π΄ΠΈΡΡΡΠ·ΠΈΠΎΠ½Π½ΠΎ-Π²Π·Π²Π΅ΡΠ΅Π½Π½ΠΎΠ³ΠΎΒ ΠΌΠ°Π³Π½ΠΈΡΠ½ΠΎ-ΡΠ΅Π·ΠΎΠ½Π°Π½ΡΠ½ΠΎΠ³ΠΎ ΠΈΠ·ΠΎΠ±ΡΠ°ΠΆΠ΅Π½ΠΈΡ. ΠΡΠ±ΠΎΡ ΠΌΠ΅ΡΠΎΠ΄ΠΈΠΊΠΈΒ ΡΠ°Π½ΠΈΡΡΡΡΠ΅ΠΉ ΠΎΠΏΠ΅ΡΠ°ΡΠΈΠΈ Π·Π°Π²ΠΈΡΠΈΡ ΠΎΡ ΡΠ°Π·ΠΌΠ΅ΡΠΎΠ² ΠΈ Π»ΠΎΠΊΠ°Π»ΠΈΠ·Π°ΡΠΈΠΈΒ Ρ
ΠΎΠ»Π΅ΡΡΠ΅Π°ΡΠΎΠΌΡ. Π¦Π΅Π»Ρ β ΠΎΡΠ΅Π½ΠΊΠ°Β Π²ΠΎΠ·ΠΌΠΎΠΆΠ½ΠΎΡΡΠ΅ΠΉΒ ΡΠΎΠ²ΠΌΠ΅ΡΠ΅Π½ΠΈΡ ΠΈΠ·ΠΎΠ±ΡΠ°ΠΆΠ΅Π½ΠΈΠΉΒ ΠΠ’ ΠΈ ΠΌΠ°Π³Π½ΠΈΡΠ½ΠΎ-ΡΠ΅Π·ΠΎΠ½Π°Π½ΡΠ½ΠΎΠΉ ΡΠΎΠΌΠΎΠ³ΡΠ°ΡΠΈΠΈ (ΠΠ Π’) Π² ΡΠΎΡΠ½ΠΎΠΉ ΡΠΎΠΏΠΈΡΠ΅ΡΠΊΠΎΠΉ Π»ΠΎΠΊΠ°Π»ΠΈΠ·Π°ΡΠΈΠΈ Ρ
ΠΎΠ»Π΅ΡΡΠ΅Π°ΡΠΎΠΌ ΡΡΠ΅Π΄Π½Π΅Π³ΠΎ ΡΡ
Π°. ΠΠ°ΡΠ΅ΡΠΈΠ°Π» ΠΈ ΠΌΠ΅ΡΠΎΠ΄Ρ. ΠΡΠ»ΠΈ ΡΠΎΠ²ΠΌΠ΅ΡΠ΅Π½Ρ ΠΈΠ·ΠΎΠ±ΡΠ°ΠΆΠ΅Π½ΠΈΡΒ 24 Π±ΠΎΠ»ΡΠ½ΡΡ
Ρ
ΡΠΎΠ½ΠΈΡΠ΅ΡΠΊΠΈΠΌ Π³Π½ΠΎΠΉΠ½ΡΠΌ ΡΡΠ΅Π΄Π½ΠΈΠΌ ΠΎΡΠΈΡΠΎΠΌ, Π² ΡΠΎΠΌ ΡΠΈΡΠ»Π΅ 12 β Ρ Π²ΠΏΠ΅ΡΠ²ΡΠ΅Β Π²ΡΡΠ²Π»Π΅Π½Π½ΠΎΠΉΒ Ρ
ΠΎΠ»Π΅ΡΡΠ΅Π°ΡΠΎΠΌΠΎΠΉ, 12Β βΒ ΡΒ ΡΠ΅ΡΠΈΠ΄ΠΈΠ²Π½ΠΎΠΉ.Β Β ΠΠ°ΡΠΈΠ΅Π½ΡΠ°ΠΌΒ Π²ΡΠΏΠΎΠ»Π½ΡΠ»ΠΎΡΡ ΡΡΠ°Π½Π΄Π°ΡΡΠ½ΠΎΠ΅Β ΠΈΡΡΠ»Π΅Π΄ΠΎΠ²Π°Π½ΠΈΠ΅Β ΠΠ’ ΠΈ ΠΠ Π’, Π²ΠΊΠ»ΡΡΠ°ΡΡΠ΅Π΅ Π΄ΠΈΡΡΡΠ·ΠΈΠΎΠ½Π½ΠΎ-Π²Π·Π²Π΅ΡΠ΅Π½Π½ΡΠ΅ ΠΈΠ·ΠΎΠ±ΡΠ°ΠΆΠ΅Π½ΠΈΡ. Π‘ΠΎΠ²ΠΌΠ΅ΡΠ°Π»ΠΈΡΡΒ ΠΈΠ·ΠΎΠ±ΡΠ°ΠΆΠ΅Π½ΠΈΡΒ Β ΠΠ’Β ΠΈΒ Π΄ΠΈΡΡΡΠ·ΠΈΠΎΠ½Π½ΠΎ-Π²Π·Π²Π΅ΡΠ΅Π½Π½ΠΎΠΉΒ Β ΠΠ Π’,Β Β ΠΏΠΎΒ Β ΠΊΠΎΡΠΎΡΡΠΌΒ Β ΠΎΠΏΡΠ΅Π΄Π΅Π»ΡΠ»ΠΈΡΡ ΡΠΎΡΠ½ΡΠ΅Β ΡΠ°Π·ΠΌΠ΅ΡΡΒ ΠΈ Π»ΠΎΠΊΠ°Π»ΠΈΠ·Π°ΡΠΈΡΒ Ρ
ΠΎΠ»Π΅ΡΡΠ΅Π°ΡΠΎΠΌΡΒ Π²Β ΠΏΠΎΠ»ΠΎΡΡΡΡ
Β ΡΡΠ΅Π΄Π½Π΅Π³ΠΎΒ Β ΡΡ
Π°. Π Π΅Π·ΡΠ»ΡΡΠ°ΡΡ. ΠΠΏΡΠ΅Π΄Π΅Π»Π΅Π½Ρ ΡΠΎΡΠ½ΡΠ΅ Π»ΠΎΠΊΠ°Π»ΠΈΠ·Π°ΡΠΈΡ ΠΈ ΡΠ°Π·ΠΌΠ΅Ρ Ρ
ΠΎΠ»Π΅ΡΡΠ΅Π°ΡΠΎΠΌ. PΠ΅Π·ΡΠ»ΡΡΠ°ΡΡ ΠΈΡΡΠ»Π΅Π΄ΠΎΠ²Π°Π½ΠΈΡ ΠΏΠ°ΡΠΈΠ΅Π½ΡΠΎΠ² ΡΠΎΠΏΠΎΡΡΠ°Π²Π»Π΅Π½Ρ Ρ ΠΈΠ½ΡΡΠ°ΠΎΠΏΠ΅ΡΠ°ΡΠΈΠΎΠ½Π½ΡΠΌΠΈ Π΄Π°Π½Π½ΡΠΌΠΈ. ΠΡΠΈ ΠΏΡΠΈΠΌΠ΅Π½Π΅Π½ΠΈΠΈΒ ΠΌΠ΅ΡΠΎΠ΄Π° ΡΠΎΠ²ΠΌΠ΅ΡΠ΅Π½ΠΈΡ ΠΠ’ ΠΈ Π΄ΠΈΡΡΡΠ·ΠΈΠΎΠ½Π½ΠΎ-Π²Π·Π²Π΅ΡΠ΅Π½Π½ΡΡ
ΠΈΠ·ΠΎΠ±ΡΠ°ΠΆΠ΅Π½ΠΈΠΉ ΡΡΠ²ΡΡΠ²ΠΈΡΠ΅Π»ΡΠ½ΠΎΡΡΡΒ Π²Β ΠΎΠΏΡΠ΅Π΄Π΅Π»Π΅Π½ΠΈΠΈΒ Π»ΠΎΠΊΠ°Π»ΠΈΠ·Π°ΡΠΈΠΈ ΠΈ ΡΠ°Π·ΠΌΠ΅ΡΠΎΠ² Ρ
ΠΎΠ»Π΅ΡΡΠ΅Π°ΡΠΎΠΌΡ Π±ΡΠ»Π° 96%, ΡΠΏΠ΅ΡΠΈΡΠΈΡΠ½ΠΎΡΡΡ β 100%, ΠΏΡΠΎΠ³Π½ΠΎΡΡΠΈΡΠ΅ΡΠΊΠ°ΡΒ ΡΠ΅Π½Π½ΠΎΡΡΡΒ ΠΏΠΎΠ»ΠΎΠΆΠΈΡΠ΅Π»ΡΠ½ΠΎΠ³ΠΎΒ ΡΠ΅Π·ΡΠ»ΡΡΠ°ΡΠ°Β βΒ 100%, ΠΎΡΡΠΈΡΠ°ΡΠ΅Π»ΡΠ½ΠΎΠ³ΠΎ β 96%. ΠΡΠΈ ΠΏΠΎΠΊΠ°Π·Π°ΡΠ΅Π»ΠΈΒ ΠΎΠΊΠ°Π·Π°Π»ΠΈΡΡΒ Π²ΡΡΠ΅, ΡΠ΅ΠΌ ΠΏΡΠΈ ΠΈΠ·ΠΎΠ»ΠΈΡΠΎΠ²Π°Π½Π½ΠΎΠΌ ΠΈΡΡΠ»Π΅Π΄ΠΎΠ²Π°Π½ΠΈΠΈ ΠΠ’ ΠΈ ΠΠ Π’. ΠΠ°ΠΊΠ»ΡΡΠ΅Π½ΠΈΠ΅.Β Β Π‘ΠΎΠ²ΠΌΠ΅ΡΠ΅Π½ΠΈΠ΅Β Β ΠΠ’Β Β ΠΈΒ Π΄ΠΈΡΡΡΠ·ΠΈΠΎΠ½Π½ΠΎ-Π²Π·Π²Π΅ΡΠ΅Π½Π½ΡΡ
ΠΈΠ·ΠΎΠ±ΡΠ°ΠΆΠ΅Π½ΠΈΠΉ ΠΏΠΎΠ·Π²ΠΎΠ»ΡΠ΅Ρ ΠΎΠΏΡΠ΅Π΄Π΅Π»ΠΈΡΡ ΡΠΎΡΠ½ΡΡ Π»ΠΎΠΊΠ°Π»ΠΈΠ·Π°ΡΠΈΡ Ρ
ΠΎΠ»Π΅ΡΡΠ΅Π°ΡΠΎΠΌΡ, ΠΈΡΠΊΠ»ΡΡΠΈΡΡ ΡΠ°ΡΡΡ Π»ΠΎΠΆΠ½ΠΎΠΏΠΎΠ»ΠΎΠΆΠΈΡΠ΅Π»ΡΠ½ΡΡ
ΡΠ΅Π·ΡΠ»ΡΡΠ°ΡΠΎΠ², ΡΠΎΠΎΡΠ½Π΅ΡΡΠΈΒ Ρ Π²Π°ΠΆΠ½ΡΠΌΠΈΒ ΠΊΠΎΡΡΠ½ΡΠΌΠΈΒ ΠΎΡΠΈΠ΅Π½ΡΠΈΡΠ°ΠΌΠΈ. ΠΡΠΏΠΎΠ»ΡΠ·ΠΎΠ²Π°Π½ΠΈΠ΅ ΠΌΠ΅ΡΠΎΠ΄Π° ΠΌΠΎΠΆΠ΅Ρ Π±ΡΡΡ ΠΏΠΎΠ»Π΅Π·Π½ΡΠΌ Ρ
ΠΈΡΡΡΠ³Ρ ΠΊΠ°ΠΊ ΠΏΠ΅ΡΠ΅Π΄Β ΠΏΠ»Π°Π½ΠΈΡΠΎΠ²Π°Π½ΠΈΠ΅ΠΌ ΠΏΠ΅ΡΠ²ΠΈΡΠ½ΠΎΠ³ΠΎ ΠΎΠΏΠ΅ΡΠ°ΡΠΈΠ²Π½ΠΎΠ³ΠΎ Π²ΠΌΠ΅ΡΠ°ΡΠ΅Π»ΡΡΡΠ²Π°, ΡΠ°ΠΊ ΠΈ ΠΏΡΠΈ ΠΏΠΎΠ²ΡΠΎΡΠ½ΠΎΠΉ ΡΠ΅Π²ΠΈΠ·ΠΈΠΈ ΠΏΠΎΡΠ»Π΅ΠΎΠΏΠ΅ΡΠ°ΡΠΈΠΎΠ½Π½ΠΎΠΉ ΠΏΠΎΠ»ΠΎΡΡΠΈ
Π’1-ΠΊΠ°ΡΡΠΈΡΠΎΠ²Π°Π½ΠΈΠ΅ Π² ΠΎΡΠ΅Π½ΠΊΠ΅ ΡΠ°ΠΊΡΠΎΡΠΎΠ² ΡΠΈΡΠΊΠ° ΡΠ°Π·Π²ΠΈΡΠΈΡ Π΄ΠΈΡΡΡΠ·Π½ΠΎΠ³ΠΎ ΡΠΈΠ±ΡΠΎΠ·Π° ΠΌΠΈΠΎΠΊΠ°ΡΠ΄Π° ΠΏΡΠΈ Π³ΠΈΠΏΠ΅ΡΡΠΎΠ½ΠΈΡΠ΅ΡΠΊΠΎΠΉ Π±ΠΎΠ»Π΅Π·Π½ΠΈ
Background: The assessment of diffuse myocardial fibrosis is necessary to plan the management of patients with various cardiovascular disorders, including hypertensive heart disease. The development of imaging techniques has enabled a non-invasive detection of left ventricular myocardial fibrosis by magnetic resonance imaging (MRI) with T1 mapping.Aim: By cardiac MRI, to identify risk factors for diffuse left ventricular myocardial fibrosis in patients with hypertensive heart disease.Materials and methods: This was a cross-sectional observational study in 50 outpatients with hypertensive heart disease, aged 46 to 82 years (median, 68 [64; 72] years) and bodyweight of 52 to 120 kg (median, 91 [80; 98] kg). Standard cardiac MRI with delayed contrast enhancement was performed with Optima MR450w GEM 1.5T (General Electric, USA). For assessment of diffuse myocardial fibrosis MRI mapping by 2D MOLLI (3-3-5) technique was used. The results were analyzed with Cvi42 software (Circle Cardiovascular Imaging Inc., USA). The potential risk factors included patientsβ age, gender, bodyweight, and diastolic heart failure.Results: The mean time of T1 relaxation without contrast enhancement was 1122.64 Β±63.67 ms, indicating the presence of myocardial fibrosis in 100% of the patients. Female patients had more advanced diffuse myocardial abnormalities (p 0.001). In the elderly patients, there was a direct correlation between their age and degree of fibrosis (p = 0.006). There was an inverse correlation between higher bodyweight and increased extracellular volume. Heart rhythm disorders and diastolic heart failure had no impact on the changes in the mapping parameters of the left ventricular myocardium and MRI-assessed cardiac output values. No correlation between the myocardial fibrosis and dyslipidemia/hyperlipidemia was found. There was a direct correlation between the native T1 mapping values and extracellular volume fraction (p = 0.004) and an inverse correlation between low values of post-contrast T1 mapping and increased extracellular volume fraction (p = 0.05).Conclusion: Π’1 mapping in patients with essential arterial hypertension allows for detection of diffuse myocardial fibrosis of the left ventricle, which is recognised as a major indicator of myocardial remodeling. Female gender, older age, and bodyweight were the factors associated with more advanced myocardial fibrosis.ΠΠΊΡΡΠ°Π»ΡΠ½ΠΎΡΡΡ. ΠΡΠ΅Π½ΠΊΠ° Π΄ΠΈΡΡΡΠ·Π½ΠΎΠ³ΠΎ ΡΠΈΠ±ΡΠΎΠ·Π° ΠΌΠΈΠΎΠΊΠ°ΡΠ΄Π° Π»Π΅Π²ΠΎΠ³ΠΎ ΠΆΠ΅Π»ΡΠ΄ΠΎΡΠΊΠ° ΠΈΠΌΠ΅Π΅Ρ Π±ΠΎΠ»ΡΡΠΎΠ΅ Π·Π½Π°ΡΠ΅Π½ΠΈΠ΅ Π΄Π»Ρ ΠΎΠΏΡΠ΅Π΄Π΅Π»Π΅Π½ΠΈΡ ΡΠ°ΠΊΡΠΈΠΊΠΈ Π»Π΅ΡΠ΅Π½ΠΈΡ ΠΏΠ°ΡΠΈΠ΅Π½ΡΠΎΠ² Ρ ΡΠ°Π·Π»ΠΈΡΠ½ΡΠΌΠΈ Π·Π°Π±ΠΎΠ»Π΅Π²Π°Π½ΠΈΡΠΌΠΈ ΡΠ΅ΡΠ΄Π΅ΡΠ½ΠΎ-ΡΠΎΡΡΠ΄ΠΈΡΡΠΎΠΉ ΡΠΈΡΡΠ΅ΠΌΡ, Π² ΡΠΎΠΌ ΡΠΈΡΠ»Π΅ ΠΏΡΠΈ Π³ΠΈΠΏΠ΅ΡΡΠΎΠ½ΠΈΡΠ΅ΡΠΊΠΎΠΉ Π±ΠΎΠ»Π΅Π·Π½ΠΈ. Π‘ ΡΠ°Π·Π²ΠΈΡΠΈΠ΅ΠΌ ΡΠ΅Ρ
Π½ΠΎΠ»ΠΎΠ³ΠΈΠΉ Π²ΠΈΠ·ΡΠ°Π»ΠΈΠ·Π°ΡΠΈΠΈ ΡΡΠ°Π»ΠΎ Π²ΠΎΠ·ΠΌΠΎΠΆΠ½ΡΠΌ Π½Π΅ΠΈΠ½Π²Π°Π·ΠΈΠ²Π½ΠΎΠ΅ ΠΎΠΏΡΠ΅Π΄Π΅Π»Π΅Π½ΠΈΠ΅ ΡΠΈΠ±ΡΠΎΠ·Π° ΠΌΠΈΠΎΠΊΠ°ΡΠ΄Π° Π»Π΅Π²ΠΎΠ³ΠΎ ΠΆΠ΅Π»ΡΠ΄ΠΎΡΠΊΠ° ΠΏΠΎ Π΄Π°Π½Π½ΡΠΌ ΠΌΠ°Π³Π½ΠΈΡΠ½ΠΎ-ΡΠ΅Π·ΠΎΠ½Π°Π½ΡΠ½ΠΎΠΉ ΡΠΎΠΌΠΎΠ³ΡΠ°ΡΠΈΠΈ (ΠΠ Π’) Ρ ΠΏΡΠΈΠΌΠ΅Π½Π΅Π½ΠΈΠ΅ΠΌ ΠΌΠ΅ΡΠΎΠ΄ΠΈΠΊΠΈ 11-ΠΊΠ°ΡΡΠΈΡΠΎΠ²Π°Π½ΠΈΡ.Π¦Π΅Π»Ρ - ΠΎΠΏΡΠ΅Π΄Π΅Π»ΠΈΡΡ ΡΠ°ΠΊΡΠΎΡΡ ΡΠΈΡΠΊΠ° ΡΠ°Π·Π²ΠΈΡΠΈΡ Π΄ΠΈΡΡΡΠ·Π½ΠΎΠ³ΠΎ ΡΠΈΠ±ΡΠΎΠ·Π° ΠΌΠΈΠΎΠΊΠ°ΡΠ΄Π° Π»Π΅Π²ΠΎΠ³ΠΎ ΠΆΠ΅Π»ΡΠ΄ΠΎΡΠΊΠ° ΠΏΠΎ Π΄Π°Π½Π½ΡΠΌ ΠΠ Π’ Ρ ΠΏΠ°ΡΠΈΠ΅Π½ΡΠΎΠ² Ρ Π³ΠΈΠΏΠ΅ΡΡΠΎΠ½ΠΈΡΠ΅ΡΠΊΠΎΠΉ Π±ΠΎΠ»Π΅Π·Π½ΡΡ.ΠΠ°ΡΠ΅ΡΠΈΠ°Π» ΠΈ ΠΌΠ΅ΡΠΎΠ΄Ρ. Π ΡΠ°ΠΌΠΊΠ°Ρ
ΠΏΠΎΠΏΠ΅ΡΠ΅ΡΠ½ΠΎΠ³ΠΎ Π½Π°Π±Π»ΡΠ΄Π°ΡΠ΅Π»ΡΠ½ΠΎΠ³ΠΎ ΠΈΡΡΠ»Π΅Π΄ΠΎΠ²Π°Π½ΠΈΡ ΠΏΡΠΎΠ²Π΅Π΄Π΅Π½ΠΎ Π°ΠΌΠ±ΡΠ»Π°ΡΠΎΡΠ½ΠΎΠ΅ ΠΎΠ±ΡΠ»Π΅Π΄ΠΎΠ²Π°Π½ΠΈΠ΅ 50 ΠΏΠ°ΡΠΈΠ΅Π½ΡΠΎΠ² Ρ Π³ΠΈΠΏΠ΅ΡΡΠΎΠ½ΠΈΡΠ΅ΡΠΊΠΎΠΉ Π±ΠΎΠ»Π΅Π·Π½ΡΡ Π² Π²ΠΎΠ·ΡΠ°ΡΡΠ΅ ΠΎΡ 46 Π΄ΠΎ 82 Π»Π΅Ρ (ΠΌΠ΅Π΄ΠΈΠ°Π½Π° Π²ΠΎΠ·ΡΠ°ΡΡΠ° ΡΠΎΡΡΠ°Π²ΠΈΠ»Π° 68 [64; 72] Π»Π΅Ρ) ΠΈ ΠΌΠ°ΡΡΠΎΠΉ ΡΠ΅Π»Π° ΠΎΡ 52 Π΄ΠΎ 120 ΠΊΠ³ (ΠΌΠ΅Π΄ΠΈΠ°Π½Π° ΠΌΠ°ΡΡΡ ΡΠ΅Π»Π° - 91 [80; 98] ΠΊΠ³). ΠΠ Π’ ΡΠ΅ΡΠ΄ΡΠ° Π²ΡΠΏΠΎΠ»Π½ΡΠ»ΠΈ Π½Π° Π°ΠΏΠΏΠ°ΡΠ°ΡΠ΅ Optima MR450w GEM 1,5 Π’Π» (General Electric, Π‘Π¨Π) ΠΏΠΎ ΡΡΠ°Π½Π΄Π°ΡΡΠ½ΠΎΠΉ ΠΏΡΠΎΠ³ΡΠ°ΠΌΠΌΠ΅ Π΄ΠΎ ΠΈ ΠΏΠΎΡΠ»Π΅ ΠΎΡΡΡΠΎΡΠ΅Π½Π½ΠΎΠ³ΠΎ ΠΊΠΎΠ½ΡΡΠ°ΡΡΠ½ΠΎΠ³ΠΎ ΡΡΠΈΠ»Π΅Π½ΠΈΡ. ΠΡΠ΅Π½ΠΊΡ Π΄ΠΈΡΡΡΠ·Π½ΠΎΠ³ΠΎ ΡΠΈΠ±ΡΠΎΠ·Π° ΠΏΡΠΎΠ²ΠΎΠ΄ΠΈΠ»ΠΈ ΠΏΡΠΈ ΠΏΠΎΠΌΠΎΡΠΈ ΠΏΠΎΡΠ»Π΅Π΄ΠΎΠ²Π°ΡΠ΅Π»ΡΠ½ΠΎΡΡΠΈ 2D MOLLI. ΠΠ°Π½Π½ΡΠ΅ Π°Π½Π°Π»ΠΈΠ·ΠΈΡΠΎΠ²Π°Π»ΠΈ Ρ ΠΈΡΠΏΠΎΠ»ΡΠ·ΠΎΠ²Π°Π½ΠΈΠ΅ΠΌ ΠΏΡΠΎΠ³ΡΠ°ΠΌΠΌΠ½ΠΎΠ³ΠΎ ΠΎΠ±Π΅ΡΠΏΠ΅ΡΠ΅Π½ΠΈΡ cvi42 (Circle Cardiovascular Imaging Inc., Π‘Π¨Π). Π‘ΡΠ΅Π΄ΠΈ ΡΠ°ΠΊΡΠΎΡΠΎΠ² ΡΠΈΡΠΊΠ° ΠΎΡΠ΅Π½ΠΈΠ²Π°Π»ΠΈ Π²ΠΎΠ·ΡΠ°ΡΡ, ΠΏΠΎΠ», ΠΌΠ°ΡΡΡ ΡΠ΅Π»Π°, Π½Π°Π»ΠΈΡΠΈΠ΅ ΡΠ΅ΡΠ΄Π΅ΡΠ½ΠΎΠΉ Π½Π΅Π΄ΠΎΡΡΠ°ΡΠΎΡΠ½ΠΎΡΡΠΈ ΠΏΠΎ Π΄ΠΈΠ°ΡΡΠΎΠ»ΠΈΡΠ΅ΡΠΊΠΎΠΌΡ ΡΠΈΠΏΡ.Π Π΅Π·ΡΠ»ΡΡΠ°ΡΡ. Π‘ΡΠ΅Π΄Π½Π΅Π΅ Π·Π½Π°ΡΠ΅Π½ΠΈΠ΅ Π±Π΅ΡΠΊΠΎΠ½-ΡΡΠ°ΡΡΠ½ΠΎΠ³ΠΎ Π²ΡΠ΅ΠΌΠ΅Π½ΠΈ Π’1-ΡΠ΅Π»Π°ΠΊΡΠ°ΡΠΈΠΈ ΡΠΎΡΡΠ°Π²ΠΈΠ»ΠΎ 1122,64 Β±63,67 ΠΌΡ, ΡΡΠΎ ΡΠΊΠ°Π·ΡΠ²Π°Π΅Ρ Π½Π° ΡΠ°Π·Π²ΠΈΡΠΈΠ΅ Π΄ΠΈΡΡΡΠ·Π½ΠΎΠ³ΠΎ ΡΠΈΠ±ΡΠΎΠ·Π° Ρ 100% ΠΏΠ°ΡΠΈΠ΅Π½ΡΠΎΠ². ΠΠΎΠ»Π΅Π΅ Π²ΡΡΠ°ΠΆΠ΅Π½Π½ΠΎΠ΅ ΡΠ°Π·Π²ΠΈΡΠΈΠ΅ Π΄ΠΈΡΡΡΠ·Π½ΡΡ
ΠΈΠ·ΠΌΠ΅Π½Π΅Π½ΠΈΠΉ ΠΌΠΈΠΎΠΊΠ°ΡΠ΄Π° ΠΎΡΠΌΠ΅ΡΠ΅Π½ΠΎ Ρ ΠΏΠ°ΡΠΈΠ΅Π½ΡΠΎΠ² ΠΆΠ΅Π½ΡΠΊΠΎΠ³ΠΎ ΠΏΠΎΠ»Π° (p 0,001). Π£ ΠΏΠ°ΡΠΈΠ΅Π½ΡΠΎΠ² Π² ΡΡΠ°ΡΡΠ΅ΠΉ Π²ΠΎΠ·ΡΠ°ΡΡΠ½ΠΎΠΉ Π³ΡΡΠΏΠΏΠ΅ Π½Π°Π±Π»ΡΠ΄Π°Π΅ΡΡΡ ΠΏΡΡΠΌΠ°Ρ Π·Π°Π²ΠΈΡΠΈΠΌΠΎΡΡΡ ΡΠΎΡΡΠ° ΠΏΠΎΠΊΠ°Π·Π°ΡΠ΅Π»Π΅ΠΉ ΡΠΈΠ±ΡΠΎΠ·Π° ΠΎΡ Π²ΠΎΠ·ΡΠ°ΡΡΠ° (p = 0,006). ΠΡΡΠ²Π»Π΅Π½Π° ΠΎΠ±ΡΠ°ΡΠ½Π°Ρ ΡΠ²ΡΠ·Ρ ΠΌΠ΅ΠΆΠ΄Ρ ΡΠ²Π΅Π»ΠΈΡΠ΅Π½ΠΈΠ΅ΠΌ ΠΌΠ°ΡΡΡ ΡΠ΅Π»Π° ΠΈ Π²Π½Π΅ΠΊΠ»Π΅ΡΠΎΡΠ½ΠΎΠ³ΠΎ ΠΎΠ±ΡΠ΅ΠΌΠ°. ΠΠ°Π»ΠΈΡΠΈΠ΅ Π½Π°ΡΡΡΠ΅Π½ΠΈΠΉ ΡΠΈΡΠΌΠ° ΠΈ Π΄ΠΈΠ°ΡΡΠΎΠ»ΠΈΡΠ΅ΡΠΊΠΎΠΉ ΡΠ΅ΡΠ΄Π΅ΡΠ½ΠΎΠΉ Π½Π΅Π΄ΠΎΡΡΠ°ΡΠΎΡΠ½ΠΎΡΡΠΈ Π½ΠΈΠΊΠ°ΠΊ Π½Π΅ ΠΏΠΎΠ²Π»ΠΈΡΠ»ΠΎ Π½Π° ΠΈΠ·ΠΌΠ΅Π½Π΅Π½ΠΈΠ΅ ΠΏΠ°ΡΠ°ΠΌΠ΅ΡΡΠΎΠ² ΠΊΠ°ΡΡΠΈΡΠΎΠ²Π°Π½ΠΈΡ ΠΌΠΈΠΎΠΊΠ°ΡΠ΄Π° Π»Π΅Π²ΠΎΠ³ΠΎ ΠΆΠ΅Π»ΡΠ΄ΠΎΡΠΊΠ° ΠΈ Π·Π½Π°ΡΠ΅Π½ΠΈΠΉ, Ρ
Π°ΡΠ°ΠΊΡΠ΅ΡΠΈΠ·ΡΡΡΠΈΡ
ΡΠ΅ΡΠ΄Π΅ΡΠ½ΡΠΉ Π²ΡΠ±ΡΠΎΡ ΠΏΠΎ Π΄Π°Π½Π½ΡΠΌ ΠΠ Π’. ΠΠ΅ Π±ΡΠ»ΠΎ ΠΎΠ±Π½Π°ΡΡΠΆΠ΅Π½ΠΎ ΡΡΠ°ΡΠΈΡΡΠΈΡΠ΅ΡΠΊΠΈ Π·Π½Π°ΡΠΈΠΌΠΎΠ³ΠΎ Π²Π»ΠΈΡΠ½ΠΈΡ Π½Π°Π»ΠΈΡΠΈΡ Π΄ΠΈΡΠ»ΠΈΠΏΠΈΠ΄Π΅ΠΌΠΈΠΈ/Π³ΠΈΠΏΠ΅ΡΠ»ΠΈΠΏΠΈΠ΄Π΅ΠΌΠΈΠΈ Π½Π° ΡΠΎΡΡΠΎΡΠ½ΠΈΠ΅ ΠΌΠΈΠΎΠΊΠ°ΡΠ΄Π° Π»Π΅Π²ΠΎΠ³ΠΎ ΠΆΠ΅Π»ΡΠ΄ΠΎΡΠΊΠ°. ΠΠΏΡΠ΅Π΄Π΅Π»Π΅Π½Π° ΠΏΡΡΠΌΠ°Ρ ΡΠ²ΡΠ·Ρ ΡΠ²Π΅Π»ΠΈΡΠ΅Π½ΠΈΡ Π·Π½Π°ΡΠ΅Π½ΠΈΠΉ Π½Π°ΡΠΈΠ²Π½ΠΎΠ³ΠΎ Π’1-ΠΊΠ°ΡΡΠΈΡΠΎΠ²Π°Π½ΠΈΡ ΠΌΠΈΠΎΠΊΠ°ΡΠ΄Π° Ρ ΡΡΠ°ΠΊΡΠΈΠ΅ΠΉ Π²Π½Π΅ΠΊΠ»Π΅ΡΠΎΡΠ½ΠΎΠ³ΠΎ ΠΎΠ±ΡΠ΅ΠΌΠ° (p = 0,004) ΠΈ ΠΎΠ±ΡΠ°ΡΠ½Π°Ρ ΡΠ²ΡΠ·Ρ ΡΠΌΠ΅Π½ΡΡΠ΅Π½ΠΈΡ Π·Π½Π°ΡΠ΅Π½ΠΈΠΉ ΠΏΠΎΡΡΠΊΠΎΠ½ΡΡΠ°ΡΡΠ½ΠΎΠ³ΠΎ Π’1 -ΠΊΠ°ΡΡΠΈΡΠΎΠ²Π°Π½ΠΈΡ Ρ ΡΠ²Π΅Π»ΠΈΡΠ΅Π½ΠΈΠ΅ΠΌ ΠΏΠΎΠΊΠ°Π·Π°ΡΠ΅Π»Π΅ΠΉ ΡΡΠ°ΠΊΡΠΈΠΈ Π²Π½Π΅ΠΊΠ»Π΅ΡΠΎΡΠ½ΠΎΠ³ΠΎ ΠΎΠ±ΡΠ΅ΠΌΠ° (p = 0,05).ΠΠ°ΠΊΠ»ΡΡΠ΅Π½ΠΈΠ΅. Π’1-ΠΊΠ°ΡΡΠΈΡΠΎΠ²Π°Π½ΠΈΠ΅ Ρ ΠΏΠ°ΡΠΈΠ΅Π½ΡΠΎΠ² Ρ Π³ΠΈΠΏΠ΅ΡΡΠΎΠ½ΠΈΡΠ΅ΡΠΊΠΎΠΉ Π±ΠΎΠ»Π΅Π·Π½ΡΡ ΠΏΠΎΠ·Π²ΠΎΠ»ΡΠ΅Ρ Π²ΡΡΠ²ΠΈΡΡ Π΄ΠΈΡΡΡΠ·Π½ΡΠΉ ΡΠΈΠ±ΡΠΎΠ· ΠΌΠΈΠΎΠΊΠ°ΡΠ΄Π° Π»Π΅Π²ΠΎΠ³ΠΎ ΠΆΠ΅Π»ΡΠ΄ΠΎΡΠΊΠ°, ΠΏΡΠΈΠ·Π½Π°Π½Π½ΡΠΉ ΠΎΡΠ½ΠΎΠ²Π½ΡΠΌ ΠΏΠΎΠΊΠ°Π·Π°ΡΠ΅Π»Π΅ΠΌ ΡΠ΅ΠΌΠΎΠ΄Π΅Π»ΠΈΡΠΎΠ²Π°Π½ΠΈΡ ΠΌΠΈΠΎΠΊΠ°ΡΠ΄Π°. Π€Π°ΠΊΡΠΎΡΠ°ΠΌΠΈ, ΡΠ²ΡΠ·Π°Π½Π½ΡΠΌΠΈ Ρ Π±ΠΎΠ»Π΅Π΅ Π²ΡΡΠ°ΠΆΠ΅Π½Π½ΡΠΌ ΠΏΡΠΎΡΠ²Π»Π΅Π½ΠΈΠ΅ΠΌ ΡΠΈΠ±ΡΠΎΠ·Π° ΠΌΠΈΠΎΠΊΠ°ΡΠ΄Π°, ΠΎΠΊΠ°Π·Π°Π»ΠΈΡΡ ΠΆΠ΅Π½ΡΠΊΠΈΠΉ ΠΏΠΎΠ», ΡΡΠ°ΡΡΠΈΠΉ Π²ΠΎΠ·ΡΠ°ΡΡ ΠΏΠ°ΡΠΈΠ΅Π½ΡΠ°, ΠΌΠ°ΡΡΠ° ΡΠ΅Π»Π° ΠΏΠ°ΡΠΈΠ΅Π½ΡΠ°