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    Π‘ΠΈΠ½Ρ‚Π΅Π· Ρ‚Π° Π±Ρ–ΠΎΠ»ΠΎΠ³Ρ–Ρ‡Π½Π° Π°ΠΊΡ‚ΠΈΠ²Π½Ρ–ΡΡ‚ΡŒ біс-мСфСнамідокаліксарСну

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    Aim. To develop the method for the synthesis of the conjugate of diaminocalix[4]arene with 2-(2,3-dimethylphenyl)aminobenzoic acid (mefenamic acid) – bis-mefenamidocalixarene, determine its structure and physicochemical properties and assess its anti-exudative activity (AeA).Results and discussion. The conjugate of diaminocalixarene with mefenamic acid – bis-mefenamidocalixarene was synthesized at one step by the reaction of reactants in equimolar amounts in the presence of 1-ethyl-3-(3-dimethylaminopropyl) carbodiimide. The structure of the compound obtained was determined by spectral methods. AeA of bis-mefenamidocalixarene was studied in rats using the model of formalin edema. The results of the experimental studies showed that bis-mefenamidocalixarene exhibited the anti-exudative activity, which was equal to the reference drug – sodium diclofenac.Experimental part. The reaction of diaminocalixaren with 2- (2,3-dimethylphenyl)aminobenzoic acid (mefenamic acid) led to bis-mefenamidocalixarene with 40 % yield. The screening of AeA was carried out using modern digital plethysmometer (IITC Life Science (USA)).Conclusions. The effective one-stage method for the synthesis of the conjugate of diaminocalix[4]arene with 2-(2,3-dimethylphenyl)aminobenzoic acid – bis-mefenamidocalixarene has been developed. Its structure has been proven, and AeA has been studied. AeA is equal to the reference drug. It has been found that bis-mefenamidokalixaren synthesized is a promising compound for further profound studies.ЦСль. Π Π°Π·Ρ€Π°Π±ΠΎΡ‚Π°Ρ‚ΡŒ ΠΌΠ΅Ρ‚ΠΎΠ΄ получСния ΠΊΠΎΠ½ΡŠΡŽΠ³Π°Ρ‚Π° диаминокаликс[4]Π°Ρ€Π΅Π½Π° с 2-(2,3-Π΄ΠΈΠΌΠ΅Ρ‚ΠΈΠ»Ρ„Π΅Π½ΠΈΠ»)Π°ΠΌΠΈΠ½ΠΎΠ±Π΅Π½Π·ΠΎΠΉΠ½ΠΎΠΉ кислотой (ΠΌΠ΅Ρ„Π΅Π½Π°ΠΌΠΈΠ½ΠΎΠ²ΠΎΠΉ кислотой) – бис-мСфСнамидокаликсарСн, ΠΎΠΏΡ€Π΅Π΄Π΅Π»ΠΈΡ‚ΡŒ Π΅Π³ΠΎ строСниС ΠΈ Ρ„ΠΈΠ·ΠΈΠΊΠΎ-химичСскиС свойства, ΠΎΡ†Π΅Π½ΠΈΡ‚ΡŒ Π΅Π³ΠΎ Π°Π½Ρ‚ΠΈΡΠΊΡΡΡƒΠ΄Π°Ρ‚ΠΈΠ²Π½ΡƒΡŽ Π°ΠΊΡ‚ΠΈΠ²Π½ΠΎΡΡ‚ΡŒ.Π Π΅Π·ΡƒΠ»ΡŒΡ‚Π°Ρ‚Ρ‹ ΠΈ обсуТдСниС. ΠšΠΎΠ½ΡŠΡŽΠ³Π°Ρ‚ диаминокаликсарСна с ΠΌΠ΅Ρ„Π΅Π½Π°ΠΌΠΈΠ½ΠΎΠ²ΠΎΠΉ кислотой – бис-мСфСнамидокаликсарСн синтСзирован Π² ΠΎΠ΄Π½Ρƒ ΡΡ‚Π°Π΄ΠΈΡŽ взаимодСйствиСм исходных соСдинСний Π² эквимолярных количСствах Π² присутствии 1-этил-3-(3-Π΄ΠΈΠΌΠ΅Ρ‚ΠΈΠ»Π°ΠΌΠΈΠ½ΠΎΠΏΡ€ΠΎΠΏΠΈΠ»)ΠΊΠ°Ρ€Π±ΠΎΠ΄ΠΈΠΈΠΌΠΈΠ΄Π°. ΠžΠΏΡ€Π΅Π΄Π΅Π»Π΅Π½ΠΎ строСниС ΠΈ Ρ„ΠΈΠ·ΠΈΠΊΠΎ-химичСскиС характСристики ΠΏΠΎΠ»ΡƒΡ‡Π΅Π½Π½ΠΎΠ³ΠΎ ΠΊΠΎΠ½ΡŠΡŽΠ³Π°Ρ‚Π°. На ΠΌΠΎΠ΄Π΅Π»ΠΈ Ρ„ΠΎΡ€ΠΌΠ°Π»ΠΈΠ½ΠΎΠ²ΠΎΠ³ΠΎ ΠΎΡ‚Π΅ΠΊΠ° Ρƒ крыс ΠΈΠ·ΡƒΡ‡Π΅Π½Π° антиэкссудативная Π°ΠΊΡ‚ΠΈΠ²Π½ΠΎΡΡ‚ΡŒ ΠΊΠΎΠ½ΡŠΡŽΠ³Π°Ρ‚Π° диаминокаликс[4]Π°Ρ€Π΅Π½Π° с 2-(2,3-Π΄ΠΈΠΌΠ΅Ρ‚ΠΈΠ»Ρ„Π΅Π½ΠΈΠ»)Π°ΠΌΠΈΠ½ΠΎΠ±Π΅Π½Π·ΠΎΠΉΠ½ΠΎΠΉ кислотой – бис-мСфСнамидокаликсарСна. Π Π΅Π·ΡƒΠ»ΡŒΡ‚Π°Ρ‚Ρ‹ ΡΠΊΡΠΏΠ΅Ρ€ΠΈΠΌΠ΅Π½Ρ‚Π°Π»ΡŒΠ½Ρ‹Ρ… исслСдований ΠΏΠΎΠΊΠ°Π·Π°Π»ΠΈ, Ρ‡Ρ‚ΠΎ бис-мСфСнамидокаликсарСн проявляСт Π°Π½Ρ‚ΠΈΡΠΊΡΡΡƒΠ΄Π°Ρ‚ΠΈΠ²Π½ΡƒΡŽ Π°ΠΊΡ‚ΠΈΠ²Π½ΠΎΡΡ‚ΡŒ Π½Π° ΡƒΡ€ΠΎΠ²Π½Π΅ рСфСрСнс-ΠΏΡ€Π΅ΠΏΠ°Ρ€Π°Ρ‚Π° – Π΄ΠΈΠΊΠ»ΠΎΡ„Π΅Π½Π°ΠΊΠ° натрия.Π­ΠΊΡΠΏΠ΅Ρ€ΠΈΠΌΠ΅Π½Ρ‚Π°Π»ΡŒΠ½Π°Ρ Ρ‡Π°ΡΡ‚ΡŒ. бис-ΠœΠ΅Ρ„Π΅Π½Π°ΠΌΠΈΠ΄ΠΎΠΊΠ°Π»ΠΈΠΊΡΠ°Ρ€Π΅Π½ синтСзирован взаимодСйствиСм диаминокаликсарСна c 2-(2,3-Π΄ΠΈΠΌΠ΅Ρ‚ΠΈΠ»Ρ„Π΅Π½ΠΈΠ»)Π°ΠΌΠΈΠ½ΠΎΠ±Π΅Π½Π·ΠΎΠΉΠ½ΠΎΠΉ кислотой (ΠΌΠ΅Ρ„Π΅Π½Π°ΠΌΠΈΠ½ΠΎΠ²ΠΎΠΉ кислотой) Π² присутствии 1-этил-3-(3-Π΄ΠΈΠΌΠ΅Ρ‚ΠΈΠ»Π°ΠΌΠΈΠ½ΠΎΠΏΡ€ΠΎΠΏΠΈΠ»)ΠΊΠ°Ρ€Π±ΠΎΠ΄ΠΈΠΈΠΌΠΈΠ΄Π° Π³ΠΈΠ΄Ρ€ΠΎΡ…Π»ΠΎΡ€ΠΈΠ΄Π° с Π²Ρ‹Ρ…ΠΎΠ΄ΠΎΠΌ 40 %. Π‘ΠΊΡ€ΠΈΠ½ΠΈΠ½Π³ антиэкссудативной активности ΠΏΡ€ΠΎΠ²ΠΎΠ΄ΠΈΠ»ΠΈ с ΠΏΠΎΠΌΠΎΡ‰ΡŒΡŽ Ρ†ΠΈΡ„Ρ€ΠΎΠ²ΠΎΠ³ΠΎ ΠΏΠ»Π΅Ρ‚ΠΈΠ·ΠΌΠΎΠΌΠ΅Ρ‚Ρ€Π° IITC Life Science (БША).Π’Ρ‹Π²ΠΎΠ΄Ρ‹. Π Π°Π·Ρ€Π°Π±ΠΎΡ‚Π°Π½ эффСктивный одностадийный ΠΌΠ΅Ρ‚ΠΎΠ΄ синтСза бис-мСфСнамидокаликсарСна. Π”ΠΎΠΊΠ°Π·Π°Π½ΠΎ Π΅Π³ΠΎ строСниС ΠΈ ΠΈΠ·ΡƒΡ‡Π΅Π½Π° антиэкссудативная Π°ΠΊΡ‚ΠΈΠ²Π½ΠΎΡΡ‚ΡŒ, которая оказалась Π½Π° ΡƒΡ€ΠΎΠ²Π½Π΅ рСфСрСнс-ΠΏΡ€Π΅ΠΏΠ°Ρ€Π°Ρ‚Π°. УстановлСно, Ρ‡Ρ‚ΠΎ синтСзированный бис-мСфСнамидокаликсарСн являСтся пСрспСктивным для Π΄Π°Π»ΡŒΠ½Π΅ΠΉΡˆΠΈΡ… ΡƒΠ³Π»ΡƒΠ±Π»Π΅Π½Π½Ρ‹Ρ… исслСдований.ΠœΠ΅Ρ‚Π°. Π ΠΎΠ·Ρ€ΠΎΠ±ΠΈΡ‚ΠΈ ΠΌΠ΅Ρ‚ΠΎΠ΄ отримання ΠΊΠΎΠ½β€™ΡŽΠ³Π°Ρ‚Ρƒ діамінокалікс[4]Π°Ρ€Π΅Π½Ρƒ Π· 2-(2,3-Π΄ΠΈΠΌΠ΅Ρ‚ΠΈΠ»Ρ„Π΅Π½Ρ–Π»)Π°ΠΌΡ–Π½ΠΎΠ±Π΅Π½Π·ΠΎΠΉΠ½ΠΎΡŽ ΠΊΠΈΡΠ»ΠΎΡ‚ΠΎΡŽ (ΠΌΠ΅Ρ„Π΅Π½Π°ΠΌΡ–Π½ΠΎΠ²ΠΎΡŽ ΠΊΠΈΡΠ»ΠΎΡ‚ΠΎΡŽ) – біс-мСфСнамідокаліксарСну, Π²ΠΈΠ·Π½Π°Ρ‡ΠΈΡ‚ΠΈ ΠΉΠΎΠ³ΠΎ Π±ΡƒΠ΄ΠΎΠ²Ρƒ Ρ‚Π° Ρ„Ρ–Π·ΠΈΠΊΠΎ-Ρ…Ρ–ΠΌΡ–Ρ‡Π½Ρ– властивості, ΠΎΡ†Ρ–Π½ΠΈΡ‚ΠΈ ΠΉΠΎΠ³ΠΎ антиСксудативну Π°ΠΊΡ‚ΠΈΠ²Π½Ρ–ΡΡ‚ΡŒ.Π Π΅Π·ΡƒΠ»ΡŒΡ‚Π°Ρ‚ΠΈ Ρ‚Π° обговорСння. ΠšΠΎΠ½β€™ΡŽΠ³Π°Ρ‚ діамінокаліксарСну Π· ΠΌΠ΅Ρ„Π΅Π½Π°ΠΌΡ–Π½ΠΎΠ²ΠΎΡŽ ΠΊΠΈΡΠ»ΠΎΡ‚ΠΎΡŽ – біс-мСфСнамідокаліксарСн синтСзовано Π² ΠΎΠ΄Π½Ρƒ ΡΡ‚Π°Π΄Ρ–ΡŽ Π²Π·Π°Ρ”ΠΌΠΎΠ΄Ρ–Ρ”ΡŽ Π²ΠΈΡ…Ρ–Π΄Π½ΠΈΡ… сполук Π² Сквімолярних ΠΊΡ–Π»ΡŒΠΊΠΎΡΡ‚ΡΡ… Ρƒ присутності 1-Π΅Ρ‚ΠΈΠ»-3-(3-Π΄ΠΈΠΌΠ΅Ρ‚ΠΈΠ»Π°ΠΌΡ–Π½ΠΎΠΏΡ€ΠΎΠΏΡ–Π»)ΠΊΠ°Ρ€Π±ΠΎΠ΄Ρ–Ρ–ΠΌΡ–Π΄Ρƒ. Π’ΠΈΠ·Π½Π°Ρ‡Π΅Π½ΠΎ Π±ΡƒΠ΄ΠΎΠ²Ρƒ ΠΎΡ‚Ρ€ΠΈΠΌΠ°Π½ΠΎΠ³ΠΎ ΠΊΠΎΠ½β€™ΡŽΠ³Π°Ρ‚Ρƒ Π·Π° допомогою ΡΠΏΠ΅ΠΊΡ‚Ρ€Π°Π»ΡŒΠ½ΠΈΡ… ΠΌΠ΅Ρ‚ΠΎΠ΄Ρ–Π² Π°Π½Π°Π»Ρ–Π·Ρƒ. На ΠΌΠΎΠ΄Π΅Π»Ρ– Ρ„ΠΎΡ€ΠΌΠ°Π»Ρ–Π½ΠΎΠ²ΠΎΠ³ΠΎ набряку Ρƒ Ρ‰ΡƒΡ€Ρ–Π² Π²ΠΈΠ²Ρ‡Π΅Π½ΠΎ антиСксудативну Π°ΠΊΡ‚ΠΈΠ²Π½Ρ–ΡΡ‚ΡŒ біс-мСфСнамідокаліксарСну. Π Π΅Π·ΡƒΠ»ΡŒΡ‚Π°Ρ‚ΠΈ Π΅ΠΊΡΠΏΠ΅Ρ€ΠΈΠΌΠ΅Π½Ρ‚Π°Π»ΡŒΠ½ΠΈΡ… Π΄ΠΎΡΠ»Ρ–Π΄ΠΆΠ΅Π½ΡŒ ΠΏΠΎΠΊΠ°Π·Π°Π»ΠΈ, Ρ‰ΠΎ біс-мСфСнамідокаліксарСн виявив антиСксудативну Π°ΠΊΡ‚ΠΈΠ²Π½Ρ–ΡΡ‚ΡŒ, яка Π±ΡƒΠ»Π° Π½Π° Ρ€Ρ–Π²Π½Ρ– рСфСрСнс-ΠΏΡ€Π΅ΠΏΠ°Ρ€Π°Ρ‚Ρƒ – Π΄ΠΈΠΊΠ»ΠΎΡ„Π΅Π½Π°ΠΊΡƒ Π½Π°Ρ‚Ρ€Ρ–ΡŽ.Π•ΠΊΡΠΏΠ΅Ρ€ΠΈΠΌΠ΅Π½Ρ‚Π°Π»ΡŒΠ½Π° частина. біс-ΠœΠ΅Ρ„Π΅Π½Π°ΠΌΡ–Π΄ΠΎΠΊΠ°Π»Ρ–ΠΊΡΠ°Ρ€Π΅Π½ ΠΎΡ‚Ρ€ΠΈΠΌΡƒΠ²Π°Π»ΠΈ Π²Π·Π°Ρ”ΠΌΠΎΠ΄Ρ–Ρ”ΡŽ діамінокаліксарСну Π· 2-(2,3-Π΄ΠΈΠΌΠ΅Ρ‚ΠΈΠ»Ρ„Π΅Π½Ρ–Π»)Π°ΠΌΡ–Π½ΠΎΠ±Π΅Π½Π·ΠΎΠΉΠ½ΠΎΡŽ ΠΊΠΈΡΠ»ΠΎΡ‚ΠΎΡŽ (ΠΌΠ΅Ρ„Π΅Π½Π°ΠΌΡ–Π½ΠΎΠ²ΠΎΡŽ ΠΊΠΈΡΠ»ΠΎΡ‚ΠΎΡŽ) Ρƒ присутності 1-Π΅Ρ‚ΠΈΠ»-3-(3-Π΄ΠΈΠΌΠ΅Ρ‚ΠΈΠ»Π°ΠΌΡ–Π½ΠΎΠΏΡ€ΠΎΠΏΡ–Π»)ΠΊΠ°Ρ€Π±ΠΎΠ΄Ρ–Ρ–ΠΌΡ–Π΄Ρƒ Π³Ρ–Π΄Ρ€ΠΎΡ…Π»ΠΎΡ€ΠΈΠ΄Ρƒ Π· Π²ΠΈΡ…ΠΎΠ΄ΠΎΠΌ 40 %. Π‘ΠΊΡ€ΠΈΠ½Ρ–Π½Π³ антиСксудативної активності ΠΏΡ€ΠΎΠ²ΠΎΠ΄ΠΈ Π·Π° допомогою Ρ†ΠΈΡ„Ρ€ΠΎΠ²ΠΎΠ³ΠΎ ΠΏΠ»Π΅Ρ‚ΠΈΠ·ΠΌΠΎΠΌΠ΅Ρ‚Ρ€Π° IITC Life Science (БША).Висновки. Π ΠΎΠ·Ρ€ΠΎΠ±Π»Π΅Π½ΠΎ Π΅Ρ„Π΅ΠΊΡ‚ΠΈΠ²Π½ΠΈΠΉ одностадійний ΠΌΠ΅Ρ‚ΠΎΠ΄ синтСзу біс-мСфСнамідокаліксарСну. Π”ΠΎΠ²Π΅Π΄Π΅Π½ΠΎ ΠΉΠΎΠ³ΠΎ Π±ΡƒΠ΄ΠΎΠ²Ρƒ Ρ‚Π° Π²ΠΈΠ²Ρ‡Π΅Π½ΠΎ антиСксудативну Π°ΠΊΡ‚ΠΈΠ²Π½Ρ–ΡΡ‚ΡŒ, яка виявилася Π½Π° Ρ€Ρ–Π²Π½Ρ– рСфСрСнс-ΠΏΡ€Π΅ΠΏΠ°Ρ€Π°Ρ‚Ρƒ. Показано, Ρ‰ΠΎ синтСзований біс-мСфСнамідокаліксарСн Ρ” пСрспСктивним для ΠΏΠΎΠ΄Π°Π»ΡŒΡˆΠΈΡ… ΠΏΠΎΠ³Π»ΠΈΠ±Π»Π΅Π½ΠΈΡ… Π΄ΠΎΡΠ»Ρ–Π΄ΠΆΠ΅Π½ΡŒ

    Prediction of the Antiinflammatory Activity of New S-alkyl Derivatives of 1,2,4-triazol-3-thiones Using the PASS Computer Program and Molecular Docking

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    The strategy of rational approaches to the search for selective COX-2 inhibitors as potential antiinflammatory agents has been proposed and elaborated. It is based on the use of PASS-prediction and molecular docking. The choice of the basic structure of 4-amino-3-thio-1,2,4-triazole as a promising object of chemical modification has been substantiated. Using a modification of the primary molecule, a virtual library of S-derivatives of 5-substituted 4-amino(pyrrol)3-thio-4H-1,2,4-triazoles in the amount of 100 compounds (ten groups) has been obtained by introducing various pharmacophore fragments. Based on the analysis of the results of the PASS-prediction and molecular docking, six of the ten planned groups of compounds have been selected for the synthesis as promising selective COX-2 inhibitors. The reliability of the prediction results has already been confirmed for one of the promising group 4-amino-5-(pyridine-4-yl)-1,2,4-triazole (4Н)-3-yl-thioacetamides

    Analysis of production levels of InlA and InlB invasion factors in Listeria monocytogenes isolates collected in the Russian Federation

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    Background. Listeria monocytogenes is characterized by the presence of epidemic hypervirulent clones. A key feature of L. monocytogenes is its capacity to invade non-professional phagocytic cells. Hypervirulent clones are strongly associated with the increased production and/or the presence of certain isoforms of invasion factors InlA and InlB. The purpose of the study is to create a test system for InlA and InlB detection and to measure the InlA and InlB production levels in L. monocytogenes isolates belonging to clonal groups with different virulence potential. Materials and methods. The study was performed using 32 L. monocytogenes strains belonging to epidemic clones ECII, ECIV, ECVII (clonal complexes CC1, CC2, CC7) and hypovirulent clonal complex CC9. Sequencing of inlA and inlB genes was performed. The indirect enzyme-linked immunosorbent assay was used to analyze the production levels of InlA and InlB proteins. Results. The variability of InlA was revealed among strains belonging to the same clonal complex: 3 InlA isoforms were identified among strains belonging to CC7; out of 8 strains belonging to CC9, one strain had a stop codon in the inlA gene, leading to the loss of function of the InlA protein. The differences between inlB alleles correlated with the specificity of strains belonging to a certain clonal complex. Differences in production levels of invasion factors were measured. In strains belonging to CC9, the InlA production level was 2.5 times as low compared to strains belonging to CC1, CC2, and CC7. In strains belonging to phylogenetically related CC1 and CC2, the InlB production level was on average 4 times as high compared to strains belonging to CC7 and CC9. Conclusion. The obtained results confirm the variability of major invasion factors both among clonal complexes and strains of the same complex. The increased production of invasion factors InlA and InlB correlates with the potential virulence of strains

    Variability of Hot Supergiant IRAS 19336-0400 in the Early Phase of its Planetary Nebula Ionization

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    We present photoelectric and spectral observations of a hot candidate proto-planetary nebula - early B-type supergiant with emission lines in spectrum - IRAS 19336-0400. The light and color curves display fast irregular brightness variations with maximum amplitudes Delta V=0.30 mag, Delta B=0.35 mag, Delta U=0.40 mag and color-brightness correlations. By the variability characteristics IRAS 19336-0400 appears similar to other hot proto-planetary nebulae. Based on low-resolution spectra in the range lambda 4000-7500 A we have derived absolute intensities of the emission lines H_alpha, H_beta, H_gamma, [SII], [NII], physical conditions in gaseous nebula: n_e=10^4 cm^{-3}, T_e=7000 \pm 1000 K. The emission line H_alpha, H_beta equivalent widths are found to be considerably variable and related to light changes. By UBV-photometry and spectroscopy the color excess has been estimated: E_{B-V}=0.50-0.54. Joint photometric and spectral data analysis allows us to assume that the star variability is caused by stellar wind variations.Comment: 11 pages, 6 figures, 2 tables, accepted for publication in Pis'ma Astron. Zh. (Astronomy Letters

    One Hundred Years of Observations of the Be Star HDE 245770 (the X-ray Binary A0535+26/V725 Tau): The End of an Active Phase

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    UBV observations of the X-ray binary system A0535+26/V725 Tau at the Crimean Station of the Sternberg Astronomical Institute in 1980-1998 are presented. Based on our and published data, we analyze the photometric history of the star from 1898.Comment: Translated from Pis'ma Astronomicheskii Zhurnal, Vol. 26, No. 1, 2000, pp. 13-2

    Social Risks as a Factor of Regulation of the System of Social Protection of the Population in Ukraine

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    The article classifies social risks into traditional and non-traditional and their impact on the regulation of the social protection system in Ukraine. The modern problems of financing the sphere of social protection of the population in Ukraine are revealed and the ways of their overcoming are outlined. The dynamics of arrears of wages in Ukraine and the dynamics of real disposable income of the population of Ukraine for 2005-2018 are presented. It is proved that one of the significant obstacles to the effective implementation of social policy in our country is the insufficient level of its financial support in combination with irrational planning, distribution and inefficient use of available financial resources. Respondents’ assessment of the degree of impact of traditional and non-traditional social risks on the social protection of citizens is presented. It is determined that the progressive and dynamic development of Ukraine today can focus on the socialization of the economic system with full consideration of the needs, interests of the population, its incentives for productive work to realize their own professional potential, comprehensive development, receiving a decent reward for work.Π£ статті здійснСно ΠΊΠ»Π°ΡΠΈΡ„Ρ–ΠΊΠ°Ρ†Ρ–ΡŽ ΡΠΎΡ†Ρ–Π°Π»ΡŒΠ½ΠΈΡ… Ρ€ΠΈΠ·ΠΈΠΊΡ–Π² Π½Π° Ρ‚Ρ€Π°Π΄ΠΈΡ†Ρ–ΠΉΠ½Ρ– Ρ– Π½Π΅Ρ‚Ρ€Π°Π΄ΠΈΡ†Ρ–ΠΉΠ½Ρ– Ρ‚Π° Ρ—Ρ… Π²ΠΏΠ»ΠΈΠ² Π½Π° Ρ€Π΅Π³ΡƒΠ»ΡŽΠ²Π°Π½Π½Ρ систСми ΡΠΎΡ†Ρ–Π°Π»ΡŒΠ½ΠΎΠ³ΠΎ захисту насСлСння Π² Π£ΠΊΡ€Π°Ρ—Π½Ρ–. ВиявлСно сучасні ΠΏΡ€ΠΎΠ±Π»Π΅ΠΌΠΈ фінансування сфСри ΡΠΎΡ†Ρ–Π°Π»ΡŒΠ½ΠΎΠ³ΠΎ захисту насСлСння Π² Π£ΠΊΡ€Π°Ρ—Π½Ρ– Ρ‚Π° окрСслСно ΡˆΠ»ΡΡ…ΠΈ Ρ—Ρ… подолання. НавСдСно Π΄ΠΈΠ½Π°ΠΌΡ–ΠΊΡƒ заборгованості Π· Π²ΠΈΠΏΠ»Π°Ρ‚ΠΈ Π·Π°Ρ€ΠΎΠ±Ρ–Ρ‚Π½ΠΎΡ— ΠΏΠ»Π°Ρ‚ΠΈ Π² Π£ΠΊΡ€Π°Ρ—Π½Ρ– Ρ‚Π° Π΄ΠΈΠ½Π°ΠΌΡ–ΠΊΡƒ Ρ€Π΅Π°Π»ΡŒΠ½ΠΎΠ³ΠΎ наявного Π΄ΠΎΡ…ΠΎΠ΄Ρƒ насСлСння Π£ΠΊΡ€Π°Ρ—Π½ΠΈ Π·Π° 2005-2018 Ρ€ΠΎΠΊΠΈ. Π”ΠΎΠ²Π΅Π΄Π΅Π½ΠΎ, Ρ‰ΠΎ ΠΎΠ΄Π½Ρ–Ρ”ΡŽ Ρ–Π· Π²Π°Π³ΠΎΠΌΠΈΡ… ΠΏΠ΅Ρ€Π΅ΡˆΠΊΠΎΠ΄ Π½Π° ΡˆΠ»ΡΡ…Ρƒ Π΅Ρ„Π΅ΠΊΡ‚ΠΈΠ²Π½ΠΎΡ— Ρ€Π΅Π°Π»Ρ–Π·Π°Ρ†Ρ–Ρ— Π² Π½Π°ΡˆΡ–ΠΉ ΠΊΡ€Π°Ρ—Π½Ρ– ΡΠΎΡ†Ρ–Π°Π»ΡŒΠ½ΠΎΡ— ΠΏΠΎΠ»Ρ–Ρ‚ΠΈΠΊΠΈ Ρ” нСдостатній Ρ€Ρ–Π²Π΅Π½ΡŒ Ρ—Ρ— фінансового забСзпСчСння Ρƒ ΠΏΠΎΡ”Π΄Π½Π°Π½Π½Ρ– Π· Π½Π΅Ρ€Π°Ρ†Ρ–ΠΎΠ½Π°Π»ΡŒΠ½ΠΈΠΌ плануванням, Ρ€ΠΎΠ·ΠΏΠΎΠ΄Ρ–Π»ΠΎΠΌ Ρ– Π½Π΅Π΅Ρ„Π΅ΠΊΡ‚ΠΈΠ²Π½ΠΈΠΌ використанням наявних фінансових рСсурсів. ΠŸΡ€Π΅Π΄ΡΡ‚Π°Π²Π»Π΅Π½ΠΎ ΠΎΡ†Ρ–Π½ΠΊΡƒ рСспондСнтами ступСня Π²ΠΏΠ»ΠΈΠ²Ρƒ Ρ‚Ρ€Π°Π΄ΠΈΡ†Ρ–ΠΉΠ½ΠΈΡ… Ρ– Π½Π΅Ρ‚Ρ€Π°Π΄ΠΈΡ†Ρ–ΠΉΠ½ΠΈΡ… ΡΠΎΡ†Ρ–Π°Π»ΡŒΠ½ΠΈΡ… Ρ€ΠΈΠ·ΠΈΠΊΡ–Π² Π½Π° ΡΠΎΡ†Ρ–Π°Π»ΡŒΠ½Ρƒ Π·Π°Ρ…ΠΈΡ‰Π΅Π½Ρ–ΡΡ‚ΡŒ громадян. Π’ΠΈΠ·Π½Π°Ρ‡Π΅Π½ΠΎ, Ρ‰ΠΎ ΠΏΠΎΡΡ‚ΡƒΠΏΠ°Π»ΡŒΠ½ΠΈΠΉ Ρ‚Π° Π΄ΠΈΠ½Π°ΠΌΡ–Ρ‡Π½ΠΈΠΉ Ρ€ΠΎΠ·Π²ΠΈΡ‚ΠΎΠΊ Π£ΠΊΡ€Π°Ρ—Π½ΠΈ ΡΡŒΠΎΠ³ΠΎΠ΄Π½Ρ– ΠΏΠΎΠ²ΠΈΠ½Π΅Π½ орієнтуватися Π½Π° ΡΠΎΡ†Ρ–Π°Π»Ρ–Π·Π°Ρ†Ρ–ΡŽ Π΅ΠΊΠΎΠ½ΠΎΠΌΡ–Ρ‡Π½ΠΎΡ— систСми Π· Π½Π°ΠΉΠΏΠΎΠ²Π½Ρ–ΡˆΠΈΠΌ урахуванням ΠΏΠΎΡ‚Ρ€Π΅Π±, інтСрСсів насСлСння, ΠΉΠΎΠ³ΠΎ стимулів Π΄ΠΎ ΠΏΡ€ΠΎΠ΄ΡƒΠΊΡ‚ΠΈΠ²Π½ΠΎΡ— Ρ‚Ρ€ΡƒΠ΄ΠΎΠ²ΠΎΡ— Π΄Ρ–ΡΠ»ΡŒΠ½ΠΎΡΡ‚Ρ– для Ρ€Π΅Π°Π»Ρ–Π·Π°Ρ†Ρ–Ρ— власного профСсійно-ΠΊΠ²Π°Π»Ρ–Ρ„Ρ–ΠΊΠ°Ρ†Ρ–ΠΉΠ½ΠΎΠ³ΠΎ ΠΏΠΎΡ‚Π΅Π½Ρ†Ρ–Π°Π»Ρƒ, всСбічного Ρ€ΠΎΠ·Π²ΠΈΡ‚ΠΊΡƒ, одСрТання Π³Ρ–Π΄Π½ΠΎΡ— Π²ΠΈΠ½Π°Π³ΠΎΡ€ΠΎΠ΄ΠΈ Π·Π° Ρ€Π΅Π·ΡƒΠ»ΡŒΡ‚Π°Ρ‚ΠΈ ΠΏΡ€Π°Ρ†Ρ–.Π’ ΡΡ‚Π°Ρ‚ΡŒΠ΅ осущСствлСна классификация ΡΠΎΡ†ΠΈΠ°Π»ΡŒΠ½Ρ‹Ρ… рисков Π½Π° Ρ‚Ρ€Π°Π΄ΠΈΡ†ΠΈΠΎΠ½Π½Ρ‹Π΅ ΠΈ Π½Π΅Ρ‚Ρ€Π°Π΄ΠΈΡ†ΠΈΠΎΠ½Π½Ρ‹Π΅ ΠΈ ΠΈΡ… влияниС Π½Π° Ρ€Π΅Π³ΡƒΠ»ΠΈΡ€ΠΎΠ²Π°Π½ΠΈΠ΅ систСмы ΡΠΎΡ†ΠΈΠ°Π»ΡŒΠ½ΠΎΠΉ Π·Π°Ρ‰ΠΈΡ‚Ρ‹ насСлСния Π² Π£ΠΊΡ€Π°ΠΈΠ½Π΅. ВыявлСны соврСмСнныС ΠΏΡ€ΠΎΠ±Π»Π΅ΠΌΡ‹ финансирования сфСры ΡΠΎΡ†ΠΈΠ°Π»ΡŒΠ½ΠΎΠΉ Π·Π°Ρ‰ΠΈΡ‚Ρ‹ насСлСния Π² Π£ΠΊΡ€Π°ΠΈΠ½Π΅ ΠΈ ΠΎΡ‡Π΅Ρ€Ρ‡Π΅Π½Ρ‹ ΠΏΡƒΡ‚ΠΈ ΠΈΡ… прСодолСния. ΠŸΡ€ΠΈΠ²Π΅Π΄Π΅Π½Π° Π΄ΠΈΠ½Π°ΠΌΠΈΠΊΠ° задолТСнности ΠΏΠΎ Π²Ρ‹ΠΏΠ»Π°Ρ‚Π΅ Π·Π°Ρ€Π°Π±ΠΎΡ‚Π½ΠΎΠΉ ΠΏΠ»Π°Ρ‚Ρ‹ Π² Π£ΠΊΡ€Π°ΠΈΠ½Π΅ ΠΈ Π΄ΠΈΠ½Π°ΠΌΠΈΠΊΠ° Ρ€Π΅Π°Π»ΡŒΠ½ΠΎΠ³ΠΎ ΠΈΠΌΠ΅ΡŽΡ‰Π΅Π³ΠΎΡΡ Π΄ΠΎΡ…ΠΎΠ΄Π° насСлСния Π£ΠΊΡ€Π°ΠΈΠ½Ρ‹ Π·Π° 2005-2018 Π³ΠΎΠ΄Ρ‹. Π”ΠΎΠΊΠ°Π·Π°Π½ΠΎ, Ρ‡Ρ‚ΠΎ ΠΎΠ΄Π½ΠΈΠΌ ΠΈΠ· вСсомых прСпятствий Π½Π° ΠΏΡƒΡ‚ΠΈ эффСктивной Ρ€Π΅Π°Π»ΠΈΠ·Π°Ρ†ΠΈΠΈ Π² нашСй странС ΡΠΎΡ†ΠΈΠ°Π»ΡŒΠ½ΠΎΠΉ ΠΏΠΎΠ»ΠΈΡ‚ΠΈΠΊΠΈ являСтся нСдостаточный ΡƒΡ€ΠΎΠ²Π΅Π½ΡŒ Π΅Π΅ финансового обСспСчСния Π² сочСтании с Π½Π΅Ρ€Π°Ρ†ΠΈΠΎΠ½Π°Π»ΡŒΠ½Ρ‹ΠΌ ΠΏΠ»Π°Π½ΠΈΡ€ΠΎΠ²Π°Π½ΠΈΠ΅ΠΌ, распрСдСлСниСм ΠΈ нСэффСктивным использованиСм ΠΈΠΌΠ΅ΡŽΡ‰ΠΈΡ…ΡΡ финансовых рСсурсов. ΠŸΡ€Π΅Π΄ΡΡ‚Π°Π²Π»Π΅Π½Π° ΠΎΡ†Π΅Π½ΠΊΠ° рСспондСнтами стСпСни влияния Ρ‚Ρ€Π°Π΄ΠΈΡ†ΠΈΠΎΠ½Π½Ρ‹Ρ… ΠΈ Π½Π΅Ρ‚Ρ€Π°Π΄ΠΈΡ†ΠΈΠΎΠ½Π½Ρ‹Ρ… ΡΠΎΡ†ΠΈΠ°Π»ΡŒΠ½Ρ‹Ρ… рисков Π½Π° ΡΠΎΡ†ΠΈΠ°Π»ΡŒΠ½ΡƒΡŽ Π·Π°Ρ‰ΠΈΡ‰Π΅Π½Π½ΠΎΡΡ‚ΡŒ Π³Ρ€Π°ΠΆΠ΄Π°Π½. ΠžΠΏΡ€Π΅Π΄Π΅Π»Π΅Π½ΠΎ, Ρ‡Ρ‚ΠΎ ΠΏΠΎΡΡ‚ΡƒΠΏΠ°Ρ‚Π΅Π»ΡŒΠ½ΠΎΠ΅ ΠΈ динамичСскоС Ρ€Π°Π·Π²ΠΈΡ‚ΠΈΠ΅ Π£ΠΊΡ€Π°ΠΈΠ½Ρ‹ сСгодня Π΄ΠΎΠ»ΠΆΠ½ΠΎ ΠΎΡ€ΠΈΠ΅Π½Ρ‚ΠΈΡ€ΠΎΠ²Π°Ρ‚ΡŒΡΡ Π½Π° ΡΠΎΡ†ΠΈΠ°Π»ΠΈΠ·Π°Ρ†ΠΈΡŽ экономичСской систСмы с Π½Π°ΠΈΠ±ΠΎΠ»Π΅Π΅ ΠΏΠΎΠ»Π½Ρ‹ΠΌ ΡƒΡ‡Π΅Ρ‚ΠΎΠΌ Π½ΡƒΠΆΠ΄, интСрСсов насСлСния, Π΅Π³ΠΎ стимулов ΠΊ ΠΏΡ€ΠΎΠ΄ΡƒΠΊΡ‚ΠΈΠ²Π½ΠΎΠΉ Ρ‚Ρ€ΡƒΠ΄ΠΎΠ²ΠΎΠΉ Π΄Π΅ΡΡ‚Π΅Π»ΡŒΠ½ΠΎΡΡ‚ΠΈ для Ρ€Π΅Π°Π»ΠΈΠ·Π°Ρ†ΠΈΠΈ собствСнного ΠΏΡ€ΠΎΡ„Π΅ΡΡΠΈΠΎΠ½Π°Π»ΡŒΠ½ΠΎ-ΠΊΠ²Π°Π»ΠΈΡ„ΠΈΠΊΠ°Ρ†ΠΈΠΎΠ½Π½ΠΎΠ³ΠΎ ΠΏΠΎΡ‚Π΅Π½Ρ†ΠΈΠ°Π»Π°, всСстороннСго развития, получСния достойного вознаграТдСния Π·Π° Ρ€Π΅Π·ΡƒΠ»ΡŒΡ‚Π°Ρ‚Ρ‹ Ρ‚Ρ€ΡƒΠ΄Π°

    Strangulation and Necrosis of an Epiploic Appendage of the Sigmoid Colon in a Right Inguinal Hernia

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    An epiploic appendage of the sigmoid colon is considered to be an unusual type of inguinal hernia content. The strangulation of a sigmoid colon appendage into a right inguinal hernia is exclusively rare. We present a case of an 81-year-old female patient with severe cardiovascular comorbidities who was urgently admitted after an episode of strangulation and subsequent spontaneous reduction of a right inguinal hernia. The condition of the patient was stable, and an urgent operation was not indicated for three days after admission. However, we had to operate because the hernia strangulation recurred. In the hernia sac, a free fatty body (a separated and saponified epiploic appendage of the colon) and a strangulated epiploic appendage of dolichosigmoid, with signs of necrosis, were found. Removal of the free fatty body and necrotic epiploic appendage and subsequent anterior-wall inguinal hernioplasty were successfully performed. In the world literature, this case may be the first report of a sigmoid epiploic appendage strangulation in a right inguinal hernia that is well documented by photography
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