124 research outputs found

    Light focusing by silicon nanosphere structures under conditions of magnetic dipole and quadrupole resonances

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    Metalens is a planar device for light focusing. In this work, we design and optimize c-Si nanosphere metalenses working on the magnetic dipole and quadrupole resonances of the c-Si nanoparticle. Resonant optical response of c-Si nanostructures is simulated by the multipole decomposition method along with the zero-order Born approximation. Limitations of this approach are investigated. The obtained results of optimization are verified by simulation via the T-matrix method

    Electromagnetic realization of topological states in one-dimensional arrays of bianisotropic particles

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    We propose a strategy to realize one-dimensional electromagnetic topologically protected states by modifying on-site properties of particles keeping linear equidistant geometry of the array. Based on the discrete dipole approximation, we demonstrate the existence of non-trivial topology of photonic bands and mapping to the Su-Schrieffer-Heeger model. We investigate the properties of an isolated ceramic disk to optimize its electromagnetic response, namely, the splitting of electric and magnetic dipole resonances due to bianisotropy. Using fullwave simulations we demonstrate the presence of the topological interface state in the microwave spectral range.This work was supported by the Russian Science Foundation (grant No. 16-19-10538). M.A.G. acknowledges partial support by the Foundation for the Advancement of Theoretical Physics and Mathematics β€œBasis”

    Transverse scattering and generalized Kerker effects in all-dielectric Mie-resonant meta-optics

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    All-dielectric resonant nanophotonics lies at the heart of modern optics and nanotechnology due to the unique possibilities to control scattering of light from high-index dielectric nanoparticles and metasurfaces. One of the important concepts of dielectric Mie-resonant nanophotonics is associated with the Kerker effect that drives the unidirectional scattering of light from nanoantennas and Huygens' metasurfaces. Here we suggest and demonstrate experimentally a novel effect manifested in the nearly complete simultaneous suppression of both forward and backward scattered fields. This effect is governed by the Fano interference between an electric dipole and off-resonant quadrupoles, providing necessary phases and amplitudes of the scattered fields to achieve the transverse scattering. We extend this concept to dielectric metasurfaces that demonstrate zero reflection with transverse scattering and strong field enhancement for resonant light filtering, nonlinear effects, and sensing

    ЭффСктивная модСль диспансСризации ΠΈ динамичСского наблюдСния Π·Π° ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚Π°ΠΌΠΈ с Π³Π»Π°ΡƒΠΊΠΎΠΌΠΎΠΉ

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    Open-angle glaucoma is a chronic progressive optic neuropathy characterized by morphological changes in the optic nerve head and retinal nerve fibers layer in the absence of other eye diseases.Regular medical check-ups are necessary to assess the progression of glaucoma, to correct the treatment regimen or prescribe surgical interventions, to control the stabilization of the glaucoma process and to preserve visual functions for longer period. When planning the number of monitoring visits, it is necessary to carefully study the prognostic risk factors, since they are statistically associated with the development and progression of glaucoma. Closer observation of patients with glaucoma reduces the risk of irreversible changes in the organ of vision.Patient compliance is of particular importance in the progression of glaucoma. The adherence rate in the treatment of glaucoma is relatively lower compared to other chronic diseases that require lifelong treatment.Currently, there is no effective model of regular checkups for glaucoma patients, therefore this direction requires improvement and development, both in the standards and timing of patient examination, and in the use of remote methods of glaucoma control. The disadvantage of theΒ current medical check-ups routine is the lack of individual approach to patients, lack of equipment in the offices of regional ophthalmologists, and lack of specialized glaucoma offices.The tense epidemiological situation during the Covid-19 pandemic, gave understanding that while in-person consultations and remote consultations (telemedicine) cannot replace each other, a combination of these methods is cost-effective, can reduce the uneven distribution of ophthalmic resources, reduce the burden on the doctor and the rate of misdiagnosis. The situation was aggravated by the closure of ophthalmological hospitals and an increase in the waiting time for consultation in higher specialized medical institutions, which probably entails an increase in patients with progression of the glaucomatous process and the economic burden on both the state and the patients themselves.Telemedicine should be gradually introduced into everyday practice, for which it is advisable to create a single database of glaucoma patients to track the glaucomatous process.ΠžΡ‚ΠΊΡ€Ρ‹Ρ‚ΠΎΡƒΠ³ΠΎΠ»ΡŒΠ½Π°Ρ Π³Π»Π°ΡƒΠΊΠΎΠΌΠ° β€” хроничСская ΠΏΡ€ΠΎΠ³Ρ€Π΅ΡΡΠΈΡ€ΡƒΡŽΡ‰Π°Ρ оптиконСйропатия, Ρ…Π°Ρ€Π°ΠΊΡ‚Π΅Ρ€ΠΈΠ·ΡƒΡŽΡ‰Π°ΡΡΡ морфологичСскими измСнСниями диска Π·Ρ€ΠΈΡ‚Π΅Π»ΡŒΠ½ΠΎΠ³ΠΎ Π½Π΅Ρ€Π²Π° ΠΈ слоя Π½Π΅Ρ€Π²Π½Ρ‹Ρ… Π²ΠΎΠ»ΠΎΠΊΠΎΠ½ сСтчатки ΠΏΡ€ΠΈ отсутствии Π΄Ρ€ΡƒΠ³ΠΈΡ… Π³Π»Π°Π·Π½Ρ‹Ρ… Π·Π°Π±ΠΎΠ»Π΅Π²Π°Π½ΠΈΠΉ.ДиспансСрноС наблюдСниС Π½Π΅ΠΎΠ±Ρ…ΠΎΠ΄ΠΈΠΌΠΎ для ΠΎΡ†Π΅Π½ΠΊΠΈ прогрСссирования Π³Π»Π°ΡƒΠΊΠΎΠΌΡ‹, ΠΊΠΎΡ€Ρ€Π΅ΠΊΡ†ΠΈΠΈ лСчСния ΠΈΠ»ΠΈ назначСния хирургичСских Π²ΠΌΠ΅ΡˆΠ°Ρ‚Π΅Π»ΡŒΡΡ‚Π², для контроля стабилизации Π³Π»Π°ΡƒΠΊΠΎΠΌΠ½ΠΎΠ³ΠΎ процСсса ΠΈ Π±ΠΎΠ»Π΅Π΅ Π΄ΠΎΠ»Π³ΠΎΠ³ΠΎ сохранСния Π·Ρ€ΠΈΡ‚Π΅Π»ΡŒΠ½Ρ‹Ρ… Ρ„ΡƒΠ½ΠΊΡ†ΠΈΠΉ. ΠŸΡ€ΠΈ ΠΏΠ»Π°Π½ΠΈΡ€ΠΎΠ²Π°Π½ΠΈΠΈ количСства диспансСрных осмотров Π½Π΅ΠΎΠ±Ρ…ΠΎΠ΄ΠΈΠΌΠΎ Ρ‚Ρ‰Π°Ρ‚Π΅Π»ΡŒΠ½ΠΎΠ΅ ΠΈΠ·ΡƒΡ‡Π΅Π½ΠΈΠ΅ прогностичСских Ρ„Π°ΠΊΡ‚ΠΎΡ€ΠΎΠ² риска, Ρ‚Π°ΠΊ ΠΊΠ°ΠΊ статистичСски ΠΎΠ½ΠΈ связаны с Ρ€Π°Π·Π²ΠΈΡ‚ΠΈΠ΅ΠΌ ΠΈ прогрСссированиСм Π³Π»Π°ΡƒΠΊΠΎΠΌΡ‹. Π‘ΠΎΠ»Π΅Π΅ Π²Π½ΠΈΠΌΠ°Ρ‚Π΅Π»ΡŒΠ½ΠΎΠ΅ наблюдСниС Π·Π° ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚Π°ΠΌΠΈ с Π³Π»Π°ΡƒΠΊΠΎΠΌΠΎΠΉ сниТаСт риск Π½Π΅ΠΎΠ±Ρ€Π°Ρ‚ΠΈΠΌΡ‹Ρ… ΠΈΠ·ΠΌΠ΅Π½Π΅Π½ΠΈΠΉ ΠΎΡ€Π³Π°Π½Π° зрСния.Особо Π²Π°ΠΆΠ½ΠΎΠ΅ мСсто Π² прогрСссировании Π³Π»Π°ΡƒΠΊΠΎΠΌΡ‹ Π·Π°Π½ΠΈΠΌΠ°Π΅Ρ‚ ΠΊΠΎΠΌΠΏΠ»Π°Π΅Π½Ρ‚Π½ΠΎΡΡ‚ΡŒ ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚ΠΎΠ². ΠŸΠΎΠΊΠ°Π·Π°Ρ‚Π΅Π»ΡŒ привСрТСнности ΠΏΡ€ΠΈ Π»Π΅Ρ‡Π΅Π½ΠΈΠΈ Π³Π»Π°ΡƒΠΊΠΎΠΌΡ‹ ΠΎΡ‚Π½ΠΎΡΠΈΡ‚Π΅Π»ΡŒΠ½ΠΎ Π½ΠΈΠΆΠ΅ ΠΏΠΎ ΡΡ€Π°Π²Π½Π΅Π½ΠΈΡŽ с Π΄Ρ€ΡƒΠ³ΠΈΠΌΠΈ хроничСскими заболСваниями, ΠΊΠΎΡ‚ΠΎΡ€Ρ‹Π΅ Ρ‚Π°ΠΊΠΆΠ΅ Ρ‚Ρ€Π΅Π±ΡƒΡŽΡ‚ ΠΏΠΎΠΆΠΈΠ·Π½Π΅Π½Π½ΠΎΠ³ΠΎ лСчСния.Π’ настоящСС врСмя отсутствуСт эффСктивная модСль диспансСрного наблюдСния Π³Π»Π°ΡƒΠΊΠΎΠΌΠ½Ρ‹Ρ… ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚ΠΎΠ², поэтому Π΄Π°Π½Π½ΠΎΠ΅ Π½Π°ΠΏΡ€Π°Π²Π»Π΅Π½ΠΈΠ΅ Ρ‚Ρ€Π΅Π±ΡƒΠ΅Ρ‚ ΡƒΡΠΎΠ²Π΅Ρ€ΡˆΠ΅Π½ΡΡ‚Π²ΠΎΠ²Π°Π½ΠΈΡ ΠΈ развития ΠΊΠ°ΠΊ Π² стандартах ΠΈ сроках обслСдования пациСнтов, Ρ‚Π°ΠΊ ΠΈ Π² использовании дистанционных ΠΌΠ΅Ρ‚ΠΎΠ΄ΠΎΠ² контроля Π³Π»Π°ΡƒΠΊΠΎΠΌΡ‹. НСдостатком Π½Ρ‹Π½Π΅ΡˆΠ½Π΅ΠΉ диспансСризации являСтся отсутствиС ΠΈΠ½Π΄ΠΈΠ²ΠΈΠ΄ΡƒΠ°Π»ΡŒΠ½ΠΎΠ³ΠΎ ΠΏΠΎΠ΄Ρ…ΠΎΠ΄Π° ΠΊ Π·Π°Π±ΠΎΠ»Π΅Π²ΡˆΠ΅ΠΌΡƒ, Π½Π΅Π΄ΠΎΡΡ‚Π°Ρ‚ΠΎΡ‡Π½ΠΎΡΡ‚ΡŒ оснащСния Ρ€Π°ΠΉΠΎΠ½Π½Ρ‹Ρ… ΠΊΠ°Π±ΠΈΠ½Π΅Ρ‚ΠΎΠ² ΠΎΡ„Ρ‚Π°Π»ΡŒΠΌΠΎΠ»ΠΎΠ³ΠΎΠ² ΠΈ нСдостаток Π³Π»Π°ΡƒΠΊΠΎΠΌΠ½Ρ‹Ρ… ΠΊΠ°Π±ΠΈΠ½Π΅Ρ‚ΠΎΠ².Благодаря напряТСнной эпидСмиологичСской обстановкС Π²ΠΎ врСмя эпидСмии COVID-19 Π±Ρ‹Π»ΠΎ выявлСно, Ρ‡Ρ‚ΠΎ ΠΌΠ΅Ρ‚ΠΎΠ΄Ρ‹ ΠΎΡ‡Π½ΠΎΠΉ ΠΊΠΎΠ½ΡΡƒΠ»ΡŒΡ‚Π°Ρ†ΠΈΠΈ ΠΈ Ρ‚Π΅Π»Π΅ΠΌΠ΅Π΄ΠΈΡ†ΠΈΠ½Ρ‹ Π½Π΅ ΠΌΠΎΠ³ΡƒΡ‚ Π·Π°ΠΌΠ΅Π½ΠΈΡ‚ΡŒ Π΄Ρ€ΡƒΠ³ Π΄Ρ€ΡƒΠ³Π°, Π½ΠΎ комбинация этих ΠΌΠ΅Ρ‚ΠΎΠ΄ΠΎΠ² экономичСски эффСктивна, ΠΌΠΎΠΆΠ΅Ρ‚ ΡƒΠΌΠ΅Π½ΡŒΡˆΠΈΡ‚ΡŒ Π½Π΅Ρ€Π°Π²Π½ΠΎΠΌΠ΅Ρ€Π½ΠΎΠ΅ распрСдСлСниС ΠΎΡ„Ρ‚Π°Π»ΡŒΠΌΠΎΠ»ΠΎΠ³ΠΈΡ‡Π΅ΡΠΊΠΈΡ… рСсурсов, ΡΠ½ΠΈΠ·ΠΈΡ‚ΡŒ Π½Π°Π³Ρ€ΡƒΠ·ΠΊΡƒ Π½Π° Π²Ρ€Π°Ρ‡Π° ΠΈ ΡƒΡ€ΠΎΠ²Π΅Π½ΡŒ ΠΎΡˆΠΈΠ±ΠΎΡ‡Π½ΠΎΠ³ΠΎ Π΄ΠΈΠ°Π³Π½ΠΎΠ·Π°. Усугубило ΡΠΈΡ‚ΡƒΠ°Ρ†ΠΈΡŽ Π·Π°ΠΊΡ€Ρ‹Ρ‚ΠΈΠ΅ ΠΎΡ„Ρ‚Π°Π»ΡŒΠΌΠΎΠ»ΠΎΠ³ΠΈΡ‡Π΅ΡΠΊΠΈΡ… стационаров ΠΈ ΡƒΠ²Π΅Π»ΠΈΡ‡Π΅Π½ΠΈΠ΅ Π²Ρ€Π΅ΠΌΠ΅Π½ΠΈ оТидания ΠΊΠΎΠ½ΡΡƒΠ»ΡŒΡ‚Π°Ρ†ΠΈΠΈ Π² Π²Ρ‹ΡˆΠ΅ΡΡ‚ΠΎΡΡ‰ΠΈΡ… спСциализированных мСдучрСТдСниях, Ρ‡Ρ‚ΠΎ навСрняка Π²Π»Π΅Ρ‡Π΅Ρ‚ Π·Π° собой ΡƒΠ²Π΅Π»ΠΈΡ‡Π΅Π½ΠΈΠ΅ числа ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚ΠΎΠ² с прогрСссированиСм Π³Π»Π°ΡƒΠΊΠΎΠΌΠ½ΠΎΠ³ΠΎ процСсса ΠΈ экономичСской Π½Π°Π³Ρ€ΡƒΠ·ΠΊΠΈ ΠΊΠ°ΠΊ Π½Π° государство, Ρ‚Π°ΠΊ ΠΈ Π½Π° самих ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚ΠΎΠ².Π‘Π»Π΅Π΄ΡƒΠ΅Ρ‚ постСпСнно Π²Π½Π΅Π΄Ρ€ΡΡ‚ΡŒ Π² ΠΊΠ°ΠΆΠ΄ΠΎΠ΄Π½Π΅Π²Π½ΡƒΡŽ ΠΏΡ€Π°ΠΊΡ‚ΠΈΠΊΡƒ Ρ‚Π΅Π»Π΅ΠΌΠ΅Π΄ΠΈΡ†ΠΈΠ½Ρƒ, для Ρ‡Π΅Π³ΠΎ цСлСсообразно созданиС Π΅Π΄ΠΈΠ½ΠΎΠΉ Π±Π°Π·Ρ‹ Π³Π»Π°ΡƒΠΊΠΎΠΌΠ½Ρ‹Ρ… ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚ΠΎΠ² для отслСТивания Π³Π»Π°ΡƒΠΊΠΎΠΌΠ½ΠΎΠ³ΠΎ процСсса

    Π‘ΠΊΡ€ΠΈΠ½ΠΈΠ½Π³ Π΄Π΅Ρ‚Π΅ΠΉ ΠΈ подростков Π½Π° Ρ‚ΡƒΠ±Π΅Ρ€ΠΊΡƒΠ»Π΅Π·Π½ΡƒΡŽ ΠΈΠ½Ρ„Π΅ΠΊΡ†ΠΈΡŽ Π² России – ΠΏΡ€ΠΎΡˆΠ»ΠΎΠ΅, настоящСС, Π±ΡƒΠ΄ΡƒΡ‰Π΅Π΅

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    The article presents a brief overview of the establishment and development of screening system in the pediatric population for tuberculosis andΒ latent tuberculosis infection - from Koch alt-tuberculin to modern recombinant tuberculosis allergens for intradermal administration and in vitro laboratory tests. It gives extensive data on clinical research and the introduction into practical public health of the Russian Federation of the test with recombinant tuberculosis allergen as a screening method for tuberculosis in children from 8 to 14 years old inclusively.ΠŸΡ€Π΅Π΄ΡΡ‚Π°Π²Π»Π΅Π½ ΠΊΡ€Π°Ρ‚ΠΊΠΈΠΉ ΠΎΠ±Π·ΠΎΡ€ становлСния ΠΈ развития систСмы скрининга дСтского насСлСния Π½Π° Ρ‚ΡƒΠ±Π΅Ρ€ΠΊΡƒΠ»Π΅Π· ΠΈ Π½Π° Π»Π°Ρ‚Π΅Π½Ρ‚Π½ΡƒΡŽ Ρ‚ΡƒΠ±Π΅Ρ€ΠΊΡƒΠ»Π΅Π·Π½ΡƒΡŽ ΠΈΠ½Ρ„Π΅ΠΊΡ†ΠΈΡŽ – ΠΎΡ‚ Π°Π»ΡŒΡ‚-Ρ‚ΡƒΠ±Π΅Ρ€ΠΊΡƒΠ»ΠΈΠ½Π° ΠšΠΎΡ…Π° Π΄ΠΎ соврСмСнных Ρ€Π΅ΠΊΠΎΠΌΠ±ΠΈΠ½Π°Π½Ρ‚Π½Ρ‹Ρ… Π°Π»Π»Π΅Ρ€Π³Π΅Π½ΠΎΠ² Ρ‚ΡƒΠ±Π΅Ρ€ΠΊΡƒΠ»Π΅Π·Π½Ρ‹Ρ… для Π²Π½ΡƒΡ‚Ρ€ΠΈΠΊΠΎΠΆΠ½ΠΎΠ³ΠΎ ввСдСния ΠΈ Π»Π°Π±ΠΎΡ€Π°Ρ‚ΠΎΡ€Π½Ρ‹Ρ… тСстов in vitro. ΠŸΡ€ΠΈΠ²Π΅Π΄Π΅Π½Ρ‹ ΠΎΠ±ΡˆΠΈΡ€Π½Ρ‹Π΅ Π΄Π°Π½Π½Ρ‹Π΅ ΠΎ клиничСском исслСдовании ΠΈ Π²Π½Π΅Π΄Ρ€Π΅Π½ΠΈΠΈ Π² практичСскоС Π·Π΄Ρ€Π°Π²ΠΎΠΎΡ…Ρ€Π°Π½Π΅Π½ΠΈΠ΅ Π Π€ ΠΏΡ€ΠΎΠ±Ρ‹ с Π°Π»Π»Π΅Ρ€Π³Π΅Π½ΠΎΠΌ Ρ‚ΡƒΠ±Π΅Ρ€ΠΊΡƒΠ»Π΅Π·Π½Ρ‹ΠΌ Ρ€Π΅ΠΊΠΎΠΌΠ±ΠΈΠ½Π°Π½Ρ‚Π½Ρ‹ΠΌ Π² качСствС скрининга Π½Π° Ρ‚ΡƒΠ±Π΅Ρ€ΠΊΡƒΠ»Π΅Π· Ρƒ Π΄Π΅Ρ‚Π΅ΠΉ с 8 Π΄ΠΎ 14 Π»Π΅Ρ‚ Π²ΠΊΠ»ΡŽΡ‡ΠΈΡ‚Π΅Π»ΡŒΠ½ΠΎ

    Π›ΡƒΡ‡Π΅Π²Ρ‹Π΅ ΠΌΠ΅Ρ‚ΠΎΠ΄Ρ‹ Π² диагностикС ΠΈ стадировании Ρ€Π°ΠΊΠ° ΠΆΠ΅Π»ΡƒΠ΄ΠΊΠ°

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    Purpose. To assess the possibilities of methods of radiation diagnosis in the recognition and staging of gastric cancer.Material and methods. The results of inspection of 307 patients with cancer of a stomach at which endoscopic, radiological and computer tomography researches on purpose, both primary diagnosis of gastric cancer, and establishment of a staging of process have been executed have been analyzed from 2014 to 2017.Results. At a radiological research proximal cancer of a stomach is revealed at 63 (20,5%) patients, a body – at 202 (65.8%) and distally – at 42 (13.7%) patients. In all cases we managed to diagnose precisely stomach cancer, its localization and distribution on stomach walls. MSCT allowed to determine the spread of the tumor beyond the organ. Results of comprehensive examination of patients with cancer of a stomach have allowed to stage the process. The first stage has been established at 40 (13.0%) patients, second – at the 117 (38.2%), third – at the 102 (33.2%), fourth – at 48 (15.6%). Of the 307 patients with gastric cancer, various types of interventions were subsequently performed in 254 (83%), chemotherapy, as an independent type of treatment was performed in 49 (16%), refused any treatment of 4 (1%) patients.Conclusion. Complex radiation diagnosis is highly informative for the detection and staging of stomach cancer.ЦСль исслСдования: ΠΎΡ†Π΅Π½ΠΈΡ‚ΡŒ возмоТности Π»ΡƒΡ‡Π΅Π²ΠΎΠΉ диагностики Π² распознавании ΠΈ стадировании Ρ€Π°ΠΊΠ° ΠΆΠ΅Π»ΡƒΠ΄ΠΊΠ°.ΠœΠ°Ρ‚Π΅Ρ€ΠΈΠ°Π» ΠΈ ΠΌΠ΅Ρ‚ΠΎΠ΄Ρ‹. ΠŸΡ€ΠΎΠ°Π½Π°Π»ΠΈΠ·ΠΈΡ€ΠΎΠ²Π°Π½Ρ‹ Ρ€Π΅Π·ΡƒΠ»ΡŒΡ‚Π°Ρ‚Ρ‹ обслСдования 307 Π±ΠΎΠ»ΡŒΠ½Ρ‹Ρ… Ρ€Π°ΠΊΠΎΠΌ ΠΆΠ΅Π»ΡƒΠ΄ΠΊΠ°, Ρƒ ΠΊΠΎΡ‚ΠΎΡ€Ρ‹Ρ… Π±Ρ‹Π»ΠΈ Π²Ρ‹ΠΏΠΎΠ»Π½Π΅Π½Ρ‹ эндоскопичСскиС, рСнтгСнологичСскиС ΠΈ ΠΊΠΎΠΌΠΏΡŒΡŽΡ‚Π΅Ρ€Π½ΠΎ-томографичСскиС исслСдования с Ρ†Π΅Π»ΡŒΡŽ ΠΊΠ°ΠΊ ΠΏΠ΅Ρ€Π²ΠΈΡ‡Π½ΠΎΠΉ диагностики Ρ€Π°ΠΊΠ° ΠΆΠ΅Π»ΡƒΠ΄ΠΊΠ°, Ρ‚Π°ΠΊ ΠΈ установлСния стадии процСсса, ΠΏΡ€ΠΎΠ»Π΅Ρ‡Π΅Π½Π½Ρ‹Ρ… Π·Π° ΠΏΠ΅Ρ€ΠΈΠΎΠ΄ с 2014 ΠΏΠΎ 2017 Π³.Π Π΅Π·ΡƒΠ»ΡŒΡ‚Π°Ρ‚Ρ‹. ΠŸΡ€ΠΈ рСнтгСнологичСском исслСдовании ΠΏΡ€ΠΎΠΊΡΠΈΠΌΠ°Π»ΡŒΠ½Ρ‹ΠΉ Ρ€Π°ΠΊ ΠΆΠ΅Π»ΡƒΠ΄ΠΊΠ° выявлСн Ρƒ 63 (20,5%) Π±ΠΎΠ»ΡŒΠ½Ρ‹Ρ…, Ρ‚Π΅Π»Π° – Ρƒ 202 (65,8%) ΠΈ Π΄ΠΈΡΡ‚Π°Π»ΡŒΠ½Ρ‹ΠΉ – Ρƒ 42 (13,7%) Π±ΠΎΠ»ΡŒΠ½Ρ‹Ρ…. Π’ΠΎ всСх случаях Π½Π°ΠΌ ΡƒΠ΄Π°Π»ΠΎΡΡŒ Ρ‚ΠΎΡ‡Π½ΠΎ Π΄ΠΈΠ°Π³Π½ΠΎΡΡ‚ΠΈΡ€ΠΎΠ²Π°Ρ‚ΡŒ Ρ€Π°ΠΊ ΠΆΠ΅Π»ΡƒΠ΄ΠΊΠ°, ΡƒΡΡ‚Π°Π½ΠΎΠ²ΠΈΡ‚ΡŒ Π΅Π³ΠΎ Π»ΠΎΠΊΠ°Π»ΠΈΠ·Π°Ρ†ΠΈΡŽ ΠΈ распространСниС ΠΏΠΎ стСнкам ΠΆΠ΅Π»ΡƒΠ΄ΠΊΠ°. МБКВ ΠΏΠΎΠ·Π²ΠΎΠ»ΠΈΠ»Π° ΠΎΠΏΡ€Π΅Π΄Π΅Π»ΠΈΡ‚ΡŒ распространСниС ΠΎΠΏΡƒΡ…ΠΎΠ»ΠΈ Π·Π° ΠΏΡ€Π΅Π΄Π΅Π»Ρ‹ ΠΎΡ€Π³Π°Π½Π°. Π’ Ρ€Π΅Π·ΡƒΠ»ΡŒΡ‚Π°Ρ‚Π΅ комплСксного Π»ΡƒΡ‡Π΅Π²ΠΎΠ³ΠΎ обслСдования Π±ΠΎΠ»ΡŒΠ½Ρ‹Ρ… Ρ€Π°ΠΊΠΎΠΌ ΠΆΠ΅Π»ΡƒΠ΄ΠΊΠ° ΡƒΠ΄Π°Π»ΠΎΡΡŒ ΡƒΡΡ‚Π°Π½ΠΎΠ²ΠΈΡ‚ΡŒ ΡΡ‚Π°Π΄ΠΈΡŽ процСсса. I стадия Π±Ρ‹Π»Π° выявлСна Ρƒ 40 (13,0%) Π±ΠΎΠ»ΡŒΠ½Ρ‹Ρ…, II – Ρƒ 117 (38,2%), III – Ρƒ 102 (33,2%), IV – Ρƒ 48 (15,6%). Из 307 Π±ΠΎΠ»ΡŒΠ½Ρ‹Ρ… Ρ€Π°ΠΊΠΎΠΌ ΠΆΠ΅Π»ΡƒΠ΄ΠΊΠ° Π² ΠΏΠΎΡΠ»Π΅Π΄ΡƒΡŽΡ‰Π΅ΠΌ Π±Ρ‹Π»ΠΈ Π²Ρ‹ΠΏΠΎΠ»Π½Π΅Π½Ρ‹ Ρ€Π°Π·Π»ΠΈΡ‡Π½Ρ‹Π΅ Π²ΠΈΠ΄Ρ‹ хирургичСских Π²ΠΌΠ΅ΡˆΠ°Ρ‚Π΅Π»ΡŒΡΡ‚Π² Ρƒ 254 (83%), химиотСрапия, ΠΊΠ°ΠΊ ΡΠ°ΠΌΠΎΡΡ‚ΠΎΡΡ‚Π΅Π»ΡŒΠ½Ρ‹ΠΉ Π²ΠΈΠ΄ лСчСния Π²Ρ‹ΠΏΠΎΠ»Π½ΡΠ»Π°ΡΡŒ Ρƒ 49 (16%), ΠΎΡ‚ΠΊΠ°Π·Π°Π»ΠΈΡΡŒ ΠΎΡ‚ ΠΊΠ°ΠΊΠΎΠ³ΠΎ-Π»ΠΈΠ±ΠΎ лСчСния, 4 (1%) Π±ΠΎΠ»ΡŒΠ½Ρ‹Ρ….Π—Π°ΠΊΠ»ΡŽΡ‡Π΅Π½ΠΈΠ΅. КомплСксная лучСвая диагностика высокоинформативна для выявлСния ΠΈ стадирования Ρ€Π°ΠΊΠ° ΠΆΠ΅Π»ΡƒΠ΄ΠΊΠ°

    ΠšΠ Π˜Π’Π•Π Π˜Π˜ Π­Π€Π€Π•ΠšΠ’Π˜Π’ΠΠžΠ‘Π’Π˜ Π›Π•Π§Π•ΠΠ˜Π― Π’Π£Π‘Π•Π ΠšΠ£Π›Π•Π—Π Π£Β Π”Π•Π’Π•Π™ Π’ Π‘ΠžΠ’Π Π•ΠœΠ•ΠΠΠ«Π₯ Π£Π‘Π›ΠžΠ’Π˜Π―Π₯

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    The main objective of a phthisiologist following up and treating children and adolescents with local forms of tuberculosis is to achieve complete clinical cure with minimal remaining post-tuberculosis changes. Evaluation of treatment progress is important since it defines not only the duration of chemotherapy and follow-up but it also serves a prognostic criterion of stable clinical cure and prevention of relapse in the future. New criteria for evaluation of tuberculosis activity and clinical cure in children and adolescents were assessed. It was proved that Mantoux test could not be the criterion of the disease activity. While results of the test with tuberculous recombinant allergen (TRA) performed at the moment of clinical cure did not depend on the volume and severity of changes and allowed assessing the activity of the disease with any intensity of specific changes in chest lymph nodes and lung tissue, and TRA test served as a criterion of activity of mycobacterial population in the host.Основной Ρ†Π΅Π»ΡŒΡŽ Ρ€Π°Π±ΠΎΡ‚Ρ‹ Π²Ρ€Π°Ρ‡Π°-Ρ„Ρ‚ΠΈΠ·ΠΈΠ°Ρ‚Ρ€Π° Π² процСссС диспансСрного наблюдСния ΠΈ лСчСния Π΄Π΅Ρ‚Π΅ΠΉ ΠΈ подростков с Π»ΠΎΠΊΠ°Π»ΡŒΠ½Ρ‹ΠΌΠΈ Ρ„ΠΎΡ€ΠΌΠ°ΠΌΠΈ Ρ‚ΡƒΠ±Π΅Ρ€ΠΊΡƒΠ»Π΅Π·Π° являСтся ΠΏΠΎΠ»Π½ΠΎΡ†Π΅Π½Π½ΠΎΠ΅ клиничСскоС ΠΈΠ·Π»Π΅Ρ‡Π΅Π½ΠΈΠ΅ с ΠΌΠΈΠ½ΠΈΠΌΠ°Π»ΡŒΠ½Ρ‹ΠΌΠΈ остаточными посттубСркулСзными измСнСниями. ΠžΡ†Π΅Π½ΠΊΠ° Π΄ΠΈΠ½Π°ΠΌΠΈΠΊΠΈ процСсса Π½Π° Ρ„ΠΎΠ½Π΅ ΠΏΡ€ΠΎΠ²ΠΎΠ΄ΠΈΠΌΠΎΠ³ΠΎ лСчСния прСдставляСтся Π²Π°ΠΆΠ½ΠΎΠΉ, Ρ‚Π°ΠΊ ΠΊΠ°ΠΊ опрСдСляСт Π½Π΅ Ρ‚ΠΎΠ»ΡŒΠΊΠΎ Π΄Π»ΠΈΡ‚Π΅Π»ΡŒΠ½ΠΎΡΡ‚ΡŒ Π½Π΅ΠΎΠ±Ρ…ΠΎΠ΄ΠΈΠΌΠΎΠ³ΠΎ курса ΠΏΡ€ΠΎΡ‚ΠΈΠ²ΠΎΡ‚ΡƒΠ±Π΅Ρ€ΠΊΡƒΠ»Π΅Π·Π½ΠΎΠΉ Ρ…ΠΈΠΌΠΈΠΎΡ‚Π΅Ρ€Π°ΠΏΠΈΠΈ ΠΈ диспансСрного наблюдСния, Π½ΠΎ ΠΈ являСтся прогностичСским ΠΊΡ€ΠΈΡ‚Π΅Ρ€ΠΈΠ΅ΠΌ для стойкого клиничСского излСчСния ΠΈ отсутствия Ρ€Π΅Ρ†ΠΈΠ΄ΠΈΠ²Π° заболСвания Π² дальнСйшСм. ΠŸΡ€ΠΎΠ²Π΅Π΄Π΅Π½Π° ΠΎΡ†Π΅Π½ΠΊΠ° Π½ΠΎΠ²Ρ‹Ρ… ΠΊΡ€ΠΈΡ‚Π΅Ρ€ΠΈΠ΅Π² активности ΠΈ клиничСского излСчСния Ρ‚ΡƒΠ±Π΅Ρ€ΠΊΡƒΠ»Π΅Π·Π° Ρƒ Π΄Π΅Ρ‚Π΅ΠΉ ΠΈ подростков. Показано, Ρ‡Ρ‚ΠΎ ΠΏΡ€ΠΎΠ±Π° ΠœΠ°Π½Ρ‚Ρƒ Π½Π΅ ΠΌΠΎΠΆΠ΅Ρ‚ ΡΠ²Π»ΡΡ‚ΡŒΡΡ ΠΊΡ€ΠΈΡ‚Π΅Ρ€ΠΈΠ΅ΠΌ активности Ρ‚ΡƒΠ±Π΅Ρ€ΠΊΡƒΠ»Π΅Π·Π½ΠΎΠ³ΠΎ процСсса. Напротив, Ρ€Π΅Π·ΡƒΠ»ΡŒΡ‚Π°Ρ‚Ρ‹ ΠΏΡ€ΠΎΠ±Ρ‹ с Π°Π»Π»Π΅Ρ€Π³Π΅Π½ΠΎΠΌ Ρ‚ΡƒΠ±Π΅Ρ€ΠΊΡƒΠ»Π΅Π·Π½Ρ‹ΠΌ Ρ€Π΅ΠΊΠΎΠΌΠ±ΠΈΠ½Π°Π½Ρ‚Π½Ρ‹ΠΌ (АВР) Π½Π° ΠΌΠΎΠΌΠ΅Π½Ρ‚ клиничСского излСчСния Ρ‚ΡƒΠ±Π΅Ρ€ΠΊΡƒΠ»Π΅Π·Π° Π½Π΅ зависят ΠΎΡ‚ объСма ΠΈ стСпСни выраТСнности ΠΈΠ·ΠΌΠ΅Π½Π΅Π½ΠΈΠΉ ΠΈ ΠΏΠΎΠ·Π²ΠΎΠ»ΡΡŽΡ‚ ΠΎΡ†Π΅Π½ΠΈΠ²Π°Ρ‚ΡŒ Π°ΠΊΡ‚ΠΈΠ²Π½ΠΎΡΡ‚ΡŒ заболСвания ΠΏΡ€ΠΈ любой выраТСнности спСцифичСских ΠΈΠ·ΠΌΠ΅Π½Π΅Π½ΠΈΠΉ Π²ΠΎ Π²Π½ΡƒΡ‚Ρ€ΠΈΠ³Ρ€ΡƒΠ΄Π½Ρ‹Ρ… лимфатичСских ΡƒΠ·Π»Π°Ρ… ΠΈ Π»Π΅Π³ΠΎΡ‡Π½ΠΎΠΉ Ρ‚ΠΊΠ°Π½ΠΈ, Π° Π·Π½Π°Ρ‡ΠΈΡ‚, ΠΏΡ€ΠΎΠ±Π° с АВР являСтся ΠΊΡ€ΠΈΡ‚Π΅Ρ€ΠΈΠ΅ΠΌ активности ΠΌΠΈΠΊΡ€ΠΎΠ±Π½ΠΎΠΉ популяции ΠΌΠΈΠΊΠΎΠ±Π°ΠΊΡ‚Π΅Ρ€ΠΈΠΉ Ρ‚ΡƒΠ±Π΅Ρ€ΠΊΡƒΠ»Π΅Π·Π° Π² ΠΎΡ€Π³Π°Π½ΠΈΠ·ΠΌΠ΅ Ρ‡Π΅Π»ΠΎΠ²Π΅ΠΊΠ°
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