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    ΠžΠΏΡ‚ΠΈΠΌΠΈΠ·Π°Ρ†ΠΈΡ Ρ‚Π΅Ρ…Π½ΠΎΠ»ΠΎΠ³ΠΈΠΈ получСния ΠΏΡ€Π΅ΠΏΠ°Ρ€Π°Ρ‚Π° Π±Π°ΠΊΡ‚Π΅Ρ€ΠΈΠΉ Ρ‡Π΅Π»ΠΎΠ²Π΅ΠΊΠ° для биологичСской ΠΊΠΎΡ€Ρ€Π΅ΠΊΡ†ΠΈΠΈ ΠΌΠΈΠΊΡ€ΠΎΡ„Π»ΠΎΡ€Ρ‹ ΠΊΠΈΡˆΠ΅Ρ‡Π½ΠΈΠΊΠ°

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    Fecal microbiota transplantation (FMT) is now considered as an effective tool for the treatment of various GI pathologies. Fecal preparations are delivered both through the lower GIT (enema, colonoscopy) and upper (endoscopy, capsules). A common disadvantage of instrumental methods of administration is their high invasiveness associated with the risk of intestinal perforation and the use of anesthesia. Oral capsules are minimally invasive, comfortable and more aesthetic, so this method of drug delivery is gaining popularity. The main issue with the use of frozen feces (including the lyophilisate used in capsules) is its efficiency compared to the original material. During lyophilization, cells are exposed to stress factors such as low temperatures, water crystallization, osmotic stress, changes in pH, and dehydration. To reduce the likelihood of cell damage during lyophilization, protective media (lyo-protectants) are used. In this work sucrose, gelatin, and their combinations have been used as lyoprotectors. To estimate the number of microorganisms, a bacteriological study was carried out. The number of Bifidobacteria, Lactobacilli, and the total number of E.coli and Enterobacteriaceae was estimated. It was found that the lyophilized stool sample containing 10% sucrose as a protective medium had the highest number of viable cells. Also, the physical properties of the lyophilisate (its flowability) are convenient for preparing capsulated form. The molar ratios of short chain fatty acids (SCFAs) in the original fecal samples and lyophilisates were studied by gas chromatography. The molar ratios of major SCFAs (acetate, propionate and butyrate) were identical in the samples studied. The composition of the protective medium in which the lyophilized biomaterial corresponds to the original feces in terms of the number of "live" microorganisms has been proposed. According to its physical characteristics lyophilisate is convenient for capsules preparation.К настоящСму ΠΌΠΎΠΌΠ΅Π½Ρ‚Ρƒ ΡΡ„Ρ„Π΅ΠΊΡ‚ΠΈΠ²Π½ΠΎΡΡ‚ΡŒ трансплантации Ρ„Π΅ΠΊΠ°Π»ΡŒΠ½ΠΎΠΉ ΠΌΠΈΠΊΡ€ΠΎΠ±ΠΈΠΎΡ‚Ρ‹ (ВЀМ) ΠΏΡ€ΠΈ Π»Π΅Ρ‡Π΅Π½ΠΈΠΈ Ρ€Π°Π·Π»ΠΈΡ‡Π½Ρ‹Ρ… ΠΏΠ°Ρ‚ΠΎΠ»ΠΎΠ³ΠΈΠΉ Π–ΠšΠ’ Π½Π΅ Π²Ρ‹Π·Ρ‹Π²Π°Π΅Ρ‚ сомнСний. ΠŸΡ€Π΅ΠΏΠ°Ρ€Π°Ρ‚Ρ‹ Ρ„Π΅ΠΊΠ°Π»ΠΈΠΉ Π΄ΠΎΡΡ‚Π°Π²Π»ΡΡŽΡ‚ ΠΊΠ°ΠΊ Ρ‡Π΅Ρ€Π΅Π· Π½ΠΈΠΆΠ½ΠΈΠ΅ ΠΎΡ‚Π΄Π΅Π»Ρ‹ Π–ΠšΠ’ (ΠΊΠ»ΠΈΠ·ΠΌΠ°, колоноскопия), Ρ‚Π°ΠΊ ΠΈ Π²Π΅Ρ€Ρ…Π½ΠΈΠ΅ (эндоскопия, капсулы). ΠžΠ±Ρ‰ΠΈΠΌ нСдостатком ΠΈΠ½ΡΡ‚Ρ€ΡƒΠΌΠ΅Π½Ρ‚Π°Π»ΡŒΠ½Ρ‹Ρ… ΠΌΠ΅Ρ‚ΠΎΠ΄ΠΎΠ² ввСдСния являСтся ΠΈΡ… высокая ΠΈΠ½Π²Π°Π·ΠΈΠ²Π½ΠΎΡΡ‚ΡŒ, связанная с риском ΠΏΠ΅Ρ€Ρ„ΠΎΡ€Π°Ρ†ΠΈΠΈ ΠΊΠΈΡˆΠ΅Ρ‡Π½ΠΈΠΊΠ° ΠΈ ΠΏΡ€ΠΈΠΌΠ΅Π½Π΅Π½ΠΈΠ΅ΠΌ анСстСзии. ΠŸΠ΅Ρ€ΠΎΡ€Π°Π»ΡŒΠ½Ρ‹Π΅ капсулы минимально ΠΈΠ½Π²Π°Π·ΠΈΠ²Π½Ρ‹, ΡƒΠ΄ΠΎΠ±Π½Ρ‹ ΠΈ Π±ΠΎΠ»Π΅Π΅ эстСтичны, поэтому этот способ доставки ΠΏΡ€Π΅ΠΏΠ°Ρ€Π°Ρ‚Π° становится всС Π±ΠΎΠ»Π΅Π΅ популярным. Основной вопрос, связанный с использованиСм Π·Π°ΠΌΠΎΡ€ΠΎΠΆΠ΅Π½Π½ΠΎΠ³ΠΎ ΠΊΠ°Π»Π° (Π² Ρ‚ΠΎΠΌ числС Π»ΠΈΠΎΡ„ΠΈΠ»ΠΈΠ·Π°Ρ‚Π°, ΠΈΡΠΏΠΎΠ»ΡŒΠ·ΡƒΠ΅ΠΌΠΎΠ³ΠΎ Π² капсулах), Π·Π°ΠΊΠ»ΡŽΡ‡Π°Π΅Ρ‚ΡΡ Π² эффСктивности Ρ‚Π°ΠΊΠΎΠ³ΠΎ ΠΏΡ€Π΅ΠΏΠ°Ρ€Π°Ρ‚Π° ΠΏΠΎ ΡΡ€Π°Π²Π½Π΅Π½ΠΈΡŽ с исходным ΠΌΠ°Ρ‚Π΅Ρ€ΠΈΠ°Π»ΠΎΠΌ. Π’ процСссС Π»ΠΈΠΎΡ„ΠΈΠ»ΠΈΠ·Π°Ρ†ΠΈΠΈ ΠΊΠ»Π΅Ρ‚ΠΊΠΈ ΠΏΠΎΠ΄Π²Π΅Ρ€Π³Π°ΡŽΡ‚ΡΡ Π΄Π΅ΠΉΡΡ‚Π²ΠΈΡŽ стрСссовых Ρ„Π°ΠΊΡ‚ΠΎΡ€ΠΎΠ², Ρ‚Π°ΠΊΠΈΡ… ΠΊΠ°ΠΊ Π½ΠΈΠ·ΠΊΠΈΠ΅ Ρ‚Π΅ΠΌΠΏΠ΅Ρ€Π°Ρ‚ΡƒΡ€Ρ‹, кристаллизация Π²ΠΎΠ΄Ρ‹, осмотичСский стрСсс, измСнСния рН растворов, дСгидратация. Для сниТСния риска ΠΏΠΎΠ²Ρ€Π΅ΠΆΠ΄Π΅Π½ΠΈΠΉ ΠΊΠ»Π΅Ρ‚ΠΎΠΊ ΠΏΡ€ΠΈ Π»ΠΈΠΎΡ„ΠΈΠ»ΠΈΠ·Π°Ρ†ΠΈΠΈ ΠΈΡΠΏΠΎΠ»ΡŒΠ·ΡƒΡŽΡ‚ Π·Π°Ρ‰ΠΈΡ‚Π½Ρ‹Π΅ срСды (Π»ΠΈΠΎΠΏΡ€ΠΎΡ‚Π΅ΠΊΡ‚ΠΎΡ€Ρ‹). Π’ качСствС Π»ΠΈΠΎΠΏΡ€ΠΎΡ‚Π΅ΠΊΡ‚ΠΎΡ€ΠΎΠ² Π² Π΄Π°Π½Π½ΠΎΠΉ Ρ€Π°Π±ΠΎΡ‚Π΅ использовали сахарозу, ΠΆΠ΅Π»Π°Ρ‚ΠΈΠ½ ΠΈ ΠΈΡ… ΠΊΠΎΠΌΠ±ΠΈΠ½Π°Ρ†ΠΈΠΈ. Для ΠΎΡ†Π΅Π½ΠΊΠΈ количСства ΠΌΠΈΠΊΡ€ΠΎΠΎΡ€Π³Π°Π½ΠΈΠ·ΠΌΠΎΠ² ΠΏΡ€ΠΎΠ²ΠΎΠ΄ΠΈΠ»ΠΈ бактСриологичСскоС исслСдованиС. ΠžΡ†Π΅Π½ΠΈΠ²Π°Π»ΠΈ количСство Π±Π°ΠΊΡ‚Π΅Ρ€ΠΈΠΉ Ρ€ΠΎΠ΄Π° Bifidobacterium, Lactobacillus, Escherichia, Π° Ρ‚Π°ΠΊΠΆΠ΅ сСмСйства Enterobacterales Π² Ρ†Π΅Π»ΠΎΠΌ. УстановлСно, Ρ‡Ρ‚ΠΎ Π² Π»ΠΈΠΎΡ„ΠΈΠ»ΠΈΠ·ΠΈΡ€ΠΎΠ²Π°Π½Π½ΠΎΠΌ ΠΎΠ±Ρ€Π°Π·Ρ†Π΅ ΠΊΠ°Π»Π°, содСрТащСм Π² качСствС Π·Π°Ρ‰ΠΈΡ‚Π½ΠΎΠΉ срСды 10 % сахарозу, Π½Π°Π±Π»ΡŽΠ΄Π°Π΅Ρ‚ΡΡ наибольшСС количСство ТизнСспособных ΠΊΠ»Π΅Ρ‚ΠΎΠΊ, физичСскиС свойства Π»ΠΈΠΎΡ„ΠΈΠ»ΠΈΠ·Π°Ρ‚Π° (Π΅Π³ΠΎ ΡΡ‹ΠΏΡƒΡ‡Π΅ΡΡ‚ΡŒ) ΡƒΠ΄ΠΎΠ±Π½Ρ‹ для наполнСния капсул. ΠœΠ΅Ρ‚ΠΎΠ΄ΠΎΠΌ Π³Π°Π·ΠΎΠ²ΠΎΠΉ Ρ…Ρ€ΠΎΠΌΠ°Ρ‚ΠΎΠ³Ρ€Π°Ρ„ΠΈΠΈ исслСдованы молярныС ΡΠΎΠΎΡ‚Π½ΠΎΡˆΠ΅Π½ΠΈΡ ΠšΠ–Πš Π² исходных ΠΎΠ±Ρ€Π°Π·Ρ†Π°Ρ… ΠΊΠ°Π»Π° ΠΈ Π»ΠΈΠΎΡ„ΠΈΠ»ΠΈΠ·Π°Ρ‚Π°Ρ…. ΠœΠΎΠ»ΡΡ€Π½Ρ‹Π΅ ΡΠΎΠΎΡ‚Π½ΠΎΡˆΠ΅Π½ΠΈΡ ΠΌΠ°ΠΆΠΎΡ€Π½Ρ‹Ρ… ΠΊΠΎΡ€ΠΎΡ‚ΠΊΠΎΡ†Π΅ΠΏΠΎΡ‡Π΅Ρ‡Π½Ρ‹Ρ… ΠΆΠΈΡ€Π½Ρ‹Ρ… кислот (ΠšΠ–Πš) Π°Ρ†Π΅Ρ‚Π°Ρ‚Π°, ΠΏΡ€ΠΎΠΏΠΈΠΎΠ½Π°Ρ‚Π° ΠΈ Π±ΡƒΡ‚ΠΈΡ€Π°Ρ‚Π° оказались ΠΈΠ΄Π΅Π½Ρ‚ΠΈΡ‡Π½Ρ‹ Π² исслСдуСмых ΠΎΠ±Ρ€Π°Π·Ρ†Π°Ρ…. ΠŸΡ€Π΅Π΄Π»ΠΎΠΆΠ΅Π½ состав Π·Π°Ρ‰ΠΈΡ‚Π½ΠΎΠΉ срСды, Π² ΠΊΠΎΡ‚ΠΎΡ€ΠΎΠΉ Π»ΠΈΠΎΡ„ΠΈΠ»ΠΈΠ·ΠΈΡ€ΠΎΠ²Π°Π½Π½Ρ‹ΠΉ Π±ΠΈΠΎΠΌΠ°Ρ‚Π΅Ρ€ΠΈΠ°Π» максимально соотвСтствуСт исходному ΠΊΠ°Π»Ρƒ ΠΏΠΎ количСству Β«ΠΆΠΈΠ²Ρ‹Ρ…Β» ΠΌΠΈΠΊΡ€ΠΎΠΎΡ€Π³Π°Π½ΠΈΠ·ΠΌΠΎΠ². Π›ΠΈΠΎΡ„ΠΈΠ»ΠΈΠ·Π°Ρ‚ ΠΏΠΎ своим физичСским характСристикам ΡƒΠ΄ΠΎΠ±Π΅Π½ для приготовлСния капсул

    Revised data on Ξ³-families observed in X-ray emulsion chambers of the Experiment PAMIR

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    Recently essential efforts were made to improve measurement routine with X-ray films exposed in the X-ray emulsion chambers at the Pamirs. Analysis of X-ray emulsion response upon recorded events show that Ξ³-family energy and intensity in early publications were over estimated. The main physical results of the new analysis are presented

    Gamma-ray families with halos: Main characteristics and possibilities of using them to estimate the p+He fraction in the mass composition of cosmic rays at energies 1–100 PeV

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    Characteristics of Ξ³-ray families with halos (XREC, Pamir) and data of experiments with EAS are analyzed to estimate the proton and helium (p+He) fractions in the primary cosmic radiation at E0 = 1–100 PeV. It is shown that at energies E0 ∼ 1–100 PeV the fraction of p+He remains significant, namely, the fraction of p+He is near 40% at E0 = 10 PeV

    Observation Of A High-energy Cosmic-ray Family Caused By A Centauro-type Nuclear Interaction In The Joint Emulsion Chamber Experiment At The Pamirs

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    An exotic cosmic-ray family event is observed in the large emulsion chamber exposed by the joint at the Pamirs (4360 m above sea level). The family is composed of 120Ξ³-ray-induced showers and 37 hadron-induced showers with individual visible energy exceeding 1 TeV. The decisive feature of the event is the hadron dominance: Ξ£EΞ³, Ξ£E(Ξ³) h, γ€ˆEΞ³, γ€ˆE(Ξ³) h〉, γ€ˆEΞ³Β·Rγ〉 and γ€ˆE(Ξ³)Β·Rh〉 being 298 TeV, 476 TeV, 2.5 TeV, 12.9 TeV, 28.6 GeV m and 173 GeV m, respectively. Most probably the event is due to a Centauro interaction, which occured in the atmosphere at ∼700 m above the chamber. The event will constitute the second beautiful candidate for a Centauro observed at the Pamirs. Β© 1987.1901-2226233Bayburina, (1981) Nucl. Phys. B, 191, p. 1Lattes, Fujimoto, Hasegawa, Hadronic interactions of high energy cosmic-ray observed by emulsion chambers (1980) Physics Reports, 65, p. 151(1984) Trudy FIAN, 154, p. 1Borisov, (1984) Proc. Intern. Symp. on Cosmic rays and particle physics, p. 3. , TokyoRen, (1985) 19th Intern. Cosmic ray Conf., 6, p. 317. , La JollaYamashita, (1985) 19th Intern. Cosmic ray Conf., 6, p. 364. , La JollaTamada, (1977) Nuovo Cimento, 41 B, p. 245T. Shibata et al., to be publishedHillas, (1979) 16th Intern. Cosmic ray Conf., 6, p. 13. , KyotoBattiston, Measurement of the proton-antiproton elastic and total cross section at a centre-of-mass energy of 540 GeV (1982) Physics Letters B, 117, p. 126UA5 Collab., G.J. Alner et al., preprint CERN-EP/85-62Taylor, (1976) Phys. Rev. D, 14, p. 1217Burnett, (1984) Proc. Intern. Symp. on Cosmic rays and particle physics, p. 468. , Toky

    Nuclear Interactions Of Super High Energy Cosmic-rays Observed In Mountain Emulsion Chambers

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    Here we present a summary of joint discussions on the results of three mountain experiments with large-scale emulsion chambers, at Pamir, Mt. Fuji and Chacaltaya. Observations cover gamma quanta, hadrons and their clusters (called "families"). The following topics are covered, concerning the characteristics of nuclear interactions the energy region 1014-1016 eV: (i) rapid dissipation seen in atmospheric diffusion of high-energy cosmic-rays; (ii) multiplicity and Pt increase in produced pi-mesons in the fragmentation region; (iii) existence of large-Pt jets, (iv) extremely hadron-rich family of the Centauro type; (v) exotic phenomena in the extremely high energy region beyond 1016 eV. Β© 1981.1911125(1977) Acta Univ. Lodz ser. II, (60)(1973) 13th Int. Cosmic-ray Conf., 3, p. 2228(1975) 14th Int. Cosmic-Ray Conf., 7, p. 2365(1979) AIP Conf. Proc. no. 49, p. 334(1979) 16th Int. Cosmic-ray Conf., 6, p. 344(1979) 16th Int. Cosmic-ray Conf., 7, p. 6816th Int. Cosmic-ray Conf. (1979) 16th Int. Cosmic-ray Conf., 7, p. 284(1979) 16th Int. Cosmic-ray Conf., 7, p. 294(1979) 16th Int. Cosmic-ray Conf., 13, p. 87(1979) 16th Int. Cosmic-ray Conf., 13, p. 92(1979) 16th Int. Cosmic-ray Conf., 13, p. 98(1979) AIP Conf. Proc. no. 49, p. 94(1979) AIP Conf. Proc. no. 49, p. 145(1979) AIP Conf. Proc. no. 49, p. 317(1979) 16th Int. Cosmic-ray Conf., 6, p. 350(1979) 16th Int. Cosmic-ray Conf., 6, p. 356(1979) 16th Int. Cosmic-ray Conf., 6, p. 362Nikolsky, Proc. 9th Int. High-energy Symp. (1978) CSSR, 21. , ToborMiyake, (1978) Proc. 19th Int. Conf. on High-energy physics, p. 433Vernov, (1977) Physica, 3, p. 1601Khristiansen, (1978) JETP Lett., 28, p. 124(1973) 13th Int. Cosmic-ray Conf., 3, p. 2219Izv. Acad. Nauk USSR, ser Phys. (1974) Izv. Acad. Nauk USSR, ser Phys., 38, p. 918(1975) 14th Int. Cosmic-ray Conf., 7, p. 2365(1979) 16th Int. Cosmic-ray Conf., 7, p. 68Dunaevsky, Urysson, Emelyanov, Shorin, Tashimov, (1975) FIAN preprint no. 150Dunaevsky, Urysson, Emelyanov, Shorin, Tashinov, (1979) Acta Univ. Lodz ser. II, (60), p. 199Ivanenko, Kanevskya, Roganova, (1978) JETP Lett., 40, p. 704Ivanenko, Kanevsky, Roganova, (1979) 16th Int. Cosmic-ray Conf., 7, p. 101Ivanenko, Kanevsky, Roganova, (1979) 16th Int. Cosmic-ray Conf., 7, p. 198Wrotniak, (1977) Acta Univ. Lodz ser. II, (60), p. 165Krys, Tomaszevski, Wrotniak, (1979) 16th Int. Cosmic-ray Conf., 7, p. 182Krys, Tomaszevski, Wrotniak, (1979) 16th Int. Cosmic-ray Conf., 7, p. 186Fomin, Kempa, Khristiansen, Levina, Piotrowska, Wdowczyk, (1977) 15th Int. Cosmic-ray Conf., 7, p. 248Fomin, Kempa, Khristiansen, Levina, Piotrowska, Wdowczyk, (1979) 16th Int. Cosmic-ray Conf., 13, p. 82Azimov, Mullazhanov, Yuldashbayev, (1979) 16th Int. Cosmic-ray Conf., 7, p. 262Azimov, Mullazhanov, Yuldashbayev, (1977) Acta Univ. Lodz ser. II, (60), p. 275Kasahara, Torri, Yuda, (1979) 16th Int. Cosmic-ray Conf., 13, p. 70Kasahara, Torii, Yuda, (1979) 16th Int. Cosmic-ray Conf., 13, p. 79Shibata, (1979) 16th Int. Cosmic-ray Conf., 7, p. 176H. Semba, T. Shibata and T. Tabuki, Suppl. Prog. Theor. Phys., to be publishedZhdanov, Roinishvilli, Smorodin, Tomaszevski, (1975) FIAN preprint no. 163Lattes, Fujimoto, Hasegawa, Hadronic interactions of high energy cosmic-ray observed by emulsion chambers (1980) Physics Reports, 65, p. 152Ellsworth, Gaisser, Yodh, (1981) Phys. Rev., 23 D, p. 764Baradzei, Smorodin, (1974) FIAN preprint nos. 103, 104Baradzei, Smorodin, (1977) Acta Univ. Lodz ser. II, (60), p. 51Zhdanov, (1980) FIAN preprint no. 140H. Semba, T. Shibata and T. Tabuki, Suppl. Prog. Theor. Phys., to be publishedShibata, (1980) Phys. Rev., 22 D, p. 100Slavatinsky, (1980) Proc. 7th European Symp. on Cosmic rays, , Leningrad, to be published(1979) AIP Conference Proc. no. 49, p. 145Azimov, Abduzhamilov, Chudakov, (1963) JETP (Sov. Phys.), 45, p. 40713th Int. Cosmic-ray Conf. (1973) 13th Int. Cosmic-ray Conf., 5, p. 326Acharya, Rao, Sivaprasad, Rao, (1979) 16th Int. Cosmic-ray Conf., 6, p. 289Ellsworth, Goodman, Yodh, Gaisser, Stanev, (1981) Phys. Rev., 23 D, p. 771Bariburina, Guseva, Denisova, (1980) Acta Univ. Lodz, 1, p. 9415th Int. Cosmic-ray Conf. (1977) 15th Int. Cosmic-ray Conf., 7, p. 184(1979) AIP Conf. Proc. no. 49, p. 33

    Observation Of Very High Energy Cosmic-ray Families In Emulsion Chambers At High Mountain Altitudes (i)

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    Characteristics of cosmic-ray hadronic interactions in the 1015 - 1017 eV range are studied by observing a total of 429 cosmic-ray families of visible energy greater than 100 TeV found in emulsion chamber experiments at high mountain altitudes, Chacaltaya (5200 m above sea level) and the Pamirs (4300 m above sea level). Extensive comparisons were made with simulated families based on models so far proposed, concentrating on the relation between the observed family flux and the behaviour of high-energy showers in the families, hadronic and electromagnetic components. It is concluded that there must be global change in characteristics of hadronic interactions at around 1016 eV deviating from thise known in the accelerator energy range, specially in the forwardmost angular region of the collision. A detailed study of a new shower phenomenon of small-pT particle emissions, pT being of the order of 10 MeV/c, is carried out and its relation to the origin of huge "halo" phenomena associated with extremely high energy families is discussed as one of the possibilities. General characteristics of such super-families are surveyed. Β© 1992.3702365431Borisov, (1981) Nucl. Phys., 191 BBaybrina, (1984) Trudy FIAN 154, p. 1. , [in Russian], Nauka, MoscowLattes, Hadronic interactions of high energy cosmic-ray observed by emulsion chambers (1980) Physics Reports, 65, p. 151Hasegawa, ICR-Report-151-87-5 (1987) presented at FNAL CDF Seminar, , Inst. for Cosmic Ray Research, Univ. of TokyoCHACALTAYA Emulsion Chamber Experiment (1971) Progress of Theoretical Physics Supplement, 47, p. 1Yamashita, Ohsawa, Chinellato, (1984) Proc. 3rd Int. Symp. on Cosmic Rays and Particle Physics, p. 30. , Tokyo, 1984, Inst. for Cosmic Ray Research, Univ. of Tokyo(1984) Proc. 3rd Int. Symp. on Cosmic Rays and Particle Physics, p. 1. , Tokyo, 1984Baradzei, (1984) Proc. 3rd Int. Symp. on Cosmic Rays and Particle Physics, p. 136. , Tokyo, 1984Yamashita, (1985) J. Phys. Soc. Jpn., 54, p. 529Bolisov, (1984) Proc. 3rd Int. Symp. on Cosmic rays and Particle Physics, p. 248. , Tokyo, 1984, Inst. for Cosmic Ray Research, Univ. of TokyoTamada, Tomaszewski, (1988) Proc. 5th Int. Symp. on Very High Energy Cosmic-Ray Interactions, p. 324. , Lodz, 1988, Inst. for Cosmic Ray Research, Univ. of Tokyo, PolandHasegawa, (1989) ICR-Report-197-89-14, , Inst. for Cosmic Ray Research, Univ. of TokyoCHACALTAYA Emulsion Chamber Experiment (1971) Progress of Theoretical Physics Supplement, 47, p. 1Okamoto, Shibata, (1987) Nucl. Instrum. Methods, 257 A, p. 155Zhdanov, (1980) FIAN preprint no. 45, , Lebedev Physical Institute, MoscowSemba, Gross Features of Nuclear Interactions around 1015eV through Observation of Gamma Ray Families (1983) Progress of Theoretical Physics Supplement, 76, p. 111Nikolsky, (1975) Izv. Akad. Nauk. USSR Ser. Fis., 39, p. 1160Burner, Energy spectra of cosmic rays above 1 TeV per nucleon (1990) The Astrophysical Journal, 349, p. 25Takahashi, (1990) 6th Int. Symp. on Very High Energy Cosmic-ray Interactions, , Tarbes, FranceRen, (1988) Phys. Rev., 38 D, p. 1404Alner, The UA5 high energy simulation program (1987) Nuclear Physics B, 291 B, p. 445Bozzo, Measurement of the proton-antiproton total and elastic cross sections at the CERN SPS collider (1984) Physics Letters B, 147 B, p. 392Wrotniak, (1985) Proc. 19th Cosmic-Ray Conf. La Jolla, 1985, 6, p. 56. , NASA Conference Publication, Washington, D.CWrotniak, (1985) Proc. 19th Cosmic-Ray Conf. 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    Π“Π»Π°Π²Π° 4. ΠŸΠΎΠ΄Ρ…ΠΎΠ΄ ΠΊ ΡΠΎΡΡ‚Π°Π²Π»Π΅Π½ΠΈΡŽ нСфинансового ΠΎΡ‚Ρ‡Π΅Ρ‚Π°

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    The case of early onset and severe course of systemic juvenile rheumatoid arthritis refractory to classic immunosuppressive agents and blockers of tumor necrosis factor (TNF) is presented in this article. Successful clinical use of biological agent rituximab was described. extraarticular symptoms of disease were stopped by 6 week of treatment, and acute inflammatory alteration of articulations was reduced by 16 week, the range of motions was completely restored. This case report demonstrates high activity of rituximab. A clinical and laboratory remission of disease in patient with severe course of systemic juvenile rheumatoid arthritis continues for a 32 weeks.Key words: children, juvenile rheumatoid arthritis, rituximab
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