2 research outputs found
ΠΠΈΠ½Π΅ΡΠ°Π»ΠΎΠ³ΠΈΡΠ΅ΡΠΊΠΈΠ΅ ΠΈΡΡΠ»Π΅Π΄ΠΎΠ²Π°Π½ΠΈΡ Π² ΠΏΠ΅ΡΠ΅ΡΠ½ΠΎΠΉ ΡΠΈΡΡΠ΅ΠΌΠ΅ Π‘Π½Π΅ΠΆΠ½Π°Ρ-ΠΠ΅ΠΆΠ΅Π½Π½ΠΎΠ³ΠΎ-ΠΠ»Π»ΡΠ·ΠΈΡ (ΠΠ°ΠΏΠ°Π΄Π½ΡΠΉ ΠΠ°Π²ΠΊΠ°Π·, ΠΠ·ΡΠ±ΡΠΊΠΈΠΉ Ρ ΡΠ΅Π±Π΅Ρ): ΠΏΡΠ΅Π΄Π²Π°ΡΠΈΡΠ΅Π»ΡΠ½ΡΠ΅ ΡΠ΅Π·ΡΠ»ΡΡΠ°ΡΡ ΠΈ Π½Π°ΠΏΡΠ°Π²Π»Π΅Π½ΠΈΡ Π΄Π°Π»ΡΠ½Π΅ΠΉΡΠΈΡ ΡΠ°Π±ΠΎΡ
Π ΡΡΠ°ΡΡΠ΅ ΠΏΡΠΈΠ²ΠΎΠ΄ΡΡΡΡ ΡΠ²Π΅Π΄Π΅Π½ΠΈΡ ΠΎ ΠΌΠΈΠ½Π΅ΡΠ°Π»ΡΠ½ΠΎΠΌ ΡΠΎΡΡΠ°Π²Π΅ Π²ΠΎΠ΄Π½ΡΡ
Ρ
Π΅ΠΌΠΎΠ³Π΅Π½Π½ΡΡ
ΠΈ Π²ΠΎΠ΄Π½ΡΡ
ΠΌΠ΅Ρ
Π°Π½ΠΈΡΠ΅ΡΠΊΠΈΡ
ΠΎΡΠ»ΠΎΠΆΠ΅Π½ΠΈΠΉ Π² ΠΏΠ΅ΡΠ΅ΡΠ½ΠΎΠΉ ΡΠΈΡΡΠ΅ΠΌΠ΅ Π‘Π½Π΅ΠΆΠ½Π°Ρ-ΠΠ΅ΠΆΠ΅Π½Π½ΠΎΠ³ΠΎ-ΠΠ»Π»ΡΠ·ΠΈΡ. Π ΡΠΎΡΡΠ°Π² Π²ΠΎΠ΄Π½ΡΡ
Ρ
Π΅ΠΌΠΎΠ³Π΅Π½Π½ΡΡ
ΠΎΡΠ»ΠΎΠΆΠ΅Π½ΠΈΠΉ Π²Ρ
ΠΎΠ΄ΡΡ Mg- ΠΈ Sr-ΡΠΎΠ΄Π΅ΡΠΆΠ°ΡΠΈΠΉ ΠΊΠ°Π»ΡΡΠΈΡ, Π°ΡΠ°Π³ΠΎΠ½ΠΈΡ, Π³ΠΈΠΏΡ, Π³ΠΈΠ΄ΡΠΎΠΌΠ°Π³Π½Π΅Π·ΠΈΡ, ΡΠ΅Π»Π΅ΡΡΠΈΠ½, ΡΡΡΠΎΠ½ΡΠΈΠ°Π½ΠΈΡ, Π΄ΠΎΠ»ΠΎΠΌΠΈΡ, Π³Π΅ΡΠΈΡ, ΡΡΡΠΈΠ» ΠΈ ΡΠΈΡΠΊΠΎΠ½. ΠΠΎΠ΄Π½ΡΠ΅ ΠΌΠ΅Ρ
Π°Π½ΠΈΡΠ΅ΡΠΊΠΈΠ΅ ΠΎΡΠ»ΠΎΠΆΠ΅Π½ΠΈΡ ΡΠ»ΠΎΠΆΠ΅Π½Ρ ΠΏΡΠ΅ΠΈΠΌΡΡΠ΅ΡΡΠ²Π΅Π½Π½ΠΎ Π΄ΠΎΠ»ΠΎΠΌΠΈΡΠΎΠΌ, ΠΊΠ²Π°ΡΡΠ΅ΠΌ ΠΈ ΠΊΠ°Π»ΡΡΠΈΡΠΎΠΌ. Π ΡΡ
ΠΎΠΆΠΈΡ
ΠΏΠΎ ΠΌΠΎΡΡΠΎΠ»ΠΎΠ³ΠΈΠΈ ΠΈ ΠΌΠΈΠΊΡΠΎΠΊΠ»ΠΈΠΌΠ°ΡΡ ΡΠ°ΡΡΡΡ
ΠΏΠ΅ΡΠ΅ΡΠ½ΠΎΠΉ ΡΠΈΡΡΠ΅ΠΌΡ Π½Π°Π±Π»ΡΠ΄Π°ΡΡΡΡ ΠΎΠ΄ΠΈΠ½Π°ΠΊΠΎΠ²ΡΠ΅ Π²ΡΠΎΡΠΈΡΠ½ΡΠ΅ ΠΌΠΈΠ½Π΅ΡΠ°Π»Ρ.Π£ ΡΡΠ°ΡΡΡ Π½Π°Π²ΠΎΠ΄ΡΡΡΡΡ Π²ΡΠ΄ΠΎΠΌΠΎΡΡΡ ΠΏΡΠΎ ΠΌΡΠ½Π΅ΡΠ°Π»ΡΠ½ΠΈΠΉ ΡΠΊΠ»Π°Π΄ Π²ΠΎΠ΄Π½ΠΈΡ
Ρ
Π΅ΠΌΠΎΠ³Π΅Π½Π½ΠΈΡ
Ρ Π²ΠΎΠ΄Π½ΠΈΡ
ΠΌΠ΅Ρ
Π°Π½ΡΡΠ½ΠΈΡ
Π²ΡΠ΄ΠΊΠ»Π°Π΄Π΅Π½Ρ Π² ΠΏΠ΅ΡΠ΅ΡΠ½ΡΠΉ ΡΠΈΡΡΠ΅ΠΌΡ Π‘Π½ΡΠΆΠ½Π°-ΠΠ΅ΠΆΠ΅Π½ΠΎΠ³ΠΎ-ΠΠ»ΡΠ·ΡΡ. ΠΠΎ ΡΠΊΠ»Π°Π΄Ρ Π²ΠΎΠ΄Π½ΠΈΡ
Ρ
Π΅ΠΌΠΎΠ³Π΅Π½Π½ΠΈΡ
Π²ΡΠ΄ΠΊΠ»Π°Π΄Π΅Π½Ρ Π²Ρ
ΠΎΠ΄ΡΡΡ ΠΊΠ°Π»ΡΡΠΈΡ, ΡΠΊΠΈΠΉ ΠΌΡΡΡΠΈΡΡ Mg Ρ Sr, Π°ΡΠ°Π³ΠΎΠ½ΡΡ, Π³ΡΠΏΡ, Π³ΡΠ΄ΡΠΎΠΌΠ°Π³Π½Π΅Π·ΡΡ, ΡΠ΅Π»Π΅ΡΡΠΈΠ½, ΡΡΡΠΎΠ½ΡΡΠ°Π½ΡΡ, Π΄ΠΎΠ»ΠΎΠΌΡΡ, Π³Π΅ΡΠΈΡ, ΡΡΡΠΈΠ» Ρ ΡΠΈΡΠΊΠΎΠ½. ΠΠΎΠ΄Π½Ρ ΠΌΠ΅Ρ
Π°Π½ΡΡΠ½Ρ Π²ΡΠ΄ΠΊΠ»Π°Π΄Π΅Π½Π½Ρ ΡΠΊΠ»Π°Π΄Π΅Π½Ρ ΠΏΠ΅ΡΠ΅Π²Π°ΠΆΠ½ΠΎ Π΄ΠΎΠ»ΠΎΠΌΡΡΠΎΠΌ, ΠΊΠ²Π°ΡΡΠΎΠΌ Ρ ΠΊΠ°Π»ΡΡΠΈΡΠΎΠΌ. Π£ ΡΡ
ΠΎΠΆΠΈΡ
Π·Π° ΠΌΠΎΡΡΠΎΠ»ΠΎΠ³ΡΡ ΡΠ° ΠΌΡΠΊΡΠΎΠΊΠ»ΡΠΌΠ°ΡΠΎΠΌ ΡΠ°ΡΡΠΈΠ½Π°Ρ
ΠΏΠ΅ΡΠ΅ΡΠ½ΠΎΡ ΡΠΈΡΡΠ΅ΠΌΠΈ ΡΠΏΠΎΡΡΠ΅ΡΡΠ³Π°ΡΡΡΡΡ ΠΎΠ΄Π½Π°ΠΊΠΎΠ²Ρ Π²ΡΠΎΡΠΈΠ½Π½Ρ ΠΌΡΠ½Π΅ΡΠ°Π»ΠΈ.The article presents the preliminary characteristic of the mineral composition of chemogenic formations and clastic deposits of Snezhnaya-Mezhennogo-Illusia cave system. Chemogenic formations are composed by Mg- and Sr-calcite, aragonite, gypsum and hydromagnesite, celestite, strontianite, dolomite, goethite, rutile and zircon. Clastic sediments are composed mainly by dolomite, quartz and calcite. Same secondary minerals are observed in those parts of the cave system that have similar morphology and microclimate
Vaginal prolapse repair with or without a midurethral sling in women with genital prolapse and occult stress urinary incontinence: a randomized trial
We compared pelvic organ prolapse (POP) repair with and without midurethral sling (MUS) in women with occult stress urinary incontinence (SUI). This was a randomized trial conducted by a consortium of 13 teaching hospitals assessing a parallel cohort of continent women with symptomatic stage II or greater POP. Women with occult SUI were randomly assigned to vaginal prolapse repair with or without MUS. Women without occult SUI received POP surgery. Main outcomes were the absence of SUI at the 12-month follow-up based on the Urogenital Distress Inventory and the need for additional treatment for SUI. We evaluated 231 women, of whom 91 randomized as follows: 43 to POP surgery with and 47 without MUS. A greater number of women in the MUS group reported absence of SUI [86 % vs. 48 %; relative risk (RR) 1.79; 95 % confidence interval (CI) 1.29-2.48]. No women in the MUS group received additional treatment for postoperative SUI; six (13 %) in the control group had a secondary MUS. Women with occult SUI reported more urinary symptoms after POP surgery and more often underwent treatment for postoperative SUI than women without occult SUI. Women with occult SUI had a higher risk of reporting SUI after POP surgery compared with women without occult SUI. Adding a MUS to POP surgery reduced the risk of postoperative SUI and the need for its treatment in women with occult SUI. Of women with occult SUI undergoing POP-only surgery, 13 % needed additional MUS. We found no differences in global impression of improvement and quality of lif