39 research outputs found
The Effect of Incubation Temperature on Deviations of Pholidosis and Malformations in Grass Snake Natrix natrix (L. 1758) and Sand Lizard Lacerta agilis (L. 1758)
This paper considers morphological deviations of reptiles and the influence of incubation temperature on this phenomenon. 28 types of pholidosis deviations and 5 types of malformations were observed in juvenile grass snakes. Sand lizards demonstrated 26 types of deviations and 11 types of malformations. The most common malformations in both species were spine and tail deformations. Hatchlings which were incubated at extremely high temperatures were characterized by the largest spectrum and the highest frequency of deviations and malformations. Reptiles with spine deformations had a great number of deviant ventral scales
Deviations in Pholidosis of the Grass Snake Natrix natrix (L. 1758) from the Tatarstan Republic
This paper is devoted to the consideration of qualitative and quantitative characteristics of pholidosis deviations in grass snakes and the intraspecific variation of these features. 35 types of deviations were observed: segmentation, incomplete separation, fusion, reduction of scales and the presence of an additional small scale. The frequency and values of individual and population spectra of deviations were higher in adult snakes. Minimal values of all indices were characterized for a sample from the Laishevsky region. Deviations observed in grass snakes occur in other species of snakes, mostly deviations of the ventral and subcaudal scales
ΠΠΎΡΡΠ΅ΠΊΡΠΈΡ Π°Π»ΠΊΠΎΠ³ΠΎΠ»ΡΠ½ΡΡ ΠΏΠΎΡΡΠΊΠΎΠΌΠ°ΡΠΎΠ·Π½ΡΡ Π½Π°ΡΡΡΠ΅Π½ΠΈΠΉ Π²Π½ΡΡΡΠΈΠ²Π΅Π½Π½ΡΠΌ Π»Π°Π·Π΅ΡΠ½ΡΠΌ ΠΎΠ±Π»ΡΡΠ΅Π½ΠΈΠ΅ΠΌ ΠΊΡΠΎΠ²ΠΈ (ΠΊΠ»ΠΈΠ½ΠΈΠΊΠΎ-ΡΠΊΡΠΏΠ΅ΡΠΈΠΌΠ΅Π½ΡΠ°Π»ΡΠ½ΠΎΠ΅ ΠΈΡΡΠ»Π΅Π΄ΠΎΠ²Π°Π½ΠΈΠ΅)
The authors studied the impact of intravenous laser hemotherapy on the course of rat alcoholic coma caused by intragastric 40% ethanol administration. Intravenous laser blood irradiation promoted reduced mortality rates, diminished neurological deficit, earlier clinical recovery, and the optimized sympathetic/parasympathetic central nervous system ratio. Clinical and functional studies of changes in the central nervous system and retina were made in patients admitted for alcoholic coma. Intravenous laser blood irradiation as part of complex detoxification therapy positively affected the altered function of the higher nervous activity, contributed to earlier conscious recovery and emergence from coma, diminished neurological deficit in the early postcomatose period β alleviated brain edema, a drastic relief of pyramidal insufficiency and cramps, which was detectable in the visual assessment of electroencephalograms, their spectral coherent analysis, as well in the analysis of systemic and regional electroretinography.Β ΠΡΡΠ»Π΅Π΄ΠΎΠ²Π°Π½ΠΎ Π²Π»ΠΈΡΠ½ΠΈΠ΅ Π²Π½ΡΡΡΠΈΠ²Π΅Π½Π½ΠΎΠΉ Π»Π°Π·Π΅ΡΠ½ΠΎΠΉ Π³Π΅ΠΌΠΎΡΠ΅ΡΠ°ΠΏΠΈΠΈ Π½Π° ΡΠ΅ΡΠ΅Π½ΠΈΠ΅ Π°Π»ΠΊΠΎΠ³ΠΎΠ»ΡΠ½ΠΎΠΉ ΠΊΠΎΠΌΡ Ρ ΠΊΡΡΡ, Π²ΡΠ·Π²Π°Π½Π½ΠΎΠΉ Π²Π½ΡΡΡΠΈΠΆΠ΅Π»ΡΠ΄ΠΎΡΠ½ΡΠΌ Π²Π²Π΅Π΄Π΅Π½ΠΈΠ΅ΠΌ 40% ΡΡΠ°Π½ΠΎΠ»Π°. ΠΡΠΈΠΌΠ΅Π½Π΅Π½ΠΈΠ΅ Π²Π½ΡΡΡΠΈΠ²Π΅Π½Π½ΠΎΠ³ΠΎ Π»Π°Π·Π΅ΡΠ½ΠΎΠ³ΠΎ ΠΎΠ±Π»ΡΡΠ΅Π½ΠΈΡ ΠΊΡΠΎΠ²ΠΈ ΡΠΏΠΎΡΠΎΠ±ΡΡΠ²ΠΎΠ²Π°Π»ΠΎ ΡΠ½ΠΈΠΆΠ΅Π½ΠΈΡ Π»Π΅ΡΠ°Π»ΡΠ½ΠΎΡΡΠΈ, ΡΠΌΠ΅Π½ΡΡΠ΅Π½ΠΈΡ Π½Π΅Π²ΡΠΎΠ»ΠΎΠ³ΠΈΡΠ΅ΡΠΊΠΎΠ³ΠΎ Π΄Π΅ΡΠΈΡΠΈΡΠ°, ΡΠΎΠΊΡΠ°ΡΠ΅Π½ΠΈΡ ΡΡΠΎΠΊΠΎΠ² ΠΊΠ»ΠΈΠ½ΠΈΡΠ΅ΡΠΊΠΎΠ³ΠΎ Π²ΡΠ·Π΄ΠΎΡΠΎΠ²Π»Π΅Π½ΠΈΡ, ΠΎΠΏΡΠΈΠΌΠΈΠ·Π°ΡΠΈΠΈ ΡΠΎΠΎΡΠ½ΠΎΡΠ΅Π½ΠΈΡ ΠΌΠ΅ΠΆΠ΄Ρ ΡΠΈΠΌΠΏΠ°ΡΠΈΡΠ΅ΡΠΊΠΈΠΌ ΠΈ ΠΏΠ°ΡΠ°ΡΠΈΠΌΠΏΠ°ΡΠΈΡΠ΅ΡΠΊΠΈΠΌ ΠΎΡΠ΄Π΅Π»Π°ΠΌΠΈ Π²Π΅Π³Π΅ΡΠ°ΡΠΈΠ²Π½ΠΎΠΉ Π½Π΅ΡΠ²Π½ΠΎΠΉ ΡΠΈΡΡΠ΅ΠΌΡ. ΠΡΠΎΠ²ΠΎΠ΄ΠΈΠ»ΠΈ ΠΊΠ»ΠΈΠ½ΠΈΡΠ΅ΡΠΊΠΈΠ΅ ΠΈ ΡΡΠ½ΠΊΡΠΈΠΎΠ½Π°Π»ΡΠ½ΡΠ΅ ΠΌΠ΅ΡΠΎΠ΄Ρ ΠΈΡΡΠ»Π΅Π΄ΠΎΠ²Π°Π½ΠΈΡ ΠΈΠ·ΠΌΠ΅Π½Π΅Π½ΠΈΠΉ ΡΠ΅Π½ΡΡΠ°Π»ΡΠ½ΠΎΠΉ Π½Π΅ΡΠ²Π½ΠΎΠΉ ΡΠΈΡΡΠ΅ΠΌΡ ΠΈ ΡΠ΅ΡΡΠ°ΡΠΊΠΈ Π³Π»Π°Π·Π° Ρ Π±ΠΎΠ»ΡΠ½ΡΡ
, ΠΏΠΎΡΡΡΠΏΠΈΠ²ΡΠΈΡ
Π² ΡΠΎΡΡΠΎΡΠ½ΠΈΠΈ Π°Π»ΠΊΠΎΠ³ΠΎΠ»ΡΠ½ΠΎΠΉ ΠΊΠΎΠΌΡ. ΠΠ½ΡΡΡΠΈΠ²Π΅Π½Π½ΠΎΠ΅ Π»Π°Π·Π΅ΡΠ½ΠΎΠ΅ ΠΎΠ±Π»ΡΡΠ΅Π½ΠΈΠ΅ ΠΊΡΠΎΠ²ΠΈ, ΠΏΡΠΎΠ²Π΅Π΄Π΅Π½Π½ΠΎΠ΅ Π² ΠΊΠΎΠΌΠΏΠ»Π΅ΠΊΡΠ΅ Π΄Π΅ΡΠΎΠΊΡΠΈΠΊΠ°ΡΠΈΠΎΠ½Π½ΠΎΠΉ ΡΠ΅ΡΠ°ΠΏΠΈΠΈ, ΠΎΠΊΠ°Π·ΡΠ²Π°Π»ΠΎ ΠΏΠΎΠ»ΠΎΠΆΠΈΡΠ΅Π»ΡΠ½ΠΎΠ΅ Π΄Π΅ΠΉΡΡΠ²ΠΈΠ΅ Π½Π° ΠΈΠ·ΠΌΠ΅Π½Π΅Π½Π½ΡΡ ΡΡΠ½ΠΊΡΠΈΡ Π²ΡΡΡΠ΅ΠΉ Π½Π΅ΡΠ²Π½ΠΎΠΉ Π΄Π΅ΡΡΠ΅Π»ΡΠ½ΠΎΡΡΠΈ, ΡΠΏΠΎΡΠΎΠ±ΡΡΠ²ΠΎΠ²Π°Π»ΠΎ Π±ΠΎΠ»Π΅Π΅ ΡΠ°Π½Π½Π΅ΠΌΡ Π²ΠΎΡΡΡΠ°Π½ΠΎΠ²Π»Π΅Π½ΠΈΡ ΡΠΎΠ·Π½Π°Π½ΠΈΡ ΠΈ Π²ΡΡ
ΠΎΠ΄Ρ ΠΈΠ· ΠΊΠΎΠΌΡ, ΡΠΌΠ΅Π½ΡΡΠ΅Π½ΠΈΡ Π½Π΅Π²ΡΠΎΠ»ΠΎΠ³ΠΈΡΠ΅ΡΠΊΠΎΠ³ΠΎ Π΄Π΅ΡΠΈΡΠΈΡΠ° Π² ΡΠ°Π½Π½ΠΈΠΉ ΠΏΠΎΡΡΠΊΠΎΠΌΠ°ΡΠΎΠ·Π½ΡΠΉ ΠΏΠ΅ΡΠΈΠΎΠ΄ β ΡΠΌΠ΅Π½ΡΡΠ΅Π½ΠΈΠ΅ Π²ΡΡΠ°ΠΆΠ΅Π½Π½ΠΎΡΡΠΈ ΠΎΡΠ΅ΠΊΠ° Π³ΠΎΠ»ΠΎΠ²Π½ΠΎΠ³ΠΎ ΠΌΠΎΠ·Π³Π°, ΡΠ΅Π·ΠΊΠΎΠ΅ ΡΠΎΠΊΡΠ°ΡΠ΅Π½ΠΈΠ΅ ΠΏΠΈΡΠ°ΠΌΠΈΠ΄Π½ΠΎΠΉ Π½Π΅Π΄ΠΎΡΡΠ°ΡΠΎΡΠ½ΠΎΡΡΠΈ ΠΈ ΡΡΠ΄ΠΎΡΠΎΠΆΠ½ΠΎΠ³ΠΎ ΡΠΈΠ½Π΄ΡΠΎΠΌΠ° β ΡΡΠΎ Π²ΡΡΠ²Π»ΡΠ»ΠΎΡΡ ΠΏΡΠΈ Π²ΠΈΠ·ΡΠ°Π»ΡΠ½ΠΎΠΉ ΠΎΡΠ΅Π½ΠΊΠ΅ ΡΠ»Π΅ΠΊΡΡΠΎΡΠ½ΡΠ΅ΡΠ°Π»ΠΎΠ³ΡΠ°ΠΌΠΌ, ΠΈΡ
ΡΠΏΠ΅ΠΊΡΡΠ°Π»ΡΠ½ΠΎ-ΠΊΠΎΠ³Π΅ΡΠ΅Π½ΡΠ½ΠΎΠΌ Π°Π½Π°Π»ΠΈΠ·Π΅, Π° ΡΠ°ΠΊΠΆΠ΅ ΠΏΡΠΈ Π°Π½Π°Π»ΠΈΠ·Π΅ ΠΎΠ±ΡΠ΅ΠΉ ΠΈ Π»ΠΎΠΊΠ°Π»ΡΠ½ΠΎΠΉ ΡΠ»Π΅ΠΊΡΡΠΎΡΠ΅ΡΠΈΠ½ΠΎΠ³ΡΠ°ΡΠΈΠΈ.
The future is distributed: a vision of sustainable economies
βThe Future is distributed: a vision of sustainable economiesβ is a collection of case studies on distributed economies, a concept describing sustainable alternatives to the existing business models. The authors of this publication are international Masters students of the Environmental Sciences, Policy and Management Programme at the International Institute for Industrial Environmental Economics at Lund University in Sweden. The aim of their work is to demonstrate that local, small-scale, community-based economies are not just part of the theory, but have already been implemented in various sectors and geographical settings
ΠΡΠΎΠ±Π΅Π½Π½ΠΎΡΡΠΈ ΡΠ΅ΡΠ΅Π½ΠΈΡ ΠΈ Π»Π΅ΡΠ΅Π½ΠΈΡ ΡΡΠ±Π΅ΡΠΊΡΠ»Π΅Π·Π° ΠΎΡΠ³Π°Π½ΠΎΠ² Π΄ΡΡ Π°Π½ΠΈΡ Ρ ΠΆΠ΅Π½ΡΠΈΠ½ Π²ΠΎ Π²ΡΠ΅ΠΌΡ Π±Π΅ΡΠ΅ΠΌΠ΅Π½Π½ΠΎΡΡΠΈ ΠΈ ΠΏΠΎΡΠ»Π΅ΡΠΎΠ΄ΠΎΠ²ΠΎΠΌ ΠΏΠ΅ΡΠΈΠΎΠ΄Π΅. ΠΠ΅ΡΠΈΠ½Π°ΡΠ°Π»ΡΠ½ΡΠ΅ ΠΈΡΡ ΠΎΠ΄Ρ
The objective: to study specific features of the respiratory tuberculosis course and effectiveness of its treatment during pregnancy and postpartum period, and to evaluate the impact of tuberculosis on perinatal outcomes.Subjects and Methods. In 2010 - 2022, a retrospective-prospective case-control study enrolling 164 patients of reproductive age was conducted in Central Tuberculosis Research Institute. Two groups were formed: Case Group included 82 pregnant women with respiratory tuberculosis; Control Group included 82 non-pregnant patients with respiratory tuberculosis.Results. In both groups, new cases of respiratory tuberculosis were notified more often versus relapses. Distinctive features of respiratory tuberculosis in pregnant women versus the non-pregnant were as follows: the predominance of the proportion of extensive drug resistant M. tuberculosis β 55.5% versus 31.7% (p<0.05), respectively; lower frequency of lung tissue destruction β 18.3% versus 32.9% (pβ€0.05); higher incidence of cavities - 80% and 40.7% (pβ€0.05) and complications of respiratory tuberculosis β 25.6% versus 12.2% (pβ€0.03), respectively. The high effectiveness of respiratory tuberculosis treatment such as relief of clinical symptoms and sputum conversion was achieved at the end of the intensive therapy phase both in Case Group and Control Group. Longer time until sputum conversion and lower rate of cavity healing were reported in the patients from Case Group. In 75.6% of pregnant women from Case Group there was a delivery with favorable perinatal outcomes.Π¦Π΅Π»Ρ ΠΈΡΡΠ»Π΅Π΄ΠΎΠ²Π°Π½ΠΈΡ: ΠΈΠ·ΡΡΠΈΡΡ ΠΎΡΠΎΠ±Π΅Π½Π½ΠΎΡΡΠΈ ΡΠ΅ΡΠ΅Π½ΠΈΡ, ΡΡΡΠ΅ΠΊΡΠΈΠ²Π½ΠΎΡΡΡ Π»Π΅ΡΠ΅Π½ΠΈΡ ΡΡΠ±Π΅ΡΠΊΡΠ»Π΅Π·Π° ΠΎΡΠ³Π°Π½ΠΎΠ² Π΄ΡΡ
Π°Π½ΠΈΡ Π²ΠΎ Π²ΡΠ΅ΠΌΡ Π±Π΅ΡΠ΅ΠΌΠ΅Π½Π½ΠΎΡΡΠΈ ΠΈ ΠΏΠΎΡΠ»Π΅ΡΠΎΠ΄ΠΎΠ²ΠΎΠΌ ΠΏΠ΅ΡΠΈΠΎΠ΄Π΅, Π° ΡΠ°ΠΊΠΆΠ΅ ΠΎΡΠ΅Π½ΠΈΡΡ Π²Π»ΠΈΡΠ½ΠΈΠ΅ ΡΡΠ±Π΅ΡΠΊΡΠ»Π΅Π·Π° Π½Π° ΠΏΠ΅ΡΠΈΠ½Π°ΡΠ°Π»ΡΠ½ΡΠ΅ ΠΈΡΡ
ΠΎΠ΄Ρ.ΠΠ°ΡΠ΅ΡΠΈΠ°Π»Ρ ΠΈ ΠΌΠ΅ΡΠΎΠ΄Ρ. ΠΠ° ΠΏΠ΅ΡΠΈΠΎΠ΄ 2010-2022Π³Π³. Π½Π° Π±Π°Π·Π΅ Π€ΠΠΠΠ£ Β«Π¦ΠΠΠΠ’Β» ΠΏΡΠΎΠ²Π΅Π΄Π΅Π½ΠΎ ΡΠ΅ΡΡΠΎΡΠΏΠ΅ΠΊΡΠΈΠ²Π½ΠΎ-ΠΏΡΠΎΡΠΏΠ΅ΠΊΡΠΈΠ²Π½ΠΎΠ΅ Β«ΡΠ»ΡΡΠ°ΠΉ-ΠΊΠΎΠ½ΡΡΠΎΠ»ΡΒ» ΠΈΡΡΠ»Π΅Π΄ΠΎΠ²Π°Π½ΠΈΠ΅ 164 ΠΏΠ°ΡΠΈΠ΅Π½ΡΠΎΠΊ ΡΠ΅ΠΏΡΠΎΠ΄ΡΠΊΡΠΈΠ²Π½ΠΎΠ³ΠΎ Π²ΠΎΠ·ΡΠ°ΡΡΠ°. ΠΡΠ»ΠΎ ΡΡΠΎΡΠΌΠΈΡΠΎΠ²Π°Π½ΠΎ Π΄Π²Π΅ Π³ΡΡΠΏΠΏΡ: Π³ΡΡΠΏΠΏΠ° Β«Π‘Π»ΡΡΠ°ΠΉΒ» β 82 ΠΆΠ΅Π½ΡΠΈΠ½Ρ Ρ ΡΠΎΡΠ΅ΡΠ°Π½ΠΈΠ΅ΠΌ Π’ΠΠ ΠΈ Π±Π΅ΡΠ΅ΠΌΠ΅Π½Π½ΠΎΡΡΠΈ; Π³ΡΡΠΏΠΏΠ° Β«ΠΠΎΠ½ΡΡΠΎΠ»ΡΒ» β 82 ΠΏΠ°ΡΠΈΠ΅Π½ΡΠΊΠΈ Ρ Π½Π°Π»ΠΈΡΠΈΠ΅ΠΌ Π’ΠΠ, Π±Π΅Π· Π±Π΅ΡΠ΅ΠΌΠ΅Π½Π½ΠΎΡΡΠΈ.Π Π΅Π·ΡΠ»ΡΡΠ°ΡΡ ΠΈΡΡΠ»Π΅Π΄ΠΎΠ²Π°Π½ΠΈΡ. Π ΠΎΠ±Π΅ΠΈΡ
Π³ΡΡΠΏΠΏΠ°Ρ
ΡΠ°ΡΠ΅ ΡΠ΅Π³ΠΈΡΡΡΠΈΡΠΎΠ²Π°Π»ΠΈ Π²ΠΏΠ΅ΡΠ²ΡΠ΅ Π²ΡΡΠ²Π»Π΅Π½Π½ΡΠΉ Π’ΠΠ ΠΏΠΎ ΡΡΠ°Π²Π½Π΅Π½ΠΈΡ Ρ ΡΠ΅ΡΠΈΠ΄ΠΈΠ²Π°ΠΌΠΈ. ΠΡΠ»ΠΈΡΠΈΡΠ΅Π»ΡΠ½ΡΠΌΠΈ ΠΎΡΠΎΠ±Π΅Π½Π½ΠΎΡΡΡΠΌΠΈ Π’ΠΠ Ρ Π±Π΅ΡΠ΅ΠΌΠ΅Π½Π½ΡΡ
ΠΏΠΎ ΡΡΠ°Π²Π½Π΅Π½ΠΈΡ Ρ ΠΆΠ΅Π½ΡΠΈΠ½Π°ΠΌΠΈ Π±Π΅Π· Π±Π΅ΡΠ΅ΠΌΠ΅Π½Π½ΠΎΡΡΠΈ ΡΠ²Π»ΡΠ»ΠΈΡΡ ΠΏΡΠ΅ΠΎΠ±Π»Π°Π΄Π°Π½ΠΈΠ΅ Π΄ΠΎΠ»ΠΈ ΡΠΈΡΠΎΠΊΠΎΠΉ Π»Π΅ΠΊΠ°ΡΡΡΠ²Π΅Π½Π½ΠΎΠΉ ΡΡΡΠΎΠΉΡΠΈΠ²ΠΎΡΡΠΈ M. tuberculosis β 55,5% ΠΏΡΠΎΡΠΈΠ² 31,7% (p<0,05) ΡΠΎΠΎΡΠ²Π΅ΡΡΡΠ²Π΅Π½Π½ΠΎ; ΠΌΠ΅Π½ΡΡΠ°Ρ ΡΠ°ΡΡΠΎΡΠ° Π΄Π΅ΡΡΡΡΠΊΡΠΈΠΈ Π»Π΅Π³ΠΎΡΠ½ΠΎΠΉ ΡΠΊΠ°Π½ΠΈ β 18,3% ΠΏΡΠΎΡΠΈΠ² 32,9% (Ρβ€0,05); Π±ΠΎΠ»Π΅Π΅ Π²ΡΡΠΎΠΊΠ°Ρ ΡΠ°ΡΡΠΎΡΠ° ΡΠΎΡΠΌΠΈΡΠΎΠ²Π°Π½ΠΈΡ ΠΊΠ°Π²Π΅ΡΠ½ β 80% ΠΈ 40,7% (Ρβ€0,05) ΠΈ ΠΎΡΠ»ΠΎΠΆΠ½Π΅Π½ΠΈΠΉ Π’ΠΠ β 25,6% ΠΈ 12,2% (Ρβ€0,03) ΡΠΎΠΎΡΠ²Π΅ΡΡΡΠ²Π΅Π½Π½ΠΎ. Π£ΡΡΠ°Π½ΠΎΠ²Π»Π΅Π½Π° Π²ΡΡΠΎΠΊΠ°Ρ ΡΡΡΠ΅ΠΊΡΠΈΠ²Π½ΠΎΡΡΡ Π»Π΅ΡΠ΅Π½ΠΈΡ Π’ΠΠ ΠΏΠΎ ΠΎΠΊΠΎΠ½ΡΠ°Π½ΠΈΠΈ ΡΠ°Π·Ρ ΠΈΠ½ΡΠ΅Π½ΡΠΈΠ²Π½ΠΎΠΉ ΡΠ΅ΡΠ°ΠΏΠΈΠΈ ΠΊΠ°ΠΊ Π² Π³ΡΡΠΏΠΏΠ΅ Β«Π‘Π»ΡΡΠ°ΠΉΒ», ΡΠ°ΠΊ ΠΈ Π² Π³ΡΡΠΏΠΏΠ΅ Β«ΠΠΎΠ½ΡΡΠΎΠ»ΡΒ» Π² Π²ΠΈΠ΄Π΅ ΠΊΡΠΏΠΈΡΠΎΠ²Π°Π½ΠΈΡ ΠΊΠ»ΠΈΠ½ΠΈΡΠ΅ΡΠΊΠΎΠΉ ΡΠΈΠΌΠΏΡΠΎΠΌΠ°ΡΠΈΠΊΠΈ ΠΈ ΠΏΡΠ΅ΠΊΡΠ°ΡΠ΅Π½ΠΈΡ Π±Π°ΠΊΡΠ΅ΡΠΈΠΎΠ²ΡΠ΄Π΅Π»Π΅Π½ΠΈΡ. Π£ ΠΏΠ°ΡΠΈΠ΅Π½ΡΠΎΠΊ Π³ΡΡΠΏΠΏΡ Β«Π‘Π»ΡΡΠ°ΠΉΒ» ΠΎΡΠΌΠ΅ΡΠ°Π»ΠΈ Π±ΠΎΠ»Π΅Π΅ Π΄Π»ΠΈΡΠ΅Π»ΡΠ½ΡΠΉ ΠΏΠ΅ΡΠΈΠΎΠ΄ Π΄ΠΎ Π°Π±Π°ΡΠΈΠ»Π»ΠΈΡΠΎΠ²Π°Π½ΠΈΡ ΠΈ Π½ΠΈΠ·ΠΊΠΈΠΉ ΠΏΠΎΠΊΠ°Π·Π°ΡΠ΅Π»Ρ Π·Π°ΠΊΡΡΡΠΈΡ ΠΏΠΎΠ»ΠΎΡΡΠ΅ΠΉ ΡΠ°ΡΠΏΠ°Π΄Π° (ΠΊΠ°Π²Π΅ΡΠ½). ΠΠ΅ΡΠ΅ΠΌΠ΅Π½Π½ΠΎΡΡΡ Ρ ΠΆΠ΅Π½ΡΠΈΠ½ Π³ΡΡΠΏΠΏΡ Β«Π‘Π»ΡΡΠ°ΠΉΒ» Π² 75,6% Π½Π°Π±Π»ΡΠ΄Π΅Π½ΠΈΠΉ Π·Π°ΠΊΠΎΠ½ΡΠΈΠ»Π°ΡΡ ΡΠΎΠ΄Π°ΠΌΠΈ Ρ Π±Π»Π°Π³ΠΎΠΏΡΠΈΡΡΠ½ΡΠΌΠΈ ΠΏΠ΅ΡΠΈΠ½Π°ΡΠ°Π»ΡΠ½ΡΠΌΠΈ ΠΈΡΡ
ΠΎΠ΄Π°ΠΌΠΈ
ΠΠΠΠΠΠ§ΠΠ‘ΠΠΠ― Π₯ΠΠ ΠΠΠ’ΠΠ ΠΠ‘Π’ΠΠΠ ΠΠ‘Π’Π Π«Π₯ Π ΠΠ‘ΠΠΠ ΠΠ’ΠΠ ΠΠ«Π₯ ΠΠΠΠΠΠΠΠΠΠΠ Π£ ΠΠΠΠΠΠΠ¦ΠΠ Π ΠΠΠΠΠΠ ΠΠΠΠ ΠΠ‘Π’Π Π Π. ΠΠΠΠΠ’Π«, ΠΠΠΠΠ₯Π‘Π’ΠΠ
Acute respiratory infections and diarrheas are the main cause of hospitalization. We do not have a routine practice of etiological verification of respiratory viruses, the diagnosis is based on clinical presentation and instrumental investigations. We do not perform identification of respiratory syntycial virus (RSV), however there are effective methods of specific prophylactic and treatment with monoclonal antibodies available worldwide. Another point is wide application of antibiotics without clear indications on bacterial infection, especially if a patient is hospitalized. We analyzed clinical data of children aged 0β3 months with acute respiratory viral infections and found a big number of patients with bronchoobstruction associated with bronchiolitits which in fact points on possible involvement of RSV.Β ΠΡΡΡΡΠ΅ ΡΠ΅ΡΠΏΠΈΡΠ°ΡΠΎΡΠ½ΡΠ΅ ΠΈΠ½ΡΠ΅ΠΊΡΠΈΠΈ, Π½Π°ΡΡΠ΄Ρ Ρ Π΄ΠΈΠ°ΡΠ΅ΡΠΌΠΈ, ΡΠ²Π»ΡΡΡΡΡ Π²Π΅Π΄ΡΡΠ΅ΠΉ ΠΏΡΠΈΡΠΈΠ½ΠΎΠΉ Π³ΠΎΡΠΏΠΈΡΠ°Π»ΠΈΠ·Π°ΡΠΈΠΈ Π΄Π΅ΡΠ΅ΠΉ ΠΌΠ»Π°Π΄ΡΠ΅Π³ΠΎ Π²ΠΎΠ·ΡΠ°ΡΡΠ°. Π Π½Π°ΡΠ΅ΠΉ ΠΏΡΠ°ΠΊΡΠΈΠΊΠ΅ Π½Π΅ ΠΏΡΠΎΠ²ΠΎΠ΄ΠΈΡΡΡ ΡΡΡΠΈΠ½Π½Π°Ρ ΡΠ°ΡΡΠΈΡΡΠΎΠ²ΠΊΠ° Π²ΠΈΡΡΡΠ½ΡΡ
Π²ΠΎΠ·Π±ΡΠ΄ΠΈΡΠ΅Π»Π΅ΠΉ ΠΠ Π, Π° Π΄ΠΈΠ°Π³Π½ΠΎΠ· ΡΡΡΠ°Π½Π°Π²Π»ΠΈΠ²Π°Π΅ΡΡΡ Π½Π° ΠΎΡΠ½ΠΎΠ²Π΅ ΠΊΠ»ΠΈΠ½ΠΈΠΊΠΎ-ΡΠΏΠΈΠ΄Π΅ΠΌΠΈΠΎΠ»ΠΎΠ³ΠΈΡΠ΅ΡΠΊΠΈΡ
Π΄Π°Π½Π½ΡΡ
. ΠΠ΅ ΡΠ΅ΡΡΠΈΡΡΠ΅ΡΡΡ ΡΠ΅ΡΠΏΠΈΡΠ°ΡΠΎΡΠ½ΠΎ-ΡΠΈΠ½ΡΠΈΡΠΈΠ°Π»ΡΠ½ΡΠΉ Π²ΠΈΡΡΡ (Π Π‘Π), Ρ
ΠΎΡΡ Π² Π΄ΡΡΠ³ΠΈΡ
ΡΡΡΠ°Π½Π°Ρ
ΠΏΡΠΈΠΌΠ΅Π½ΡΡΡ ΡΠΏΠ΅ΡΠΈΡΠΈΡΠ΅ΡΠΊΠΈΠ΅ ΠΌΠΎΠ½ΠΎΠΊΠ»ΠΎΠ½Π°Π»ΡΠ½ΡΠ΅ Π°Π½ΡΠΈΡΠ΅Π»Π° Π΄Π»Ρ ΠΏΡΠΎΡΠΈΠ»Π°ΠΊΡΠΈΠΊΠΈ ΠΈ Π»Π΅ΡΠ΅Π½ΠΈΡ Π΄Π΅ΡΠ΅ΠΉ Ρ ΡΡΠΆΠ΅Π»ΡΠΌΠΈ ΡΠΎΡΠΌΠ°ΠΌΠΈ ΡΡΠΎΠΉ ΠΈΠ½ΡΠ΅ΠΊΡΠΈΠΈ. ΠΡΡΠ³ΠΈΠΌ Π²Π°ΠΆΠ½ΡΠΌ Π°ΡΠΏΠ΅ΠΊΡΠΎΠΌ ΡΠ²Π»ΡΠ΅ΡΡΡ ΠΏΡΠ°ΠΊΡΠΈΡΠ΅ΡΠΊΠΈ ΠΏΠΎΠ²ΡΠ΅ΠΌΠ΅ΡΡΠ½ΠΎΠ΅ Π½Π°Π·Π½Π°ΡΠ΅Π½ΠΈΠ΅ Π°Π½ΡΠΈΠ±ΠΈΠΎΡΠΈΠΊΠΎΠ² ΠΏΡΠΈ ΠΠ Π, ΠΎΡΠΎΠ±Π΅Π½Π½ΠΎ Π΅ΡΠ»ΠΈ ΡΠ΅Π±Π΅Π½ΠΎΠΊ Π½Π°Ρ
ΠΎΠ΄ΠΈΡΡΡ Π² ΡΡΠ°ΡΠΈΠΎΠ½Π°ΡΠ΅, ΠΏΡΠΈ ΠΎΡΡΡΡΡΡΠ²ΠΈΠΈ ΡΠ΅ΡΠΊΠΈΡ
ΠΏΡΠΈΠ·Π½Π°ΠΊΠΎΠ² Π±Π°ΠΊΡΠ΅ΡΠΈΠ°Π»ΡΠ½ΠΎΠΉ ΠΈΠ½ΡΠ΅ΠΊΡΠΈΠΈ. ΠΡ ΠΏΡΠΎΠ°Π½Π°Π»ΠΈΠ·ΠΈΡΠΎΠ²Π°Π»ΠΈ ΠΊΠ»ΠΈΠ½ΡΠ΅ΡΠΊΠΈΠ΅ Π΄Π°Π½Π½ΡΠ΅ Π΄Π΅ΡΠ΅ΠΉ Π² Π²ΠΎΠ·ΡΠ°ΡΡΠ΅ 0β3 ΠΌΠ΅ΡΡΡΠ΅Π² ΠΆΠΈΠ·Π½ΠΈ, ΠΏΠΎΡΡΡΠΏΠΈΠ²ΡΠΈΡ
Π² ΠΈΠ½ΡΠ΅ΠΊΡΠΈΠΎΠ½Π½ΡΠΉ ΡΡΠ°ΡΠΈΠ½Π°Ρ Π² Π·ΠΈΠΌΠ½Π΅Π΅ Π²ΡΠ΅ΠΌΡ, ΠΈ Π²ΡΡΠ²ΠΈΠ»ΠΈ Π²ΡΡΠΎΠΊΡΡ ΡΠ°ΡΡΠΎΡΡ Π±ΡΠΎΠ½Ρ
ΠΎΠΎΠ±ΡΡΡΡΠΊΡΠΈΠ²Π½ΠΎΠ³ΠΎ ΡΠΈΠ½ΡΠ΄ΡΠΎΠΌΠ°, ΠΊΠΎΡΠΎΡΡΠΉ, ΠΏΠΎ Π½Π°ΡΠ΅ΠΌΡ ΠΌΠ½Π΅Π½ΠΈΡ, ΠΎΡΡΠ°ΠΆΠ°Π΅Ρ Π·Π°Π±ΠΎΠ»Π΅Π²Π΅ΠΌΠΎΡΡΡ Π±ΡΠΎΠ½Ρ
ΠΈΠ΅ΠΎΠ»ΠΈΡΠΎΠΌ Π½Π° ΡΠΎΠ½Π΅ ΠΠ ΠΠ ΠΈ ΡΠΊΠ°Π·ΡΠ²Π°Π΅Ρ Π½Π° Π²ΠΎΠ·ΠΌΠΎΠΆΠ½ΡΡ ΡΠΎΠ»Ρ Π Π‘Π.