84 research outputs found
Investments in oil field development by the example of Tomsk oblast
The article describes the geologic structure of the formation located not far from Strezhevoy Tomsk Oblast. The formation has been poorly studied by seismic methods. The reserves categories Π‘[1] and Π‘[2] as well as hydrocarbon potential are presented. 4 exploratory and 39 production wells are designed to be drilled depending on geologic knowledge and formation conditions. The article deals with the investment plan including development, oil export expenditures and implementing cost calculation
Synthesis and Research of Alumina Ceramics Properties
The article describes in detail alumina powder synthesis by different methods at varying parameters. The technique of obtaining ceramics and the research of the optical properties for determining the materials with the maximum luminescence efficiency is presented. The concentration of the luminescence intrinsic centers and various defects differ for ceramics synthesized by different methods. It is determined that ceramics based on the powder synthesized by a sol-gel method has the maximum thermoluminescence intensity in the F-center peak, whereas for the peak of 360Β Β°C it is obtained with the powder prepared by precipitation of aluminum nitrate with a PEGβ20000 stabilizer
Variability in the relative quantity of human DNA resulted from metagenomic analysis of gut microbiota
We conducted the comparative study of seven different methods of total DNA extraction from human feces. All these methods are recommended in protocols for metagenomic analysis of human gut microbiota. We studied the relative quantity of human DNA calculated from shotgun sequencing on a SOLiD 4 genetic analyzer of metagenomic samples. It was shown that either initial amount of feces or a method applied for total DNA extraction do not affect on final relative human DNA abundance, which is less than 1% in healthy people. Invariance of this parameter allows to consider increased abundance of human DNA in metagenomic samples as a potential marker of inflammatory bowel diseases. | Abstract available from the publisher
Amperometric detection of caffeine and paracetamol on a dual screen printed electrode modified with mixed-valence ruthenium and cobalt oxides in flow-injection analysis
It is found that the mixed-valence ruthenium and cobalt oxides (CoOx-RuOx) composite electrodeposited on screen printed electrode exhibits catalytic activity during caffeine and paracetamol electrooxidation. These compounds are oxidized at different potentials which provides selective voltammetric determination at simultaneous presence. A method of amperometric determination of caffeine and paracetamol on a dual electrode modified with CoOx-RuOx composite in a flow injection analysis is developed. The linear relationship between an analytical signal and analyte concentration is found in the range from 5Γ10-7 mol/l to 5Γ10-3 mol/l. Using a modified dual screen printed electrode as an amperometric detector in flow injection analysis allows to determine up to 360 samples/hour. The developed method has been tested in the analysis of some pharmaceuticals
Interval approach to processing the noised thermophysical data
The paper deals with application of numerical methods to processing the experimental data on the thermophysical properties of several chemical substances and their compounds (cryolites, rare earth compounds, and alkali halides). The main aim of investigations is in estimating the parameters of dependencies between the heat of fusion and the melting temperature of these chemical substances. The data are corrupted by the measuring errors. Procession is implemented under conditions of uncertainty: there is no any information on probabilistic properties of the corrupting factors, samples of measurements are short, and only approximate functions are known that describes mentioned dependencies. Under such conditions, the standard statistical methods can be applied formally. To obtain guarantied results in parameters estimation, the interval analysis methods and procedures are used. Β© 2020 American Institute of Physics Inc.. All rights reserved.The work was supported by the RFBR grants, projects nos. 18-01-00410 and 18-03-00785 Π
[Changing the intestinal microbiota of chickens in ontogenesis] ΠΠ·ΠΌΠ΅Π½Π΅Π½ΠΈΠ΅ ΠΌΠΈΠΊΡΠΎΠ±ΠΈΠΎΡΡ ΠΊΠΈΡΠ΅ΡΠ½ΠΈΠΊΠ° ΠΊΡΡ Π² ΠΎΠ½ΡΠΎΠ³Π΅Π½Π΅Π·Π΅
This paper presents the results of a molecular genetic analysis of the changes in the composition of the microbiota of the blind processes of the intestine of the hens of the industrial loam "Lohmann Brown" during ontogeny. According to the results of the analysis of taxonomic affiliation it is established that over 70% of the phylotypes belong to the three phylums - Firmicutes, Bacteroidetes and Proteobacteria, less represented were Actinobacteria, Tenericutes and Fusobacteria, and a significant number of unidentified bacteria was detected. During ontogenesis, birds exhibited marked changes in the ratio of the number of phylotypes and taxonomic groups of the intestinal microbiota. At the age of 20-40 weeks, the birds showed a significant increase in the representatives of the Clostridia class involved in the metabolism of carbohydrates, acid-utilizing bacteria of the order Negativicutes and bacteria with high antagonistic properties (Bifidobacteriales, Bacillus), as well as a significant decrease in the content of a number of opportunistic and pathogenic taxa - family Enterobacteriaceae, the order of Pseudomonadales, phylum Tenericutes. The greatest homogeneity of the bacterial community of the blind processes of the gastrointestinal tract in laying hens was revealed at the age of 20 weeks, which is confirmed by the estimation of biodiversity by means of ecological indices.
Π Π½Π°ΡΡΠΎΡΡΠ΅ΠΌ ΠΈΡΡΠ»Π΅Π΄ΠΎΠ²Π°Π½ΠΈΠΈ ΠΏΡΠ΅Π΄ΡΡΠ°Π²Π»Π΅Π½Ρ ΡΠ΅Π·ΡΠ»ΡΡΠ°ΡΡ ΠΌΠΎΠ»Π΅ΠΊΡΠ»ΡΡΠ½ΠΎ-Π³Π΅Π½Π΅ΡΠΈΡΠ΅ΡΠΊΠΎΠ³ΠΎ Π°Π½Π°Π»ΠΈΠ·Π° ΠΈΠ·ΠΌΠ΅Π½Π΅Π½ΠΈΡ ΡΠΎΡΡΠ°Π²Π° ΠΌΠΈΠΊΡΠΎΠ±ΠΈΠΎΡΡ ΡΠ»Π΅ΠΏΡΡ
ΠΎΡΡΠΎΡΡΠΊΠΎΠ² ΠΊΠΈΡΠ΅ΡΠ½ΠΈΠΊΠ° ΠΊΡΡ ΠΏΡΠΎΠΌΡΡΠ»Π΅Π½Π½ΠΎΠ³ΠΎ ΠΊΡΠΎΡΡΠ° Β«ΠΠΎΠΌΠ°Π½Π½ ΠΡΠ°ΡΠ½Β» Π² ΡΠ΅ΡΠ΅Π½ΠΈΠ΅ ΠΎΠ½ΡΠΎΠ³Π΅Π½Π΅Π·Π°. ΠΠΎ ΡΠ΅Π·ΡΠ»ΡΡΠ°ΡΠ°ΠΌ Π°Π½Π°Π»ΠΈΠ·Π° ΡΠ°ΠΊΡΠΎΠ½ΠΎΠΌΠΈΡΠ΅ΡΠΊΠΎΠΉ ΠΏΡΠΈΠ½Π°Π΄Π»Π΅ΠΆΠ½ΠΎΡΡΠΈ ΡΡΡΠ°Π½ΠΎΠ²Π»Π΅Π½ΠΎ, ΡΡΠΎ ΡΠ²ΡΡΠ΅ 70% ΡΠΈΠ»ΠΎΡΠΈΠΏΠΎΠ² ΠΎΡΠ½ΠΎΡΠΈΡΡΡ ΠΊ ΡΡΠ΅ΠΌ ΡΠΈΠ»ΡΠΌΠ°ΠΌ - Firmicutes, Bacteroidetes ΠΈ Proteobacteria, ΠΌΠ΅Π½Π΅Π΅ ΠΏΡΠ΅Π΄ΡΡΠ°Π²Π»Π΅Π½Ρ Π±ΡΠ»ΠΈ Actinobacteria, Tenericutes ΠΈ Fusobacteria, Π° ΡΠ°ΠΊΠΆΠ΅ Π²ΡΡΠ²Π»Π΅Π½ΠΎ ΠΏΡΠΈΡΡΡΡΡΠ²ΠΈΠ΅ Π·Π½Π°ΡΠΈΡΠ΅Π»ΡΠ½ΠΎΠ³ΠΎ ΠΊΠΎΠ»ΠΈΡΠ΅ΡΡΠ²Π° Π½Π΅ΠΈΠ΄Π΅Π½ΡΠΈΡΠΈΡΠΈΡΠΎΠ²Π°Π½Π½ΡΡ
Π±Π°ΠΊΡΠ΅ΡΠΈΠΉ. Π ΡΠ΅ΡΠ΅Π½ΠΈΠ΅ ΠΎΠ½ΡΠΎΠ³Π΅Π½Π΅Π·Π° Ρ ΠΏΡΠΈΡ Π½Π°Π±Π»ΡΠ΄Π°Π»ΠΈΡΡ Π·Π°ΠΌΠ΅ΡΠ½ΡΠ΅ ΠΈΠ·ΠΌΠ΅Π½Π΅Π½ΠΈΡ ΡΠΎΠΎΡΠ½ΠΎΡΠ΅Π½ΠΈΡ ΠΊΠΎΠ»ΠΈΡΠ΅ΡΡΠ²Π° ΡΠΈΠ»ΠΎΡΠΈΠΏΠΎΠ² ΠΈ ΡΠ°ΠΊΡΠΎΠ½ΠΎΠΌΠΈΡΠ΅ΡΠΊΠΈΡ
Π³ΡΡΠΏΠΏ ΠΌΠΈΠΊΡΠΎΠ±ΠΈΠΎΡΡ ΠΊΠΈΡΠ΅ΡΠ½ΠΈΠΊΠ°. Π Π²ΠΎΠ·ΡΠ°ΡΡΠ΅ 20-40 Π½Π΅Π΄Π΅Π»Ρ Ρ ΠΏΡΠΈΡ ΠΎΡΠΌΠ΅ΡΠ΅Π½ΠΎ Π΄ΠΎΡΡΠΎΠ²Π΅ΡΠ½ΠΎΠ΅ ΡΠ²Π΅Π»ΠΈΡΠ΅Π½ΠΈΠ΅ ΠΏΡΠ΅Π΄ΡΡΠ°Π²ΠΈΡΠ΅Π»Π΅ΠΉ ΠΊΠ»Π°ΡΡΠ° Clostridia, ΡΡΠ°ΡΡΠ²ΡΡΡΠΈΡ
Π² ΠΌΠ΅ΡΠ°Π±ΠΎΠ»ΠΈΠ·ΠΌΠ΅ ΡΠ³Π»Π΅Π²ΠΎΠ΄ΠΎΠ², ΠΊΠΈΡΠ»ΠΎΡ-ΡΡΠΈΠ»ΠΈΠ·ΠΈΡΡΡΡΠΈΡ
Π±Π°ΠΊΡΠ΅ΡΠΈΠΉ ΠΏΠΎΡΡΠ΄ΠΊΠ° Negativicutes ΠΈ Π±Π°ΠΊΡΠ΅ΡΠΈΠΉ Ρ Π²ΡΡΠΎΠΊΠΈΠΌΠΈ Π°Π½ΡΠ°Π³ΠΎΠ½ΠΈΡΡΠΈΡΠ΅ΡΠΊΠΈΠΌΠΈ ΡΠ²ΠΎΠΉΡΡΠ²Π°ΠΌΠΈ (Bifidobacteriales, Bacillus), Π° ΡΠ°ΠΊΠΆΠ΅ Π΄ΠΎΡΡΠΎΠ²Π΅ΡΠ½ΠΎΠ΅ ΡΠ½ΠΈΠΆΠ΅Π½ΠΈΠ΅ ΡΠΎΠ΄Π΅ΡΠΆΠ°Π½ΠΈΡ ΡΡΠ΄Π° ΡΡΠ»ΠΎΠ²Π½ΠΎ-ΠΏΠ°ΡΠΎΠ³Π΅Π½Π½ΡΡ
ΠΈ ΠΏΠ°ΡΠΎΠ³Π΅Π½Π½ΡΡ
ΡΠ°ΠΊΡΠΎΠ½ΠΎΠ² β ΡΠ΅ΠΌΠ΅ΠΉΡΡΠ²Π° Enterobacteriaceae, ΠΏΠΎΡΡΠ΄ΠΊΠ° Pseudomonadales, ΡΠΈΠ»ΡΠΌΠ° Tenericutes. ΠΠ°ΠΈΠ±ΠΎΠ»ΡΡΠ°Ρ ΠΎΠ΄Π½ΠΎΡΠΎΠ΄Π½ΠΎΡΡΡ Π±Π°ΠΊΡΠ΅ΡΠΈΠ°Π»ΡΠ½ΠΎΠ³ΠΎ ΡΠΎΠΎΠ±ΡΠ΅ΡΡΠ²Π° ΡΠ»Π΅ΠΏΡΡ
ΠΎΡΡΠΎΡΡΠΊΠΎΠ² ΠΠΠ’ Ρ Π½Π΅ΡΡΡΠ΅ΠΊ Π²ΡΡΠ²Π»Π΅Π½Π° Π² 20-Π½Π΅Π΄Π΅Π»ΡΠ½ΠΎΠΌ Π²ΠΎΠ·ΡΠ°ΡΡΠ΅, ΡΡΠΎ ΠΏΠΎΠ΄ΡΠ²Π΅ΡΠΆΠ΄Π°Π΅ΡΡΡ ΠΎΡΠ΅Π½ΠΊΠΎΠΉ Π±ΠΈΠΎΡΠ°Π·Π½ΠΎΠΎΠ±ΡΠ°Π·ΠΈΡ ΠΏΡΠΈ ΠΏΠΎΠΌΠΎΡΠΈ ΡΠΊΠΎΠ»ΠΎΠ³ΠΈΡΠ΅ΡΠΊΠΈΡ
ΠΈΠ½Π΄Π΅ΠΊΡΠΎΠ²
Atomic Ordering in Cubic Bismuth Telluride Alloy Phases at High Pressure
Pressure-induced transitions from ordered intermetallic phases to
substitutional alloys to semi-ordered phases were studied in a series of
bismuth tellurides. Using angle-dispersive x-ray diffraction, the compounds
Bi4Te5, BiTe, and Bi2Te were observed to form alloys with the disordered
body-centered cubic (bcc) crystal structure upon compression to above 14--19
GPa at room temperature. The BiTe and Bi2Te alloys and the previously
discovered high-pressure alloys of Bi2Te3 and Bi4Te3 were all found to show
atomic ordering after gentle annealing at very moderate temperatures of
~100{\deg}C. Upon annealing, BiTe transforms from the bcc to the B2 (CsCl)
crystal structure type, and the other phases adopt semi-disordered variants
thereof, featuring substitutional disorder on one of the two crystallographic
sites. The transition pressures and atomic volumes of the alloy phases show
systematic variations across the Bi_mTe_n series including the end members Bi
and Te. First-principles calculations were performed to characterize the
electronic structure and chemical bonding properties of B2-type BiTe and to
identify the driving forces of the ordering transition. The calculated Fermi
surface of B2-type BiTe has an intricate structure and is predicted to undergo
three topological changes between 20 and 60 GPa.Comment: 8 pages, 11 figures, accepted for publication in Phys. Rev.
Morphology and Mechanical Properties of Li-In Alloy as a Promising Anode Material in Fully Solid-State Lithium Batteries
In this work, the phase composition and morphology of Li-In alloys have been studied. The distribution map of the Young's modulus over the surface of an alloy with 18 at % lithium was obtained using the AFM method. The distribution map of indium in alloys containing 10 at% and 18 at% lithium was obt
Π€Π°ΠΊΡΠΎΡΡ ΡΠΈΡΠΊΠ° ΡΠ°Π·Π²ΠΈΡΠΈΡ ΡΡΠΆΠ΅Π»ΠΎΠΉ Π΄ΡΡ Π°ΡΠ΅Π»ΡΠ½ΠΎΠΉ Π½Π΅Π΄ΠΎΡΡΠ°ΡΠΎΡΠ½ΠΎΡΡΠΈ Ρ Π½ΠΎΠ²ΠΎΡΠΎΠΆΠ΄Π΅Π½Π½ΡΡ c Π³Π΅ΡΡΠ°ΡΠΈΠΎΠ½Π½ΡΠΌ Π²ΠΎΠ·ΡΠ°ΡΡΠΎΠΌ 37 Π½Π΅Π΄Π΅Π»Ρ
The aim was to determine the risk factors for severe respiratory failure in newborns of 37-week gestational age.Methods. The study was designed as retrospective, controlled, non-randomized, and single-center. 640 patients corresponded the criteria of inclusion and exclusion. 7 (1.1%) children died. Depending on the gestational age (GA), patients were divided into two groups. The main group (n = 279) included newborns with GA of 37 weeks. The comparison group (n = 361) consisted of newborns with GA of 34β36 weeks. Both groups of children received comparable critical care and had similar settings of initial artificial pulmonary ventilation. The software of BioStat was used for statistical processing. Results. Patients of the main group had initially higher pressure in the right ventricle, they were in need of noninvasive ventilator more often (Ο2 = 4.23; p = 0.05), and pulmonary hemorrhage were also more frequent in them (Ο2 = 9.608; p = 0.02). It was mostly newborns delivered by cesarean section who developed respiratory problems. A uterine scar in a pregnant woman made a significant risk factor for severe respiratory failure in patients of the main group (OR β 1.99).Conclusion. Severe respiratory failure in newborns with gestational age at 37 weeks develops with intrauterine growth retardation, the main risk factor of which is the presence of a scar on the uterus.Β Π¦Π΅Π»Ρ: ΠΎΠΏΡΠ΅Π΄Π΅Π»Π΅Π½ΠΈΠ΅ ΡΠ°ΠΊΡΠΎΡΠΎΠ² ΡΠΈΡΠΊΠ° ΡΠ°Π·Π²ΠΈΡΠΈΡ ΡΡΠΆΠ΅Π»ΠΎΠΉ Π΄ΡΡ
Π°ΡΠ΅Π»ΡΠ½ΠΎΠΉ Π½Π΅Π΄ΠΎΡΡΠ°ΡΠΎΡΠ½ΠΎΡΡΠΈ Ρ Π½ΠΎΠ²ΠΎΡΠΎΠΆΠ΄Π΅Π½Π½ΡΡ
c Π³Π΅ΡΡΠ°ΡΠΈΠΎΠ½Π½ΡΠΌ Π²ΠΎΠ·ΡΠ°ΡΡΠΎΠΌ (ΠΠ) 37 Π½Π΅Π΄.ΠΠ΅ΡΠΎΠ΄Ρ. ΠΠΈΠ·Π°ΠΉΠ½ ΠΈΡΡΠ»Π΅Π΄ΠΎΠ²Π°Π½ΠΈΡ β ΡΠ΅ΡΡΠΎΡΠΏΠ΅ΠΊΡΠΈΠ²Π½ΠΎΠ΅, ΠΊΠΎΠ½ΡΡΠΎΠ»ΠΈΡΡΠ΅ΠΌΠΎΠ΅, Π½Π΅ΡΠ°Π½Π΄ΠΎΠΌΠΈΠ·ΠΈΡΠΎΠ²Π°Π½Π½ΠΎΠ΅, ΠΎΠ΄Π½ΠΎΡΠ΅Π½ΡΡΠΎΠ²ΠΎΠ΅. ΠΡΠΈΡΠ΅ΡΠΈΡΠΌ Π²ΠΊΠ»ΡΡΠ΅Π½ΠΈΡ ΠΈ ΠΈΡΠΊΠ»ΡΡΠ΅Π½ΠΈΡ ΡΠΎΠΎΡΠ²Π΅ΡΡΡΠ²ΠΎΠ²Π°Π»ΠΎ 640 ΠΏΠ°ΡΠΈΠ΅Π½ΡΠΎΠ². Π£ΠΌΠ΅ΡΠ»ΠΎ 7 (1,1%) Π΄Π΅ΡΠ΅ΠΉ. ΠΠ°ΡΠΈΠ΅Π½ΡΡ Π² Π·Π°Π²ΠΈΡΠΈΠΌΠΎΡΡΠΈ ΠΎΡ ΠΠ ΡΠ°Π·Π΄Π΅Π»Π΅Π½Ρ Π½Π° Π΄Π²Π΅ Π³ΡΡΠΏΠΏΡ. ΠΡΠ½ΠΎΠ²Π½Π°Ρ (n = 279) β Π½ΠΎΠ²ΠΎΡΠΎΠΆΠ΄Π΅Π½Π½ΡΠ΅ Ρ ΠΠ 37 Π½Π΅Π΄. ΠΡΡΠΏΠΏΠ° ΡΡΠ°Π²Π½Π΅Π½ΠΈΡ (n = 361) β Π½ΠΎΠ²ΠΎΡΠΎΠΆΠ΄Π΅Π½Π½ΡΠ΅ Ρ ΠΠ 34β36 Π½Π΅Π΄. Π£ Π΄Π΅ΡΠ΅ΠΉ ΠΎΠ±Π΅ΠΈΡ
Π³ΡΡΠΏΠΏ Π±ΡΠ»ΠΈ ΡΠΎΠΏΠΎΡΡΠ°Π²ΠΈΠΌΠ°Ρ ΠΈΠ½ΡΠ΅Π½ΡΠΈΠ²Π½Π°Ρ ΡΠ΅ΡΠ°ΠΏΠΈΡ ΠΈ ΠΏΠ°ΡΠ°ΠΌΠ΅ΡΡΡ ΡΡΠ°ΡΡΠΎΠ²ΠΎΠΉ ΠΈΡΠΊΡΡΡΡΠ²Π΅Π½Π½ΠΎΠΉ Π²Π΅Π½ΡΠΈΠ»ΡΡΠΈΠΈ Π»Π΅Π³ΠΊΠΈΡ
(ΠΠΠ). Π‘ΡΠ°ΡΠΈΡΡΠΈΡΠ΅ΡΠΊΡΡ ΠΎΠ±ΡΠ°Π±ΠΎΡΠΊΡ ΠΏΡΠΎΠ²ΠΎΠ΄ΠΈΠ»ΠΈ Π½Π° ΠΎΡΠ½ΠΎΠ²Π΅ ΡΡΠ°ΡΠΈΡΡΠΈΡΠ΅ΡΠΊΠΎΠΉ ΠΏΡΠΎΠ³ΡΠ°ΠΌΠΌΡ BioStat.Π Π΅Π·ΡΠ»ΡΡΠ°ΡΡ. Π£ ΠΏΠ°ΡΠΈΠ΅Π½ΡΠΎΠ² ΠΎΡΠ½ΠΎΠ²Π½ΠΎΠΉ Π³ΡΡΠΏΠΏΡ ΠΈΠΌΠ΅Π»ΠΎΡΡ ΠΈΡΡ
ΠΎΠ΄Π½ΠΎ Π±ΠΎΠ»Π΅Π΅ Π²ΡΡΠΎΠΊΠΎΠ΅ Π΄Π°Π²Π»Π΅Π½ΠΈΠ΅ Π² ΠΏΡΠ°Π²ΠΎΠΌ ΠΆΠ΅Π»ΡΠ΄ΠΎΡΠΊΠ΅, ΡΠ°ΡΠ΅ ΠΈΡΠΏΠΎΠ»ΡΠ·ΠΎΠ²Π°Π»Π°ΡΡ Π½Π΅ΠΈΠ½Π²Π°Π·ΠΈΠ²Π½Π°Ρ ΠΠΠ (Ο2 = 4,23; p = 0,05), Π±ΡΠ»Π° Π±ΠΎΠ»Π΅Π΅ Π²ΡΡΠΎΠΊΠΎΠΉ ΡΠ°ΡΡΠΎΡΠ° Π»Π΅Π³ΠΎΡΠ½ΠΎΠ³ΠΎ ΠΊΡΠΎΠ²ΠΎΡΠ΅ΡΠ΅Π½ΠΈΡ (Ο2 = 9,608; p = 0,02). Π Π΅ΡΠΏΠΈΡΠ°ΡΠΎΡΠ½ΡΠ΅ ΠΏΡΠΎΠ±Π»Π΅ΠΌΡ ΡΠ°Π·Π²ΠΈΠ²Π°Π»ΠΈΡΡ Π² ΠΎΡΠ½ΠΎΠ²Π½ΠΎΠΌ Ρ Π½ΠΎΠ²ΠΎΡΠΎΠΆΠ΄Π΅Π½Π½ΡΡ
, ΠΈΠ·Π²Π»Π΅ΡΠ΅Π½Π½ΡΡ
ΠΏΡΡΠ΅ΠΌ ΠΊΠ΅ΡΠ°ΡΠ΅Π²Π° ΡΠ΅ΡΠ΅Π½ΠΈΡ. ΠΠ½Π°ΡΠΈΠΌΡΠΌ ΡΠ°ΠΊΡΠΎΡΠΎΠΌ ΡΠΈΡΠΊΠ° ΡΠ°Π·Π²ΠΈΡΠΈΡ ΡΡΠΆΠ΅Π»ΠΎΠΉ Π΄ΡΡ
Π°ΡΠ΅Π»ΡΠ½ΠΎΠΉ Π½Π΅Π΄ΠΎΡΡΠ°ΡΠΎΡΠ½ΠΎΡΡΠΈ Ρ ΠΏΠ°ΡΠΈΠ΅Π½ΡΠΎΠ² ΠΎΡΠ½ΠΎΠ²Π½ΠΎΠΉ Π³ΡΡΠΏΠΏΡ ΡΠ²ΠΈΠ»ΠΎΡΡ Π½Π°Π»ΠΈΡΠΈΠ΅ ΡΡΠ±ΡΠ° Π½Π° ΠΌΠ°ΡΠΊΠ΅ Ρ Π±Π΅ΡΠ΅ΠΌΠ΅Π½Π½ΠΎΠΉ (ΠΠ¨ β 1,99).ΠΡΠ²ΠΎΠ΄. Π’ΡΠΆΠ΅Π»Π°Ρ Π΄ΡΡ
Π°ΡΠ΅Π»ΡΠ½Π°Ρ Π½Π΅Π΄ΠΎΡΡΠ°ΡΠΎΡΠ½ΠΎΡΡΡ Ρ Π½ΠΎΠ²ΠΎΡΠΎΠΆΠ΄Π΅Π½Π½ΡΡ
Ρ ΠΠ 37 Π½Π΅Π΄. ΡΠ°Π·Π²ΠΈΠ²Π°Π΅ΡΡΡ ΠΏΡΠΈ Π·Π°Π΄Π΅ΡΠΆΠΊΠ΅ Π²Π½ΡΡΡΠΈΡΡΡΠΎΠ±Π½ΠΎΠ³ΠΎ ΡΠ°Π·Π²ΠΈΡΠΈΡ, ΠΎΡΠ½ΠΎΠ²Π½ΡΠΌ ΡΠ°ΠΊΡΠΎΡΠΎΠΌ ΡΠΈΡΠΊΠ° ΠΊΠΎΡΠΎΡΠΎΠΉ ΡΠ²Π»ΡΠ΅ΡΡΡ Π½Π°Π»ΠΈΡΠΈΠ΅ ΡΡΠ±ΡΠ° Π½Π° ΠΌΠ°ΡΠΊΠ΅
Π Π΅ΡΠ»ΠΈΠ·ΡΠΌΠ°Π± Π² Π»Π΅ΡΠ΅Π½ΠΈΠΈ Π±ΠΎΠ»ΡΠ½ΡΡ ΡΡΠΆΠ΅Π»ΠΎΠΉ Π±ΡΠΎΠ½Ρ ΠΈΠ°Π»ΡΠ½ΠΎΠΉ Π°ΡΡΠΌΠΎΠΉ ΡΠΎΠ·ΠΈΠ½ΠΎΡΠΈΠ»ΡΠ½ΠΎΠ³ΠΎ ΡΠ΅Π½ΠΎΡΠΈΠΏΠ°
It is known that patients with severe asthma often fail to achieve disease control. Excessive airways eosinophilic inflammation is one of the key causes of severe uncontrolled asthma in this case. The occurrence of eosinophilic phenotype of inflammation is quite high in severe uncontrolled asthma. Thus, about 55% of patients have eosinophil level in induced sputum β₯ 3%. Eosinophilic phenotype of asthma is associated with greater severity of symptoms, presence of atopy, late onset of the disease, and lack of response to inhaled glucocorticosteroids. Numerous studies confirmed the relationship between elevated eosinophils in the airways and more frequent and severe asthma exacerbations, as well as reduced lung function, increased administration of steroids and other medications, and more frequent use of healthcare services. Severe eosinophilic asthma is characterized mainly by late onset of the disease, persistent eosinophilia in the airways and peripheral blood. It is associated with frequent exacerbations, chronic or intermittent need to the use of systemic corticosteroids to achieve better control of the disease, and unfavorable prognosis of the natural course. Predominantly eosinophilic type of airway inflammation is a characteristic manifestation of T2 endotype of asthma, that is implemented due to the domination of Th2-lymphocyte response (allergic asthma) and/or due to high activity of type 2 innate lymphoid cells (ILC2) involved in the development of both non-allergic and allergic asthma. Th2 and ILC2 cells increase IL-5 level, which plays an important role in the formation of uncontrolled eosinophilic inflammation in the airways in patients suffering from T2 endotype of severe asthma, by stimulating eosinophil precursor maturation in the bone marrow, mobilization of eosinophils and precursors from the bone marrow, accumulation of eosinophils in the blood, eosinophilic infiltration of lung tissue, and eosinophil migration in the area of inflammation. The novel medication reslizumab (Cinqair) is the first anti-IL-5 immunological biologic drug registered in Russia for the treatment of severe asthma with eosinophilic airway inflammation. As a humanized monoclonal antibody (IgG4k) with high affinity for IL-5, reslizumab specifically binds to IL-5 and inhibits its interaction with IL-5 receptor on the cell surface, thus disrupting the underlying pathophysiology of bronchial inflammation in asthma, including maturation and survival of eosinophils, inflammation and remodeling of the airways. Clinical effects of reslizumab are manifested as decreased asthma exacerbation rate, improved lung function, and disease control.ΠΠ·Π²Π΅ΡΡΠ½ΠΎ, ΡΡΠΎ Ρ Π±ΠΎΠ»ΡΠ½ΡΡ
ΡΡΠΆΠ΅Π»ΠΎΠΉ Π±ΡΠΎΠ½Ρ
ΠΈΠ°Π»ΡΠ½ΠΎΠΉ Π°ΡΡΠΌΠΎΠΉ (ΠΠ) ΡΠ°ΡΡΠΎ Π½Π΅ Π΄ΠΎΡΡΠΈΠ³Π°Π΅ΡΡΡ ΠΊΠΎΠ½ΡΡΠΎΠ»Ρ Π½Π°Π΄ Π·Π°Π±ΠΎΠ»Π΅Π²Π°Π½ΠΈΠ΅ΠΌ. ΠΡΠΈ ΡΡΠΎΠΌ ΠΈΠ·Π±ΡΡΠΎΡΠ½ΠΎΠ΅ ΡΠΎΠ·ΠΈΠ½ΠΎΡΠΈΠ»ΡΠ½ΠΎΠ΅ Π²ΠΎΡΠΏΠ°Π»Π΅Π½ΠΈΠ΅ Π΄ΡΡ
Π°ΡΠ΅Π»ΡΠ½ΡΡ
ΠΏΡΡΠ΅ΠΉ ΡΠ²Π»ΡΠ΅ΡΡΡ ΠΎΠ΄Π½ΠΎΠΉ ΠΈΠ· ΠΊΠ»ΡΡΠ΅Π²ΡΡ
ΠΏΡΠΈΡΠΈΠ½ ΡΡΠΆΠ΅Π»ΠΎΠ³ΠΎ Π½Π΅ΠΊΠΎΠ½ΡΡΠΎΠ»ΠΈΡΡΠ΅ΠΌΠΎΠ³ΠΎ ΡΠ΅ΡΠ΅Π½ΠΈΡ ΠΠ. Π ΡΡΡΡΠΊΡΡΡΠ΅ ΡΡΠΆΠ΅Π»ΠΎΠΉ Π½Π΅ΠΊΠΎΠ½ΡΡΠΎΠ»ΠΈΡΡΠ΅ΠΌΠΎΠΉ ΠΠ ΡΠ°ΡΡΠΎΡΠ° ΡΠΎΠ·ΠΈΠ½ΠΎΡΠΈΠ»ΡΠ½ΠΎΠ³ΠΎ ΡΠ΅Π½ΠΎΡΠΈΠΏΠ° Π²ΠΎΡΠΏΠ°Π»Π΅Π½ΠΈΡ Π΄ΠΎΡΡΠ°ΡΠΎΡΠ½ΠΎ Π²ΡΡΠΎΠΊΠ°. Π’Π°ΠΊ, ΠΎΠΊΠΎΠ»ΠΎ 55 % ΠΏΠ°ΡΠΈΠ΅Π½ΡΠΎΠ² Ρ
Π°ΡΠ°ΠΊΡΠ΅ΡΠΈΠ·ΡΡΡΡΡ ΡΡΠΎΠ²Π½Π΅ΠΌ ΡΠΎΠ·ΠΈΠ½ΠΎΡΠΈΠ»ΠΎΠ² Π² ΠΈΠ½Π΄ΡΡΠΈΡΠΎΠ²Π°Π½Π½ΠΎΠΉ ΠΌΠΎΠΊΡΠΎΡΠ΅ β₯ 3 %. ΠΠΎΠ·ΠΈΠ½ΠΎΡΠΈΠ»ΡΠ½ΡΠΉ ΡΠ΅Π½ΠΎΡΠΈΠΏ ΠΠ Π°ΡΡΠΎΡΠΈΠΈΡΡΠ΅ΡΡΡ Ρ Π±ΠΎΠ»ΡΡΠ΅ΠΉ Π²ΡΡΠ°ΠΆΠ΅Π½Π½ΠΎΡΡΡΡ ΡΠΈΠΌΠΏΡΠΎΠΌΠΎΠ², Π°Π»Π»Π΅ΡΠ³ΠΈΠ΅ΠΉ, Π½Π΅ΡΠ΅Π΄ΠΊΠΎ Ρ ΠΏΠΎΠ·Π΄Π½ΠΈΠΌ ΡΠ°Π·Π²ΠΈΡΠΈΠ΅ΠΌ Π·Π°Π±ΠΎΠ»Π΅Π²Π°Π½ΠΈΡ ΠΈ Π½Π΅ΠΏΠΎΠ»Π½ΡΠΌ ΠΎΡΠ²Π΅ΡΠΎΠΌ Π½Π° Π»Π΅ΡΠ΅Π½ΠΈΠ΅ ΠΈΠ½Π³Π°Π»ΡΡΠΈΠΎΠ½Π½ΡΠΌΠΈ Π³Π»ΡΠΊΠΎΠΊΠΎΡΡΠΈΠΊΠΎΡΡΠ΅ΡΠΎΠΈΠ΄Π°ΠΌΠΈ (ΠΈΠΠΠ‘). Π ΠΌΠ½ΠΎΠ³ΠΎΡΠΈΡΠ»Π΅Π½Π½ΡΡ
ΠΈΡΡΠ»Π΅Π΄ΠΎΠ²Π°Π½ΠΈΡΡ
ΠΏΠΎΠ΄ΡΠ²Π΅ΡΠΆΠ΄Π΅Π½Π° ΡΠ²ΡΠ·Ρ ΠΌΠ΅ΠΆΠ΄Ρ ΠΏΠΎΠ²ΡΡΠ΅Π½Π½ΡΠΌ ΡΡΠΎΠ²Π½Π΅ΠΌ ΡΠΎΠ·ΠΈΠ½ΠΎΡΠΈΠ»ΠΎΠ² Π² Π΄ΡΡ
Π°ΡΠ΅Π»ΡΠ½ΡΡ
ΠΏΡΡΡΡ
ΠΈ Π±ΠΎΠ»Π΅Π΅ ΡΠ°ΡΡΡΠΌΠΈ ΠΈ ΡΡΠΆΠ΅Π»ΡΠΌΠΈ ΠΎΠ±ΠΎΡΡΡΠ΅Π½ΠΈΡΠΌΠΈ ΠΠ, Π° ΡΠ°ΠΊΠΆΠ΅ ΡΠ½ΠΈΠΆΠ΅Π½Π½ΠΎΠΉ ΡΡΠ½ΠΊΡΠΈΠ΅ΠΉ Π»Π΅Π³ΠΊΠΈΡ
, ΠΏΠΎΠ²ΡΡΠ΅Π½Π½ΡΠΌ ΠΏΡΠΈΠ΅ΠΌΠΎΠΌ ΠΠΠ‘ ΠΈ Π΄ΡΡΠ³ΠΈΡ
Π»Π΅ΠΊΠ°ΡΡΡΠ²Π΅Π½Π½ΡΡ
ΠΏΡΠ΅ΠΏΠ°ΡΠ°ΡΠΎΠ², Π±ΠΎΠ»Π΅Π΅ ΡΠ°ΡΡΡΠΌ ΠΈΡΠΏΠΎΠ»ΡΠ·ΠΎΠ²Π°Π½ΠΈΠ΅ΠΌ ΡΡΠ»ΡΠ³ Π·Π΄ΡΠ°Π²ΠΎΠΎΡ
ΡΠ°Π½Π΅Π½ΠΈΡ. Π’ΡΠΆΠ΅Π»Π°Ρ ΡΠΎΠ·ΠΈΠ½ΠΎΡΠΈΠ»ΡΠ½Π°Ρ ΠΠ Ρ
Π°ΡΠ°ΠΊΡΠ΅ΡΠΈΠ·ΡΠ΅ΡΡΡ ΠΏΡΠ΅ΠΈΠΌΡΡΠ΅ΡΡΠ²Π΅Π½Π½ΠΎ ΠΏΠΎΠ·Π΄Π½ΠΈΠΌ Π½Π°ΡΠ°Π»ΠΎΠΌ Π·Π°Π±ΠΎΠ»Π΅Π²Π°Π½ΠΈΡ, ΠΏΠ΅ΡΡΠΈΡΡΠΈΡΡΡΡΠ΅ΠΉ ΡΠΎΠ·ΠΈΠ½ΠΎΡΠΈΠ»ΠΈΠ΅ΠΉ Π² Π΄ΡΡ
Π°ΡΠ΅Π»ΡΠ½ΡΡ
ΠΏΡΡΡΡ
ΠΈ ΠΏΠ΅ΡΠΈΡΠ΅ΡΠΈΡΠ΅ΡΠΊΠΎΠΉ ΠΊΡΠΎΠ²ΠΈ. ΠΠΉ ΡΠ²ΠΎΠΉΡΡΠ²Π΅Π½Π½Ρ ΡΠ°ΡΡΡΠ΅ ΠΎΠ±ΠΎΡΡΡΠ΅Π½ΠΈΡ, ΠΏΠΎΡΡΠΎΡΠ½Π½Π°Ρ ΠΈΠ»ΠΈ ΡΠΏΠΈΠ·ΠΎΠ΄ΠΈΡΠ΅ΡΠΊΠ°Ρ Π·Π°Π²ΠΈΡΠΈΠΌΠΎΡΡΡ ΠΎΡ ΠΏΡΠΈΠΌΠ΅Π½Π΅Π½ΠΈΡ ΡΠΈΡΡΠ΅ΠΌΠ½ΡΡ
ΠΠΠ‘ Π΄Π»Ρ Π΄ΠΎΡΡΠΈΠΆΠ΅Π½ΠΈΡ Π»ΡΡΡΠ΅Π³ΠΎ ΠΊΠΎΠ½ΡΡΠΎΠ»Ρ Π½Π°Π΄ Π·Π°Π±ΠΎΠ»Π΅Π²Π°Π½ΠΈΠ΅ΠΌ, Π° ΡΠ°ΠΊΠΆΠ΅ Π½Π΅Π±Π»Π°Π³ΠΎΠΏΡΠΈΡΡΠ½ΡΠΉ ΠΏΡΠΎΠ³Π½ΠΎΠ· Π΅ΡΡΠ΅ΡΡΠ²Π΅Π½Π½ΠΎΠ³ΠΎ ΡΠ΅ΡΠ΅Π½ΠΈΡ. ΠΡΠ΅ΠΈΠΌΡΡΠ΅ΡΡΠ²Π΅Π½Π½ΠΎ ΡΠΎΠ·ΠΈΠ½ΠΎΡΠΈΠ»ΡΠ½ΡΠΉ ΡΠΈΠΏ Π²ΠΎΡΠΏΠ°Π»Π΅Π½ΠΈΡ Π΄ΡΡ
Π°ΡΠ΅Π»ΡΠ½ΡΡ
ΠΏΡΡΠ΅ΠΉ ΡΠ²Π»ΡΠ΅ΡΡΡ Ρ
Π°ΡΠ°ΠΊΡΠ΅ΡΠ½ΡΠΌ ΠΏΡΠΎΡΠ²Π»Π΅Π½ΠΈΠ΅ΠΌ Π’2-ΡΠ½Π΄ΠΎΡΠΈΠΏΠ° ΠΠ, ΠΊΠΎΡΠΎΡΡΠΉ ΡΠ΅Π°Π»ΠΈΠ·ΡΠ΅ΡΡΡ Π·Π° ΡΡΠ΅Ρ Π΄ΠΎΠΌΠΈΠ½ΠΈΡΠΎΠ²Π°Π½ΠΈΡ Th2-Π»ΠΈΠΌΡΠΎΡΠΈΡΠ°ΡΠ½ΠΎΠ³ΠΎ ΠΎΡΠ²Π΅ΡΠ° (Π°Π»Π»Π΅ΡΠ³ΠΈΡΠ΅ΡΠΊΠ°Ρ ΠΠ) ΠΈ / ΠΈΠ»ΠΈ Π²ΡΡΠΎΠΊΠΎΠΉ Π°ΠΊΡΠΈΠ²Π½ΠΎΡΡΠΈ Π²ΡΠΎΠΆΠ΄Π΅Π½Π½ΡΡ
Π»ΠΈΠΌΡΠΎΠΈΠ΄Π½ΡΡ
ΠΊΠ»Π΅ΡΠΎΠΊ 2-Π³ΠΎ ΡΠΈΠΏΠ° β ILC2-ΠΊΠ»Π΅ΡΠΎΠΊ, ΡΡΠ°ΡΡΠ²ΡΡΡΠΈΡ
Π² ΡΠ°Π·Π²ΠΈΡΠΈΠΈ ΠΊΠ°ΠΊ Π½Π΅Π°Π»Π»Π΅ΡΠ³ΠΈΡΠ΅ΡΠΊΠΎΠΉ, ΡΠ°ΠΊ ΠΈ Π°Π»Π»Π΅ΡΠ³ΠΈΡΠ΅ΡΠΊΠΎΠΉ ΠΠ. ΠΠ°ΠΊ Th2-, ΡΠ°ΠΊ ΠΈ ILC2-ΠΊΠ»Π΅ΡΠΊΠΈ ΡΠ²Π΅Π»ΠΈΡΠΈΠ²Π°ΡΡ ΡΡΠΎΠ²Π½ΠΈ ΠΈΠ½ΡΠ΅ΡΠ»Π΅ΠΉΠΊΠΈΠ½Π°-5 (IL-5), ΠΊΠΎΡΠΎΡΡΠΉ ΠΈΠ³ΡΠ°Π΅Ρ Π²Π°ΠΆΠ½ΡΡ ΡΠΎΠ»Ρ Π² ΡΠΎΡΠΌΠΈΡΠΎΠ²Π°Π½ΠΈΠΈ Π½Π΅ΠΊΠΎΠ½ΡΡΠΎΠ»ΠΈΡΡΠ΅ΠΌΠΎΠ³ΠΎ ΡΠΎΠ·ΠΈΠ½ΠΎΡΠΈΠ»ΡΠ½ΠΎΠ³ΠΎ Π²ΠΎΡΠΏΠ°Π»Π΅Π½ΠΈΡ Π² Π±ΡΠΎΠ½Ρ
ΠΎΠ»Π΅Π³ΠΎΡΠ½ΠΎΠΌ ΡΠ΅Π³ΠΈΠΎΠ½Π΅ Ρ Π±ΠΎΠ»ΡΠ½ΡΡ
, ΡΡΡΠ°Π΄Π°ΡΡΠΈΡ
Π’2-ΡΠ½Π΄ΠΎΡΠΈΠΏΠΎΠΌ ΡΡΠΆΠ΅Π»ΠΎΠΉ ΠΠ, ΡΡΠΈΠΌΡΠ»ΠΈΡΡΡ ΡΠΎΠ·ΡΠ΅Π²Π°Π½ΠΈΠ΅ ΠΏΡΠ΅Π΄ΡΠ΅ΡΡΠ²Π΅Π½Π½ΠΈΠΊΠΎΠ² ΡΠΎΠ·ΠΈΠ½ΠΎΡΠΈΠ»ΠΎΠ² Π² ΠΊΠΎΡΡΠ½ΠΎΠΌ ΠΌΠΎΠ·Π³Π΅, ΠΌΠΎΠ±ΠΈΠ»ΠΈΠ·Π°ΡΠΈΡ ΡΠΎΠ·ΠΈΠ½ΠΎΡΠΈΠ»ΠΎΠ² ΠΈ ΠΏΡΠ΅Π΄ΡΠ΅ΡΡΠ²Π΅Π½Π½ΠΈΠΊΠΎΠ² ΠΈΠ· ΠΊΠΎΡΡΠ½ΠΎΠ³ΠΎ ΠΌΠΎΠ·Π³Π°, Π½Π°ΠΊΠΎΠΏΠ»Π΅Π½ΠΈΠ΅ ΡΠΎΠ·ΠΈΠ½ΠΎΡΠΈΠ»ΠΎΠ² Π² ΠΊΡΠΎΠ²ΠΈ, ΡΠΎΠ·ΠΈΠ½ΠΎΡΠΈΠ»ΡΠ½ΡΡ ΠΈΠ½ΡΠΈΠ»ΡΡΡΠ°ΡΠΈΡ ΡΠΊΠ°Π½ΠΈ Π»Π΅Π³ΠΊΠΈΡ
ΠΈ ΠΌΠΈΠ³ΡΠ°ΡΠΈΡ ΡΠΎΠ·ΠΈΠ½ΠΎΡΠΈΠ»ΠΎΠ² Π² ΠΎΡΠ°Π³ Π²ΠΎΡΠΏΠ°Π»Π΅Π½ΠΈΡ. ΠΠΎΠ²ΡΠΉ ΠΏΡΠ΅ΠΏΠ°ΡΠ°Ρ Π Π΅ΡΠ»ΠΈΠ·ΡΠΌΠ°Π± (Π‘ΠΈΠ½ΠΊΠ΅ΠΉΡΠΎ) ΡΠ²Π»ΡΠ΅ΡΡΡ ΠΏΠ΅ΡΠ²ΡΠΌ Π·Π°ΡΠ΅Π³ΠΈΡΡΡΠΈΡΠΎΠ²Π°Π½Π½ΡΠΌ Π² Π ΠΎΡΡΠΈΠΈ Π°Π½ΡΠΈ-IL-5 ΠΈΠΌΠΌΡΠ½ΠΎΠ»ΠΎΠ³ΠΈΡΠ΅ΡΠΊΠΈΠΌ Π±ΠΈΠΎΠΏΡΠ΅ΠΏΠ°ΡΠ°ΡΠΎΠΌ Π΄Π»Ρ Π»Π΅ΡΠ΅Π½ΠΈΡ ΡΡΠΆΠ΅Π»ΠΎΠΉ ΠΠ Ρ ΡΠΎΠ·ΠΈΠ½ΠΎΡΠΈΠ»ΡΠ½ΡΠΌ ΡΠΈΠΏΠΎΠΌ Π²ΠΎΡΠΏΠ°Π»Π΅Π½ΠΈΡ Π΄ΡΡ
Π°ΡΠ΅Π»ΡΠ½ΡΡ
ΠΏΡΡΠ΅ΠΉ. ΠΠ°ΠΊ Π³ΡΠΌΠ°Π½ΠΈΠ·ΠΈΡΠΎΠ²Π°Π½Π½ΠΎΠ΅ ΠΌΠΎΠ½ΠΎΠΊΠ»ΠΎΠ½Π°Π»ΡΠ½ΠΎΠ΅ Π°Π½ΡΠΈΡΠ΅Π»ΠΎ (IgG4k), Π²ΡΡΠΎΠΊΠΎΠ°ΡΠΈΠ½Π½ΠΎΠ΅ ΠΊ IL-5, Π Π΅ΡΠ»ΠΈΠ·ΡΠΌΠ°Π± ΡΠΏΠ΅ΡΠΈΡΠΈΡΠ΅ΡΠΊΠΈ ΡΠ²ΡΠ·ΡΠ²Π°Π΅ΡΡΡ Ρ Π½ΠΈΠΌ ΠΈ ΠΏΡΠ΅ΠΏΡΡΡΡΠ²ΡΠ΅Ρ Π²Π·Π°ΠΈΠΌΠΎΠ΄Π΅ΠΉΡΡΠ²ΠΈΡ IL-5 Ρ Π΅Π³ΠΎ ΡΠ΅ΡΠ΅ΠΏΡΠΎΡΠΎΠΌ Π½Π° ΠΏΠΎΠ²Π΅ΡΡ
Π½ΠΎΡΡΠΈ ΠΊΠ»Π΅ΡΠΎΠΊ, Π½Π°ΡΡΡΠ°Ρ ΠΏΡΠΎΡΠ΅ΡΡ, Π»Π΅ΠΆΠ°ΡΠΈΠΉ Π² ΠΎΡΠ½ΠΎΠ²Π΅ ΠΏΠ°ΡΠΎΡΠΈΠ·ΠΈΠΎΠ»ΠΎΠ³ΠΈΠΈ Π±ΡΠΎΠ½Ρ
ΠΈΠ°Π»ΡΠ½ΠΎΠ³ΠΎ Π²ΠΎΡΠΏΠ°Π»Π΅Π½ΠΈΡ ΠΏΡΠΈ ΠΠ, Π²ΠΊΠ»ΡΡΠ°Ρ ΡΠΎΠ·ΡΠ΅Π²Π°Π½ΠΈΠ΅ ΠΈ Π²ΡΠΆΠΈΠ²Π°Π΅ΠΌΠΎΡΡΡ ΡΠΎΠ·ΠΈΠ½ΠΎΡΠΈΠ»ΠΎΠ², Π²ΠΎΡΠΏΠ°Π»Π΅Π½ΠΈΠ΅ ΠΈ ΡΠ΅ΠΌΠΎΠ΄Π΅Π»ΠΈΡΠΎΠ²Π°Π½ΠΈΠ΅ Π΄ΡΡ
Π°ΡΠ΅Π»ΡΠ½ΡΡ
ΠΏΡΡΠ΅ΠΉ. ΠΠ»ΠΈΠ½ΠΈΡΠ΅ΡΠΊΠΈΠ΅ ΡΡΡΠ΅ΠΊΡΡ Π Π΅ΡΠ»ΠΈΠ·ΡΠΌΠ°Π±Π° ΠΏΡΠΎΡΠ²Π»ΡΡΡΡΡ ΡΠ½ΠΈΠΆΠ΅Π½ΠΈΠ΅ΠΌ ΡΠ°ΡΡΠΎΡΡ ΠΎΠ±ΠΎΡΡΡΠ΅Π½ΠΈΠΉ ΠΠ, ΡΠ»ΡΡΡΠ΅Π½ΠΈΠ΅ΠΌ ΡΡΠ½ΠΊΡΠΈΠΈ Π»Π΅Π³ΠΊΠΈΡ
ΠΈ ΠΊΠΎΠ½ΡΡΠΎΠ»Ρ Π½Π°Π΄ Π·Π°Π±ΠΎΠ»Π΅Π²Π°Π½ΠΈΠ΅ΠΌ
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