194 research outputs found

    Motivation as a key element of psychological potential for entrepreneurial activities among the retired military personnel

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    The article considers with the problem of diagnosing the motivation of military personnel leaving the reserve, in order to assess their psychological potential for entrepreneurial activity. The currently known approaches to assessing the psychological potential of entrepreneurial activity are analysed. The necessity of identifying diagnostics of motivation as a key element for predicting the success of a serviceman who is transferred to the reserve in creating his own business is noted. Based on the analysis of the research results obtained during the implementation of the national project β€œSmall Business Course” for military personnel and members of their families, the most significant motivators for two types of entrepreneurs were identified: innovators (capable of generating new ideas and modifying them from a business plan) and imitators ( who prefer to distribute previously developed technologies)

    Study of the conditional flexibility effect of compressed chord on the overall stability of corrugated beams

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    In this paper, the calculation of cut corrugated beams loaded with uniformly distributed load in the plane of the wall, with a wall height of 333 and 500 mm (54 sizes), chord width from 160 to 400 mm and chord thickness from 6 to 30 mm for general stability in accordance with Building Codes (BC) 294.1325800.2017 is made. A geometric criterion has been defined which defines the boundaries of the load-carrying capacity of Russian corrugated beams between the flat bending form stability and the strength of the normal section under the action of the bending moment in the plane of the wall

    Engineering methodology for calculation of corrugated beams for bending and torsion. Flat bend form stability

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    An engineering design procedure for calculating bending with torsion in corrugated beams, including finding the critical load of general stability, implemented in the commonly used MS Excel spreadsheet and verified in the LIRA-SAPR software package, has been proposed. The method makes it possible to take into account the beams section variability and corrugation parameters, to estimate the loading eccentricity effect, availability of supporting ribs and reinforcements of the compressed chord from the bending plane. Calculation results of particular design solutions for corrugated beams with definition of critical loads at transverse bending are given. Results of test calculation of a bent channel beam with calculation of stress-strain state parameters and its verification with the LIRA-SAP software package are given

    Silver-doped Calcium Phosphate bone cements with antibacterial properties

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    Calcium phosphate bone cements (CPCs) with antibacterial properties are demanded for clinical applications. In this study, we demonstrated the use of a relatively simple processing route based on preparation of silver-doped CPCs (CPCs-Ag) through the preparation of solid dispersed active powder phase. Real-time monitoring of structural transformations and kinetics of several CPCs-Ag formulations (Ag = 0 wt %, 0.6 wt % and 1.0 wt %) was performed by the Energy Dispersive X-ray Diffraction technique. The partial conversion of Ξ²-tricalcium phosphate (TCP) phase into the dicalcium phosphate dihydrate (DCPD) took place in all the investigated cement systems. In the pristine cement powders, Ag in its metallic form was found, whereas for CPC-Ag 0.6 wt % and CPC-Ag 1.0 wt % cements, CaAg(PO₃)₃ was detected and Ag (met.) was no longer present. The CPC-Ag 0 wt % cement exhibited a compressive strength of 6.5 Β± 1.0 MPa, whereas for the doped cements (CPC-Ag 0.6 wt % and CPC-Ag 1.0 wt %) the reduced values of the compressive strength 4.0 Β± 1.0 and 1.5 Β± 1.0 MPa, respectively, were detected. Silver-ion release from CPC-Ag 0.6 wt % and CPC-Ag 1.0 wt % cements, measured by the Atomic Emission Spectroscopy, corresponds to the average values of 25 Β΅g/L and 43 Β΅g/L, respectively, rising a plateau after 15 days. The results of the antibacterial test proved the inhibitory effect towards pathogenic Escherichia coli for both CPC-Ag 0.6 wt % and CPC-Ag 1.0 wt % cements, better performances being observed for the cement with a higher Ag-content

    Magnetoresistance Features at the Magnetic Field-Induced Phase Transition in FeRh Thin Films

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    The causes of the appearance of first-order magnetic phase transitions remain a mystery. FeRh alloy is a classical material where a first-order magnetic phase transition occurs. The authors of this article studied the phase transition from the antiferromagnetic state to the ferromagnetic state in FeRh alloy. Comparison of the magnetometry and transport properties results allowed us to determine a number of differences in the mechanisms of the phase evolution during magnetic field and temperature induced transition. This article notes the priority of the rearrangement of the micromagnetic structure of the ferromagnetic phase as a result of the induction of a phase transition by a magnetic field. The main feature of the magnetic field induced phase transition compared to the temperature induced one is the change in the micromagnetic structure of the ferromagnetic phase. The growth of a ferromagnetic phase with less scattering fields leads to asymmetric behavior when a phase transition is induced near the metastable state. We also focused on the importance of taking into account the effect of magnetostriction when analyzing the evolution of the phase transition, which leads to the irreversibility of the phase transition near a zero magnetic field

    Organizational Model of Universities in the USSR (1975-1985): Inertia or Innovation?

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    The article discusses an important problem of the organizational component in the functioning of universities. Along with the role of the social factor in the activities of universities, management models are attracting more and more attention of researchers. However, historians have studied this problem very little. While abroad, at least 3 models of β€œmanagement” in universities are being actively developed. The Soviet experience is also of theoretical and practical interest for further reforming the higher education system.Π’ ΡΡ‚Π°Ρ‚ΡŒΠ΅ рассматриваСтся ваТная ΠΏΡ€ΠΎΠ±Π»Π΅ΠΌΠ° ΠΎΡ€Π³Π°Π½ΠΈΠ·Π°Ρ†ΠΈΠΎΠ½Π½ΠΎΠΉ ΡΠΎΡΡ‚Π°Π²Π»ΡΡŽΡ‰Π΅ΠΉ Π² Ρ„ΡƒΠ½ΠΊΡ†ΠΈΠΎΠ½ΠΈΡ€ΠΎΠ²Π°Π½ΠΈΠΈ Π²ΡƒΠ·ΠΎΠ². Наряду с Ρ€ΠΎΠ»ΡŒΡŽ ΡΠΎΡ†ΠΈΠ°Π»ΡŒΠ½ΠΎΠ³ΠΎ Ρ„Π°ΠΊΡ‚ΠΎΡ€Π° Π² Π΄Π΅ΡΡ‚Π΅Π»ΡŒΠ½ΠΎΡΡ‚ΠΈ Π²ΡƒΠ·ΠΎΠ², управлСнчСскиС ΠΌΠΎΠ΄Π΅Π»ΠΈ ΠΏΡ€ΠΈΠ²Π»Π΅ΠΊΠ°ΡŽΡ‚ всС большСС Π²Π½ΠΈΠΌΠ°Π½ΠΈΠ΅ исслСдоватСлСй. Однако историки ΠΎΡ‡Π΅Π½ΡŒ ΠΌΠ°Π»ΠΎ ΠΈΠ·ΡƒΡ‡Π°ΡŽΡ‚ эту ΠΏΡ€ΠΎΠ±Π»Π΅ΠΌΡƒ, Π² Ρ‚ΠΎ врСмя ΠΊΠ°ΠΊ Π·Π° Ρ€ΡƒΠ±Π΅ΠΆΠΎΠΌ Π°ΠΊΡ‚ΠΈΠ²Π½ΠΎ Ρ€Π°Π·Ρ€Π°Π±Π°Ρ‚Ρ‹Π²Π°ΡŽΡ‚ΡΡ ΠΏΠΎ ΠΊΡ€Π°ΠΉΠ½Π΅ΠΉ ΠΌΠ΅Ρ€Π΅ 3 ΠΌΠΎΠ΄Π΅Π»ΠΈ «управлСния» Π² унивСрситСтах. БовСтский ΠΎΠΏΡ‹Ρ‚ Ρ‚Π°ΠΊΠΆΠ΅ прСдставляСт тСорСтичСский ΠΈ практичСский интСрСс для дальнСйшСго рСформирования систСмы Π²Ρ‹ΡΡˆΠ΅Π³ΠΎ образования

    Study of thermal effects of silicate-containing hydroxyapatites

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    The possibility of modifications of hydroxyapatite silicate ions, from the extracellular fluid prototype solution under near-physiological conditions has been studied. Formation of silicon-structured hydroxyapatite with different extent of substitution of phosphate groups in the silicate group has been established through chemical and X-ray diffraction analyses, FTIR spectroscopy and optical microscopy. The results obtained are in agreement and suggest the possibility of substitution of phosphate groups for silicate groups in the hydroxyapatite structure when introducing different sources of silica, tetraethoxysilane and sodium silicate, in the reaction mixture. Growth in the amount of silicon in Si-HA results in the increase in the thermal stability of the samples. The greatest mass loss occurs at temperatures in the range of 25-400 Β°Π‘ that is caused by the removal of the crystallization and adsorption water and volatile impurities. It is shown that the modified apatites are of imperfect structure and crystallize in a nanocrystalline state

    Immunomodulatory and neurotropic activities of synthetic peptides in a model of brain injury in rats

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    Treatment of consequences of traumatic brain injury (TBI) remains one of the current problems of medicine. To increase the effectiveness of treatment of post-traumatic complications, various drugs are recommended, including the peptide with neuromodulatory activity Semax.The present study aims to determine the presence of neuro- and immunoprotective properties of the synthetic peptide PR5, composed of fragments of proline-rich antimicrobial peptides.The work was performed on male Wistar rats weighing 300-350 g. The β€œfalling weight” model of mechanical brain injury was used, which mainly causes diffuse brain damage. The synthesized peptide PR5, composed of fragments of known proline-rich peptides of animal neutrophils, and the peptide preparation Semax in the form of a 1% aqueous solution were used. The drugs were administered intranasally 1 hour after TBI, then twice a day for 4 days at a dose of 100 mg/kg body weight. Control animals received physiological saline in the same regimen as the peptide preparations.TBI led to a significant decrease in body weight, but in rats receiving the peptide preparation Semax, the decrease in body weight was significantly less than in control animals, and the PR5 preparation completely prevented the decrease in body weight after TBI. After TBI, the proliferative activity of lymphocytes was suppressed and the cytotoxicity of NK cells decreased. In animals treated with peptide preparations, there was no significant suppression of NK cell cytotoxicity, and the proliferative activity of lymphocytes was restored to the level of control animals by day 14 after TBI. Both peptide preparations used contributed to higher locomotor activity, and in animals treated with the PR5 peptide, this type of activity reached the parameters of control animals. The reduction in freezing duration in groups treated with peptide preparations indicates the presence of a sedative effect.The peptide preparation PR5 was active in this series of experiments, showing immunotropic and neuroprotective activity comparable to the Semax preparation. Further studies aimed at confirming the identified types of activity of the peptide preparation PR5 may justify its prospects for clinical use as a new nootropic agent

    Π‘Ρ€Π°Π²Π½ΠΈΡ‚Π΅Π»ΡŒΠ½Π°Ρ ΠΎΡ†Π΅Π½ΠΊΠ° заТивлСния Ρ€Π°Π½Ρ‹ ΠΏΡ€ΠΈ использовании локального лоскута ΠΈ полнослойного ΠΊΠΎΠΆΠ½ΠΎΠ³ΠΎ трансплантата Π² рСконструктивно-Π²ΠΎΡΡΡ‚Π°Π½ΠΎΠ²ΠΈΡ‚Π΅Π»ΡŒΠ½ΠΎΠΉ Ρ…ΠΈΡ€ΡƒΡ€Π³ΠΈΠΈ Π³ΠΎΠ»ΠΎΠ²Ρ‹ ΠΈ шСи

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    Objective: to present a comparative analysis of wound healing process and to evaluate the clinical effectiveness of using a local flap and a full-thickness skin graft in reconstructive surgery of head and neck skin tumors.Materials and methods. There were analyzed the results of 524 patients’ treatments in the Yaroslavl Regional Clinical Oncological Hospital over the period from 2000 to 2013. For 478 patients skin tumors excisions were performed by the reconstruction with a local flap, and for 46 patients – with a full-thickness skin graft. While making an assessment of wound healing it was considered the dynamics of clinical symptomatology, clinical laboratory measurements, the results of local thermometry, of bacteriological and morphological studies, as well as the results of wound-tensiometry studies. As a comparison of averages, they used Student’s t-test, Mann–Whitney test, Ο‡2 test and Fisher’s exact test with statistically significant results at p < 0,05.Results. Comprehensive assessment of wound healing after skin tumors excisions of the head and neck with the elimination of the formed defect by using a local flap or a full-thickness skin graft showed that there was a vibrant local inflammatory reaction in both groups of patients up to 5–7 days after the operation. It was determined not only clinically, but also by objective criteria which characterized the wound healing process. Moreover, the hallmark of plastic reconstruction by skin graft was moderate intensity of local inflammation with the background of perceivable trophic abnormalities. Ultimately, the defined characteristics of wound healing process were as-sociated with a high incidence of complicated wound healing, up to 52.2 % using the skin graft and 33.1 % – the local flap. There were prevailed graft trophism problems in the complications structure in the form of partial or complete necrosis, which were particularly characterized for wound closing by free graft. From oncology position indicated wound risks were accompanied sufficiently high 5-year survival rate (81.8 and 93.9 %, respectively). Generally, choosing reconstructive surgery tactics to close the skin defect of the head and neck and considering a smaller percentage of complications it is preferred to use a local flap, in comparison with a free skin graft.ЦСль исслСдования – ΠΏΡ€Π΅Π΄ΡΡ‚Π°Π²ΠΈΡ‚ΡŒ ΡΡ€Π°Π²Π½ΠΈΡ‚Π΅Π»ΡŒΠ½ΡƒΡŽ характСристику тСчСния Ρ€Π°Π½Π΅Π²ΠΎΠ³ΠΎ процСсса ΠΈ ΠΎΡ†Π΅Π½ΠΈΡ‚ΡŒ ΠΊΠ»ΠΈΠ½ΠΈΡ‡Π΅ΡΠΊΡƒΡŽ ΡΡ„Ρ„Π΅ΠΊΡ‚ΠΈΠ²Π½ΠΎΡΡ‚ΡŒ использования локального лоскута ΠΈ полнослойного ΠΊΠΎΠΆΠ½ΠΎΠ³ΠΎ трансплантата Π² рСконструктивной Ρ…ΠΈΡ€ΡƒΡ€Π³ΠΈΠΈ Π½ΠΎΠ²ΠΎΠΎΠ±Ρ€Π°Π·ΠΎΠ²Π°Π½ΠΈΠΉ ΠΊΠΎΠΆΠΈ Π³ΠΎΠ»ΠΎΠ²Ρ‹ ΠΈ шСи.ΠœΠ°Ρ‚Π΅Ρ€ΠΈΠ°Π»Ρ‹ ΠΈ ΠΌΠ΅Ρ‚ΠΎΠ΄Ρ‹. ΠŸΡ€ΠΎΠ°Π½Π°Π»ΠΈΠ·ΠΈΡ€ΠΎΠ²Π°Π½Ρ‹ Ρ€Π΅Π·ΡƒΠ»ΡŒΡ‚Π°Ρ‚Ρ‹ лСчСния 524 ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚ΠΎΠ² Π² Ярославской областной клиничСской онкологичСской Π±ΠΎΠ»ΡŒΠ½ΠΈΡ†Π΅ Π² ΠΏΠ΅Ρ€ΠΈΠΎΠ΄ с 2000 ΠΏΠΎ 2013 Π³., срСди ΠΊΠΎΡ‚ΠΎΡ€Ρ‹Ρ… 478 Π±ΠΎΠ»ΡŒΠ½Ρ‹ΠΌ Π±Ρ‹Π»ΠΎ Π²Ρ‹ΠΏΠΎΠ»Π½Π΅Π½ΠΎ иссСчСниС новообразования ΠΊΠΎΠΆΠΈ с рСконструкциСй Π»ΠΎΠΊΠ°Π»ΡŒΠ½Ρ‹ΠΌ лоскутом, 46 – полнослойным ΠΊΠΎΠΆΠ½Ρ‹ΠΌ трансплантатом. ΠŸΡ€ΠΈ ΠΎΡ†Π΅Π½ΠΊΠ΅ заТивлСния Ρ€Π°Π½Ρ‹ ΡƒΡ‡ΠΈΡ‚Ρ‹Π²Π°Π»ΠΈ Π΄ΠΈΠ½Π°ΠΌΠΈΠΊΡƒ клиничСской симптоматики, ΠΊΠ»ΠΈΠ½ΠΈΠΊΠΎ-Π»Π°Π±ΠΎΡ€Π°Ρ‚ΠΎΡ€Π½Ρ‹Ρ… ΠΏΠΎΠΊΠ°Π·Π°Ρ‚Π΅Π»Π΅ΠΉ, Π΄Π°Π½Π½Ρ‹Π΅ локальной Ρ‚Π΅Ρ€ΠΌΠΎΠΌΠ΅Ρ‚Ρ€ΠΈΠΈ, бактСриологичСского ΠΈ морфологичСского исслСдований, Π° Ρ‚Π°ΠΊΠΆΠ΅ Ρ€Π°Π½ΠΎΡ‚Π΅Π½Π·ΠΈΠΎΠΌΠ΅Ρ‚Ρ€ΠΈΠΈ. Для сравнСния срСдних Π²Π΅Π»ΠΈΡ‡ΠΈΠ½ использовали t-ΠΊΡ€ΠΈΡ‚Π΅Ρ€ΠΈΠΉ Π‘Ρ‚ΡŒΡŽΠ΄Π΅Π½Ρ‚Π°, ΠΊΡ€ΠΈΡ‚Π΅Ρ€ΠΈΠΉ ΠœΠ°Π½Π½Π°β€“Π£ΠΈΡ‚Π½ΠΈ, ΠΊΡ€ΠΈΡ‚Π΅Ρ€ΠΈΠΉ Ο‡2 ΠΈ Ρ‚ΠΎΡ‡Π½Ρ‹ΠΉ ΠΊΡ€ΠΈΡ‚Π΅Ρ€ΠΈΠΉ Π€ΠΈΡˆΠ΅Ρ€Π° со статистичСской Π·Π½Π°Ρ‡ΠΈΠΌΠΎΡΡ‚ΡŒΡŽ Ρ€Π΅Π·ΡƒΠ»ΡŒΡ‚Π°Ρ‚ΠΎΠ² ΠΏΡ€ΠΈ p < 0,05.Π Π΅Π·ΡƒΠ»ΡŒΡ‚Π°Ρ‚Ρ‹. КомплСксная ΠΎΡ†Π΅Π½ΠΊΠ° заТивлСния Ρ€Π°Π½Ρ‹ послС иссСчСния новообразования ΠΊΠΎΠΆΠΈ Π³ΠΎΠ»ΠΎΠ²Ρ‹ ΠΈ шСи с Π»ΠΈΠΊΠ²ΠΈΠ΄Π°Ρ†ΠΈΠ΅ΠΉ ΠΎΠ±Ρ€Π°Π·ΠΎΠ²Π°Π²ΡˆΠ΅Π³ΠΎΡΡ Π΄Π΅Ρ„Π΅ΠΊΡ‚Π° с ΠΏΠΎΠΌΠΎΡ‰ΡŒΡŽ локального лоскута ΠΈΠ»ΠΈ полнослойного ΠΊΠΎΠΆΠ½ΠΎΠ³ΠΎ трансплантата ΠΏΠΎΠΊΠ°Π·Π°Π»Π°, Ρ‡Ρ‚ΠΎ Π² ΠΎΠ±Π΅ΠΈΡ… Π³Ρ€ΡƒΠΏΠΏΠ°Ρ… Π±ΠΎΠ»ΡŒΠ½Ρ‹Ρ… Π΄ΠΎ 5–7 сут послС ΠΎΠΏΠ΅Ρ€Π°Ρ†ΠΈΠΈ наблюдалась выраТСнная мСстная Π²ΠΎΡΠΏΠ°Π»ΠΈΡ‚Π΅Π»ΡŒΠ½Π°Ρ рСакция. Она ΠΎΠΏΡ€Π΅Π΄Π΅Π»ΡΠ»Π°ΡΡŒ Π½Π΅ Ρ‚ΠΎΠ»ΡŒΠΊΠΎ клиничСски, Π½ΠΎ ΠΈ посрСдством ΠΎΠ±ΡŠΠ΅ΠΊΡ‚ΠΈΠ²Π½Ρ‹Ρ… ΠΊΡ€ΠΈΡ‚Π΅Ρ€ΠΈΠ΅Π², Ρ…Π°Ρ€Π°ΠΊΡ‚Π΅Ρ€ΠΈΠ·ΡƒΡŽΡ‰ΠΈΡ… Ρ‚Π΅Ρ‡Π΅Π½ΠΈΠ΅ Ρ€Π°Π½Π΅Π²ΠΎΠ³ΠΎ процСсса. ΠŸΡ€ΠΈ этом ΠΎΡ‚Π»ΠΈΡ‡ΠΈΡ‚Π΅Π»ΡŒΠ½ΠΎΠΉ Ρ‡Π΅Ρ€Ρ‚ΠΎΠΉ пластики полнослойной ΠΊΠΎΠΆΠ΅ΠΉ Π±Ρ‹Π»Π° умСрСнная Π²Ρ‹Ρ€Π°ΠΆΠ΅Π½Π½ΠΎΡΡ‚ΡŒ локального воспалСния Π½Π° Ρ„ΠΎΠ½Π΅ ΠΎΡ‰ΡƒΡ‚ΠΈΠΌΡ‹Ρ… трофичСских Π½Π°Ρ€ΡƒΡˆΠ΅Π½ΠΈΠΉ. ВыявлСнныС особСнности тСчСния Ρ€Π°Π½Π΅Π²ΠΎΠ³ΠΎ процСсса Π±Ρ‹Π»ΠΈ сопряТСны с высокой частотой встрСчаСмости ослоТнСнного заТивлСния Ρ€Π°Π½Ρ‹, Π΄ΠΎΡΡ‚ΠΈΠ³Π°ΡŽΡ‰Π΅ΠΉ 52,2 % ΠΏΡ€ΠΈ Π·Π°ΠΊΡ€Ρ‹Ρ‚ΠΈΠΈ Ρ€Π°Π½Ρ‹ ΠΊΠΎΠΆΠ½Ρ‹ΠΌ трансплантатом ΠΈ 33,1 % – Π»ΠΎΠΊΠ°Π»ΡŒΠ½Ρ‹ΠΌ лоскутом. Π’ структурС ослоТнСний ΠΏΡ€Π΅Π²Π°Π»ΠΈΡ€ΠΎΠ²Π°Π»ΠΈ ΠΏΡ€ΠΎΠ±Π»Π΅ΠΌΡ‹, связанныС с Ρ‚Ρ€ΠΎΡ„ΠΈΠΊΠΎΠΉ лоскута, Π² Π²ΠΈΠ΄Π΅ частичного ΠΈΠ»ΠΈ ΠΏΠΎΠ»Π½ΠΎΠ³ΠΎ Π΅Π³ΠΎ Π½Π΅ΠΊΡ€ΠΎΠ·Π°, ΠΊΠΎΡ‚ΠΎΡ€Ρ‹Π΅ Π±Ρ‹Π»ΠΈ особСнно Ρ…Π°Ρ€Π°ΠΊΡ‚Π΅Ρ€Π½Ρ‹ для закрытия Ρ€Π°Π½Ρ‹ свободной ΠΊΠΎΠΆΠ΅ΠΉ. Π‘ онкологичСских ΠΏΠΎΠ·ΠΈΡ†ΠΈΠΉ ΡƒΠΊΠ°Π·Π°Π½Π½Ρ‹Π΅ риски со стороны Ρ€Π°Π½Ρ‹ ΡΠΎΠΏΡ€ΠΎΠ²ΠΎΠΆΠ΄Π°Π»ΠΈΡΡŒ достаточно высокой 5-Π»Π΅Ρ‚Π½Π΅ΠΉ Π²Ρ‹ΠΆΠΈΠ²Π°Π΅ΠΌΠΎΡΡ‚ΡŒΡŽ (81,8 ΠΈ 93,9 % соотвСтствСнно). Π’ Ρ†Π΅Π»ΠΎΠΌ ΠΏΡ€ΠΈ Π²Ρ‹Π±ΠΎΡ€Π΅ Ρ‚Π°ΠΊΡ‚ΠΈΠΊΠΈ выполнСния рСконструктивной ΠΎΠΏΠ΅Ρ€Π°Ρ†ΠΈΠΈ для закрытия Π΄Π΅Ρ„Π΅ΠΊΡ‚Π° ΠΊΠΎΠΆΠΈ Π³ΠΎΠ»ΠΎΠ²Ρ‹ ΠΈ шСи с ΡƒΡ‡Π΅Ρ‚ΠΎΠΌ мСньшСго ΠΏΡ€ΠΎΡ†Π΅Π½Ρ‚Π° ослоТнСний ΠΏΡ€Π΅Π΄ΠΏΠΎΡ‡Ρ‚ΠΈΡ‚Π΅Π»ΡŒΠ½ΠΎ использованиС локального лоскута ΠΏΠΎ ΡΡ€Π°Π²Π½Π΅Π½ΠΈΡŽ с пластикой свободным ΠΊΠΎΠΆΠ½Ρ‹ΠΌ трансплантатом
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