915 research outputs found

    Nomenclature adjustments and new syntaxa of the arctic, alpine and oro-Mediterranean vegetation

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    Proposte sintassonomiche e nomenclaturali per la vegetazione della Tundra alpina. Il capitolo riguardante l'alta quota appenninica è il più corposo e propone il nuovo syntaxon Leontopodio-Elynion a livello di alleanza. La grande novità sta nel fatto che questa alleanza è da considerarsi anfi-Adriatica e unsice Appennino e balcani, differenziandosi dall'alleanza già definita da altri per le Alpi. i Pirenei e i Carpazi.During preparation of the European checklist of vegetation units (EuroVegChecklist), it became clear that some earlier described syntaxa need to be typified in order to stabilize nomenclature and some new syntaxa need to be described. Here we propose nomenclature adjustments and formal description of four new alliances for the Arctic, alpine and oro-Mediterranean vegetation of Europe, Greenland and Anatolia. First, we typify the class Juncetea trifidi. Second, we describe four new alliances, such as the Puccinellion nuttallianae (Low-Arctic salt steppes of Greenland; class Saxifrago tricuspidatae-Calamagrostietea purpurascentis), Dryado octopetalae- Caricion arctisibiricae (Arctic tundra vegetation of north-eastern European Russia; class Carici rupestris-Kobresietea bellardii), Leontopodio nivalis-Elynion myosuroidis (southern European alpine tundra vegetation; class Carici rupestris-Kobresietea bellardii) and Lagotido uralensis-Caricion ensifoliae (alpine tundra vegetation of the Southern Ural Mountains; class Juncetea trifidi). Two new associations are described within the first two of these alliances. Finally, we present an interpretation of the alliance Muscario-Scillion nivalis

    Problems and prospects of development of ecological tourism in Ireland

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    The paper presents the research on the development of ecological tourism in Ireland. The basic directions and problems of development of ecotourism. Income from ecotourism in the country was analyzed in the article, as well as the model for the attraction of tourists to Irelan

    Фармакоэпидемиологическая и клинико-лабораторная характеристика лекарственно-индуцированного поражения печени при туберкулезе

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    Objective: improving the efficiency of pharmacotherapy of drug-induced liver injury in tuberculosis by clarifying pharmaco-epidemiological, clinical and laboratory features.Materials and Methods: A retrospective analysis of primary medical records of 250 patients with pulmonary tuberculosis, patients «Volgograd Regional Clinical TB Dispensary № 1». We evaluated the dynamics of biochemical parameters characterizing the development of hepatic cytolytic syndrome, examined the impact of gender and age on the incidence of liver damage, we investigated the relationship of clinical tuberculosis and chemotherapy regimen with the incidence of drug-induced liver injury, examined the clinical manifestations of liver disease.Results: Drug-induced liver injury as a complication of a specific anti-TB treatment was diagnosed in 67 patients (26,8%). In 170 patients (68,0%) showed increase in alanine aminotransferase and asparaginaminotrasferazy. Hepatotoxicity significantly more common in patients with disseminated tuberculosis with the collapse of the lung tissue, smear, and a high degree of disease severity. Risk factors for drug liver damage were female gender and age older than 50 years. Women develop liver disease at an earlier date, and displays it harder than men. The earliest and most informative routine biochemical tests, reflecting the state of the liver in the dynamics are ALT and AST. It was found that the mode of the standard anti-TB treatment determines the type of liver injury: the first, 2a and 3rd modes prevails cytolytic hepatocellular type, with 2b mode – combined (mixed) type 4th – type of cholestatic liver damage. It was found that repeated, after the development of hepatotoxic reactions, the appointment of anti-TB drugs without gepatoprotektsii in 94% of patients leads to repeated drug-induced liver damage. Cancel specific therapy against the background of cytolytic syndrome promotes the formation of drug-resistant forms of mycobacteria, and reduces the effectiveness of treatment for tuberculosis.Цель исследования: повышение эффективности фармакотерапии лекарственно-индуцированного поражения печени у больных, получающих специфическую противотуберкулезную химиотерапию, за счет уточнения фармакоэпидемиологических и клинико-лабораторных особенностей заболевания.Материалы и методы: проведен ретроспективный анализ первичной медицинской документации 250 больных туберкулёзом лёгких, пациентов ГКУЗ «Волгоградский областной клинический противотуберкулезный диспансер №1». Дана оценка динамики биохимических показателей, характеризующих развитие печеночного цитолитического синдрома, проведена оценка влияния пола и возраста на частоту повреждения печени, изучена взаимосвязь клинических форм туберкулеза и режима химиотерапии с частотой развития лекарственно-индуцированного поражения печени, изучены клинические проявления поражения печени.Результаты: лекарственно-индуцированное поражение печени как осложнение специфической противотуберкулезной терапии диагностировано у 67 пациентов (26,8%), у 170 больных (68,0%) выявлено повышение уровня аланинаминотрансферазы и аспарагинамино-трасферазы. Гепатотоксические реакции статистически значимо чаще наблюдались у больных с диссеминированной формой туберкулеза с распадом легочной ткани, бактериовыделением и высокой степенью тяжести заболевания. Факторами риска лекарственного поражения печени являлись женский пол и возраст старше 50 лет. У женщин поражение печени развивается в более ранние сроки, и проявления его интенсивнее, чем у мужчин. Самыми ранними и наиболее информативными рутинными биохимическими тестами, отражающими состояние печени в динамике, являются АлАТ и АсАТ. Выявлено, что режим стандартной противотуберкулезной химиотерапии определяет тип поражения печени: при 1, 2а и 3 режимах преобладает цитолитический гепатоцеллюлярный тип, при 2б режиме – комбинированный (смешанный) тип, при 4 режиме – холестатический тип повреждения печени. Выявлено, что повторное, после развития гепатотоксических реакций, назначение противотуберкулезных препаратов без гепатопротекции у 94% пациентов приводит к повторному лекарственно-индуцированному поражению печени. Отмена специфической терапии на фоне цитолитического синдрома способствует формированию лекарственно-устойчивых форм микобактерий и снижает эффективность лечения туберкулеза

    Investigation of the structure and microhardness of Mo-Fe-C coatings obtained by the electron beam injected in the atmosphere

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    In this work 'Mo-Fe-C' coatings fabricated on medium carbon steel by non-vacuum electron beam cladding were investigated. The structure of coatings and transition zones were studied by scanning electron microscopy (SEM). It was shown that an increase of Fe percentage in the cladding mixture led to a decrease of the eutectic volume fraction in the coating and was accompanied by the formation of the gradient structure between the coating and a substrate material. Measurements of microhardness in the cross section of samples revealed that the cladding of a 'Mo-C powder mixture contributed to a 4.5-fold increase of microhardness

    Fast electrochemical membrane actuator:Design, fabrication and preliminary testing

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    An actuator based on water electrolysis with a fast change of voltage polarity is presented. It demonstrates a new actuation principle allowing significant increase the operation frequency of the device due to fast termination of the produced gas. The actuator consists of a working chamber with metallic electrodes and supplying channels filled with an electrolyte. The chamber is formed in a layer of SU-8 and covered by a flexible polydimethylsiloxane membrane, which deforms as the pressure in the chamber increases. Design, fabrication procedure, and first tests of the actuator are described

    Clinical evaluation of different treatment strategies for motor recovery in poststroke rehabilitation during the first 90 days

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    Background: Motor recovery after stroke is based on neuronal plasticity and the structural reorganization of the brain. Questions are debated about the proper moment to start rehabilitation in the acute period of stroke, the significance of rehabilitation interventions during the so-called “plastic window”, and the advantages of modern and traditional programs. The aims of this study were to evaluate the role of different rehabilitation strategies and their combinations for motor recovery and the impact on functional disability by way of neurological and functional outcomes 3 months after ischemic stroke. Methods: We used three rehabilitation approaches: early rehabilitation from the first day of stroke (Phase I), traditional exercise programs (Phase II), and an author’s new method of biofeedback rehabilitation using motion sensors and augmented reality (AR) rehabilitation (Phase III). Clinical and functional outcomes were measured on the 90th day after stroke. We developed algorithms for quantifying the quality of movements during the execution of tasks in the motor domains of the AR rehabilitation program. Results: Phase I of rehabilitation led to an improvement in functional independence, and the recovery of motor functions of the extremities with an absence of mortality and clinical deterioration. AR rehabilitation led to significant improvement both with respect to clinical and functional scores on scales and to variables reflecting the quality of movements. Patients who were actively treated during Phases II and III achieved the same final level of motor recovery and functional outcomes as that of participants who had only received AR rehabilitation during Phase III. Patients who underwent outpatient observation after Phase I showed a deficit of spontaneous motor recovery on the 90th day after stroke. Conclusions: Early rehabilitation was successful but was not enough; rehabilitation programs should be carried out throughout the entire “sensitive period” of poststroke plasticity. The newly developed AR biofeedback motion training is effective and safe as a separate rehabilitation method in the early recovery period of moderately severe, hemiparalytic, and ischemic stroke. These two rehabilitation approaches must be applied together or after each other, not instead of each other, as shown in clinical practice
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