32 research outputs found

    General features of the energetics of complex formation between ligand and nucleic acids

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    The analysis of the energy contributions of various physical factors to the complex formation between biologically active compounds and nucleic acids in aqueous solution was performed. A comparison of the energy parameters was made for ligand-ligand, intercalator-DNA, MGB-DNA and ligand-RNA groups. It was shown that the energetics of these reactions is of compensatory nature. Physical factors exerting the most pronounced influence on the energy parameters were identified. Correlation of the energy contributions to MGB-DNA complex formation and its biological effect was foun

    Binding polynomial in molecular self-assembly

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    In the present work the concept of a binding polynomial is revisited for the most widely used case of self-assembly of identical molecular units and results in the re-construction of a link to the grand partition function of such a system. It is found that if the self-assembly process is not pronounced (i.e., the product of the equilibrium constant and the monomer concentration is close to zero), the binding polynomial has the meaning of a molecular partition function that is given by the summation over energy levels of any molecule in the system. In other cases the concept of a binding polynomial may be misleadin

    Stocks and fraction composition of phosphorus in the Ili Alatau foothill soils and their change under long-term use

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    In soils of Ili Alatau (dark kastanozems, light kastanozems, mountain chernozems) both in continuous cropping system of sugar beet and in crop rotation with prolonged use of fertilizers the soil agrochemical indices, phosphorus reserves and group composition (total, organic and mineral) vary significantly. The total phosphorus content in the soils was 1720–2330 mg/kg and decreased in the series: virgin mountain chernozems > arable dark kastanozems > arable mountain chernozems > light kashtanozems > virgin dark kastanozems. It was observed, that in arable dark kastanozems, as compared to virgin soils, the content of available forms of phosphorus (loose-bound phosphates Ca-PI and miscellaneous calcium phosphates Ca-PII) increased, and the content of plant unavailable forms of phosphorus (poorly soluble Ca phosphates Ca-PIII, phosphates of aluminum Al-P and iron Fe-P) decreased. In arable mountain chernozems, in comparison with virgin mountain chernozems, the content of all fractions of phosphorus decreased. Arable light kastanozems contain the least amount of available phosphates and the highest of phosphates of aluminum and iron. When cultivating beets on light kastanozems, the content of all fractions of phosphorus, except iron phosphates, increased with increasing dose of fertilizers. The effectiveness of the application of the organic-mineral fertilizers was comparable to the introduction of NK + P1.5 and NK + P2, the yield of sugar beet in the crop rotation in these variants is the highest and amounts to 614 and 577 centner/ha; in the control value (obtained without fertilizers) – 197 centner/ha, and in the variant with application of only NK fertilizers – 277 centner/ha. In continuous cropping system these values were 576 and 561 centner/ha; 311 and 327 centner/ha respectively. Close values of crop yield were obtained in two variants: with the organo-mineral system and NK + P1.5, due to the additional use by the plants of sugar beet phosphorus of newly formed organic compounds

    Analysis of tuberculosis incidence among health workers in the Dnepropetrovsk region.

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    The purpose of our study was to conduct a comparative analysis of tuberculosis incidence among healthcare workers in the general medical service departments and anti-tubercular departments in the Dnipropetrovsk region for the period from 2008 to 2017, analysis of the professional, clinical structure of tuberculosis cases for 2015-2017. Despite the decrease in the incidence of tuberculosis inUkraine,Β  the incidence of morbidity among medical workersΒ in the Dnipropetrovsk regionΒ remains unfavorable. Over the past 3 years, 155 employees of health facilities have been infected with tuberculosis, including 134 from the institutions of the general medical profile and 21 employees of the anti-TB clinics. The risk group consists of representatives of scrub staff and nursing staff, as well as auxiliary (other) personnel, regardless of the profile of the medical institution. It was established that the morbidity of the staff of the institutions of the community network and the clinical structure of cases of tuberculosis is unfavorable with a high proportion of destructive changes in the lungs, bacterial discharge, less specific gravity of cases detected during prophylactic examinations

    Analysis of tuberculosis incidence among health workers in the Dnepropetrovsk region.

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    The purpose of our study was to conduct a comparative analysis of tuberculosis incidence among healthcare workers in the general medical service departments and anti-tubercular departments in the Dnipropetrovsk region for the period from 2008 to 2017, analysis of the professional, clinical structure of tuberculosis cases for 2015-2017. Despite the decrease in the incidence of tuberculosis inUkraine,Β  the incidence of morbidity among medical workersΒ in the Dnipropetrovsk regionΒ remains unfavorable. Over the past 3 years, 155 employees of health facilities have been infected with tuberculosis, including 134 from the institutions of the general medical profile and 21 employees of the anti-TB clinics. The risk group consists of representatives of scrub staff and nursing staff, as well as auxiliary (other) personnel, regardless of the profile of the medical institution. It was established that the morbidity of the staff of the institutions of the community network and the clinical structure of cases of tuberculosis is unfavorable with a high proportion of destructive changes in the lungs, bacterial discharge, less specific gravity of cases detected during prophylactic examinations

    О ΠΏΡ€ΠΎΠ±Π»Π΅ΠΌΠ°Ρ… диагностики ΠΈ лСчСния ΠΏΠ½Π΅Π²ΠΌΠΎΠ½ΠΈΠΉ Ρƒ Π΄Π΅Ρ‚Π΅ΠΉ

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    Background: Pneumonia is one of the most frequent serious potentially life threatening childhood diseases. The criteria for diagnostics and treatment were designed long ago and are clearly articulated. Nevertheless, diagnostics and therapy happen most often during outpatient management.Objective: The aim was to compare the diagnostic criteria of CAP among children in Russian and foreign guidelines and also to compare the incidence. Another aim is to find out the aptness to the Russian guidelines for the management of CAP among children.Materials and methods: The comparative analysis of childhood pneumonia diagnostics and treatment guidelines have been recently published in a range of countries. We reviewed some recently published pneumonia recommendations. The timeliness and adequacy of hospitalization and treatment was analyzed for 167 hospitalized children with pneumonia diagnosed according to Russian and WHO recommendations. We also used the information about the quality of X-ray pneumonia diagnosis in 679 patients from hospitals in Barnaul, Ekaterinburg and Murmansk (PAPIRUS research project).Results: We found a high percentage of late (5-th day and later) hospitalization of children with pneumonia (37 percent in 2002–2007 and 47 percent in 2013–2014) as well as a late ( 5 days) start of therapy (20 and 34 percent accordingly). In three regional hospitals only 27 percent of X-ray films of children treated for pneumonia were attested as meeting the pneumonia criteria. We found a high frequency of macrolides as a starting therapy in typical pneumonia which often had been ineffective. Amoxicillin/clavulanate and oral cephalosporins were also ineffective in doses < 45 mg/kg/day. A poor knowledge of the clinical features of atypical pneumonia was noted with a corresponding high frequency of -lactams as a starting medication.Conclusion. Our data shows the importance of training paediatricians in modern pneumonia diagnosis and treatment.ΠΠΊΡ‚ΡƒΠ°Π»ΡŒΠ½ΠΎΡΡ‚ΡŒ. ПнСвмония Ρƒ Π΄Π΅Ρ‚Π΅ΠΉ β€” ΠΎΠ΄Π½ΠΎ ΠΈΠ· самых частых, ΡΠ΅Ρ€ΡŒΠ΅Π·Π½Ρ‹Ρ…, ΠΏΠΎΡ‚Π΅Π½Ρ†ΠΈΠ°Π»ΡŒΠ½ΠΎ ΡƒΠ³Ρ€ΠΎΠΆΠ°ΡŽΡ‰ΠΈΡ… ΠΆΠΈΠ·Π½ΠΈ Π·Π°Π±ΠΎΠ»Π΅Π²Π°Π½ΠΈΠΉ. ΠšΡ€ΠΈΡ‚Π΅Ρ€ΠΈΠΈ диагностики ΠΈ лСчСния ΠΏΠ½Π΅Π²ΠΌΠΎΠ½ΠΈΠΈ Ρ€Π°Π·Ρ€Π°Π±ΠΎΡ‚Π°Π½Ρ‹ Π΄Π°Π²Π½ΠΎ ΠΈ Ρ‡Π΅Ρ‚ΠΊΠΎ сформулированы. Π’Π΅ΠΌ Π½Π΅ ΠΌΠ΅Π½Π΅Π΅, приходится ΡΡ‚Π°Π»ΠΊΠΈΠ²Π°Ρ‚ΡŒΡΡ с гиподиагностикой ΠΈ Π½Π΅Ρ€Π°Ρ†ΠΈΠΎΠ½Π°Π»ΡŒΠ½ΠΎΠΉ Ρ‚Π΅Ρ€Π°ΠΏΠΈΠ΅ΠΉ, Ρ‡Ρ‚ΠΎ Π½Π°Π±Π»ΡŽΠ΄Π°Π΅Ρ‚ΡΡ Ρ‡Π°Ρ‰Π΅ Π½Π° Π°ΠΌΠ±ΡƒΠ»Π°Ρ‚ΠΎΡ€Π½ΠΎΠΌ этапС.ЦСль: ΡΡ€Π°Π²Π½ΠΈΡ‚Π΅Π»ΡŒΠ½Ρ‹ΠΉ Π°Π½Π°Π»ΠΈΠ· ΠΏΠΎΠΊΠ°Π·Π°Ρ‚Π΅Π»Π΅ΠΉ заболСваСмости, ΠΊΡ€ΠΈΡ‚Π΅Ρ€ΠΈΠ΅Π² диагностики Π²Π½Π΅Π±ΠΎΠ»ΡŒΠ½ΠΈΡ‡Π½Ρ‹Ρ… ΠΏΠ½Π΅Π²ΠΌΠΎΠ½ΠΈΠΉ Ρƒ Π΄Π΅Ρ‚Π΅ΠΉ Π² российских ΠΈ Π·Π°Ρ€ΡƒΠ±Π΅ΠΆΠ½Ρ‹Ρ… рСкомСндациях ΠΈ ΠΈΡ… соотвСтствиС Π΄Π΅ΠΉΡΡ‚Π²ΡƒΡŽΡ‰ΠΈΠΌ Π² России рСкомСндациям ΠΏΠΎ диагностикС ΠΈ Π»Π΅Ρ‡Π΅Π½ΠΈΡŽ ΠΏΠ½Π΅Π²ΠΌΠΎΠ½ΠΈΠΉ Ρƒ Π΄Π΅Ρ‚Π΅ΠΉ.ΠœΠ°Ρ‚Π΅Ρ€ΠΈΠ°Π»Ρ‹ ΠΈ ΠΌΠ΅Ρ‚ΠΎΠ΄Ρ‹. ΠŸΡ€ΠΎΠ²Π΅Π΄Π΅Π½ ΡΡ€Π°Π²Π½ΠΈΡ‚Π΅Π»ΡŒΠ½Ρ‹ΠΉ Π°Π½Π°Π»ΠΈΠ· Ρ€Π΅ΠΊΠΎΠΌΠ΅Π½Π΄Π°Ρ†ΠΈΠΉ, ΠΎΠΏΡƒΠ±Π»ΠΈΠΊΠΎΠ²Π°Π½Π½Ρ‹Ρ… Π² послСднСС врСмя Π² рядС стран, ΠΏΠΎ диагностикС ΠΈ Π»Π΅Ρ‡Π΅Π½ΠΈΡŽ ΠΏΠ½Π΅Π²ΠΌΠΎΠ½ΠΈΠΈ Ρƒ Π΄Π΅Ρ‚Π΅ΠΉ. Π˜Π·ΡƒΡ‡Π°Π»Π°ΡΡŒ ΡΠ²ΠΎΠ΅Π²Ρ€Π΅ΠΌΠ΅Π½Π½ΠΎΡΡ‚ΡŒ диагностики ΠΈ Π°Π΄Π΅ΠΊΠ²Π°Ρ‚Π½ΠΎΡΡ‚ΡŒ Ρ‚Π΅Ρ€Π°ΠΏΠΈΠΈ Π½Π° Π°ΠΌΠ±ΡƒΠ»Π°Ρ‚ΠΎΡ€Π½ΠΎΠΌ этапС Ρƒ 167 госпитализированных Π΄Π΅Ρ‚Π΅ΠΉ с ΠΏΠ½Π΅Π²ΠΌΠΎΠ½ΠΈΠ΅ΠΉ. Π”ΠΈΠ°Π³Π½ΠΎΠ· ΠΏΠ½Π΅Π²ΠΌΠΎΠ½ΠΈΠΈ выставлялся согласно российским критСриям с ΡƒΡ‡Π΅Ρ‚ΠΎΠΌ Ρ€Π΅ΠΊΠΎΠΌΠ΅Π½Π΄Π°Ρ†ΠΈΠΉ Π’ΠžΠ—. Π’Π°ΠΊΠΆΠ΅ использовались Π΄Π°Π½Π½Ρ‹Π΅ ΠΎΡ†Π΅Π½ΠΊΠΈ качСства диагностики ΠΏΠ½Π΅Π²ΠΌΠΎΠ½ΠΈΠΈ с экспСртной ΠΎΡ†Π΅Π½ΠΊΠΎΠΉ Ρ€Π΅Π½Ρ‚Π³Π΅Π½ΠΎΠ³Ρ€Π°ΠΌΠΌ Ρƒ 679 Π±ΠΎΠ»ΡŒΠ½Ρ‹Ρ…, госпитализированных Π² 3 Π³ΠΎΡ€ΠΎΠ΄Π°Ρ… (Π‘Π°Ρ€Π½Π°ΡƒΠ», Π•ΠΊΠ°Ρ‚Π΅Ρ€ΠΈΠ½Π±ΡƒΡ€Π³, ΠœΡƒΡ€ΠΌΠ°Π½ΡΠΊ) Π² Ρ€Π°ΠΌΠΊΠ°Ρ… исслСдования PAPIRUS.Π Π΅Π·ΡƒΠ»ΡŒΡ‚Π°Ρ‚Ρ‹: выявлСн высокий ΠΏΡ€ΠΎΡ†Π΅Π½Ρ‚ ΠΏΠΎΠ·Π΄Π½Π΅ΠΉ (послС 5-Π³ΠΎ дня Π±ΠΎΠ»Π΅Π·Π½ΠΈ) госпитализации Π΄Π΅Ρ‚Π΅ΠΉ с ΠΏΠ½Π΅Π²ΠΌΠΎΠ½ΠΈΠ΅ΠΉ (37% β€” Π² 2002–2007, 47% β€” Π² 2013–2014 Π³Π³.), ΠΊΠ°ΠΊ ΠΈ ΠΏΠΎΠ·Π΄Π½Π΅Π΅ (Π½Π° 5-ΠΉ дСнь ΠΈ ΠΏΠΎΠ·Π΄Π½Π΅Π΅) Π½Π°Ρ‡Π°Π»ΠΎ лСчСния Π½Π° Π°ΠΌΠ±ΡƒΠ»Π°Ρ‚ΠΎΡ€Π½ΠΎΠΌ этапС (20 ΠΈ 34%, соотвСтствСнно). Π’ 3 областных стационарах пнСвмоничСскиС измСнСния Π½Π° Ρ€Π΅Π½Ρ‚Π³Π΅Π½ΠΎΠ³Ρ€Π°ΠΌΠΌΠ°Ρ… Π±Ρ‹Π»ΠΈ ΠΏΠΎΠ΄Ρ‚Π²Π΅Ρ€ΠΆΠ΄Π΅Π½Ρ‹ экспСртом Ρ‚ΠΎΠ»ΡŒΠΊΠΎ Π² 27% случаСв.Π—Π°ΠΊΠ»ΡŽΡ‡Π΅Π½ΠΈΠ΅. ΠŸΠΎΠ»ΡƒΡ‡Π΅Π½Π½Ρ‹Π΅ Π΄Π°Π½Π½Ρ‹Π΅ ΡƒΠΊΠ°Π·Ρ‹Π²Π°ΡŽΡ‚ Π½Π° Π½Π°Π»ΠΈΡ‡ΠΈΠ΅ ΠΊΠ°ΠΊ Π³ΠΈΠΏΠΎ-, Ρ‚Π°ΠΊ ΠΈ гипСрдиагностики ΠΏΠ½Π΅Π²ΠΌΠΎΠ½ΠΈΠΉ Ρƒ Π΄Π΅Ρ‚Π΅ΠΉ, Π° соотвСтствСнно, Π½Π° Π²Π°ΠΆΠ½ΠΎΡΡ‚ΡŒ ΠΏΠΎΠ²Ρ‹ΡˆΠ΅Π½ΠΈΡ Π·Π½Π°Π½ΠΈΠΉ ΠΏΠ΅Π΄ΠΈΠ°Ρ‚Ρ€ΠΎΠ² Π² области диагностики ΠΈ лСчСния ΠΏΠ½Π΅Π²ΠΌΠΎΠ½ΠΈΠΉ для оказания Π°Π΄Π΅ΠΊΠ²Π°Ρ‚Π½ΠΎΠΉ мСдицинской ΠΏΠΎΠΌΠΎΡ‰ΠΈ дСтям Π½Π° Π°ΠΌΠ±ΡƒΠ»Π°Ρ‚ΠΎΡ€Π½ΠΎΠΌ этапС

    Низкая ΡΡ„Ρ„Π΅ΠΊΡ‚ΠΈΠ²Π½ΠΎΡΡ‚ΡŒ Π°Π½Ρ‚ΠΈΠ±ΠΈΠΎΡ‚ΠΈΠΊΠΎΠ², Π½Π°Π·Π½Π°Ρ‡Π°Π΅ΠΌΡ‹Ρ… Π°ΠΌΠ±ΡƒΠ»Π°Ρ‚ΠΎΡ€Π½ΠΎ дСтям с ΠΏΠ½Π΅Π²ΠΌΠΎΠ½ΠΈΠ΅ΠΉ ΠΈ острым срСдним ΠΎΡ‚ΠΈΡ‚ΠΎΠΌ, ΠΊΠ°ΠΊ слСдствиС нСсоблюдСния клиничСских Ρ€Π΅ΠΊΠΎΠΌΠ΅Π½Π΄Π°Ρ†ΠΈΠΉ

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    Background: Amoxicillin is the drug of choice for treating the majority of community-acquired respiratory tract infections in children,Β including pneumonia and acute otitis media according to both international and national guidelines. Nevertheless, the practice of notΒ following these guidelines is widespread.Objective: Our aim was to study a range of antibiotics prescribed prior to hospitalizationΒ to children with community-acquired pneumonia (CAP) and acute otitis media (AOM), and to evaluate their effectiveness.Methods.Β Observational study of children with hospital-verified diagnosis CAP or AOM.Results. Amoxicillin was prescribed to only 4.5% of childrenΒ with CAP and 1% of patients with AOM; along with parenteral cephalosporines and amoxicillin/clavulanate in adequate doses therapyΒ was started in 34 and 25% respectively. Other children received 3d generation oral cephalosporines or macrolides, which renderedΒ a very low effectiveness (19 and 10% respectively). In view of a flagrant inconformity of the prescribed antibiotics and their doses toΒ the guidelines, non-effective prescriptions were made for 72% of children with CAP and 69% β€” with AOM. For children with atypicalΒ pneumonia macrolides were prescribed in only 19%.Conclusion. Since amoxicillin remains the main drug for treating infectionsΒ caused by an ever increasing number of resistant strains of S. pneumonia and S. pyogenes, it should be prescribed to children withΒ CAP and AOM: its doses (as well as doses of amoxicillin/clavulanate) should be not less than 45 mg/kg/d, and in risk group patients β€”Β 80–100 mg/kg/d. The pediatricians’ skills of differentiating atypical pneumonia should be improved.Амоксициллин, согласно ΠΊΠ°ΠΊ ΠΌΠ΅ΠΆΠ΄ΡƒΠ½Π°Ρ€ΠΎΠ΄Π½Ρ‹ΠΌ, Ρ‚Π°ΠΊ ΠΈ отСчСствСнным рСкомСндациям, являСтся ΠΏΡ€Π΅ΠΏΠ°Ρ€Π°Ρ‚ΠΎΠΌ выбора для лСчСния Π±ΠΎΠ»ΡŒΡˆΠΈΠ½ΡΡ‚Π²Π° Π²Π½Π΅Π±ΠΎΠ»ΡŒΠ½ΠΈΡ‡Π½Ρ‹Ρ… ΠΈΠ½Ρ„Π΅ΠΊΡ†ΠΈΠΉ рСспираторного Ρ‚Ρ€Π°ΠΊΡ‚Π° Ρƒ Π΄Π΅Ρ‚Π΅ΠΉ. Π’Π΅ΠΌ Π½Π΅ ΠΌΠ΅Π½Π΅Π΅ ΠΏΡ€Π°ΠΊΡ‚ΠΈΠΊΠ° назначСния Π°Π½Ρ‚ΠΈΠ±ΠΈΠΎΡ‚ΠΈΠΊΠΎΠ² Π½Π° Π΄ΠΎΠ³ΠΎΡΠΏΠΈΡ‚Π°Π»ΡŒΠ½ΠΎΠΌ этапС Π² Ρ€Π°Π·Π½Ρ‹Ρ… странах дСмонстрируСт Π½ΠΈΠ·ΠΊΠΈΠΉ ΡƒΡ€ΠΎΠ²Π΅Π½ΡŒ слСдования стандартам лСчСния Π²Π½Π΅Π±ΠΎΠ»ΡŒΠ½ΠΈΡ‡Π½Ρ‹Ρ… ΠΏΠ½Π΅Π²ΠΌΠΎΠ½ΠΈΠΉ ΠΈ острого срСднСго ΠΎΡ‚ΠΈΡ‚Π° (ОБО).ЦСль исслСдования: ΠΈΠ·ΡƒΡ‡ΠΈΡ‚ΡŒ спСктр антибиотиков, Π½Π°Π·Π½Π°Ρ‡Π°Π΅ΠΌΡ‹Ρ… Π½Π° Π°ΠΌΠ±ΡƒΠ»Π°Ρ‚ΠΎΡ€Π½ΠΎΠΌ этапС дСтям с ΠΏΠ½Π΅Π²ΠΌΠΎΠ½ΠΈΠ΅ΠΉ ΠΈ ОБО, Π° Ρ‚Π°ΠΊΠΆΠ΅ ΠΎΡ†Π΅Π½ΠΈΡ‚ΡŒ ΠΈΡ… ΡΡ„Ρ„Π΅ΠΊΡ‚ΠΈΠ²Π½ΠΎΡΡ‚ΡŒ.ΠœΠ΅Ρ‚ΠΎΠ΄Ρ‹. Π”ΠΈΠ·Π°ΠΉΠ½ Ρ€Π°Π±ΠΎΡ‚Ρ‹ β€” Π½Π°Π±Π»ΡŽΠ΄Π°Ρ‚Π΅Π»ΡŒΠ½ΠΎΠ΅ исслСдованиС ΠΊΠΎΠ³ΠΎΡ€Ρ‚Ρ‹ Π΄Π΅Ρ‚Π΅ΠΉ, госпитализированных с Π΄ΠΈΠ°Π³Π½ΠΎΠ·ΠΎΠΌ Π²Π½Π΅Π±ΠΎΠ»ΡŒΠ½ΠΈΡ‡Π½ΠΎΠΉ ΠΏΠ½Π΅Π²ΠΌΠΎΠ½ΠΈΠΈ (n = 261) ΠΈ ОБО (n = 225) Π² 2008–2015 Π³Π³.Π Π΅Π·ΡƒΠ»ΡŒΡ‚Π°Ρ‚Ρ‹. Амоксициллин Π±Ρ‹Π» Π½Π°Π·Π½Π°Ρ‡Π΅Π½ Ρ‚ΠΎΠ»ΡŒΠΊΠΎΒ 4,5% Π΄Π΅Ρ‚Π΅ΠΉ с Ρ‚ΠΈΠΏΠΈΡ‡Π½ΠΎΠΉ Π²Π½Π΅Π±ΠΎΠ»ΡŒΠ½ΠΈΡ‡Π½ΠΎΠΉ ΠΏΠ½Π΅Π²ΠΌΠΎΠ½ΠΈΠ΅ΠΉ ΠΈ 1% β€” с ОБО; вмСстС с ΠΏΠ°Ρ€Π΅Π½Ρ‚Π΅Ρ€Π°Π»ΡŒΠ½Ρ‹ΠΌΠΈ цСфалоспоринами и амоксициллином/ ΠΊΠ»Π°Π²ΡƒΠ»Π°Π½Π°Ρ‚ΠΎΠΌ Π² Π°Π΄Π΅ΠΊΠ²Π°Ρ‚Π½Ρ‹Ρ… Π΄ΠΎΠ·ΠΈΡ€ΠΎΠ²ΠΊΠ°Ρ… стартовая тСрапия Π±Ρ‹Π»Π° Π½Π°Ρ‡Π°Ρ‚Π° всСго Π² 34 ΠΈ 25% случаСв соотвСтствСнно. ΠžΡΡ‚Π°Π»ΡŒΠ½Ρ‹Π΅ Π΄Π΅Ρ‚ΠΈ Π»Π΅Ρ‡ΠΈΠ»ΠΈΡΡŒ ΠΎΡ€Π°Π»ΡŒΠ½Ρ‹ΠΌΠΈ цСфалоспоринами 3-Π³ΠΎ поколСния ΠΈ ΠΌΠ°ΠΊΡ€ΠΎΠ»ΠΈΠ΄Π°ΠΌΠΈ с ΠΊΡ€Π°ΠΉΠ½Π΅Β Π½ΠΈΠ·ΠΊΠΎΠΉ ΡΡ„Ρ„Π΅ΠΊΡ‚ΠΈΠ²Π½ΠΎΡΡ‚ΡŒΡŽ (19 ΠΈ 10% соотвСтствСнно). Π’Π²ΠΈΠ΄Ρƒ Π²Ρ‹Ρ€Π°ΠΆΠ΅Π½Π½ΠΎΠ³ΠΎ нСсоотвСтствия спСктра Π°Π½Ρ‚ΠΈΠ±ΠΈΠΎΡ‚ΠΈΠΊΠΎΠ² ΠΈ ΠΈΡ…Β Π΄ΠΎΠ· соврСмСнным рСкомСндациям нСэффСктивныС стартовыС назначСния Π±Ρ‹Π»ΠΈ сдСланы ΠΏΡ€ΠΈ Ρ‚ΠΈΠΏΠΈΡ‡Π½ΠΎΠΉ ΠΏΠ½Π΅Π²ΠΌΠΎΠ½ΠΈΠΈΒ Π² 72%, Π° ΠΏΡ€ΠΈ ОБО β€” Π² 69% случаСв. ΠŸΡ€ΠΈ Π°Ρ‚ΠΈΠΏΠΈΡ‡Π½Ρ‹Ρ… пнСвмониях ΠΌΠ°ΠΊΡ€ΠΎΠ»ΠΈΠ΄Ρ‹ Π±Ρ‹Π»ΠΈ Π½Π°Π·Π½Π°Ρ‡Π΅Π½Ρ‹ всСго 19% Π±ΠΎΠ»ΡŒΠ½Ρ‹ΠΌ.Π—Π°ΠΊΠ»ΡŽΡ‡Π΅Π½ΠΈΠ΅. ΠŸΠΎΡΠΊΠΎΠ»ΡŒΠΊΡƒ амоксициллин остаСтся основным ΠΏΡ€Π΅ΠΏΠ°Ρ€Π°Ρ‚ΠΎΠΌ для лСчСния ΠΈΠ½Ρ„Π΅ΠΊΡ†ΠΈΠΉ, Π²Ρ‹Π·Π²Π°Π½Π½Ρ‹Ρ…Β Streptococcus pneumoniae ΠΈ Streptococcus pyogenes Π² эпоху роста ΠΈΡ… рСзистСнтности, ΠΎΠ½ Π΄ΠΎΠ»ΠΆΠ΅Π½ ΠΈΡΠΏΠΎΠ»ΡŒΠ·ΠΎΠ²Π°Ρ‚ΡŒΡΡΒ Π² качСствС стартового ΠΏΡ€Π΅ΠΏΠ°Ρ€Π°Ρ‚Π° ΠΏΡ€ΠΈ Ρ‚ΠΈΠΏΠΈΡ‡Π½Ρ‹Ρ… пнСвмониях ΠΈ ОБО. Π”ΠΎΠ·Ρ‹ амоксициллина, Π² Ρ‚. Ρ‡. Π·Π°Ρ‰ΠΈΡ‰Π΅Π½Π½ΠΎΠ³ΠΎ,Β Π½Π΅ Π΄ΠΎΠ»ΠΆΠ½Ρ‹ Π±Ρ‹Ρ‚ΡŒ Π½ΠΈΠΆΠ΅ 45 ΠΌΠ³/ΠΊΠ³ Π² сут, Π° ΠΏΡ€ΠΈ рискС устойчивости ΠΏΠ½Π΅Π²ΠΌΠΎΠΊΠΎΠΊΠΊΠΎΠ² β€” 80–100 ΠΌΠ³/ΠΊΠ³ Π² сут. Π‘Π»Π΅Π΄ΡƒΠ΅Ρ‚ Ρ‚Π°ΠΊΠΆΠ΅Β ΠΏΠΎΠ²Ρ‹ΡˆΠ°Ρ‚ΡŒ знания ΠΏΠ΅Π΄ΠΈΠ°Ρ‚Ρ€ΠΎΠ² Π² Π΄ΠΈΡ„Ρ„Π΅Ρ€Π΅Π½Ρ†ΠΈΠ°Π»ΡŒΠ½ΠΎΠΉ диагностикС Π°Ρ‚ΠΈΠΏΠΈΡ‡Π½Ρ‹Ρ… ΠΏΠ½Π΅Π²ΠΌΠΎΠ½ΠΈΠΉ

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    The analysis of the energy contributions of various physical factors to the complex formation between biologically active compounds and nucleic acids in aqueous solution was performed. A comparison of the energy parameters was made for ligand-ligand, intercalator-DNA, MGB-DNA and ligand-RNA groups. It was shown that the energetics of these reactions is of compensatory nature. Physical factors exerting the most pronounced influence on the energy parameters were identified. Correlation of the energy contributions to MGB-DNA complex formation and its biological effect was foun

    Ar-powered educational application based upon convolutional neural network

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    This research aims to justify the importance of using convolutional neural networks (CNN) in AR-powered educational applications to provide the learning process with impressive visualization of studied objects. Demonstration of the developed application proves neural network to be its basic part that allows for high-quality accuracy of object localization and image recognition in AR systems. As these systems provide a more informative and impressive way of learning, the application can be used for data mining and big data analysis disciplines to demonstrate real-time operation of localization, clustering and segmentation algorithms
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