106 research outputs found

    Π˜Π½Ρ‚ΠΎΠ½Π°Ρ†ΠΈΡ ΠΊΠ°ΠΊ срСдство Ρ„ΠΎΡ€ΠΌΠ°Π»ΡŒΠ½ΠΎΠΉ Π΄ΠΈΡ„Ρ„Π΅Ρ€Π΅Π½Ρ†ΠΈΠ°Ρ†ΠΈΠΈ лСксико-сСмантичСских Π²Π°Ρ€ΠΈΠ°Π½Ρ‚ΠΎΠ² ΠΌΠ½ΠΎΠ³ΠΎΠ·Π½Π°Ρ‡Π½ΠΎΠ³ΠΎ слова Π² русском языкС

    Get PDF
    The article treats the problem of the formal differentiation of a lexico-semantic variations of polysemantic word by means of intonation differences. The analysis of the Russian polysemants allows to define the formal differentiation of LSV as a regular systemic phenomenon, determined by the lan-guage position on the scale of lexicality-grammaticality. The extent and depth of dividing a word into grammatical and lexical parts determine the predominant usage of the formal differentiation means. In the unchangeable synsemantic word classes both intonation and stress are used. The stress independ-ence/dependence of the synsemantic parts of speech LSV depends on their functional and syntactic status which is due to their semantic difference.Настоящая ΡΡ‚Π°Ρ‚ΡŒΡ посвящСна ΠΏΡ€ΠΎΠ±Π»Π΅ΠΌΠ΅ Ρ„ΠΎΡ€ΠΌΠ°Π»ΡŒΠ½ΠΎΠΉ Π΄ΠΈΡ„Ρ„Π΅Ρ€Π΅Π½Ρ†ΠΈΠ°Ρ†ΠΈΠΈ Π›Π‘Π’ ΠΌΠ½ΠΎΠ³ΠΎΠ·Π½Π°Ρ‡Π½ΠΎΠ³ΠΎ слова посрСдством ΠΈΠ½Ρ‚ΠΎΠ½Π°Ρ†ΠΈΠΎΠ½Π½Ρ‹Ρ… Ρ€Π°Π·Π»ΠΈΡ‡ΠΈΠΉ. Анализ полисСманов русского языка позволяСт ΠΎΠΏΡ€Π΅Π΄Π΅Π»ΠΈΡ‚ΡŒ Ρ„ΠΎΡ€ΠΌΠ°Π»ΡŒΠ½ΡƒΡŽ Π΄ΠΈΡ„Ρ„Π΅Ρ€Π΅Π½Ρ†ΠΈΠ°Ρ†ΠΈΡŽ Π›Π‘Π’ ΠΊΠ°ΠΊ Π·Π°ΠΊΠΎΠ½ΠΎΠΌΠ΅Ρ€Π½ΠΎΠ΅ систСмноС явлСниС, Π΄Π΅Ρ‚Π΅Ρ€ΠΌΠΈΠ½ΠΈΡ€ΠΎΠ²Π°Π½Π½ΠΎΠ΅ ΠΏΠΎΠ»ΠΎΠΆΠ΅Π½ΠΈΠ΅ΠΌ языка Π½Π° шкалС лСксичности/грамматичности. Π‘Ρ‚Π΅ΠΏΠ΅Π½ΡŒ ΠΈ Π³Π»ΡƒΠ±ΠΈΠ½Π° члСнСния слова Π½Π° лСксичСскоС ΠΈ грамматичСскоС ΠΎΠΏΡ€Π΅Π΄Π΅Π»ΡΡŽΡ‚ прСимущСствСнноС использованиС срСдств Ρ„ΠΎΡ€ΠΌΠ°Π»ΡŒΠ½ΠΎΠΉ Π΄ΠΈΡ„Ρ„Π΅Ρ€Π΅Π½Ρ†ΠΈΠ°Ρ†ΠΈΠΈ. Π’ нСизмСняСмых слуТСбных классах ΠΈΡΠΏΠΎΠ»ΡŒΠ·ΡƒΡŽΡ‚ΡΡ фонСтичСскиС срСдства: ΠΈΠ½Ρ‚ΠΎΠ½Π°Ρ†ΠΈΠΎΠ½Π½Ρ‹Π΅ ΠΈ Π°ΠΊΡ†Π΅Π½Ρ‚Π½Ρ‹Π΅. АкцСнтная ΡΠ°ΠΌΠΎΡΡ‚ΠΎΡΡ‚Π΅Π»ΡŒΠ½ΠΎΡΡ‚ΡŒ/Π½Π΅ΡΠ°ΠΌΠΎΡΡ‚ΠΎΡΡ‚Π΅Π»ΡŒΠ½ΠΎΡΡ‚ΡŒ Π›Π‘Π’ слуТСбных частСй Ρ€Π΅Ρ‡ΠΈ зависит ΠΎΡ‚ ΠΈΡ… Ρ„ΡƒΠ½ΠΊΡ†ΠΈΠΎΠ½Π°Π»ΡŒΠ½ΠΎΠ³ΠΎ ΠΈ синтаксичСского статуса, обусловлСнного различиями Π² ΠΈΡ… сСмантикС

    ΠœΠ΅ΠΆΠ΄ΡƒΠ½Π°Ρ€ΠΎΠ΄Π½Π°Ρ конфСрСнция Β«ΠšΠ°Ρ‚Π΅Π³ΠΎΡ€ΠΈΠ·Π°Ρ†ΠΈΡ ΠΌΠΈΠ½ΠΎΡ€ΠΈΡ‚Π°Ρ€Π½Ρ‹Ρ… языков: мСТдисциплинарный ΠΏΠΎΠ΄Ρ…ΠΎΠ΄ Π² русской Ρ‚Π΅Ρ€ΠΌΠΈΠ½ΠΎΠ»ΠΎΠ³ΠΈΠΈΒ», Π³. Π‘ΠΎΡ€Π΄ΠΎ, Ѐранция. 9-10 дСкабря 2010 Π³ΠΎΠ΄Π°

    Get PDF

    Biochemical composition and quality of herring preserves with addition of bio-protective cultures

    Get PDF
    Herrings rich in vitamins B12, A, D, minerals, including calcium, potassium, magnesium, iodine, possess high levels of lysine, tyrosine, phenylalanine and tryptophan, as well as omega-3 unsaturated fatty acids, namely eicosapentanoic, docosahexoenoic and docosapentoenoic. To suppress the microbiological spoilage of fish preserves, it is promising to use bio-protective cultures that have minimal impact on the production process and product properties. Bacterial strains are able to exert a static effect on the microflora, which causes biodeterioration of food products. Microorganisms as part of bio-protective cultures are included in the fermentation process, so they can be attributed to ordinary food ingredients, so there is no need to put separate information on the packaging. The chemical composition of the frozen Atlantic and Pacific herring fillet, the amino acid composition of proteins, and the fatty acid composition of lipids were studied. The difference between Atlantic and Pacific herrings was detected, which consists in a significantly higher content of docosahexaenoic acid. The difference in the fractional composition of triacylglycerols for the Atlantic and Pacific herring was established. The microflora of SafePro B-2 biological product (Chr. Hansen GmbH), containing multiple strains of Lactobacillus sakei, and the viability of the culture in preserves fillings were studied. The experimental development of canned food with SafePro B-2 additives was carried out. Microbiological, organoleptic and biochemical indicators of the preserves quality during cold storage were studied. The influence of introduced culture on the dynamics of preserves curing period and their shelf life was established

    ΠŸΡ€ΠΎΠ±Π»Π΅ΠΌΠ° Ρ€Π΅ΠΏΡ€Π΅Π·Π΅Π½Ρ‚Π°Ρ†ΠΈΠΈ языка Π² сознании Π΅Π³ΠΎ носитСлСй Π² условиях языкового ΠΏΡ€ΠΈΠ³Ρ€Π°Π½ΠΈΡ‡ΡŒΡ: ΠΊ вопросу ΠΎ потрСбности Π² ΠΊΠ°Ρ€Π΅Π»ΡŒΡΠΊΠΎΠΌ языкС

    Get PDF
    The article is focused on the issues related to the language representation in the native speaker’s mind. It reveals that there are no direct dependencies between the structural language maturity, its historical development, and the speakers’ need in its usage.Π’ ΡΡ‚Π°Ρ‚ΡŒΠ΅ Π°Π½Π°Π»ΠΈΠ·ΠΈΡ€ΡƒΡŽΡ‚ΡΡ ΠΏΡ€ΠΎΠ±Π»Π΅ΠΌΡ‹, связанныС с Ρ€Π΅ΠΏΡ€Π΅Π·Π΅Π½Ρ‚Π°Ρ†ΠΈΠ΅ΠΉ языка Π² сознании Π΅Π³ΠΎ носитСлСй. ΠŸΠΎΠΊΠ°Π·Ρ‹Π²Π°Π΅Ρ‚ΡΡ, Ρ‡Ρ‚ΠΎ Π½Π΅Ρ‚ прямой зависимости ΠΌΠ΅ΠΆΠ΄Ρƒ структурной Ρ€Π°Π·Π²ΠΈΡ‚ΠΎΡΡ‚ΡŒΡŽ языка, Π΅Π³ΠΎ историчСской ΡΡƒΠ΄ΡŒΠ±ΠΎΠΉ ΠΈ ΠΏΠΎΡ‚Ρ€Π΅Π±Π½ΠΎΡΡ‚ΡŒΡŽ Π² Π½Π΅ΠΌ

    Випология потрСбностСй Π² ΠΌΠ°Π»Ρ‹Ρ… ΠΈ ΠΌΠΈΠ½ΠΎΡ€ΠΈΡ‚Π°Ρ€Π½Ρ‹Ρ… языках: общСмСтодологичСскиС ΠΈ частнонаучныС ΠΏΠΎΠ΄Ρ…ΠΎΠ΄Ρ‹

    Get PDF
    The article analyses both generally-methodological and specifically-scientific principles of developing the typology of needs in a small or minority language. The results of the study show, that the identification need for a language may occur not only in the ethnic Karelians, but also in the natives of other regions living now in Karelia and aspiring to cultural integration.Π’ ΡΡ‚Π°Ρ‚ΡŒΠ΅ Π°Π½Π°Π»ΠΈΠ·ΠΈΡ€ΡƒΡŽΡ‚ΡΡ общСмСтодологичСскиС ΠΈ частнонаучныС ΠΏΡ€ΠΈΠ½Ρ†ΠΈΠΏΡ‹ Π²Ρ‹Ρ€Π°Π±ΠΎΡ‚ΠΊΠΈ Ρ‚ΠΈΠΏΠΎΠ»ΠΎΠ³ΠΈΠΈ потрСбностСй Π² ΠΌΠ°Π»ΠΎΠΌ ΠΈΠ»ΠΈ ΠΌΠΈΠ½ΠΎΡ€ΠΈΡ‚Π°Ρ€Π½ΠΎΠΌ языкС. Π Π΅Π·ΡƒΠ»ΡŒΡ‚Π°Ρ‚Ρ‹ ΠΏΡ€ΠΎΠ²Π΅Π΄Π΅Π½Π½ΠΎΠ³ΠΎ исслСдования ΡΠ²ΠΈΠ΄Π΅Ρ‚Π΅Π»ΡŒΡΡ‚Π²ΡƒΡŽΡ‚ ΠΎ Ρ‚ΠΎΠΌ, Ρ‡Ρ‚ΠΎ идСнтификационная ΠΏΠΎΡ‚Ρ€Π΅Π±Π½ΠΎΡΡ‚ΡŒ Π² языкС ΠΌΠΎΠΆΠ΅Ρ‚ Π½Π°Π±Π»ΡŽΠ΄Π°Ρ‚ΡŒΡΡ Π½Π΅ Ρ‚ΠΎΠ»ΡŒΠΊΠΎ Ρƒ этничСских ΠΊΠ°Ρ€Π΅Π»ΠΎΠ², Π½ΠΎ ΠΈ Ρƒ Π²Ρ‹Ρ…ΠΎΠ΄Ρ†Π΅Π² ΠΈΠ· Π΄Ρ€ΡƒΠ³ΠΈΡ… Ρ€Π΅Π³ΠΈΠΎΠ½ΠΎΠ², ΠΏΡ€ΠΎΠΆΠΈΠ²Π°ΡŽΡ‰ΠΈΡ… Π² настоящСС врСмя Π² ΠšΠ°Ρ€Π΅Π»ΠΈΠΈ ΠΈ стрСмящихся ΠΊ ΠΊΡƒΠ»ΡŒΡ‚ΡƒΡ€Π½ΠΎΠΉ ΠΈΠ½Ρ‚Π΅Π³Ρ€Π°Ρ†ΠΈΠΈ

    Management of complex economic security of enterprises: empirical test in Russia

    Get PDF
    There is a new meaningful interpretation of the concept of "integrated economic security of industrial enterprise"; the problems of analyzing complex economic security are substantiated. Based on the study of the regulatory and legal and methodological support of the process of managing economic security in modern economic and political conditions, generalizations and analysis of existing practice in Russia and abroad, the main shortcomings in approaches to assessing the integrated economic security of industrial enterprises have been identified. The article examines the methods for assessing economic security: matrix, product, operational, dynamic one and methods of assessment based on the market value of the company. The parameters of the integrated economic security of industrial enterprise are classified: financial and economic security, information, technological, material and technical, personnel, epidemiological security, conceptual model for assessing financial and economic and integrated security of enterprise has been developed. The practical implementation of the proposed developments has been carried out. It is recommended to use the developed model of economic security management as enterprise resource planning (ERP) module of the enterprise system

    ВозмоТности ΠΌΠΈΠ½ΠΈ- ΠΈ Π½Π΅ΠΈΠ½Π²Π°Π·ΠΈΠ²Π½Ρ‹Ρ… ΠΌΠ΅Ρ‚ΠΎΠ΄ΠΎΠ² тСрмичСской дСструкции Π² Π»Π΅Ρ‡Π΅Π½ΠΈΠΈ Π±ΠΎΠ»ΡŒΠ½Ρ‹Ρ… агрСссивным Ρ„ΠΈΠ±Ρ€ΠΎΠΌΠ°Ρ‚ΠΎΠ·ΠΎΠΌ

    Get PDF
    The purpose of the study was to characterize various methods of local physical destruction used in the treatment of patients with aggressive fibromatosis and demonstrate international experience of their use.Material and Methods. literature search was conducted in the electronic databases Rsci (Russian science citation index) and NcBi (National centre for Biotechnology information) in the interval time between 2002 and 2022. The review was devoted to the thermal ablation modalities (radiofrequency, microwave ablation, cryodestruction, high-intensity focused ultrasound ablations) used in therapy of patients with desmoid fibromas of various locations, as well as their safety and efficacy.Results. The review presents the current data on safety and efficacy of minimally-invasive and non-invasive methods of hypo- and hyperthermic local destruction in patients with aggressive fibromatosis, gives the characteristics of exposure and biological effects when performing radiofrequency and microwave ablation, cryodestruction, high-intensity focused ultrasound therapy, describes the main limitations of the methods, indications and contraindications for their application, as well as the methods of prevention of the development of desmoid fibromas.Conclusion. The described methods of local destruction are used in clinical practice mainly for palliative and symptomatic purposes, in case of persistent tumor growth or recurrence, ineffectiveness of other treatment options or contraindications to them due to concomitant somatic pathology or functional status of the patient. Inclusion of these methods in the treatment plan of patients with aggressive fibromatosis can contribute to the reduction of pain syndrome, improvement of functional status of patients as well as long survival with no evidence of tumor progression.ЦСль исслСдования – характСристика Ρ€Π°Π·Π»ΠΈΡ‡Π½Ρ‹Ρ… ΠΌΠ΅Ρ‚ΠΎΠ΄ΠΎΠ² локальной физичСской дСструкции, примСняСмых Π² Π»Π΅Ρ‡Π΅Π½ΠΈΠΈ Π±ΠΎΠ»ΡŒΠ½Ρ‹Ρ… агрСссивным Ρ„ΠΈΠ±Ρ€ΠΎΠΌΠ°Ρ‚ΠΎΠ·ΠΎΠΌ, ΠΈ дСмонстрация ΠΌΠ΅ΠΆΠ΄ΡƒΠ½Π°Ρ€ΠΎΠ΄Π½ΠΎΠ³ΠΎ ΠΎΠΏΡ‹Ρ‚Π° ΠΈΡ… примСнСния.ΠœΠ°Ρ‚Π΅Ρ€ΠΈΠ°Π» ΠΈ ΠΌΠ΅Ρ‚ΠΎΠ΄Ρ‹. ΠžΠ±Π·ΠΎΡ€ отСчСствСнных ΠΈ Π·Π°Ρ€ΡƒΠ±Π΅ΠΆΠ½Ρ‹Ρ… Π½Π°ΡƒΡ‡Π½Ρ‹Ρ… источников, прСдставлСнных Π² Π±Π°Π·Π°Ρ… Π΄Π°Π½Π½Ρ‹Ρ… РИНЦ (Российский индСкс Π½Π°ΡƒΡ‡Π½ΠΎΠ³ΠΎ цитирования) ΠΈ NcBi (National center for Biotechnology information) Π² ΠΏΠ΅Ρ€ΠΈΠΎΠ΄ с 2002 ΠΏΠΎ 2022 Π³., посвящСнных особСнностям ΠΌΠ΅Ρ‚ΠΎΠ΄ΠΎΠ² тСрмичСской Π°Π±Π»Π°Ρ†ΠΈΠΈ (Ρ‚Π°ΠΊΠΈΡ… ΠΊΠ°ΠΊ радиочастотная ΠΈ микроволновая аблация, криодСструкция, высокоинтСнсивная фокусированная ΡƒΠ»ΡŒΡ‚Ρ€Π°Π·Π²ΡƒΠΊΠΎΠ²Π°Ρ тСрапия), ΠΏΡ€ΠΈΠΌΠ΅Π½ΡΡŽΡ‰ΠΈΡ…ΡΡ Π² Ρ‚Π΅Ρ€Π°ΠΏΠΈΠΈ ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚ΠΎΠ² с дСсмоидными Ρ„ΠΈΠ±Ρ€ΠΎΠΌΠ°ΠΌΠΈ Ρ€Π°Π·Π»ΠΈΡ‡Π½ΠΎΠΉ Π»ΠΎΠΊΠ°Π»ΠΈΠ·Π°Ρ†ΠΈΠΈ, ΠΈΡ… бСзопасности ΠΈ эффСктивности.Π Π΅Π·ΡƒΠ»ΡŒΡ‚Π°Ρ‚Ρ‹. Π’ ΠΎΠ±Π·ΠΎΡ€Π΅ прСдставлСны соврСмСнныС Π΄Π°Π½Π½Ρ‹Π΅ ΠΏΠΎ бСзопасности ΠΈ эффСктивности примСнСния ΠΌΠΈΠ½ΠΈ- ΠΈ Π½Π΅ΠΈΠ½Π²Π°Π·ΠΈΠ²Π½Ρ‹Ρ… ΠΌΠ΅Ρ‚ΠΎΠ΄ΠΎΠ² Π³ΠΈΠΏΠΎ- ΠΈ гипСртСрмичСской локальной дСструкции Ρƒ Π±ΠΎΠ»ΡŒΠ½Ρ‹Ρ… агрСссивным Ρ„ΠΈΠ±Ρ€ΠΎΠΌΠ°Ρ‚ΠΎΠ·ΠΎΠΌ, Π΄Π°Π½Ρ‹ характСристики воздСйствия ΠΈ ΡƒΠΊΠ°Π·Π°Π½Ρ‹ биологичСскиС эффСкты ΠΏΡ€ΠΈ Π²Ρ‹ΠΏΠΎΠ»Π½Π΅Π½ΠΈΠΈ радиочастотной ΠΈ ΠΌΠΈΠΊΡ€ΠΎΠ²ΠΎΠ»Π½ΠΎΠ²ΠΎΠΉ Π°Π±Π»Π°Ρ†ΠΈΠΈ, криодСструкции, высокоинтСнсивной фокусированной ΡƒΠ»ΡŒΡ‚Ρ€Π°Π·Π²ΡƒΠΊΠΎΠ²ΠΎΠΉ Ρ‚Π΅Ρ€Π°ΠΏΠΈΠΈ, описаны основныС ограничСния ΠΌΠ΅Ρ‚ΠΎΠ΄ΠΎΠ², показания ΠΈ противопоказания ΠΊ ΠΈΡ… ΠΏΡ€ΠΈΠΌΠ΅Π½Π΅Π½ΠΈΡŽ, Π° Ρ‚Π°ΠΊΠΆΠ΅ ΠΈΡΠΏΠΎΠ»ΡŒΠ·ΡƒΠ΅ΠΌΡ‹Π΅ Π² клиничСской ΠΏΡ€Π°ΠΊΡ‚ΠΈΠΊΠ΅ способы ΠΏΡ€ΠΎΡ„ΠΈΠ»Π°ΠΊΡ‚ΠΈΠΊΠΈ развития ослоТнСний.Π—Π°ΠΊΠ»ΡŽΡ‡Π΅Π½ΠΈΠ΅. ΠžΠΏΠΈΡΠ°Π½Π½Ρ‹Π΅ способы локальной дСструкции ΠΏΡ€ΠΈΠΌΠ΅Π½ΡΡŽΡ‚ Π² клиничСской ΠΏΡ€Π°ΠΊΡ‚ΠΈΠΊΠ΅ Π² основном с ΠΏΠ°Π»Π»ΠΈΠ°Ρ‚ΠΈΠ²Π½ΠΎΠΉ ΠΈ симптоматичСской Ρ†Π΅Π»ΡŒΡŽ, ΠΏΡ€ΠΈ ΡƒΠΏΠΎΡ€Π½ΠΎΠΌ ростС ΠΈΠ»ΠΈ Ρ€Π΅Ρ†ΠΈΠ΄ΠΈΠ²ΠΈΡ€ΠΎΠ²Π°Π½ΠΈΠΈ ΠΎΠΏΡƒΡ…ΠΎΠ»ΠΈ, нСэффСктивности Π΄Ρ€ΡƒΠ³ΠΈΡ… Π²Π°Ρ€ΠΈΠ°Π½Ρ‚ΠΎΠ² лСчСния ΠΈΠ»ΠΈ Π½Π°Π»ΠΈΡ‡ΠΈΠΈ ΠΏΡ€ΠΎΡ‚ΠΈΠ²ΠΎΠΏΠΎΠΊΠ°Π·Π°Π½ΠΈΠΉ ΠΊ Π½ΠΈΠΌ со стороны ΡΠΎΠΏΡƒΡ‚ΡΡ‚Π²ΡƒΡŽΡ‰Π΅ΠΉ соматичСской ΠΏΠ°Ρ‚ΠΎΠ»ΠΎΠ³ΠΈΠΈ ΠΈΠ»ΠΈ Ρ„ΡƒΠ½ΠΊΡ†ΠΈΠΎΠ½Π°Π»ΡŒΠ½ΠΎΠ³ΠΎ статуса ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚Π°. Π’ΠΊΠ»ΡŽΡ‡Π΅Π½ΠΈΠ΅ рассмотрСнных ΠΌΠ΅Ρ‚ΠΎΠ΄ΠΎΠ² Π² ΠΏΠ»Π°Π½ лСчСния Π±ΠΎΠ»ΡŒΠ½Ρ‹Ρ… агрСссивным Ρ„ΠΈΠ±Ρ€ΠΎΠΌΠ°Ρ‚ΠΎΠ·ΠΎΠΌ ΠΌΠΎΠΆΠ΅Ρ‚ ΡΠΏΠΎΡΠΎΠ±ΡΡ‚Π²ΠΎΠ²Π°Ρ‚ΡŒ сниТСнию Π±ΠΎΠ»Π΅Π²ΠΎΠ³ΠΎ синдрома, ΡƒΠ»ΡƒΡ‡ΡˆΠ΅Π½ΠΈΡŽ Ρ„ΡƒΠ½ΠΊΡ†ΠΈΠΎΠ½Π°Π»ΡŒΠ½ΠΎΠ³ΠΎ статуса ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚ΠΎΠ², Π° Ρ‚Π°ΠΊΠΆΠ΅ Π΄ΠΎΡΡ‚ΠΈΠΆΠ΅Π½ΠΈΡŽ Π΄Π»ΠΈΡ‚Π΅Π»ΡŒΠ½ΠΎΠ³ΠΎ ΠΏΠ΅Ρ€ΠΈΠΎΠ΄Π° ΠΆΠΈΠ·Π½ΠΈ Π±Π΅Π· прогрСссирования ΠΎΠΏΡƒΡ…ΠΎΠ»Π΅Π²ΠΎΠ³ΠΎ процСсса

    Comparaitve morbidity analysis with urban and rural areas (accroding to the medical preventive examination)

    Get PDF
    The research is dedicated to the structural analysis and prevalence of diseases detected in large-scale medical preventive examinations (supplementary medical examination within the national health care project). The result of disease prevalence analysis revealed in supplementary medical examinations is compared with medical aid appealability. Rural and urban morbidity is compared and analyzed. The results show the substantial difference in structure and level of diseases revealed in medical preventive examinations and morbidity according to the medical aid appealability. It is established that the difference between the diseases revealed in supplementary medical examination in comparison with general and primary morbidity according to the medical aid appealability is more vividly shown among rural people. The received results show the suitability of medical preventive examinations for the constant working population monitoring and validate the necessity of managerial procedures development aimed at a higher accessibility and quality of medical aid for both urban and rural population.Данная Ρ€Π°Π±ΠΎΡ‚Π° посвящСна Π°Π½Π°Π»ΠΈΠ·Ρƒ ΠΏΠΎΠΊΠ°Π·Π°Ρ‚Π΅Π»Π΅ΠΉ структуры ΠΈ уровня распространСнности Π·Π°Π±ΠΎΠ»Π΅Π²Π°Π½ΠΈΠΉ, выявлСнных Π² Ρ…ΠΎΠ΄Π΅ ΠΌΠ°ΡΡˆΡ‚Π°Π±Π½Ρ‹Ρ… мСдицинских профилактичСских осмотров, (Π΄ΠΎΠΏΠΎΠ»Π½ΠΈΡ‚Π΅Π»ΡŒΠ½ΠΎΠΉ диспансСризации Π² Ρ€Π°ΠΌΠΊΠ°Ρ… Π½Π°Ρ†ΠΈΠΎΠ½Π°Π»ΡŒΠ½ΠΎΠ³ΠΎ ΠΏΡ€ΠΎΠ΅ΠΊΡ‚Π° Π² сфСрС здравоохранСния). ΠŸΡ€Π΅Π΄ΡΡ‚Π°Π²Π»Π΅Π½Ρ‹ Ρ€Π΅Π·ΡƒΠ»ΡŒΡ‚Π°Ρ‚Ρ‹ Π°Π½Π°Π»ΠΈΠ·Π° ΠΏΠΎΠΊΠ°Π·Π°Ρ‚Π΅Π»Π΅ΠΉ заболСваСмости, выявлСнной Π² Ρ…ΠΎΠ΄Π΅ Π΄ΠΎΠΏΠΎΠ»Π½ΠΈΡ‚Π΅Π»ΡŒΠ½ΠΎΠΉ диспансСризации, Π² сравнСнии с показатСлями зарСгистрированной заболСваСмости ΠΏΠΎ обращаСмости. ΠŸΡ€ΠΎΠ²Π΅Π΄Π΅Π½ΠΎ сопоставлСниС Π΄Π°Π½Π½Ρ‹Ρ… ΠΏΠΎΠΊΠ°Π·Π°Ρ‚Π΅Π»Π΅ΠΉ заболСваСмости срСди городского ΠΈ сСльского насСлСния. ΠŸΠΎΠ»ΡƒΡ‡Π΅Π½Π½Ρ‹Π΅ Ρ€Π΅Π·ΡƒΠ»ΡŒΡ‚Π°Ρ‚Ρ‹ ΡΠ²ΠΈΠ΄Π΅Ρ‚Π΅Π»ΡŒΡΡ‚Π²ΡƒΡŽΡ‚ ΠΎ сущСствСнных различиях Π² структурС ΠΈ ΡƒΡ€ΠΎΠ²Π½Π΅ выявлСнных Π² Ρ…ΠΎΠ΄Π΅ мСдицинских профилактичСских осмотров Π·Π°Π±ΠΎΠ»Π΅Π²Π°Π½ΠΈΠΉ ΠΈ ΠΏΠΎΠΊΠ°Π·Π°Ρ‚Π΅Π»Π΅ΠΉ заболСваСмости, зарСгистрированной ΠΏΠΎ обращаСмости. УстановлСно, Ρ‡Ρ‚ΠΎ различия Π² ΡƒΡ€ΠΎΠ²Π½Π΅ выявлСнных ΠΏΡ€ΠΈ ΠΏΡ€ΠΎΠ²Π΅Π΄Π΅Π½ΠΈΠΈ Π΄ΠΎΠΏΠΎΠ»Π½ΠΈΡ‚Π΅Π»ΡŒΠ½ΠΎΠΉ диспансСризации Π·Π°Π±ΠΎΠ»Π΅Π²Π°Π½ΠΈΠΉ Π½Π°Π΄ ΠΎΠ±Ρ‰Π΅ΠΉ ΠΈ ΠΏΠ΅Ρ€Π²ΠΈΡ‡Π½ΠΎΠΉ Π·Π°Π±ΠΎΠ»Π΅Π²Π°Π΅ΠΌΠΎΡΡ‚ΡŒΡŽ ΠΏΠΎ обращаСмости Π² большСй стСпСни ΠΏΡ€ΠΎΡΠ²ΠΈΠ»ΠΈΡΡŒ срСди сСльского насСлСния. ΠŸΠΎΠ»ΡƒΡ‡Π΅Π½Π½Ρ‹Π΅ Π΄Π°Π½Π½Ρ‹Π΅ ΠΏΠΎΠΊΠ°Π·Ρ‹Π²Π°ΡŽΡ‚ Ρ†Π΅Π»Π΅ΡΠΎΠΎΠ±Ρ€Π°Π·Π½ΠΎΡΡ‚ΡŒ провСдСния мСдицинских профилактичСских осмотров с Ρ†Π΅Π»ΡŒΡŽ постоянного ΠΌΠΎΠ½ΠΈΡ‚ΠΎΡ€ΠΈΠ½Π³Π° Π·Π΄ΠΎΡ€ΠΎΠ²ΡŒΡ Ρ€Π°Π±ΠΎΡ‚Π°ΡŽΡ‰Π΅Π³ΠΎ насСлСния ΠΈ ΠΎΠ±ΠΎΡΠ½ΠΎΠ²Ρ‹Π²Π°ΡŽΡ‚ Π½Π΅ΠΎΠ±Ρ…ΠΎΠ΄ΠΈΠΌΠΎΡΡ‚ΡŒ Ρ€Π°Π·Ρ€Π°Π±ΠΎΡ‚ΠΊΠΈ ΠΎΡ€Π³Π°Π½ΠΈΠ·Π°Ρ†ΠΈΠΎΠ½Π½Ρ‹Ρ… ΠΌΠ΅Ρ€, Π½Π°ΠΏΡ€Π°Π²Π»Π΅Π½Π½Ρ‹Ρ… Π½Π° ΠΏΠΎΠ²Ρ‹ΡˆΠ΅Π½ΠΈΠ΅ доступности ΠΈ качСства мСдицинской ΠΏΠΎΠΌΠΎΡ‰ΠΈ ΠΊΠ°ΠΊ городскому, Ρ‚Π°ΠΊ ΠΈ ΡΠ΅Π»ΡŒΡΠΊΠΎΠΌΡƒ насСлСнию

    МодСль прогнозирования ΠΈ управлСния ΠΏΡ€Π΅ΠΆΠ΄Π΅Π²Ρ€Π΅ΠΌΠ΅Π½Π½Ρ‹ΠΌΠΈ Ρ€ΠΎΠ΄Π°ΠΌΠΈ

    Get PDF
    Background: It seems relevant to study the contribution of socio-demographic, somatic and obstetric-gynecological factors in the implementation of preterm birth. Aims: Assessment of the prognostic significance of socio-demographic, obstetric-gynecological and somatic factors in the prediction of preterm birth and associated adverse pregnancy outcomes with subsequent validation of the prognostic model. Materials and methods: Cohort study with a mixed cohort. A retrospective assessment of socio-demographic factors, harmful habits, obstetric and gynecological pathology, somatic diseases, course and outcomes of pregnancy was carried out with the assessment of the status of newborns in 1246 women with subsequent construction of a predictive model of preterm birth and adverse outcomes of pregnancy using Regression with Optimal Scaling and its prospective validation in 100 women. Results: The most significant predictors, that increase the chance of preterm birth and adverse pregnancy outcomes, were history of premature birth, irregular monitoring during pregnancy, history of pelvic inflammatory disease, smoking, obesity, the onset of sexual activity up to 16 years, cardiovascular and endocrine diseases. Intellectual job reduced the chance of preterm birth and adverse pregnancy outcomes This multivariate predictive model has a diagnostic value. The score of risk factors 25 points had a sensitivity of 73%, a specificity of 71%, the area under the ROC curve (AUC) 0.76 (good quality), p0.001. After stratification of high-risk groups by maternal and perinatal pathology the following list of diagnostic and therapeutic measures is introduced and actively implemented in antenatal clinics. To stratificate this model, we prospectively analyze the course and pregnancy outcomes of 100 women divided into 2 groups: group 1 ― 50 women with preterm delivery, group 2 ― 50 women with term delivery. A total score of 25 and above had 44% of women in group 1 and only 10% of women in group 2 (sensitivity 81.4%, specificity 61.6%, positive predictive value 44%, negative predictive value 90%, positive likelihood ratio 2.2 [1.53.0], negative likelihood ratio 0.3 [0.130.68]). Conclusions: We have proposed a model for predicting preterm birth and delivery and perinatal losses using the available characteristics of pregnant women from early pregnancy with moderate indicators of diagnostic value. Further validation of the model in the general population of pregnant women is required.ОбоснованиС. ΠŸΡ€Π΅Π΄ΡΡ‚Π°Π²Π»ΡΠ΅Ρ‚ΡΡ Π°ΠΊΡ‚ΡƒΠ°Π»ΡŒΠ½Ρ‹ΠΌ ΠΈΠ·ΡƒΡ‡Π΅Π½ΠΈΠ΅ Π²ΠΊΠ»Π°Π΄Π° ΡΠΎΡ†ΠΈΠ°Π»ΡŒΠ½ΠΎ-дСмографичСских, соматичСских ΠΈ Π°ΠΊΡƒΡˆΠ΅Ρ€ΡΠΊΠΎ-гинСкологичСских Ρ„Π°ΠΊΡ‚ΠΎΡ€ΠΎΠ² Π² Ρ€Π΅Π°Π»ΠΈΠ·Π°Ρ†ΠΈΡŽ ΠΏΡ€Π΅ΠΆΠ΄Π΅Π²Ρ€Π΅ΠΌΠ΅Π½Π½Ρ‹Ρ… Ρ€ΠΎΠ΄ΠΎΠ². ЦСль исслСдования ― ΠΎΡ†Π΅Π½ΠΊΠ° значимости ΡΠΎΡ†ΠΈΠ°Π»ΡŒΠ½ΠΎ-дСмографичСских, Π°ΠΊΡƒΡˆΠ΅Ρ€ΡΠΊΠΎ-гинСкологичСских ΠΈ соматичСских Ρ„Π°ΠΊΡ‚ΠΎΡ€ΠΎΠ² Π² ΠΏΡ€ΠΎΠ³Π½ΠΎΠ·ΠΈΡ€ΠΎΠ²Π°Π½ΠΈΠΈ ΠΏΡ€Π΅ΠΆΠ΄Π΅Π²Ρ€Π΅ΠΌΠ΅Π½Π½Ρ‹Ρ… Ρ€ΠΎΠ΄ΠΎΠ² ΠΈ ассоциированных с Π½ΠΈΠΌΠΈ нСблагоприятных исходов бСрСмСнности с ΠΏΠΎΡΠ»Π΅Π΄ΡƒΡŽΡ‰Π΅ΠΉ Π²Π°Π»ΠΈΠ΄ΠΈΠ·Π°Ρ†ΠΈΠ΅ΠΉ прогностичСской ΠΌΠΎΠ΄Π΅Π»ΠΈ. ΠœΠ΅Ρ‚ΠΎΠ΄Ρ‹. ΠšΠΎΠ³ΠΎΡ€Ρ‚Π½ΠΎΠ΅ исслСдованиС со ΡΠΌΠ΅ΡˆΠ°Π½Π½Ρ‹ΠΌΠΈ Π³Ρ€ΡƒΠΏΠΏΠ°ΠΌΠΈ участников. ΠŸΡ€ΠΎΠ²ΠΎΠ΄ΠΈΠ»Π°ΡΡŒ рСтроспСктивная ΠΎΡ†Π΅Π½ΠΊΠ° ΡΠΎΡ†ΠΈΠ°Π»ΡŒΠ½ΠΎ-дСмографичСских Ρ„Π°ΠΊΡ‚ΠΎΡ€ΠΎΠ², Π²Ρ€Π΅Π΄Π½Ρ‹Ρ… ΠΏΡ€ΠΈΠ²Ρ‹Ρ‡Π΅ΠΊ, соматичСских Π·Π°Π±ΠΎΠ»Π΅Π²Π°Π½ΠΈΠΉ, гинСкологичСской ΠΏΠ°Ρ‚ΠΎΠ»ΠΎΠ³ΠΈΠΈ, тСчСния ΠΈ исходов бСрСмСнности для Π½ΠΎΠ²ΠΎΡ€ΠΎΠΆΠ΄Π΅Π½Π½Ρ‹Ρ… Ρƒ 1246 ΠΆΠ΅Π½Ρ‰ΠΈΠ½ с Ρ†Π΅Π»ΡŒΡŽ построСния ΠΌΠΎΠ΄Π΅Π»ΠΈ прогнозирования ΠΏΡ€Π΅ΠΆΠ΄Π΅Π²Ρ€Π΅ΠΌΠ΅Π½Π½Ρ‹Ρ… Ρ€ΠΎΠ΄ΠΎΠ² ΠΈ нСблагоприятных исходов бСрСмСнности ΠΏΡ€ΠΈ ΠΏΠΎΠΌΠΎΡ‰ΠΈ рСгрСссионного Π°Π½Π°Π»ΠΈΠ·Π° с ΠΎΠΏΡ‚ΠΈΠΌΠ°Π»ΡŒΠ½Ρ‹ΠΌ ΡˆΠΊΠ°Π»ΠΈΡ€ΠΎΠ²Π°Π½ΠΈΠ΅ΠΌ ΠΈ Π²Π°Π»ΠΈΠ΄ΠΈΠ·Π°Ρ†ΠΈΠ΅ΠΉ ΠΌΠΎΠ΄Π΅Π»ΠΈ Ρƒ 100 ΠΆΠ΅Π½Ρ‰ΠΈΠ½. Π Π΅Π·ΡƒΠ»ΡŒΡ‚Π°Ρ‚Ρ‹. НаиболСС Π·Π½Π°Ρ‡ΠΈΠΌΡ‹ΠΌΠΈ ΠΏΡ€Π΅Π΄ΠΈΠΊΡ‚ΠΎΡ€Π°ΠΌΠΈ, ΡƒΠ²Π΅Π»ΠΈΡ‡ΠΈΠ²Π°ΡŽΡ‰ΠΈΠΌΠΈ риск ΠΏΡ€Π΅ΠΆΠ΄Π΅Π²Ρ€Π΅ΠΌΠ΅Π½Π½Ρ‹Ρ… Ρ€ΠΎΠ΄ΠΎΠ² ΠΈ нСблагоприятных исходов бСрСмСнности, оказались ΠΏΡ€Π΅ΠΆΠ΄Π΅Π²Ρ€Π΅ΠΌΠ΅Π½Π½Ρ‹Π΅ Ρ€ΠΎΠ΄Ρ‹ Π² Π°Π½Π°ΠΌΠ½Π΅Π·Π΅, нСрСгулярноС наблюдСниС Π²ΠΎ врСмя бСрСмСнности, Π²ΠΎΡΠΏΠ°Π»ΠΈΡ‚Π΅Π»ΡŒΠ½Ρ‹Π΅ заболСвания ΠΎΡ€Π³Π°Π½ΠΎΠ² ΠΌΠ°Π»ΠΎΠ³ΠΎ Ρ‚Π°Π·Π° Π² Π°Π½Π°ΠΌΠ½Π΅Π·Π΅, ΠΊΡƒΡ€Π΅Π½ΠΈΠ΅, ΠΎΠΆΠΈΡ€Π΅Π½ΠΈΠ΅, Π½Π°Ρ‡Π°Π»ΠΎ ΠΏΠΎΠ»ΠΎΠ²ΠΎΠΉ ΠΆΠΈΠ·Π½ΠΈ Π΄ΠΎ 16 Π»Π΅Ρ‚, сСрдСчно-сосудистыС ΠΈ эндокринныС заболСвания. ΠŸΡ€ΠΈΠ½Π°Π΄Π»Π΅ΠΆΠ½ΠΎΡΡ‚ΡŒ ΠΊ ΠΈΠ½Ρ‚Π΅Π»Π»Π΅ΠΊΡ‚ΡƒΠ°Π»ΡŒΠ½ΠΎΠΉ Ρ€Π°Π±ΠΎΡ‚Π΅, Π½Π°ΠΎΠ±ΠΎΡ€ΠΎΡ‚, ΡƒΠΌΠ΅Π½ΡŒΡˆΠ°Π»Π° риск ΠΏΡ€Π΅ΠΆΠ΄Π΅Π²Ρ€Π΅ΠΌΠ΅Π½Π½Ρ‹Ρ… Ρ€ΠΎΠ΄ΠΎΠ² ΠΈ ассоциированных с Π½ΠΈΠΌΠΈ нСблагоприятных исходов. Данная прогностичСская модСль продСмонстрировала Π΄ΠΈΠ°Π³Π½ΠΎΡΡ‚ΠΈΡ‡Π΅ΡΠΊΡƒΡŽ Ρ†Π΅Π½Π½ΠΎΡΡ‚ΡŒ. ΠŸΡ€ΠΈ подсчСтС 25 ΠΈ Π±ΠΎΠ»Π΅Π΅ Π±Π°Π»Π»ΠΎΠ² модСль ΠΈΠΌΠ΅Π»Π° Ρ‡ΡƒΠ²ΡΡ‚Π²ΠΈΡ‚Π΅Π»ΡŒΠ½ΠΎΡΡ‚ΡŒ 73%, ΡΠΏΠ΅Ρ†ΠΈΡ„ΠΈΡ‡Π½ΠΎΡΡ‚ΡŒ 71%, ΠΏΠ»ΠΎΡ‰Π°Π΄ΡŒ ΠΏΠΎΠ΄ ROC-ΠΊΡ€ΠΈΠ²ΠΎΠΉ (AUC) 0,76 (качСство Ρ…ΠΎΡ€ΠΎΡˆΠ΅Π΅), Ρ€0,001. ПослС стратификации Π³Ρ€ΡƒΠΏΠΏ высокого риска ΠΏΠΎ матСринской ΠΈ ΠΏΠ΅Ρ€ΠΈΠ½Π°Ρ‚Π°Π»ΡŒΠ½ΠΎΠΉ ΠΏΠ°Ρ‚ΠΎΠ»ΠΎΠ³ΠΈΠΈ Π² условиях ТСнской ΠΊΠΎΠ½ΡΡƒΠ»ΡŒΡ‚Π°Ρ†ΠΈΠΈ Π²Π½Π΅Π΄Ρ€Π΅Π½ ΠΈ Π°ΠΊΡ‚ΠΈΠ²Π½ΠΎ проводится ΠΎΠΏΡ€Π΅Π΄Π΅Π»Π΅Π½Π½Ρ‹ΠΉ ΠΏΠ΅Ρ€Π΅Ρ‡Π΅Π½ΡŒ диагностичСских ΠΈ Π»Π΅Ρ‡Π΅Π±Π½ΠΎ-профилактичСских мСроприятий. Π‘ Ρ†Π΅Π»ΡŒΡŽ стратификации ΠΌΠΎΠ΄Π΅Π»ΠΈ проспСктивно ΠΏΡ€ΠΎΠ°Π½Π°Π»ΠΈΠ·ΠΈΡ€ΠΎΠ²Π°Π½Ρ‹ Ρ‚Π΅Ρ‡Π΅Π½ΠΈΠ΅ ΠΈ исходы бСрСмСнности Ρƒ 100 ΠΆΠ΅Π½Ρ‰ΠΈΠ½, Ρ€Π°Π·Π΄Π΅Π»Π΅Π½Π½Ρ‹Ρ… Π½Π° 2 Π³Ρ€ΡƒΠΏΠΏΡ‹ ΠΏΠΎ 50 Ρ‡Π΅Π»ΠΎΠ²Π΅ΠΊ, Ρ‡ΡŒΡ Π±Π΅Ρ€Π΅ΠΌΠ΅Π½Π½ΠΎΡΡ‚ΡŒ Π·Π°ΠΊΠΎΠ½Ρ‡ΠΈΠ»Π°ΡΡŒ ΠΏΡ€Π΅ΠΆΠ΄Π΅Π²Ρ€Π΅ΠΌΠ΅Π½Π½Ρ‹ΠΌΠΈ ΠΈΠ»ΠΈ своСврСмСнными Ρ€ΠΎΠ΄Π°ΠΌΠΈ. Π’ Π³Ρ€ΡƒΠΏΠΏΠ΅ 1 суммарный Π±Π°Π»Π» 25 ΠΈΠΌΠ΅Π»ΠΈ 44% ΠΆΠ΅Π½Ρ‰ΠΈΠ½, Π² Π³Ρ€ΡƒΠΏΠΏΠ΅ 2 ― Ρ‚ΠΎΠ»ΡŒΠΊΠΎ 10% ΠΆΠ΅Π½Ρ‰ΠΈΠ½ (Ρ‡ΡƒΠ²ΡΡ‚Π²ΠΈΡ‚Π΅Π»ΡŒΠ½ΠΎΡΡ‚ΡŒ 81,4%, ΡΠΏΠ΅Ρ†ΠΈΡ„ΠΈΡ‡Π½ΠΎΡΡ‚ΡŒ 61,6%, ΠΏΠΎΠ»ΠΎΠΆΠΈΡ‚Π΅Π»ΡŒΠ½Π°Ρ прогностичСская Π·Π½Π°Ρ‡ΠΈΠΌΠΎΡΡ‚ΡŒ 44%, ΠΎΡ‚Ρ€ΠΈΡ†Π°Ρ‚Π΅Π»ΡŒΠ½Π°Ρ прогностичСская Π·Π½Π°Ρ‡ΠΈΠΌΠΎΡΡ‚ΡŒ 90%, ΠΏΠΎΠ»ΠΎΠΆΠΈΡ‚Π΅Π»ΡŒΠ½ΠΎΠ΅ ΠΎΡ‚Π½ΠΎΡˆΠ΅Π½ΠΈΠ΅ правдоподобия 2,2 [1,53,0], ΠΎΡ‚Ρ€ΠΈΡ†Π°Ρ‚Π΅Π»ΡŒΠ½ΠΎΠ΅ ΠΎΡ‚Π½ΠΎΡˆΠ΅Π½ΠΈΠ΅ правдоподобия 0,3 [0,130,68]). Π—Π°ΠΊΠ»ΡŽΡ‡Π΅Π½ΠΈΠ΅. Нами ΠΏΡ€Π΅Π΄Π»ΠΎΠΆΠ΅Π½Π° модСль прогнозирования ΠΏΡ€Π΅ΠΆΠ΄Π΅Π²Ρ€Π΅ΠΌΠ΅Π½Π½Ρ‹Ρ… Ρ€ΠΎΠ΄ΠΎΠ² ΠΈ ΠΏΠ΅Ρ€ΠΈΠ½Π°Ρ‚Π°Π»ΡŒΠ½Ρ‹Ρ… ΠΏΠΎΡ‚Π΅Ρ€ΡŒ с использованиСм доступных характСристик Π±Π΅Ρ€Π΅ΠΌΠ΅Π½Π½Ρ‹Ρ… ΠΆΠ΅Π½Ρ‰ΠΈΠ½ с Ρ€Π°Π½Π½ΠΈΡ… сроков бСрСмСнности с ΡƒΠΌΠ΅Ρ€Π΅Π½Π½Ρ‹ΠΌΠΈ показатСлями диагностичСской значимости. ВрСбуСтся дальнСйшая валидизация ΠΌΠΎΠ΄Π΅Π»ΠΈ Π½Π° большСй популяции Π±Π΅Ρ€Π΅ΠΌΠ΅Π½Π½Ρ‹Ρ… ΠΆΠ΅Π½Ρ‰ΠΈΠ½

    Comparative analysis of the dynamics and orientation of epidemiological process of HIV infection in the Chelyabinsk region, Urals Federal district and the Russian Federation

    Get PDF
    Ural Federal District is among the most affected by HIV infection of the Russian Federation regions. The dynamics and pace of HIV infection depends on the coverage of the survey population to HIV, including among vulnerable groups. Based on a comparative analysis of incidence in relation to the coverage of HIV testing in the work of the basic tendencies of the epidemiological process of HIV infection in the Urals Federal District.Π£Ρ€Π°Π»ΡŒΡΠΊΠΈΠΉ Π€Π΅Π΄Π΅Ρ€Π°Π»ΡŒΠ½Ρ‹ΠΉ ΠΎΠΊΡ€ΡƒΠ³ относится ΠΊ Π½Π°ΠΈΠ±ΠΎΠ»Π΅Π΅ ΠΏΠΎΡ€Π°ΠΆΠ΅Π½Π½Ρ‹ΠΌ Π’Π˜Π§-ΠΈΠ½Ρ„Π΅ΠΊΡ†ΠΈΠ΅ΠΉ Ρ€Π΅Π³ΠΈΠΎΠ½Π°ΠΌ Российской Π€Π΅Π΄Π΅Ρ€Π°Ρ†ΠΈΠΈ. Π”ΠΈΠ½Π°ΠΌΠΈΠΊΠ° ΠΈ Ρ‚Π΅ΠΌΠΏΡ‹ заболСваСмости Π’Π˜Π§-ΠΈΠ½Ρ„Π΅ΠΊΡ†ΠΈΠ΅ΠΉ Π½Π°ΠΏΡ€ΡΠΌΡƒΡŽ зависит ΠΎΡ‚ ΠΎΡ…Π²Π°Ρ‚Π° обслСдованиСм насСлСния Π½Π° Π’Π˜Π§, Π² Ρ‚ΠΎΠΌ числС срСди уязвимых Π³Ρ€ΡƒΠΏΠΏ. На основании ΡΡ€Π°Π²Π½ΠΈΡ‚Π΅Π»ΡŒΠ½ΠΎΠ³ΠΎ Π°Π½Π°Π»ΠΈΠ·Π° ΠΏΠΎΠΊΠ°Π·Π°Ρ‚Π΅Π»Π΅ΠΉ заболСваСмости Π²ΠΎ взаимосвязи с ΠΎΡ…Π²Π°Ρ‚ΠΎΠΌ обслСдованиСм Π½Π° Π’Π˜Π§, Π² Ρ€Π°Π±ΠΎΡ‚Π΅ ΠΎΠΏΡ€Π΅Π΄Π΅Π»Π΅Π½Ρ‹ основныС Ρ‚Π΅Π½Π΄Π΅Π½Ρ†ΠΈΠΈ эпидСмиологичСского процСсса Π’Π˜Π§-ΠΈΠ½Ρ„Π΅ΠΊΡ†ΠΈΠΈ Π² Π£Ρ€Π°Π»ΡŒΡΠΊΠΎΠΌ Π€Π΅Π΄Π΅Ρ€Π°Π»ΡŒΠ½ΠΎΠΌ ΠΎΠΊΡ€ΡƒΠ³Π΅
    • …
    corecore